Elastic Sacroiliac Wraparound Support w/Sacral Pad
[E1561]

HCPCS: L0621
Modifier: GY (elastic)
HCPCS review letter on file.

Elastic Sacroiliac Wraparound Support. All elastic construction with removable sacral pad and adjustable hook 'n pile front closure. Flexible side stays prevent rolling. Recommended for temporary low back strain. Sized according to hip measurement.

Back height: 6"
Front height: 4"

Sizes:
XS (26"-29")
S (30"-34")
M (35"-38")
L (39"-42")
XL (43"-46")
2XL (47"-50")