Item Number: ALP3614
Low Top 11" Fixed Walking Boot, Large L4386
Manufacturer Number: 3614
Package Description: 1/ Each
HCPCS Code: L4386
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Item Number: ALP3613
Low Top 11" Fixed Walking Boot, Medium L4386
Manufacturer Number: 3613
Package Description: 1/ Each
HCPCS Code: L4386
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Item Number: ALP3612
Low Top 11" Fixed Walking Boot, Small L4386
Manufacturer Number: 3612
Package Description: 1/ Each
HCPCS Code: L4386
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Item Number: ALP3615
Low Top 11" Fixed Walking Boot, X-Large L4386
Manufacturer Number: 3615
Package Description: 1/ Each
HCPCS Code: L4386
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Item Number: COM360LZ
Low Top Walking Boot, Size Medium (M 7-11, W 8-13)
Manufacturer Number: 360-LZ
Package Description: EA
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Item Number: POG6037101103MED
LSO Low Back System with Compression and Hot Cold Pack L0627/L0642
Manufacturer Number: 6053-101-203-MED
Package Description: EACH
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Item Number: DJO7990183
Male Post-Op Shoe, Small (Shoe Size 7-9), Loop/ Lock Closure
Manufacturer Number: 79-90183
Package Description: EA
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Item Number: DJO7990188
Male Post-Op Shoe, X-Large, (Shoe Size 13+), Loop/ Lock Closure
Manufacturer Number: 79-90188
Package Description: 1/ Each
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Item Number: COM211013
Mesh Shoulder Immobilizer, Medium
Manufacturer Number: 21-103-3
Package Description: EA
HCPCS Code: L3660
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Item Number: COM211033
Mesh Shoulder Immobilizer, Medium, 15.5" long, 8.25" Sling Depth
Manufacturer Number: 21-103-3
Package Description: EA
HCPCS Code: L3660
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Item Number: COM211032
Mesh Shoulder Immobilizer, Small, 13.5" long, 7.5" Sling Depth
Manufacturer Number: 21-103-2
Package Description: EA
HCPCS Code: L3660
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Item Number: ARYAY5657
Metforce TLSO Back Brace L0457
Manufacturer Number: AY-56/57
Package Description: 1/EA
HCPCS Code: L0456, L0457