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Foam Cover For Below Knee

SFB

SFB

Foam Cover For Below Knee

CATEGORIES: Cosmesis
  • Flexible foam
  • Unshaped
  • Center hole
  • Flame resistant
  • Skin Color

 

Suggested HCPCS code(s): L5704

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Description

SFB
Foam Cover For Below Knee

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Specifications

P/N

Description

SFB
Foam Cover For Below Knee
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Approximate weight and build height is taken on size 26. Comes with a split toe.

ACTIVITY 50-60KG 60-70KG 75-90KG 90-105KG 105-125KG
Low 2 2 2 3 4
Moderate 2 2 3 4 5
High 2 3 4 5

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