Elastic Wraparound Lumbosacral w/Steel Stays
[974]

HCPCS: L0628
Modifier: GY (elastic)
HCPCS review letter on file.

Elastic Wraparound. One-way stretch elastic with hook 'n pile closure. Separate adjustable elastic band secured at back gives additional positive pressure. A longer version of Model 972 with flexible stays in back and two 10" removable pre-bent steel stays. Sized according to hip measurement.

Front height: 7"
Back height: 12"

Sizes:
S (30"-33")
M (34"-37")
L (38"-41")
XL (42"-45")