HCPCS Code: A5500 Returned 3719 Results *This List Reflects Only Those Products Reviewed and Classified by Noridian

Your search for Classification: Manufacturer: Product name: Model number: HCPCS Code: A5500 Returned 3719 results *This list reflects only those products reviewed and classified by Noridian. Other eligible products which have not been reviewed are likely to exist. The presence of a product on this list does not in any way constitute an endorsement of this product by Noridian

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 1 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

NEW BALANCE 1063 MR1063CV A5500 12/17/2008 NEW BALANCE 1063 MR1063WN A5500 12/17/2008 NEW BALANCE 1063 MR1063WR A5500 12/17/2008 NEW BALANCE 1063 WR1063CV A5500 12/17/2008 NEW BALANCE 1063 WR1063TB A5500 12/17/2008 NEW BALANCE 1063 WR1063WB A5500 12/17/2008 RED WING SHOE 1626 1626 A5500 09/30/2008 COMPANY RED WING SHOE 2226 2226 A5500 10/02/2008 COMPANY RED WING SHOE 2238 2238 A5500 10/02/2008 COMPANY RED WING SHOE 2326 2326 A5500 09/30/2008 COMPANY NEW ENGLAND 4 EYE CASUAL MEN 2001 A5500 10/27/2006 ORTHOTICS AND DIABETIC SHOE

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

NEW ENGLAND 4 EYE DRESS WOMEN 3002 A5500 10/27/2006 ORTHOTICS AND DIABETIC SHOE COMMERCE 505 505 A5500 08/27/2009 ATLANTIC CORP. DBA. APIS FOOTWEAR CO. NATURAL STEP 5TH AVENUE A5500 02/09/2009 P.W. MINOR 5TH AVENUE 11364 A5500 05/11/2009 P.W. MINOR 5TH AVENUE 31364 A5500 05/11/2009 NEW BALANCE 623 MX623WT A5500 02/03/2010 ATHLETIC SHOE INC. NEW BALANCE 623 MX623WN A5500 02/03/2010 ATHLETIC SHOE INC. NEW BALANCE 623 MX623AB A5500 02/03/2010 ATHLETIC SHOE INC. NEW BALANCE 623 MX623GS A5500 02/03/2010 ATHLETIC SHOE INC. NEW BALANCE 623 MX623OD A5500 02/03/2010 ATHLETIC SHOE INC. NEW BALANCE 623 WX623WT A5500 02/03/2010 ATHLETIC SHOE INC. NEW BALANCE 623 WX623WB A5500 02/03/2010 ATHLETIC SHOE INC. NEW BALANCE 623 WX623WG A5500 02/03/2010 ATHLETIC SHOE INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

NEW BALANCE 623 WX623WP A5500 02/03/2010 ATHLETIC SHOE INC. NEW BALANCE 623 WX623AB A5500 02/03/2010 ATHLETIC SHOE INC. APIS FOOTWEAR 628-E 628-E A5500 03/11/2010 COMPANY COMMERCE 708-L 708-L A5500 12/21/2009 ATLANTIC CORP. DBA. APIS FOOTWEAR CO. APIS FOOTWEAR 728-E 728-E A5500 03/11/2010 COMPANY NEW BALANCE 757 757 A5500 11/06/2008 ATHLETIC SHOE NEW BALANCE 769 MR769SB A5500 12/17/2008 NEW BALANCE 769 MR769SG A5500 12/17/2008 NEW BALANCE 769 MR769ST A5500 12/17/2008 NEW BALANCE 769 WR769KM A5500 12/17/2008 NEW BALANCE 769 WR769SB A5500 12/17/2008 NEW BALANCE 769 WR769ST A5500 12/17/2008 NEW BALANCE 804 MC804W A5500 02/03/2010 ATHLETIC SHOE, INC. NEW BALANCE 804 WC804W A5500 02/03/2010 ATHLETIC SHOE, INC. NEW BALANCE 812 MW812WT A5500 12/03/2009 ATHLETIC SHOE, INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

NEW BALANCE 812 MW812BK A5500 12/03/2009 ATHLETIC SHOE, INC. NEW BALANCE 812 MW812BE A5500 12/03/2009 ATHLETIC SHOE, INC. NEW BALANCE 812 WW812WT A5500 12/03/2009 ATHLETIC SHOE, INC. NEW BALANCE 812 WW812BK A5500 12/03/2009 ATHLETIC SHOE, INC. NEW BALANCE 812 WW812BE A5500 12/03/2009 ATHLETIC SHOE, INC. NEW BALANCE 850 850 A5500 04/15/2009 NEW BALANCE 856 MX856WN A5500 02/02/2010 ATHLETIC SHOE, INC. NEW BALANCE 856 MX856BK A5500 02/02/2010 ATHLETIC SHOE, INC. NEW BALANCE 856 WX856WB A5500 02/02/2010 ATHLETIC SHOE, INC. NEW BALANCE 883 MR883CU A5500 06/01/2009 ATHLETIC SHOE, INC. NEW BALANCE 883 WR883CU A5500 06/01/2009 ATHLETIC SHOE, INC. COMMERCE 888-V 888-V A5500 08/25/2009 ATLANTIC CORP. DBA. APIS FOOTWEAR CO.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

COMMERCE 9214 9214 A5500 08/27/2009 ATLANTIC CORP. DBA. APIS FOOTWEAR CO. COMMERCE 9215 9215 A5500 08/27/2009 ATLANTIC CORP. DBA. APIS FOOTWEAR CO. RED WING SHOE 926 926 A5500 10/02/2008 COMPANY RED WING SHOE 938 938 A5500 09/30/2008 COMPANY COMMERCE 9601 9601 A5500 12/22/2009 ATLANTIC CORP. DBA APIS FOOTWEAR CO. COMMERCE 9602 9602 A5500 12/21/2009 ATLANTIC CORP. DBA. APIS FOOTWEAR CO. COMMERCE 9605 9605 A5500 08/26/2009 ATLANTIC CORP. DBA. APIS FOOTWEAR CO. COMMERCE 9606 9606 A5500 08/26/2009 ATLANTIC CORP. DBA. APIS FOOTWEAR CO. NEW BALANCE 966 MW966BR A5500 03/20/2009 ATHLETIC SHOE, INC. NEW BALANCE 966 WW966BR A5500 03/20/2009 ATHLETIC SHOE, INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

COMMERCE 9701-L 9701-L A5500 12/21/2009 ATLANTIC CORP. DBA. APIS FOOTWEAR CO. COMMERCE 9701-V 9701-V A5500 12/21/2009 ATLANTIC CORP. DBA. APIS FOOTWEAR CO. NEW BALANCE 993 MR993GL A5500 10/16/2008 NEW BALANCE 993 WR993GL A5500 10/16/2008 B & S PARTNERS, ABAS P4025 A5500 04/16/2009 INC. (DBA PILGRIM SHOES) SOUTHERN ACAPULCO S606 A5500 08/14/2009 PROSTHETICS SUPPLY INC DREW SHOE ACCOMMODATE - HER 16458-12 A5500 02/05/2003 CORPORATION DREW SHOE ACCOMMODATE - HIM 46957-14 A5500 02/05/2003 CORPORATION DREW SHOE ACTIVE 10910-12 A5500 05/02/2002 CORPORATION DREW SHOE ACTIVE 10910-22 A5500 05/02/2002 CORPORATION DREW SHOE ACTIVE 10910-34 A5500 05/02/2002 CORPORATION DREW SHOE ACTIVE 10910-72 A5500 05/02/2002 CORPORATION STANDING ACTIVE 62100-12 A5500 06/04/2007 COMFORT STANDING ACTIVE 62100-22 A5500 06/04/2007 COMFORT ACOR ACTIVE WALKERS BROADWAY A5500 07/13/2001 ORTHOPAEDIC, INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

ACOR ACTIVE WALKERS COMFORT A5500 01/11/2002 ORTHOPAEDIC, INC. STREET ACOR ACTIVE WALKERS RIVER A5500 07/13/2001 ORTHOPAEDIC, INC. DREW SHOE ACTIVITY II 10835-12 A5500 06/04/2003 CORPORATION DREW SHOE ACTIVITY II 10835-22 A5500 06/04/2003 CORPORATION DREW SHOE ACTIVITY II 10835-34 A5500 06/04/2003 CORPORATION DREW SHOE ACTIVITY II 10835-72 A5500 06/04/2003 CORPORATION ACOR ACTIVZ SOLE DEFENSE 06501 A5500 09/09/2004 ORTHOPAEDIC, INC. FOOTWEAR B & S PARTNERS, ADAKADA P4026 A5500 04/15/2009 INC. (DBA PILGRIM SHOES) B & S PARTNERS, ADAM P4102 A5500 01/26/2010 INC. (DBA PILGRIM SHOES) BROOKS SPORTS, ADDICTION 6 MEN'S 41138141 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION 6 MEN'S 41139141 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION 6 MEN'S 41140141 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION 6 MEN'S 41141141 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION 6 WOMEN'S 42138141 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION 6 WOMEN'S 42139141 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION 6 WOMEN'S 42140141 A5500 06/11/2004 INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

BROOKS SPORTS, ADDICTION 6 WOMEN'S 42141141 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION VELCRO 11017001 A5500 01/04/2006 INC. BROOKS SPORTS, ADDICTION VELCRO 11017111 A5500 01/04/2006 INC. BROOKS SPORTS, ADDICTION VELCRO 11018001 A5500 01/04/2006 INC. BROOKS SPORTS, ADDICTION VELCRO 11018111 A5500 01/04/2006 INC. BROOKS SPORTS, ADDICTION VELCRO 11019001 A5500 01/04/2006 INC. BROOKS SPORTS, ADDICTION VELCRO 11019111 A5500 01/04/2006 INC. BROOKS SPORTS, ADDICTION VELCRO 12017001 A5500 01/04/2006 INC. BROOKS SPORTS, ADDICTION VELCRO 12017111 A5500 01/04/2006 INC. BROOKS SPORTS, ADDICTION VELCRO 12018001 A5500 01/04/2006 INC. BROOKS SPORTS, ADDICTION VELCRO 12018111 A5500 01/04/2006 INC. BROOKS SPORTS, ADDICTION VELCRO MEN'S 11017001 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION VELCRO MEN'S 11017111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION VELCRO MEN'S 11018001 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION VELCRO MEN'S 11018111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION VELCRO MEN'S 11019001 A5500 06/11/2004 INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

BROOKS SPORTS, ADDICTION VELCRO MEN'S 11019111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION VELCRO MEN'S 11035001 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION VELCRO MEN'S 11035111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION VELCRO MEN'S 11037001 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION VELCRO MEN'S 11037111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION VELCRO MEN'S 11038001 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION VELCRO MEN'S 11038111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION VELCRO WOMEN'S 12017001 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION VELCRO WOMEN'S 12017111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION VELCRO WOMEN'S 12018001 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION VELCRO WOMEN'S 12018111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION VELCRO WOMEN'S 12019001 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION VELCRO WOMEN'S 12019111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION VELCRO WOMEN'S 12035001 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION VELCRO WOMEN'S 12035111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION VELCRO WOMEN'S 12037001 A5500 06/11/2004 INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

BROOKS SPORTS, ADDICTION VELCRO WOMEN'S 12037111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION VELCRO WOMEN'S 12038001 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION VELCRO WOMEN'S 12038111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER MEN'S 11007001 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER MEN'S 11007111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER MEN'S 11007221 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER MEN'S 11008001 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER MEN'S 11008111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER MEN'S 11008221 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER MEN'S 11009001 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER MEN'S 11009111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER MEN'S 11009221 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER MEN'S 11010001 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER MEN'S 11010111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER MEN'S 11010221 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER MEN'S 11031001 A5500 06/11/2004 INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

BROOKS SPORTS, ADDICTION WALKER MEN'S 11031111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER MEN'S 11031221 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER MEN'S 11032001 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER MEN'S 11032111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER MEN'S 11032221 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER MEN'S 11033001 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER MEN'S 11033111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER MEN'S 11033221 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER MEN'S 11034001 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER MEN'S 11034111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER MEN'S 11034221 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER 12007001 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER 12007111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER 12008001 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER 12008111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER 12009001 A5500 06/11/2004 INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

BROOKS SPORTS, ADDICTION WALKER 12009111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER 12010001 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER 12010111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER 12031001 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER 12031111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER 12032001 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER 12032111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER 12033001 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER 12033111 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER 12034001 A5500 06/11/2004 INC. BROOKS SPORTS, ADDICTION WALKER 12304111 A5500 06/11/2004 INC. PED-LITE LLC ADELE/LACE #20000 A5500 11/06/2009 PED-LITE LLC ADELE/VELCRO 20011 A5500 11/19/2009 BROOKS SPORTS, ADRENALINE GTS 6 41166941 A5500 01/04/2006 INC. BROOKS SPORTS, ADRENALINE GTS 6 41166971 A5500 01/04/2006 INC. BROOKS SPORTS, ADRENALINE GTS 6 41167941 A5500 01/04/2006 INC. BROOKS SPORTS, ADRENALINE GTS 6 41167971 A5500 01/04/2006 INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

BROOKS SPORTS, ADRENALINE GTS 6 41168941 A5500 01/04/2006 INC. BROOKS SPORTS, ADRENALINE GTS 6 41168971 A5500 01/04/2006 INC. BROOKS SPORTS, ADRENALINE GTS5 MEN"S 41126181 A5500 06/11/2004 INC. BROOKS SPORTS, ADRENALINE GTS5 MEN"S 41128181 A5500 06/11/2004 INC. BROOKS SPORTS, ADRENALINE GTS5 MEN"S 41129181 A5500 06/11/2004 INC. BROOKS SPORTS, ADRENALINE GTS5 WOMEN"S 42126161 A5500 06/11/2004 INC. BROOKS SPORTS, ADRENALINE GTS5 WOMEN"S 42128161 A5500 06/11/2004 INC. BROOKS SPORTS, ADRENALINE GTS5 WOMEN"S 42129161 A5500 06/11/2004 INC. SOLETECH, INC. ADVANCE COMFORT E3210 A5500 07/10/2003 FOOTWEAR - MENS TIE SOLETECH, INC. ADVANCE COMFORT E3225 A5500 07/10/2003 FOOTWEAR - MENS TIE SOLETECH, INC. ADVANCE COMFORT E3250 A5500 08/11/2004 FOOTWEAR - MENS TIE SOLETECH, INC. ADVANCE COMFORT E3450 A5500 08/11/2004 FOOTWEAR - MENS TIE SOLETECH, INC. ADVANCE COMFORT E3710 A5500 07/10/2003 FOOTWEAR - WOMENS TIE SOLETECH, INC. ADVANCE COMFORT E3736 A5500 07/10/2003 FOOTWEAR - WOMENS TIE SOLETECH, INC. ADVANCE COMFORT E3744 A5500 07/10/2003 FOOTWEAR - WOMENS TIE SOLETECH, INC. ADVANCE COMFORT E3750 A5500 08/11/2004 FOOTWEAR - WOMENS TIE

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

SOLETECH, INC. ADVANCE COMFORT E3950 A5500 08/11/2004 FOOTWEAR - WOMENS TIE SOLETECH, INC. ADVANCE ORTHOPEDIC E3010 A5500 11/05/2002 FOOTWEAR - MENS TIE SOLETECH, INC. ADVANCE ORTHOPEDIC E3110 A5500 11/05/2002 FOOTWEAR - MENS VELCRO SOLETECH, INC. ADVANCE ORTHOPEDIC E3510 A5500 11/05/2002 FOOTWEAR - WOMENS TIE SOLETECH, INC. ADVANCE ORTHOPEDIC E3610 A5500 11/05/2002 FOOTWEAR - WOMENS VELCRO PROPET USA, INC. ADVANTAGE PLUS WALKER MPRX01 A5500 04/16/2007 PROPET USA, INC. ADVANTAGE WALKER MPRX02 A5500 04/16/2007 AETREX AETREX ESSENCE BARBARA E743 TAN LEATHER A5500 04/30/2009 WORLDWIDE, INC LOW LACE AETREX AETREX ESSENCE BARBARA E748 ROAN SUEDE A5500 04/30/2009 WORLDWIDE, INC LOW LACE AETREX AETREX ESSENCE BARBARA E740 BLACK LEATHER A5500 04/30/2009 WORLDWIDE, INC LOW LACE AETREX AETREX ESSENCE E820 A5500 12/15/2006 WORLDWIDE, INC. FOOTWEAR BLACK VELCRO AETREX AETREX ESSENCE E720 A5500 12/15/2006 WORLDWIDE, INC. FOOTWEAR BLACK LACE UP AETREX AETREX ESSENCE E830 A5500 12/15/2006 WORLDWIDE, INC. FOOTWEAR DOUBLE STRAP AETREX AETREX ESSENCE E831 A5500 12/15/2006 WORLDWIDE, INC. FOOTWEAR DOUBLE STRAP AETREX AETREX ESSENCE E730 A5500 12/15/2006 WORLDWIDE, INC. FOOTWEAR LACE UP AETREX AETREX ESSENCE E731 A5500 12/15/2006 WORLDWIDE, INC. FOOTWEAR LACE UP AETREX AETREX ESSENCE E360 A5500 12/15/2006 WORLDWIDE, INC. FOOTWEAR MARY JANE

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

AETREX AETREX ESSENCE E361 A5500 12/15/2006 WORLDWIDE, INC. FOOTWEAR MARY JANE AETREX AETREX ESSENCE HELEN E394 TAUPE A5500 04/30/2009 WORLDWIDE, INC STRETCH MARY JANE AETREX AETREX ESSENCE HELEN E390 BLACK A5500 04/30/2009 WORLDWIDE, INC STRETCH MARY JANE AETREX AETREX ESSENCE JANE HIGH E751 BROWN SUEDE A5500 04/30/2009 WORLDWIDE, INC LACE AETREX AETREX ESSENCE JANE HIGH E750 BLACK LEATHER A5500 04/30/2009 WORLDWIDE, INC LACE AETREX AETREX ESSENCE JULIA E363 TAN A5500 05/05/2009 WORLDWIDE, INC WRAP AROUND AETREX AETREX ESSENCE JULIA E367 LEOPARD A5500 05/05/2009 WORLDWIDE, INC WRAP AROUND AETREX AETREX ESSENCE LUCY E330 BLACK LEATHER A5500 05/05/2009 WORLDWIDE, INC BUTTON AETREX AETREX ESSENCE LUCY E338 ROAN SUEDE A5500 05/05/2009 WORLDWIDE, INC BUTTON AETREX AETREX ESSENCE LUCY E335 PATENT CROC A5500 05/05/2009 WORLDWIDE, INC BUTTON APEX FOOT HEALTH AETREX HIGH PERFORMANCE X521 A5500 06/09/2004 INDUSTRIES, INC. RUNNER - LACE CLOSURE APEX FOOT HEALTH AETREX HIGH PERFORMANCE X801 A5500 06/09/2004 INDUSTRIES, INC. WALKER - LACE CLOSURE APEX FOOT HEALTH AETREX HIGH PERFORMANCE X821 A5500 06/09/2004 INDUSTRIES, INC. WALKER - LACE CLOSURE APEX FOOT HEALTH AETREX HIGH PERFORMANCE X903 A5500 06/09/2004 INDUSTRIES, INC. WALKER - TRIPLE VELCRO CLOSURE APEX FOOT HEALTH AETREX HIGH PERFORMANCE X923 A5500 06/09/2004 INDUSTRIES, INC. WALKER - TRIPLE VELCRO CLOSURE AETREX AETREX SEDONA TRAIL Z783 A5500 11/06/2008 WORLDWIDE INC RUNNER

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

AETREX AETREX SEDONA TRAIL Z788 A5500 11/06/2008 WORLDWIDE INC RUNNER AETREX AETREX ZOOM RUNNER Z589 A5500 11/05/2008 WORLDWIDE INC AETREX AETREX ZOOM RUNNER Z581 A5500 11/06/2008 WORLDWIDE INC AETREX AETREX ZOOM RUNNER Z580 A5500 05/05/2009 WORLDWIDE, INC PROPET USA, INC. AGNES WALKER WPRX10BM A5500 02/13/2008 PROPET USA, INC. AGNES WALKER WPRX10BROM A5500 02/13/2008 PROPET USA, INC. AGNES WALKER WPRX10BROW A5500 02/13/2008 PROPET USA, INC. AGNES WALKER WPRX10BROX A5500 02/13/2008 PROPET USA, INC. AGNES WALKER WPRX10BW A5500 02/13/2008 PROPET USA, INC. AGNES WALKER WPRX10BX A5500 02/13/2008 PROPET USA, INC. AGNES WALKER WPRX10TEM A5500 02/13/2008 PROPET USA, INC. AGNES WALKER WPRX10TEW A5500 02/13/2008 PROPET USA, INC. AGNES WALKER WPRX10TEX A5500 02/13/2008 ORTHO-AID AIDA L1949 A5500 10/25/2004 CUSTOM MOLDED SHOES, INC. DREW SHOE AIREE 10710-12 A5500 09/25/2007 CORPORATION DREW SHOE AIREE 10710-22 A5500 09/25/2007 CORPORATION DREW SHOE AIREE 10710-34 A5500 09/25/2007 CORPORATION DREW SHOE AIREE 10710-72 A5500 09/25/2007 CORPORATION OASIS FOOTWEAR, ALANA C24001 A5500 01/08/2009 LLC

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

OASIS FOOTWEAR, ALANA VELCRO C24002 A5500 01/08/2009 LLC B & S PARTNERS, ALEX P4011 A5500 07/25/2008 INC. (DBA PILGRIM SHOES) LERNESS SHOE ALEX A5500 02/03/2006 COMPANY B & S PARTNERS, ALEXANDRA P3088 A5500 02/05/2010 INC. DBA PILGRIM SHOES DREW SHOE CORP ALEXIS 13395-01 A5500 11/12/2008 DREW SHOE CORP ALEXIS 13395-28 A5500 11/12/2008 DREW SHOE CORP ALEXIS 13395-89 A5500 11/12/2008 P.W. MINOR & SON, ALGONQUIN 1126 A5500 05/17/2004 INC. P.W. MINOR & SON, ALGONQUIN 4126 A5500 05/17/2004 INC. P.W. MINOR & SON, ALGONQUIN 6126 A5500 05/17/2004 INC. P.W. MINOR & SON, ALL AMERICAN 11066 A5500 03/07/2003 INC. P.W. MINOR & SON, ALL AMERICAN 51066 A5500 03/07/2003 INC. P.W. MINOR & SON, ALL AMERICAN 71066 A5500 03/07/2003 INC. LERNESS SHOE ALLA A5500 02/07/2006 COMPANY DREW SHOE CORP ALLISON 14363-36 A5500 11/12/2008 DREW SHOE CORP ALLISON 14363-49 A5500 11/12/2008

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

REDWOOD ALLISON 38200 A5500 07/25/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD ALLISON 38201 A5500 07/25/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD ALLISON 38202 A5500 07/25/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) DREW SHOE ALLURE 10841-12 A5500 08/08/2002 CORPORATION DREW SHOE ALLURE 10841-15 A5500 08/08/2002 CORPORATION DREW SHOE ALLURE 10841-16 A5500 08/08/2002 CORPORATION DREW SHOE ALLURE 10841-34 A5500 08/08/2002 CORPORATION DREW SHOE ALLURE 10841-65 A5500 08/08/2002 CORPORATION DREW SHOE ALLURE 10841-75 A5500 08/08/2002 CORPORATION DREW SHOE ALLURE 10841-86 A5500 08/08/2002 CORPORATION PROPET USA, INC. ALPINE WALKER M4006BNM A5500 06/29/2007 PROPET USA, INC. ALPINE WALKER M4006BNX A5500 06/29/2007 PROPET USA, INC. ALPINE WALKER M4006BNXX A5500 06/29/2007 PROPET USA, INC. ALPINE WALKER M4006BRNM A5500 06/29/2007 PROPET USA, INC. ALPINE WALKER M4006BRNX A5500 06/29/2007 PROPET USA, INC. ALPINE WALKER M4006BRNXX A5500 06/29/2007

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

TT GROUP ALYSSA T09862 A5500 06/22/2009 P.W. MINOR & SON, AMBASSADOR 11051 A5500 05/12/2008 INC. P.W. MINOR & SON, AMBASSADOR 31051 A5500 05/12/2008 INC. P.W. MINOR & SON, AMBASSADOR 51051 A5500 05/12/2008 INC. REDWOOD AMBER 48266 A5500 11/08/2007 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD AMBER 48267 A5500 11/08/2007 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD AMBER 48268 A5500 11/08/2007 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD AMBER 48269 A5500 11/08/2007 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) APEX FOOT HEALTH AMBULATOR BIOMECHANICAL BIO6000 A5500 10/23/2003 INDUSTRIES, INC. ONE STRAP SHOES APEX FOOT HEALTH AMBULATOR BIOMECHANICAL BIO6900 A5500 10/23/2003 INDUSTRIES, INC. ONE STRAP SHOES APEX FOOT HEALTH AMBULATOR BIOMECHANICAL BIO3000 A5500 06/12/2001 INDUSTRIES, INC. SHOE APEX FOOT HEALTH AMBULATOR BIOMECHANICAL BIO2000 A5500 10/06/2003 INDUSTRIES, INC. SHOE APEX FOOT HEALTH AMBULATOR BIOMECHANICAL BIO2100 A5500 10/06/2003 INDUSTRIES, INC. SHOE APEX FOOT HEALTH AMBULATOR BIOMECHANICAL BIO2200 A5500 10/06/2003 INDUSTRIES, INC. SHOE

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

APEX FOOT HEALTH AMBULATOR BIOMECHANICAL BIO2400 A5500 10/06/2003 INDUSTRIES, INC. SHOE APEX FOOT HEALTH AMBULATOR BIOMECHANICAL BIO2500 A5500 10/06/2003 INDUSTRIES, INC. SHOE APEX FOOT HEALTH AMBULATOR BIOMECHANICAL BIO2600 A5500 10/06/2003 INDUSTRIES, INC. SHOE APEX FOOT HEALTH AMBULATOR BIOMECHANICAL BIO4000 A5500 10/06/2003 INDUSTRIES, INC. SHOE APEX FOOT HEALTH AMBULATOR CONFORM SHOE 1261 A5500 06/12/2001 INDUSTRIES, INC. APEX FOOT HEALTH AMBULATOR CONFORM 1260 A5500 10/06/2003 INDUSTRIES, INC. APEX FOOT HEALTH AMBULATOR CONFORM 1264 A5500 10/06/2003 INDUSTRIES, INC. APEX FOOT HEALTH AMBULATOR CONFORM 1270 A5500 10/06/2003 INDUSTRIES, INC. APEX FOOT HEALTH AMBULATOR CONFORM 1271 A5500 10/06/2003 INDUSTRIES, INC. APEX FOOT HEALTH AMBULATOR CONFORM 1274 A5500 10/06/2003 INDUSTRIES, INC. APEX FOOT HEALTH AMBULATOR THERAPEUTIC T1200 A5500 10/23/2003 INDUSTRIES, INC. SHOE DREW SHOE AMELIA 14233-12 A5500 12/07/2007 CORPORATION DREW SHOE AMELIA 14233-64 A5500 12/07/2007 CORPORATION DREW SHOE AMELIA 14233-76 A5500 12/07/2007 CORPORATION DREW SHOE ANDARE 10166-12 A5500 03/23/2004 CORPORATION DREW SHOE ANDARE 10166-22 A5500 03/23/2004 CORPORATION

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

B & S PARTNERS, ANDREA P3203 A5500 09/02/2009 INC. (DBA PILGRIM SHOES) B & S PARTNERS, ANGEL P3072 A5500 04/27/2007 INC. (DBA PILGRIM SHOES) NOBILE ANGELO A5500 07/28/2009 CONSULTING USA LLC DREW SHOE ANGIE 13369-19 A5500 09/08/2006 CORPORATION DREW SHOE ANGIE 13369-54 A5500 09/08/2006 CORPORATION DREW SHOE ANGIE 13369-71 A5500 09/08/2006 CORPORATION LERNESS SHOE ANNA A5500 02/07/2006 COMPANY DR ZEN INC ANNE 221-01 A5500 02/04/2010 DR ZEN INC ANNE 221-02 A5500 02/04/2010 DR ZEN INC ANNE 221-03 A5500 02/04/2010 DR ZEN INC ANNE 222-01 A5500 02/04/2010 DR ZEN INC ANNE 222-02 A5500 02/04/2010 DR ZEN INC ANNE 222-03 A5500 02/04/2010 NATURAL STEP ANNE A5500 02/09/2009 B & S PARTNERS, ANNETTE P3213 A5500 02/05/2010 INC. DBA PILGRIM SHOES DR. COMFORT ANNIE #4510 A5500 05/04/2004 (RIKCO INTERNATIONAL, LLC)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DR. COMFORT ANNIE #4530 A5500 05/04/2004 (RIKCO INTERNATIONAL, LLC) COMMERCE ANSWER2 WOMEN'S CASUAL 446-1 A5500 06/08/2007 ATLANTIC SHOE CORPORATION (DBA APIS FOOTWEAR COMMERCE ANSWER2 WOMEN'S CASUAL 446-4 A5500 06/08/2007 ATLANTIC SHOE CORPORATION (DBA APIS FOOTWEAR COMMERCE ANSWER2 WOMEN'S CASUAL 445-1 A5500 06/08/2007 ATLANTIC SHOE CORPORATION (DBA APIS FOOTWEAR COMMERCE ANSWER2 WOMEN'S CASUAL 445-4 A5500 06/08/2007 ATLANTIC SHOE CORPORATION (DBA APIS FOOTWEAR COMMERCE ANSWER2 WOMEN'S 448-1 A5500 06/08/2007 ATLANTIC WALKING SHOE CORPORATION (DBA APIS FOOTWEAR COMMERCE ANSWER2 WOMEN'S 448-3 A5500 06/08/2007 ATLANTIC WALKING SHOE CORPORATION (DBA APIS FOOTWEAR

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

COMMERCE ANSWER2 MEN'S ATHLETIC 554-3 A5500 06/07/2007 ATLANTIC SHOE CORPORATION (DBA APIS FOOTWEAR SOUTHERN ANSWER2 MEN'S ATHLETIC AMLN A5500 05/30/2006 PROSTHETIC SHOE SUPPLY, INC. COMMERCE ANSWER2 MEN'S CASUAL 556-1 A5500 06/07/2007 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE ANSWER2 MEN'S CASUAL 556-2 A5500 06/07/2007 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE ANSWER2 MEN'S CASUAL 555-1 A5500 06/07/2007 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE ANSWER2 MEN'S CASUAL 555-2 A5500 06/07/2007 ATLANTIC CORPORATION (DBA APIS FOOTWEAR SOUTHERN ANSWER2 MEN'S LACE MLBK A5500 05/30/2006 PROSTHETIC CASUAL SHOE SUPPLY, INC. SOUTHERN ANSWER2 MEN'S LACE MLBR A5500 05/30/2006 PROSTHETIC CASUAL SHOE SUPPLY, INC. SOUTHERN ANSWER2 MEN'S LACE MLBN A5500 OR A9270 05/30/2006 USE A5500 FOR MODEL MLGN. PROSTHETIC WALKING SHOE USE A9270 FOR MODEL MLBN. SUPPLY, INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

SOUTHERN ANSWER2 MEN'S LACE MLGN A5500 OR A9270 05/30/2006 USE A5500 FOR MODEL MLGN. PROSTHETIC WALKING SHOE USE A9270 FOR MODEL MLBN. SUPPLY, INC. SOUTHERN ANSWER2 MEN'S VELCRO MVBK A5500 05/30/2006 PROSTHETIC CASUAL SHOE SUPPLY, INC. SOUTHERN ANSWER2 MEN'S VELCRO MVBR A5500 05/30/2006 PROSTHETIC CASUAL SHOE SUPPLY, INC. SOUTHERN ANSWER2 MEN'S VELCRO MVGN A5500 05/30/2006 PROSTHETIC WALKING SHOE SUPPLY, INC. COMMERCE ANSWER2 MEN'S WALKING 557-1 A5500 06/07/2007 ATLANTIC SHOE CORPORATION (DBA APIS FOOTWEAR COMMERCE ANSWER2 MEN'S WALKING 557-3 A5500 06/07/2007 ATLANTIC SHOE CORPORATION (DBA APIS FOOTWEAR COMMERCE ANSWER2 MEN'S WALKING 558-1 A5500 06/07/2007 ATLANTIC SHOE CORPORATION (DBA APIS FOOTWEAR COMMERCE ANSWER2 MEN'S WALKING 558-3 A5500 06/07/2007 ATLANTIC SHOE CORPORATION (DBA APIS FOOTWEAR COMMERCE ANSWER2 WOMEN'S 444-3 A5500 06/07/2007 ATLANTIC ATHLETIC SHOE CORPORATION (DBA APIS FOOTWEAR

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

SOUTHERN ANSWER2 WOMEN'S AWLG A5500 OR A9270 05/30/2006 USE A9270 FOR SIZE 5. PROSTHETIC ATHLETIC SHOE SUPPLY, INC. SOUTHERN ANSWER2 WOMEN'S LACE WLBK A5500 OR A9270 05/30/2006 USE A9270 FOR SIZE 5. PROSTHETIC CASUAL SHOE SUPPLY, INC. SOUTHERN ANSWER2 WOMEN'S LACE WLBO A5500 OR A9270 05/30/2006 USE A9270 FOR SIZE 5. PROSTHETIC CASUAL SHOE SUPPLY, INC. SOUTHERN ANSWER2 WOMEN'S LACE WLBN A5500 OR A9270 05/30/2006 USE A5500 FOR MODEL WLGN. PROSTHETIC WALKING SHOE USE A9270 FOR MODEL WLBN. SUPPLY, INC. SOUTHERN ANSWER2 WOMEN'S LACE WLGN A5500 OR A9270 05/30/2006 USE A5500 FOR MODEL WLGN. PROSTHETIC WALKING SHOE USE A9270 FOR MODEL WLBN. SUPPLY, INC. SOUTHERN ANSWER2 WOMEN'S VELCRO WVBK A5500 OR A9270 05/30/2006 USE A9270 FOR SIZE 5. PROSTHETIC CASUAL SHOE SUPPLY, INC. SOUTHERN ANSWER2 WOMEN'S VELCRO WVBO A5500 OR A9270 05/30/2006 USE A9270 FOR SIZE 5. PROSTHETIC CASUAL SHOE SUPPLY, INC. SOUTHERN ANSWER2 WOMEN'S VELCRO WVGN A5500 05/30/2006 PROSTHETIC WALKING SHOE SUPPLY, INC. COMMERCE ANSWER2 WOMEN'S WALKING 447-1 A5500 06/07/2007 ATLANTIC SHOE CORPORATION (DBA APIS FOOTWEAR COMMERCE ANSWER2 WOMEN'S WALKING 447-3 A5500 06/07/2007 ATLANTIC SHOE CORPORATION (DBA APIS FOOTWEAR DREW SHOE CORP APOLLO 44855-19 A5500 12/03/2009 DREW SHOE CORP APOLLO 44855-21 A5500 12/03/2009

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DREW SHOE CORP APOLLO 44855-22 A5500 12/03/2009 DREW SHOE CORP APOLLO 44855-14 A5500 12/03/2009 P.W. MINOR & SON, APPRENTICE 11210 A5500 05/30/2007 INC. P.W. MINOR & SON, APPRENTICE 31210 A5500 05/30/2007 INC. P.W. MINOR & SON, APPRENTICE 51210 A5500 05/30/2007 INC. P.W. MINOR & SON, APPRENTICE 1034 A5500 05/14/2008 INC. P.W. MINOR & SON, APPRENTICE 3034 A5500 05/14/2008 INC. ORTHO-AID AREGA L1941 A5500 10/25/2004 CUSTOM MOLDED SHOES, INC. KLAS SHOES, LLC ARETHA 4210801280 (PUTTY) A5500 08/03/2009 KLAS SHOES, LLC ARETHA 4210801001 (BLACK) A5500 08/03/2009 KLAS SHOES, LLC ARETHA 4210801403 (NAVY) A5500 08/03/2009 KLAS SHOES, LLC ARETHA 4210801200 (BROWN) A5500 08/03/2009 BROOKS SPORTS, ARIEL WOMEN"S 42100192 A5500 06/11/2004 INC. BROOKS SPORTS, ARIEL WOMEN"S 42101192 A5500 06/11/2004 INC. BROOKS SPORTS, ARIEL WOMEN"S 42103192 A5500 06/11/2004 INC. DR. ZEN INC ARIES 755-01 A5500 11/12/2008 DR. ZEN INC ARIES 755-02 A5500 11/12/2008 DR. ZEN INC ARIES 755-03 A5500 11/12/2008 APEX FOOT HEALTH ARIYA SHOE Y500 A5500 10/23/2003 INDUSTRIES, INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

APEX FOOT HEALTH ARIYA SHOE Y540 A5500 10/23/2003 INDUSTRIES, INC. APEX FOOT HEALTH ARIYA SHOE Y550 A5500 10/23/2003 INDUSTRIES, INC. APEX FOOT HEALTH ARIYA SHOE Y560 A5500 10/23/2003 INDUSTRIES, INC. APEX FOOT HEALTH ARIYA SHOE Y600 A5500 10/23/2003 INDUSTRIES, INC. FOOTWAY, INC. ARLETTE W1101L (LACE) A5500 06/24/2009 FOOTWAY, INC. ARLETTE W1101V (VELCRO) A5500 06/24/2009 DREW SHOE ARLINGTON 40864-14 A5500 11/27/2007 CORPORATION DREW SHOE ARLINGTON 40864-56 A5500 11/27/2007 CORPORATION P.W. MINOR & SON, ARROW 11148 A5500 03/07/2003 INC. P.W. MINOR & SON, ARROW 38148 A5500 03/07/2003 INC. HUSH PUPPIES ARROW LIGHT H15660 A5500 12/14/2006 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.) HUSH PUPPIES ARROW LIGHT H15661 A5500 12/14/2006 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.) HUSH PUPPIES ARROW LIGHT H15662 A5500 12/14/2006 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

OASIS FOOTWEAR, ARVON C14004 A5500 01/08/2009 LLC REDWOOD ASPEN 7045 A5500 11/09/2006 10/31/2009 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) PROPET USA, INC. ASSIST PLUS WALKER WPRX01 A5500 04/16/2007 PROPET USA, INC. ASSIST WALKER WPRX02 A5500 04/16/2007 THE ROCKPORT ASTRIDE APM34461 A5500 10/05/2005 COMPANY THE ROCKPORT ASTRIDE APM34467 A5500 10/05/2005 COMPANY SUREFIT, LLC ATHENS S136 A5500 08/06/2009 KALAN FOOT ATHLETIC SHOE GL2-2151 A5500 02/02/2006 HEALTH LTD. DREW SHOE CORP ATLAS 40725-14 A5500 12/03/2009 DREW SHOE CORP ATLAS 40725-19 A5500 12/03/2009 DREW SHOE CORP ATLAS 40725-21 A5500 12/03/2009 DREW SHOE CORP ATLAS 40725-22 A5500 12/03/2009 P.W. MINOR & SON, ATLAS 1173 A5500 03/07/2003 INC. P.W. MINOR & SON, ATLAS 4173 A5500 03/07/2003 INC. DREW SHOE AUDREY 10198 A5500 09/02/2008 CORPORTATION DREW SHOE AUSTIN 40770 A5500 09/02/2008 CORPORATION PED-LITE LLC AUSTIN/LACE #10000 A5500 11/06/2009 PED-LITE LLC AUSTIN/VELCRO 10011 A5500 11/19/2009

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DREW SHOE AVANTI 40966-14 A5500 03/23/2004 CORPORATION DREW SHOE AVANTI 40966-22 A5500 03/23/2004 CORPORATION B & S PARTNERS, BABATU P4023 A5500 04/15/2009 INC. (DBA PILGRIM SHOES) B & S PARTNERS, BABECHI P4024 A5500 04/15/2009 INC. (DBA PILGRIM SHOES) PROPET USA, INC. BAJA M4201BM A5500 03/20/2008 PROPET USA, INC. BAJA M4201BX A5500 03/20/2008 PROPET USA, INC. BAJA M4201BXX A5500 03/20/2008 PROPET USA, INC. BAJA M4201NTM A5500 03/20/2008 PROPET USA, INC. BAJA M4201NTX A5500 03/20/2008 PROPET USA, INC. BAJA M4201NTXX A5500 03/20/2008 PROPET USA, INC. BARBADOS M4102BPWM A5500 02/04/2008 PROPET USA, INC. BARBADOS M4102BPWX A5500 02/04/2008 PROPET USA, INC. BARBADOS M4102BPWXX A5500 02/04/2008 PROPET USA, INC. BARBADOS M4102BROM A5500 02/04/2008 PROPET USA, INC. BARBADOS M4102BROX A5500 02/04/2008 PROPET USA, INC. BARBADOS M4102BROXX A5500 02/04/2008 SOUTHERN BARBADOS S175 A5500 08/18/2009 PROSTHETICS SUPPLY INC B & S PARTNERS, BARBARA P3006 A5500 04/16/2009 INC. (DBA PILGRIM SHOES)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

NEW BALANCE BARBARA WEB03BK A5500 08/06/2004 ATHLETIC SHOE, INC. NEW BALANCE BARBARA WEB03BR A5500 08/06/2004 ATHLETIC SHOE, INC. NEW BALANCE BARBARA WEB03RD A5500 08/06/2004 ATHLETIC SHOE, INC. P.W. MINOR & SON, BARON 11052 A5500 05/14/2008 INC. P.W. MINOR & SON, BARON 31052 A5500 05/14/2008 INC. P.W. MINOR & SON, BARON 51052 A5500 05/14/2008 INC. REDWOOD BARRETT 17439 A5500 07/25/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD BARRETT 17739 A5500 09/14/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) SUREFIT, LLC BARRY BAR BK A5500 02/10/2006 SUREFIT, LLC BARRY BAR BR A5500 02/10/2006 SUREFIT, LLC BARRY S116-1 A5500 07/24/2008 SUREFIT, LLC BARRY S116-2 A5500 07/24/2008 DUNHAM BATTERY PARK MCT410BK A5500 03/12/2007 WATERPROOF OXFORD DUNHAM BATTERY PARK MCT410SB A5500 03/12/2007 WATERPROOF OXFORD DR. COMFORT BEACH COMBER BEACH COMBER A5500 08/24/2009

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

BROOKS SPORTS, BEAST MENS 41100001 A5500 06/11/2004 INC. BROOKS SPORTS, BEAST MENS 41100191 A5500 06/11/2004 INC. BROOKS SPORTS, BEAST MENS 41101001 A5500 06/11/2004 INC. BROOKS SPORTS, BEAST MENS 41101191 A5500 06/11/2004 INC. BROOKS SPORTS, BEAST MENS 41103191 A5500 06/11/2004 INC. DREW SHOE BECKY 13364-12 A5500 09/08/2006 CORPORATION DREW SHOE BECKY 13364-68 A5500 09/08/2006 CORPORATION KLAS SHOES, LLC BELINDA 4210901001 (BLACK) A5500 08/03/2009 KLAS SHOES, LLC BELINDA 4210901403 (NAVY) A5500 08/03/2009 P.W. MINOR & SON, BELLA 13720 A5500 05/07/2007 INC. P.W. MINOR & SON, BELLA 33720 A5500 05/07/2007 INC. P.W. MINOR & SON, BELLA 93720 A5500 05/07/2007 INC. PROPET USA, INC. BELLA WC002ABRM A5500 06/29/2007 PROPET USA, INC. BELLA WC002ABRW A5500 06/29/2007 PROPET USA, INC. BELLA WC002BAM A5500 06/29/2007 PROPET USA, INC. BELLA WC002BAW A5500 06/29/2007 PROPET USA, INC. BELLA WC002BNM A5500 06/29/2007 PROPET USA, INC. BELLA WC002BNW A5500 06/29/2007 PROPET USA, INC. BELLA WC002BRNM A5500 06/29/2007 PROPET USA, INC. BELLA WC002BRNW A5500 06/29/2007

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

B & S PARTNERS, BEN P4031 A5500 01/22/2010 INC. (DBA PILGRIM SHOES) DR. ZEN, INC. BEN 900-01 A5500 12/01/2009 DR. ZEN, INC. BEN 900-02 A5500 12/01/2009 DR. ZEN, INC. BEN 900-03 A5500 12/01/2009 DREW SHOE BEN 40844-11 A5500 04/13/2006 CORPORATION DREW SHOE BEN 40844-15 A5500 04/13/2006 CORPORATION DREW SHOE BEN 40844-59 A5500 04/13/2006 CORPORATION DREW SHOE BEN 40844-65 A5500 04/13/2006 CORPORATION HUSH PUPPIES BENNETT H100570 A5500 09/09/2008 HUSH PUPPIES BENNETT H100571 A5500 09/09/2008 DUNHAM BENNINGTON MCR750SB A5500 09/11/2009 DUNHAM BENNINGTON MCR750BR A5500 09/11/2009 DUNHAM BENNINGTON MCR750BK A5500 09/11/2009 DREW SHOE BERKELEY 40865-14 A5500 09/24/2003 CORPORATION DR. ZEN INC. BETH 178-01 A5500 12/14/2009 DR. ZEN INC. BETH 178-02 A5500 12/14/2009 DR. ZEN INC. BETH 178-03 A5500 12/14/2009 DR. COMFORT BETSY A5500 11/12/2007 (RIKCO INTERNATIONAL, LLC)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DR. COMFORT BETTY 3810 A5500 12/08/2005 (RIKCO INTERNATIONAL, LLC) DR. COMFORT BETTY 3820 A5500 12/08/2005 (RIKCO INTERNATIONAL, LLC) DR. COMFORT BETTY 3830 A5500 12/08/2005 (RIKCO INTERNATIONAL, LLC) PROPET USA, INC. BIANCA WALKER WPRX15BM A5500 02/13/2008 PROPET USA, INC. BIANCA WALKER WPRX15BROM A5500 02/13/2008 PROPET USA, INC. BIANCA WALKER WPRX15BROW A5500 02/13/2008 PROPET USA, INC. BIANCA WALKER WPRX15BROX A5500 02/13/2008 PROPET USA, INC. BIANCA WALKER WPRX15BW A5500 02/13/2008 PROPET USA, INC. BIANCA WALKER WPRX15BX A5500 02/13/2008 PROPET USA, INC. BIANCA WALKER WPRX15TEM A5500 02/13/2008 PROPET USA, INC. BIANCA WALKER WPRX15TEW A5500 02/13/2008 PROPET USA, INC. BIANCA WALKER WPRX15TEX A5500 02/13/2008 DREW SHOE BIG EASY 44859-14 A5500 09/24/2003 CORPORATION ORTHOFEET, INC. BIOFIT ATHLETIC LACE MEN'S 640 A5500 08/24/2006 ORTHOFEET, INC. BIOFIT ATHLETIC LACE MEN'S 641 A5500 12/01/2006 ORTHOFEET, INC. BIOFIT ATHLETIC STRAP 650 A5500 08/24/2006 ORTHOFEET, INC. BIOFIT ATHLETIC STRAP 651 A5500 12/01/2006 ORTHOFEET, INC. BIOFIT WOMEN'S LACE 940 A5500 12/06/2006 ORTHOFEET, INC. BIOFIT WOMEN'S LACE 941 A5500 12/06/2006

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

ORTHOFEET, INC. BIOFIT WOMEN'S STRAP 950 A5500 12/06/2006 ORTHOFEET, INC. BIOFIT WOMEN'S STRAP 951 A5500 12/06/2006 INSTRIDE SHOES, BISCAYNE 1310 A5500 10/24/2005 LLC NEW BALANCE BLAIRE WEB01BK A5500 08/06/2004 ATHLETIC SHOE, INC. NEW BALANCE BLAIRE WEB01BR A5500 08/06/2004 ATHLETIC SHOE, INC. NEW BALANCE BLAIRE WEB01HN A5500 08/06/2004 ATHLETIC SHOE, INC. REDWOOD BLAKE 17287 A5500 11/08/2007 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) DREW SHOE BLAZE 10165-04 A5500 09/25/2007 CORPORATION DREW SHOE BLAZE 10165-19 A5500 09/25/2007 CORPORATION DREW SHOE BLAZE 10165-21 A5500 09/25/2007 CORPORATION DREW SHOE BLAZER PLUS 10218-12 A5500 06/27/2002 CORPORATION DREW SHOE BLAZER PLUS 10218-15 A5500 06/27/2002 CORPORATION DREW SHOE BLAZER PLUS 10218-22 A5500 06/27/2002 CORPORATION DREW SHOE BLAZER PLUS 10218-34 A5500 06/27/2002 CORPORATION DREW SHOE BLAZER PLUS 10218-65 A5500 06/27/2002 CORPORATION

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DREW SHOE BLAZER PLUS 10218-75 A5500 06/27/2002 CORPORATION DREW SHOE BLAZER PLUS II 10318-12 A5500 03/17/2005 CORPORATION DREW SHOE BLAZER PLUS II 10318-22 A5500 03/17/2005 CORPORATION DREW SHOE BLAZER PLUS II 10318-34 A5500 03/17/2005 CORPORATION DREW SHOE BLAZER PLUS II 10318-65 A5500 03/17/2005 CORPORATION DREW SHOE BLAZER PLUS II 10318-75 A5500 03/17/2005 CORPORATION DREW SHOE BLITZ 10593-02 A5500 02/01/2007 CORPORATION DREW SHOE BLITZ 10593-04 A5500 02/01/2007 CORPORATION DREW SHOE BLITZ 10593-19 A5500 02/01/2007 CORPORATION DREW SHOE BLITZ 10593-25 A5500 02/01/2007 CORPORATION DREW SHOE BLITZ VELCRO 14465-02 A5500 02/01/2007 CORPORATION DREW SHOE BLITZ VELCRO 14465-04 A5500 02/01/2007 CORPORATION DREW SHOE BLITZ VELCRO 14465-19 A5500 02/01/2007 CORPORATION DREW SHOE BLITZ VELCRO 14465-25 A5500 02/01/2007 CORPORATION DREW SHOE BLOOM 14253-12 A5500 08/08/2002 CORPORATION DREW SHOE BLOOM 14253-15 A5500 08/08/2002 CORPORATION

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DREW SHOE BLOOM 14253-32 A5500 08/08/2002 CORPORATION DREW SHOE BLOOM 14253-42 A5500 08/08/2002 CORPORATION DREW SHOE BLOOM 14253-75 A5500 08/08/2002 CORPORATION DREW SHOE BLOOM II 14353-12 A5500 02/05/2003 CORPORATION DREW SHOE BLOOM II 14353-15 A5500 02/05/2003 CORPORATION DREW SHOE BLOOM II 14353-32 A5500 02/05/2003 CORPORATION DREW SHOE BLOOM II 14353-42 A5500 02/05/2003 CORPORATION DREW SHOE BLOOM II 14353-75 A5500 02/05/2003 CORPORATION DREW SHOE BLOSSOM 14343-12 A5500 06/27/2002 CORPORATION DREW SHOE BLOSSOM 14343-15 A5500 06/27/2002 CORPORATION DREW SHOE BLOSSOM 14343-89 A5500 06/27/2002 CORPORATION SUREFIT, LLC BOB BOB BK A5500 02/10/2006 SUREFIT, LLC BOB BOB BR A5500 02/10/2006 SUREFIT, LLC BOB S105-1 A5500 07/24/2008 SUREFIT, LLC BOB S105-2 A5500 07/24/2008 INSTRIDE SHOES, BOCA 1400 A5500 10/24/2005 LLC P.W. MINOR & SON, BOSS 11225 A5500 05/07/2007 INC. P.W. MINOR & SON, BOSS 31225 A5500 05/07/2007 INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

P.W. MINOR & SON, BOSS 1101 A5500 05/30/2008 INC. P.W. MINOR & SON, BOSS 3101 A5500 05/30/2008 INC. DR. COMFORT BOSS 9510 A5500 12/08/2005 (RIKCO INTERNATIONAL, LLC) DREW SHOE BOUNCE 10680-12 A5500 08/08/2002 CORPORATION DREW SHOE BOUNCE 10680-22 A5500 08/08/2002 CORPORATION DREW SHOE BOUNCE 10680-34 A5500 08/08/2002 CORPORATION DREW SHOE BOUNCE 10680-64 A5500 08/08/2002 CORPORATION DREW SHOE BOUNCE 10680-72 A5500 08/08/2002 CORPORATION DREW SHOE BOUNCE 10540-12 A5500 02/10/2006 CORPORATION DREW SHOE BOUNCE 10540-72 A5500 02/10/2006 CORPORATION DREW SHOE BOUNCE ULTRA 10780-15 A5500 11/05/2002 CORPORATION DREW SHOE BOUNCE ULTRA 10780-45 A5500 11/05/2002 CORPORATION DREW SHOE BOUNCE ULTRA 10780-65 A5500 11/05/2002 CORPORATION DREW SHOE BOUNCE ULTRA 10780-89 A5500 11/05/2002 CORPORATION DREW SHOE BOUNCE ULTRA II 10640-12 A5500 02/10/2006 CORPORATION DREW SHOE BOUNCE ULTRA II 10640-15 A5500 02/10/2006 CORPORATION

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

COMMERCE BOXER DOGS COMFORT 9901 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE BOXER DOGS COMFORT 9921 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE BOXER DOGS COMFORT 9925 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE BOXER DOGS COMFORT 9938 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE BOXER DOGS COMFORT 9923 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE BOXER DOGS COMFORT 9951 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE BOXER DOGS COMFORT 9928 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

OREGON BRANDON LACE 103001 A5500 OR A3215 04/09/2007 PEDORTHIC OR L3219 SERVICES, INC. (DBA ARCH OREGON BRANDON LACE 103002 A5500 OR A3215 04/09/2007 PEDORTHIC OR L3219 SERVICES, INC. (DBA ARCH OREGON BRANDON LACE 103003 A5500 OR A3215 04/09/2007 PEDORTHIC OR L3219 SERVICES, INC. (DBA ARCH THERATECH BRAVO - VETERANS BRAND HE-002 A5500 05/09/2005 FOOTWEAR DR. COMFORT BRIAN 6015 A5500 05/04/2004 (RIKCO INTERNATIONAL, LLC) SANTUIT SHOE BRIGHTSTEP DESIGNER A5500 01/17/2003 CORPORATION SANTUIT SHOE BRIGHTSTEP FESTIVA 105BN A5500 08/20/2003 CORPORATION SANTUIT SHOE BRIGHTSTEP FESTIVA A5500 08/20/2003 CORPORATION P.W. MINOR & SON, BROADWAY 11396 A5500 06/14/2006 INC. P.W. MINOR & SON, BROADWAY 51396 A5500 06/14/2006 INC. P.W. MINOR & SON, BROADWAY 71396 A5500 06/14/2006 INC. P.W. MINOR & SON, BROADWAY 93396 A5500 06/14/2006 INC. P.W. MINOR & SON, BUD SPECIAL 11018 A5500 03/07/2003 INC. PROPET USA, INC. CAFE WALKER W3205BEM A5500 09/20/2007

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. CAFE WALKER W3205BEN A5500 09/20/2007 PROPET USA, INC. CAFE WALKER W3205BEW A5500 09/20/2007 PROPET USA, INC. CAFE WALKER W3205BEX A5500 09/20/2007 PROPET USA, INC. CAFE WALKER W3205BM A5500 09/20/2007 PROPET USA, INC. CAFE WALKER W3205BN A5500 09/20/2007 PROPET USA, INC. CAFE WALKER W3205BRM A5500 09/20/2007 PROPET USA, INC. CAFE WALKER W3205BRN A5500 09/20/2007 PROPET USA, INC. CAFE WALKER W3205BRW A5500 09/20/2007 PROPET USA, INC. CAFE WALKER W3205BRX A5500 09/20/2007 PROPET USA, INC. CAFE WALKER W3205BW A5500 09/20/2007 PROPET USA, INC. CAFE WALKER W3205BX A5500 09/20/2007 PROPET USA, INC. CAFE WALKER W3205NM A5500 09/20/2007 PROPET USA, INC. CAFE WALKER W3205NN A5500 09/20/2007 PROPET USA, INC. CAFE WALKER W3205NW A5500 09/20/2007 PROPET USA, INC. CAFE WALKER W3205NX A5500 09/20/2007 B & S PARTNERS, CAIMILE P3114 A5500 04/15/2009 INC. (DBA PILGRIM SHOES) B & S PARTNERS, CAMARA P3115 A5500 04/16/2009 INC. (DBA PILGRIM SHOES) DREW SHOE CAMBRIDGE 40938-14 A5500 09/24/2003 CORPORATION P.W. MINOR & SON, CAMEO 11722 A5500 05/31/2007 INC. P.W. MINOR & SON, CAMEO 13722 A5500 05/31/2007 INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

P.W. MINOR & SON, CAMEO 33722 A5500 05/31/2007 INC. P.W. MINOR & SON, CAMEO 93722 A5500 05/31/2007 INC. PROPET USA, INC. CAMP WALKER M3588BM A5500 03/20/2008 PROPET USA, INC. CAMP WALKER M3588BRM A5500 03/20/2008 PROPET USA, INC. CAMP WALKER M3588BRX A5500 03/20/2008 PROPET USA, INC. CAMP WALKER M3588BRXX A5500 03/20/2008 PROPET USA, INC. CAMP WALKER M3588BX A5500 03/20/2008 PROPET USA, INC. CAMP WALKER M3588BXX A5500 03/20/2008 PROPET USA, INC. CAMP WALKER HI M3589 A5500 05/15/2006 PROPET USA, INC. CAMP WALKER HI M3589BM A5500 03/20/2008 PROPET USA, INC. CAMP WALKER HI M3589BRM A5500 03/20/2008 PROPET USA, INC. CAMP WALKER HI M3589BRX A5500 03/20/2008 PROPET USA, INC. CAMP WALKER HI M3589BRXX A5500 03/20/2008 PROPET USA, INC. CAMP WALKER HI M3589BX A5500 03/20/2008 PROPET USA, INC. CAMP WALKER HI M3589BXX A5500 03/20/2008 PROPET USA, INC. CAMP WALKER MAX M3590BM A5500 02/04/2008 PROPET USA, INC. CAMP WALKER MAX M3590BX A5500 02/04/2008 PROPET USA, INC. CAMP WALKER MAX M3590BXX A5500 02/04/2008 PROPET USA, INC. CAMPUS WALKER M2046CHM A5500 09/20/2007 PROPET USA, INC. CAMPUS WALKER M2046CHN A5500 09/20/2007 PROPET USA, INC. CAMPUS WALKER M2046CHX A5500 09/20/2007 PROPET USA, INC. CAMPUS WALKER M2046CHXX A5500 09/20/2007 PROPET USA, INC. CAMPUS WALKER M2046GNBM A5500 09/20/2007

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. CAMPUS WALKER M2046GNBN A5500 09/20/2007 PROPET USA, INC. CAMPUS WALKER M2046GNBX A5500 09/20/2007 PROPET USA, INC. CAMPUS WALKER M2046GNBXX A5500 09/20/2007 PROPET USA, INC. CANCUN M4101BM A5500 07/17/2008 PROPET USA, INC. CANCUN M4101BX A5500 07/17/2008 PROPET USA, INC. CANCUN M4101MHM A5500 07/17/2008 PROPET USA, INC. CANCUN M4101MHX A5500 07/17/2008 PROPET USA, INC. CANCUN M4101MHXX A5500 07/17/2008 PROPET USA, INC. CANCUN M4101XX A5500 07/17/2008 B & S PARTNERS, CANDIS P3116 A5500 04/16/2009 INC. (DBA PILGRIM SHOES) P.W. MINOR & SON, CANFIELD BENEFIT FOR MEN - 11352M A5500 12/24/2002 INC. LACE P.W. MINOR & SON, CANFIELD BENEFIT FOR MEN - 31352M A5500 12/24/2002 INC. LACE P.W. MINOR & SON, CANFIELD BENEFIT FOR MEN - 11353M A5500 12/24/2002 INC. VELCRO P.W. MINOR & SON, CANFIELD BENEFIT FOR MEN - 31353M A5500 12/24/2002 INC. VELCRO P.W. MINOR & SON, CANFIELD BENEFIT FOR 11311W A5500 12/24/2002 INC. WOMEN - LACE P.W. MINOR & SON, CANFIELD BENEFIT FOR 71311W A5500 12/24/2002 INC. WOMEN - LACE P.W. MINOR & SON, CANFIELD BENEFIT FOR 91311W A5500 12/24/2002 INC. WOMEN - LACE P.W. MINOR & SON, CANFIELD BENEFIT FOR 11312W A5500 12/24/2002 INC. WOMEN - VELCRO P.W. MINOR & SON, CANFIELD BENEFIT FOR 71312W A5500 12/24/2002 INC. WOMEN - VELCRO

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

P.W. MINOR & SON, CANFIELD BENEFIT FOR 91312W A5500 12/24/2002 INC. WOMEN - VELCRO P.W. MINOR & SON, CANFIELD CARESS A5500 06/27/2002 INC. P.W. MINOR & SON, CANFIELD FINESSE 11325 A5500 10/23/2003 INC. P.W. MINOR & SON, CANFIELD FINESSE 13324 A5500 10/23/2003 INC. P.W. MINOR & SON, CANFIELD FINESSE 23324 A5500 10/23/2003 INC. P.W. MINOR & SON, CANFIELD FINESSE 31325 A5500 10/23/2003 INC. P.W. MINOR & SON, CANFIELD FINESSE 33324 A5500 10/23/2003 INC. P.W. MINOR & SON, CANFIELD FINESSE 51325 A5500 10/23/2003 INC. P.W. MINOR & SON, CANFIELD FINESSE 53324 A5500 10/23/2003 INC. P.W. MINOR & SON, CANFIELD FINESSE 63324 A5500 10/23/2003 INC. P.W. MINOR & SON, CANFIELD FINESSE 71325 A5500 10/23/2003 INC. P.W. MINOR & SON, CANFIELD FINESSE 81325 A5500 10/23/2003 INC. P.W. MINOR & SON, CANFIELD FINESSE 91325 A5500 10/23/2003 INC. P.W. MINOR & SON, CANFIELD FINESSE 93324 A5500 10/23/2003 INC. P.W. MINOR & SON, CANFIELD LEISURE A5500 06/27/2002 INC. P.W. MINOR & SON, CANFIELD LEISURE TIME A5500 06/27/2002 INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

P.W. MINOR & SON, CANFIELD LEISURE TIME 11351 A5500 10/23/2003 INC. VELCRO (11351, 31351, 71351)

P.W. MINOR & SON, CANFIELD LEISURE TIME 31351 A5500 10/23/2003 INC. VELCRO (11351, 31351, 71351)

P.W. MINOR & SON, CANFIELD LEISURE TIME 71351 A5500 10/23/2003 INC. VELCRO (11351, 31351, 71351)

P.W. MINOR & SON, CANFIELD LEISURE VELCRO A5500 06/27/2002 INC. P.W. MINOR & SON, CANFIELD VELVET A5500 06/27/2002 INC. NOBILE CAPRI A5500 04/11/2005 CONSULTING USA, LLC (DBA NATURAL STEP SHOES) PW MINOR CARLY 19738 A5500 11/06/2008 PW MINOR CARLY 49738 A5500 11/06/2008 P.W. MINOR & SON, CARNEGIE 17341 A5500 12/12/2007 INC. P.W. MINOR & SON, CARNEGIE 37341 A5500 12/12/2007 INC. P.W. MINOR & SON, CARNEGIE 57341 A5500 12/12/2007 INC. B & S PARTNERS, CAROL P3075 A5500 04/15/2009 INC. (DBA PILGRIM SHOES) REDWOOD CAROLYN 48277 A5500 05/15/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

REDWOOD CAROLYN 48278 A5500 05/15/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) SAFEET SHOE CASCADE CS301 A5500 04/19/2004 COMPANY SAFEET SHOE CASCADE CS302 A5500 04/19/2004 COMPANY P.W. MINOR & SON, CASSIE 11172 A5500 09/30/2002 INC. P.W. MINOR & SON, CASSIE 13172 A5500 09/30/2002 INC. P.W. MINOR & SON, CASSIE 33172 A5500 09/30/2002 INC. P.W. MINOR & SON, CASSIE 71172 A5500 09/30/2002 INC. P.W. MINOR & SON, CASSIE 81172 A5500 09/30/2002 INC. P.W. MINOR & SON, CASSIE 93172 A5500 09/30/2002 INC. SEBAGO CASTINE B63320 A5500 11/03/2008 SEBAGO CASTINE B63358 A5500 11/03/2008 SEBAGO CASTINE B63368 A5500 11/03/2008 Taupe SEBAGO CASTINE B63367 A5500 07/01/2009 Sand/Tan SEBAGO CASTINE B63368 A5500 07/01/2009 White DUNHAM CASUAL MIDCUT BOOT 8006BR A5500 04/15/2009 DUNHAM CASUAL MIDCUT BOOT 8006BK A5500 04/15/2009 DUNHAM CASUAL OXFORD 8001SB A5500 04/15/2009 DUNHAM CASUAL OXFORD 8001BK A5500 04/15/2009 DUNHAM CASUAL OXFORD 8001BR A5500 04/15/2009

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DREW SHOE CELIA 10393-19 A5500 05/15/2006 CORPORATION DREW SHOE CELIA 10393-69 A5500 05/15/2006 CORPORATION P.W. MINOR & SON, CENTRAL PARK 11392 A5500 06/14/2006 INC. P.W. MINOR & SON, CENTRAL PARK 13392 A5500 06/14/2006 INC. P.W. MINOR & SON, CENTRAL PARK 14392 A5500 06/14/2006 INC. P.W. MINOR & SON, CENTRAL PARK 32392 A5500 06/14/2006 INC. P.W. MINOR & SON, CENTRAL PARK 35392 A5500 06/14/2006 INC. P.W. MINOR & SON, CENTRAL PARK 71392 A5500 06/14/2006 INC. P.W. MINOR & SON, CENTRAL PARK 93392 A5500 06/14/2006 INC. DR. COMFORT CHAMPION A5500 11/16/2007 (RIKCO INTERNATIONAL, LLC) P.W. MINOR CHAMPION 89540 A5500 10/02/2009 P.W. MINOR CHAMPION 99540 A5500 10/02/2009 P.W. MINOR CHAMPION 93540 A5500 10/02/2009 P.W. MINOR CHAMPION 33540 A5500 10/02/2009 STANDING CHAMPION 71600-14 A5500 06/04/2007 COMFORT STANDING CHAMPION 71600-22 A5500 06/04/2007 COMFORT

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DR. COMFORT CHAMPION PLUS A5500 11/16/2007 (RIKCO INTERNATIONAL, LLC) P.W. MINOR & SON, CHANCELLOR 11050 A5500 05/14/2008 INC. P.W. MINOR & SON, CHANCELLOR 31050 A5500 05/14/2008 INC. P.W. MINOR & SON, CHANCELLOR 51050 A5500 05/14/2008 INC. OREGON CHANDELLE VELCRO 012811 A5500 OR A3215 04/09/2007 PEDORTHIC OR L3219 SERVICES, INC. (DBA ARCH OREGON CHANDELLE VELCRO 012812 A5500 OR A3215 04/09/2007 PEDORTHIC OR L3219 SERVICES, INC. (DBA ARCH OREGON CHANDELLE VELCRO 012813 A5500 OR A3215 04/09/2007 PEDORTHIC OR L3219 SERVICES, INC. (DBA ARCH B & S PARTNERS, CHARLES P4020 A5500 04/15/2009 INC. (DBA PILGRIM SHOES) DR. ZEN INC CHARLES 331-01 A5500 01/29/2010 DR. ZEN INC CHARLES 331-02 A5500 01/29/2010 DR. ZEN INC CHARLES 331-03 A5500 01/29/2010 DR. ZEN INC CHARLES 332-01 A5500 01/29/2010 DR. ZEN INC CHARLES 332-02 A5500 01/29/2010 DR. ZEN INC CHARLES 332-03 A5500 01/29/2010 DREW SHOE CHEER 10586-12 A5500 02/05/2003 CORPORATION

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DREW SHOE CHEER 10586-22 A5500 02/05/2003 CORPORATION DREW SHOE CHEER VELCRO 14497-12 A5500 02/05/2003 CORPORATION DREW SHOE CHEER VELCRO 14497-22 A5500 02/05/2003 CORPORATION HASTINGS SHOE CHELSEA WALKER A5500 10/04/2004 COMPANY THERAPEUTIC SHOES DR ZEN INC CHRIS 799-01 A5500 12/14/2009 DR ZEN INC CHRIS 799-02 A5500 12/14/2009 DR ZEN INC CHRIS 799-03 A5500 12/14/2009 FOOTWAY, INC. CHRISTAN W3313L A5500 06/22/2009 P.W. MINOR & SON, CHUKKA 11039 A5500 03/07/2003 INC. P.W. MINOR & SON, CHUKKA LL 11029 A5500 03/07/2003 INC. PROPET USA, INC. CHUKKALITE WALKER M1010 A5500 05/15/2006 PROPET USA, INC. CITYLITE WALKER M1009 A5500 05/15/2006 DREW SHOE CLAIRE 10367-12 A5500 03/23/2004 CORPORATION P.W. MINOR & SON, CLASSIC 11718 A5500 11/08/2006 INC. P.W. MINOR & SON, CLASSIC 21718 A5500 11/08/2006 INC. P.W. MINOR & SON, CLASSIC 51718 A5500 11/08/2006 INC. P.W. MINOR & SON, CLASSIC 71718 A5500 11/08/2006 INC. P.W. MINOR & SON, CLASSIC 91718 A5500 11/08/2006 INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

P.W. MINOR & SON, CLASSIC SPORT LADIES 11185 A5500 09/30/2002 INC. P.W. MINOR & SON, CLASSIC SPORT LADIES 81185 A5500 09/30/2002 INC. P.W. MINOR & SON, CLASSIC SPORT LADIES 11085 A5500 10/23/2003 INC. VELCRO (11085, 81085) P.W. MINOR & SON, CLASSIC SPORT LADIES 81085 A5500 10/23/2003 INC. VELCRO (11085, 81085) HUSH PUPPIES CLASSIC WALKER H57605 A5500 07/28/2009 HUSH PUPPIES CLASSIC WALKER H57606 A5500 07/28/2009 HUSH PUPPIES CLASSIC WALKER H57607 A5500 07/28/2009 SPIRA FOOTWEAR, CLASSIC WALKER M BLACK - SWC201W A5500 10/22/2009 INC. 2E SPIRA FOOTWEAR, CLASSIC WALKER M BLACK - SWC201W2 A5500 10/22/2009 INC. 4E SPIRA FOOTWEAR, CLASSIC WALKER M BLACK- D SWC201 A5500 10/22/2009 INC. SPIRA FOOTWEAR, CLASSIC WALKER M WHITE - SWW201W A5500 10/22/2009 INC. 2E SPIRA FOOTWEAR, CLASSIC WALKER M WHITE - SWW201W2 A5500 10/22/2009 INC. 4E SPIRA FOOTWEAR, CLASSIC WALKER M WHITE - SWW201 A5500 10/22/2009 INC. SPIRA FOOTWEAR, CLASSIC WALKER W BLACK - SWC202W2 A5500 10/22/2009 INC. 2E SPIRA FOOTWEAR, CLASSIC WALKER W BLACK - SWC202W A5500 10/22/2009 INC. SPIRA FOOTWEAR, CLASSIC WALKER W BLACK- B SWC202 A5500 10/22/2009 INC. SPIRA FOOTWEAR, CLASSIC WALKER W WHITE - SWW202W2 A5500 10/22/2009 INC. 2E

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

SPIRA FOOTWEAR, CLASSIC WALKER W WHITE - SWW202 A5500 10/22/2009 INC. SPIRA FOOTWEAR, CLASSIC WALKER W WHITE - SWW202W A5500 10/22/2009 INC. B & S PARTNERS, CLAUDIA P3105 A5500 09/08/2006 INC. (DBA PILGRIM SHOES) PROPET USA, INC. CLEVELAND M4075BM A5500 04/18/2008 PROPET USA, INC. CLEVELAND M4075BRM A5500 04/18/2008 PROPET USA, INC. CLEVELAND M4075BRX A5500 04/18/2008 PROPET USA, INC. CLEVELAND M4075BRXX A5500 04/18/2008 PROPET USA, INC. CLEVELAND M4075BX A5500 04/18/2008 PROPET USA, INC. CLEVELAND M4075BXX A5500 04/18/2008 PROPET USA, INC. CLIFF WALKER M3188 A5500 05/15/2006 PROPET USA, INC. CLIFF WALKER W3188BRM A5500 04/10/2008 PROPET USA, INC. CLIFF WALKER W3188BRW A5500 04/10/2008 PROPET USA, INC. CLIFF WALKER W3188BRX A5500 04/10/2008 PROPET USA, INC. CLIFF WALKER W3188TM A5500 04/10/2008 PROPET USA, INC. CLIFF WALKER W3188TW A5500 04/10/2008 PROPET USA, INC. CLIFF WALKER W3188TX A5500 04/10/2008 FOOTWAY, INC. CLOVEHITCH II B24302 A5500 03/12/2008 FOOTWAY, INC. CLOVEHITCH II B24322 A5500 03/12/2008 FOOTWAY, INC. CLOVEHITCH II B24343 A5500 03/12/2008 FOOTWAY, INC. CLOVEHITCH II B24366 A5500 03/12/2008 FOOTWAY, INC. CLOVEHITCH II B24367 A5500 03/12/2008 SEBAGO CLOVEHITCH II B24302 A5500 06/13/2008

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

SEBAGO CLOVEHITCH II B24322 A5500 06/13/2008 SEBAGO CLOVEHITCH II B24343 A5500 06/13/2008 SEBAGO CLOVEHITCH II B24366 A5500 06/13/2008 SEBAGO CLOVEHITCH II B24367 A5500 06/13/2008 SEBAGO CLOVEHITCH II B24369 A5500 01/09/2009 NEW COLOR - SAND/TAN SEBAGO CLOVEHITCH II B24351 A5500 01/09/2009 NEW COLOR - DARK TAUPE/DARK BROWN SEBAGO CLOVEHITCH II B24352 A5500 07/01/2009 Dark Brown/Med. Brown SEBAGO CLOVEHITCH II B24330 A5500 07/01/2009 DUNHAM COLCHESTER WATERPROOF MCT420BK A5500 03/22/2007 OXFORD DR. COMFORT COLLETTE #0101 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT COLLETTE #0101 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) DR. COMFORT COLLETTE #0303 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT COLLETTE #0303 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) DR. COMFORT COLLETTE #0404 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DR. COMFORT COLLETTE #0404 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) SAFEET SHOE COLUMBIA CS401 A5500 04/19/2004 COMPANY SAFEET SHOE COLUMBIA CS402 A5500 04/19/2004 COMPANY COPPI USA, INC. COMFORT 105-01 A5500 01/29/2010 COPPI USA, INC. COMFORT 105-03 A5500 01/29/2010 COPPI USA, INC. COMFORT 105-05 A5500 01/29/2010 COPPI USA, INC. COMFORT 106-01 A5500 01/29/2010 COPPI USA, INC. COMFORT 106-03 A5500 01/29/2010 COPPI USA, INC. COMFORT 106-05 A5500 01/29/2010 EDSER INSOLES COMFORT LINE 15.180 A5500 07/17/2007 DR. COMFORT COMFORT PLUS 7510 A5500 12/08/2005 (RIKCO INTERNATIONAL, LLC) DR. COMFORT COMFORT PLUS 7540 A5500 12/08/2005 (RIKCO INTERNATIONAL, LLC) PROPET USA, INC. COMFORT WALKER WPRX03 A5500 04/16/2007 PROPET USA, INC. COMMUTERLITE M1019BM A5500 07/17/2008 PROPET USA, INC. COMMUTERLITE M1019BROM A5500 07/17/2008 PROPET USA, INC. COMMUTERLITE M1019BROX A5500 07/17/2008 PROPET USA, INC. COMMUTERLITE M1019BROXX A5500 07/17/2008 PROPET USA, INC. COMMUTERLITE M1019BX A5500 07/17/2008

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. COMMUTERLITE M1019BXX A5500 07/17/2008 PROPET USA, INC. COMMUTERLITE M1019TEM A5500 07/17/2008 PROPET USA, INC. COMMUTERLITE M1019TEX A5500 07/17/2008 PROPET USA, INC. COMMUTERLITE M1019TEXX A5500 07/17/2008 DREW SHOE CONCORD 10095-12 A5500 06/04/2003 CORPORATION DREW SHOE CONCORD 10095-72 A5500 06/04/2003 CORPORATION P.W. MINOR & SON, CONTESSA 11178 A5500 03/07/2003 INC. P.W. MINOR & SON, CONTESSA 31178 A5500 03/07/2003 INC. P.W. MINOR & SON, CONTESSA 71178 A5500 03/07/2003 INC. P.W. MINOR & SON, CONTOUR LADY HIKER 10022 A5500 03/07/2003 INC. P.W. MINOR & SON, CONTOUR LADY HIKER 19022 A5500 03/07/2003 INC. P.W. MINOR & SON, CONTOUR TM (17205, 37205) 17205 A5500 10/23/2003 INC. P.W. MINOR & SON, CONTOUR TM (17205, 37205) 37205 A5500 10/23/2003 INC. PROPET USA, INC. COOL LITE STRAP MF008BM A5500 07/17/2008 PROPET USA, INC. COOL LITE STRAP MF008BX A5500 07/17/2008 PROPET USA, INC. COOL LITE STRAP MF008BXX A5500 07/17/2008 PROPET USA, INC. COOL LITE STRAP MF008WGM A5500 07/17/2008 PROPET USA, INC. COOL LITE STRAP MF008WGX A5500 07/17/2008 PROPET USA, INC. COOL LITE STRAP MF008WGXX A5500 07/17/2008 PROPET USA, INC. COOL LITE TIE MF007BM A5500 07/17/2008

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. COOL LITE TIE MF007BX A5500 07/17/2008 PROPET USA, INC. COOL LITE TIE MF007BXX A5500 07/17/2008 PROPET USA, INC. COOL LITE TIE MF007WGM A5500 07/17/2008 PROPET USA, INC. COOL LITE TIE MF007WGX A5500 07/17/2008 PROPET USA, INC. COOL LITE TIE MF007WGXX A5500 07/17/2008 SOUTHERN COPENHAGEN S206 A5500 08/21/2009 PROSTHETICS SUPPLY INC PROPET USA, INC. COUNTRY WALKER M4061 A5500 02/13/2006 P.W. MINOR & SON, COZY 11059 A5500 03/07/2003 INC. SUREFIT, LLC CRUISER A5500 02/13/2006 CROCS, RX CUSTOM CLOUD 10110 A5500 06/30/2008 B & S PARTNERS, CYNTHIA P3102 A5500 09/08/2006 INC. (DBA PILGRIM SHOES) REDWOOD CYNTHIA 47312DD A5500 08/17/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD CYNTHIA 48312 A5500 08/17/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD CYNTHIA 48313 A5500 08/17/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD CYNTHIA 47312 A5500 09/28/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

REDWOOD CYNTHIA 47412 A5500 09/28/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD CYNTHIA 48312 A5500 09/28/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD CYNTHIA 48313 A5500 09/28/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD CYNTHIA 48412 A5500 09/28/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD CYNTHIA 48413 A5500 09/28/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) B & S PARTNERS, DAHLIA P3010 A5500 08/21/2006 INC. (DBA PILGRIM SHOES) INSTRIDE SHOES, DAKOTA 96600 A5500 03/12/2007 LLC INSTRIDE SHOES, DAKOTA 96604 A5500 03/12/2007 LLC INSTRIDE SHOES, DAKOTA 96611 A5500 03/12/2007 LLC REDWOOD DAKOTA 722 A5500 05/04/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) LERNESS SHOE DALE A5500 02/02/2006 COMPANY P.W. MINOR DANA 11748 A5500 10/02/2009

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

P.W. MINOR DANA 41748 A5500 10/02/2009 P.W. MINOR DANA 31748 A5500 10/02/2009 DREW SHOE DANCER 10061-12 A5500 05/02/2002 CORPORATION DREW SHOE DANCER 10061-15 A5500 05/02/2002 CORPORATION DREW SHOE DANCER 10061-65 A5500 05/02/2002 CORPORATION DREW SHOE DANCER 10061-72 A5500 05/02/2002 CORPORATION DREW SHOE DANCER 10061-75 A5500 05/02/2002 CORPORATION P.W. MINOR & SON, DANCER 17131 A5500 03/07/2003 INC. P.W. MINOR & SON, DANCER 27131 A5500 03/07/2003 INC. P.W. MINOR & SON, DANCER 38131 A5500 03/07/2003 INC. P.W. MINOR & SON, DANCER 57131 A5500 03/07/2003 INC. P.W. MINOR & SON, DANCER 71131 A5500 03/07/2003 INC. P.W. MINOR & SON, DANCER 87131 A5500 03/07/2003 INC. NEW BALANCE DANE WED04BK A5500 08/06/2004 ATHLETIC SHOE, INC. NEW BALANCE DANE WED04NV A5500 08/06/2004 ATHLETIC SHOE, INC. NEW BALANCE DANE WED04RD A5500 08/06/2004 ATHLETIC SHOE, INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

REDWOOD DANE 3001 A5500 09/28/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) NOBILE DANIEL A5500 04/11/2005 CONSULTING USA, LLC (DBA NATURAL STEP SHOES) FOOTWAY, INC. DANIELA W5727V (VELCRO) A5500 06/22/2009 FOOTWAY, INC. DANIELA W5727L (LACE) A5500 06/22/2009 DANIELS DANVILLE SPORT 101-1 A5500 02/15/2006 PRODUCTS, INC. B & S PARTNERS, DAPHNIE P3011 A5500 08/21/2006 INC. (DBA PILGRIM SHOES) STANDING DASH 62400-12 A5500 06/04/2007 COMFORT STANDING DASH 62400-22 A5500 06/04/2007 COMFORT DR. COMFORT DAVE 5101 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT DAVE 5101 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) KLAS SHOES, LLC DAVIS 4112001965 A5500 01/14/2010 DR. ZEN, INC. DAWN 248-01 A5500 08/13/2004 PROPET USA, INC. DAYLITE WALKER W1004 A5500 05/15/2006 FOOTWAY, INC. DEBBIE W5121V (VELCRO) A5500 06/22/2009 FOOTWAY, INC. DEBBIE W5121L (LACE) A5500 06/22/2009

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DREW SHOE DEERPRO 44979-16 A5500 11/05/2002 CORPORATION DREW SHOE DEERPRO 44979-66 A5500 11/05/2002 CORPORATION DREW SHOE DEERSOFT 40502-16 A5500 09/24/2003 CORPORATION DR. COMFORT DELIGHT DELIGHT A5500 12/16/2008 DREW SHOE DELITE 14373-19 A5500 11/07/2007 CORPORATION DREW SHOE DELITE 14373-21 A5500 11/07/2007 CORPORATION DREW SHOE DELITE 14373-23 A5500 11/07/2007 CORPORATION DREW SHOE DELITE 14373-26 A5500 11/07/2007 CORPORATION DREW SHOE DELITE 14373-31 A5500 11/07/2007 CORPORATION DREW SHOE DELITE 14373-87 A5500 11/07/2007 CORPORATION PW MINOR DENTON BOOT 11382 A5500 11/05/2008 P.W. MINOR & SON, DEPTH WORK SHOE 1079 A5500 11/04/2002 INC. DREW SHOE DESIREE 14385 A5500 02/10/2006 CORPORATION KLAS SHOES, LLC DESTINY 4110401001 A5500 08/04/2009 KLAS SHOES, LLC DESTINY 4110401200 A5500 08/04/2009 KLAS SHOES, LLC DESTINY 4110401280 A5500 08/04/2009 HUSH PUPPIES DETOUR H15112 A5500 11/02/2005 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

HUSH PUPPIES DETOUR H15113 A5500 11/02/2005 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.) NEW BALANCE DEVON WED02BK A5500 08/06/2004 ATHLETIC SHOE, INC. NEW BALANCE DEVON WED02DB A5500 08/06/2004 ATHLETIC SHOE, INC. NEW BALANCE DEVON WED02TP A5500 08/06/2004 ATHLETIC SHOE, INC. PREFERRED DIABETIC SANDALS DR555 A5500 09/12/2008 MEDICAL SUPPLY COMPANY, INC. PREFERRED DIABETIC SANDALS DR998 A5500 09/12/2008 MEDICAL SUPPLY COMPANY, INC. JOO JOO DIABETIC SHOES L-925 A5500 08/02/2007 INTERNATIONAL CORPORATION JOOJOO DIABETIC SHOES B-922 A5500 07/19/2007 INTERNATIONAL CORPORATION JOOJOO DIABETIC SHOES H-923 A5500 07/19/2007 INTERNATIONAL CORPORATION B & S PARTNERS, DIANE P3125 A5500 09/02/2009 INC. (DBA PILGRIM SHOES) NEW BALANCE DIANE WED05BK A5500 08/06/2004 ATHLETIC SHOE, INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

NEW BALANCE DIANE WED05SD A5500 08/06/2004 ATHLETIC SHOE, INC. P.W. MINOR & SON, DIPLOMAT 11047 A5500 03/07/2003 INC. P.W. MINOR & SON, DIPLOMAT 51047 A5500 03/07/2003 INC. HUSH PUPPIES DIRECTION H15105 A5500 11/02/2005 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.) HUSH PUPPIES DIRECTION H15106 A5500 11/02/2005 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.) HUSH PUPPIES DISTANCE H15116 A5500 11/02/2005 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.) HUSH PUPPIES DISTANCE H15118 A5500 11/02/2005 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.) P.W. MINOR & SON, DIVA 11724 A5500 05/31/2007 INC. P.W. MINOR & SON, DIVA 31724 A5500 05/31/2007 INC. B & S PARTNERS, DOLLY P3003 A5500 08/21/2006 INC. (DBA PILGRIM SHOES)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

B & S PARTNERS, DOMINIQUE P3096 A5500 02/05/2010 INC. DBA PILGRIM SHOES B & S PARTNERS, DONNA P3074 A5500 04/15/2009 INC. (DBA PILGRIM SHOES) LERNESS SHOE DONNA A5500 02/07/2006 COMPANY B & S PARTNERS, DOROTHY P3015 A5500 07/01/2009 INC. (DBA PILGRIM SHOES) DREW SHOE DOUBLE V 44955-14 A5500 08/08/2002 CORPORATION DREW SHOE DOUBLER 40822-16 A5500 06/27/2002 CORPORATION DREW SHOE DOUBLER 40822-66 A5500 06/27/2002 CORPORATION DR. COMFORT DOUGLAS 6610 A5500 12/08/2005 (RIKCO INTERNATIONAL, LLC) DR. COMFORT DOUGLAS 6620 A5500 12/08/2005 (RIKCO INTERNATIONAL, LLC) DR. 2 SHOES, INC. DR. 9000 WOMEN A5500 06/30/2006 GENERIC DR. JEB LEATHER 420-01 A5500 11/25/2003 FOOTWEAR, LLC THERAPEUTIC SHOE GENERIC DR. JEB LYCRA THERAPEUTIC 101-01 A5500 11/25/2003 FOOTWEAR, LLC SHOE GENERIC DR. JEB STRETCH DENIM 120-04 A5500 11/25/2003 FOOTWEAR, LLC THERAPEUTIC SHOE DR. ZEN, INC. DR. ZEN DIABETIC SHOE - A5500 10/16/2001 VELCRO OXFORD

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DR. ZEN, INC. DR. ZEN DIABETIC SHOE - A5500 10/16/2001 VELCRO STRAP DR. ZEN, INC. DR. ZEN DIABETIC A5500 05/28/2003 DR. ZEN, INC. DR. ZEN LEATHER DIABETIC A5500 05/28/2003 SHOE DR. ZEN, INC. DR. ZEN LYCRA DIABETIC A5500 05/28/2003 SHOE DR. ZEN, INC. DR. ZEN SUEDE DIABETIC A5500 05/28/2003 DR. 2 SHOES, INC. DR.5801 BOOT A5500 06/30/2006 09/11/2008 DR. 2 SHOES, INC. DR0201 MEN'S THERAPEUTIC DR0201 A5500 07/28/2008 09/11/2008 SHOES DR. 2 SHOES, INC. DR0202 MEN DIABETIC SHOE A5500 01/17/2006 09/11/2008 DR. 2 SHOES, INC. DR2000 MEN DIABETIC SHOE A5500 01/17/2006 09/11/2008 DR. 2 SHOES, INC. DR2020 MEN A5500 02/15/2007 09/11/2008 DR. 2 SHOES, INC. DR2030 MEN A5500 02/07/2007 09/11/2008 DR. 2 SHOES, INC. DR211 MEN DIABETIC SHOE A5500 04/01/2005 09/11/2008 DR. 2 SHOES, INC. DR216 MEN'S ATHLETIC DR216 A5500 07/29/2008 09/11/2008 SHOES DR. 2 SHOES, INC. DR229 MEN DIABETIC SHOE A5500 04/01/2005 09/11/2008 DR. 2 SHOES, INC. DR2500 MEN DIABETIC SHOE A5500 01/17/2006 09/11/2008 DR. 2 SHOES, INC. DR3000 MEN DIABETIC SHOE A5500 11/09/2004 09/11/2008 DR. 2 SHOES, INC. DR4000 MEN'S THERAPEUTIC DR4000 A5500 07/28/2008 09/11/2008 SHOES DR. 2 SHOES, INC. DR5000 MEN DIABETIC SHOE A5500 09/02/2004 09/11/2008 DR. 2 SHOES, INC. DR5500 MEN DIABETIC SHOE DR5500 A5500 12/09/2004 09/11/2008 DR. 2 SHOES, INC. DR555 DIABETIC SANDALS DR555 A5500 11/20/2007 09/11/2008 DR. 2 SHOES, INC. DR8100 WOMEN DIABETIC DR8100 A5500 12/09/2004 09/11/2008 SHOE

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DR. 2 SHOES, INC. DR811 WOMEN DIABETIC A5500 04/01/2005 09/11/2008 SHOE DR. 2 SHOES, INC. DR816 WOMEN'S ATHLETIC DR816 A5500 07/29/2008 09/11/2008 SHOES DR. 2 SHOES, INC. DR8200 WOMEN DIABETIC DR8200 A5500 12/09/2004 09/11/2008 SHOE DR. 2 SHOES, INC. DR828 WOMEN DIABETIC A5500 04/01/2005 09/11/2008 SHOE DR. 2 SHOES, INC. DR8300 WOMEN DIABETIC DR8300 A5500 12/09/2004 09/11/2008 SHOE DR. 2 SHOES, INC. DR8400 WOMEN DIABETIC DR8400 A5500 12/09/2004 09/11/2008 SHOE DR. 2 SHOES, INC. DR9012 WOMEN'S DR9012 A5500 07/28/2008 09/11/2008 THERAPEUTIC SHOES DR. 2 SHOES, INC. DR9019 WOMEN'S DR9019 A5500 07/28/2008 09/11/2008 THERAPEUTIC SHOES DR. 2 SHOES, INC. DR998 DIABETIC SANDALS DR998 A5500 11/20/2007 09/11/2008 PROPET USA, INC. DRESS WALKER MPRX09BAM A5500 07/19/2007 PROPET USA, INC. DRESS WALKER MPRX09BAX A5500 07/19/2007 PROPET USA, INC. DRESS WALKER MPRX09BAXX A5500 07/19/2007 PROPET USA, INC. DRESS WALKER MPRX09TM A5500 07/19/2007 PROPET USA, INC. DRESS WALKER MPRX09TX A5500 07/19/2007 PROPET USA, INC. DRESS WALKER MPRX09TXX A5500 07/19/2007 PROPET USA, INC. DRESS WALKER WPRX09ABRM A5500 07/19/2007 PROPET USA, INC. DRESS WALKER WPRX09ABRW A5500 07/19/2007 PROPET USA, INC. DRESS WALKER WPRX09ABRX A5500 07/19/2007 PROPET USA, INC. DRESS WALKER WPRX09ABRXX A5500 07/19/2007 PROPET USA, INC. DRESS WALKER WPRX09BAM A5500 07/19/2007

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. DRESS WALKER WPRX09BAW A5500 07/19/2007 PROPET USA, INC. DRESS WALKER WPRX09BAX A5500 07/19/2007 PROPET USA, INC. DRESS WALKER WPRX09BAXX A5500 07/19/2007 KLAS SHOES, LLC DRESSY 4210001001 (BLACK) A5500 08/03/2009 KLAS SHOES, LLC DRESSY 4210001403 (NAVY) A5500 08/03/2009 KLAS SHOES, LLC DRESSY 4210001200 (BROWN) A5500 08/03/2009 KLAS SHOES, LLC DRESSY II 4211101001 A5500 08/03/2009 ETONIC DRX JOURNEY - LACE DRX100 A5500 12/04/2002 WORLDWIDE LLC ETONIC DRX JOURNEY - LACE DRX101 A5500 12/04/2002 WORLDWIDE LLC ETONIC DRX JOURNEY - VELCRO DRX110 A5500 12/04/2002 WORLDWIDE LLC ETONIC DRX JOURNEY - VELCRO DRX111 A5500 12/04/2002 WORLDWIDE LLC ETONIC DRX STRIDE - LACE DRX600 A5500 12/04/2002 WORLDWIDE LLC ETONIC DRX STRIDE - LACE DRX601 A5500 12/04/2002 WORLDWIDE LLC ETONIC DRX STRIDE - VELCRO DRX610 A5500 12/04/2002 WORLDWIDE LLC ETONIC DRX STRIDE - VELCRO DRX611 A5500 12/04/2002 WORLDWIDE LLC ETONIC DRX TRANSPORT DRX200 A5500 12/04/2002 WORLDWIDE LLC ETONIC DRX TRANSPORT DRX201 A5500 12/04/2002 WORLDWIDE LLC ETONIC DRX TRANSPORT DRX202 A5500 12/04/2002 WORLDWIDE LLC ETONIC DRX TRANSPORT DRX700 A5500 12/04/2002 WORLDWIDE LLC

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

ETONIC DRX TRANSPORT DRX701 A5500 12/04/2002 WORLDWIDE LLC ETONIC DRX TRANSPORT DRX702 A5500 12/04/2002 WORLDWIDE LLC SOUTHERN DUBLIN S626 A5500 08/14/2009 PROSTHETICS SUPPLY INC P.W. MINOR & SON, DUKE 1980 A5500 03/07/2003 INC. P.W. MINOR & SON, DUKE 5980 A5500 03/07/2003 INC. FOOTCARE STORE, DUNHAM GREENLAND A5500 11/06/2006 INC. (DBA DIA- OXFORD FOOT) FOOTCARE STORE, DUNHAM MARINER A5500 11/06/2006 INC. (DBA DIA- FOOT) FOOTCARE STORE, DUNHAM NAVIGATOR A5500 02/13/2006 INC. (DBA DIA- FOOT) DREW SHOE DUPLEX 10386-16 A5500 11/05/2002 CORPORATION DREW SHOE DUPLEX 10386-36 A5500 11/05/2002 CORPORATION INSTRIDE SHOES, DURANGO 96610 A5500 06/23/2009 LLC INSTRIDE SHOES, DURANGO 96614 A5500 06/23/2009 LLC INSTRIDE SHOES, DURANGO 96611 A5500 06/23/2009 LLC PROPET USA, INC. DUSK WALKER MPRX03 A5500 04/16/2007 P.W. MINOR & SON, DUTCHESS 1003 A5500 09/30/2002 INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

P.W. MINOR & SON, DUTCHESS 7003 A5500 09/30/2002 INC. P.W. MINOR & SON, DUTCHESS 7903 A5500 09/30/2002 INC. P.W. MINOR & SON, DUTCHESS SD WS 1119 A5500 09/30/2002 INC. P.W. MINOR & SON, DUTCHESS SD WS 7119 A5500 09/30/2002 INC. P.W. MINOR & SON, DUTCHESS TM (THERMOLD) 10296 A5500 11/04/2002 INC. P.W. MINOR & SON, DUTCHESS TM (THERMOLD) 70296 A5500 11/04/2002 INC. P.W. MINOR & SON, DUTCHESS TM (THERMOLD) 79296 A5500 11/04/2002 INC. P.W. MINOR & SON, DUTCHESS TM (THERMOLD) 10298 A5500 11/04/2002 INC. SD WS P.W. MINOR & SON, DUTCHESS TM (THERMOLD) 70298 A5500 11/04/2002 INC. SD WS P.W. MINOR & SON, DUTCHESS TM (THERMOLD) 10288 A5500 11/04/2002 INC. SD WS VELCRO P.W. MINOR & SON, DUTCHESS TM (THERMOLD) 70288 A5500 11/04/2002 INC. SD WS VELCRO JOOJOO E-STEP DFC-3402 A5500 07/07/2004 INTERNATIONAL CORPORATION JOOJOO E-STEP DFC-3403 A5500 07/07/2004 INTERNATIONAL CORPORATION JOOJOO E-STEP DMC-3502 A5500 07/07/2004 INTERNATIONAL CORPORATION JOOJOO E-STEP DMC-3503 A5500 07/07/2004 INTERNATIONAL CORPORATION

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

JOOJOO E-STEP YJ-933 A5500 02/16/2006 INTERNATIONAL CORPORATION JOOJOO E-STEP YJ-922 A5500 02/16/2006 INTERNATIONAL CORPORATION JOOJOO E-STEP DFC-3401 A5500 02/16/2006 INTERNATIONAL CORPORATION JOOJOO E-STEP DFC-3404 A5500 02/16/2006 INTERNATIONAL CORPORATION JOOJOO E-STEP DM-4504 A5500 02/16/2006 INTERNATIONAL CORPORATION JOOJOO E-STEP DMC-3501 A5500 02/16/2006 INTERNATIONAL CORPORATION DREW SHOE EASY 44834-14 A5500 05/02/2002 CORPORATION DREW SHOE EASY II 44734-14 A5500 03/23/2004 CORPORATION DREW SHOE EASY STEP 447793-14 A5500 11/15/2004 CORPORATION DREW SHOE EASY V 44789-14 A5500 11/12/2009 CORPORATION PROPET USA, INC. EASYWALKER W3845BM A5500 06/29/2007 PROPET USA, INC. EASYWALKER W3845BOM A5500 06/29/2007 PROPET USA, INC. EASYWALKER W3845BOW A5500 06/29/2007 PROPET USA, INC. EASYWALKER W3845BOX A5500 06/29/2007 PROPET USA, INC. EASYWALKER W3845BW A5500 06/29/2007 PROPET USA, INC. EASYWALKER W3845BX A5500 06/29/2007

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 68 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. EASYWALKER W3845WM A5500 06/29/2007 PROPET USA, INC. EASYWALKER W3845WN A5500 06/29/2007 PROPET USA, INC. EASYWALKER W3845WW A5500 06/29/2007 PROPET USA, INC. EASYWALKER W3845WX A5500 06/29/2007 KLAS SHOES, LLC EDI 4210705001 A5500 08/04/2009 KLAS SHOES, LLC EDI 4210705600 A5500 08/04/2009 KLAS SHOES, LLC EDI 4210705403 A5500 08/04/2009 DREW SHOE ELDA 10271-12 A5500 08/23/2004 CORPORATION ORTHO-AID ELITA L2572 A5500 10/25/2004 CUSTOM MOLDED SHOES, INC. DREW SHOE ELITE 10145-09 A5500 07/30/2008 CORPORATION DREW SHOE ELITE 10145-36 A5500 07/30/2008 CORPORATION DREW SHOE ELITE 10145-49 A5500 07/30/2008 CORPORATION REDWOOD ELLIE 20149 A5500 06/04/2007 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD ELLIOTT 19532 A5500 11/08/2007 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD ELLIOTT 19533 A5500 11/08/2007 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) PW MINOR ELLIS 41348 A5500 11/06/2008

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PW MINOR ELLIS 79348 A5500 11/06/2008 FOOTWAY INC. ELSIE W3111V (VELCRO) A5500 06/22/2009 FOOTWAY INC. ELSIE W3111L (LACE) A5500 06/22/2009 P.W. MINOR EMBRACE 11312 A5500 05/07/2009 P.W. MINOR EMBRACE 31312 A5500 05/07/2009 P.W. MINOR EMBRACE 71312 A5500 05/07/2009 P.W. MINOR EMBRACE 81312 A5500 05/07/2009 P.W. MINOR EMBRACE STRAP 11313 A5500 05/08/2009 P.W. MINOR EMBRACE STRAP 71313 A5500 05/08/2009 P.W. MINOR EMBRACE STRAP 81313 A5500 05/08/2009 THE ROCKPORT ENCOUNTER APM21341 A5500 10/05/2005 COMPANY THE ROCKPORT ENCOUNTER APM21344 A5500 10/05/2005 COMPANY DR. COMFORT ENDURANCE A5500 11/16/2007 (RIKCO INTERNATIONAL, LLC) HUSH PUPPIES ENDURANCE H11588 A5500 07/28/2009 HUSH PUPPIES ENDURANCE H11589 A5500 07/28/2009 HUSH PUPPIES ENDURANCE H11590 A5500 07/28/2009 DR. COMFORT ENDURANCE PLUS A5500 11/16/2007 (RIKCO INTERNATIONAL, LLC) HUSH PUPPIES ENERGETIC H55194 A5500 07/30/2009 HUSH PUPPIES ENERGETIC H55195 A5500 07/30/2009 HUSH PUPPIES ENERGETIC H55196 A5500 07/30/2009

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DREW SHOE ENERGY 40846-14 A5500 05/02/2002 CORPORATION DREW SHOE ENERGY 40846-22 A5500 05/02/2002 CORPORATION DREW SHOE ENERGY 40765-19 A5500 09/25/2007 CORPORATION DREW SHOE ENERGY 40765-21 A5500 09/25/2007 CORPORATION DREW SHOE ENERGY VELCRO 44976-14 A5500 06/27/2002 CORPORATION DREW SHOE ENERGY VELCRO 44976-22 A5500 06/27/2002 CORPORATION DR. COMFORT ERIC A5500 11/16/2007 (RIKCO INTERNATIONAL, LLC) P.W. MINOR & SON, ERIKA (19110, 79110, 99110) 19110 A5500 10/23/2003 INC. P.W. MINOR & SON, ERIKA (19110, 79110, 99110) 79110 A5500 10/23/2003 INC. P.W. MINOR & SON, ERIKA (19110, 79110, 99110) 99110 A5500 10/23/2003 INC. P.W. MINOR & SON, ERIKA VELCRO 19010 A5500 05/17/2004 INC. P.W. MINOR & SON, ERIKA VELCRO 79010 A5500 05/17/2004 INC. P.W. MINOR & SON, ERIKA VELCRO 99010 A5500 05/17/2004 INC. PROPET USA, INC. ERIKA WALKER WPRX12BM A5500 02/13/2008 PROPET USA, INC. ERIKA WALKER WPRX12BOM A5500 02/13/2008 PROPET USA, INC. ERIKA WALKER WPRX12BOW A5500 02/13/2008 PROPET USA, INC. ERIKA WALKER WPRX12BOX A5500 02/13/2008

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. ERIKA WALKER WPRX12BW A5500 02/13/2008 PROPET USA, INC. ERIKA WALKER WPRX12BX A5500 02/13/2008 PROPET USA, INC. ERIKA WALKER WPRX12CIM A5500 02/13/2008 PROPET USA, INC. ERIKA WALKER WPRX12CIW A5500 02/13/2008 PROPET USA, INC. ERIKA WALKER WPRX12CIX A5500 02/13/2008 B & S PARTNERS, ERNA P3086 A5500 07/25/2008 INC. (DBA PILGRIM SHOES) ETONIC ESSENCE DRX630 A5500 11/04/2003 WORLDWIDE LLC ETONIC ESSENCE DRX631 A5500 11/04/2003 WORLDWIDE LLC ETONIC ESSENCE DRX632 A5500 11/04/2003 WORLDWIDE LLC ETONIC ESSENCE DRX635 A5500 11/04/2003 WORLDWIDE LLC ETONIC ESSENCE DRX636 A5500 11/04/2003 WORLDWIDE LLC ETONIC ESSENCE DRX637 A5500 11/04/2003 WORLDWIDE LLC P.W. MINOR & SON, ESSENCE FOR WOMEN 11910 A5500 10/25/2005 INC. P.W. MINOR & SON, ESSENCE FOR WOMEN 11911 A5500 10/25/2005 INC. REDWOOD ESSEX 17318 A5500 07/25/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD ESSEX 17718 A5500 09/14/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

B & S PARTNERS, ESTHER P3085 A5500 04/27/2007 INC. (DBA PILGRIM SHOES) P.W. MINOR & SON, EURO 1164 A5500 05/17/2004 INC. P.W. MINOR & SON, EURO 3164 A5500 05/17/2004 INC. P.W. MINOR & SON, EURO 5164 A5500 05/17/2004 INC. B & S PARTNERS, EVE P3084 A5500 04/30/2007 INC. (DBA PILGRIM SHOES) PROPET USA, INC. EVE WALKER WPRX07ABRM A5500 07/19/2007 PROPET USA, INC. EVE WALKER WPRX07ABRW A5500 07/19/2007 PROPET USA, INC. EVE WALKER WPRX07ABRX A5500 07/19/2007 PROPET USA, INC. EVE WALKER WPRX07ABRXX A5500 07/19/2007 PROPET USA, INC. EVE WALKER WPRX07BAM A5500 07/19/2007 PROPET USA, INC. EVE WALKER WPRX07BAW A5500 07/19/2007 PROPET USA, INC. EVE WALKER WPRX07BAX A5500 07/19/2007 PROPET USA, INC. EVE WALKER WPRX07BAXX A5500 07/19/2007 REDWOOD EVITA 1210 A5500 06/14/2007 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) PROPET USA, INC. EXCER WALKER W5003WFBM A5500 09/20/2007 PROPET USA, INC. EXCER WALKER W5003WFBW A5500 09/20/2007 PROPET USA, INC. EXCER WALKER W5003WFBX A5500 09/20/2007 PROPET USA, INC. EXCER WALKER W5003WMDM A5500 09/20/2007 PROPET USA, INC. EXCER WALKER W5003WMDW A5500 09/20/2007

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. EXCER WALKER W5003WMDX A5500 09/20/2007 DREW SHOE CORP EXCITE 14382-04 A5500 11/12/2008 DREW SHOE CORP EXCITE 14382-19 A5500 11/12/2008 DREW SHOE CORP EXCITE 14382-21 A5500 11/12/2008 DREW SHOE CORP EXCITE 14382-70 A5500 11/12/2008 DREW SHOE EXECUTIVE 40402-14 A5500 09/24/2003 CORPORATION REDWOOD EXETER H235 A5500 05/15/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD EXETER H236 A5500 05/15/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) ETONIC EXODUS DRX321 A5500 11/04/2003 WORLDWIDE LLC ETONIC EXODUS DRX322 A5500 11/04/2003 WORLDWIDE LLC ETONIC EXODUS DRX323 A5500 11/04/2003 WORLDWIDE LLC ETONIC EXODUS DRX821 A5500 11/04/2003 WORLDWIDE LLC ETONIC EXODUS DRX822 A5500 11/04/2003 WORLDWIDE LLC ETONIC EXODUS DRX823 A5500 11/04/2003 WORLDWIDE LLC DREW SHOE EXPEDITION 40950-14 A5500 05/02/2002 CORPORATION DREW SHOE EXPEDITION 40950-38 A5500 05/02/2002 CORPORATION

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DREW SHOE EXPEDITION 40950-64 A5500 05/02/2002 CORPORATION DREW SHOE EXPEDITION II 40850-14 A5500 03/23/2004 CORPORATION DREW SHOE EXPEDITION II 40850-38 A5500 03/23/2004 CORPORATION ARAVON FALLON WEF02BK A5500 11/07/2005 ARAVON FALLON WEF02BR A5500 11/07/2005 ARAVON FALLON WEF02WN A5500 11/07/2005 DREW SHOE FANTASY II 10220-12 A5500 06/04/2003 CORPORATION DREW SHOE FANTASY II 10220-22 A5500 06/04/2003 CORPORATION DREW SHOE FANTASY II 10220-42 A5500 06/04/2003 CORPORATION KLAS SHOES, LLC FARRAH 4111801001 A5500 02/18/2010 KLAS SHOES, LLC FARRAH 4111801965 A5500 02/18/2010 ARAVON FARREN WEF07BN A5500 02/10/2006 ARAVON FARREN WEF07SD A5500 02/10/2006 ARAVON FARREN WEF07SH A5500 02/10/2006 P.W. MINOR & SON, FASHION 10114 A5500 03/07/2003 INC. COMMERCE FEATHER LIGHT DIABETIC 903 A5500 07/07/2004 ATLANTIC FOOTWEAR CORPORATION (DBA APIS FOOTWEAR

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

COMMERCE FEATHER LIGHT DIABETIC 505 A5500 07/07/2004 ATLANTIC FOOTWEAR CORPORATION (DBA APIS FOOTWEAR COMMERCE FEATHER LIGHT DIABETIC 503 A5500 07/07/2004 ATLANTIC FOOTWEAR CORPORATION (DBA APIS FOOTWEAR COMMERCE FEATHER LIGHT DIABETIC 502 A5500 07/07/2004 ATLANTIC FOOTWEAR CORPORATION (DBA APIS FOOTWEAR COMMERCE FEATHER LIGHT DIABETIC 905 A5500 07/07/2004 ATLANTIC FOOTWEAR CORPORATION (DBA APIS FOOTWEAR JAMMIN BEAR, LLC FEET AT EASE (24/7 TIE) A5500 04/11/2005 DREW SHOE FESTIVAL 10345-12 A5500 11/09/2004 CORPORATION DREW SHOE FESTIVAL 10345-72 A5500 11/09/2004 CORPORATION DREW SHOE FIESTA 10175-12 A5500 06/27/2002 CORPORATION DREW SHOE FIESTA 10175-15 A5500 06/27/2002 CORPORATION DREW SHOE FIESTA 10175-22 A5500 06/27/2002 CORPORATION DREW SHOE FIESTA 10175-45 A5500 06/27/2002 CORPORATION DREW SHOE FIESTA 10175-65 A5500 06/27/2002 CORPORATION

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DREW SHOE FIESTA 10175-89 A5500 06/27/2002 CORPORATION DB SHOES, LTD. FIFE 70230 A5500 05/10/2005 ARAVON FIONA WEF05BS A5500 11/07/2005 ARAVON FIONA WEF05HN A5500 11/07/2005 PROPET USA, INC. FIRELITE WALKER W1015BAM A5500 07/02/2007 PROPET USA, INC. FIRELITE WALKER W1015BAW A5500 07/02/2007 PROPET USA, INC. FIRELITE WALKER W1015BAX A5500 07/02/2007 PROPET USA, INC. FIRELITE WALKER W1015IRM A5500 07/02/2007 PROPET USA, INC. FIRELITE WALKER W1015IRW A5500 07/02/2007 PROPET USA, INC. FIRELITE WALKER W1015IRX A5500 07/02/2007 PROPET USA, INC. FIRELITE WALKER W1015TEM A5500 07/02/2007 PROPET USA, INC. FIRELITE WALKER W1015TEW A5500 07/02/2007 PROPET USA, INC. FIRELITE WALKER W1015TEX A5500 07/02/2007 DR. COMFORT FISHERMAN FISHERMAN A5500 08/24/2009 DREW SHOE FITTER 10798-12 A5500 08/08/2002 CORPORATION DREW SHOE FITTER 10798-42 A5500 08/08/2002 CORPORATION DREW SHOE FITTER 10798-52 A5500 08/08/2002 CORPORATION DREW SHOE FITTER 10798-72 A5500 08/08/2002 CORPORATION PROPET USA, INC. FLAIR W3702BM A5500 07/17/2008 PROPET USA, INC. FLAIR W3702BOM A5500 07/17/2008 PROPET USA, INC. FLAIR W3702BOW A5500 07/17/2008 PROPET USA, INC. FLAIR W3702BOX A5500 07/17/2008

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. FLAIR W3702BW A5500 07/17/2008 PROPET USA, INC. FLAIR W3702BX A5500 07/17/2008 PROPET USA, INC. FLAIR W3702MDM A5500 07/17/2008 PROPET USA, INC. FLAIR W3702MDW A5500 07/17/2008 PROPET USA, INC. FLAIR W3702MDX A5500 07/17/2008 PROPET USA, INC. FLAIR W3702RM A5500 07/17/2008 PROPET USA, INC. FLAIR W3702RW A5500 07/17/2008 PROPET USA, INC. FLAIR W3702RX A5500 07/17/2008 PROPET USA, INC. FLAIR W3702WM A5500 07/17/2008 PROPET USA, INC. FLAIR W3702WW A5500 07/17/2008 PROPET USA, INC. FLAIR W3702WX A5500 07/17/2008 DREW SHOE FLARE 10285-04 A5500 07/30/2008 CORPORATION DREW SHOE FLARE 10285-21 A5500 07/30/2008 CORPORATION DREW SHOE FLARE 10285-31 A5500 07/30/2008 CORPORATION DREW SHOE FLASH 10569 A5500 02/06/2006 CORPORATION DREW SHOE FLASH VELCRO 14478 A5500 02/06/2006 CORPORATION PROPET USA, INC. FLEX WALKER W5002 A5500 02/13/2006 SOUTHERN FLORENCE S646 A5500 08/14/2009 PROSTHETICS SUPPLY INC SUNRISE FOOTWORX FRONTRUNNER - C704-S101-01 A5500 07/10/2006 02/28/2007 INTERNATIONAL LACE HOLDING GROUP

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

SUNRISE FOOTWORX FRONTRUNNER - C704-S101-03 A5500 07/10/2006 02/28/2007 INTERNATIONAL LACE HOLDING GROUP SUNRISE FOOTWORX FRONTRUNNER - C704-S101-05 A5500 07/10/2006 02/28/2007 INTERNATIONAL LACE HOLDING GROUP SUNRISE FOOTWORX FRONTRUNNER - C704-S101-06 A5500 07/10/2006 02/28/2007 INTERNATIONAL LACE HOLDING GROUP SUNRISE FOOTWORX FRONTRUNNER - C704-S201-01 A5500 07/10/2006 02/28/2007 INTERNATIONAL LACE HOLDING GROUP SUNRISE FOOTWORX FRONTRUNNER - C704-S201-03 A5500 07/10/2006 02/28/2007 INTERNATIONAL LACE HOLDING GROUP SUNRISE FOOTWORX FRONTRUNNER - C704-S201-04 A5500 07/10/2006 02/28/2007 INTERNATIONAL LACE HOLDING GROUP SUNRISE FOOTWORX FRONTRUNNER - C704-S201-05 A5500 07/10/2006 02/28/2007 INTERNATIONAL LACE HOLDING GROUP SUNRISE FOOTWORX FRONTRUNNER - C704-S201-06 A5500 07/10/2006 02/28/2007 INTERNATIONAL LACE HOLDING GROUP SUNRISE FOOTWORX FRONTRUNNER - C704-S102-01 A5500 07/10/2006 02/28/2007 INTERNATIONAL VELCRO HOLDING GROUP SUNRISE FOOTWORX FRONTRUNNER - C704-S102-02 A5500 07/10/2006 02/28/2007 INTERNATIONAL VELCRO HOLDING GROUP SUNRISE FOOTWORX FRONTRUNNER - C704-S102-03 A5500 07/10/2006 02/28/2007 INTERNATIONAL VELCRO HOLDING GROUP SUNRISE FOOTWORX FRONTRUNNER - C704-S202-01 A5500 07/10/2006 02/28/2007 INTERNATIONAL VELCRO HOLDING GROUP

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

SUNRISE FOOTWORX FRONTRUNNER - C704-S202-02 A5500 07/10/2006 02/28/2007 INTERNATIONAL VELCRO HOLDING GROUP SUNRISE FOOTWORX FRONTRUNNER - C704-S202-03 A5500 07/10/2006 02/28/2007 INTERNATIONAL VELCRO HOLDING GROUP DREW SHOE FORCE 40960-14 A5500 04/03/2007 CORPORATION DREW SHOE FORCE 40960-22 A5500 04/03/2007 CORPORATION DREW SHOE FORCE VELCRO 44714-14 A5500 02/01/2007 CORPORATION DREW SHOE FORCE VELCRO 44714-22 A5500 02/01/2007 CORPORATION P.W. MINOR & SON, FOREMAN 11220 A5500 05/30/2007 INC. P.W. MINOR & SON, FOREMAN 31220 A5500 05/30/2007 INC. P.W. MINOR & SON, FOREMAN 1932 A5500 05/13/2008 INC. P.W. MINOR & SON, FOREMAN 3932 A5500 05/13/2008 INC. THERATECH FOXTROT - VETERANS BRAND HE-002 A5500 05/09/2005 FOOTWEAR ARAVON FRANCES WEF01CR A5500 02/10/2006 ARAVON FRANCES WEF01NV A5500 02/10/2006 DR. COMFORT FRANK A5500 11/16/2007 (RIKCO INTERNATIONAL, LLC) LERNESS SHOE FREDDY A5500 02/06/2006 COMPANY SAS SHOEMAKERS FREE TIME A5500 05/10/2005

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

FOOT WORK & FREEDOM 112 A5500 11/12/2007 D.M.E. RIGHT SHOE FREEDOM 1000MX A5500 03/08/2010 COMPANY P.W. MINOR & SON, FREEDOM FOR MEN 16960 A5500 10/25/2005 INC. P.W. MINOR & SON, FREEDOM FOR MEN 16961 A5500 10/25/2005 INC. KLAS SHOES LLC FREELANCE 4110207963 A5500 08/13/2009 ARAVON FREYA WEF09BK A5500 02/10/2006 PROPET USA, INC. FROST WALKER WB005 A5500 05/15/2006 NOBILE GABRIELA A5500 04/12/2005 CONSULTING USA, LLC (DBA NATURAL STEP SHOES) HUSH PUPPIES GADANA H502044 A5500 12/22/2009 HUSH PUPPIES GADANA H502045 A5500 12/22/2009 HUSH PUPPIES GADANA H502046 A5500 12/22/2009 DREW SHOE GAIL 14221-18 A5500 11/07/2005 CORPORATION DREW SHOE GAIL 14221-75 A5500 11/07/2005 CORPORATION PROPET USA, INC. GALWAYWALKER M4077 A5500 10/05/2005 DR. ZEN, INC. GATOR A5500 11/20/2003 REDWOOD GAYLE 50001 A5500 03/04/2008 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD GAYLE 50002 A5500 03/04/2008 SPORTSWEAR (DBA SEQUOIA FOOTWEAR)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DR ZEN INC GEMINI 655-01 A5500 11/06/2008 DR ZEN INC GEMINI 655-02 A5500 11/06/2008 DR ZEN INC GEMINI 655-03 A5500 11/06/2008 KLAS SHOES, LLC GENE 4111001280 (PUTTY) A5500 08/03/2009 KLAS SHOES, LLC GENE 4111001001 (BLACK) A5500 08/03/2009 KLAS SHOES, LLC GENE 4111001200 (BROWN) A5500 08/03/2009 SOUTHERN GENEVA S616 A5500 08/18/2009 PROSTHETICS SUPPLY, INC. KLAS SHOES, GENTLE 4210601963 A5500 03/22/2010 LLC/SOLACE BRAND DARCO GENTLE STEP MESH-WALKER GM A5500 02/03/2004 INTERNATIONAL, INC. DARCO GENTLESTEP SHOE A5500 10/25/2002 INTERNATIONAL, INC. REDWOOD GENTRY 17511 A5500 05/01/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) KLAS SHOES, LLC GEORGE 4111101001 A5500 08/03/2009 KLAS SHOES, LLC GEORGE 4210801001 A5500 08/03/2009 COPPI USA, INC. GERALDINE 203-00 A5500 01/29/2010 COPPI USA, INC. GERALDINE 203-01 A5500 01/29/2010 COPPI USA, INC. GERALDINE 203-03 A5500 01/29/2010 HUSH PUPPIES GIL H18800 A5500 11/02/2005 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

HUSH PUPPIES GIL H18801 A5500 11/02/2005 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.) HUSH PUPPIES GIL H18802 A5500 11/02/2005 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.) B & S PARTNERS, GINA P3095 A5500 04/16/2009 INC. (DBA PILGRIM SHOES) DREW SHOE GINGER 10743-12 A5500 08/08/2002 CORPORATION DREW SHOE GINGER 10743-42 A5500 08/08/2002 CORPORATION DREW SHOE GINGER 10743-72 A5500 08/08/2002 CORPORATION NOBILE GINNA A5500 04/11/2005 CONSULTING USA, LLC (DBA NATURAL STEP SHOES) PROPET USA, INC. GLASGOW WALKER M1269BM A5500 06/29/2007 PROPET USA, INC. GLASGOW WALKER M1269BX A5500 06/29/2007 PROPET USA, INC. GLASGOW WALKER M1269BXX A5500 06/29/2007 PROPET USA, INC. GLASGOW WALKER M1269WLBRM A5500 06/29/2007 PROPET USA, INC. GLASGOW WALKER M1269WLBRX A5500 06/29/2007 PROPET USA, INC. GLASGOW WALKER M1269WLBRXX A5500 06/29/2007

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

HUSH PUPPIES GLEN H19072 A5500 11/02/2005 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.) HUSH PUPPIES GLEN H19078 A5500 11/02/2005 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.) PROPET USA, INC. GLENLITE WALKER M1004 A5500 02/13/2006 STANDING GLIDE 72400-14 A5500 06/04/2007 COMFORT P.W. MINOR & SON, GRACE 11338 A5500 03/29/2005 USE HCPCS CODE A5500 FOR INC. MODELS 11338, 71338, 91338 P.W. MINOR & SON, GRACE 13338 A5500 03/29/2005 USE HCPCS CODE A5500 FOR INC. MODELS 11338, 71338, 91338 P.W. MINOR & SON, GRACE 71338 A5500 03/29/2005 USE HCPCS CODE A5500 FOR INC. MODELS 11338, 71338, 91338 P.W. MINOR & SON, GRACE 91338 A5500 03/29/2005 USE HCPCS CODE A5500 FOR INC. MODELS 11338, 71338, 91338 P.W. MINOR & SON, GRACE 93338 A5500 03/29/2005 USE HCPCS CODE A5500 FOR INC. MODELS 11338, 71338, 91338 P.W. MINOR & SON, GRACE 13338 A5500 10/24/2005 INC. P.W. MINOR & SON, GRACE 93338 A5500 10/24/2005 INC. P.W. MINOR & SON, GRAMERCY 17343 A5500 12/12/2007 INC. P.W. MINOR & SON, GRAMERCY 37343 A5500 12/12/2007 INC. AETREX GRAMERCY LACE UP PLAIN G500 A5500 11/05/2008 WORLDWIDE INC TOE

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

AETREX GRAMERCY LACE UP PLAIN G501 A5500 11/05/2008 WORLDWIDE INC TOE AETREX GRAMERCY LACE-TO-TOE G300 A5500 11/03/2008 WORLDWIDE INC OXFORD AETREX GRAMERCY LACE-TO-TOE G301 A5500 11/03/2008 WORLDWIDE INC OXFORD AETREX GRAMERCY PERFORATED G680 A5500 11/03/2008 WORLDWIDE INC. OXFORD AETREX GRAMERCY STITCHED TOE G650 A5500 11/03/2008 WORLDWIDE INC. OXFORD P.W. MINOR & SON, GRAND CENTRAL 11345 A5500 01/10/2008 INC. P.W. MINOR & SON, GRAND CENTRAL 31345 A5500 01/10/2008 INC. P.W. MINOR GRAND CENTRAL STRAP 11346 A5500 05/06/2009 P.W. MINOR GRAND CENTRAL STRAP 31346 A5500 05/06/2009 DREW SHOE GRANDE 40722-14 A5500 06/27/2002 CORPORATION DREW SHOE GRANDE 40722-16 A5500 06/27/2002 CORPORATION DREW SHOE GRANDE 40722-64 A5500 06/27/2002 CORPORATION DREW SHOE GRANDE 40722-66 A5500 06/27/2002 CORPORATION ORTHO-AID GRANT G2101 A5500 10/25/2004 CUSTOM MOLDED SHOES, INC. SAUCONY, INC. GRID INTEGRITY 5181 A5500 07/22/2004 SAUCONY, INC. GRID INTEGRITY 5182-1 A5500 07/22/2004 SAUCONY, INC. GRID INTEGRITY 5213-1 A5500 07/22/2004 SAUCONY, INC. GRID INTEGRITY 5214-1 A5500 07/22/2004

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 85 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

STRIDE RITE GRID INTEGRITY ST 5246 A5500 02/13/2006 CORPORATION STRIDE RITE GRID INTEGRITY ST 5247 A5500 02/13/2006 CORPORATION STRIDE RITE GRID INTEGRITY ST 5248 A5500 02/13/2006 CORPORATION STRIDE RITE GRID INTEGRITY ST 5249 A5500 02/13/2006 CORPORATION SAUCONY, INC. GRID MOTION 6 4266-1 A5500 OR A9270 05/07/2007 USE A5500 FOR MODELS 5265-1, 5266-1, 5267-1. USE A9270 FOR MODELS 4266-1, 4267-1. SAUCONY, INC. GRID MOTION 6 4267-1 A5500 OR A9270 05/07/2007 USE A5500 FOR MODELS 5265-1, 5266-1, 5267-1. USE A9270 FOR MODELS 4266-1, 4267-1. SAUCONY, INC. GRID MOTION 6 5265-1 A5500 OR A9270 05/07/2007 USE A5500 FOR MODELS 5265-1, 5266-1, 5267-1. USE A9270 FOR MODELS 4266-1, 4267-1. SAUCONY, INC. GRID MOTION 6 5266-1 A5500 OR A9270 05/07/2007 USE A5500 FOR MODELS 5265-1, 5266-1, 5267-1. USE A9270 FOR MODELS 4266-1, 4267-1. SAUCONY, INC. GRID MOTION 6 5267-1 A5500 OR A9270 05/07/2007 USE A5500 FOR MODELS 5265-1, 5266-1, 5267-1. USE A9270 FOR MODELS 4266-1, 4267-1. SAUCONY, INC. GRID OMNI WALKER 4260-1 A5500 OR A9270 05/07/2007 USE A5500 FOR MODELS 5259-1, 5260-1, 5261-1, 5259-2, 5260-2, 5261 -2. USE A9270 FOR MODELS 4260- 1, 4261-1, 4260-2, 4261-2.

SAUCONY, INC. GRID OMNI WALKER 4260-2 A5500 OR A9270 05/07/2007 USE A5500 FOR MODELS 5259-1, 5260-1, 5261-1, 5259-2, 5260-2, 5261 -2. USE A9270 FOR MODELS 4260- 1, 4261-1, 4260-2, 4261-2.

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 86 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

SAUCONY, INC. GRID OMNI WALKER 4261-1 A5500 OR A9270 05/07/2007 USE A5500 FOR MODELS 5259-1, 5260-1, 5261-1, 5259-2, 5260-2, 5261 -2. USE A9270 FOR MODELS 4260- 1, 4261-1, 4260-2, 4261-2.

SAUCONY, INC. GRID OMNI WALKER 4261-2 A5500 OR A9270 05/07/2007 USE A5500 FOR MODELS 5259-1, 5260-1, 5261-1, 5259-2, 5260-2, 5261 -2. USE A9270 FOR MODELS 4260- 1, 4261-1, 4260-2, 4261-2.

SAUCONY, INC. GRID OMNI WALKER 5259-1 A5500 OR A9270 05/07/2007 USE A5500 FOR MODELS 5259-1, 5260-1, 5261-1, 5259-2, 5260-2, 5261 -2. USE A9270 FOR MODELS 4260- 1, 4261-1, 4260-2, 4261-2.

SAUCONY, INC. GRID OMNI WALKER 5259-2 A5500 OR A9270 05/07/2007 USE A5500 FOR MODELS 5259-1, 5260-1, 5261-1, 5259-2, 5260-2, 5261 -2. USE A9270 FOR MODELS 4260- 1, 4261-1, 4260-2, 4261-2.

SAUCONY, INC. GRID OMNI WALKER 5260-1 A5500 OR A9270 05/07/2007 USE A5500 FOR MODELS 5259-1, 5260-1, 5261-1, 5259-2, 5260-2, 5261 -2. USE A9270 FOR MODELS 4260- 1, 4261-1, 4260-2, 4261-2.

SAUCONY, INC. GRID OMNI WALKER 5260-2 A5500 OR A9270 05/07/2007 USE A5500 FOR MODELS 5259-1, 5260-1, 5261-1, 5259-2, 5260-2, 5261 -2. USE A9270 FOR MODELS 4260- 1, 4261-1, 4260-2, 4261-2.

SAUCONY, INC. GRID OMNI WALKER 5261-1 A5500 OR A9270 05/07/2007 USE A5500 FOR MODELS 5259-1, 5260-1, 5261-1, 5259-2, 5260-2, 5261 -2. USE A9270 FOR MODELS 4260- 1, 4261-1, 4260-2, 4261-2.

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 87 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

SAUCONY, INC. GRID OMNI WALKER 5261-2 A5500 OR A9270 05/07/2007 USE A5500 FOR MODELS 5259-1, 5260-1, 5261-1, 5259-2, 5260-2, 5261 -2. USE A9270 FOR MODELS 4260- 1, 4261-1, 4260-2, 4261-2.

PROPET USA, INC. GRIPRITE MSR001B A5500 08/28/2007 PROPET USA, INC. GRIPTITE MSR002B A5500 08/28/2007 FOOTCARE STORE, GUARDIAN BLACK A5500 04/09/2009 INC. HUSH PUPPIES GUS H18770 A5500 11/02/2005 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.) HUSH PUPPIES GUS H18772 A5500 11/02/2005 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.) HUSH PUPPIES GUS H18773 A5500 11/02/2005 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.) HUSH PUPPIES GUS H18784 A5500 11/02/2005 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.) ARAVON GWEN WEG02BK A5500 06/07/2007 ARAVON GWEN WEG02BR A5500 06/07/2007 DREW SHOES HAMPTON 40980-14 A5500 07/21/2009 DREW SHOES HAMPTON 40980-21 A5500 07/21/2009 DREW SHOES HAMPTON 40980-44 A5500 07/21/2009

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 88 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

P.W. MINOR & SON, HAMPTON 1944 A5500 03/07/2003 INC. P.W. MINOR & SON, HAMPTON 3944 A5500 03/07/2003 INC. P.W. MINOR & SON, HAMPTON 5944 A5500 03/07/2003 INC. REDWOOD HAMPTON 30118 A5500 09/28/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD HAMPTON 30120 A5500 09/28/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD HAMPTON 30138 A5500 09/28/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) DREW SHOE HAPPY 10733-16 A5500 11/05/2002 CORPORATION DREW SHOE HAPPY 10733-86 A5500 11/05/2002 CORPORATION DREW SHOE HARA 10581-12 A5500 11/24/2009 CORPORATION DREW SHOE HARA 10581-19 A5500 11/24/2009 CORPORATION DREW SHOE HARA 10581-21 A5500 11/24/2009 CORPORATION DREW SHOE HARA 10581-22 A5500 11/24/2009 CORPORATION DREW SHOE HARA 10581-32 A5500 11/24/2009 CORPORATION PROPET USA, INC. HARBORLITEWALKER W1009BOM A5500 06/29/2007 PROPET USA, INC. HARBORLITEWALKER W1009BOW A5500 06/29/2007

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 89 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. HARBORLITEWALKER W1009BOX A5500 06/29/2007 PROPET USA, INC. HARBORLITEWALKER W1009RBM A5500 06/29/2007 PROPET USA, INC. HARBORLITEWALKER W1009RBW A5500 06/29/2007 PROPET USA, INC. HARBORLITEWALKER W1009RBX A5500 06/29/2007 PROPET USA, INC. HARBORLITEWALKER W1009WM A5500 06/29/2007 PROPET USA, INC. HARBORLITEWALKER W1009WW A5500 06/29/2007 PROPET USA, INC. HARBORLITEWALKER W1009WX A5500 06/29/2007 P.W. MINOR & SON, HARMONY 11337 A5500 11/19/2004 INC. P.W. MINOR & SON, HARMONY 13337 A5500 11/19/2004 INC. P.W. MINOR & SON, HARMONY 21337 A5500 11/19/2004 INC. P.W. MINOR & SON, HARMONY 33337 A5500 11/19/2004 INC. P.W. MINOR & SON, HARMONY 71337 A5500 11/19/2004 INC. P.W. MINOR & SON, HARMONY 81337 A5500 11/19/2004 INC. HUSH PUPPIES HATHA H502049 A5500 12/16/2009 PROPET USA, INC. HAVANA M4100BPWM A5500 03/26/2008 PROPET USA, INC. HAVANA M4100BPWX A5500 03/26/2008 PROPET USA, INC. HAVANA M4100BPWXX A5500 03/26/2008 PROPET USA, INC. HAVANA M4100BRMM A5500 03/26/2008 PROPET USA, INC. HAVANA M4100BRMX A5500 03/26/2008 PROPET USA, INC. HAVANA M4100BRMXX A5500 03/26/2008

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 90 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

B & S PARTNERS, HEALTH W5002 A5500 03/27/2008 INC. (DBA PILGRIM SHOES) XSENSIBLE HEIDI LACE 2113.1.002 A5500 02/24/2005 FOOTWEAR, INC. XSENSIBLE HEIDI LACE 2113.1.112 A5500 02/24/2005 FOOTWEAR, INC. XSENSIBLE HEIDI LACE 2113.1.432 A5500 02/24/2005 FOOTWEAR, INC. XSENSIBLE HEIDI LACE 2113.3.002 A5500 02/24/2005 FOOTWEAR, INC. XSENSIBLE HEIDI LACE 2113.3.112 A5500 02/24/2005 FOOTWEAR, INC. XSENSIBLE HEIDI LACE 2113.3.432 A5500 02/24/2005 FOOTWEAR, INC. XSENSIBLE HEIDI VELCRO 2210.1.002 A5500 02/24/2005 FOOTWEAR, INC. XSENSIBLE HEIDI VELCRO 2210.1.112 A5500 02/24/2005 FOOTWEAR, INC. XSENSIBLE HEIDI VELCRO 2210.1.432 A5500 02/24/2005 FOOTWEAR, INC. XSENSIBLE HEIDI VELCRO 2210.3.002 A5500 02/24/2005 FOOTWEAR, INC. XSENSIBLE HEIDI VELCRO 2210.3.112 A5500 02/24/2005 FOOTWEAR, INC. XSENSIBLE HEIDI VELCRO 2210.3.432 A5500 02/24/2005 FOOTWEAR, INC. P.W. MINOR & SON, HERCULES 1102 A5500 11/04/2002 INC. P.W. MINOR & SON, HERCULES 3102 A5500 11/04/2002 INC. P.W. MINOR & SON, HERCULES ST 1107 A5500 03/07/2003 INC.

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 91 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

P.W. MINOR & SON, HERCULES STRAP 1122 A5500 05/19/2008 INC. P.W. MINOR & SON, HERCULES STRAP 4122 A5500 05/19/2008 INC. P.W. MINOR & SON, HIKER 10079 A5500 11/04/2002 INC. P.W. MINOR & SON, HIKER 11079 A5500 11/04/2002 INC. P.W. MINOR & SON, HIKER 31079 A5500 11/04/2002 INC. P.W. MINOR & SON, HIKER 59079 A5500 11/04/2002 INC. P.W. MINOR & SON, HIKER VELCRO 11179 A5500 11/04/2002 INC. P.W. MINOR & SON, HIKER VELCRO 31179 A5500 11/04/2002 INC. DREW SHOE HILLIARD 40828-18 A5500 11/06/2009 CORPORATION DREW SHOE HILLIARD 40828-68 A5500 11/06/2009 CORPORATION REDWOOD HOLLY 20537 A5500 06/05/2008 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) DREW SHOE HUSKY 40909-14 A5500 09/24/2003 CORPORATION DREW SHOE HUSKY 40909-64 A5500 09/24/2003 CORPORATION ETONIC HYBRID ER3240 A5500 11/15/2004 WORLDWIDE LLC ETONIC HYBRID ER3241 A5500 11/15/2004 WORLDWIDE LLC ETONIC HYBRID ER6240 A5500 11/15/2004 WORLDWIDE LLC

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 92 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

ETONIC HYBRID ER6241 A5500 11/15/2004 WORLDWIDE LLC DREW SHOE IMPERIAL 40981-14 A5500 11/02/2005 CORPORATION DREW SHOE IMPERIAL 40981-68 A5500 11/02/2005 CORPORATION FOOT WORK & INDEPENDENCE 222 A5500 11/12/2007 D.M.E. FOOTWAY, INC. INEZ W5929V (VELCRO) A5500 06/22/2009 FOOTWAY, INC. INEZ W5929L (LACE) A5500 06/22/2009 B & S PARTNERS, INNA P3015 A5500 08/21/2006 INC. (DBA PILGRIM SHOES) HUSH PUPPIES INTEGRATE H101166 A5500 12/22/2009 HUSH PUPPIES INTEGRATE H101168 A5500 12/22/2009 HUSH PUPPIES INTEGRATE H101169 A5500 12/22/2009 HUSH PUPPIES INTEGRATE H101170 A5500 12/22/2009 B & S PARTNERS, IRA P4028 A5500 04/16/2009 INC. (DBA PILGRIM SHOES) B&S PARTNERS, JACEY P3122 A5500 01/11/2010 INC. DBA PILGRIM DREW SHOE JADA 14320-3Z A5500 03/08/2010 CORPORATION DREW SHOE JADA 14320-5Z A5500 03/08/2010 CORPORATION DREW SHOE JADA 14320-99 A5500 03/08/2010 CORPORATION DREW SHOE JAMIE 10136-18 A5500 11/06/2009 CORPORATION DREW SHOE JAMIE 10136-68 A5500 11/06/2009 CORPORATION

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 93 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

B & S PARTNERS, JANE P30012 A5500 08/21/2006 INC. (DBA PILGRIM SHOES) LERNESS SHOE JANE A5500 02/07/2006 COMPANY SAFEET SHOE JANE X500 A5500 04/19/2004 COMPANY SAFEET SHOE JANE X501 A5500 04/19/2004 COMPANY PROPET USA, INC. JAZZ WALKER W4607 A5500 05/15/2006 REDWOOD JEFFERSON 17257 A5500 05/15/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) HUSH PUPPIES JEFFREY H100566 A5500 09/09/2008 HUSH PUPPIES JEFFREY H100567 A5500 09/09/2008 B & S PARTNERS, JENNIFER P3009 A5500 04/16/2009 INC. (DBA PILGRIM SHOES) B & S PARTNERS, JENNY P3123 A5500 09/02/2009 INC. (DBA PILGRIM SHOES) DR. ZEN, INC. JENNY A5500 11/20/2003 DREW SHOE JENNY 10250-12 A5500 02/12/2007 CORPORATION DREW SHOE JENNY 10250-68 A5500 02/12/2007 CORPORATION DREW SHOE JENNY 10250-85 A5500 02/12/2007 CORPORATION B & S PARTNERS, JESSICA P3103 A5500 09/02/2009 INC. (DBA PILGRIM SHOES) ARAVON JODI WEJ02TN A5500 08/18/2009

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 94 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

ARAVON JODI WEJ02BK A5500 08/18/2009 SAFEET SHOE JODI X510 A5500 04/19/2004 COMPANY SAFEET SHOE JODI X511 A5500 04/19/2004 COMPANY SAFEET SHOE JODI X512 A5500 04/19/2004 COMPANY SAFEET SHOE JODI X513 A5500 04/19/2004 COMPANY SAFEET SHOE JODI X514 A5500 04/19/2004 COMPANY SAFEET SHOE JODI VELCRO X520 A5500 04/19/2004 COMPANY SAFEET SHOE JODI VELCRO X521 A5500 04/19/2004 COMPANY SAFEET SHOE JODI VELCRO X522 A5500 04/19/2004 COMPANY SAFEET SHOE JODI VELCRO X523 A5500 04/19/2004 COMPANY SAFEET SHOE JODI VELCRO X524 A5500 04/19/2004 COMPANY B&S PARTNERS, JOHN P4010 A5500 10/24/2008 INC DBA PILGRIM HASTINGS SHOE JOHNNY WALKER II 101164 A5500 02/13/2006 COMPANY HASTINGS SHOE JOHNNY WALKER A5500 06/23/2004 COMPANY THERAPEUTIC SHOES B & S PARTNERS, JOSEPH P4009 A5500 03/28/2008 INC. (DBA PILGRIM SHOES) FEELS GOOD JOURNEY A5500 10/20/2006 FOOTWEAR, LLC

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 95 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

P.W. MINOR & SON, JOY FOR WOMEN 16920 A5500 10/25/2005 INC. P.W. MINOR & SON, JOY FOR WOMEN 16921 A5500 10/25/2005 INC. SUREFIT, LLC JUDI JUDI BE A5500 02/10/2006 SUREFIT, LLC JUDI JUDI BK A5500 02/10/2006 SUREFIT, LLC JUDI JUDI TP A5500 02/10/2006 SUREFIT, LLC JUDI JUDI WT A5500 02/10/2006 SUREFIT, LLC JUDI S136-1 A5500 07/24/2008 SUREFIT, LLC JUDI S136-3 A5500 07/24/2008 SUREFIT, LLC JUDI S136-4 A5500 07/24/2008 SUREFIT, LLC JUDI S136-5 A5500 07/24/2008 FOOTWAY, INC. JULIA W1707V (VELCRO) A5500 06/22/2009 FOOTWAY, INC. JULIA W1707L (LACE) A5500 06/22/2009 REDWOOD JULIA 48994 A5500 02/13/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD JULIA 48995 A5500 11/10/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD JULIA 48996 A5500 11/10/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD JULIA 48997 A5500 02/18/2010 SPORTSWEAR (DBA SEQUOIA FOOTWEAR)

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 96 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

REDWOOD JULIA 48998 A5500 02/18/2010 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) THERATECH JULIET - VETERANS BRAND HE-010 A5500 05/09/2005 FOOTWEAR DR. COMFORT JUSTIN #5510 A5500 05/04/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT JUSTIN #5520 A5500 05/04/2004 (RIKCO INTERNATIONAL, LLC) KALAN FOOT KALAN FOOT HEALTH SHOES GL2-1138-1 A5500 11/03/2004 HEALTH LTD. KALAN FOOT KALAN FOOT HEALTH SHOES GL2-1139-1 A5500 11/03/2004 HEALTH LTD. KALAN FOOT KALAN FOOT HEALTH SHOES GL2-1140-1 A5500 11/03/2004 HEALTH LTD. KALAN FOOT KALAN FOOT HEALTH SHOES GL2-1141-3 A5500 11/03/2004 HEALTH LTD. KALAN FOOT KALAN FOOT HEALTH SHOES GL2-1141-4 A5500 11/03/2004 HEALTH LTD. KALAN FOOT KALAN FOOT HEALTH SHOES GL2-1688 A5500 11/03/2004 HEALTH LTD. LERNESS SHOE KARINA A5500 02/07/2006 COMPANY REDWOOD KATHRYN 20524 A5500 06/05/2008 SPORTSWEAR (DBA SEQUOIA FOOTWEAR)

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 97 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

REDWOOD KATHRYN 20525 A5500 06/05/2008 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD KATHRYN 20526 A5500 02/18/2010 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) KLAS SHOES, LLC KATHY 4211209001 A5500 08/03/2009 DREW SHOE KATIE 14411-19 A5500 11/06/2009 CORPORATION DREW SHOE KATIE 14411-69 A5500 11/06/2009 CORPORATION DREW SHOE KATIE 14411-6V A5500 11/06/2009 CORPORATION DREW SHOE KATIE 14411-9V A5500 11/06/2009 CORPORATION P.W. MINOR & SON, KATIE 10171 A5500 09/30/2002 INC. P.W. MINOR & SON, KATIE 70171 A5500 09/30/2002 INC. P.W. MINOR & SON, KATIE 90171 A5500 09/30/2002 INC. DREW SHOE KEENA 10584-19 A5500 11/06/2009 CORPORATION DREW SHOE KEENA 10584-69 A5500 11/06/2009 CORPORATION DREW SHOE KEENA 10584-8V A5500 11/06/2009 CORPORATION KLAS SHOES, LLC KEITH 4110701280 PUTTY LEATHER A5500 08/03/2009 KLAS SHOES, LLC KEITH 4110701001 BLACK LEATHER A5500 08/03/2009 FOOTWAY, INC. KELLIE W5525V A5500 06/22/2009

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 98 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

P.W. MINOR & SON, KEYSTONE 11095 A5500 03/07/2003 INC. DREW SHOE KICK - CALFSKIN LEATHER 10150-22 A5500 02/05/2003 CORPORATION DREW SHOE KICK - CANVAS 10150-24 A5500 02/05/2003 CORPORATION DREW SHOE KICK - CANVAS 10150-44 A5500 02/05/2003 CORPORATION B & S PARTNERS, KIMBERLY P3101 A5500 09/02/2009 INC. (DBA PILGRIM SHOES) DREW SHOE KIRA 14473-19 A5500 11/06/2009 CORPORATION DREW SHOE KIRA 14473-69 A5500 11/06/2009 CORPORATION REDWOOD KIRK 19516 A5500 05/16/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD KIRK 19522 A5500 05/16/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) DR. ZEN, INC. KOSMO 899-02 A5500 08/13/2004 DREW SHOE KRISSY 10283-12 A5500 11/06/2009 CORPORATION DREW SHOE KRISSY 10283-15 A5500 11/06/2009 CORPORATION DREW SHOE KRISSY 10283-75 A5500 11/06/2009 CORPORATION P.W. MINOR & SON, KRISTA 1191 A5500 01/23/2006 INC. P.W. MINOR & SON, KRISTA 7191 A5500 01/23/2006 INC.

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 99 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

P.W. MINOR & SON, KRISTA 7791 A5500 01/23/2006 INC. NOBILE KRISTI A5500 12/16/2009 CONSULTING USA, LLC DR. COMFORT KRISTIN A5500 11/12/2007 (RIKCO INTERNATIONAL, LLC) DICON KURX CLASSIC FULL GRAIN DI1101 A5500 08/28/2007 TECHNOLOGIES (A LEATHER CASUAL WITH DIVISION OF HH SINGLE STRAP VELCRO BROWN SHOE TECHNOLOGIES) DICON KURX CLASSIC FULL GRAIN DI1103 A5500 08/28/2007 TECHNOLOGIES (A LEATHER CASUAL WITH DIVISION OF HH SINGLE STRAP VELCRO BROWN SHOE TECHNOLOGIES) DICON KURX CLASSIC FULL GRAIN DI2101 A5500 08/28/2007 TECHNOLOGIES (A LEATHER CASUAL WITH DIVISION OF HH SINGLE STRAP VELCRO BROWN SHOE TECHNOLOGIES) DICON KURX CLASSIC FULL GRAIN DI2103 A5500 08/28/2007 TECHNOLOGIES (A LEATHER CASUAL WITH DIVISION OF HH SINGLE STRAP VELCRO BROWN SHOE TECHNOLOGIES) DICON KURX SPORT CLASSIC LACE DI1001 A5500 08/28/2007 TECHNOLOGIES (A SPORT DIVISION OF HH BROWN SHOE TECHNOLOGIES)

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 100 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DICON KURX SPORT CLASSIC LACE DI1002 A5500 08/28/2007 TECHNOLOGIES (A SPORT DIVISION OF HH BROWN SHOE TECHNOLOGIES) DICON KURX SPORT CLASSIC LACE DI2001 A5500 08/28/2007 TECHNOLOGIES (A SPORT DIVISION OF HH BROWN SHOE TECHNOLOGIES) DICON KURX SPORT CLASSIC LACE DI2002 A5500 08/28/2007 TECHNOLOGIES (A SPORT DIVISION OF HH BROWN SHOE TECHNOLOGIES) TACSON, INC. (DBA LACE 5127 A5500 08/11/2006 CROSS COUNTRY FOOTWEAR) ORTHOFEET, INC. LACE MEN'S BOOT 481 A5500 02/16/2006 P.W. MINOR & SON, LACE-TO-TOE, MENS 11049 A5500 07/08/2004 INC. P.W. MINOR & SON, LADY HIKER 19024 A5500 03/07/2003 INC. P.W. MINOR & SON, LADY HIKER 33024 A5500 03/07/2003 INC. P.W. MINOR & SON, LADY HIKER 49024 A5500 03/07/2003 INC. P.W. MINOR & SON, LADY MELBOURNE 10074 A5500 09/30/2002 INC. P.W. MINOR & SON, LADY MELBOURNE 19074 A5500 09/30/2002 INC. P.W. MINOR & SON, LADY MELBOURNE 79074 A5500 09/30/2002 INC. P.W. MINOR & SON, LADY MELBOURNE 93074 A5500 09/30/2002 INC.

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 101 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

P.W. MINOR & SON, LADY MELBOURNE VELCRO 10064 A5500 09/30/2002 INC. P.W. MINOR & SON, LADY MELBOURNE VELCRO 19064 A5500 09/30/2002 INC. P.W. MINOR & SON, LADY MELBOURNE VELCRO 79064 A5500 09/30/2002 INC. P.W. MINOR & SON, LADY MELBOURNE VELCRO 93064 A5500 09/30/2002 INC. NOBILE LADY MOC A5500 11/30/2006 CONSULTING USA, LLC (DBA NATURAL STEP SHOES) P.W. MINOR & SON, LADY PILLOW BACK 10091 A5500 09/30/2002 INC. P.W. MINOR & SON, LADY PILLOW BACK 40091 A5500 09/30/2002 INC. P.W. MINOR & SON, LADY PILLOW BACK 80091 A5500 09/30/2002 INC. P.W. MINOR & SON, LADY PILLOW BACK TM 10291 A5500 11/04/2002 INC. (THERMOLD) P.W. MINOR & SON, LADY PILLOW BACK TM 70291 A5500 11/04/2002 INC. (THERMOLD) P.W. MINOR & SON, LADY PILLOW BACK VELCRO 10191 A5500 09/30/2002 INC. P.W. MINOR & SON, LADY PILLOW BACK VELCRO 40191 A5500 09/30/2002 INC. P.W. MINOR & SON, LADY PRESTO 10108 A5500 03/07/2003 INC. P.W. MINOR & SON, LADY SPORT II 11187 A5500 03/07/2003 INC. P.W. MINOR & SON, LADY SPORT II 81187 A5500 03/07/2003 INC. P.W. MINOR & SON, LADYSPORT 93038 A5500 03/07/2003 INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

P.W. MINOR & SON, LADYSPORT VELCRO 11189 A5500 03/07/2003 INC. P.W. MINOR & SON, LADYSPORT VELCRO 81189 A5500 03/07/2003 INC. INSTRIDE SHOES, LAJOLLA 8010 A5500 03/06/2009 LLC INSTRIDE SHOES, LAJOLLA 8014 A5500 03/06/2009 LLC INSTRIDE SHOES, LAJOLLA 7010 A5500 03/06/2009 LLC INSTRIDE SHOES, LAJOLLA 7013 A5500 03/06/2009 LLC REDWOOD LARAMIE 756 A5500 07/27/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD LARAMIE 760 A5500 11/10/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) B & S PARTNERS, LAURA P3087 A5500 04/15/2009 INC. (DBA PILGRIM SHOES) DR. COMFORT LAURA #3101 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT LAURA #3101 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) DR. COMFORT LAURA #3202 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DR. COMFORT LAURA #3202 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) DR. COMFORT LAURA #3303 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT LAURA #3303 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) DR. COMFORT LAURA 3101 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT LAURA 3101 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) DR. COMFORT LAURA 3202 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT LAURA 3202 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) DR. COMFORT LAURA 3303 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT LAURA 3303 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC)

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 104 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

NOBILE LAURA A5500 04/11/2005 CONSULTING USA, LLC (DBA NATURAL STEP SHOES) B & S PARTNERS, LAUREN P3111 A5500 11/24/2008 INC. (DBA PILGRIM SHOES) KLAS SHOES LLC LEADER 4110101200 A5500 08/25/2009 OASIS FOOTWEAR, LEELA C24003 A5500 01/12/2009 LLC P.W. MINOR & SON, LEISURE DX2 11370 A5500 09/06/2005 INC. P.W. MINOR & SON, LEISURE DX2 91370 A5500 09/06/2005 INC. P.W. MINOR & SON, LEISURE TIME DX2 11380 A5500 09/06/2005 INC. P.W. MINOR & SON, LEISURE TIME DX2 LACE 11380 A5500 01/23/2008 INC. P.W. MINOR & SON, LEISURE TIME DX2 LACE 31380 A5500 01/23/2008 INC. P.W. MINOR & SON, LEISURE TIME DX2 STRAP 11381 A5500 01/14/2008 INC. P.W. MINOR & SON, LEISURE TIME DX2 STRAP 31381 A5500 01/14/2008 INC. P.W. MINOR & SON, LEISURE TIME VELCRO DX2 11381 A5500 09/06/2005 INC. P.W. MINOR & SON, LEISURE VELCRO DX2 11371 A5500 09/06/2005 INC. P.W. MINOR & SON, LEISURE VELCRO DX2 91371 A5500 09/06/2005 INC. PROPET USA, INC. LEISURE WALKER VELCRO M3715 A5500 04/19/2004 AETREX LENEX ATHLETIC WALKER X826 A5500 11/21/2006 WORLDWIDE, INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

AETREX LENEX ATHLETIC WALKER X829 A5500 11/21/2006 WORLDWIDE, INC. AETREX LENEX RUNNER X532 A5500 11/28/2006 WORLDWIDE, INC. P.W. MINOR LEXI 41744 A5500 09/30/2009 P.W. MINOR LEXI 31744 A5500 09/30/2009 P.W. MINOR LEXI 11744 A5500 09/30/2009 P.W. MINOR & SON, LEXINGTON 1975 A5500 03/07/2003 INC. P.W. MINOR & SON, LEXINGTON 3975 A5500 03/07/2003 INC. KLAS SHOES, LIBERATE 4111301001 A5500 03/22/2010 LLC/SOLACE BRAND FOOT WORK & LIBERTY 223 A5500 11/12/2007 D.M.E. P.W. MINOR & SON, LIBERTY 11301 A5500 05/31/2007 INC. P.W. MINOR & SON, LIBERTY 32301 A5500 05/31/2007 INC. FOOTCARE STORE, LIBERTY BLACK A5500 04/09/2009 INC. ACOR LIBERTY BLVD. 01801 A5500 10/09/2002 ORTHOPAEDIC, INC. ACOR LIBERTY BLVD. 05801 A5500 10/09/2002 ORTHOPAEDIC, INC. PROPET USA, INC. LIBSON WALKER M4057 A5500 02/13/2006 PROPET USA, INC. LIFE WALKER M3704 A5500 08/06/2004 PROPET USA, INC. LIFE WALKER II W3883BM A5500 09/20/2007 PROPET USA, INC. LIFE WALKER II W3883BN A5500 09/20/2007 PROPET USA, INC. LIFE WALKER II W3883BW A5500 09/20/2007

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. LIFE WALKER II W3883BX A5500 09/20/2007 PROPET USA, INC. LIFE WALKER II W3883WM A5500 09/20/2007 PROPET USA, INC. LIFE WALKER II W3883WN A5500 09/20/2007 PROPET USA, INC. LIFE WALKER II W3883WW A5500 09/20/2007 PROPET USA, INC. LIFE WALKER II W3883WX A5500 09/20/2007 PROPET USA, INC. LIFE WALKER II STRAP W3885BM A5500 09/20/2007 PROPET USA, INC. LIFE WALKER II STRAP W3885BN A5500 09/20/2007 PROPET USA, INC. LIFE WALKER II STRAP W3885BW A5500 09/20/2007 PROPET USA, INC. LIFE WALKER II STRAP W3885WM A5500 09/20/2007 PROPET USA, INC. LIFE WALKER II STRAP W3885WN A5500 09/20/2007 PROPET USA, INC. LIFE WALKER II STRAP W3885WW A5500 09/20/2007 PROPET USA, INC. LIFE WALKER II STRAP W3885WX A5500 09/20/2007 PROPET USA, INC. LIFE WALKER II STRAP W38885BX A5500 09/20/2007 PROPET USA, INC. LIFE WALKER VELCRO M3705 A5500 08/06/2004 PROPET USA, INC. LIFEWALKER W3804BM A5500 06/28/2007 PROPET USA, INC. LIFEWALKER W3804BN A5500 06/28/2007 PROPET USA, INC. LIFEWALKER W3804BW A5500 06/28/2007 PROPET USA, INC. LIFEWALKER W3804WM A5500 06/28/2007 PROPET USA, INC. LIFEWALKER W3804WN A5500 06/28/2007 PROPET USA, INC. LIFEWALKER W3804WW A5500 06/28/2007 DUNHAM LIGHT TRAIL HIKER MCR6630G A5500 04/15/2009 DREW SHOE LIGHTNING FOR MEN 40767-09 A5500 02/10/2006 CORPORATION DREW SHOE LIGHTNING FOR MEN 40767-21 A5500 02/10/2006 CORPORATION

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 107 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DREW SHOE LIGHTNING VELCRO FOR MEN 44775-09 A5500 02/10/2006 CORPORATION DREW SHOE LIGHTNING VELCRO FOR MEN 44775-21 A5500 02/10/2006 CORPORATION DR. COMFORT LILY 3710 A5500 04/26/2005 (RIKCO INTERNATIONAL, LLC) DR. COMFORT LILY 3730 A5500 04/26/2005 (RIKCO INTERNATIONAL, LLC) DR. COMFORT LILY 3750 A5500 04/26/2005 (RIKCO INTERNATIONAL, LLC) COPPI USA, INC. LINA 201-00 A5500 01/29/2010 COPPI USA, INC. LINA 201-01 A5500 01/29/2010 COPPI USA, INC. LINA 201-03 A5500 01/29/2010 COPPI USA, INC. LINA 202-00 A5500 01/29/2010 COPPI USA, INC. LINA 202-01 A5500 01/29/2010 COPPI USA, INC. LINA 202-03 A5500 01/29/2010 B & S PARTNERS, LINDA P3004 A5500 04/16/2009 INC. (DBA PILGRIM SHOES) DR. ZEN, INC. LINDA 444-02 A5500 02/04/2010 DR. ZEN, INC. LINDA 444-01 A5500 02/04/2010 DR. ZEN, INC. LINDA 444-03 A5500 02/04/2010 DR. COMFORT LINDSEY #2101 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC)

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 108 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DR. COMFORT LINDSEY #2101 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) DR. COMFORT LINDSEY #2303 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT LINDSEY #2303 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) DR. COMFORT LINDSEY #2404 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT LINDSEY #2404 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) FOOTWAY, INC. LISA W3919V (VELCRO) A5500 06/22/2009 FOOTWAY, INC. LISA W3919L (LACE) A5500 06/22/2009 ETONIC LITE WALKER MWRX600-0 A5500 02/24/2006 WORLDWIDE LLC ETONIC LITE WALKER MWRX600-1 A5500 02/24/2006 WORLDWIDE LLC ETONIC LITE WALKER MWRX610-0 A5500 02/24/2006 WORLDWIDE LLC ETONIC LITE WALKER MWRX610-1 A5500 02/24/2006 WORLDWIDE LLC ETONIC LITE WALKER WWRX605-0 A5500 02/24/2006 WORLDWIDE LLC ETONIC LITE WALKER WWRX605-3 A5500 02/24/2006 WORLDWIDE LLC

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

ETONIC LITE WALKER WWRX605-4 A5500 02/24/2006 WORLDWIDE LLC ETONIC LITE WALKER WWRX615-0 A5500 02/24/2006 WORLDWIDE LLC ETONIC LITE WALKER WWRX615-4 A5500 02/24/2006 WORLDWIDE LLC DREW SHOE CORP LOGAN 48060-14 A5500 11/06/2008 DREW SHOE CORP LOGAN 48060-31 A5500 11/06/2008 OASIS FOOTWEAR, LONA C24005 A5500 01/08/2009 LLC SOUTHERN LONDON S196 A5500 08/18/2009 PROSTHETICS SUPPLY INC DREW SHOE LORA 13422-12 A5500 09/08/2006 CORPORATION DREW SHOE LORA 13422-32 A5500 09/08/2006 CORPORATION DREW SHOE LORA 13422-57 A5500 09/08/2006 CORPORATION DREW SHOE LORA 13422-64 A5500 09/08/2006 CORPORATION P.W. MINOR & SON, LORD PILLOW BACK 1060 A5500 11/04/2002 INC. P.W. MINOR & SON, LORD PILLOW BACK 1160 A5500 11/04/2002 INC. P.W. MINOR & SON, LORD PILLOW BACK 3160 A5500 11/04/2002 INC. P.W. MINOR & SON, LORD PILLOW BACK 5960 A5500 11/04/2002 INC. P.W. MINOR & SON, LORD PILLOW BACK SD WS 11162 A5500 11/04/2002 INC. P.W. MINOR & SON, LORD PILLOW BACK ST 1118 A5500 03/07/2003 INC.

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 110 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

P.W. MINOR & SON, LORD PILLOW BACK VELCRO 1061 A5500 11/04/2002 INC. P.W. MINOR & SON, LORD PILLOW BACK VELCRO 1161 A5500 11/04/2002 INC. P.W. MINOR & SON, LORD PILLOW BACK VELCRO 5961 A5500 11/04/2002 INC. P.W. MINOR & SON, LORD PILLOW BACK VELCRO 1187 A5500 01/23/2006 INC. XX P.W. MINOR & SON, LORD PILLOW BACK XX 1186 A5500 01/23/2006 INC. REDWOOD LOREN 48251 A5500 11/08/2007 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD LOREN 48253 A5500 11/08/2007 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD LOREN 48254 A5500 11/08/2007 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD LOREN 48255 A5500 11/08/2007 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) DR ZEN INC LORI 955-01 A5500 11/06/2008 DR ZEN INC LORI 955-02 A5500 11/06/2008 DR ZEN INC LORI 955-03 A5500 11/06/2008 DR ZEN INC LORI 956-01 A5500 11/06/2008 DR ZEN INC LORI 956-02 A5500 11/06/2008 DR ZEN INC LORI 956-03 A5500 11/06/2008

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DREW SHOE LORI 14215-12 A5500 09/24/2003 CORPORATION DREW SHOE LORI 14215-42 A5500 09/24/2003 CORPORATION DREW SHOE LORI 14215-52 A5500 09/24/2003 CORPORATION DREW SHOE LORI II 14315-12 A5500 08/23/2004 CORPORATION DREW SHOE LORI II 14315-32 A5500 08/23/2004 CORPORATION DREW SHOE LORI II 14315-42 A5500 08/23/2004 CORPORATION DREW SHOE LORI II 14315-52 A5500 08/23/2004 CORPORATION DREW SHOE LORI II 14315-57 A5500 08/23/2004 CORPORATION P.W. MINOR & SON, LS BUD SPECIAL W10018 A5500 03/07/2003 INC. P.W. MINOR & SON, LS DEPTH WORK SHOE 1979 A5500 03/07/2003 INC. P.W. MINOR & SON, LS MISS PILLOW TOP W1041 A5500 03/07/2003 INC. P.W. MINOR & SON, LS MISS PILLOW TOP W3141 A5500 03/07/2003 INC. P.W. MINOR & SON, LS ORTHO 75 17183 A5500 03/07/2003 INC. P.W. MINOR & SON, LS SENATOR 11021 A5500 03/07/2003 INC. P.W. MINOR & SON, LS SUPER X W11077 A5500 03/07/2003 INC. REDWOOD LUCAS 18148 A5500 11/08/2007 SPORTSWEAR (DBA SEQUOIA FOOTWEAR)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

REDWOOD LUCAS 18149 A5500 11/08/2007 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD LUCERNE 48405 A5500 05/16/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD LUCERNE 48406 A5500 05/16/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD LUCERNE 48407 A5500 05/16/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD LUCERNE 48408 A5500 05/16/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) DR. COMFORT LULU 4610 A5500 12/08/2005 (RIKCO INTERNATIONAL, LLC) DR. COMFORT LULU 4620 A5500 12/08/2005 (RIKCO INTERNATIONAL, LLC) DR. COMFORT LULU 4650 A5500 12/08/2005 (RIKCO INTERNATIONAL, LLC) REDWOOD LYNDA 48162 A5500 08/05/2009 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) SUREFIT, LLC LYNN LYN BE A5500 02/10/2006

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 113 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

SUREFIT, LLC LYNN LYN BK A5500 02/10/2006 SUREFIT, LLC LYNN LYN TP A5500 02/10/2006 SUREFIT, LLC LYNN LYN WT A5500 02/10/2006 SUREFIT, LLC LYNN S125-1 A5500 07/24/2008 SUREFIT, LLC LYNN S125-3 A5500 07/24/2008 SUREFIT, LLC LYNN S125-4 A5500 07/24/2008 SUREFIT, LLC LYNN S125-5 A5500 07/24/2008 PW MINOR MADDIE 11732 A5500 11/06/2008 PW MINOR MADDIE 13732 A5500 11/06/2008 PW MINOR MADDIE 33732 A5500 11/06/2008 PW MINOR MADDIE 93732 A5500 11/06/2008 P.W. MINOR & SON, MADISON 11386 A5500 05/07/2007 INC. P.W. MINOR & SON, MADISON 31386 A5500 05/07/2007 INC. REDWOOD MADISON 17955 A5500 05/01/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) DR. COMFORT MAGGY #4101 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT MAGGY #4101 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) DR. COMFORT MAGGY #4202 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC)

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 114 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DR. COMFORT MAGGY #4202 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) DR. COMFORT MAGGY #4303 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT MAGGY #4303 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) DR. COMFORT MAGGY X A5500 11/16/2007 (RIKCO INTERNATIONAL, LLC) INSTRIDE SHOES, MALIBU 9200 A5500 05/01/2006 LLC INSTRIDE SHOES, MALIBU 9202 A5500 05/01/2006 LLC INSTRIDE SHOES, MALIBU 9203 A5500 05/01/2006 LLC PROPET USA, INC. MALTA WALKER M7017 A5500 08/10/2004 SUREFIT, LLC MANILA S125 A5500 08/06/2009 DALTON MEDICAL MARASONIC DIABETIC SHOES A5500 07/25/2002 CORPORATION COPPI USA, INC. MARCELO 103-01 A5500 01/29/2010 COPPI USA, INC. MARCELO 103-03 A5500 01/29/2010 COPPI USA, INC. MARCELO 103-05 A5500 01/29/2010 COPPI USA, INC. MARCELO 104-01 A5500 01/29/2010 COPPI USA, INC. MARCELO 104-03 A5500 01/29/2010 COPPI USA, INC. MARCELO 104-05 A5500 01/29/2010

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 115 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

NOBILE MARCO A5500 12/16/2009 CONSULTING USA, LLC FOOTWAY, INC. MARIA W1303V A5500 06/22/2009 PROPET USA, INC. MARIA W2071BPWM A5500 07/17/2008 PROPET USA, INC. MARIA W2071BPWN A5500 07/17/2008 PROPET USA, INC. MARIA W2071BPWW A5500 07/17/2008 PROPET USA, INC. MARIA W2071BPWX A5500 07/17/2008 PROPET USA, INC. MARIA W2071BPWXX A5500 07/17/2008 PROPET USA, INC. MARIA W2071SAM A5500 07/17/2008 PROPET USA, INC. MARIA W2071SAN A5500 07/17/2008 PROPET USA, INC. MARIA W2071SAW A5500 07/17/2008 PROPET USA, INC. MARIA W2071SAX A5500 07/17/2008 PROPET USA, INC. MARIA W2071SAXX A5500 07/17/2008 PROPET USA, INC. MARIA W2071WPDM A5500 07/17/2008 PROPET USA, INC. MARIA W2071WPDN A5500 07/17/2008 PROPET USA, INC. MARIA W2071WPDW A5500 07/17/2008 PROPET USA, INC. MARIA W2071WPDX A5500 07/17/2008 PROPET USA, INC. MARIA W2071WPDXX A5500 07/17/2008 REDWOOD MARIE 48321 A5500 08/18/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD MARIE 48322 A5500 08/18/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR)

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 116 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

REDWOOD MARIE 48421 A5500 08/17/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD MARIE 48422 A5500 08/17/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) B & S PARTNERS, MARINA P3016 A5500 08/21/2006 INC. (DBA PILGRIM SHOES) B & S PARTNERS, MARIO P4021 A5500 04/15/2009 INC. (DBA PILGRIM SHOES) REDWOOD MARTIN 16322 A5500 07/25/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD MARTIN 17322 A5500 07/25/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD MARTIN 17366 A5500 07/25/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD MARTIN 17722 A5500 09/15/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD MARTIN 16722 A5500 11/21/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR)

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 117 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

REDWOOD MARTIN 16722DD A5500 11/21/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD MARTIN 17766 A5500 11/21/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) DREW SHOE MARTINA 14273-19 A5500 08/23/2004 CORPORATION DREW SHOE MARTINA 14273-69 A5500 08/23/2004 CORPORATION FOOTWAY, INC. MARY W5323V A5500 06/22/2009 NATURAL STEP MARY JANE A5500 02/09/2009 ORTHOFEET, INC. MARY JANE 861 A5500 10/18/2004 ORTHOFEET, INC. MARY JANE 876 A5500 10/18/2004 ORTHOFEET, INC. MARY JANE 864 A5500 04/18/2007 11/13/2007 ORTHOFEET, INC. MARY JANE 865 A5500 04/18/2007 11/13/2007 ORTHOFEET, INC. MARY JANE 864 A5500 12/12/2007 NEWLY DESIGNED SHOE ORTHOFEET, INC. MARY JANE 865 A5500 12/12/2007 NEWLY DESIGNED SHOE TACSON, INC. (DBA MARY JANE 5126 A5500 08/11/2006 CROSS COUNTRY FOOTWEAR) ORTHOFEET, INC. MARY JANE STRETCH 827 A5500 02/19/2008 ORTHOFEET, INC. MARY JANE STRETCH 828 A5500 10/01/2009 PROPET USA, INC. MARY JANE WALKER W0029 A5500 04/19/2004 REDWOOD MARY JO 48508 A5500 05/15/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

REDWOOD MARY JO 48509 A5500 05/15/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD MARY JO 48507 A5500 04/24/2007 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) PROPET USA, INC. MARY JO WALKER W2019 A5500 05/15/2006 PROPET USA, INC. MARY LOU WALKER W3868 A5500 02/13/2006 INSTRIDE SHOES, MATRIX X35815 A5500 11/18/2009 LLC INSTRIDE SHOES, MATRIX X65821 A5500 11/18/2009 LLC INSTRIDE SHOES, MATRIX X84607 A5500 11/18/2009 LLC INSTRIDE SHOES, MATRIX X44607 A5500 11/18/2009 LLC INSTRIDE SHOES, MATRIX X84619 A5500 11/18/2009 LLC INSTRIDE SHOES, MATRIX X44619 A5500 11/18/2009 LLC PROPET USA, INC. MAXIGRIP MSR003B A5500 08/28/2007 PROPET USA, INC. MAXIGRIP WSR003B A5500 08/28/2007 FOOTWAY, INC. MAY W1505V (VELCRO) A5500 06/22/2009 FOOTWAY, INC. MAY W1505L (LACE) A5500 06/22/2009 ARAVON MAYA WSM06BZ A5500 09/02/2009 ARAVON MAYA WSM06BG A5500 09/02/2009 ARAVON MAYA WSM06BK A5500 09/02/2009

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

B & S PARTNERS, MAYA P3112 A5500 11/24/2008 INC. (DBA PILGRIM SHOES) SAS SHOEMAKERS ME TOO A5500 05/10/2005 OREGON MEGAN LACE LEATHER 083101 A5500 OR A3215 04/09/2007 PEDORTHIC OR L3219 SERVICES, INC. (DBA ARCH OREGON MEGAN LACE LEATHER 083102 A5500 OR A3215 04/09/2007 PEDORTHIC OR L3219 SERVICES, INC. (DBA ARCH OREGON MEGAN LACE LEATHER 083103 A5500 OR A3215 04/09/2007 PEDORTHIC OR L3219 SERVICES, INC. (DBA ARCH INSTRIDE SHOES, MELBOURNE 1200 A5500 10/25/2005 LLC INSTRIDE SHOES, MELBOURNE 1203 A5500 10/25/2005 LLC INSTRIDE SHOES, MELBOURNE 1210 A5500 10/25/2005 LLC SUREFIT, LLC MELBOURNE S105 A5500 08/06/2009 P.W. MINOR & SON, MELBOURNE II 10116 A5500 11/04/2002 INC. P.W. MINOR & SON, MELBOURNE II 17116 A5500 11/04/2002 INC. P.W. MINOR & SON, MELBOURNE II 33116 A5500 11/04/2002 INC. P.W. MINOR & SON, MELBOURNE II 39116 A5500 11/04/2002 INC. P.W. MINOR & SON, MELBOURNE II 43116 A5500 11/04/2002 INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

P.W. MINOR & SON, MELBOURNE II 71116 A5500 11/04/2002 INC. P.W. MINOR & SON, MELBOURNE II VELCRO 10117 A5500 11/04/2002 INC. P.W. MINOR & SON, MELBOURNE II VELCRO 17117 A5500 11/04/2002 INC. P.W. MINOR & SON, MELBOURNE II VELCRO 43117 A5500 11/04/2002 INC. SUREFIT, LLC MELINDA MEL BE A5500 02/10/2006 SUREFIT, LLC MELINDA MEL BK A5500 02/10/2006 SUREFIT, LLC MELINDA MEL TP A5500 02/10/2006 DB SHOES, LTD. MELODY 78003 A5500 05/10/2005 PREFERRED MEN DIABETIC SHOE DR2020 A5500 09/12/2008 MEDICAL SUPPLY COMPANY, INC. PREFERRED MEN DIABETIC SHOE DR0202 A5500 09/12/2008 MEDICAL SUPPLY COMPANY, INC. PREFERRED MEN DIABETIC SHOE DR2000 A5500 09/12/2008 MEDICAL SUPPLY COMPANY, INC. PREFERRED MEN DIABETIC SHOE DR2030 A5500 09/12/2008 MEDICAL SUPPLY COMPANY, INC. PREFERRED MEN DIABETIC SHOE DR211 A5500 09/12/2008 MEDICAL SUPPLY COMPANY, INC. PREFERRED MEN DIABETIC SHOE DR229 A5500 09/12/2008 MEDICAL SUPPLY COMPANY, INC. PREFERRED MEN DIABETIC SHOE DR2500 A5500 09/12/2008 MEDICAL SUPPLY COMPANY, INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PREFERRED MEN DIABETIC SHOE DR3000 A5500 09/12/2008 MEDICAL SUPPLY COMPANY, INC. PREFERRED MEN DIABETIC SHOE DR5000 A5500 09/12/2008 MEDICAL SUPPLY COMPANY, INC. PREFERRED MEN DIABETIC SHOE DR5500 A5500 09/12/2008 MEDICAL SUPPLY COMPANY, INC. RED WING SHOE MEN'S 6-INCH BOOT 2226 A5500 07/01/2008 COMPANY, INC. RED WING SHOE MEN'S 6-INCH BOOT 926 A5500 07/01/2008 COMPANY, INC. RED WING SHOE MEN'S 8-INCH BOOT 2238 A5500 07/01/2008 COMPANY, INC. RED WING SHOE MEN'S 8-INCH BOOT 938 A5500 07/01/2008 COMPANY, INC. PROPET USA INC MEN'S ANDRE M2071 A5500 08/11/2009 PROPET USA INC MEN'S ANDY M2078 A5500 08/11/2009 PROPET USA, INC. MEN'S ARIES M4115 A5500 08/12/2009 SOLETECH, INC. MEN'S ATHLETIC COMFORT E3230 A5500 01/15/2008 PREFERRED MEN'S ATHLETIC SHOES DR216 A5500 09/12/2008 MEDICAL SUPPLY COMPANY, INC. PROPET USA, INC. MEN'S AVENUE M3708 A5500 08/14/2009 PROPET USA, INC. MEN'S CRONUS M0095 A5500 03/11/2010 ORTHOFEET, INC. MEN'S EASY LACE 415 A5500 02/19/2008 ORTHOFEET, INC. MEN'S FISHERMAN 577 A5500 07/14/2009 ORTHOFEET, INC. MEN'S FISHERMAN SHOE 572 A5500 10/18/2004 ORTHOFEET, INC. MEN'S FISHERMEN 572 A5500 08/25/2006

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

ORTHOFEET, INC. MEN'S FISHERMEN - BLACK 571 A5500 04/17/2007 ORTHOFEET, INC. MEN'S LACE 420 A5500 08/30/2006 ORTHOFEET, INC. MEN'S LACE 410 A5500 08/30/2006 ORTHOFEET, INC. MEN'S LACE 430 A5500 08/30/2006 ORTHOFEET, INC. MEN'S LACE 415 A5500 08/30/2006 PROPET USA, INC. MEN'S LANCASTER M3004 A5500 03/11/2010 PROPET USA, INC. MEN'S LIBRA M4106 A5500 08/12/2009 PROPET USA INC MEN'S MALIBU M4209 A5500 08/11/2009 PROPET USA, INC. MEN'S OLIVER MPRX25 A5500 03/11/2010 ORTHOFEET, INC. MEN'S OUTDOOR 644 A5500 04/17/2007 PROPET USA, INC. MEN'S POSEIDON M4101 A5500 07/14/2009 PROPET USA, INC. MEN'S RAFAEL M2077 A5500 08/12/2009 PROPET USA, INC. MEN'S RAMBLER MPRX13 A5500 02/04/2009 PROPET USA INC MEN'S ROGER M2070 A5500 08/11/2009 PROPET USA, INC. MEN'S SMOOTH WALKER MPRX26 A5500 03/11/2010 ORTHOFEET, INC. MEN'S SPORT EASY LACE 610 A5500 02/19/2008 ORTHOFEET, INC. MEN'S STRAP 520 A5500 02/13/2006 ORTHOFEET, INC. MEN'S STRAP 515 A5500 08/24/2006 ORTHOFEET, INC. MEN'S STRAP 510 A5500 08/24/2006 ORTHOFEET, INC. MEN'S STRAP 530 A5500 08/24/2006 ORTHOFEET, INC. MEN'S STRAP 519 A5500 02/19/2008 ORTHOFEET, INC. MEN'S STRAP 517 A5500 02/19/2008 ORTHOFEET, INC. MEN'S STRETCHABLE STRAP 550 A5500 08/25/2006 ORTHOFEET, INC. MEN'S STRETCHABLE STRAP 525 A5500 08/25/2006

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. MEN'S STRIDE WALKER MPRX16 A5500 02/11/2009 PROPET USA, INC. MEN'S SUBURBANLITE M1020 A5500 01/26/2009 PREFERRED MEN'S THERAPEUTIC SHOES DR0201 A5500 09/12/2008 MEDICAL SUPPLY COMPANY, INC. PREFERRED MEN'S THERAPEUTIC SHOES DR4000 A5500 09/12/2008 MEDICAL SUPPLY COMPANY, INC. ORTHOFEET, INC. MEN'S TIE-LESS 461 A5500 12/03/2009 ORTHOFEET, INC. MEN'S TIE-LESS 462 A5500 12/14/2009 PROPET USA, INC. MEN'S VERACRUZ M4208 A5500 03/03/2009 PROPET USA INC MEN'S WASH & WEAR TIE M3856 A5500 08/11/2009 DR. COMFORT MERRY-JANE #4410 A5500 05/04/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT MERRY-JANE #4430 A5500 05/04/2004 (RIKCO INTERNATIONAL, LLC) NOBILE MESSINA A5500 04/12/2005 CONSULTING USA, LLC (DBA NATURAL STEP SHOES) P.W. MINOR & SON, METRO 11302 A5500 05/07/2007 INC. P.W. MINOR & SON, METRO 32302 A5500 05/07/2007 INC. PROPET USA, INC. METROLITE WALKER M1001 A5500 02/13/2006 ARAVON MIA WSM05BK A5500 09/02/2009

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

B & S PARTNERS, MICA P3120 A5500 02/05/2010 INC. DBA PILGRIM SHOES B & S PARTNERS, MICHAEL P4027 A5500 04/22/2009 INC. (DBA PILGRIM SHOES) NOBILE MICHAEL A5500 08/03/2009 CONSULTING USA LLC B & S PARTNERS, MICHELLE P3078 A5500 04/22/2009 INC. (DBA PILGRIM SHOES) KLAS SHOES, LLC MICK 4110801200 (BROWN) A5500 08/03/2009 KLAS SHOES, LLC MICK 4110801001 (BLACK) A5500 08/03/2009 P.W. MINOR & SON, MIDTOWN 11349 A5500 12/12/2007 INC. P.W. MINOR & SON, MIDTOWN 31349 A5500 12/12/2007 INC. SOUTHERN MILAN S215 A5500 08/20/2009 PROSTHETICS SUPPLY INC NOBILE MILANO A5500 11/30/2006 CONSULTING USA, LLC (DBA NATURAL STEP SHOES) ETONIC MINADO MC, MEN'S MR9000MC-11 A5500 02/17/2006 WORLDWIDE LLC ETONIC MINADO MC, MEN'S MR9100MC-0 A5500 02/17/2006 WORLDWIDE LLC ETONIC MINADO MC, MEN'S MR9100MC-1 A5500 02/17/2006 WORLDWIDE LLC ETONIC MINADO MC, WOMEN'S WR9050MC-11 A5500 02/17/2006 WORLDWIDE LLC

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

ETONIC MINADO MC, WOMEN'S WR9150MC-0 A5500 02/17/2006 WORLDWIDE LLC P.W. MINOR & SON, MISS CONTINENTAL 1181 A5500 09/30/2002 INC. P.W. MINOR & SON, MISS CONTINENTAL 1381 A5500 09/30/2002 INC. P.W. MINOR & SON, MISS CONTINENTAL 2181 A5500 09/30/2002 INC. P.W. MINOR & SON, MISS CONTINENTAL 4381 A5500 09/30/2002 INC. P.W. MINOR & SON, MISS CONTINENTAL 7181 A5500 09/30/2002 INC. P.W. MINOR & SON, MISS CONTINENTAL 7781 A5500 09/30/2002 INC. P.W. MINOR & SON, MISS CONTINENTAL 8181 A5500 09/30/2002 INC. P.W. MINOR & SON, MISS CONTOUR 10101 A5500 09/30/2002 INC. P.W. MINOR & SON, MISS CONTOUR 20101 A5500 09/30/2002 INC. P.W. MINOR & SON, MISS CONTOUR 40101 A5500 09/30/2002 INC. P.W. MINOR & SON, MISS CONTOUR 70101 A5500 09/30/2002 INC. P.W. MINOR & SON, MISS CONTOUR 77101 A5500 09/30/2002 INC. P.W. MINOR & SON, MISS CONTOUR 87101 A5500 09/30/2002 INC. P.W. MINOR & SON, MISS PILLOW TOP W1741 A5500 03/07/2003 INC. P.W. MINOR & SON, MISS PILLOW TOP W4141 A5500 03/07/2003 INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

B & S PARTNERS, MISSY P3071 A5500 04/30/2007 INC. (DBA PILGRIM SHOES) KLAS SHOES LLC MISTY 4210501001 A5500 08/25/2009 KLAS SHOES LLC MISTY 4210501403 A5500 08/25/2009 PEDORS SHOES MJ2 C500 A5500 06/03/2008 PEDORS SHOES MJ2 C501 A5500 06/03/2008 SOUTHERN MONACO S656 A5500 08/20/2009 PROSTHETICS SUPPLY INC REDWOOD MONTANA 777 A5500 07/27/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD MONTANA 783 A5500 10/08/2009 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) INSTRIDE SHOES, MONTEREY 30011 A5500 05/05/2008 LLC INSTRIDE SHOES, MONTEREY 30012 A5500 05/05/2008 LLC INSTRIDE SHOES, MONTEREY 30013 A5500 05/05/2008 LLC INSTRIDE SHOES, MONTEREY 40021 A5500 05/05/2008 LLC INSTRIDE SHOES, MONTEREY 40022 A5500 05/05/2008 LLC INSTRIDE SHOES, MONTEREY 40023 A5500 05/05/2008 LLC INSTRIDE SHOES, MONTEREY 40121 A5500 05/05/2008 LLC

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

INSTRIDE SHOES, MONTEREY 40122 A5500 05/05/2008 LLC INSTRIDE SHOES, MONTEREY 40123 A5500 05/05/2008 LLC INSTRIDE SHOES, MONTEREY 30111 A5500 05/23/2008 LLC INSTRIDE SHOES, MONTEREY 30112 A5500 05/23/2008 LLC INSTRIDE SHOES, MONTEREY 30113 A5500 05/23/2008 LLC TACSON, INC. (DBA MONTY BOAT M120B A5500 02/01/2007 CROSS COUNTRY FOOTWEAR) TACSON, INC. (DBA MONTY GLIDE M120G A5500 01/26/2007 CROSS COUNTRY FOOTWEAR) TACSON, INC. (DBA MONTY LACE M120L A5500 04/12/2005 CROSS COUNTRY FOOTWEAR) TACSON, INC. (DBA MONTY PLAIN TOE M120P A5500 02/10/2006 CROSS COUNTRY FOOTWEAR) TACSON, INC. (DBA MONTY VELCRO M120V A5500 04/12/2005 CROSS COUNTRY FOOTWEAR) REDWOOD MORITZ 7080 A5500 11/09/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) DREW SHOE MOTION 10588-12 A5500 06/27/2002 CORPORATION DREW SHOE MOTION 10588-22 A5500 06/27/2002 CORPORATION DREW SHOE MOTION 10186-12 A5500 02/12/2007 CORPORATION

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DREW SHOE MOTION 10186-22 A5500 02/12/2007 CORPORATION DREW SHOE MOTION VELCRO 14717-12 A5500 06/27/2002 CORPORATION DREW SHOE MOTION VELCRO 14717-22 A5500 06/27/2002 CORPORATION DREW SHOE MOTION VELCRO 14406-12 A5500 04/03/2007 CORPORATION DREW SHOE MOTION VELCRO 14406-22 A5500 04/03/2007 CORPORATION DR. COMFORT MOVE 3610 A5500 04/26/2005 (RIKCO INTERNATIONAL, LLC) DR. COMFORT MOVE 3640 A5500 04/26/2005 (RIKCO INTERNATIONAL, LLC) COMMERCE MT. EMEY 8" HEAT-MOLDABLE 503-C A5500 08/17/2005 ATLANTIC BOOTS, CHARCOT CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY 8" HEAT-MOLDABLE 504-C A5500 08/17/2005 ATLANTIC BOOTS, CHARCOT CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY 8" HEAT-MOLDABLE 503 A5500 08/17/2005 ATLANTIC BOOTS, REGULAR CORPORATION (DBA APIS FOOTWEAR

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

COMMERCE MT. EMEY 8" HEAT-MOLDABLE 504 A5500 08/17/2005 ATLANTIC BOOTS, REGULAR CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY ATHLETIC WALKING 8935 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY ATHLETIC WALKING 8936 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY ATHLETIC WALKING 8937 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY ATHLETIC WALKING 7021 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY ATHLETIC WALKING 7022 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY COMFORT CARE 9202 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

COMMERCE MT. EMEY COMFORT CARE 9106 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY COMFORT CARE 9108 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY COMFORT CARE 9501 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY COMFORT CARE 9502 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY COMFORT CARE 9504 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY COMFORT CARE 9505 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY COMFORT CARE 801 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

COMMERCE MT. EMEY COMFORT CARE 802 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY COMFORT CARE 9203 A5500 08/18/2005 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY COMFORT LIGHT 9301 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY COMFORT LIGHT 9302 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY FEATHER LIGHT 888 A5500 08/18/2005 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY FEATHER LIGHT 502 A5500 08/18/2005 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY THERAPEUTIC 8821 A5500 07/07/2004 ATLANTIC COMFORT SHOES CORPORATION (DBA APIS FOOTWEAR

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

COMMERCE MT. EMEY THERAPEUTIC 8822 A5500 07/07/2004 ATLANTIC COMFORT SHOES CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY THERAPEUTIC 8824 A5500 07/07/2004 ATLANTIC COMFORT SHOES CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY THERAPEUTIC 8825 A5500 07/07/2004 ATLANTIC COMFORT SHOES CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY WOMEN'S 9210 BLACK A5500 01/11/2008 ATLANTIC PREMIERE COMFORT CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY WOMEN'S 9206 BLACK A5500 01/11/2008 ATLANTIC PREMIERE COMFORT CORPORATION ATHLETIC WALKING SHOES (DBA APIS FOOTWEAR COMMERCE MT. EMEY WOMEN'S 9206 WHITE A5500 01/11/2008 ATLANTIC PREMIERE COMFORT CORPORATION ATHLETIC WALKING SHOES (DBA APIS FOOTWEAR COMMERCE MT. EMEY WOMEN'S 9213 CAMEL A5500 01/11/2008 ATLANTIC PREMIERE COMFORT CORPORATION (DBA APIS FOOTWEAR

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

COMMERCE MT. EMEY WOMEN'S 9213 TAUPE A5500 01/11/2008 ATLANTIC PREMIERE COMFORT CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY WOMEN'S 9211 BLACK A5500 01/11/2008 ATLANTIC PREMIERE COMFORT CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY WOMEN'S 9211 NAVY BLUE A5500 01/11/2008 ATLANTIC PREMIERE COMFORT CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY WOMEN'S 9211 RUBY RED A5500 01/11/2008 ATLANTIC PREMIERE COMFORT CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY WOMEN'S 9205 ANGEL WHITE A5500 01/11/2008 ATLANTIC PREMIERE COMFORT SHOES CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY WOMEN'S 9205 BEIGE A5500 01/11/2008 ATLANTIC PREMIERE COMFORT SHOES CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY WOMEN'S 9205 BLACK A5500 01/11/2008 ATLANTIC PREMIERE COMFORT SHOES CORPORATION (DBA APIS FOOTWEAR

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

COMMERCE MT. EMEY WOMEN'S 9205 BROWN A5500 01/11/2008 ATLANTIC PREMIERE COMFORT SHOES CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY WOMEN'S 9205 JADE GREEN A5500 01/11/2008 ATLANTIC PREMIERE COMFORT SHOES CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY WOMEN'S 9205 METALLIC GREY A5500 01/11/2008 ATLANTIC PREMIERE COMFORT SHOES CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY WOMEN'S 9205 NAVY BLUE A5500 01/11/2008 ATLANTIC PREMIERE COMFORT SHOES CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY WOMEN'S 9205 RUBY RED A5500 01/11/2008 ATLANTIC PREMIERE COMFORT SHOES CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY WOMEN'S 9205 SKY BLUE A5500 01/11/2008 ATLANTIC PREMIERE COMFORT SHOES CORPORATION (DBA APIS FOOTWEAR COMMERCE MT. EMEY WOMEN'S 9205 TAUPE A5500 01/11/2008 ATLANTIC PREMIERE COMFORT SHOES CORPORATION (DBA APIS FOOTWEAR NEW BALANCE MW576 MW576VB A5500 11/18/2009 ATHLETIC SHOE, INC

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

NEW BALANCE MW576 MW576VW A5500 11/18/2009 ATHLETIC SHOE, INC NEW BALANCE MW576 MW576BK A5500 11/18/2009 ATHLETIC SHOE, INC NEW BALANCE MW576 MW576WT A5500 11/18/2009 ATHLETIC SHOE, INC NEW BALANCE MW576 MW576VK A5500 11/18/2009 ATHLETIC SHOE, INC NEW BALANCE MW846 MW846 A5500 08/11/2009 ATHLETIC SHOE, INC. NEW BALANCE MX-WX1010 MX1010SM A5500 10/15/2008 NEW BALANCE MX-WX1010 MX1010WB A5500 10/15/2008 NEW BALANCE MX-WX1010 WX1010SP A5500 10/15/2008 NEW BALANCE MX-WX1010 WX1010WB A5500 10/15/2008 B & S PARTNERS, NANCY P3017 A5500 04/27/2009 INC. (DBA PILGRIM SHOES) SOUTHERN NASSAU S146 A5500 08/18/2009 PROSTHETICS SUPPLY INC B & S PARTNERS, NATALY P3110 A5500 11/24/2008 INC. (DBA PILGRIM SHOES) P.W. MINOR & SON, NATURAL 16830 A5500 05/17/2004 INC. P.W. MINOR & SON, NATURAL 76830 A5500 05/17/2004 INC. PW MINOR NATURAL DX2 STRAP 16363 A5500 07/23/2009

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

P.W. MINOR & SON, NATURAL VELCRO 16831 A5500 05/17/2004 INC. P.W. MINOR & SON, NATURAL VELCRO 76831 A5500 05/17/2004 INC. DR. ZEN, INC. NAUTICA 615-01 A5500 11/30/2006 DR. ZEN, INC. NAUTICA 615-03 A5500 11/30/2006 DR. ZEN, INC. NAUTICA 615-05 A5500 11/30/2006 DUNHAM NAUTICAL 3-EYE MCN410BR A5500 12/05/2007 DUNHAM NAUTICAL 3-EYE MCN410OW A5500 12/05/2007 DREW SHOE NAVIGATOR 44937-14 A5500 05/02/2002 CORPORATION DREW SHOE NAVIGATOR 44937-38 A5500 05/02/2002 CORPORATION DREW SHOE NAVIGATOR II 44837-14 A5500 03/23/2004 CORPORATION DREW SHOE NAVIGATOR II 44837-38 A5500 03/23/2004 CORPORATION DREW SHOE NAVIGATOR II 44837-64 A5500 03/23/2004 CORPORATION DR. ZEN, INC. NELLIE 402-01 A5500 12/02/2009 DR. ZEN, INC. NELLIE 402-02 A5500 12/02/2009 DR. ZEN, INC. NELLIE 402-03 A5500 12/02/2009 INSTRIDE, LLC NELLIE 1007 A5500 08/30/2004 INSTRIDE, LLC NELLIE 1008 A5500 08/30/2004 INSTRIDE, LLC NELLIE 1009 A5500 08/30/2004 INSTRIDE, LLC NELLIE 1010 A5500 08/30/2004 INSTRIDE SHOES, NELLIE II 10700 A5500 07/17/2007 LLC

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

INSTRIDE SHOES, NELLIE II 10703 A5500 07/17/2007 LLC INSTRIDE SHOES, NELLIE II 10710 A5500 07/17/2007 LLC ORTHO-AID NERUS G1090 A5500 10/25/2004 CUSTOM MOLDED SHOES, INC. HUSH PUPPIES NETWORK H10725 A5500 07/28/2009 HUSH PUPPIES NETWORK H10726 A5500 07/28/2009 P.W. MINOR & SON, NEVADA 19157 A5500 03/07/2003 INC. P.W. MINOR & SON, NEVADA 49157 A5500 03/07/2003 INC. OASIS FOOTWEAR, NEVIS C14001 A5500 01/08/2009 LLC OASIS FOOTWEAR, NEVIS VELCRO C14002 A5500 12/30/2008 LLC NEW BALANCE NEW BALANCE 1010 M1010MC A5500 12/29/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 1010 W1010MC A5500 12/29/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 1011 MR1011MC A5500 11/12/2007 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 1011 WR1011MC A5500 11/12/2007 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 1061 MR1061OG A5500 04/10/2007 ATHLETIC SHOE, INC.

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 138 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

NEW BALANCE NEW BALANCE 1061 MR1061SB A5500 04/10/2007 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 1061 WR1061BL A5500 04/10/2007 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 1061 WR1061CU A5500 04/10/2007 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 1062 MR1062CU A5500 05/05/2008 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 1062 MR1062SB A5500 05/05/2008 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 1062 WR1062CU A5500 05/05/2008 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 1062 WR1062EU A5500 05/05/2008 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 1122 M1122MC A5500 12/29/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 1122 W1122MC A5500 12/29/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 1123 MR1123MC A5500 11/12/2007 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 1123 WR1123MC A5500 11/12/2007 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 1223 MR1223ST A5500 04/10/2007 ATHLETIC SHOE, INC.

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 139 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

NEW BALANCE NEW BALANCE 1223 MR1223SY A5500 04/10/2007 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 1223 WR1223SG A5500 04/10/2007 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 1223 WR1223ST A5500 04/10/2007 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 1224 1224 A5500 11/06/2008 ATHLETIC SHOE SUREFIT, LLC NEW BALANCE 575 WOMEN'S WW575VB A5500 05/04/2006 VELCRO SUREFIT, LLC NEW BALANCE 575 WOMEN'S WW575VK A5500 05/04/2006 VELCRO SUREFIT, LLC NEW BALANCE 575 WOMEN'S WW575VW A5500 05/04/2006 VELCRO NEW BALANCE NEW BALANCE 755 M755CU A5500 12/28/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 755 M755SR A5500 12/28/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 755 W755CU A5500 12/28/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 755 W755SO A5500 12/28/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 767 M767AW A5500 12/28/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 767 M767SB A5500 12/28/2006 ATHLETIC SHOE, INC.

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 140 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

NEW BALANCE NEW BALANCE 767 M767ST A5500 12/28/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 767 W767AW A5500 12/28/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 767 W767ST A5500 12/28/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 767 W767SV A5500 12/28/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 768 MR768AW A5500 11/12/2007 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 768 MR768NY A5500 11/12/2007 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 768 MR768ST A5500 11/12/2007 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 768 WR768AW A5500 11/12/2007 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 768 WR768SG A5500 11/12/2007 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 768 WR768ST A5500 11/12/2007 ATHLETIC SHOE, INC. FOOTCARE STORE, NEW BALANCE 811 MW811 A5500 02/13/2006 INC. (DBA DIA- FOOT) FOOTCARE STORE, NEW BALANCE 811 WW811 A5500 02/13/2006 INC. (DBA DIA- FOOT)

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 141 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

NEW BALANCE NEW BALANCE 811 MW811BE A5500 12/09/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 811 MW811BK A5500 12/09/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 811 MW811BR A5500 12/09/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 811 MW811VB A5500 12/09/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 811 MW811VK A5500 12/09/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 811 MW811VW A5500 12/09/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 811 MW811WT A5500 12/09/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 811 WW811BE A5500 12/09/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 811 WW811BK A5500 12/09/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 811 WW811VW A5500 12/09/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 811 WW811WT A5500 12/09/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 816 M816BK A5500 12/29/2005 ATHLETIC SHOE, INC.

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 142 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

NEW BALANCE NEW BALANCE 816 M816WG A5500 12/29/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 816 W816WB A5500 12/29/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 816 W816WT A5500 12/29/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 817 MR817MC A5500 12/28/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 817 WR817MC A5500 12/28/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 843 MW843BK A5500 12/14/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 843 MW843WN A5500 12/14/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 843 WW843BK A5500 12/14/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 843 WW843WB A5500 12/14/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 844 MW844BK A5500 04/04/2007 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 844 MW844WN A5500 04/04/2007 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 844 WW844BK A5500 04/04/2007 ATHLETIC SHOE, INC.

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 143 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

NEW BALANCE NEW BALANCE 844 WW844WB A5500 04/04/2007 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 845 MW845BK A5500 04/08/2008 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 845 MW845WN A5500 04/08/2008 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 845 WW845BK A5500 04/08/2008 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 845 WW845WB A5500 04/08/2008 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 854 MX854WN A5500 12/28/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 854 WX854WB A5500 12/28/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 855 MX855BK A5500 04/10/2008 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 855 MX855WN A5500 04/10/2008 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 855 WX855WB A5500 04/10/2008 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 857 M857ST A5500 06/09/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 857 W857ST A5500 06/09/2006 ATHLETIC SHOE, INC.

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 144 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

NEW BALANCE NEW BALANCE 858 MR858BK A5500 OR A9270 04/10/2007 USE HCPCS CODE A5500 FOR ATHLETIC SHOE, MODELS MR858ST, WR858ST. INC. USE HCPCS CODE A9270 FOR MODEL MR858BK. NEW BALANCE NEW BALANCE 858 MR858ST A5500 OR A9270 04/10/2007 USE HCPCS CODE A5500 FOR ATHLETIC SHOE, MODELS MR858ST, WR858ST. INC. USE HCPCS CODE A9270 FOR MODEL MR858BK. NEW BALANCE NEW BALANCE 858 WR858ST A5500 OR A9270 04/10/2007 USE HCPCS CODE A5500 FOR ATHLETIC SHOE, MODELS MR858ST, WR858ST. INC. USE HCPCS CODE A9270 FOR MODEL MR858BK. NEW BALANCE NEW BALANCE 859 859 A5500 11/06/2008 ATHLETIC SHOE NEW BALANCE NEW BALANCE 881 M881WG A5500 12/29/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 881 W881WB A5500 12/29/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 882 MR882CU A5500 04/10/2007 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 882 WR882CU A5500 04/10/2007 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 901 MW901UBE A5500 07/05/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 901 MW901UTP A5500 07/05/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 901 WW901BK A5500 07/13/2007 ATHLETIC SHOE, INC.

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 145 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

NEW BALANCE NEW BALANCE 901 WW901BR A5500 07/13/2007 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 901 WW901ST A5500 07/13/2007 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 901 MW901UBK A5500 09/27/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 901 MW901UBR A5500 09/27/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 925 MW925BK A5500 12/14/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 925 MW925BR A5500 12/14/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 925 MW925DB A5500 12/14/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 925 MW925GR A5500 12/14/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 925 MW925VK A5500 12/14/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 925 MW925VW A5500 12/14/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 925 MW925WT A5500 12/14/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 925 WW925BE A5500 12/14/2005 ATHLETIC SHOE, INC.

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 146 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

NEW BALANCE NEW BALANCE 925 WW925BK A5500 12/14/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 925 WW925BR A5500 12/14/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 925 WW925VK A5500 12/14/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 925 WW925VW A5500 12/14/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 925 WW925WT A5500 12/14/2005 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 926 MW926GR A5500 07/05/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 926 MW926VK A5500 07/05/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 926 WW926GR A5500 07/05/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 926 WW926VW A5500 07/05/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 926 MW926BK A5500 02/27/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 926 MW926WT A5500 02/27/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 926 WW926BK A5500 02/27/2006 ATHLETIC SHOE, INC.

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 147 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

NEW BALANCE NEW BALANCE 926 WW926WT A5500 02/27/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 927 MW927BK A5500 10/21/2008 ATHLETIC SHOES INC NEW BALANCE NEW BALANCE 927 MW927VK A5500 10/21/2008 ATHLETIC SHOES INC NEW BALANCE NEW BALANCE 927 MW927WT A5500 10/21/2008 ATHLETIC SHOES INC NEW BALANCE NEW BALANCE 927 WW927BK A5500 10/21/2008 ATHLETIC SHOES INC NEW BALANCE NEW BALANCE 927 WW927VW A5500 10/21/2008 ATHLETIC SHOES INC NEW BALANCE NEW BALANCE 927 WW927WT A5500 10/21/2008 ATHLETIC SHOES INC NEW BALANCE NEW BALANCE 927 WW927TN A5500 10/01/2009 ATHLETIC SHOES INC NEW BALANCE NEW BALANCE 927 MW927GR A5500 10/01/2009 ATHLETIC SHOES INC NEW BALANCE NEW BALANCE 927 MW927BR A5500 10/01/2009 ATHLETIC SHOES INC NEW BALANCE NEW BALANCE 992 M992BK A5500 06/09/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 992 M992BW A5500 06/09/2006 ATHLETIC SHOE, INC.

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 148 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

NEW BALANCE NEW BALANCE 992 M992GL A5500 06/09/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 992 M992NV A5500 06/09/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 992 W992BK A5500 06/09/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 992 W992BW A5500 06/09/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 992 W992GL A5500 06/09/2006 ATHLETIC SHOE, INC. NEW BALANCE NEW BALANCE 992 W992NV A5500 06/09/2006 ATHLETIC SHOE, INC. FOOTCARE STORE, NEW BALANCE CROSS WX608WT A5500 01/09/2008 INC. (DBA DIA- FOOT) FOOTCARE STORE, NEW BALANCE SOFT SPIKE MG1275B A5500 09/04/2007 01/08/2008 INC. (DBA DIA- GOLF SHOE FOOT) FOOTCARE STORE, NEW BALANCE SOFT SPIKE MG1275BR A5500 09/04/2007 01/08/2008 INC. (DBA DIA- GOLF SHOE FOOT) FOOTCARE STORE, NEW BALANCE SOFT SPIKE MG1275W A5500 09/04/2007 01/08/2008 INC. (DBA DIA- GOLF SHOE FOOT) FOOTCARE STORE, NEW BALANCE WATERPROOF MW965BR A5500 01/09/2008 INC. (DBA DIA- COUNTRY WALKER FOOT) FOOTCARE STORE, NEW BALANCE WATERPROOF WW965BR A5500 01/09/2008 INC. (DBA DIA- COUNTRY WALKER FOOT)

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 149 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DREW SHOE NEW VILLAGER FOR WOMEN 10676-11 A5500 02/10/2006 CORPORATION DREW SHOE NEW VILLAGER FOR WOMEN 10676-73 A5500 02/10/2006 CORPORATION DR. ZEN, INC. NEW YORKER A5500 11/20/2003 INSTRIDE SHOES, NEWPORT 6000 A5500 02/10/2006 LLC INSTRIDE SHOES, NEWPORT 6002 A5500 02/10/2006 LLC INSTRIDE SHOES, NEWPORT 6003 A5500 02/10/2006 LLC INSTRIDE SHOES, NEWPORT 6010 A5500 02/10/2006 LLC INSTRIDE SHOES, NEWPORT 6012 A5500 02/10/2006 LLC INSTRIDE SHOES, NEWPORT 6013 A5500 02/10/2006 LLC INSTRIDE SHOES, NEWPORT 9000 A5500 02/10/2006 LLC INSTRIDE SHOES, NEWPORT 9002 A5500 02/10/2006 LLC INSTRIDE SHOES, NEWPORT 9003 A5500 02/10/2006 LLC INSTRIDE SHOES, NEWPORT 9010 A5500 02/10/2006 LLC INSTRIDE SHOES, NEWPORT 9012 A5500 02/10/2006 LLC INSTRIDE SHOES, NEWPORT 9013 A5500 02/10/2006 LLC REDWOOD NEWPORT 30116 A5500 09/28/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR)

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 150 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

REDWOOD NEWPORT 30127 A5500 09/28/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD NEWPORT 30136 A5500 09/28/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) B & S PARTNERS, NICHOLAS P4022 A5500 04/16/2009 INC. (DBA PILGRIM SHOES) DREW SHOE CORP NICOLE 10172-01 A5500 11/12/2008 DREW SHOE CORP NICOLE 10172-39 A5500 11/12/2008 DREW SHOE CORP NICOLE 10172-53 A5500 11/12/2008 REDWOOD NICOLE 48219 A5500 08/18/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD NICOLE 48220 A5500 08/18/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD NICOLE 48419 A5500 08/17/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD NICOLE 48420 A5500 08/17/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) PROPET USA, INC. NITELITEWALKER W1013BAM A5500 06/29/2007 PROPET USA, INC. NITELITEWALKER W1013BAW A5500 06/29/2007 PROPET USA, INC. NITELITEWALKER W1013BAX A5500 06/29/2007

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 151 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. NITELITEWALKER W1013IRM A5500 06/29/2007 PROPET USA, INC. NITELITEWALKER W1013IRW A5500 06/29/2007 PROPET USA, INC. NITELITEWALKER W1013IRX A5500 06/29/2007 PROPET USA, INC. NITELITEWALKER W1013TEM A5500 06/29/2007 PROPET USA, INC. NITELITEWALKER W1013TEW A5500 06/29/2007 PROPET USA, INC. NITELITEWALKER W1013TEX A5500 06/29/2007 B&S PARTNERS, OLGA P3113 A5500 11/10/2009 INC. (DBA PILGRIM SHOES) LERNESS SHOE OLIVER A5500 02/06/2006 COMPANY TT GROUP OLIVIA T09860 A5500 06/22/2009 B & S PARTNERS, OPHELIA P3104 A5500 09/08/2006 INC. (DBA PILGRIM SHOES) DREW SHOE ORIGINAL ACTIVITY 10810-12 A5500 11/05/2002 CORPORATION DREW SHOE ORIGINAL ACTIVITY 10810-22 A5500 11/05/2002 CORPORATION DREW SHOE ORIGINAL ACTIVITY 10810-34 A5500 11/05/2002 CORPORATION DREW SHOE ORIGINAL ACTIVITY 10810-72 A5500 11/05/2002 CORPORATION DREW SHOE ORIGINAL STROLL 10374-16 A5500 09/24/2003 CORPORATION DREW SHOE ORIGINAL STROLL 10374-86 A5500 09/24/2003 CORPORATION ORTHOFEET, INC. ORTHOFEET DEPTH SHOES 410 A5500 03/05/2002 ORTHOFEET, INC. ORTHOFEET DEPTH SHOES 510 A5500 03/05/2002 ORTHOFEET, INC. ORTHOFEET DEPTH SHOES 710 A5500 03/05/2002

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 152 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

ORTHOFEET, INC. ORTHOFEET DEPTH SHOES 820 A5500 03/05/2002 ORTHOFEET, INC. ORTHOFEET DEPTH SHOES 420 A5500 03/05/2003 ORTHOFEET, INC. ORTHOFEET DEPTH SHOES 810 A5500 03/05/2003 ORTHOFEET, INC. ORTHOFEET DEPTH SHOES 830 A5500 03/05/2003 ORTHOFEET, INC. ORTHOFEET DEPTH SHOES - 550 A5500 03/05/2003 STRETCHABLE SHOES ORTHOFEET, INC. ORTHOFEET DEPTH SHOES - 850 A5500 03/05/2003 STRETCHABLE SHOES ORTHOFEET, INC. ORTHOFEET MEN'S LACE 440 A5500 08/28/2006 ORTHOFEET, INC. ORTHOFEET MEN'S STRAP 540 A5500 08/28/2006 PROPET USA, INC. OSLO WB018BM A5500 02/04/2008 PROPET USA, INC. OSLO WB018BRBM A5500 02/04/2008 PROPET USA, INC. OSLO WB018BRBW A5500 02/04/2008 PROPET USA, INC. OSLO WB018BRBX A5500 02/04/2008 PROPET USA, INC. OSLO WB018BW A5500 02/04/2008 PROPET USA, INC. OSLO WB018BX A5500 02/04/2008 PROPET USA, INC. OSLO WB018TBEM A5500 02/04/2008 PROPET USA, INC. OSLO WB018TBEW A5500 02/04/2008 PROPET USA, INC. OSLO WB018TBEX A5500 02/04/2008 PROPET USA, INC. OXFORD WALKER M1271BM A5500 06/29/2007 PROPET USA, INC. OXFORD WALKER M1271BX A5500 06/29/2007 PROPET USA, INC. OXFORD WALKER M1271BXX A5500 06/29/2007 PROPET USA, INC. OXFORD WALKER M1271CDM A5500 06/29/2007 PROPET USA, INC. OXFORD WALKER M1271CDX A5500 06/29/2007 PROPET USA, INC. OXFORD WALKER M1271CDXX A5500 06/29/2007

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 153 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

P.W MINOR & SON, PACE 11358 A5500 11/19/2004 INC. P.W. MINOR & SON, PACE 11359 A5500 11/19/2004 INC. P.W. MINOR & SON, PACE 51358 A5500 03/23/2007 INC. P.W. MINOR & SON, PACE 51358 A5500 11/19/2004 01/02/2007 INC. P.W. MINOR & SON, PACE 71358 A5500 11/19/2004 01/02/2007 INC. STANDING PACE 61600-12 A5500 06/04/2007 COMFORT STANDING PACE 61600-22 A5500 06/04/2007 COMFORT PW MINOR PACE STRAP 11359 A5500 07/23/2009 PROPET USA, INC. PACE WALKER W2047BM A5500 06/29/2007 PROPET USA, INC. PACE WALKER W2047BN A5500 06/29/2007 PROPET USA, INC. PACE WALKER W2047BW A5500 06/29/2007 PROPET USA, INC. PACE WALKER W2047BX A5500 06/29/2007 PROPET USA, INC. PACE WALKER W2047BXX A5500 06/29/2007 PROPET USA, INC. PACE WALKER W2047WM A5500 06/29/2007 PROPET USA, INC. PACE WALKER W2047WN A5500 06/29/2007 PROPET USA, INC. PACE WALKER W2047WW A5500 06/29/2007 PROPET USA, INC. PACE WALKER W2047WX A5500 06/29/2007 PROPET USA, INC. PACE WALKER W2047WXX A5500 06/29/2007 DREW SHOE PACER 10708-12 A5500 06/04/2003 CORPORATION DREW SHOE PACER 10708-72 A5500 06/04/2003 CORPORATION

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 154 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

NOBILE PALERMO A5500 04/11/2005 CONSULTING USA, LLC (DBA NATURAL STEP SHOES) DREW SHOE PALM 10788-12 A5500 06/04/2003 CORPORATION DREW SHOE PALM 10788-64 A5500 06/04/2003 CORPORATION PROPET USA, INC. PANACHE W3701BEM A5500 07/17/2008 PROPET USA, INC. PANACHE W3701BEW A5500 07/17/2008 PROPET USA, INC. PANACHE W3701BEX A5500 07/17/2008 PROPET USA, INC. PANACHE W3701BM A5500 07/17/2008 PROPET USA, INC. PANACHE W3701BRM A5500 07/17/2008 PROPET USA, INC. PANACHE W3701BRW A5500 07/17/2008 PROPET USA, INC. PANACHE W3701BRX A5500 07/17/2008 PROPET USA, INC. PANACHE W3701BW A5500 07/17/2008 PROPET USA, INC. PANACHE W3701BX A5500 07/17/2008 DREW SHOE PARADE 10195-12 A5500 05/02/2002 CORPORATION DREW SHOE PARADE 10195-22 A5500 05/02/2002 CORPORATION DREW SHOE PARADE 10195-32 A5500 05/02/2002 CORPORATION DREW SHOE PARADE 10195-72 A5500 05/02/2002 CORPORATION DREW SHOE PARADE II 10295-12 A5500 11/05/2002 CORPORATION DREW SHOE PARADE II 10295-22 A5500 11/05/2002 CORPORATION

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DREW SHOE PARADE II 10295-32 A5500 11/05/2002 CORPORATION DREW SHOE PARADE II 10295-72 A5500 11/05/2002 CORPORATION DREW SHOE PARADISE 14421-12 A5500 05/02/2002 CORPORATION DREW SHOE PARADISE 14421-22 A5500 05/02/2002 CORPORATION DREW SHOE PARADISE 14421-32 A5500 05/02/2002 CORPORATION DREW SHOE PARADISE 14421-72 A5500 05/02/2002 CORPORATION DREW SHOE PARADISE II 14521-12 A5500 11/05/2002 CORPORATION DREW SHOE PARADISE II 14521-22 A5500 11/05/2002 CORPORATION DREW SHOE PARADISE II 14521-32 A5500 11/05/2002 CORPORATION DREW SHOE PARADISE II 14521-72 A5500 11/05/2002 CORPORATION SOUTHERN PARIS S676 A5500 08/21/2009 PROSTHETICS SUPPLY INC P.W. MINOR & SON, PARK AVENUE 11388 A5500 05/30/2007 INC. P.W. MINOR & SON, PARK AVENUE 31388 A5500 05/30/2007 INC. P.W. MINOR & SON, PARK AVENUE 93388 A5500 05/30/2007 INC. PROPET USA, INC. PARKWALKER M6017BM A5500 06/29/2007 PROPET USA, INC. PARKWALKER M6017BX A5500 06/29/2007 PROPET USA, INC. PARKWALKER M6017BXX A5500 06/29/2007

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. PARKWALKER M6017WM A5500 06/29/2007 PROPET USA, INC. PARKWALKER M6017WX A5500 06/29/2007 PROPET USA, INC. PARKWALKER M6017WXX A5500 06/29/2007 PROPET USA, INC. PARKWALKER W6017 A5500 06/29/2007 P.W. MINOR & SON, PATHFINDER (1946, 3946) 1946 A5500 10/23/2003 INC. P.W. MINOR & SON, PATHFINDER (1946, 3946) 3946 A5500 10/23/2003 INC. HUSH PUPPIES PATHWAY H100744 A5500 07/28/2009 HUSH PUPPIES PATHWAY H100745 A5500 07/28/2009 HUSH PUPPIES PATHWAY H100746 A5500 07/28/2009 B & S PARTNERS, PATRICIA P3001 A5500 04/22/2009 INC. (DBA PILGRIM SHOES) DR. COMFORT PATRICK 8510 A5500 12/08/2005 (RIKCO INTERNATIONAL, LLC) DR. COMFORT PATRICK 8520 A5500 12/08/2005 (RIKCO INTERNATIONAL, LLC) DR. COMFORT PATRICK 8560 A5500 12/08/2005 (RIKCO INTERNATIONAL, LLC) DR. COMFORT PATRICK "MIKE" A5500 11/16/2007 (RIKCO INTERNATIONAL, LLC)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DR. COMFORT PATTY 1101 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT PATTY 1101 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) DR. COMFORT PATTY 1303 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT PATTY 1303 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) DR. COMFORT PATTY 1404 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT PATTY 1404 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) COMMERCE PAUL BUNION 708 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE PAUL BUNION 718 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

COMMERCE PAULINE BUNIONETTE 608 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR COMMERCE PAULINE BUNIONETTE 618 A5500 07/07/2004 ATLANTIC CORPORATION (DBA APIS FOOTWEAR HUSH PUPPIES PAULSEN H100558 A5500 09/09/2008 HUSH PUPPIES PAULSEN H100559 A5500 09/09/2008 HUSH PUPPIES PAULSEN H100560 A5500 09/09/2008 ORTOFUTURO/PODI PEDI CHAMPION 497 A5500 03/15/2010 ATRY ORTOFUTURO/PODI PEDI COMFORT 351 A5500 03/16/2010 ATRY ORTOFUTURO/PODI PEDI COMFORT PLUS 340 A5500 03/15/2010 ATRY ORTOFUTURO/PODI PEDI ELEGANT 339 A5500 03/16/2010 ATRY ORTOFUTURO/PODI PEDI FORMANCE 337V A5500 03/15/2010 ATRY ORTOFUTURO/PODI PEDI HAMMER 434 A5500 03/15/2010 ATRY ORTOFUTURO/PODI PEDI JANE 485 A5500 03/15/2010 ATRY ORTOFUTURO/PODI PEDI MAX 826 A5500 03/16/2010 ATRY ORTOFUTURO/PODI PEDI MOVE 370 A5500 03/15/2010 ATRY ORTOFUTURO/PODI PEDI SOL 453 A5500 03/15/2010 ATRY

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

ORTOFUTURO/PODI PEDI STARTER 2008 A5500 03/16/2010 ATRY ORTOFUTURO/PODI PEDI STREET 464 A5500 03/16/2010 ATRY ORTOFUTURO/PODI PEDI STRESS 478 A5500 03/16/2010 ATRY ORTOFUTURO/PODI PEDI WALKER 392 A5500 03/15/2010 ATRY ORTOFUTURO/PODI PEDI WAY 344 A5500 03/16/2010 ATRY PEDORS SHOES PEDORS 600 HIGH TOP 600-H A5500 06/09/2004 PEDORS SHOES PEDORS MARY JANE SHOE 500 A5500 01/07/2004 PEDORS SHOES PEDORS SHOES BLACK LACE 604 A5500 09/11/2001 PEDORS SHOES PEDORS SHOES BLACK 600 A5500 09/11/2001 VELCRO PEDORS SHOES PEDORS SHOES BEIGE 601 A5500 09/11/2001 PEDORS SHOES PEDORS SHOES BLACK LACE 604 A5500 09/11/2001 PEDORS SHOES PEDORS SHOES BLACK 600 A5500 09/11/2001 PROPET USA, INC. PEDWALKER 1 MPED1 A5500 10/05/2005 PROPET USA, INC. PEDWALKER 10 MPED10 A5500 01/20/2006 PROPET USA, INC. PEDWALKER 11 WPED11 A5500 10/05/2005 PROPET USA, INC. PEDWALKER 15 MPED15 A5500 01/20/2006 PROPET USA, INC. PEDWALKER 2 MPED2 A5500 04/19/2004 PROPET USA, INC. PEDWALKER 2 WPED2 A5500 04/19/2004 PROPET USA, INC. PEDWALKER 25 MPED25 A5500 10/05/2005 PROPET USA, INC. PEDWALKER 3 MPED3 A5500 04/19/2004 PROPET USA, INC. PEDWALKER 3 WPED3 A5500 04/19/2004

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. PEDWALKER 5 MPED5 A5500 04/19/2004 PROPET USA, INC. PEDWALKER 5 WPED5 A5500 04/19/2004 PROPET USA, INC. PEDWALKER 8 MPED8 A5500 08/06/2004 PROPET USA, INC. PEDWALKER 8 WPED8 A5500 08/06/2004 PROPET USA, INC. PEDWALKER 9 MPED9 A5500 10/05/2005 ACOR PENNY LANE LADY'S WALKING A5500 05/08/2003 ORTHOPAEDIC, INC. SHOE B & S PARTNERS, PERFORMANCE M5001 A5500 03/28/2008 INC. (DBA PILGRIM SHOES) DR. COMFORT PERFORMANCE PERFORMANCE A5500 12/04/2008 P.W. MINOR & SON, PERFORMANCE WALKER - 33356 A5500 04/16/2007 INC. P.W. MINOR & SON, PERFORMANCE WALKER DX2 11385 A5500 01/10/2008 INC. LACE P.W. MINOR & SON, PERFORMANCE WALKER DX2 81385 A5500 01/10/2008 INC. LACE P.W. MINOR & SON, PERFORMANCE WALKER DX2 11375 A5500 12/12/2007 INC. LACE P.W. MINOR & SON, PERFORMANCE WALKER DX2 81375 A5500 12/12/2007 INC. LACE P.W. MINOR & SON, PERFORMANCE WALKER DX2 11387 A5500 01/23/2008 INC. STRAP P.W. MINOR & SON, PERFORMANCE WALKER DX2 81387 A5500 01/23/2008 INC. STRAP P.W. MINOR & SON, PERFORMANCE WALKER DX2 11376 A5500 12/12/2007 INC. STRAP P.W. MINOR & SON, PERFORMANCE WALKER DX2 81376 A5500 12/12/2007 INC. STRAP P.W. MINOR & SON, PERFORMANCE WALKER FOR 11356 A5500 11/03/2004 INC. MEN - LACE

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

P.W. MINOR & SON, PERFORMANCE WALKER FOR 33356 A5500 11/03/2004 INC. MEN - LACE P.W. MINOR & SON, PERFORMANCE WALKER FOR 71356 A5500 11/03/2004 INC. MEN - LACE P.W. MINOR & SON, PERFORMANCE WALKER FOR 81356 A5500 11/03/2004 INC. MEN - LACE P.W. MINOR & SON, PERFORMANCE WALKER FOR 11357 A5500 11/03/2004 INC. MEN - VELCRO P.W. MINOR & SON, PERFORMANCE WALKER FOR 71357 A5500 11/03/2004 INC. MEN - VELCRO P.W. MINOR & SON, PERFORMANCE WALKER FOR 81357 A5500 11/03/2004 INC. MEN - VELCRO P.W. MINOR & SON, PERFORMANCE WALKER FOR 11335 A5500 11/03/2004 INC. WOMEN - LACE P.W. MINOR & SON, PERFORMANCE WALKER FOR 23335 A5500 11/03/2004 INC. WOMEN - LACE P.W. MINOR & SON, PERFORMANCE WALKER FOR 53335 A5500 11/03/2004 INC. WOMEN - LACE P.W. MINOR & SON, PERFORMANCE WALKER FOR 71335 A5500 11/03/2004 INC. WOMEN - LACE P.W. MINOR & SON, PERFORMANCE WALKER FOR 81335 A5500 11/03/2004 INC. WOMEN - LACE P.W. MINOR & SON, PERFORMANCE WALKER FOR 93335 A5500 11/03/2004 INC. WOMEN - LACE P.W. MINOR & SON, PERFORMANCE WALKER FOR 11336 A5500 11/03/2004 INC. WOMEN - VELCRO P.W. MINOR & SON, PERFORMANCE WALKER FOR 71336 A5500 11/03/2004 INC. WOMEN - VELCRO P.W. MINOR & SON, PERFORMANCE WALKER FOR 81336 A5500 11/03/2004 INC. WOMEN - VELCRO P.W. MINOR & SON, PERFORMANCE WALKER 29856 A5500 01/29/2007 INC. MESH - MEN'S

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

P.W. MINOR & SON, PERFORMANCE WALKER 29857 A5500 01/29/2007 INC. MESH - MEN'S P.W. MINOR & SON, PERFORMANCE WALKER 29835 A5500 01/25/2007 INC. MESH - WOMEN'S P.W. MINOR & SON, PERFORMANCE WALKER 29836 A5500 01/25/2007 INC. MESH - WOMEN'S PEPPERGATE PG LITE 1846 A5500 06/07/2006 FOOTWEAR, INC. PEPPERGATE PG LITE 1848 A5500 06/07/2006 FOOTWEAR, INC. PEPPERGATE PG LITE 6605 A5500 06/29/2006 FOOTWEAR, INC. PEPPERGATE PG LITE 6603 A5500 06/29/2006 FOOTWEAR, INC. PEPPERGATE PG LITE 6601 A5500 06/29/2006 FOOTWEAR, INC. PEPPERGATE PG LITE 1815 A5500 03/13/2007 FOOTWEAR, INC. PEPPERGATE PG LITE 6602 A5500 06/19/2007 FOOTWEAR, INC. PEPPERGATE PG LITE 6700 A5500 06/19/2007 FOOTWEAR, INC. PEPPERGATE PG LITE 6704 A5500 06/19/2007 FOOTWEAR, INC. PEPPERGATE PG LITE 1814 A5500 06/27/2007 FOOTWEAR, INC. PEPPERGATE PG LITE 6607 A5500 09/14/2007 FOOTWEAR, INC. PEPPERGATE PG LITE 1810 A5500 12/12/2007 FOOTWEAR, INC. PEPPERGATE PG LITE 1896 A5500 06/04/2008 FOOTWEAR, INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PEPPERGATE PG LITE 2050 A5500 06/02/2008 FOOTWEAR, INC. PG LITE PG LITE 6504 A5500 07/20/2009 PG LITE PG WALKER 2500 A5500 06/11/2009 PG LITE PG WALKER 2502 A5500 06/17/2009 DB SHOES, LTD. PHOEBE 78007 A5500 05/10/2005 DREW SHOE PHOENIX PLUS 10217-12 A5500 11/05/2002 CORPORATION PROPET USA, INC. PHYSIO WALKER M2042BM A5500 07/02/2007 PROPET USA, INC. PHYSIO WALKER M2042BN A5500 07/02/2007 PROPET USA, INC. PHYSIO WALKER M2042BX A5500 07/02/2007 PROPET USA, INC. PHYSIO WALKER M2042BXX A5500 07/02/2007 PROPET USA, INC. PHYSIO WALKER M2042WM A5500 07/02/2007 PROPET USA, INC. PHYSIO WALKER M2042WN A5500 07/02/2007 PROPET USA, INC. PHYSIO WALKER M2042WX A5500 07/02/2007 PROPET USA, INC. PHYSIO WALKER M2042WXX A5500 07/02/2007 B & S PARTNERS, PILGRIM SHOES 3068 A5500 09/25/2003 INC. (DBA PILGRIM SHOES) B & S PARTNERS, PILGRIM SHOES 3069 A5500 09/25/2003 INC. (DBA PILGRIM SHOES) B & S PARTNERS, PILGRIM SHOES 3070 A5500 09/25/2003 INC. (DBA PILGRIM SHOES) B & S PARTNERS, PILGRIM SHOES 3071 A5500 09/25/2003 INC. (DBA PILGRIM SHOES)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

B & S PARTNERS, PILGRIM SHOES 3072 A5500 09/25/2003 INC. (DBA PILGRIM SHOES) B & S PARTNERS, PILGRIM SHOES 3073 A5500 09/25/2003 INC. (DBA PILGRIM SHOES) B & S PARTNERS, PILGRIM SHOES 3074 A5500 09/25/2003 INC. (DBA PILGRIM SHOES) B & S PARTNERS, PILGRIM SHOES 3075 A5500 09/25/2003 INC. (DBA PILGRIM SHOES) B & S PARTNERS, PILGRIM SHOES 3077 A5500 09/25/2003 INC. (DBA PILGRIM SHOES) B & S PARTNERS, PILGRIM SHOES 3078 A5500 09/25/2003 INC. (DBA PILGRIM SHOES) B & S PARTNERS, PILGRIM SHOES 3080 A5500 09/25/2003 INC. (DBA PILGRIM SHOES) B & S PARTNERS, PILGRIM SHOES 3083 A5500 09/25/2003 INC. (DBA PILGRIM SHOES) B & S PARTNERS, PILGRIM SHOES 3084 A5500 09/25/2003 INC. (DBA PILGRIM SHOES) B & S PARTNERS, PILGRIM SHOES 3085 A5500 09/25/2003 INC. (DBA PILGRIM SHOES) B & S PARTNERS, PILGRIM SHOES 3086 A5500 09/25/2003 INC. (DBA PILGRIM SHOES) B & S PARTNERS, PILGRIM SHOES 3087 A5500 09/25/2003 INC. (DBA PILGRIM SHOES)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

B & S PARTNERS, PILGRIM SHOES P4006 A5500 08/24/2006 INC. (DBA PILGRIM SHOES) B & S PARTNERS, PILGRIM SHOES P4007 A5500 08/24/2006 INC. (DBA PILGRIM SHOES) B & S PARTNERS, PILGRIM SHOES P4001 A5500 08/24/2006 INC. (DBA PILGRIM SHOES) B & S PARTNERS, PILGRIM SHOES P4002 A5500 08/24/2006 INC. (DBA PILGRIM SHOES) B & S PARTNERS, PILGRIM SHOES P4004 A5500 08/24/2006 INC. (DBA PILGRIM SHOES) B & S PARTNERS, PILGRIM SHOES P4005 A5500 08/24/2006 INC. (DBA PILGRIM SHOES) B & S PARTNERS, PILGRIM SHOES P4003 A5500 08/24/2006 INC. (DBA PILGRIM SHOES) B & S PARTNERS, PILGRIM SHOES (P3102, P3102 A5500 07/07/2004 INC. (DBA PILGRIM P3105, P3106, P3107, P3108) SHOES) B & S PARTNERS, PILGRIM SHOES (P3102, P3105 A5500 07/07/2004 INC. (DBA PILGRIM P3105, P3106, P3107, P3108) SHOES) B & S PARTNERS, PILGRIM SHOES (P3102, P3106 A5500 07/07/2004 INC. (DBA PILGRIM P3105, P3106, P3107, P3108) SHOES) B & S PARTNERS, PILGRIM SHOES (P3102, P3107 A5500 07/07/2004 INC. (DBA PILGRIM P3105, P3106, P3107, P3108) SHOES) B & S PARTNERS, PILGRIM SHOES (P3102, P3108 A5500 07/07/2004 INC. (DBA PILGRIM P3105, P3106, P3107, P3108) SHOES)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

HUSH PUPPIES PINERIDGE H100751 A5500 07/28/2009 HUSH PUPPIES PINERIDGE H100753 A5500 07/28/2009 AURELIO GARCIA PINOSO'S 5235-P58 W A5500 11/18/2008 IMPORTS AURELIO GARCIA PINOSO'S 5658-P58 WW A5500 11/18/2008 IMPORTS AURELIO GARCIA PINOSO'S 5479 EE A5500 12/04/2008 IMPORTS AURELIO GARCIA PINOSO'S 5695 EE A5500 12/04/2008 IMPORTS AURELIO GARCIA PINOSO'S 5660EE A5500 12/04/2008 IMPORTS AURELIO GARCIA PINOSOS 5182 WW A5500 11/24/2008 IMPORTS DREW SHOE PIONEER 40990-14 A5500 11/05/2002 CORPORATION DREW SHOE PIONEER 40990-64 A5500 11/05/2002 CORPORATION PROPET USA, INC. PIZZAZZ W3703BPWM A5500 07/17/2008 PROPET USA, INC. PIZZAZZ W3703BPWW A5500 07/17/2008 PROPET USA, INC. PIZZAZZ W3703BPWX A5500 07/17/2008 PROPET USA, INC. PIZZAZZ W3703WBLM A5500 07/17/2008 PROPET USA, INC. PIZZAZZ W3703WBLW A5500 07/17/2008 PROPET USA, INC. PIZZAZZ W3703WBLX A5500 07/17/2008 SAFEET SHOE PLATO Y405 A5500 04/19/2004 COMPANY SAFEET SHOE PLATO Y406 A5500 04/19/2004 COMPANY SAFEET SHOE PLATO HIGH TOP Y410 A5500 04/19/2004 COMPANY

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DREW SHOE PLAYER 40772-14 A5500 02/05/2003 CORPORATION DREW SHOE PLAYER 40772-22 A5500 02/05/2003 CORPORATION DREW SHOE PLAYER VELCRO 44867-14 A5500 02/05/2003 CORPORATION DREW SHOE PLAYER VELCRO 44867-22 A5500 02/05/2003 CORPORATION KLAS SHOES, LLC PLAYFUL 4210101280 (BONE/BONE) A5500 08/03/2009 KLAS SHOES, LLC PLAYFUL 4210101001(BLACK/BLACK) A5500 08/03/2009 P.W. MINOR & SON, PLEASURE 13810 A5500 05/17/2004 INC. P.W. MINOR & SON, PLEASURE 16810 A5500 05/17/2004 INC. P.W. MINOR & SON, PLEASURE 76810 A5500 05/17/2004 INC. P.W. MINOR & SON, PLEASURE 93810 A5500 05/17/2004 INC. P.W. MINOR & SON, PLEASURE 96810 A5500 05/17/2004 INC. PW MINOR PLEASURE DX2 STRAP 16372 A5500 07/23/2009 P.W. MINOR & SON, PLEASURE VELCRO 13811 A5500 05/17/2004 INC. P.W. MINOR & SON, PLEASURE VELCRO 16811 A5500 05/17/2004 INC. P.W. MINOR & SON, PLEASURE VELCRO 76811 A5500 05/17/2004 INC. P.W. MINOR & SON, PLEASURE VELCRO 93811 A5500 05/17/2004 INC. P.W. MINOR & SON, PLEASURE VELCRO 96811 A5500 05/17/2004 INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DREW SHOE POPPY 10466-12 A5500 06/27/2002 CORPORATION DREW SHOE POPPY 10466-64 A5500 06/27/2002 CORPORATION HUSH PUPPIES POWER WALKER H54025 A5500 02/10/2006 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.) HUSH PUPPIES POWER WALKER H54026 A5500 02/10/2006 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.) HUSH PUPPIES POWER WALKER H54027 A5500 02/10/2006 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.) HUSH PUPPIES POWER WALKER II H70293 A5500 02/10/2006 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.) HUSH PUPPIES POWER WALKER II H70294 A5500 02/10/2006 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.) HUSH PUPPIES POWER WALKER II H70295 A5500 02/10/2006 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.) PROPET USA, INC. PRIMA WC007ABRM A5500 07/03/2007 PROPET USA, INC. PRIMA WC007ABRW A5500 07/03/2007

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 169 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. PRIMA WC007BAM A5500 07/03/2007 PROPET USA, INC. PRIMA WC007BAW A5500 07/03/2007 PROPET USA, INC. PRIMA WC007BBNM A5500 07/03/2007 PROPET USA, INC. PRIMA WC007BBNW A5500 07/03/2007 PROPET USA, INC. PRIMA WC007BGM A5500 07/03/2007 PROPET USA, INC. PRIMA WC007BGW A5500 07/03/2007 PROPET USA, INC. PRIMA WC007BNM A5500 07/03/2007 PROPET USA, INC. PRIMA WC007BNW A5500 07/03/2007 PROPET USA, INC. PRIMA WC007BRNM A5500 07/03/2007 PROPET USA, INC. PRIMA WC007BRNW A5500 07/03/2007 PROPET USA, INC. PRIMA WC007MSM A5500 07/03/2007 PROPET USA, INC. PRIMA WC007MSW A5500 07/03/2007 P.W. MINOR & SON, PRIME MINISTER 11030 A5500 03/07/2003 INC. P.W. MINOR & SON, PRIME MINISTER 31030 A5500 03/07/2003 INC. ETONIC PRO CONTROL III DRX120 A5500 07/08/2003 WORLDWIDE LLC ETONIC PRO CONTROL III DRX121 A5500 07/08/2003 WORLDWIDE LLC ETONIC PRO CONTROL III DRX122 A5500 07/08/2003 WORLDWIDE LLC ETONIC PRO CONTROL III DRX620 A5500 07/08/2003 WORLDWIDE LLC ETONIC PRO CONTROL III DRX621 A5500 07/08/2003 WORLDWIDE LLC ETONIC PRO CONTROL III DRX622 A5500 07/08/2003 WORLDWIDE LLC

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

ETONIC PRO SUPPORT MC MW100MC-0 A5500 02/24/2006 WORLDWIDE LLC ETONIC PRO SUPPORT MC MW100MC-1 A5500 02/24/2006 WORLDWIDE LLC ETONIC PRO SUPPORT MC MW110MC-0 A5500 02/24/2006 WORLDWIDE LLC ETONIC PRO SUPPORT MC MW110MC-1 A5500 02/24/2006 WORLDWIDE LLC ETONIC PRO SUPPORT MC WW600MC-0 A5500 02/24/2006 WORLDWIDE LLC ETONIC PRO SUPPORT MC WW600MC-4 A5500 02/24/2006 WORLDWIDE LLC ETONIC PRO SUPPORT MC WW610MC-0 A5500 02/24/2006 WORLDWIDE LLC ETONIC PRO SUPPORT MC WW610MC-4 A5500 02/24/2006 WORLDWIDE LLC SAUCONY, INC. PROGRID GUIDE 3 10069 A5500 03/15/2010 SAUCONY, INC. PROGRID GUIDE 3 10053 A5500 03/15/2010 SAUCONY, INC. PROGRID GUIDE 3 10054 A5500 03/15/2010 SAUCONY, INC. PROGRID OMNI 6 MODERATE 1914-1 A5500 OR A9270 05/07/2007 USE A5500 FOR MODELS 1914-1, 1924-1, 1934-1. USE A9270 FOR MODELS 2924-1, 2934-1. SAUCONY, INC. PROGRID OMNI 6 MODERATE 1924-1 A5500 OR A9270 05/07/2007 USE A5500 FOR MODELS 1914-1, 1924-1, 1934-1. USE A9270 FOR MODELS 2924-1, 2934-1. SAUCONY, INC. PROGRID OMNI 6 MODERATE 1934-1 A5500 OR A9270 05/07/2007 USE A5500 FOR MODELS 1914-1, 1924-1, 1934-1. USE A9270 FOR MODELS 2924-1, 2934-1. SAUCONY, INC. PROGRID OMNI 6 MODERATE 2924-1 A5500 OR A9270 05/07/2007 USE A5500 FOR MODELS 1914-1, 1924-1, 1934-1. USE A9270 FOR MODELS 2924-1, 2934-1.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

SAUCONY, INC. PROGRID OMNI 6 MODERATE 2934-1 A5500 OR A9270 05/07/2007 USE A5500 FOR MODELS 1914-1, 1924-1, 1934-1. USE A9270 FOR MODELS 2924-1, 2934-1. SAUCONY INC PROGRID OMNI 7 MODERATE 10017 A5500 09/25/2008 SAUCONY INC PROGRID OMNI 7 MODERATE 10018 A5500 09/25/2008 SAUCONY INC PROGRID OMNI 7 MODERATE 10019 A5500 09/25/2008 SAUCONY INC PROGRID OMNI 8 10042 A5500 08/27/2009 SAUCONY INC PROGRID OMNI 8 10043 A5500 08/27/2009 SAUCONY INC PROGRID OMNI 8 10044 A5500 08/27/2009 SAUCONY, INC. PROGRID STABIL LE 4 4275-1 A5500 05/07/2007 SAUCONY, INC. PROGRID STABIL LE 4 4275-2 A5500 05/07/2007 SAUCONY, INC. PROGRID STABIL LE 4 4275-3 A5500 05/07/2007 SAUCONY, INC. PROGRID STABIL LE 4 4276-1 A5500 05/07/2007 SAUCONY, INC. PROGRID STABIL LE 4 4276-2 A5500 05/07/2007 SAUCONY, INC. PROGRID STABIL LE 4 4276-3 A5500 05/07/2007 SAUCONY, INC. PROGRID STABIL LE 4 4277-1 A5500 05/07/2007 SAUCONY, INC. PROGRID STABIL LE 4 4277-2 A5500 05/07/2007 SAUCONY, INC. PROGRID STABIL LE 4 4277-3 A5500 05/07/2007 SAUCONY, INC. PROGRID STABIL LE 4 5275-1 A5500 05/07/2007 SAUCONY, INC. PROGRID STABIL LE 4 5275-2 A5500 05/07/2007 SAUCONY, INC. PROGRID STABIL LE 4 5275-4 A5500 05/07/2007 SAUCONY, INC. PROGRID STABIL LE 4 5276-1 A5500 05/07/2007 SAUCONY, INC. PROGRID STABIL LE 4 5276-2 A5500 05/07/2007 SAUCONY, INC. PROGRID STABIL LE 4 5276-4 A5500 05/07/2007 SAUCONY, INC. PROGRID STABIL LE 4 5277-1 A5500 05/07/2007

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

SAUCONY, INC. PROGRID STABIL LE 4 5277-2 A5500 05/07/2007 SAUCONY, INC. PROGRID STABIL LE 4 5277-4 A5500 05/07/2007 DR. COMFORT PROTECTOR PROTECTOR A5500 12/22/2008 ARCH RIVALS PROTECTOR DIABETIC SHOE PR8712 A5500 11/20/2002 ENTERPRISES, LLC ARCH RIVALS PROTECTOR DIABETIC SHOE PR8832 A5500 11/20/2002 ENTERPRISES, LLC ARCH RIVALS PROTECTOR DIABETIC SHOE PR8922 A5500 11/20/2002 ENTERPRISES, LLC P.W. MINOR & SON, PT MISS CONTOUR 1753 A5500 03/07/2003 INC. P.W. MINOR & SON, PT SNAPPY TM (10155, 38255, 10155 A5500 10/23/2003 INC. 48155) P.W. MINOR & SON, PT SNAPPY TM (10155, 38255, 38255 A5500 10/23/2003 INC. 48155) P.W. MINOR & SON, PT SNAPPY TM (10155, 38255, 48155 A5500 10/23/2003 INC. 48155) PROPET USA, INC. PUCKER MOC VELCRO M3925 A5500 04/19/2004 DREW SHOE PULSE 40794 A5500 02/04/2010 CORPORATION HUSH PUPPIES RANDALL H100550 A5500 09/09/2008 HUSH PUPPIES RANDALL H100551 A5500 09/09/2008 DR. COMFORT RANGER RANGER A5500 12/18/2008 P.W. MINOR & SON, RANGER 1999 A5500 11/04/2002 INC. P.W. MINOR & SON, RANGER 3399 A5500 11/04/2002 INC. P.W. MINOR & SON, RANGER 3999 A5500 11/04/2002 INC. DR. ZEN, INC. RAVEN 113-02 A5500 08/17/2004

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

REDWOOD RAYMOND 19518 A5500 05/12/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD RAYMOND 19520 A5500 05/12/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) FOOTWAY, INC. REBECCA W1909V A5500 06/22/2009 SUREFIT, LLC REDWING MEN'S 6'' BOOT 926 A5500 02/13/2006 SUREFIT, LLC REDWING MEN'S 8'' BOOT 938 A5500 02/13/2006 SUREFIT, LLC REDWING WOMEN'S 6'' BOOT 1626 A5500 02/13/2006 REDWOOD REED 17508 A5500 06/06/2007 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD REED 17509 A5500 06/06/2007 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) DR. COMFORT REFRESH REFRESH A5500 02/09/2009 FLA ORTHOPEDICS, RELANO BUCK CASUAL MEN'S R15 A5500 05/05/2006 INC. (A BSN MEDICAL FLA ORTHOPEDICS, RELANO BUCK CASUAL R55 A5500 05/05/2006 INC. (A BSN WOMEN'S MEDICAL FLA ORTHOPEDICS, RELANO FLEXY FREE CASUAL R57 A5500 05/05/2006 INC. (A BSN WOMEN'S MEDICAL FLA ORTHOPEDICS, RELANO GALLERIA WALKER R53 A5500 08/16/2006 INC. (A BSN SHOES MEDICAL

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

FLA ORTHOPEDICS, RELANO MARY JANE R58 A5500 09/20/2007 INC. (A BSN MEDICAL FLA ORTHOPEDICS, RELANO MEN'S R11 A5500 01/20/2009 INC / BSN MEDICAL PERFORMANCE RUNNER INC FLA ORTHOPEDICS, RELANO SOCIALITE DRESS R59 A5500 05/05/2006 INC. (A BSN WOMEN'S MEDICAL FLA ORTHOPEDICS, RELANO TOUR CASUAL R13 A5500 05/05/2006 INC. (A BSN OXFORD MEN'S MEDICAL FLA ORTHOPEDICS, RELANO TRAINER ATHLETIC R10 A5500 05/05/2006 INC. (A BSN MEN'S MEDICAL FLA ORTHOPEDICS, RELANO TRAINER ATHLETIC R50 A5500 05/05/2006 INC. (A BSN WOMEN'S MEDICAL FLA ORTHOPEDICS, RELANO WINDSOR DRESS R19 A5500 05/05/2006 INC. (A BSN OXFORD MEN'S MEDICAL FLA ORTHOPEDICS, RELANO WOMEN'S R51 A5500 01/20/2009 INC / BSN MEDICAL PERFORMANCE RUNNER INC FOOT WORK & RELAX 113 A5500 11/12/2007 D.M.E. P.W. MINOR RELAX 11361 A5500 05/06/2009 P.W. MINOR RELAX 31361 A5500 05/06/2009 P.W. MINOR RELAX 71361 A5500 05/06/2009 P.W. MINOR RELAX STRAP 11362 A5500 05/07/2009 P.W. MINOR RELAX STRAP 31362 A5500 05/07/2009 KLAS SHOES LLC RELAXER 4210309961 A5500 08/13/2009

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

KLAS SHOES, RELEASE 4111401001 A5500 03/22/2010 LLC/SOLACE BRAND REDWOOD RICHARD 353 A5500 11/13/2007 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD RICHMOND 17814 A5500 05/16/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD RICHMOND 17816 A5500 11/08/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) DREW SHOE RIO 47829-14 A5500 06/04/2003 02/20/2008 CORPORATION DREW SHOE RIO 47829-64 A5500 06/04/2003 02/20/2008 CORPORATION DR. COMFORT ROBERT 7101 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT ROBERT 7101 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) DR. COMFORT ROBERT 7202 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT ROBERT 7202 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DR. COMFORT ROBERT 7303 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT ROBERT 7303 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) DR. COMFORT ROBERT 7404 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT ROBERT 7404 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) REDWOOD ROBERT 17505 A5500 05/15/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD ROBERT 17506 A5500 02/20/2008 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) B & S PARTNERS, ROBERTO VILLINI P4016 A5500 07/25/2008 INC. (DBA PILGRIM SHOES) DREW SHOE ROCKFORD 40808-18 A5500 11/06/2009 CORPORATION DREW SHOE ROCKFORD 40808-68 A5500 11/06/2009 CORPORATION DREW SHOE ROCKFORD 40808-9R A5500 11/06/2009 CORPORATION FOOTCARE STORE, ROCKPORT WORLD TOUR A5500 02/13/2006 INC. (DBA DIA- CLASSIC FOOT)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DREW SHOE ROME 18442-17 A5500 06/04/2003 CORPORATION DREW SHOE ROME 18442-75 A5500 06/04/2003 CORPORATION SUREFIT, LLC ROME S116 A5500 08/06/2009 TACSON, INC. (DBA ROME OBLIQUE 5113 A5500 03/14/2006 CROSS COUNTRY FOOTWEAR) TACSON, INC. (DBA ROME-LACE 5028B A5500 02/16/2006 CROSS COUNTRY FOOTWEAR) THERATECH ROMEO - VETERANS BRAND HE-005 A5500 05/09/2005 FOOTWEAR B & S PARTNERS, ROSA P3014 A5500 08/21/2006 INC. (DBA PILGRIM SHOES) KLAS SHOES, LLC ROSEMARY 4211301184 (WHITE SILVER) A5500 08/03/2009 KLAS SHOES, LLC ROSEMARY 4211301001(BLACK) A5500 08/03/2009 DB SHOES, LTD. ROWENA 78022 A5500 05/10/2005 PROPET USA, INC. RUSTIC WALKER M4073BM A5500 06/29/2007 PROPET USA, INC. RUSTIC WALKER M4073BN A5500 06/29/2007 PROPET USA, INC. RUSTIC WALKER M4073BRM A5500 06/29/2007 PROPET USA, INC. RUSTIC WALKER M4073BRN A5500 06/29/2007 PROPET USA, INC. RUSTIC WALKER M4073BRNM A5500 06/29/2007 PROPET USA, INC. RUSTIC WALKER M4073BRNN A5500 06/29/2007 PROPET USA, INC. RUSTIC WALKER M4073BRNX A5500 06/29/2007 PROPET USA, INC. RUSTIC WALKER M4073BRNXX A5500 06/29/2007 PROPET USA, INC. RUSTIC WALKER M4073BX A5500 06/29/2007 PROPET USA, INC. RUSTIC WALKER M4073BXX A5500 06/29/2007

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. RUSTIC WALKER MID M4072BM A5500 07/02/2007 PROPET USA, INC. RUSTIC WALKER MID M4072BN A5500 07/02/2007 PROPET USA, INC. RUSTIC WALKER MID M4072BRM A5500 07/02/2007 PROPET USA, INC. RUSTIC WALKER MID M4072BRN A5500 07/02/2007 PROPET USA, INC. RUSTIC WALKER MID M4072BRNM A5500 07/02/2007 PROPET USA, INC. RUSTIC WALKER MID M4072BRNN A5500 07/02/2007 PROPET USA, INC. RUSTIC WALKER MID M4072BRNX A5500 07/02/2007 PROPET USA, INC. RUSTIC WALKER MID M4072BRNXX A5500 07/02/2007 PROPET USA, INC. RUSTIC WALKER MID M4072BRX A5500 07/02/2007 PROPET USA, INC. RUSTIC WALKER MID M4072BRXX A5500 07/02/2007 PROPET USA, INC. RUSTIC WALKER MID M4072BX A5500 07/02/2007 PROPET USA, INC. RUSTIC WALKER MID M4072BXX A5500 07/02/2007 P.W. MINOR & SON, RX SPECIAL 11193 A5500 11/04/2002 INC. P.W. MINOR & SON, RX SPECIAL II 10173 A5500 11/04/2002 INC. P.W. MINOR & SON, RX SPECIAL II 30173 A5500 11/04/2002 INC. P.W. MINOR & SON, RX SPECIAL II VELCRO 10133 A5500 11/04/2002 INC. P.W. MINOR & SON, RX SPECIAL II VELCRO 30133 A5500 11/04/2002 INC. REDWOOD RYAN 16311 A5500 07/25/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD RYAN 17311 A5500 07/25/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

REDWOOD RYAN 17711 A5500 09/15/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD RYAN 16711 A5500 06/27/2007 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) P.W. MINOR & SON, SABEL OXFORD 11410 A5500 03/07/2003 INC. P.W. MINOR & SON, SABEL SURGICAL BOOT 11408 A5500 03/07/2003 INC. P.W. MINOR & SON, SABEL TIP BOOT 11405 A5500 03/07/2003 INC. DREW SHOE SABRINA 14347-19 A5500 03/23/2004 CORPORATION DREW SHOE SABRINA 14347-69 A5500 03/23/2004 CORPORATION P.W. MINOR SADIE 11740 A5500 11/10/2008 P.W. MINOR SADIE 49740 A5500 11/10/2008 P.W. MINOR SADIE 59740 A5500 11/10/2008 OASIS FOOTWEAR, SALENA C23007 A5500 03/03/2010 LLC OASIS FOOTWEAR, SALENA C24007 A5500 03/03/2010 LLC OASIS FOOTWEAR, SALENA C25007 A5500 03/03/2010 LLC DREW SHOE SALLY 10711-12 A5500 08/08/2002 CORPORATION DREW SHOE SALLY 10747-22 A5500 08/08/2002 CORPORATION DREW SHOE SALLY 10747-39 A5500 08/08/2002 CORPORATION

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DREW SHOE SALLY 10747-42 A5500 08/08/2002 CORPORATION DREW SHOE SALLY 10747-72 A5500 08/08/2002 CORPORATION FOOTWAY, INC. SAMANTHA W3717V A5500 06/22/2009 FOOTWAY, INC. SAMANTHA W3717L A5500 06/22/2009 P.W. MINOR & SON, SAMPSON 1121 A5500 11/04/2002 INC. P.W. MINOR & SON, SAMPSON 3121 A5500 11/04/2002 INC. P.W. MINOR & SON, SAMPSON ST 1120 A5500 03/07/2003 INC. P.W. MINOR & SON, SAMPSON STRAP 1131 A5500 04/17/2008 INC. P.W. MINOR & SON, SAMPSON STRAP 4131 A5500 04/17/2008 INC. P.W. MINOR & SON, SAMPSON VELCRO 1131 A5500 01/23/2006 INC. PROPET USA, INC. SAN JOSE M4203BM A5500 07/17/2008 PROPET USA, INC. SAN JOSE M4203BROM A5500 07/17/2008 PROPET USA, INC. SAN JOSE M4203BROX A5500 07/17/2008 PROPET USA, INC. SAN JOSE M4203BROXX A5500 07/17/2008 PROPET USA, INC. SAN JOSE M4203BX A5500 07/17/2008 PROPET USA, INC. SAN JOSE M4203BXX A5500 07/17/2008 PROPET USA, INC. SAN JOSE M4203NTM A5500 07/17/2008 PROPET USA, INC. SAN JOSE M4203NTX A5500 07/17/2008 PROPET USA, INC. SAN JOSE M4203NTXX A5500 07/17/2008 P.W. MINOR & SON, SANDY 11026 A5500 03/07/2003 INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

P.W. MINOR & SON, SANDY 71026 A5500 03/07/2003 INC. P.W. MINOR & SON, SANDY 91026 A5500 03/07/2003 INC. INSTRIDE SHOES, SANIBEL 2200 A5500 10/24/2005 LLC INSTRIDE SHOES, SANIBEL 2201 A5500 10/24/2005 LLC INSTRIDE SHOES, SANIBEL 2202 A5500 10/24/2005 LLC INSTRIDE SHOES, SANIBEL 2210 A5500 10/24/2005 LLC INSTRIDE SHOES, SANIBEL II LACE 2415 A5500 03/06/2009 LLC INSTRIDE SHOES, SANIBEL II LACE 2400 A5500 03/06/2009 LLC INSTRIDE SHOES, SANIBEL II LACE 2414 A5500 03/06/2009 LLC INSTRIDE SHOES, SANIBEL II LACE 2402 A5500 03/06/2009 LLC INSTRIDE SHOES, SANIBEL II STRAP 24115 A5500 03/06/2009 LLC INSTRIDE SHOES, SANIBEL II STRAP 2410 A5500 03/06/2009 LLC INSTRIDE SHOES, SANIBEL II STRAP 24114 A5500 03/06/2009 LLC INSTRIDE SHOES, SANIBEL II STRAP 2412 A5500 03/06/2009 LLC PROPET USA, INC. SANTA CRUZ M4200BM A5500 03/17/2008 PROPET USA, INC. SANTA CRUZ M4200BROM A5500 03/17/2008 PROPET USA, INC. SANTA CRUZ M4200BROX A5500 03/17/2008 PROPET USA, INC. SANTA CRUZ M4200BROXX A5500 03/17/2008

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. SANTA CRUZ M4200BX A5500 03/17/2008 PROPET USA, INC. SANTA CRUZ M4200BXX A5500 03/17/2008 PROPET USA, INC. SANTA CRUZ M4200NTM A5500 03/17/2008 PROPET USA, INC. SANTA CRUZ M4200NTX A5500 03/17/2008 PROPET USA, INC. SANTA CRUZ M4200NTXX A5500 03/17/2008 P.W. MINOR & SON, SANTA FE 10016 A5500 03/07/2003 INC. P.W. MINOR & SON, SANTA FE 19015 A5500 03/07/2003 INC. SOUTHERN SANTIAGO S166 A5500 08/14/2009 PROSTHETICS SUPPLY INC P.W. MINOR & SON, SARA 11160 A5500 05/17/2004 INC. P.W. MINOR & SON, SARA 13160 A5500 05/17/2004 INC. P.W. MINOR & SON, SARA 31160 A5500 05/17/2004 INC. P.W. MINOR & SON, SARA 33160 A5500 05/17/2004 INC. P.W. MINOR & SON, SARA 71160 A5500 05/17/2004 INC. P.W. MINOR & SON, SARA 91160 A5500 05/17/2004 INC. P.W. MINOR & SON, SARA 93160 A5500 05/17/2004 INC. FEELS GOOD SARATOGA 925 A5500 10/24/2006 FOOTWEAR, LLC FEELS GOOD SARATOGA 975 A5500 10/24/2006 FOOTWEAR, LLC FEELS GOOD SARATOGA 995 A5500 10/24/2006 FOOTWEAR, LLC

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. SARATOGA WALKER M4059 A5500 02/13/2006 FOOTCARE STORE, SAS BOUT TIME A5500 10/19/2006 INC. (DBA DIA- FOOT) FOOTCARE STORE, SAS TAKE TIME A5500 10/20/2006 INC. (DBA DIA- FOOT) P.W. MINOR SASHA 41746 A5500 09/30/2009 P.W. MINOR SASHA 31746 A5500 09/30/2009 P.W. MINOR SASHA 19746 A5500 09/30/2009 P.W. MINOR SASHA 59746 A5500 09/30/2009 P.W. MINOR SASHA 11746 A5500 09/30/2009 KLAS SHOES LLC SATISFY 4210401001 A5500 08/25/2009 KLAS SHOES LLC SATISFY 4210401200 A5500 08/25/2009 KLAS SHOES, LLC SATURN 4110601240 A5500 08/26/2009 KLAS SHOES, LLC SATURN 4110601280 A5500 08/26/2009 KLAS SHOES, LLC SATURN 4110601200 A5500 08/26/2009 KLAS SHOES, LLC SATURN 4110601001 A5500 08/26/2009 FEELS GOOD SAVANNAH 900 A5500 10/24/2006 FOOTWEAR, LLC FEELS GOOD SAVANNAH 950 A5500 10/24/2006 FOOTWEAR, LLC P.W. MINOR & SON, SCANDIA 11092 A5500 03/07/2003 INC. P.W. MINOR & SON, SCANDIA 79092 A5500 03/07/2003 INC. PROPET USA, INC. SCANDIA VELCRO M5015 A5500 08/06/2004

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DR. COMFORT SCOTT 9101 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT SCOTT 9101 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) DR. COMFORT SCOTT 9202 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT SCOTT 9202 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) DR. COMFORT SCOTT 9303 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT SCOTT 9303 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) DR. COMFORT SCOTT 9404 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT SCOTT 9404 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) DUNHAM SEASONAL NAUTICAL MCN410BR A5500 01/02/2008 DUNHAM SEASONAL NAUTICAL MCN410OW A5500 01/02/2008 DREW SHOE SEDONA 10125-12 A5500 11/05/2002 CORPORATION

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DREW SHOE SEDONA 10125-15 A5500 11/05/2002 CORPORATION DREW SHOE SEDONA 10125-65 A5500 11/05/2002 CORPORATION P.W. MINOR & SON, SENATOR 11097 A5500 03/07/2003 INC. REDWOOD SEQUOIA 755 A5500 07/27/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) PROPET USA, INC. SERA WD001BM A5500 06/29/2007 PROPET USA, INC. SERA WD001BW A5500 06/29/2007 PROPET USA, INC. SERA WD001MGM A5500 06/29/2007 PROPET USA, INC. SERA WD001MGW A5500 06/29/2007 PROPET USA, INC. SERA WD001MTM A5500 06/29/2007 PROPET USA, INC. SERA WD001MTW A5500 06/29/2007 PROPET USA, INC. SERA WD001OEM A5500 06/29/2007 PROPET USA, INC. SERA WD001OEW A5500 06/29/2007 PROPET USA, INC. SERENA W2075BM A5500 07/16/2008 PROPET USA, INC. SERENA W2075BN A5500 07/16/2008 PROPET USA, INC. SERENA W2075BOM A5500 07/16/2008 PROPET USA, INC. SERENA W2075BON A5500 07/16/2008 PROPET USA, INC. SERENA W2075BOW A5500 07/16/2008 PROPET USA, INC. SERENA W2075BOX A5500 07/16/2008 PROPET USA, INC. SERENA W2075BOXX A5500 07/16/2008 PROPET USA, INC. SERENA W2075BW A5500 07/16/2008 PROPET USA, INC. SERENA W2075BX A5500 07/16/2008

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 186 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. SERENA W2075BXX A5500 07/16/2008 PROPET USA, INC. SERENA W2075WM A5500 07/16/2008 PROPET USA, INC. SERENA W2075WN A5500 07/16/2008 PROPET USA, INC. SERENA W2075WW A5500 07/16/2008 PROPET USA, INC. SERENA W2075WX A5500 07/16/2008 PROPET USA, INC. SERENA W2075WXX A5500 07/16/2008 P.W. MINOR SERENE 11314 A5500 05/08/2009 P.W. MINOR SERENE 71314 A5500 05/08/2009 P.W. MINOR SERENE 81314 A5500 05/08/2009 COPPI USA, INC. SERGIO 101-01 A5500 01/29/2010 COPPI USA, INC. SERGIO 101-03 A5500 01/29/2010 COPPI USA, INC. SERGIO 101-05 A5500 01/29/2010 COPPI USA, INC. SERGIO 102-01 A5500 01/29/2010 COPPI USA, INC. SERGIO 102-03 A5500 01/29/2010 COPPI USA, INC. SERGIO 102-05 A5500 01/29/2010 B & S PARTNERS, SHARON P3077 A5500 04/16/2009 INC. (DBA PILGRIM SHOES) ONGOING CARE SHUR-FIT DIABETIC SHOES A5500 06/04/2003 SOLUTIONS, INC. P.W. MINOR & SON, SIENNA 11730 A5500 04/17/2008 INC. P.W. MINOR & SON, SIENNA 13730 A5500 04/17/2008 INC. P.W. MINOR & SON, SIENNA 33730 A5500 04/17/2008 INC. P.W. MINOR & SON, SIENNA 53370 A5500 04/17/2008 INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

P.W. MINOR & SON, SIENNA 63730 A5500 04/17/2008 INC. P.W. MINOR & SON, SIENNA 93730 A5500 04/17/2008 INC. THERATECH SIERRA - VETERANS BRAND HE-008 A5500 05/09/2005 FOOTWEAR HASTINGS SHOE SILVER X 110364 A5500 02/13/2006 COMPANY P.W. MINOR & SON, SIMPLICITY (11053, 71053, 11053 A5500 10/23/2003 INC. 91053) P.W. MINOR & SON, SIMPLICITY (11053, 71053, 71053 A5500 10/23/2003 INC. 91053) P.W. MINOR & SON, SIMPLICITY (11053, 71053, 91053 A5500 10/23/2003 INC. 91053) P.W. MINOR & SON, SIR CONTOUR 10199 A5500 03/07/2003 INC. P.W. MINOR & SON, SIR PILLOW BACK 11163 A5500 03/07/2003 INC. P.W. MINOR & SON, SIR PILLOW TOP 1737 A5500 03/07/2003 INC. P.W. MINOR & SON, SIR PRESTO (10104) 10104 A5500 10/23/2003 INC. P.W. MINOR & SON, SIR SNAPEASY 10136 A5500 11/04/2002 INC. P.W. MINOR & SON, SIR TM (THERMOLD) 10215 A5500 11/04/2002 INC. P.W. MINOR & SON, SIR TM (THERMOLD) SD WS 10261 A5500 11/04/2002 INC. P.W. MINOR & SON, SIR TM (THERMOLD) SUPER 10260 A5500 11/04/2002 INC. DEPTH P.W. MINOR & SON, SIR TM (THERMOLD) SUPER 11260 A5500 11/04/2002 INC. DEPTH

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

P.W. MINOR & SON, SIR TM (THERMOLD) SUPER 30260 A5500 11/04/2002 INC. DEPTH P.W. MINOR & SON, SIR TM (THERMOLD) SUPER 59260 A5500 11/04/2002 INC. DEPTH P.W. MINOR & SON, SIR TM (THERMOLD) SUPER 10277 A5500 11/04/2002 INC. DEPTH VELCRO LERNESS SHOE SISSY A5500 02/07/2006 COMPANY KLAS SHOES, LLC SKIPPER 4110001280 (PUTTY) A5500 08/03/2009 KLAS SHOES, LLC SKIPPER 4110001001 (BLACK) A5500 08/03/2009 KLAS SHOES, LLC SKIPPER 4110001200 (BROWN) A5500 08/03/2009 PROPET USA, INC. SLEET WALKER WB008 A5500 05/15/2006 PROPET USA, INC. SMART WALKER WPRX08ABRM A5500 07/19/2007 PROPET USA, INC. SMART WALKER WPRX08ABRW A5500 07/19/2007 PROPET USA, INC. SMART WALKER WPRX08ABRX A5500 07/19/2007 PROPET USA, INC. SMART WALKER WPRX08ABRXX A5500 07/19/2007 PROPET USA, INC. SMART WALKER WPRX08BAM A5500 07/19/2007 PROPET USA, INC. SMART WALKER WPRX08BAW A5500 07/19/2007 PROPET USA, INC. SMART WALKER WPRX08BAX A5500 07/19/2007 PROPET USA, INC. SMART WALKER WPRX08BAXX A5500 07/19/2007 PROPET USA, INC. SMART WALKER WPRX08TM A5500 07/19/2007 PROPET USA, INC. SMART WALKER WPRX08TW A5500 07/19/2007 PROPET USA, INC. SMART WALKER WPRX08TX A5500 07/19/2007 PROPET USA, INC. SMART WALKER WPRX08TXX A5500 07/19/2007 PROPET USA, INC. SMART WALKER MPRX08BAM A5500 07/09/2007 PROPET USA, INC. SMART WALKER MPRX08BAX A5500 07/09/2007

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. SMART WALKER MPRX08BAXX A5500 07/09/2007 PROPET USA, INC. SMART WALKER MPRX08TM A5500 07/09/2007 PROPET USA, INC. SMART WALKER MPRX08TX A5500 07/09/2007 PROPET USA, INC. SMART WALKER MPRX08TXX A5500 07/09/2007 P.W. MINOR & SON, SNAPPY 19155 A5500 09/30/2002 INC. P.W. MINOR & SON, SNAPPY 40155 A5500 09/30/2002 INC. P.W. MINOR & SON, SNAPPY 72155 A5500 09/30/2002 INC. PROPET USA, INC. SNOW WALKER WB006 A5500 05/15/2006 PROPET USA, INC. SNOWDRIFT WALKER WB023 A5500 03/18/2009 FEELS GOOD SOFTEK ATHLETIC 501 A5500 05/31/2007 FOOTWEAR, LLC FEELS GOOD SOFTEK ATHLETIC 526 A5500 05/31/2007 FOOTWEAR, LLC FEELS GOOD SOFTEK ATHLETIC 551 A5500 05/31/2007 FOOTWEAR, LLC FEELS GOOD SOFTEK ATHLETIC 576 A5500 05/31/2007 FOOTWEAR, LLC FEELS GOOD SOFTEK ATHLETIC 901 A5500 05/31/2007 FOOTWEAR, LLC FEELS GOOD SOFTEK ATHLETIC 926 A5500 05/31/2007 FOOTWEAR, LLC FEELS GOOD SOFTEK ATHLETIC 951 A5500 05/31/2007 FOOTWEAR, LLC FEELS GOOD SOFTEK ATHLETIC 976 A5500 05/31/2007 FOOTWEAR, LLC PROPET USA, INC. SOFTLITE WALKER W1016BROM A5500 09/20/2007 PROPET USA, INC. SOFTLITE WALKER W1016BROW A5500 09/20/2007

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. SOFTLITE WALKER W1016BROX A5500 09/20/2007 PROPET USA, INC. SOFTLITE WALKER W1016WBLM A5500 09/20/2007 PROPET USA, INC. SOFTLITE WALKER W1016WBLW A5500 09/20/2007 PROPET USA, INC. SOFTLITE WALKER W1016WBLX A5500 09/20/2007 PROPET USA, INC. SOFTLITE WALKER W1016WLMM A5500 09/20/2007 PROPET USA, INC. SOFTLITE WALKER W1016WLMW A5500 09/20/2007 PROPET USA, INC. SOFTLITE WALKER W1016WLMX A5500 09/20/2007 FOOTCARE STORE, SOFTSPOTS DAYTONA A5500 10/23/2006 INC. (DBA DIA- SUPREME VELCRO FOOT) FOOTCARE STORE, SOFTSPOTS GRAND PRIX A5500 10/24/2006 INC. (DBA DIA- SUPREME LACE FOOT) FOOTCARE STORE, SOFTSPOTS MARATHON A5500 10/19/2006 INC. (DBA DIA- SUPREME WALKER LACE FOOT) FOOTCARE STORE, SOFTSPOTS VERTEX A5500 10/23/2006 INC. (DBA DIA- SUPREME VELCRO FOOT) INSTRIDE, LLC SOFTSTEP 1003 A5500 06/11/2004 INSTRIDE, LLC SOFTSTEP 1004 A5500 06/11/2004 INSTRIDE, LLC SOFTSTEP 1005 A5500 06/11/2004 INSTRIDE, LLC SOFTSTEP 1006 A5500 06/11/2004 P.W. MINOR & SON, SOHO 11398 A5500 06/14/2006 INC. P.W. MINOR & SON, SOHO 32398 A5500 06/14/2006 INC. P.W. MINOR & SON, SOHO 51398 A5500 06/14/2006 INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

P.W. MINOR & SON, SOHO 71398 A5500 06/14/2006 INC. P.W. MINOR & SON, SOHO 93398 A5500 06/14/2006 INC. PROPET USA, INC. SOHO WALKER W4601 A5500 05/15/2006 ETONIC SOJOURN DRX131 A5500 11/17/2003 WORLDWIDE LLC ETONIC SOJOURN DRX132 A5500 11/17/2003 WORLDWIDE LLC ETONIC SOJOURN DRX221 A5500 11/17/2003 WORLDWIDE LLC ETONIC SOJOURN DRX222 A5500 11/17/2003 WORLDWIDE LLC INSTRIDE SHOES, SOJOURN 131 A5500 10/25/2005 LLC INSTRIDE SHOES, SOJOURN 221 A5500 10/25/2005 LLC INSTRIDE SHOES, SOJOURN 222 A5500 10/25/2005 LLC INSTRIDE SHOES, SOJOURN 224 A5500 10/25/2005 LLC DREW SHOE SONIA 10477-68 A5500 06/04/2003 CORPORATION KLAS SHOES, SOOTHE 4212301001 A5500 03/22/2010 LLC/SOLACE BRAND DREW SHOE SOPHIA 10133-12 A5500 09/24/2003 CORPORATION REDWOOD SOPHIA 48990 A5500 05/12/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

REDWOOD SOPHIA 48991 A5500 05/12/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD SOPHIA 48992 A5500 05/12/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD SOPHIA 48993 A5500 05/12/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD SOPHIA 48989 A5500 11/08/2007 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD SOPHIA 48988 A5500 02/20/2008 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) PROPET USA, INC. SOPHIE W1019BGM A5500 04/08/2008 PROPET USA, INC. SOPHIE W1019BGW A5500 04/08/2008 PROPET USA, INC. SOPHIE W1019BGX A5500 04/08/2008 PROPET USA, INC. SOPHIE W1019BROM A5500 04/08/2008 PROPET USA, INC. SOPHIE W1019BROW A5500 04/08/2008 PROPET USA, INC. SOPHIE W1019BROX A5500 04/08/2008 PROPET USA, INC. SOPHIE W1019NGM A5500 04/08/2008 PROPET USA, INC. SOPHIE W1019NGW A5500 04/08/2008 PROPET USA, INC. SOPHIE W1019NGX A5500 04/08/2008

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DR. COMFORT SPIRIT A5500 11/16/2007 (RIKCO INTERNATIONAL, LLC) STANDING SPIRIT 72100-14 A5500 06/04/2007 COMFORT STANDING SPIRIT 72100-22 A5500 06/04/2007 COMFORT P.W. MINOR & SON, SPIRIT FOR MEN 11950 A5500 10/25/2005 INC. P.W. MINOR & SON, SPIRIT FOR MEN 11951 A5500 10/25/2005 INC. DR. COMFORT SPIRIT PLUS A5500 11/16/2007 (RIKCO INTERNATIONAL, LLC) DR. ZEN, INC. SPORT 198-01 A5500 11/20/2003 P.W. MINOR & SON, SPORT 93032 A5500 03/07/2003 INC. DR. ZEN, INC. SPORT II 398-01 A5500 08/17/2004 DR. ZEN, INC. SPORT II 398-02 A5500 08/17/2004 DR. ZEN, INC. SPORT II 398-03 A5500 08/17/2004 DR. ZEN, INC. SPORT II 498-01 A5500 08/17/2004 DR. ZEN, INC. SPORT II 498-02 A5500 08/17/2004 DR. ZEN, INC. SPORT II 498-03 A5500 08/17/2004 P.W. MINOR & SON, SPORT II 11197 A5500 03/07/2003 INC. P.W. MINOR & SON, SPORT II 81197 A5500 03/07/2003 INC. DREW SHOE SPORT TEE 14771-12 A5500 05/02/2002 CORPORATION

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DREW SHOE SPORT TEE 14771-15 A5500 05/02/2002 CORPORATION DREW SHOE SPORT TEE 14771-22 A5500 05/02/2002 CORPORATION DREW SHOE SPORT TEE 14771-34 A5500 05/02/2002 CORPORATION DREW SHOE SPORT TEE 14771-75 A5500 05/02/2002 CORPORATION FEELS GOOD SPORTY JANE 1100 A5500 04/05/2007 FOOTWEAR, LLC FEELS GOOD SPORTY JANE 1300 A5500 04/05/2007 FOOTWEAR, LLC STANDING SPRING 62500-12 A5500 12/18/2007 COMFORT STANDING SPRING 62500-22 A5500 12/18/2007 COMFORT PROPET USA, INC. SPRINGLITEWALKER W1001BM A5500 06/28/2007 PROPET USA, INC. SPRINGLITEWALKER W1001BN A5500 06/28/2007 PROPET USA, INC. SPRINGLITEWALKER W1001BW A5500 06/28/2007 PROPET USA, INC. SPRINGLITEWALKER W1001BX A5500 06/28/2007 PROPET USA, INC. SPRINGLITEWALKER W1001PMM A5500 06/28/2007 PROPET USA, INC. SPRINGLITEWALKER W1001PMN A5500 06/28/2007 PROPET USA, INC. SPRINGLITEWALKER W1001PMW A5500 06/28/2007 PROPET USA, INC. SPRINGLITEWALKER W1001PMX A5500 06/28/2007 P.W. MINOR & SON, SPRINT 11120 A5500 03/07/2003 INC. P.W. MINOR & SON, SPRINT 71120 A5500 03/07/2003 INC. P.W. MINOR & SON, SPRINT 91120 A5500 03/07/2003 INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. SPRINTWALKER M2038 A5500 10/05/2005 PROPET USA, INC. SPRINTWALKER W2038 A5500 10/05/2005 PROPET USA, INC. SPRITE WALKER W3867 A5500 02/13/2006 PROPET USA, INC. SQUALL WALKER WB024 A5500 03/18/2009 P.W. MINOR & SON, SQUARE DANCER 10149 A5500 03/07/2003 INC. P.W. MINOR & SON, SQUARE DANCER 40149 A5500 03/07/2003 INC. JOOJOO SS-0727 A5500 11/14/2006 INTERNATIONAL CORPORATION PROPET USA, INC. STABILITY WALKER M2034 A5500 04/19/2004 PROPET USA, INC. STABILITY WALKER W2034 A5500 08/06/2004 PROPET USA, INC. STABILITY WALKER W2034 A5500 08/06/2004 ETONIC STABLE PRO III ER1036 A5500 05/24/2002 WORLDWIDE LLC ETONIC STABLE PRO III ER1040 A5500 05/24/2002 WORLDWIDE LLC ETONIC STABLE PRO III ER1041 A5500 05/24/2002 WORLDWIDE LLC ETONIC STABLE PRO III ER5024 A5500 05/24/2002 WORLDWIDE LLC ETONIC STABLE PRO III ER5041 A5500 05/24/2002 WORLDWIDE LLC ETONIC STABLE PRO III LEATHER ER1047 A5500 05/24/2002 WORLDWIDE LLC ETONIC STABLE PRO III LEATHER ER1048 A5500 05/24/2002 WORLDWIDE LLC ETONIC STABLE PRO III LEATHER ER5047 A5500 05/24/2002 WORLDWIDE LLC

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

ETONIC STABLE PRO III LEATHER ER5048 A5500 05/24/2002 WORLDWIDE LLC DR. COMFORT STALLION 8101 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT STALLION 8101 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) DR. COMFORT STALLION 8202 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT STALLION 8202 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) DR. COMFORT STALLION 8303 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT STALLION 8303 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) HUSH PUPPIES STAMINA H11582 A5500 07/28/2009 HUSH PUPPIES STAMINA H11583 A5500 07/28/2009 HUSH PUPPIES STAMINA H11584 A5500 07/28/2009 REDWOOD STANFORD 466 A5500 07/25/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

REDWOOD STANFORD 467 A5500 07/25/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) PROPET USA, INC. STARLITE WALKER W1000 A5500 05/15/2006 PROPET USA, INC. STEADY WALKER W2047AWFBM A5500 09/20/2007 PROPET USA, INC. STEADY WALKER W2047AWFBN A5500 09/20/2007 PROPET USA, INC. STEADY WALKER W2047AWFBW A5500 09/20/2007 PROPET USA, INC. STEADY WALKER W2047AWFBX A5500 09/20/2007 PROPET USA, INC. STEADY WALKER W2047AWFBXX A5500 09/20/2007 PROPET USA, INC. STEADY WALKER W2047AWPRM A5500 09/20/2007 PROPET USA, INC. STEADY WALKER W2047AWPRN A5500 09/20/2007 PROPET USA, INC. STEADY WALKER W2047AWPRW A5500 09/20/2007 PROPET USA, INC. STEADY WALKER W2047AWPRX A5500 09/20/2007 PROPET USA, INC. STEADY WALKER W2047AWPRXX A5500 09/20/2007 REDWOOD STEFANI 38203 A5500 08/04/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD STEFANI 38204 A5500 08/04/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD STEFANI 38205 A5500 08/04/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) DR. ZEN INC STELLA 855-01 A5500 11/18/2008 DR. ZEN INC STELLA 855-02 A5500 11/18/2008 DR. ZEN INC STELLA 855-03 A5500 11/18/2008

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DREW SHOE STELLA 14750-12 A5500 09/24/2003 CORPORATION DREW SHOE STELLA 14750-68 A5500 09/24/2003 CORPORATION DREW SHOE STEP UP 14493-12 A5500 03/31/2005 CORPORATION DR. ZEN INC STORM 555-01 A5500 11/12/2008 DR. ZEN INC STORM 555-02 A5500 11/12/2008 DR. ZEN INC STORM 555-03 A5500 11/12/2008 PROPET USA, INC. STORMLITE WALKER MF003BM A5500 09/20/2007 PROPET USA, INC. STORMLITE WALKER MF003BRBM A5500 09/20/2007 PROPET USA, INC. STORMLITE WALKER MF003BRBX A5500 09/20/2007 PROPET USA, INC. STORMLITE WALKER MF003BRBXX A5500 09/20/2007 PROPET USA, INC. STORMLITE WALKER MF003BX A5500 09/20/2007 PROPET USA, INC. STORMLITE WALKER MF003BXX A5500 09/20/2007 ORTHOFEET, INC. STRAP & LACE SNEAKER - 921 A5500 03/11/2009 BLACK ORTHOFEET, INC. STRAP & LACE SNEAKER - 621 A5500 03/11/2009 BLACK ORTHOFEET, INC. STRAP & LACE SNEAKER - 920 A5500 03/11/2009 WHITE ORTHOFEET INC. STRAP AND LACE SNEAKER 620 A5500 12/26/2008 HUSH PUPPIES STRATEGY H10706 A5500 07/28/2009 HUSH PUPPIES STRATEGY H10707 A5500 07/28/2009 HUSH PUPPIES STRATEGY H10708 A5500 07/28/2009 HUSH PUPPIES STRATEGY H10709 A5500 07/28/2009 PEDORS SHOES STRETCH WALKER LACE 900 A5500 03/12/2007 CLOSURE

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PEDORS SHOES STRETCH WALKER LACE 901 A5500 03/12/2007 CLOSURE PEDORS SHOES STRETCH WALKER TOUCH 800 A5500 03/12/2007 CLOSURE PEDORS SHOES STRETCH WALKER TOUCH 801 A5500 03/12/2007 CLOSURE FEELS GOOD STRIDE 500 A5500 10/24/2006 FOOTWEAR, LLC FEELS GOOD STRIDE 545 A5500 10/24/2006 FOOTWEAR, LLC FEELS GOOD STRIDE 550 A5500 10/24/2006 FOOTWEAR, LLC P.W. MINOR & SON, STRIDE 1957 A5500 11/04/2002 INC. P.W. MINOR & SON, STRIDE 3357 A5500 11/04/2002 INC. P.W. MINOR & SON, STRIDE 7957 A5500 11/04/2002 INC. P.W. MINOR & SON, STRIDE 9357 A5500 11/04/2002 INC. STANDING STRIDE 72600-14 A5500 12/13/2007 COMFORT STANDING STRIDE 72600-22 A5500 12/13/2007 COMFORT MEDICAL STRIDE LITE DIABETIC SHOES 101-01 A5500 06/11/2004 RESOURCES LTD MEDICAL STRIDE LITE DIABETIC SHOES 101-02 A5500 06/11/2004 RESOURCES LTD MEDICAL STRIDE LITE DIABETIC SHOES 101-03 A5500 06/11/2004 RESOURCES LTD MEDICAL STRIDE LITE DIABETIC SHOES 100-01 A5500 06/11/2004 RESOURCES LTD

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

MEDICAL STRIDE LITE DIABETIC SHOES 100-02 A5500 06/11/2004 RESOURCES LTD MEDICAL STRIDE LITE DIABETIC SHOES 100-03 A5500 06/11/2004 RESOURCES LTD MEDICAL STRIDE LITE DIABETIC SHOES 400-01 A5500 06/11/2004 RESOURCES LTD MEDICAL STRIDE LITE DIABETIC SHOES 600-03 A5500 06/11/2004 RESOURCES LTD MEDICAL STRIDE LITE DIABETIC SHOES 700-02 A5500 06/11/2004 RESOURCES LTD MEDICAL STRIDE LITE DIABETIC SHOES 410-01 A5500 06/11/2004 RESOURCES LTD MEDICAL STRIDE LITE DIABETIC SHOES 601-03 A5500 06/11/2004 RESOURCES LTD DREW SHOE STROLLER II 10901-16 A5500 03/23/2004 CORPORATION DREW SHOE STROLLER II 10901-86 A5500 03/23/2004 CORPORATION NOBILE STUART A5500 04/11/2005 CONSULTING USA, LLC (DBA NATURAL STEP SHOES) PROPET USA, INC. SUBURBAN WALKER W4513 A5500 05/15/2006 PROPET USA, INC. SUMMER WALKER W3920 A5500 04/19/2004 PROPET USA, INC. SUMMERLITE WALKER M1015BAM A5500 07/02/2007 PROPET USA, INC. SUMMERLITE WALKER M1015BAX A5500 07/02/2007 PROPET USA, INC. SUMMERLITE WALKER M1015BAXX A5500 07/02/2007 PROPET USA, INC. SUMMERLITE WALKER M1015IRM A5500 07/02/2007 PROPET USA, INC. SUMMERLITE WALKER M1015IRX A5500 07/02/2007 PROPET USA, INC. SUMMERLITE WALKER M1015IRXX A5500 07/02/2007

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 201 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. SUMMERLITE WALKER M1015TEM A5500 07/02/2007 PROPET USA, INC. SUMMERLITE WALKER M1015TEX A5500 07/02/2007 PROPET USA, INC. SUMMERLITE WALKER M1015TEXX A5500 07/02/2007 P.W. MINOR & SON, SUMMIT 1167 A5500 03/07/2003 INC. P.W. MINOR & SON, SUMMIT 4167 A5500 03/07/2003 INC. PROPET USA, INC. SUNLITEWALKER W1011BM A5500 06/29/2007 PROPET USA, INC. SUNLITEWALKER W1011BOM A5500 06/29/2007 PROPET USA, INC. SUNLITEWALKER W1011BON A5500 06/29/2007 PROPET USA, INC. SUNLITEWALKER W1011BOW A5500 06/29/2007 PROPET USA, INC. SUNLITEWALKER W1011BOX A5500 06/29/2007 PROPET USA, INC. SUNLITEWALKER W1011BW A5500 06/29/2007 PROPET USA, INC. SUNLITEWALKER W1011BX A5500 06/29/2007 PROPET USA, INC. SUNLITEWALKER W1011RBM A5500 06/29/2007 PROPET USA, INC. SUNLITEWALKER W1011RBW A5500 06/29/2007 PROPET USA, INC. SUNLITEWALKER W1011RBX A5500 06/29/2007 PROPET USA, INC. SUNLITEWALKER W1011WM A5500 06/29/2007 PROPET USA, INC. SUNLITEWALKER W1011WN A5500 06/29/2007 PROPET USA, INC. SUNLITEWALKER W1011WW A5500 06/29/2007 PROPET USA, INC. SUNLITEWALKER W1011WX A5500 06/29/2007 REDWOOD SUNRISE 20504 A5500 05/01/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

REDWOOD SUNRISE 20505 A5500 05/01/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD SUNRISE 17504 A5500 05/15/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD SUNRISE 17530 A5500 05/15/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD SUNRISE 20730 A5500 05/15/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) SUNRISE SUNRISE QI FRONTRUNNER - C704-S101-01 A5500 03/01/2007 INTERNATIONAL LACE HOLDING GROUP SUNRISE SUNRISE QI FRONTRUNNER - C704-S101-03 A5500 03/01/2007 INTERNATIONAL LACE HOLDING GROUP SUNRISE SUNRISE QI FRONTRUNNER - C704-S101-05 A5500 03/01/2007 INTERNATIONAL LACE HOLDING GROUP SUNRISE SUNRISE QI FRONTRUNNER - C704-S101-06 A5500 03/01/2007 INTERNATIONAL LACE HOLDING GROUP SUNRISE SUNRISE QI FRONTRUNNER - C704-S201-01 A5500 03/01/2007 INTERNATIONAL LACE HOLDING GROUP SUNRISE SUNRISE QI FRONTRUNNER - C704-S201-03 A5500 03/01/2007 INTERNATIONAL LACE HOLDING GROUP SUNRISE SUNRISE QI FRONTRUNNER - C704-S201-04 A5500 03/01/2007 INTERNATIONAL LACE HOLDING GROUP

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

SUNRISE SUNRISE QI FRONTRUNNER - C704-S201-05 A5500 03/01/2007 INTERNATIONAL LACE HOLDING GROUP SUNRISE SUNRISE QI FRONTRUNNER - C704-S201-06 A5500 03/01/2007 INTERNATIONAL LACE HOLDING GROUP SUNRISE SUNRISE QI FRONTRUNNER - C704-S102-01 A5500 03/01/2007 INTERNATIONAL VELCRO HOLDING GROUP SUNRISE SUNRISE QI FRONTRUNNER - C704-S102-03 A5500 03/01/2007 INTERNATIONAL VELCRO HOLDING GROUP SUNRISE SUNRISE QI FRONTRUNNER - C704-S202-01 A5500 03/01/2007 INTERNATIONAL VELCRO HOLDING GROUP SUNRISE SUNRISE QI FRONTRUNNER - C704-S202-02 A5500 03/01/2007 INTERNATIONAL VELCRO HOLDING GROUP SUNRISE SUNRISE QI FRONTRUNNER - C704-S202-03 A5500 03/01/2007 INTERNATIONAL VELCRO HOLDING GROUP P.W. MINOR & SON, SUPER X 10076 A5500 03/07/2003 INC. P.W. MINOR & SON, SUPER X 11076 A5500 03/07/2003 INC. SOFFT SHOE SUPREMES CHALLENGER 354701 A5500 07/24/2006 COMPANY, INC. SOFFT SHOE SUPREMES CHALLENGER 354704 A5500 07/24/2006 COMPANY, INC. SOFFT SHOE SUPREMES CHALLENGER 354706 A5500 07/24/2006 COMPANY, INC. SOFFT SHOE SUPREMES CHALLENGER 354714 A5500 07/24/2006 COMPANY, INC. SOFFT SHOE SUPREMES DAYTONA 353500 A5500 07/24/2006 COMPANY, INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

SOFFT SHOE SUPREMES DAYTONA 353501 A5500 07/24/2006 COMPANY, INC. SOFFT SHOE SUPREMES DAYTONA 353503 A5500 07/24/2006 COMPANY, INC. SOFFT SHOE SUPREMES EXPRESS 321501 A5500 07/24/2006 COMPANY, INC. SOFFT SHOE SUPREMES EXPRESS 321504 A5500 07/24/2006 COMPANY, INC. SOFFT SHOE SUPREMES EXPRESS 321506 A5500 07/24/2006 COMPANY, INC. SOFFT SHOE SUPREMES GRANDPRIX 350000 A5500 07/24/2006 COMPANY, INC. SOFFT SHOE SUPREMES GRANDPRIX 350001 A5500 07/24/2006 COMPANY, INC. SOFFT SHOE SUPREMES GRANDPRIX 350003 A5500 07/24/2006 COMPANY, INC. SOFFT SHOE SUPREMES JASPER 321001 A5500 07/24/2006 COMPANY, INC. SOFFT SHOE SUPREMES JASPER 321004 A5500 07/24/2006 COMPANY, INC. SOFFT SHOE SUPREMES JASPER 321006 A5500 07/24/2006 COMPANY, INC. SOFFT SHOE SUPREMES JASPER 321014 A5500 07/24/2006 COMPANY, INC. SOFFT SHOE SUPREMES MARATHON 122401 A5500 07/24/2006 COMPANY, INC. SOFFT SHOE SUPREMES MARATHON 122403 A5500 07/24/2006 COMPANY, INC. SOFFT SHOE SUPREMES MARATHON 122404 A5500 07/24/2006 COMPANY, INC. SOFFT SHOE SUPREMES MARATHON 122406 A5500 07/24/2006 COMPANY, INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

SOFFT SHOE SUPREMES MARATHON II 321301 A5500 07/24/2006 COMPANY, INC. SOFFT SHOE SUPREMES MARATHON II 321304 A5500 07/24/2006 COMPANY, INC. SOFFT SHOE SUPREMES MARATHON II 321306 A5500 07/24/2006 COMPANY, INC. SOFFT SHOE SUPREMES MARATHON II 321320 A5500 07/24/2006 COMPANY, INC. SOFFT SHOE SUPREMES VERTEX 315601 A5500 07/24/2006 COMPANY, INC. SOFFT SHOE SUPREMES VERTEX 315603 A5500 07/24/2006 COMPANY, INC. SOFFT SHOE SUPREMES VERTEX 315604 A5500 07/24/2006 COMPANY, INC. SOFFT SHOE SUPREMES VERTEX 315606 A5500 07/24/2006 COMPANY, INC. PROPET USA, INC. SUREGRIP WSR001B A5500 08/28/2007 PROPET USA, INC. SUREGRIP WSR001W A5500 08/28/2007 INSTRIDE, LLC SURESTEP 1001 A5500 06/11/2004 INSTRIDE, LLC SURESTEP 1002 A5500 06/11/2004 DREW SHOE SURGE 40760-19 A5500 07/30/2008 CORPORATION DREW SHOE SURGE 40760-21 A5500 07/30/2008 CORPORATION DREW SHOE SURGE 40760-43 A5500 07/30/2008 CORPORATION B & S PARTNERS, SUZANNE P3124 A5500 09/02/2009 INC. (DBA PILGRIM SHOES) SOUTHERN SYDNEY S636 A5500 08/20/2009 PROSTHETICS SUPPLY INC

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

BROOKS SPORTS, SYNERGY 2 MEN'S 11026001 A5500 06/11/2004 INC. BROOKS SPORTS, SYNERGY 2 MEN'S 11026111 A5500 06/11/2004 INC. BROOKS SPORTS, SYNERGY 2 MEN'S 11026221 A5500 06/11/2004 INC. BROOKS SPORTS, SYNERGY 2 MEN'S 11029001 A5500 06/11/2004 INC. BROOKS SPORTS, SYNERGY 2 MEN'S 11029111 A5500 06/11/2004 INC. BROOKS SPORTS, SYNERGY 2 MEN'S 11029221 A5500 06/11/2004 INC. BROOKS SPORTS, SYNERGY 2 MEN'S 11030001 A5500 06/11/2004 INC. BROOKS SPORTS, SYNERGY 2 MEN'S 11030111 A5500 06/11/2004 INC. BROOKS SPORTS, SYNERGY 2 MEN'S 11030221 A5500 06/11/2004 INC. BROOKS SPORTS, SYNERGY 2 WOMENS 11026221 A5500 06/11/2004 INC. BROOKS SPORTS, SYNERGY 2 WOMENS 11027221 A5500 06/11/2004 INC. BROOKS SPORTS, SYNERGY 2 WOMENS 12026001 A5500 06/11/2004 INC. BROOKS SPORTS, SYNERGY 2 WOMENS 12026111 A5500 06/11/2004 INC. BROOKS SPORTS, SYNERGY 2 WOMENS 12027001 A5500 06/11/2004 INC. BROOKS SPORTS, SYNERGY 2 WOMENS 12027111 A5500 06/11/2004 INC. BROOKS SPORTS, SYNERGY 2 WOMENS 12028001 A5500 06/11/2004 INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

BROOKS SPORTS, SYNERGY 2 WOMENS 12028111 A5500 06/11/2004 INC. BROOKS SPORTS, SYNERGY 2 WOMENS 12028221 A5500 06/11/2004 INC. BROOKS SPORTS, SYNERGY 2 WOMENS 12029001 A5500 06/11/2004 INC. BROOKS SPORTS, SYNERGY 2 WOMENS 12029111 A5500 06/11/2004 INC. BROOKS SPORTS, SYNERGY 2 WOMENS 12029221 A5500 06/11/2004 INC. ETONIC T.A. X-2 DRX330 A5500 06/08/2004 WORLDWIDE LLC ETONIC T.A. X-2 DRX331 A5500 06/08/2004 WORLDWIDE LLC ETONIC T.A. X-2 DRX332 A5500 06/08/2004 WORLDWIDE LLC ETONIC T.A. X-2 DRX340 A5500 06/08/2004 WORLDWIDE LLC ETONIC T.A. X-2 DRX341 A5500 06/08/2004 WORLDWIDE LLC ETONIC T.A. X-2 DRX342 A5500 06/08/2004 WORLDWIDE LLC ETONIC T.A. X-2 DRX830 A5500 06/08/2004 WORLDWIDE LLC ETONIC T.A. X-2 DRX831 A5500 06/08/2004 WORLDWIDE LLC ETONIC T.A. X-2 DRX832 A5500 06/08/2004 WORLDWIDE LLC ETONIC T.A. X-2 DRX840 A5500 06/08/2004 WORLDWIDE LLC ETONIC T.A. X-2 DRX841 A5500 06/08/2004 WORLDWIDE LLC

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

ETONIC T.A. X-2 DRX842 A5500 06/08/2004 WORLDWIDE LLC PEDORS SHOES T2 ROCKER WALKER T2RW A5500 03/12/2007 THERATECH TANGO - VETERANS BRAND HE-007 A5500 05/09/2005 FOOTWEAR B & S PARTNERS, TANYA P3106 A5500 04/01/2008 INC. (DBA PILGRIM SHOES) B & S PARTNERS, TEAM M5002 A5500 04/01/2008 INC. (DBA PILGRIM SHOES) P.W. MINOR TEMPO 85552 A5500 10/01/2009 P.W. MINOR TEMPO 82552 A5500 10/01/2009 P.W. MINOR TEMPO 99552 A5500 10/01/2009 P.W. MINOR TEMPO 39552 A5500 10/01/2009 MFG. DE CALZADO TERAPIE 112 JULI A5500 04/15/2009 SAN RAFAEL MFG. DE CALZADO TERAPIE 113 ELDA A5500 04/15/2009 SAN RAFAEL MFG. DE CALZADO TERAPIE 222 MADDO A5500 04/15/2009 SAN RAFAEL MFG. DE CALZADO TERAPIE 223 BELTRAN A5500 04/15/2009 SAN RAFAEL DREW SHOE TERRI 14354-12 A5500 08/23/2004 CORPORATION DREW SHOE TERRI 14354-78 A5500 08/23/2004 CORPORATION DR. 2 SHOES, INC THERAPEUTIC DIABETIC DR 5802 A5500 09/10/2008 09/11/2008 DR. 2 SHOES, INC THERAPEUTIC DIABETIC DR 5803 A5500 09/10/2008 09/11/2008

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PREFERRED THERAPEUTIC DIABETIC DR5801 A5500 09/12/2008 MEDICAL SUPPLY COMPANY, INC. PREFERRED THERAPEUTIC DIABETIC DR5802 A5500 09/12/2008 MEDICAL SUPPLY COMPANY, INC. PREFERRED THERAPEUTIC DIABETIC DR5803 A5500 09/12/2008 MEDICAL SUPPLY COMPANY, INC. POWERSOURCE THERAPEUTIC SHOE FOR TSD01 A5500 03/13/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR TSD02 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR TSD03 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR TSD04 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR TSD05 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR CZTSD06 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR CZTSD07 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR CZTSD08 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR CZTSD09 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

POWERSOURCE THERAPEUTIC SHOE FOR CZTSD10 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR CZTSD11 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR CZTSD12 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR CZTSD13 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR AHTSD14 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR AHTSD15 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR AHTSD16 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR AHTSD17 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR ALTSD18 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR ALTSD19 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR ALTSD20 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR ALTSD21 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

POWERSOURCE THERAPEUTIC SHOE FOR CATSD22 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR CATSD23 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR MPTSD24 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR OSTLDWSD25 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR ERTSD26 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR ERTSD27 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR ERTSD28 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR ERTSD29 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. POWERSOURCE THERAPEUTIC SHOE FOR GOLFTSD30 A5500 03/27/2006 ATHLETIC DIABETICS FOOTWEAR, INC. PREFERRED THERAPEUTIC SHOES DR-2020V A5500 11/24/2009 MEDICAL SUPPLY COMPANY INC/DR. 2 SHOES PREFERRED THERAPEUTIC SHOES DR-5000A A5500 11/24/2009 MEDICAL SUPPLY COMPANY INC/DR. 2 SHOES

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PREFERRED THERAPEUTIC SHOES DR-9000A A5500 11/24/2009 MEDICAL SUPPLY COMPANY INC/DR. 2 SHOES PREFERRED THERAPEUTIC SHOES DR-2000A A5500 11/24/2009 MEDICAL SUPPLY COMPANY INC/DR. 2 SHOES DREW SHOE THUNDER 40783-02 A5500 02/02/2007 CORPORATION DREW SHOE THUNDER 40783-19 A5500 02/02/2007 CORPORATION DREW SHOE THUNDER VELCRO 44862-02 A5500 02/01/2007 CORPORATION DREW SHOE THUNDER VELCRO 44862-19 A5500 02/01/2007 CORPORATION P.W. MINOR TIA 41750 A5500 09/30/2009 P.W. MINOR TIA 51750 A5500 09/30/2009 P.W. MINOR TIA 11750 A5500 09/30/2009 PROPET USA, INC. TIDEWATER WALKER W3872WBLM A5500 07/02/2007 PROPET USA, INC. TIDEWATER WALKER W3872WBLN A5500 07/02/2007 PROPET USA, INC. TIDEWATER WALKER W3872WBLW A5500 07/02/2007 PROPET USA, INC. TIDEWATER WALKER W3872WBLX A5500 07/02/2007 PROPET USA, INC. TIDEWATER WALKER W3872WFGRM A5500 07/02/2007 PROPET USA, INC. TIDEWATER WALKER W3872WFGRW A5500 07/02/2007 PROPET USA, INC. TIDEWATER WALKER W3872WFGRX A5500 07/02/2007 PROPET USA, INC. TIDEWATER WALKER W3872WMLM A5500 07/02/2007 PROPET USA, INC. TIDEWATER WALKER W3872WMLW A5500 07/02/2007 PROPET USA, INC. TIDEWATER WALKER W3872WMLX A5500 07/02/2007

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

ORTHOFEET INC. TIE-LESS BOAT 422 A5500 12/04/2008 ORTHOFEET INC. TIE-LESS BOAT 421 A5500 10/15/2009 SAS SHOEMAKERS TIME OUT A5500 05/10/2005 P.W. MINOR & SON, TIMES SQUARE 11394 A5500 06/14/2006 INC. P.W. MINOR & SON, TIMES SQUARE 25394 A5500 06/14/2006 INC. P.W. MINOR & SON, TIMES SQUARE 32394 A5500 06/14/2006 INC. P.W. MINOR & SON, TIMES SQUARE 55394 A5500 06/14/2006 INC. DR. ZEN, INC. TITAN A5500 11/20/2003 PROPET USA, INC. TOLEDO WALKER M4067BM A5500 06/29/2007 PROPET USA, INC. TOLEDO WALKER M4067BRNM A5500 06/29/2007 PROPET USA, INC. TOLEDO WALKER M4067BRNX A5500 06/29/2007 PROPET USA, INC. TOLEDO WALKER M4067BRNXX A5500 06/29/2007 PROPET USA, INC. TOLEDO WALKER M4067BX A5500 06/29/2007 PROPET USA, INC. TOLEDO WALKER M4067BXX A5500 06/29/2007 PROPET USA, INC. TORCHLITE WALKER MF004MDGM A5500 09/20/2007 PROPET USA, INC. TORCHLITE WALKER MF004MDGX A5500 09/20/2007 PROPET USA, INC. TORCHLITE WALKER MF004MDGXX A5500 09/20/2007 PROPET USA, INC. TORCHLITE WALKER MF004WGM A5500 09/20/2007 PROPET USA, INC. TORCHLITE WALKER MF004WGX A5500 09/20/2007 PROPET USA, INC. TORCHLITE WALKER MF004WGXX A5500 09/20/2007 PROPET USA, INC. TORCHLITE WALKER MF004WSBM A5500 09/20/2007 PROPET USA, INC. TORCHLITE WALKER MF004WSBX A5500 09/20/2007

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. TORCHLITE WALKER MF004WSBXX A5500 09/20/2007 PROPET USA, INC. TORINO WALKER WC010BEUM A5500 09/20/2007 PROPET USA, INC. TORINO WALKER WC010BEUW A5500 09/20/2007 PROPET USA, INC. TORINO WALKER WC010BRDM A5500 09/20/2007 PROPET USA, INC. TORINO WALKER WC010BRDW A5500 09/20/2007 PROPET USA, INC. TORINO WALKER WC010BRDX A5500 09/20/2007 PROPET USA, INC. TORINO WALKER WC010BROM A5500 09/20/2007 PROPET USA, INC. TORINO WALKER WC010BROW A5500 09/20/2007 PROPET USA, INC. TORINO WALKER WC010BROX A5500 09/20/2007 PROPET USA, INC. TORINO WALKER WC010MDM A5500 09/20/2007 PROPET USA, INC. TORINO WALKER WC010MDW A5500 09/20/2007 PROPET USA, INC. TORINO WALKER WC010MDX A5500 09/20/2007 PROPET USA, INC. TORINO WALKER WC019BEUX A5500 09/20/2007 P.W. MINOR & SON, TORY 11734 A5500 04/24/2008 INC. P.W. MINOR & SON, TORY 31734 A5500 04/24/2008 INC. P.W. MINOR & SON, TORY 91734 A5500 04/24/2008 INC. PROPET USA, INC. TOUR WALKER VELCRO W3902 A5500 04/19/2004 PROPET USA, INC. TOWNLITE WALKER M1008 A5500 05/15/2006 PROPET USA, INC. TRACK WALKER M1300BM A5500 03/20/2008 PROPET USA, INC. TRACK WALKER M1300BX A5500 03/20/2008 PROPET USA, INC. TRACK WALKER M1300BXX A5500 03/20/2008 PROPET USA, INC. TRACK WALKER M1300MHM A5500 03/20/2008 PROPET USA, INC. TRACK WALKER M1300MHX A5500 03/20/2008

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. TRACK WALKER M1300MHXX A5500 03/20/2008 PROPET USA, INC. TRACK WALKER M1300TEM A5500 03/20/2008 PROPET USA, INC. TRACK WALKER M1300TEX A5500 03/20/2008 PROPET USA, INC. TRACK WALKER M1300TEXX A5500 03/20/2008 DREW SHOE TRACKER 40830-14 A5500 08/08/2002 CORPORATION DREW SHOE TRACKER 40830-64 A5500 08/08/2002 CORPORATION DREW SHOE TRACKER 40830-65 A5500 08/08/2002 CORPORATION B & S PARTNERS, TRAIL W5001 A5500 04/01/2008 INC. (DBA PILGRIM SHOES) HUSH PUPPIES TRAILSIDE H100748 A5500 07/28/2009 HUSH PUPPIES TRAILSIDE H100750 A5500 07/28/2009 ETONIC TRANS AM DRX MWRX 30-0 A5500 02/24/2006 WORLDWIDE LLC ETONIC TRANS AM DRX MWRX 30-1 A5500 02/24/2006 WORLDWIDE LLC ETONIC TRANS AM DRX MWRX 31-4 A5500 02/24/2006 WORLDWIDE LLC ETONIC TRANS AM DRX WWRX 31-0 A5500 02/24/2006 WORLDWIDE LLC ETONIC TRANS AM DRX WWRX 31-1 A5500 02/24/2006 WORLDWIDE LLC ETONIC TRANS AM DRX WWRX 80-0 A5500 02/24/2006 WORLDWIDE LLC ETONIC TRANS AM DRX WWRX 80-1 A5500 02/24/2006 WORLDWIDE LLC ETONIC TRANS AM DRX WWRX 80-3 A5500 02/24/2006 WORLDWIDE LLC

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

ETONIC TRANS AM DRX WWRX 81-0 A5500 02/24/2006 WORLDWIDE LLC ETONIC TRANS AM DRX WWRX 81-1 A5500 02/24/2006 WORLDWIDE LLC ETONIC TRANS AM DRX WWRX 81-3 A5500 02/24/2006 WORLDWIDE LLC ETONIC TRANS AM DRX - LACE DRX300 A5500 12/04/2002 WORLDWIDE LLC ETONIC TRANS AM DRX - LACE DRX301 A5500 12/04/2002 WORLDWIDE LLC ETONIC TRANS AM DRX - LACE DRX302 A5500 12/04/2002 WORLDWIDE LLC ETONIC TRANS AM DRX - LACE DRX800 A5500 12/04/2002 WORLDWIDE LLC ETONIC TRANS AM DRX - LACE DRX801 A5500 12/04/2002 WORLDWIDE LLC ETONIC TRANS AM DRX - LACE DRX802 A5500 12/04/2002 WORLDWIDE LLC ETONIC TRANS AM DRX - VELCRO DRX310 A5500 12/04/2002 WORLDWIDE LLC ETONIC TRANS AM DRX - VELCRO DRX311 A5500 12/04/2002 WORLDWIDE LLC ETONIC TRANS AM DRX - VELCRO DRX312 A5500 12/04/2002 WORLDWIDE LLC ETONIC TRANS AM DRX - VELCRO DRX810 A5500 12/04/2002 WORLDWIDE LLC ETONIC TRANS AM DRX - VELCRO DRX811 A5500 12/04/2002 WORLDWIDE LLC ETONIC TRANS AM DRX - VELCRO DRX812 A5500 12/04/2002 WORLDWIDE LLC ETONIC TRANS AM WALKER EW0500 A5500 05/24/2002 WORLDWIDE LLC

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

ETONIC TRANS AM WALKER EW0501 A5500 05/24/2002 WORLDWIDE LLC ETONIC TRANS AM WALKER EW0502 A5500 05/24/2002 WORLDWIDE LLC ETONIC TRANS AM WALKER EW4500 A5500 05/24/2002 WORLDWIDE LLC ETONIC TRANS AM WALKER EW4501 A5500 05/24/2002 WORLDWIDE LLC ETONIC TRANS AM WALKER VELCRO EW0550 A5500 05/24/2002 WORLDWIDE LLC ETONIC TRANS AM WALKER VELCRO EW0551 A5500 05/24/2002 WORLDWIDE LLC ETONIC TRANS AM WALKER VELCRO EW4550 A5500 05/24/2002 WORLDWIDE LLC ETONIC TRANS AM WALKER VELCRO EW4551 A5500 05/24/2002 WORLDWIDE LLC ETONIC TRANSIT DRX210 A5500 11/04/2003 WORLDWIDE LLC ETONIC TRANSIT DRX710 A5500 11/04/2003 WORLDWIDE LLC DREW SHOE TRAVELER 40973-14 A5500 09/24/2003 CORPORATION DREW SHOE TRAVELER 40973-59 A5500 09/24/2003 CORPORATION DREW SHOE TRAVELER VELCRO 44908-14 A5500 08/23/2005 CORPORATION DREW SHOE TRAVELER VELCRO 44908-59 A5500 08/23/2005 CORPORATION DREW SHOE TREK HIGH 10712-12 A5500 09/24/2003 CORPORATION DREW SHOE TREK HIGH 10712-64 A5500 09/24/2003 CORPORATION

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DREW SHOE TREK LOW 10786-12 A5500 06/04/2003 CORPORATION DREW SHOE TREK LOW 10786-64 A5500 06/04/2003 CORPORATION DREW SHOE TRENDA 14255-19 A5500 12/07/2007 CORPORATION DREW SHOE TRENDA 14255-21 A5500 12/07/2007 CORPORATION DREW SHOE TRENDA 14255-77 A5500 12/07/2007 CORPORATION P.W. MINOR & SON, TRIBECA 11390 A5500 06/14/2006 INC. P.W. MINOR & SON, TRIBECA 32390 A5500 06/14/2006 INC. P.W. MINOR TRIBOROUGH 11366 A5500 05/06/2009 P.W. MINOR TRIBOROUGH 31366 A5500 05/06/2009 ETONIC TRIESTE DRX634 A5500 06/08/2004 WORLDWIDE LLC ETONIC TRIESTE DRX641 A5500 06/08/2004 WORLDWIDE LLC ETONIC TRIESTE DRX642 A5500 06/08/2004 WORLDWIDE LLC ETONIC TRIESTE DRX644 A5500 06/08/2004 WORLDWIDE LLC PROPET USA, INC. TRINIDAD M4105BM A5500 07/17/2008 PROPET USA, INC. TRINIDAD M4105BROM A5500 07/17/2008 PROPET USA, INC. TRINIDAD M4105BROX A5500 07/17/2008 PROPET USA, INC. TRINIDAD M4105BROXX A5500 07/17/2008 PROPET USA, INC. TRINIDAD M4105BX A5500 07/17/2008 PROPET USA, INC. TRINIDAD M4105BXX A5500 07/17/2008

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

P.W. MINOR & SON, TRINKET 1789 A5500 03/07/2003 INC. P.W. MINOR TRIUMPH 99550 A5500 10/02/2009 P.W. MINOR TRIUMPH 89550 A5500 10/02/2009 P.W. MINOR TRIUMPH 93550 A5500 10/02/2009 P.W. MINOR TRIUMPH 33550 A5500 10/02/2009 DREW SHOE TUCSON 40678-14 A5500 08/22/2005 CORPORATION DREW SHOE TUMBLER 40111-14 A5500 06/04/2003 CORPORATION DREW SHOE TUMBLER 40111-64 A5500 06/04/2003 CORPORATION PROPET USA, INC. TURF WALKER M4003 A5500 05/15/2006 BROOKS SPORTS, TURIN MEN 11023001 A5500 06/11/2004 INC. BROOKS SPORTS, TURIN MEN 11023221 A5500 06/11/2004 INC. BROOKS SPORTS, TURIN MEN 11024001 A5500 06/11/2004 INC. BROOKS SPORTS, TURIN MEN 11024221 A5500 06/11/2004 INC. BROOKS SPORTS, TURIN MEN 11025001 A5500 06/11/2004 INC. BROOKS SPORTS, TURIN MEN 11025221 A5500 06/11/2004 INC. BROOKS SPORTS, TURIN WOMENS 12022001 A5500 06/11/2004 INC. BROOKS SPORTS, TURIN WOMENS 12022221 A5500 06/11/2004 INC. BROOKS SPORTS, TURIN WOMENS 12023001 A5500 06/11/2004 INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

BROOKS SPORTS, TURIN WOMENS 12023221 A5500 06/11/2004 INC. BROOKS SPORTS, TURIN WOMENS 12024001 A5500 06/11/2004 INC. BROOKS SPORTS, TURIN WOMENS 12024221 A5500 06/11/2004 INC. PROPET USA, INC. TWILITE WALKER W1002 A5500 05/15/2006 HASTINGS SHOE TYLER WALKER A5500 06/23/2004 COMPANY THERAPEUTIC SHOES ETONIC ULTRALITE DRX1200 A5500 11/03/2003 WORLDWIDE LLC ETONIC ULTRALITE DRX1210 A5500 11/03/2003 WORLDWIDE LLC ETONIC ULTRALITE DRX6200 A5500 11/03/2003 WORLDWIDE LLC ETONIC ULTRALITE DRX6210 A5500 11/03/2003 WORLDWIDE LLC THERATECH UNIFORM - VETERANS BRAND HE-006 A5500 05/09/2005 FOOTWEAR HUSH PUPPIES UPBEAT H57477 A5500 02/13/2006 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.) HUSH PUPPIES UPBEAT H57479 A5500 02/13/2006 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.) HUSH PUPPIES UPBEAT H57485 A5500 02/13/2006 COMPANY (A DIVISION OF WOLVERINE WORLD WIDE, INC.)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

ACOR URBAN WALKERS SPRING A5500 07/13/2001 ORTHOPAEDIC, INC. STREET PROPET USA, INC. URBANLITE WALKER MF002BM A5500 04/18/2008 PROPET USA, INC. URBANLITE WALKER MF002BRM A5500 04/18/2008 PROPET USA, INC. URBANLITE WALKER MF002BRX A5500 04/18/2008 PROPET USA, INC. URBANLITE WALKER MF002BRXX A5500 04/18/2008 PROPET USA, INC. URBANLITE WALKER MF002BX A5500 04/18/2008 NOBILE VALENTINO A5500 04/12/2005 CONSULTING USA, LLC (DBA NATURAL STEP SHOES) DR. ZEN INC VALERIE 125-01 A5500 10/16/2008 DR. ZEN INC VALERIE 125-02 A5500 10/16/2008 DR. ZEN INC VALERIE 125-03 A5500 10/16/2008 FOOTWAY, INC. VALERIE W3515V A5500 06/22/2009 REDWOOD VALERIE 48317 A5500 08/24/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD VALERIE 48318 A5500 08/24/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD VALERIE 48317 A5500 09/28/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD VALERIE 48318 A5500 09/28/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR)

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

REDWOOD VALERIE 48417 A5500 09/28/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) REDWOOD VALERIE 48418 A5500 09/28/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) PROPET USA, INC. VALLEY WALKER VELCRO W4005 A5500 02/13/2006 P.W. MINOR & SON, VANESSA 10184 A5500 09/30/2002 INC. P.W. MINOR & SON, VANESSA 70184 A5500 09/30/2002 INC. P.W. MINOR & SON, VANESSA TM (THERMOLD) 10297 A5500 11/04/2002 INC. P.W. MINOR & SON, VANESSA TM (THERMOLD) 70297 A5500 11/04/2002 INC. ORTHOFEET, INC. VELCRO MEN'S BOOT 581 A5500 02/16/2006 ORTHOFEET, INC. VELCRO WOMEN'S BOOT 881 A5500 02/13/2006 P.W. MINOR & SON, VELCRO-TO-TOE BOOT, MENS 1188 A5500 07/08/2004 INC. P.W. MINOR & SON, VELCRO-TO-TOE, MENS 11103 A5500 07/08/2004 INC. P.W. MINOR VELOCITY 82542 A5500 10/01/2009 P.W. MINOR VELOCITY 85542 A5500 10/01/2009 P.W. MINOR VELOCITY 99542 A5500 10/01/2009 P.W. MINOR VELOCITY 39542 A5500 10/01/2009 DREW SHOE VELPLEX 14396-16 A5500 06/27/2002 CORPORATION DREW SHOE VELPLEX 14396-36 A5500 06/27/2002 CORPORATION

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

NOBILE VENEZA A5500 04/20/2005 CONSULTING USA, LLC (DBA NATURAL STEP SHOES) INSTRIDE SHOES, VENICE 9410 A5500 04/18/2007 LLC INSTRIDE SHOES, VENICE 9413 A5500 04/18/2007 LLC INSTRIDE SHOES, VENICE 9416 A5500 04/18/2007 LLC HUSH PUPPIES VENTURE H10864 A5500 07/28/2009 DREW SHOE VENUS 14258-12 A5500 11/24/2009 CORPORATION DREW SHOE VENUS 14258-19 A5500 11/24/2009 CORPORATION DREW SHOE VENUS 14258-21 A5500 11/24/2009 CORPORATION DREW SHOE VENUS 14258-22 A5500 11/24/2009 CORPORATION PROPET USA, INC. VENUS W2070BM A5500 07/17/2008 PROPET USA, INC. VENUS W2070BN A5500 07/17/2008 PROPET USA, INC. VENUS W2070BOM A5500 07/17/2008 PROPET USA, INC. VENUS W2070BON A5500 07/17/2008 PROPET USA, INC. VENUS W2070BOW A5500 07/17/2008 PROPET USA, INC. VENUS W2070BOX A5500 07/17/2008 PROPET USA, INC. VENUS W2070BOXX A5500 07/17/2008 PROPET USA, INC. VENUS W2070BW A5500 07/17/2008 PROPET USA, INC. VENUS W2070BX A5500 07/17/2008 PROPET USA, INC. VENUS W2070BXX A5500 07/17/2008

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PROPET USA, INC. VENUS W2070WM A5500 07/17/2008 PROPET USA, INC. VENUS W2070WN A5500 07/17/2008 PROPET USA, INC. VENUS W2070WW A5500 07/17/2008 PROPET USA, INC. VENUS W2070WX A5500 07/17/2008 PROPET USA, INC. VENUS W2070WXX A5500 07/17/2008 PROPET USA, INC. VERONA WC011BAM A5500 09/20/2007 PROPET USA, INC. VERONA WC011BAW A5500 09/20/2007 PROPET USA, INC. VERONA WC011BAX A5500 09/20/2007 PROPET USA, INC. VERONA WC011CTM A5500 09/20/2007 PROPET USA, INC. VERONA WC011CTW A5500 09/20/2007 PROPET USA, INC. VERONA WC011CTX A5500 09/20/2007 REDWOOD VICTOR 17290 A5500 08/05/2009 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) THERATECH VICTOR - VETERANS BRAND HE-001 A5500 05/09/2005 FOOTWEAR B & S PARTNERS, VICTORIA P3109 A5500 11/24/2008 INC. (DBA PILGRIM SHOES) NOBILE VICTORIA A5500 04/12/2005 CONSULTING USA, LLC (DBA NATURAL STEP SHOES) P.W. MINOR & SON, VICTORIA 1113 A5500 03/07/2003 INC. P.W. MINOR & SON, VICTORIA 7113 A5500 03/07/2003 INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

REDWOOD VICTORIA 7045 A5500 11/01/2009 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) SOUTHERN VICTORIA S686 A5500 08/18/2009 PROSTHETICS SUPPLY INC P.W. MINOR & SON, VICTORIA SD WS 1125 A5500 09/30/2002 INC. P.W. MINOR & SON, VICTORIA SD WS 7125 A5500 09/30/2002 INC. DR. COMFORT VICTORY A5500 11/16/2007 (RIKCO INTERNATIONAL, LLC) DR. COMFORT VICTORY PLUS A5500 11/16/2007 (RIKCO INTERNATIONAL, LLC) DR. COMFORT VIGOR VIGOR A5500 12/16/2008 PROPET USA, INC. VIGOR W3700BPWM A5500 07/17/2008 PROPET USA, INC. VIGOR W3700BPWW A5500 07/17/2008 PROPET USA, INC. VIGOR W3700BPWX A5500 07/17/2008 PROPET USA, INC. VIGOR W3700WSAM A5500 07/17/2008 PROPET USA, INC. VIGOR W3700WSAW A5500 07/17/2008 PROPET USA, INC. VIGOR W3700WSAX A5500 07/17/2008 PROPET USA, INC. VILLAGE WALKER MID M4078 A5500 08/06/2004 DREW SHOE VILLAGER 10600-12 A5500 08/08/2002 CORPORATION DREW SHOE VILLAGER 10600-15 A5500 08/08/2002 CORPORATION

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DREW SHOE VILLAGER 10600-34 A5500 08/08/2002 CORPORATION DREW SHOE VILLAGER 10600-65 A5500 08/08/2002 CORPORATION DREW SHOE VILLAGER 10600-72 A5500 08/08/2002 CORPORATION DREW SHOE VILLAGER 10600-89 A5500 08/08/2002 CORPORATION PROPET USA, INC. VILLIAGE WALKER M4070 A5500 04/19/2004 PROPET USA, INC. VISTA WALKER M3910 A5500 04/19/2004 PROPET USA, INC. VISTA WALKER W3910 A5500 04/19/2004 PROPET USA, INC. VISTA WALKER STRAP M3915 A5500 05/15/2006 PROPET USA, INC. VISTA WALKER VELCRO W3915 A5500 04/19/2004 PROPET USA, INC. VITA WALKER M2043BM A5500 06/29/2007 PROPET USA, INC. VITA WALKER M2043BN A5500 06/29/2007 PROPET USA, INC. VITA WALKER M2043BX A5500 06/29/2007 PROPET USA, INC. VITA WALKER M2043BXX A5500 06/29/2007 PROPET USA, INC. VITA WALKER M2043WM A5500 06/29/2007 PROPET USA, INC. VITA WALKER M2043WN A5500 06/29/2007 PROPET USA, INC. VITA WALKER M2043WX A5500 06/29/2007 PROPET USA, INC. VITA WALKER M2043WXX A5500 06/29/2007 AETREX VOYAGE ATHLETIC RUNNER V557 A5500 11/21/2006 WORLDWIDE, INC. AETREX VOYAGE ATHLETIC RUNNER V559 A5500 11/21/2006 WORLDWIDE, INC. AETREX VOYAGE ATHLETIC WALKER V854 A5500 11/21/2006 WORLDWIDE, INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

AETREX VOYAGE CROSS TRAINER V656 A5500 11/21/2006 WORLDWIDE, INC. AETREX VOYAGE RUNNER V551 A5500 11/21/2006 WORLDWIDE, INC. AETREX VOYAGE TRAIL RUNNER V751 A5500 11/21/2006 WORLDWIDE, INC. AETREX VOYAGE TRAIL RUNNER V753 A5500 11/21/2006 WORLDWIDE, INC. AETREX VOYAGE VELCRO WALKER V950 A5500 11/28/2006 WORLDWIDE, INC. AETREX VOYAGE VELCRO WALKER V952 A5500 11/28/2006 WORLDWIDE, INC. SAS SHOEMAKERS VTO A5500 05/10/2005 KLAS SHOES, LLC VULCAN 4110301001 (BLACK) A5500 10/22/2009 KLAS SHOES, LLC VULCAN 4110301200 (BROWN) A5500 10/22/2009 DR. COMFORT WALK 3510 A5500 04/26/2005 (RIKCO INTERNATIONAL, LLC) DR. COMFORT WALK 3540 A5500 04/26/2005 (RIKCO INTERNATIONAL, LLC) DREW SHOE WALKER 40884-14 A5500 05/02/2002 CORPORATION DREW SHOE WALKER 40884-64 A5500 05/02/2002 CORPORATION DREW SHOE WALKER II 40784-14 A5500 03/23/2004 CORPORATION DREW SHOE WALKER II 40784-64 A5500 03/23/2004 CORPORATION MARK LEMP WALKING CRADLES - W11421 A5500 02/02/2004 FOOTWEAR, INC. COMFORT TIME (

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

MARK LEMP WALKING CRADLES - W11423 A5500 02/02/2004 FOOTWEAR, INC. COMFORT TIME ( MARK LEMP WALKING CRADLES - W11424 A5500 02/02/2004 FOOTWEAR, INC. COMFORT TIME ( MARK LEMP WALKING CRADLES - W11426 A5500 02/02/2004 FOOTWEAR, INC. COMFORT TIME ( MARK LEMP WALKING CRADLES - EASY W11451 A5500 02/02/2004 FOOTWEAR, INC. MARK LEMP WALKING CRADLES - EASY W11455 A5500 02/02/2004 FOOTWEAR, INC. MARK LEMP WALKING CRADLES - FAY W11441 A5500 02/02/2004 FOOTWEAR, INC. MARK LEMP WALKING CRADLES - FAY W11445 A5500 02/02/2004 FOOTWEAR, INC. MARK LEMP WALKING CRADLES - KALA W11431 A5500 02/02/2004 FOOTWEAR, INC. MARK LEMP WALKING CRADLES - KALA W11433 A5500 02/02/2004 FOOTWEAR, INC. MARK LEMP WALKING CRADLES - KALA W11434 A5500 02/02/2004 FOOTWEAR, INC. MARK LEMP WALKING CRADLES - KALA W11436 A5500 02/02/2004 FOOTWEAR, INC. MARK LEMP WALKING CRADLES - MONK W11471 A5500 02/02/2004 FOOTWEAR, INC. MARK LEMP WALKING CRADLES - MONK W11475 A5500 02/02/2004 FOOTWEAR, INC. PROPET USA, INC. WALL ST. WALKER M1267BM A5500 06/29/2007 PROPET USA, INC. WALL ST. WALKER M1267BX A5500 06/29/2007 PROPET USA, INC. WALL ST. WALKER M1267BXX A5500 06/29/2007 PROPET USA, INC. WASH & WEAR TIE W3861 A5500 02/13/2006 PROPET USA, INC. WASHABLE WALKER W3840 A5500 08/06/2004

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DR. COMFORT WAVE WAVE A5500 12/17/2008 STANDING WAVE 62600-12 A5500 12/13/2007 COMFORT STANDING WAVE 62600-22 A5500 12/13/2007 COMFORT P.W. MINOR & SON, WEEKENDER 1938 A5500 03/07/2003 INC. P.W. MINOR & SON, WEEKENDER 3338 A5500 03/07/2003 INC. P.W. MINOR & SON, WEEKENDER 3938 A5500 03/07/2003 INC. ETONIC WEXFORD DRX141 A5500 06/08/2004 WORLDWIDE LLC ETONIC WEXFORD DRX142 A5500 06/08/2004 WORLDWIDE LLC ETONIC WEXFORD DRX146 A5500 06/08/2004 WORLDWIDE LLC ETONIC WEXFORD DRX147 A5500 06/08/2004 WORLDWIDE LLC DREW SHOE WHITEHALL 44857-18 A5500 01/15/2008 CORPORATION PROPET USA, INC. WHITELITE WALKER W1014BAM A5500 07/02/2007 PROPET USA, INC. WHITELITE WALKER W1014BAW A5500 07/02/2007 PROPET USA, INC. WHITELITE WALKER W1014BAX A5500 07/02/2007 PROPET USA, INC. WHITELITE WALKER W1014IRM A5500 07/02/2007 PROPET USA, INC. WHITELITE WALKER W1014IRW A5500 07/02/2007 PROPET USA, INC. WHITELITE WALKER W1014IRX A5500 07/02/2007 PROPET USA, INC. WHITELITE WALKER W1014TEM A5500 07/02/2007 PROPET USA, INC. WHITELITE WALKER W1014TEW A5500 07/02/2007 PROPET USA, INC. WHITELITE WALKER W1014TEX A5500 07/02/2007

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DR. COMFORT WILLIAM 6101 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT WILLIAM 6101 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) DR. COMFORT WILLIAM 6202 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT WILLIAM 6202 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) DR. COMFORT WILLIAM 6303 A5500+A5510 04/01/2004 (RIKCO INTERNATIONAL, LLC) DR. COMFORT WILLIAM 6303 A5500+A5509 01/07/2004 03/31/2004 (RIKCO OR A5510 INTERNATIONAL, LLC) REDWOOD WILLIAM 17535 A5500 03/04/2008 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) DR. COMFORT WILLIAM X A5500 11/16/2007 (RIKCO INTERNATIONAL, LLC) P.W. MINOR & SON, WINDSOR 11078 A5500 03/07/2003 INC. P.W. MINOR & SON, WINDSOR 51078 A5500 03/07/2003 INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DUNHAM WINDSOR FIVE-EYELET 8001BR A5500 03/22/2007 04/14/2009 OXFORD DUNHAM WINDSOR WATERPROOF 8000BK A5500 03/12/2007 OXFORD DUNHAM WINDSOR WATERPROOF 8000BP A5500 03/12/2007 OXFORD DUNHAM WINDSOR WATERPROOF 8000BR A5500 03/12/2007 OXFORD PROPET USA, INC. WINTERLITE WALKER M1016BAM A5500 06/29/2007 PROPET USA, INC. WINTERLITE WALKER M1016BAX A5500 06/29/2007 PROPET USA, INC. WINTERLITE WALKER M1016BAXX A5500 06/29/2007 PROPET USA, INC. WINTERLITE WALKER M1016IRM A5500 06/29/2007 PROPET USA, INC. WINTERLITE WALKER M1016IRX A5500 06/29/2007 PROPET USA, INC. WINTERLITE WALKER M1016IRXX A5500 06/29/2007 PROPET USA, INC. WINTERLITE WALKER M1016TEM A5500 06/29/2007 PROPET USA, INC. WINTERLITE WALKER M1016TEX A5500 06/29/2007 PROPET USA, INC. WINTERLITE WALKER M1016TEXX A5500 06/29/2007 KUMFS NEW WISH A5500 05/30/2007 ZEALAND KUMFS NEW WIZARD A5500 05/30/2007 ZEALAND PREFERRED WOMEN DIABETIC SHOE DR8100 A5500 09/12/2008 MEDICAL SUPPLY COMPANY, INC. PREFERRED WOMEN DIABETIC SHOE DR811 A5500 09/12/2008 MEDICAL SUPPLY COMPANY, INC. PREFERRED WOMEN DIABETIC SHOE DR8200 A5500 09/12/2008 MEDICAL SUPPLY COMPANY, INC.

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PREFERRED WOMEN DIABETIC SHOE DR828 A5500 09/12/2008 MEDICAL SUPPLY COMPANY, INC. PREFERRED WOMEN DIABETIC SHOE DR8300 A5500 09/12/2008 MEDICAL SUPPLY COMPANY, INC. PREFERRED WOMEN DIABETIC SHOE DR8400 A5500 09/12/2008 MEDICAL SUPPLY COMPANY, INC. PROPET USA, INC. WOMEN'S AMANDA W2026 A5500 01/26/2009 PROPET USA, INC. WOMEN'S AMBER W2024 A5500 01/26/2009 PROPET USA, INC. WOMEN'S ANGELA W2025 A5500 01/26/2009 SOLETECH, INC. WOMEN'S ATHLETIC E3730 A5500 01/15/2008 PREFERRED WOMEN'S ATHLETIC SHOES DR816 A5500 09/12/2008 MEDICAL SUPPLY COMPANY, INC. ORTHOFEET, INC. WOMEN'S BOOT 881 A5500 12/06/2006 PROPET USA, INC. WOMEN'S CRONUS W0095 A5500 03/11/2010 PROPET USA, INC. WOMEN'S DAISY W0263 A5500 01/26/2009 PROPET USA, INC. WOMEN'S DESIREE WPRX23 A5500 01/26/2009 ORTHOFEET, INC. WOMEN'S FISHERMEN 872 A5500 08/25/2006 ORTHOFEET, INC. WOMEN'S FISHERMEN 874 A5500 04/12/2007 ORTHOFEET, INC. WOMEN'S LACE 708 A5500 10/18/2006 ORTHOFEET, INC. WOMEN'S LACE 701 A5500 10/18/2006 ORTHOFEET, INC. WOMEN'S LACE 704 A5500 10/18/2006 ORTHOFEET, INC. WOMEN'S LACE 710 A5500 12/06/2006 ORTHOFEET, INC. WOMEN'S LACE 715 A5500 12/06/2006 ORTHOFEET, INC. WOMEN'S LACE - BLACK 721 A5500 04/12/2007

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 233 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

ORTHOFEET, INC. WOMEN'S LACE SHOE 715 A5500 10/18/2004 PROPET USA, INC. WOMEN'S MARTINA W2073 A5500 01/26/2009 ORTHOFEET, INC. WOMEN'S MARY JANE 862 A5500 12/06/2006 ORTHOFEET, INC. WOMEN'S MARY JANE 876 A5500 12/06/2006 ORTHOFEET, INC. WOMEN'S MARY JANE 861 A5500 12/06/2006 ORTHOFEET, INC. WOMEN'S MARY JANE 853 A5500 07/14/2009 ORTHOFEET, INC. WOMEN'S MARY JANE 851 A5500 07/14/2009 ORTHOFEET, INC. WOMEN'S MARY JANE 859 A5500 08/05/2009 PROPET USA INC WOMEN'S NADIA W2078 A5500 08/11/2009 PROPET USA, INC. WOMEN'S OLIVIA WPRX25 A5500 01/26/2009 PROPET USA, INC. WOMEN'S OPRAH WPRX22 A5500 01/26/2009 PROPET USA, INC. WOMEN'S PAIGE W2031 A5500 03/11/2010 PROPET USA, INC. WOMEN'S PALERMO WC109 A5500 03/18/2009 PROPET USA, INC. WOMEN'S PATRICIA W2055 A5500 03/11/2010 PROPET USA, INC. WOMEN'S PEGGY W2036 A5500 03/11/2010 REDWOOD WOMEN'S POLAR 7050 A5500 09/07/2006 SPORTSWEAR (DBA SEQUOIA FOOTWEAR) COMMERCE WOMEN'S PREMIERE 9207 BLACK A5500 01/02/2008 ATLANTIC ATHLETIC WALKING SHOES CORPORATION (DBA APIS FOOTWEAR COMMERCE WOMEN'S PREMIERE 9207 WHITE A5500 01/02/2008 ATLANTIC ATHLETIC WALKING SHOES CORPORATION (DBA APIS FOOTWEAR

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 234 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

COMMERCE WOMEN'S PREMIERE 9208 BLACK A5500 01/02/2008 ATLANTIC COMFORT SHOES CORPORATION (DBA APIS FOOTWEAR COMMERCE WOMEN'S PREMIERE 9208 NAVY BLUE A5500 01/02/2008 ATLANTIC COMFORT SHOES CORPORATION (DBA APIS FOOTWEAR COMMERCE WOMEN'S PREMIERE 9208 RUBY RED A5500 01/02/2008 ATLANTIC COMFORT SHOES CORPORATION (DBA APIS FOOTWEAR COMMERCE WOMEN'S PREMIERE 9208 WHITE A5500 01/02/2008 ATLANTIC COMFORT SHOES CORPORATION (DBA APIS FOOTWEAR COMMERCE WOMEN'S PREMIERE 9209 ANGEL WHITE A5500 01/02/2008 ATLANTIC COMFORT SHOES CORPORATION (DBA APIS FOOTWEAR COMMERCE WOMEN'S PREMIERE 9209 BLACK A5500 01/02/2008 ATLANTIC COMFORT SHOES CORPORATION (DBA APIS FOOTWEAR COMMERCE WOMEN'S PREMIERE 9209 NAVY BLUE A5500 01/02/2008 ATLANTIC COMFORT SHOES CORPORATION (DBA APIS FOOTWEAR

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 235 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

COMMERCE WOMEN'S PREMIERE 9209 RUBY RED A5500 01/02/2008 ATLANTIC COMFORT SHOES CORPORATION (DBA APIS FOOTWEAR PROPET USA, INC. WOMEN'S PRUDENCE W2065 A5500 03/11/2010 PROPET USA, INC. WOMEN'S ROBERTA WC200 A5500 03/11/2010 PROPET USA, INC. WOMEN'S ROMA WC110 A5500 03/18/2009 PROPET USA, INC. WOMEN'S ROXANN WC202 A5500 03/11/2010 PROPET USA, INC. WOMEN'S RUTH WC302 A5500 03/11/2010 ORTHOFEET, INC. WOMEN'S SPORT EASY LACE 910 A5500 02/19/2008 ORTHOFEET, INC. WOMEN'S SPORT STRAP 855 A5500 07/14/2009 ORTHOFEET, INC. WOMEN'S SPORT STRAP 856 A5500 07/14/2009 ORTHOFEET, INC. WOMEN'S STRAP 810 A5500 12/06/2006 ORTHOFEET, INC. WOMEN'S STRAP 820 A5500 12/06/2006 ORTHOFEET, INC. WOMEN'S STRAP 830 A5500 12/06/2006 ORTHOFEET, INC. WOMEN'S STRAP 871 A5500 11/28/2007 ORTHOFEET, INC. WOMEN'S STRAP 817 A5500 02/19/2008 ORTHOFEET, INC. WOMEN'S STRAP 812 A5500 02/19/2009 ORTHOFEET, INC. WOMEN'S STRAP 818 A5500 09/25/2009 ORTHOFEET, INC. WOMEN'S STRAP 814 A5500 12/14/2009 ORTHOFEET, INC. WOMEN'S STRAP - BLACK 821 A5500 04/12/2007 ORTHOFEET, INC. WOMEN'S STRETCHABLE 850 A5500 12/06/2006 ORTHOFEET, INC. WOMEN'S STRETCHABLE 825 A5500 08/25/2006 ORTHOFEET, INC. WOMEN'S STRETCHABLE 824 A5500 04/09/2007

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 236 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PREFERRED WOMEN'S THERAPEUTIC DR9012 A5500 09/12/2008 MEDICAL SUPPLY COMPANY, INC. ORTHOFEET, INC. WOMEN'S TIE-LESS SPORT 916 A5500 07/14/2009 PROPET USA INC WOMEN'S TOUR WALKER II W3900 A5500 08/11/2009 PROPET USA, INC. WOMEN'S TOURWALKER II W3905 A5500 08/12/2009 STRAP PROPET USA, INC. WOMEN'S TREK W2079 A5500 03/11/2010 PROPET USA, INC. WOMEN'S TREK STRAP W2095 A5500 03/11/2010 LERNESS SHOE WOMEN'S WINTER BOOT A5500 02/07/2006 COMPANY DREW SHOE WORTHINGTON 40947-18 A5500 01/15/2008 CORPORATION NEW BALANCE WW576 WW576VB A5500 11/18/2009 ATHLETIC SHOE, INC NEW BALANCE WW576 WW576VK A5500 11/18/2009 ATHLETIC SHOE, INC NEW BALANCE WW576 WW576VW A5500 11/18/2009 ATHLETIC SHOE, INC NEW BALANCE WW576 WW576BK A5500 11/18/2009 ATHLETIC SHOE, INC NEW BALANCE WW576 WW576WT A5500 11/18/2009 ATHLETIC SHOE, INC NEW BALANCE WW846 WW846 A5500 08/11/2009 ATHLETIC SHOE, INC. OASIS FOOTWEAR, X-TENDER C14006 A5500 12/23/2008 LLC

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Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

OASIS FOOTWEAR, X-TENDER C24006 A5500 01/23/2009 LLC XSENSIBLE XSENSIBLE FOOTWEAR - A5500 06/16/2004 FOOTWEAR, INC. STEPHANIE LACE XSENSIBLE XSENSIBLE FOOTWEAR - A5500 06/16/2004 FOOTWEAR, INC. STEPHANIE VELCRO B & S PARTNERS, YANA P3108 A5500 03/27/2008 INC. (DBA PILGRIM SHOES) JOOJOO YJ-911 A5500 11/14/2006 INTERNATIONAL CORPORATION REDWOOD YUKON BOOTS 7315 A5500 09/10/2008 SPORTSWEAR DBA SEQUOIA FOOTWEAR OREGON ZACHERY LACE 062801 A5500 OR A3215 04/09/2007 PEDORTHIC OR L3219 SERVICES, INC. (DBA ARCH OREGON ZACHERY LACE 062802 A5500 OR A3215 04/09/2007 PEDORTHIC OR L3219 SERVICES, INC. (DBA ARCH DR. ZEN, INC. ZEN LEGEND 310-01 A5500 10/31/2006 DR. ZEN, INC. ZEN LEGEND 310-03 A5500 10/31/2006 DR. ZEN, INC. ZEN LEGEND 310-05 A5500 10/31/2006 DR. ZEN, INC. ZEN LEGEND 311-00 A5500 10/31/2006 DR. ZEN, INC. ZEN LEGEND 311-01 A5500 10/31/2006 DR. ZEN, INC. ZEN LEGEND 311-03 A5500 10/31/2006 DR. ZEN, INC. ZEN LEGEND GOLF 418-01 A5500 10/31/2006 01/09/2008 DR. ZEN, INC. ZEN LEGEND GOLF 418-03 A5500 10/31/2006 01/09/2008

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 238 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

DR. ZEN, INC. ZEN LEGEND GOLF 418-05 A5500 10/31/2006 01/09/2008 PROPET USA, INC. ZEST W3705BOWM A5500 07/17/2008 PROPET USA, INC. ZEST W3705BOWW A5500 07/17/2008 PROPET USA, INC. ZEST W3705BOWX A5500 07/17/2008 PROPET USA, INC. ZEST W3705BPWM A5500 07/17/2008 PROPET USA, INC. ZEST W3705BPWW A5500 07/17/2008 PROPET USA, INC. ZEST W3705BPWX A5500 07/17/2008 PROPET USA, INC. ZEST W3705WDBM A5500 07/17/2008 PROPET USA, INC. ZEST W3705WDBW A5500 07/17/2008 PROPET USA, INC. ZEST W3705WDBX A5500 07/17/2008 DREW SHOE ZIP 10721-15 A5500 05/02/2002 CORPORATION DREW SHOE ZIP 10721-16 A5500 05/02/2002 CORPORATION DREW SHOE ZIP 10721-25 A5500 05/02/2002 CORPORATION DREW SHOE ZIP 10721-86 A5500 05/02/2002 CORPORATION DREW SHOE ZIP 10721-89 A5500 05/02/2002 CORPORATION DREW SHOE ZIP II 10821-16 A5500 02/05/2003 CORPORATION DREW SHOE ZIP II 10821-86 A5500 02/05/2003 CORPORATION DREW SHOE ZIP II VELCRO 14181-18 A5500 11/07/2005 CORPORATION DREW SHOE ZIP II VELCRO 14181-80 A5500 11/07/2005 CORPORATION PW MINOR ZOEY 11742 A5500 11/06/2008

Generated by Noridian DMECS: Fri, 2 Apr 2010 09:56:50 CDT Page 239 of 239

Manufacturer Product Name Model Number HCPCS Code Effective End Date Comments

PW MINOR ZOEY 49742 A5500 11/06/2008 PW MINOR ZOEY 59742 A5500 11/06/2008 PROPET USA, INC. ZONE PLUS WALKER MPRX05 A5500 04/16/2007 PROPET USA, INC. ZONE WALKER MPRX06 A5500 04/16/2007 SOUTHERN ZURICH S155 A5500 08/20/2009 PROSTHETICS SUPPLY INC