PROSTHETIC SOCKS CATALOG - U.S. Department of · PDF filePROSTHETIC SOCKS CATALOG . The VA...
Transcript of PROSTHETIC SOCKS CATALOG - U.S. Department of · PDF filePROSTHETIC SOCKS CATALOG . The VA...
PROSTHETIC SOCKS
CATALOG
The VA Denver Acquisition & Logistics Center provides this catalog to help identify required Prosthetic Socks to better serve
America’s Veterans.
VA Denver Acquisition & Logistics Center (VA DALC)
June 1, 2015
Above Knee Sock Coolmax® 1 Cotton 2 Cottonette 3 Cast 4 Lycra/Acrylic 5 Wool 6 Wool/Acrylic 7 Wool/Coolmax® 8 Wool/Nylon 9 Wool Silver 10 Suspension 11 Non-Standard 13 Sheath - Daw 15 Sheath - Nylon 17
Arm Socks Coolmax® 18 Cotton 19 Lycra/Acrylic 20 Wool 21 Wool/Acrylic 22 Wool/Coolmax 23 Wool/Nylon 24 Wool/Silver 25
Below Knee Sock Cast 26 Filler/Spacer 26 Filler 27 Compensator Sock 28 Coolmax® 29 Coolmax Gel 30 Cotton/Gel 31 Coolmax/Lycra 32 Cotton 33 Cottonette 34 Acrylic.Lycra 35 Acrylic/Lycra Stretch 36 Wool 37 Wool/Acrylic 38 Wool/Coolmax 39 Wool/Nylon 40
Wool/Silver 41 Suspension 42 Non-Standard 44 Sheath - DAW 46 Sheath - Nylon 47 Silipos 48
Hip Disarticulation Socks 50
Symes Socks Coolmax® 51 Cotton 52 Orlon Acrylic 53 Acrylic/Lycra 54 Wool 55 Wool/Coolmax® 56 Non-Standard 57 Spandex 58 Stockinette 59
T-Shirt 59
Shrinker (Julius Zorn, Inc.) AK Shrinkers 60 BK Shrinkers 63Shrinker (Knit Rite, Inc.) AK Shrinkers 64 BK Shrinkers 69
Vendor Information
Knit Rite, Inc. 71
Points of Contact
General Information, Returns, Shipping
Table of Contents Prosthetic Socks
1
Prosthetic Socks
Above Knee (AK) Sock - Coolmax®HCPCS - L8430
Material: Coolmax®
Package: ea
Length
Size: 3/4Top: 9-10 inches (23-25cm)Toe: 6-7 inches (15-18cm)
Size: 4/5/6Top: 10-12 inches (25-30cm)Toe: 7-8 inches (18-20cm)
8”-10” (20-25cm)10”-12” (25-30cm)12”-14” (30-36cm)16”-18” (41-46cm)20”-22” (51-56cm)24”-26” (61-66cm)
CM-Ply*-3/4-8/10CM-Ply*-3/4-10/12CM-Ply*-3/4-12/14CM-Ply*-3/4-16/18CM-Ply*-3/4-20/22CM-Ply*-3/4-24/26
CM-Ply*-4/5/6-8/10CM-Ply*-4/5/6-10/12CM-Ply*-4/5/6-12/14CM-Ply*-4/5/6-16/18CM-Ply*-4/5/6-20/22CM-Ply*-4/5/6-24/26
TO ORDER: Material-Ply*-Sizes-Length in inchesSAMPLE: CM-3*-3/4-16/18 *Insert number for ply
Manufacturers and Prices:
Vendor Size Plies PriceRoyal Knit (Royal Flush) Standard sizes 3, 5 & 6 Open Market
Prosthetic Socks
2 Prices subject to change without notice
Above Knee (AK) Sock - Cotton HCPCS - L8430
Material: Cotton
Package: ea
TO ORDER: Material-Ply*-Size-Length in inchesSAMPLE: C-2*-4-16 *Insert number for ply
Length
Size: 4Top: 10 inches (25cm)Toe: 6.5 inches (16.5cm)(10 to 18 inch length)Toe: 5 inches (12.7cm)(20 to 32 inch length)
Size 5Top: 11 inches (28cm)Toe: 7 inches (17.8cm)(10 to 18 inch length)Toe: 5.5 inches (14cm)(20 to 32 inch length)
Size 6Top: 12 inches (30cm)Toe: 8 inches (20.3cm)(10 to 18 inch length)Toe: 6 inches (15.2cm)(20 to 32 inch length)
10” (25cm)12” (33cm)14” (36cm)16” (41cm)18” (46cm)20” (51cm)22” (56cm)24” (61cm)26” (66cm)28” (71cm)30” (76cm)32” (81cm)
C-Ply*-4-10C-Ply*-4-12C-Ply*-4-14C-Ply*-4-16C-Ply*-4-18C-Ply*-4-20C-Ply*-4-22C-Ply*-4-24C-Ply*-4-26C-Ply*-4-28C-Ply*-4-30C-Ply*-4-32
C-Ply*-5-10C-Ply*-5-12C-Ply*-5-14C-Ply*-5-16C-Ply*-5-18C-Ply*-5-20C-Ply*-5-22C-Ply*-5-24C-Ply*-5-26C-Ply*-5-28C-Ply*-5-30C-Ply*-5-32
C-Ply*-6-10C-Ply*-6-12C-Ply*-6-14C-Ply*-6-16C-Ply*-6-18C-Ply*-6-20C-Ply*-6-22C-Ply*-6-24C-Ply*-6-26C-Ply*-6-28C-Ply*-6-30C-Ply*-6-32
Manufacturers and Prices:
Vendor Size Plies PriceKnit Rite, Inc. (Sterling) Small 0
Medium 1 & 2Large 3 & 4X-Large 5 & 6
1, 2, 3 & 51, 2, 3 & 51, 2, 3 & 53 & 5
$7.08$8.30$9.53$10.75
3
Prosthetic SocksAbove Knee (AK) Socks - Cottonette
HCPCS - L8430
Material: Mercerized cotton
Package: ea
TO ORDER: CT-2-Size-LengthSAMPLE: CT-2-E-12
Manufacturer and Price:
Vendor Plies `PriceKnit Rite, Inc 2 Open Market
Length
Size: ETop: 9 inches(23cm)Toe: 7.5 inches(19cm)
Size FTop: 10 inches(25cm)Toe: 8.5 inches(21.6cm)
10” (25cm)12” (33cm)14” (36cm)16” (41cm)18” (46cm)20” (51cm)22” (56cm)24” (61cm)26” (66cm)28” (71cm)30” (76cm)
CT-2-E-10CT-2-E-12CT-2-E-14CT-2-E-16CT-2-E-16CT-2-E-20CT-2-E-22CT-2-E-24CT-2-E-26CT-2-E-28CT-2-E-30
CT-2-F-10CT-2-F-12CT-2-F-14CT-2-F-16CT-2-F-16CT-2-F-20CT-2-F-22CT-2-F-24CT-2-F-26CT-2-F-28CT-2-F-30
Prosthetic Socks
4 Prices subject to change without notice
Above Knee (AK) Sock - Cast HCPCS - L8480
Material: Naturalcutcottonyarn,tubular,flatknit
Weight: Light 4 to 5 oz (113 to 142g) per dozen Heavy 8.5 to 9.5 oz (240 to 269g) per dozen
SAMPLE: SOCK/CAST-HVY-AK-KR SOCK/CAST-LIGHT-AK-KR
Note: Sold in increments of 12
Vendor Weight PriceKnit Rite, Inc. (Cast Rite)
Knit Rite, Inc. (Cast Rite)
Heavy - AK
Light - AK
$1.02
$ .92
Manufacturer and Price:
5
Prosthetic Socks
Above Knee (AK) Sock - Lycra/AcrylicHCPCS - L8430
Material: Standard Lycra® Acrylic Package: ea
TO ORDER: Material-Ply*-Size-Length in inchesSAMPLE: OL-2*-4-16 *Insert number for ply
Manufacturers and Prices:
Length
Size: SmallTop: 10 inches (25cm)Toe: 6.5 inches (16.5cm)(10 to 18 inch length)Toe: 5 inches (12.7cm)(20 to 32 inch length)
Size MediumTop: 11 inches (28cm)Toe: 7 inches (17.8cm)(10 to 18 inch length)Toe: 5.5 inches (14cm)(20 to 32 inch length)
Size LargeTop: 12 inches (30cm)Toe: 8 inches (20.3cm)(10 to 18 inch length)Toe: 6 inches (15.2cm)(20 to 32 inch length)
10” (25cm)12” (33cm)14” (36cm)16” (41cm)18” (46cm)20” (51cm)22” (56cm)24” (61cm)26” (66cm)28” (71cm)30” (76cm)32” (81cm)
OL-PLY*-4-10OL-PLY*-4-12OL-PLY*-4-14OL-PLY*-4-16OL-PLY*-4-18OL-PLY*-4-20OL-PLY*-4-22OL-PLY*-4-24OL-PLY*-4-26OL-PLY*-4-28OL-PLY*-4-30OL-PLY*-4-32
OL-PLY*-3-10OL-PLY*-3-12OL-PLY*-3-14OL-PLY*-3-16OL-PLY*-3-18OL-PLY*-3-20OL-PLY*-3-22OL-PLY*-3-24OL-PLY*-3-26OL-PLY*-3-28OL-PLY*-3-30OL-PLY*-3-32
OL-PLY*-6-10OL-PLY*-6-12OL-PLY*-6-14OL-PLY*-6-16OL-PLY*-6-18OL-PLY*-6-20OL-PLY*-6-22OL-PLY*-6-24OL-PLY*-6-26OL-PLY*-6-28OL-PLY*-6-30OL-PLY*-6-32
Vendor Size Plies PriceTrulife (Hood Comfy Stretch)
Knit Rite, Inc (A+)
Small - XL (0-6)
Small 0Medium 1-2Large 3-4X-Large 5-6
1 - 5
2, 3, & 42, 3 & 42, 3 & 4N/A
Open Market
$6.72$7.79$8.56N/A
Prosthetic Socks
6 Prices subject to change without notice
Above Knee (AK) Sock - WoolHCPCS - L8430
Material: Standard, 100% Virgin Wool
Package: ea TO ORDER: Material-Ply*-Size-Length in inchesSAMPLE: W-2*-4-16 *Insert number for ply
Manufacturers and Prices:
Length
Size: 4Top: 10 inches (25cm)Toe: 6.5 inches (16.5cm)(10 to 18 inch length)Toe: 5 inches (12.7cm)(20 to 32 inch length)
Size 5Top: 11 inches (28cm)Toe: 7 inches (17.8cm)(10 to 18 inch length)Toe: 5.5 inches (14cm)(20 to 32 inch length)
Size 6Top: 12 inches (30cm)Toe: 8 inches (20.3cm)(10 to 18 inch length)Toe: 6 inches (15.2cm)(20 to 32 inch length)
10” (25cm)12” (33cm)14” (36cm)16” (41cm)18” (46cm)20” (51cm)22” (56cm)24” (61cm)26” (66cm)28” (71cm)30” (76cm)32” (81cm)
W-PLY*-4-10W-PLY*-4-12W-PLY*-4-14W-PLY*-4-16W-PLY*-4-18W-PLY*-4-20W-PLY*-4-22W-PLY*-4-24W-PLY*-4-26W-PLY*-4-28W-PLY*-4-30W-PLY*-4-32
W-PLY*-5-10W-PLY*-5-12W-PLY*-5-14W-PLY*-5-16W-PLY*-5-18W-PLY*-5-20W-PLY*-5-22W-PLY*-5-24W-PLY*-5-26W-PLY*-5-28W-PLY*-5-30W-PLY*-5-32
W-PLY*-6-10W-PLY*-6-12W-PLY*-6-14W-PLY*-6-16W-PLY*-6-18W-PLY*-6-20W-PLY*-6-22W-PLY*-6-24W-PLY*-6-26W-PLY*-6-28W-PLY*-6-30W-PLY*-6-32
Vendor Size Plies PriceKnit Rite, Inc. (Super Sock)
Knit Rite, Inc. (Sterling Wool)
Trulife (Hood Wool Classic)
Small 0Medium 1-2Large 3-4X-Large 5-6
Small 0Medium 1-2Large 3-4X-Large 5-6
Small-XL (0-6))
3, 5 & 63, 5 & 63, 5 & 63, 5 & 6
1-3 & 5-81-3 & 5-81-3 & 5-81-3 & 5
1-8
$5.52$6.71$7.90
$11.24
$5.52$6.71$7.90
$11.24
Open Market
7
Prosthetic Socks
Above Knee (AK) Sock - Wool/AcrylicHCPCS - L8430
Material: Wool/Acrylic blend
Package: ea
TO ORDER: Material-Ply*-Size-Length in inchesSAMPLE: WA-3*-4-16/18 *Insert number for ply
Manufacturer and Price:
Length
Size: 4Top: 10 inches (25cm)Toe: 6.5 inches (16.5cm)(10 to 18 inch length)Toe: 5 inches (12.7cm)(20 to 32 inch length)
Size 5Top: 11 inches (28cm)Toe: 7 inches (17.8cm)(10 to 18 inch length)Toe: 5.5 inches (14cm)(20 to 32 inch length)
Size 6Top: 12 inches (30cm)Toe: 8 inches (20.3cm)(10 to 18 inch length)Toe: 6 inches (15.2cm)(20 to 32 inch length)
10” (25cm)12” (33cm)14” (36cm)16” (41cm)18” (46cm)20” (51cm)22” (56cm)24” (61cm)26” (66cm)28” (71cm)30” (76cm)32” (81cm)
WA-PLY*-4-10WA-PLY*-4-12WA-PLY*-4-14WA-PLY*-4-16WA-PLY*-4-18WA-PLY*-4-20WA-PLY*-4-22WA-PLY*-4-24WA-PLY*-4-26WA-PLY*-4-28WA-PLY*-4-30WA-PLY*-4-32
WA-PLY*-5-10WA-PLY*-5-12WA-PLY*-5-14WA-PLY*-5-16WA-PLY*-5-18WA-PLY*-5-20WA-PLY*-5-22WA-PLY*-5-24WA-PLY*-5-26WA-PLY*-5-28WA-PLY*-5-30WA-PLY*-5-32
WA-PLY*-6-10WA-PLY*-6-12WA-PLY*-6-14WA-PLY*-6-16WA-PLY*-6-18WA-PLY*-6-20WA-PLY*-6-22WA-PLY*-6-24WA-PLY*-6-26WA-PLY*-6-28WA-PLY*-6-30WA-PLY*-6-32
Vendor Size Plies PriceComfort Products Inc (Easy Care) Standard Sizes 3, 5 & 6 Open Market
Prosthetic Socks
8 Prices subject to change without notice
Above Knee (AK) Sock - Wool/Coolmax®HCPCS - L8430
Material: Wool/Coolmax®
Package: ea TO ORDER: Material-Ply*-Size-Length in inchesSAMPLE: WCM-3*-4-16 *Insert number for ply
Manufacturer and Price:
Length
Size: 3/4Top: 9-10 inches (23-25cm)Toe: 6-7 inches (15-18cm)
Size: 4/5/6Top: 10-12 inches (25-30cm)Toe: 7-8 inches (18-20cm)
8”-10” (20-25cm)10”-12” (25-30cm)12”-14” (30-36cm)16”-18” (41-46cm)20”-22” (51-56cm)24”-26” (61-66cm)
WCM-Ply*-3/4-8/10WCM-Ply*-3/4-10/12WCM-Ply*-3/4-12/14WCM-Ply*-3/4-16/18WCM-Ply*-3/4-20/22WCM-Ply*-3/4-24/26
WCM-Ply*-4/5/6-8/10WCM-Ply*-4/5/6-10/12WCM-Ply*-4/5/6-12/14WCM-Ply*-4/5/6-16/18WCM-Ply*-4/5/6-20/22WCM-Ply*-4/5/6-24/26
Vendor Size Plies PriceTrulife (Hood Stretch Ultra)
Royal Knit (Royal Stretch)
Small-XL (0-6)
Standard Sizes
2-5
3, 5 & 6
Open Market
Open Market
9
Prosthetic Socks
Above Knee (AK) Sock - Wool/NylonHCPCS - L8430
Material: Wool/Nylon
Package: ea TO ORDER: Material-Ply*-Size-Length in inchesSAMPLE: WN-3*-4-16 *Insert number for ply
Length
Size: 4Top: 10 inches (25cm)Toe: 6.5 inches (16.5cm)(10 to 18 inch length)Toe: 5 inches (12.7cm)(20 to 34 inch length)
Size 5Top: 11 inches (28cm)Toe: 7 inches (17.8cm)(10 to 18 inch length)Toe: 5.5 inches (14cm)(20 to 34 inch length)
Size 6Top: 12 inches (30cm)Toe: 8 inches (20.3cm)(10 to 18 inch length)Toe: 6 inches (15.2cm)(20 to 34 inch length)
10” (25cm)12” (33cm)14” (36cm)16” (41cm)18” (46cm)20” (51cm)22” (56cm)24” (61cm)26” (66cm)28” (71cm)30” (76cm)32” (81cm)34” (87cm)
WN-PLY*-4-10WN-PLY*-4-12WN-PLY*-4-14WN-PLY*-4-16WN-PLY*-4-18WN-PLY*-4-20WN-PLY*-4-22WN-PLY*-4-24WN-PLY*-4-26WN-PLY*-4-28WN-PLY*-4-30WN-PLY*-4-32WN-PLY*-4-34
WN-PLY*-5-10WN-PLY*-5-12WN-PLY*-5-14WN-PLY*-5-16WN-PLY*-5-18WN-PLY*-5-20WN-PLY*-5-22WN-PLY*-5-24WN-PLY*-5-26WN-PLY*-5-28WN-PLY*-5-30WN-PLY*-5-32WN-PLY*-5-32
WN-PLY*-6-10WN-PLY*-6-12WN-PLY*-6-14WN-PLY*-6-16WN-PLY*-6-18WN-PLY*-6-20WN-PLY*-6-22WN-PLY*-6-24WN-PLY*-6-26WN-PLY*-6-28WN-PLY*-6-30WN-PLY*-6-32WN-PLY*-6-32
Manufacturer and Price:
Vendor Size Plies PriceTrulife (Hood Superwash) Small-XL (0-6) 1-8 Open Market
Prosthetic Socks
10 Prices subject to change without notice
Above Knee (AK) Sock - Wool/SilverHCPCS - L8430
Material: Standard Virgin Wool/SilverPackage: ea
Vendor Size PriceTrulife (Hood Wool/Silver w/Coolmax
Knit Rite, Inc. (X-Wool)
Small-XL (0-6)
Wide X-Wide 5,6
Open Market
$12.21$14.22
Manufacturer and Price:
ITEM NAME PLIES SIZEFITS SOCK
SIZE LENGTHWX-*-WIDE-SHORT-KR 3,5,6 Wide Short 3,4 10”-12” (25-30cm)WX-*-WIDE-MED-KR 3,5,6 Wide Medium 3,4 14”-16” (35-40cm)WX-*-WIDE-LONG-KR 3,5,6 Wide Long 3,4 18”-20” (45-50cm)WX-*-WIDE-XLONG-KR 3,5 Wide X-Long 3,4 22”-24” (55-60cm)WX-*-WIDE-XXLONG-KR 3,5 Wide XX-Long 3,4 26”-28” (65-70cm)
ITEM NAME PLIES SIZEFITS SOCK
SIZE LENGTHWX-*-XWIDE-SHORT-KR 3,5 X-Wide Short 5,6 10”-12” (25-30cm)WX-*-XWIDE-MED-KR 3,5 X-Wide Medium 5,6 14”-16” (35-40cm)
11
Prosthetic Socks
Above Knee (AK) Sock - Suspension(Hole in the Toe)
HCPCS - L8430
Available in Cotton, Coolmax, Orlon Acrylic, Orlon Lycra, Wool, Wool/CoolmaxWool Nylon, and Wool Silver
Package: ea
Call for ordering information: Veteran Services Division at 303-215-5245 (e-mail: [email protected])Specifymaterialandply,length,topwidth(lyingflat),othermeasurementsandtoewidth.Patternsmay be necessary for socks with special contours, for example, knee disarticulation socks
Material Vendor Size Plies Price
Orlon Acrylic
Orlon Lycra Trulife
Trulife
Trulife
Small-XL (0-6)
Small-XL (0-6)
WideX-Wide
Small 0Medium 1-2Large 3-4
2-5
1-5
3, 5 & 63 & 5
2, 3 & 42, 3 & 42, 3 & 4
Open Market
Open Market
Open MarketOpen Market
$7.79$8.70$9.64
Prosthetic Socks
12 Prices subject to change without notice
Material Vendor Size Plies PriceWool (Super Sock)
Wool (Sterling Stretch)
Wool/Coolmax®
Wool/Nylon
Wool/Silver
Knit Rite, Inc.
Knite Rite, Inc.
Trulife
Trulife
Trulife
Trulife
Knit Rite, Inc.
Small 0Medium 1-2Large 3-4
Small 0Medium 1-2Large 3-4
Small-XL (0-6)
Small-XL (0-6)
Small-XL (0-6)
Small-XL (0-6)
Narrow Small 0Medium 1-2Wide 3-4
3 & 53 & 53 & 5
1-3 & 5-81-3 & 5-81-3 & 5-8
1-8
2-5
1-8
2-5
3 & 53 & 53, 5 & 6
$6.59$7.78$8.97
$6.59$7.78$8.97
Open Market
Open Market
Open Market
Open Market
$7.95 $10.87 $12.21
Above Knee (AK) Sock - Suspension (Hole in the Toe)
(continued) HCPCS - L8430
13
Prosthetic Socks
Above Knee (AK) Sock - Custom Toe andTop, Custom Width and Pelvic Cut
(Non-Standard) HCPCS - L8430
Available in Coolmax (tetra/channel polyester), Cotton, Orlon Acrylic, Orlon Acrylic/Lycra blend, Wool/Coolmax (tetra/channel polyester) blend and Wool/Silver blend.
Package: ea
Call for ordering information: Veteran Services Division at 303-914-5145 (e-mail: [email protected])Specifymaterialandply,length,topwidth(lyingflat),othermeasurementsandtoewidth.Patternsmay be necessary for socks with special contours, for example, knee disarticulation socks.
Material Vendor Size Plies PriceCotton
Coolmax®
Orlon Acrylic
Knit Rite, Inc.
Knit Rite, Inc
Trulife
Knit Rite, Inc.
Small 0Medium 1-2Large 3-4X-Large 5-6
Small 0Medium 1-2Large 3-4X-Large 5-6
Small-XL (0-6)
WideX-Wide
1-3 & 51-3 & 51-3 & 51-3 & 5
1, 2, 3, 5 & 61, 2, 3, 5 & 61, 2, 3, 5 & 61, 2, 3, 5 & 6
1-5
3, 5 & 63 & 5
$9.23 $9.92 $11.86 $12.90
Open MarketOpen MarketOpen MarketOpen Market
Open Market
Open Market Open Market
Prosthetic Socks
14 Prices subject to change without notice
Above Knee (AK) Sock - Custom Toe andTop, Custom Width and Pelvic Cut
(Non-Standard)(continued) HCPCS - L8430
Material Vendor Size Plies PriceOrlon Lycra
Wool (Super Sock)
Wool (Sterling)
Wool
Wool/Coolmax®
Wool/Nylon
Wool/Silver
Trulife
Knit Rite, Inc.
Knit Rite, Inc.
Knit Rite, Inc.
Trulife
Trulife
Trulife
Knit Rite, Inc.
Small-XL (0-6)
Small 0Medium 1-2Large 3-4
Small 0Medium 1-2Large 3-4X-Large 5-6
Small 0Medium 1-2Large 3-4X-Large 5-6
Small-XL (0-6)
Small-XL (0-6)
Small-XL (0-6)
Small 0Medium 1-2Large 3-4X-Large 5-6
1-5
2-42-42-4
3. 5 & 63, 5 & 63, 5 & 63, 5 & 6
1-3 & 5-81-3 & 5-81-3 & 5-81-3 & 5-8
1-8
2-5
1-8
3, 5 & 63, 5 & 63, 5 & 63, 5 & 6
Open Market
$6.72$7.63$8.56
$7.66$8.86$9.74
$11.24
$7.66$8.86$9.74
$11.24
Open Market
Open Market
Open Market
Open MarketOpen MarketOpen MarketOpen Market
15
Prosthetic SocksAbove Knee (AK) Sheath - DAW
HCPCS - L8410
Material: Polyamide single knit meshPackage: ea
TO ORDER: Sheath/DAW-XXXX-Daw Size-length in centimeters-YLWSample SHEATH/DAW-1300-F4-20-YLW
NOTE: Insert style number at the XXXX
Manufacturer and Price: DAW Industries Price: Open Market
Sock Size: 3DAW Size: F4TopL 9 inches (23cm)Style: 1300
Sock Size: 4DAW Size: F5Top: 10 inches (25cm)Style: 1300
SHEATH/DAW-XXXX-F4-20-YLWSHEATH/DAW-XXXX-F4-25-YLWSHEATH/DAW-XXXX-F4-30-YLWSHEATH/DAW-XXXX-F4-35-YLWSHEATH/DAW-XXXX-F4-40-YLWSHEATH/DAW-XXXX-F4-45-YLWSHEATH/DAW-XXXX-F4-50-YLW
SHEATH/DAW-XXXX-F5-20-YLWSHEATH/DAW-XXXX-F5-25-YLWSHEATH/DAW-XXXX-F5-30-YLWSHEATH/DAW-XXXX-F5-35-YLWSHEATH/DAW-XXXX-F5-40-YLWSHEATH/DAW-XXXX-F5-45-YLWSHEATH/DAW-XXXX-F5-50-YLW
Sock Size: 3DAW Size: F4TopL 9 inches (23cm)Style: 1301
Sock Size: 4DAW Size: F5Top: 10 inches (25cm)Style: 1301
SHEATH/DAW-XXXX-F4-55-YLWSHEATH/DAW-XXXX-F4-60-YLWSHEATH/DAW-XXXX-F4-65-YLW
SHEATH/DAW-XXXX-F5-55-YLWSHEATH/DAW-XXXX-F5-60-YLWSHEATH/DAW-XXXX-F5-65-YLW
CM INCHES CM INCHES20 8 45 1825 10 50 2030 12 55 2235 14 60 2440 16 65 26
Prosthetic Socks
16 Prices subject to change without notice
Above Knee (AK) Sheath - DAW HCPCS - L8410
Material: Polyamide single knit meshYellow Design, Style 1404, Pelvic Cut with ties
TO ORDER: Sheath/DAW-Daw Size-length in centimeters-1404Sample SHEATH/DAW-1404-F4-20
Sock Size: 3DAW Size: F4TopL 9 inches (23cm)Style: 1404
Sock Size: 4DAW Size: F5Top: 10 inches (25cm)Style: 1404
SHEATH/DAW-1404-F4-20SHEATH/DAW-1404-F4-25SHEATH/DAW-1404-F4-30SHEATH/DAW-1404-F4-35SHEATH/DAW-1404-F4-40SHEATH/DAW-1404-F4-45SHEATH/DAW-1404-F4-50
SHEATH/DAW-1404-F5-20SHEATH/DAW-1404-F5-25SHEATH/DAW-1404-F5-30SHEATH/DAW-1404-F5-35SHEATH/DAW-1404-F5-40SHEATH/DAW-1404-F5-45SHEATH/DAW-1404-F5-50
Manufacturer and Price: DAW Industries Price: Open Market
CM INCHES CM INCHES20 8 45 1825 10 50 2030 12 55 2235 14 60 2440 16 65 26
17
Prosthetic Socks
Above Knee (AK) Sheath - Nylon HCPCS - L8410
Material: Standard Nylon SheathColors: White (WHT), Beige (BG)Package: 2 ea
TO ORDER: Sheath-N-Size-Length-CLR*Sample SHEATH-N-WIDE-MED-WHT* *Insert color code
NOTE: Knit Rite Sheaths are sold in pairs (Box of 3 pairs)
Length Width: 5.5-9 inches (14-23cm)Medium - 16-20 inchesShort - 10-14 inches
SHEATH-N-WIDE-MED-CLR*SHEATH-N-WIDE-SHORT-CLR*
Vendor Type PriceKnit Rite, Inc. (Zens)
Trulife (Hood Sheaths)
Standard & Non-Suspension
Standard
$2.65
Open Market
Manufacturer and Price:
Prosthetic Socks
18 Prices subject to change without notice
Material: Coolmax® Package: ea
TO ORDER: Material-Ply*-Sizes-Length in inchesSample CM-Ply*-0/1-8/10-ARM *Insert number for ply
Manufacturer and Price:
Length
Size: 0/1Top: 4-5 inches (10-13cm)Toe: 3-3.5 inches (7.6-8.9cm)
Size: 1Top: 5-6 inches (12-15cm)Toe: 3-3.5 inches (7.6-8.9cm)
8-10 “ (20-25cm)10-12” (25-30cm)12-14” (30-36cm)16-18” (41-46cm)20-22” (51-56cm)
CM-PLY*-0/1-8/10-ARMCM-PLY*-0/1-10/12-ARMCM-PLY*-0/1-12/14-ARMCM-PLY*-0/1-16/18-ARMCM-PLY*-0/1-20/22-ARM
CM-PLY*-1-8/10-ARMCM-PLY*-1-10/12-ARMCM-PLY*-1-12/14-ARMCM-PLY*-1-16/18-ARMCM-PLY*-1-20/22-ARM
Vendor Size Plies PriceRoyal Knit (Royal Flush) Standard sizes 3, 5 & 6 Open Market
Arm Sock - Coolmax® HCPCS - L8435
19
Prosthetic Socks
Arm Sock - Cotton HCPCS - L8435
Material: Cotton
Package: ea
TO ORDER: Material-Ply*-Size-Length in inchesSample C-2*-0-16-ARM *Insert number for ply
Manufacturers and Prices:
Length
Size 0Top: 4 inches (10cm)Toe: 3 inches (7.6cm)
Size: 1Top: 5.5 inches (14cm)Toe: 3.5 inches (8.9cm)
8” (20cm)10” (25cm)12” (33cm)14” (36cm)16” (41cm)18” (46cm)20” (51cm)22” (56cm)24” (61cm)
C-PLY*-0-8-ARMC-PLY*-0-10-ARMC-PLY*-0-12-ARMC-PLY*-0-14-ARMC-PLY*-0-16-ARMC-PLY*-0-18-ARMC-PLY*-0-20-ARMC-PLY*-0-22-ARMC-PLY*-0-24-ARM
C-PLY*-1-8-ARMC-PLY*-1-10-ARMC-PLY*-1-12-ARMC-PLY*-1-14-ARMC-PLY*-1-16-ARMC-PLY*-1-18-ARMC-PLY*-1-20-ARMC-PLY*-1-22-ARMC-PLY*-1-24-ARM
Vendor Size Plies PriceKnit Rite, Inc. (Sterling) Small 0
Medium 1 1, 2, 3 & 51, 2, 3 & 5
$7.08$8.30
Prosthetic Socks
20 Prices subject to change without notice
Arm Sock - Lycra/Acrylic HCPCS - L8435
Material: Acrylic Lycra blend Package: ea
TO ORDER: Material-Ply*-Size-Length in inchesSample OL-2*-0-16-ARM *Insert number for ply
Manufacturers and Prices:
Length
Size 0Top: 4 inches (10cm)Toe: 3 inches (7.6cm)
Size: 1Top: 5.5 inches (14cm)Toe: 3.5 inches (8.9cm)
8” (20cm)10” (25cm)12” (33cm)14” (36cm)16” (41cm)18” (46cm)20” (51cm)22” (56cm)24” (61cm)
OL-PLY*-0-8-ARMOL-PLY*-0-10-ARMOL-PLY*-0-12-ARMOL-PLY*-0-14-ARMOL-PLY*-0-16-ARMOL-PLY*-0-18-ARMOL-PLY*-0-20-ARMOL-PLY*-0-22-ARMOL-PLY*-0-24-ARM
OL-PLY*-1-8-ARMOL-PLY*-1-10-ARMOL-PLY*-1-12-ARMOL-PLY*-1-14-ARMOL-PLY*-1-16-ARMOL-PLY*-1-18-ARMOL-PLY*-1-20-ARMOL-PLY*-1-22-ARMOL-PLY*-1-24-ARM
Vendor Size Plies PriceTrulife (Hood Comfy Stretch)
Knit Rite, Inc (A+)
Small 0Medium 1
Small 0Medium 1
1 - 51 - 5
2, 3 & 42, 3 & 4
Opem MarketOpen Market
$6.47$7.34
21
Prosthetic Socks
Manufacturers and Prices:
Arm Sock - Wool HCPCS - L8435
Material: 10% Virgin Wool Package: ea
TO ORDER: Material-Ply*-Size-Length in inchesSample W-3*-0-16-ARM *Insert number for ply
Length
Size 0Top: 4 inches (10cm)Toe: 3 inches (7.6cm)
Size: 1Top: 5.5 inches (14cm)Toe: 3.5 inches (8.9cm)
8” (20cm)10” (25cm)12” (33cm)14” (36cm)16” (41cm)18” (46cm)20” (51cm)22” (56cm)24” (61cm)
W-PLY*-0-8-ARMW-PLY*-0-10-ARMW-PLY*-0-12-ARMW-PLY*-0-14-ARMW-PLY*-0-16-ARMW-PLY*-0-18-ARMW-PLY*-0-20-ARMW-PLY*-0-22-ARMW-PLY*-0-24-ARM
W-PLY*-1-8-ARMW-PLY*-1-10-ARMW-PLY*-1-12-ARMW-PLY*-1-14-ARMW-PLY*-1-16-ARMW-PLY*-1-18-ARMW-PLY*-1-20-ARMW-PLY*-1-22-ARMW-PLY*-1-24-ARM
Vendor Size Plies PriceKnit Rite, Inc. (Super Sock)
Knit Rite, Inc. (Sterling Wool)
Trulife (Hood Wool Classic)
Small 0Medium 1
Small 0Medium 1
Small 0Medium 1
3, 5 & 63, 5 & 6
1-3 & 5-81-3 & 5-8
1-81-8
$5.52$6.71
$5.52$6.71
Open MarketOpen Market
Prosthetic Socks
22 Prices subject to change without notice
Arm Sock - Wool/Acrylic HCPCS - L8435
Material: Wool/Acrylic blend
Package: ea
TO ORDER: Material-Ply*-Size-Length in inchesSample WA-3*-0-16-ARM *Insert number for ply
Manufacturer and Price:
Length
Size 0Top: 4 inches (10cm)Toe: 3 inches (7.6cm)
Size: 1Top: 5.5 inches (14cm)Toe: 3.5 inches (8.9cm)
8” (20cm)10” (25cm)12” (33cm)14” (36cm)16” (41cm)18” (46cm)20” (51cm)22” (56cm)24” (61cm)
WA-PLY*-0-8-ARMWA-PLY*-0-10-ARMWA-PLY*-0-12-ARMWA-PLY*-0-14-ARMWA-PLY*-0-16-ARMWA-PLY*-0-18-ARMWA-PLY*-0-20-ARMWA-PLY*-0-22-ARMWA-PLY*-0-24-ARM
WA-PLY*-1-8-ARMWA-PLY*-1-10-ARMWA-PLY*-1-12-ARMWA-PLY*-1-14-ARMWA-PLY*-1-16-ARMWA-PLY*-1-18-ARMWA-PLY*-1-20-ARMWA-PLY*-1-22-ARMWA-PLY*-1-24-ARM
Vendor Size Plies PriceComfort Products Inc (Easy Care) Standard Sizes 3, 5 & 6 Open Market
23
Prosthetic Socks
Arm Sock - Wool/Coolmax® HCPCS - L8435
Material: Wool/Coolmax®
Package: ea
TO ORDER: Material-Ply*-Sizes-Length in inchesSample WCM-3-0/1-16/18-ARM *Insert number for ply
Manufacturer and Price:
Length
Size: 0/1Top: 4-5 inches (10-13cm)Toe: 3-3.5 inches (7.6-8.9cm)
Size: 1Top: 5-6 inches (12-15cm)Toe: 3-3.5 inches (7.6-8.9cm)
8-10 “ (20-25cm)10-12” (25-30cm)12-14” (30-36cm)16-18” (41-46cm)20-22” (51-56cm)
WCM-PLY*-0/1-8/10-ARMWCM-PLY*-0/1-10/12-ARMWCM-PLY*-0/1-12/14-ARMWCM-PLY*-0/1-16/18-ARMWCM-PLY*-0/1-20/22-ARM
WCM-PLY*-1-8/10-ARMWCM-PLY*-1-10/12-ARMWCM-PLY*-1-12/14-ARMWCM-PLY*-1-16/18-ARMWCM-PLY*-1-20/22-ARM
Vendor Size Plies PriceTrulife (Hood Stretch Ultra)
Royal Knit (Royal Stretch)
Small 0Medium 1
Standard Sizes
2-52-5
3, 5 & 6
Open MarketOpen Market
Open Market
Prosthetic Socks
24 Prices subject to change without notice
Arm Sock - Wool/Nylon HCPCS - L8420
Material: Wool/Nylon blend
Package: ea TO ORDER: Material-Ply*-Sizes-Length in inchesSample WN-3*-0-8-ARM *Insert number for ply
Manufacturer and Price:
Vendor Size Plies PriceTrulife (Hood Superwash) Small 0
Medium 11-81-8
Open MarketOpen Market
Length
Size 0Top: 4 inches (10cm)Toe: 3 inches (7.6cm)
Size: 1Top: 5.5 inches (14cm)Toe: 3.5 inches (8.9cm)
8” (20cm)10” (25cm)12” (33cm)14” (36cm)16” (41cm)18” (46cm)20” (51cm)22” (56cm)24” (61cm)
WN-PLY*-0-8-ARMWN-PLY*-0-10-ARMWN-PLY*-0-12-ARMWN-PLY*-0-14-ARMWN-PLY*-0-16-ARMWN-PLY*-0-18-ARMWN-PLY*-0-20-ARMWN-PLY*-0-22-ARMWN-PLY*-0-24-ARM
WN-PLY*-1-8-ARMWN-PLY*-1-10-ARMWN-PLY*-1-12-ARMWN-PLY*-1-14-ARMWN-PLY*-1-16-ARMWN-PLY*-1-18-ARMWN-PLY*-1-20-ARMWN-PLY*-1-22-ARMWN-PLY*-1-24-ARM
25
Prosthetic SocksArm Sock - Wool/Silver
HCPCS - L8420Material: Wool/Silver blend Package: ea
Vendor Size Plies PriceTrulife (Hood Wool/Silver)
Knit Rite, Inc. (X-Wool)
Small 0Medium 1
Narrow 0Medium 1
1-81-8
3, 5 & 63, 5 & 6
Open MarketOpen Market
$7.95 $9.80
Manufacturer and Price:
ITEM NAME PLIES SIZEFITS SOCK
SIZE LENGTHWX-*-MED-XSHORT-ARM 3,5 Medium X-Short 1 8”-10” (20-25cm)WX-*-MED-SHORT-ARM 3,5,6 Medium Short 1 10”-12” (25-30cm)WX-*-MED-REG-ARM 3,5,6 Medium Regular 1 14”-16” (35-40cm)WX-*-MED-LONG-ARM 3,5,6 Medium Long 1 18”-20” (45-50cm)WX-*-MED-XLONG-ARM 3,5 Medium X-Long 1 22”-24” (55-60cm)WX-*-MED-XXLONG-ARM 3,5 Medium-XX-Long 1 26”-28” (65-70cm)
ITEM NAME PLIES SIZEFITS SOCK
SIZE LENGTHWX-*-NRW-XSHORT-ARM 3,5 Narrow X-Short 0 8”-10” (20-25cm)WX-*-NRW-SHORT-ARM 3,5,6 Narrow Short 0 10”-12” (25-30cm)WX-*-NRW-REG-ARM 3,5,6 Narrow Regular 0 14”-16” (35-40cm)WX-*-NRW-LONG-ARM 3,5,6 Narrow Long 0 18”-20” (45-50cm)
Prosthetic Socks
26 Prices subject to change without notice
Below Knee (BK) Sock - Cast HCPCS - L8470
Material: cotton/polyester blend, rounded and reinforced toePackage: 6 ea Note: Sold in increments of 6
Below Knee (BK) Sock - Filler/Spacer (STRETCH) HCPCS - L8470
Manufacturer and Price:
Material: Naturalcutcottonyarn,tubular,flatknit
Weight: Light 4 to 5 oz (113 to 142g) per dozen Heavy 8.5 to 9.5 oz (240 to269g) per dozen
SAMPLE: SOCK/CAST-HVY-BK-KR SOCK/CAST-LIGHT-BK-KR
Note: Sold in increments of 12Vendor Weight PriceKnit Rite, Inc. (Cast Rite)
Knit Rite, Inc. (Cast Rite)
Heavy - BK
Light - BK
$ .91
$ .86
Size WeightUnstretched
Length Item NameA, B0, 12, 3, & 42, 3 & 4 (XL)
Narrow HeavyMedium HeavyWide HeavyWide Heavy
12” (30cm)15” (38cm)12” (30cm)18” (45cm)
SPACER-STRETCH-HVYSPACER-STRETCH-MED-HVYSPACER-STRETCH-WIDE-HVYSPACER-STRETCH-XL-WIDE-HVY
Vendor Type PriceKnit Rite, Inc.Knit Rite, Inc.
StandardSuspension (Hole in the Toe)
$2.89($17.34 per pkg)$3.67 ($22.02 per pkg)
27
Prosthetic SocksBelow Knee (BK) Sock - Filler/Spacer
HCPCS - L8470
Material: cotton/polyester blend, rounded and reinforced toePackage: 6 ea Note: Sold in increments of 6
Manufacturer and Price:
Size WeightUnstretched
Length Item NameFits sizes B, 0Fits sizes B, 0Fits sizes 1, 2Fits sizes 1, 2Fits sizes 3, 4Fits sizes 3, 4Fits sizes 4,5
Narrow LightNarrow HeavyMedium LightMedium HeavyWide LightWide HeavyX-Wide Heavy
15 inches (38cm)15 inches (38cm)18 inches (45cm)18 inches (45cm)18 inches (45cm)18 inches (45cm)24 inches (60cm)
SPACER-NRW-LTSPACER-NRW-HVYSPACER-MED-LTSPACER-MED-HVYSPACER-WIDE-LTSPACER-WIDE-HVYSPACER-XWIDE-HVY
Vendor Type PriceKnit Rite, Inc.Knit Rite, Inc.
StandardSuspension (Hole in the Toe)
$2.89 ($17.34 per pkg)$3.67 ($22.02 per pkg)
Prosthetic Socks
28 Prices subject to change without notice
Below Knee (BK) Sock - Compensator Socks HCPCS - L8410
Material: Stretchy sheathDescription: Graduated Length Volume Filler Sock
Manufacturer and Price:
Standard Sizes Toe Length A-Plus 2 ply A-Plus 3 ply0(31/2”lyingflat)0(31/2”lyingflat)0(31/2”lyingflat)0(31/2”lyingflat)1(4”lyingflat)1(4”lyingflat)1(4”lyingflat)1(4”lyingflat)2(5”lyingflat)2(5”lyingflat)2(5”lyingflat)2(5”lyingflat)
3” (7.5cm)4” (10cm)5” (12.5cm)6” (15cm)3” (7.5cm)4” (10cm)5” (12.5cm)6” (15cm)3” (7.5cm)4” (10cm)5” (12.5cm)6” (15cm)
CS-2-0-3-KRCS-2-0-4-KRCS-2-0-5-KRCS-2-0-6-KRCS-2-1-3-KRCS-2-1-4-KRCS-2-1-5-KRCS-2-1-6-KRCS-2-2-3-KRCS-2-2-4-KRCS-2-2-5-KRCS-2-2-6-KR
CS-3-0-3-KRCS-3-0-4-KRCS-3-0-5-KRCS-3-0-6-KRCS-3-1-3-KRCS-3-1-4-KRCS-3-1-5-KRCS-3-1-6-KRCS-3-2-3-KRCS-3-2-4-KRCS-3-2-5-KRCS-3-2-6-KR
Suspension Sizes(Hole in the Toe)
Toe Length A-Plus 2 Ppy A-Plus 3 ply
0(31/2”lyingflat)0(31/2”lyingflat)0(31/2”lyingflat)0(31/2”lyingflat)1(4”lyingflat)1(4”lyingflat)1(4”lyingflat)1(4”lyingflat)2(5”lyingflat)2(5”lyingflat)2(5”lyingflat)2(5”lyingflat)
3” (7.5cm)4” (10cm)5” (12.5cm)6” (15cm)3” (7.5cm)4” (10cm)5” (12.5cm)6” (15cm)3” (7.5cm)4” (10cm)5” (12.5cm)6” (15cm
CS-2-0-3-SUS-KRCS-2-0-4-SUS-KRCS-2-0-5-SUS-KRCS-2-0-6-SUS-KRCS-2-1-3-SUS-KRCS-2-1-4-SUS-KRCS-2-1-5-SUS-KRCS-2-1-6-SUS-KRCS-2-2-3-SUS-KRCS-2-2-4-SUS-KRCS-2-2-5-SUS-KRCS-2-2-6-SUS-KR
CS-3-0-3-SUS-KRCS-3-0-4-SUS-KRCS-3-0-5-SUS-KRCS-3-0-6-SUS-KRCS-3-1-3-SUS-KRCS-3-1-4-SUS-KRCS-3-1-5-SUS-KRCS-3-1-6-SUS-KRCS-3-2-3-SUS-KRCS-3-2-4-SUS-KRCS-3-2-5-SUS-KRCS-3-2-6-SUS-KR
Vendor Size/Type Plies PriceKnit Rite, Inc Small (0) Standard or Suspension (Hole in the Toe)
Med (1 & 2) Standard or Suspension (Hole in the Toe)2 & 32 & 3
Open MarketOpen Market
29
Prosthetic Socks
Below Knee (BK) Sock - Coolmax® HCPCS - L8420
Manufacturer and Price:
Material: Coolmax® TO ORDER: Material-Ply*-Size-Length in inchesSample CM-3*-0-16 *Insert number for ply
Length
Size: 0/1Top: 6-7 inches(15-18cm)Toe: 4-5 inches (10.2-12.7cm)
Size: 1/2Top: 7-8 inches(18-20cm)Toe: 4-5 inches(10.2-12.7cm)
Size: 2/3Top: 8-9 inches(20-23cm)Toe: 5-6 inches(12.7-15.2cm)
8”-10” (20-25cm)10”-12” (25-30cm)12”-14” (30-36cm)16”-18” (41-46cm)20”-22” (51-56cm)24”-26” (61-66cm)
CM-PLY*-0/1-8/10CM-PLY*-0/1-10/12CM-PLY*-0/1-12/14CM-PLY*-0/1-16/18CM-PLY*-0/1-20/22CM-PLY*-0/1-24/26
CM-PLY*-1/2-8/10CM-PLY*-1/2-10/12CM-PLY*-1/2-12/14CM-PLY*-1/2-16/18CM-PLY*-1/2-20/22CM-PLY*-1/2-24/26
CM-PLY*-2/3-8/10CM-PLY*-2/3-10/12CM-PLY*-2/3-12/14CM-PLY*-2/3-16/18CM-PLY*-2/3-20/22CM-PLY*-2/3-24/26
Vendor Size Plies Price
Royal Knit (Royal Flush) Standard sizes 3, 5 & 6 Open Market
Prosthetic Socks
30 Prices subject to change without notice
Below Knee (BK) Sock - Coolmax Gel HCPCS - L8417
Material: Coolmax GelEquivalent to a 3 ply sockPackage: ea
TO ORDER: CM-GEL-SGL-Model-SiloSample CM-GEL-SGL-12725-Silo
Manufacturer and Price:
Manufacturer and Price:
Model: 12725Length: 12” (30cm)Gel Length: 10” (25cm)Top Dircumference:15-18” (38-46cm)Toe Circumference:9-12” (23-30cm)
Model: 12755Length: 12” (30cm)Gel Length: 10” (25cm)Top Dircumference:15-18” (38-46cm)Toe Circumference:12/14” (30-36cm)
Model: 12765Length: 16” (41cm)Gel Length: 12” (30cm)Top Dircumference:15-18” (38-46cm)Toe Circumference:12-14” (30-36cm)
CM-GEL-SGL-12725-SILO CM-GEL-SGL-12755-SILO CM-GEL-SGL-12765-SILO
Vendor PriceSilipos (Single Socket) Open Market
Material: Coolmax GelEquivalent to a 5 ply sockPackage: ea
TO ORDER: CM-GEL-DBL-Model-SiloSample CM-GEL-DBL-12625-Silo
Model: 12625Length: 12” (30cm)Gel Length: 10” (25cm)Top Dircumference:15-18” (38-46cm)Toe Circumference:9-12” (23-30cm)
Model: 12655Length: 12” (30cm)Gel Length: 10” (25cm)Top Dircumference:15-18” (38-46cm)Toe Circumference:12/14” (30-36cm)
Model: 12665Length: 16” (41cm)Gel Length: 12” (30cm)Top Dircumference:15-18” (38-46cm)Toe Circumference:12-14” (30-36cm)
CM-GEL-DBL-12625-SILO CM-GEL-DBL-12655-SILO CM-GEL-12665-SILO
Vendor PriceSilipos (Double Socket) Open Market
31
Prosthetic Socks
Manufacturer and Price:
Manufacturer and Price:
Vendor PriceSilipos (Single Socket) Open Market
Below Knee (BK) Sock - Cotton/Gel HCPCS - L8417
Material: Cotton/Lycra, polymer gel impregnated Equivalent to 3 plyPackage: ea
TO ORDER: CL-GEL-Size-Model-SiloSample CL-GEL-1-12555-Silo
Material: Cotton, polymer gel impregnated
Package: ea
TO ORDER: C-GEL-Ply*-LengthSample C-GEL-3*-12 *Insert number for ply
Also available: Other lengths (in two inch increments)Manufacturer and Price:
Size: 1Length: 13 inches (33cm)Gel Length: 10 inches (25cm)Top Circumference: 8-13 inches (20-33cm)Toe Circumference:7-11 inches (18-28cm)
Size: 2Length: 15 inches (38cm)Gel Length: 12 inches (30cm)Top Circumference: 10-15 inches (25-38cm)Toe Circumference:8-14 inches (20-36cm)
Size: 3Length: 15 inches (38cm)Gel Length: 12 inches (30cm)Top Circumference: 12-17 inches (30-43cm)Toe Circumference:10-16 inches (25-41cm)
CL-GEL-1-12555-SILO CL-GEL-2-12565-SIL CL-GEL-3-12575-SILO
Vendor PriceSilipos (Ultra Cushion) Open Market
Manufacturer and Price:
Length Item Name12 inches (30cm)14 inches (36cm)
C-GEL-PLY*-12C-GEL-PLY*-14
Vendor Plies PriceComfort Products 3 & 5 Open Market
Prosthetic Socks
32 Prices subject to change without notice
Below Knee (BK) Sock - Coolmax®/Lycra HCPCS - L8470
Material: Coolmax®
Use: Filler, Liner, Spacer, Interface
Package: ea
TO ORDER: CML-Ply*-Size-LengthSample CML-2*-NRW-SHORT *Insert number for ply
Manufacturers and Prices:
Length
Size: NarrowTop: 5.5-7 inches(14-18cm)Toe: 3.5-4 inches (8.9-10.2cm)
Size: RegularTop: 7-8 inches (18-20cm)Toe: 4-5 inches (10-13cm)
Size: WideTop: 9-10 inches (23-25cm)Toe: 6-7 inches(15-18cm)
Extra Short 8-12”(20-30cm)Short 10-14” (25-36cm)Medium 16-20”(41-51cm)Long 22-28”(56-71cm)
CML-PLY*-NRW-XSHORT
CML-PLY*-NRW-SHORT
CML-PLY*-NRW-MED
CML-PLY*-NRW-LONG
CML-PLY*-REG-XSHORT
CML-PLY*-REG-SHORT
CML-PLY*-REG-MED
CML-PLY*-REG-LONG
CML-PLY*-WIDE-XSHORT
CML-PLY*-WIDE-SHORT
CML-PLY*-WIDE-MED
CML-PLY*-WIDE-LONG
Vendor Size Plies PriceKnit Rite, Inc. (Soft Sock)
Trulife (Hood Cool Sock II)
Royal Knit (Royal Flush)
Small 0Medium 1 & 2Large 3 & 4X-Large 5 & 6
Small - XL (0-6)
Standard sizes
3, 5 & 63, 5 & 63, 5 & 63 & 5
2, 3, 4 & 5
3, 5 & 6
Open Market
Open Market
Open Market
33
Prosthetic Socks
Length
Size: NarrowTop: 5.5-7 inches(14-18cm)Toe: 3.5-4 inches (8.9-10.2cm)
Size: RegularTop: 7-8 inches (18-20cm)Toe: 4-5 inches (10-13cm)
Size: WideTop: 9-10 inches (23-25cm)Toe: 6-7 inches(15-18cm)
Extra Short 8-12”(20-30cm)Short 10-14” (25-36cm)Medium 16-20”(41-51cm)Long 22-28”(56-71cm)
CML-PLY*-NRW-XSHORT
CML-PLY*-NRW-SHORT
CML-PLY*-NRW-MED
CML-PLY*-NRW-LONG
CML-PLY*-REG-XSHORT
CML-PLY*-REG-SHORT
CML-PLY*-REG-MED
CML-PLY*-REG-LONG
CML-PLY*-WIDE-XSHORT
CML-PLY*-WIDE-SHORT
CML-PLY*-WIDE-MED
CML-PLY*-WIDE-LONG
Below Knee (BK) Sock - Cotton HCPCS - L8420
Material: Cotton Package: ea
TO ORDER: Material-Ply*-Size-Length in inchesSample C-2*-0-16 *Insert number for ply
Manufacturers and Prices:
Length
Size: 0Top: 6 inches(15cm)Toe: 3.5 inches(8.9cm)
Size: 1Top: 7 inches(18cm)Toe: 4 inches (8.9cm)
Size: 2Top: 8 inches (20cm)Toe: 5 inches (12.7cm)(10-18 inch lenGth)Toe: 4 inches (10.2cm)(20-32 inch length)
Size 3:Top: 9 inches (23cm)Toe: 6 inches (15.2cm)(10-18 inch length)Toe: 4.5 inches (11.4cm)(20-32 inch length)
10” (25cm)12” (33cm)14” (36cm)16” (41cm)18” (46cm)20” (51cm)22” (56cm)24” (61cm)26” (66cm)28” (71cm)30” (76cm)32” (91cm)
C-PLY*-0-10C-PLY*-0-12C-PLY*-0-14 C-PLY*-0-16C-PLY*-0-18C-PLY*-0-20C-PLY*-0-22C-PLY*-0-24C-PLY*-0-26C-PLY*-0-28C-PLY*-0-30C-PLY*-0-32
C-PLY*-1-10C-PLY*-1-12C-PLY*-1-14C-PLY*-1-16C-PLY*-1-18C-PLY*-1-20C-PLY*-1-22C-PLY*-1-24C-PLY*-1-26C-PLY*-1-28C-PLY*-1-30C-PLY*-1-32
C-PLY*-2-10C-PLY*-2-12C-PLY*-2-14 C-PLY*-2-16C-PLY*-2-18C-PLY*-2-20C-PLY*-2-22C-PLY*-2-24C-PLY*-2-26C-PLY*-2-28C-PLY*-2-30C-PLY*-2-32
C-PLY*-3-10C-PLY*-3-12C-PLY*-3-14C-PLY*-3-16C-PLY*-3-18C-PLY*-3-20C-PLY*-3-22C-PLY*-3-24C-PLY*-3-26C-PLY*-3-28C-PLY*-3-30C-PLY*-3-32
Vendor Size Plies PriceTrulife (Hood Cotton Traditional)
Knit Rite, Inc. (Sterling)
Small - XL (0-6)
Small 0Medium 1 & 2Large 3 & 4X-Large 5 & 6
1-8 plies
1, 2, 3 & 51, 2, 3 & 51, 2, 3 & 53 & 5
Open Market
$7.08$8.30$9.53$10.75
Prosthetic Socks
34 Prices subject to change without notice
Below Knee (BK) Sock - Cottonette HCPCS - L8420
Material: Mercerized Cotton
Package: ea
TO ORDER: CT-2-Size-LengthSample CT-2-A-12
Manufacturer and Price:
Length
Size: ATop: 4 inches (10.2cm)Toe: 3.5 inches (18.9cm)
Size: BTop: 6 inches(15cm)Toe: 4 inches(11.4cm)
Size: CTop: 7 inches (18cm)Toe: 5.5 inches (14cm)
Size: DTop: 8 inches(20cm)Toe: 6.5 inches (16.5cm)
10” (25cm)12” (33cm)14” (36cm)16” (41cm)18” (46cm)20” (51cm)22” (56cm)24” (61cm)26” (66cm)28” (71cm)30” (76cm
CT-2-A-10CT-2-A-12CT-2-A-14CT-2-A-16CT-2-A-18CT-2-A-20CT-2-A-22CT-2-A-24CT-2-A-26CT-2-A-28CT-2-A-30
CT-2-B-10CT-2-B-12CT-2-B-14CT-2-B-16CT-2-B-18CT-2-B-20CT-2-B-22CT-2-B-24CT-2-B-26CT-2-B-28CT-2-B-30
CT-2-C-10CT-2-C-12CT-2-C-14CT-2-C-16CT-2-C-18CT-2-C-20CT-2-C-22CT-2-C-24CT-2-C-26CT-2-C-28CT-2-C-30
CT-2-D-10CT-2-D-12CT-2-D-14CT-2-D-16CT-2-D-18CT-2-D-20CT-2-D-22CT-2-D-24CT-2-D-26CT-2-D-28CT-2-D-30
Vendor Plies `PriceKnit Rite, Inc 2 Open Market
35
Prosthetic Socks
Manufacturer and Price:
Below Knee (BK) Sock - Acrylic/Lycra HCPCS - L8420
Material: Acrylic/Lycra
Package: ea
TO ORDER: Material-Ply*-Size-Length in inchesSample OL-2*-0-16 *Insert number for ply
Manufacturers and Prices:
Length
Size: 0Top: 6 inches(15cm)Toe: 3.5 inches(8.9cm)
Size: 1Top: 7 inches(18cm)Toe: 4 inches (8.9cm)
Size: 2Top: 8 inches (20cm)Toe: 5 inches (12.7cm)(10-18 inch length)Toe: 4 inches (10.2cm)(20-33 inch length)
Size 3:Top: 9 inches (23cm)Toe: 6 inches (15.2cm)(10-18 inch length)Toe: 4.5 inches (11.4cm)(20-32 inch length)
10” (25cm)12” (33cm)14” (36cm)16” (41cm)18” (46cm)20” (51cm)22” (56cm)24” (61cm)26” (66cm)28” (71cm)30” (76cm)32” (91cm)
OL-PLY*-0-10OL-PLY*-0-12OL-PLY*-0-14 OL-PLY*-0-16OL-PLY*-0-18OL-PLY*-0-20OL-PLY*-0-22OL-PLY*-0-24OL-PLY*-0-26OL-PLY*-0-28OL-PLY*-0-30OL-PLY*-0-32
OL-PLY*-1-10OL-PLY*-1-12OL-PLY*-1-14 OL-PLY*-1-16OL-PLY*-1-18OL-PLY*-1-20OL-PLY*-1-22OL-PLY*-1-24OL-PLY*-1-26OL-PLY*-1-28OL-PLY*-1-30OL-PLY*-1-32
OL-PLY*-2-10OL-PLY*-2-12OL-PLY*-2-14 OL-PLY*-2-16OL-PLY*-2-18OL-PLY*-2-20OL-PLY*-2-22OL-PLY*-2-24OL-PLY*-2-26OL-PLY*-2-28OL-PLY*-2-30OL-PLY*-2-32
OL-PLY*-3-10OL-PLY*-3-12OL-PLY*-3-14OL-PLY*-3-16OL-PLY*-3-18OL-PLY*-3-20OL-PLY*-3-22OL-PLY*-3-24OL-PLY*-3-26OL-PLY*-3-28OL-PLY*-3-30OL-PLY*-3-32
Vendor Size Plies PriceTrulife (Hood Comfy Stretch)
Knit Rite, Inc (A+)
Small - XL (0-6)
Small 0Medium 1-2Large 3-4X-Large 5-6
2, 3 & 4
2, 3 & 42, 3 & 42, 3 & 4N/A
Opem Market
$6.47$7.34$8.23N/A
Prosthetic Socks
36 Prices subject to change without notice
Below Knee (BK) Sock - Acrylic/Lycra Stretch HCPCS - L8420
Material: Acrylic/Lycra Package: ea TO ORDER: OL-Ply*-Size-LengthSample OL-3*-Med-Short * Insert number for ply
Manufacturer and Price:
Length
Size: NarrowTop: 4-6 inches (10-15cm)Toe: 3-3.5 inches (7.6-8.9cm)
Size: MediumTop: 7-8 inches (18-20cm)Toe: 4-5 inches (10-13cm)
Extra Short 8-10”(20-25cm)Short 10-12” (25-30cm)Regular 14-16” (35-40cm)Long 18-20”(46-51cm)Extra Long 22-24” (55-60cm)Extra Extra Long 26-28” (65-70cm)
OL-PLY*-NRW-XSHORT
OL-PLY*-NRW-SHORT
OL-PLY*-NRW-REG
OL-PLY*-NRW-LONG
OL-PLY*-NRW-XLONG
OL-PLY*-NRW-XXLONG
OL-PLY*-MED-XSHORT
OL-PLY*-MED-SHORT
OL-PLY*-MED-REG
OL-PLY*-MED-LONG
OL-PLY*-MED-XLONG
OL-PLY*-MED-XXLONG
Vendor Size Plies PriceComfort Products Co (Regal) Standard Sizes 3, 5 & 6 Open Market
37
Prosthetic Socks
Below Knee (BK) Sock - Wool HCPCS - L8420
Material: Wool ‘
Package: ea TO ORDER: Material-Ply*-Size-Length in inchesSample W-2*-0-16 *Insert number for ply
Manufacturers and Prices:
Length
Size: 0Top: 6 inches(15cm)Toe: 3.5 inches(8.9cm)
Size: 1Top: 7 inches(18cm)Toe: 4 inches (8.9cm)
Size: 2Top: 8 inches (20cm)Toe: 5 inches (12.7cm)(10-18 inch length)Toe: 4 inches (10.2cm)(20-32 inch length)
Size 3:Top: 9 inches (23cm)Toe: 6 inches (15.2cm)(10-18 inch length)Toe: 4.5 inches (11.4cm)(20-32 inch length)
10” (25cm)12” (33cm)14” (36cm)16” (41cm)18” (46cm)20” (51cm)22” (56cm)24” (61cm)26” (66cm)28” (71cm)30” (76cm)32” (91cm)
W-PLY*-0-10W-PLY*-0-12W-PLY*-0-14 W-PLY*-0-16W-PLY*-0-18W-PLY*-0-20W-PLY*-0-22W-PLY*-0-24W-PLY*-0-26W-PLY*-0-28W-PLY*-0-30W-PLY*-0-32
W-PLY*-1-10W-PLY*-1-12W-PLY*-1-14 W-PLY*-1-16W-PLY*-1-18W-PLY*-1-20W-PLY*-1-22W-PLY*-1-24W-PLY*-1-26W-PLY*-1-28W-PLY*-1-30W-PLY*-1-32
W-PLY*-2-10W-PLY*-2-12W-PLY*-2-14 W-PLY*-2-16W-PLY*-2-18W-PLY*-2-20W-PLY*-2-22W-PLY*-2-24W-PLY*-2-26W-PLY*-2-28W-PLY*-2-30W-PLY*-2-32
W-PLY*-3-10W-PLY*-3-12W-PLY*-3-14W-PLY*-3-16W-PLY*-3-18W-PLY*-3-20W-PLY*-3-22W-PLY*-3-24W-PLY*-3-26W-PLY*-3-28W-PLY*-3-30W-PLY*-3-32
Vendor Size Plies PriceKnit Rite, Inc. (Super Sock)
Knit Rite, Inc. (Sterling Wool)
Trulife (Hood Wool Classic)
Small 0Medium 1-2Large 3-4X-Large 5-6
Small 0Medium 1-2Large 3-4X-Large 5-6
Small-XL (0-6))
3, 5 & 63, 5 & 63, 5 & 63, 5 & 6
1-3 & 5-81-3 & 5-81-3 & 5-81-3 & 5
1-8
$5.52$6.71$7.90$11.24
$5.52$6.71$7.90$11.24
Open Market
Prosthetic Socks
38 Prices subject to change without notice
Below Knee (BK) Sock - Wool/Acrylic HCPCS - L8420
Material: Wool/Acrylic blend
Package: ea
TO ORDER: Material-Ply*-Size-Length in inchesSample WA-3*-0-16 *Insert number for ply
Manufacturer and Price:
Length
Size: 0Top: 6 inches(15cm)Toe: 3.5 inches(8.9cm)
Size: 1Top: 7 inches(18cm)Toe: 4 inches (8.9cm)
Size: 2Top: 8 inches (20cm)Toe: 5 inches (12.7cm)(10-18 inch length)Toe: 4 inches (10.2cm)(20-32 inch length)
Size 3:Top: 9 inches 23cm)Toe: 6 inches (15.2cm)(10-18 inch length)Toe: 4.5 inches (11.4cm)(20-32 inch length)
10” (25cm)12” (33cm)14” (36cm)16” (41cm)18” (46cm)20” (51cm)22” (56cm)24” (61cm)26” (66cm)28” (71cm)30” (76cm)32” (91cm)
WA-PLY*-0-10WA-PLY*-0-12WA-PLY*-0-14 WA-PLY*-0-16WA-PLY*-0-18WA-PLY*-0-20WA-PLY*-0-22WA-PLY*-0-24WA-PLY*-0-26WA-PLY*-0-28WA-PLY*-0-30WA-PLY*-0-32
WA-PLY*-1-10WA-PLY*-1-12WA-PLY*-1-14 WA-PLY*-1-16WA-PLY*-1-18WA-PLY*-1-20WA-PLY*-1-22WA-PLY*-1-24WA-PLY*-1-26WA-PLY*-1-28WA-PLY*-1-30WA-PLY*-1-32
WA-PLY*-2-10WA-PLY*-2-12WA-PLY*-2-14 WA-PLY*-2-16WA-PLY*-2-18WA-PLY*-2-20WA-PLY*-2-22WA-PLY*-2-24WA-PLY*-2-26WA-PLY*-2-28WA-PLY*-2-30WA-PLY*-2-32
WA-PLY*-3-10WA-PLY*-3-12WA-PLY*-3-14WA-PLY*-3-16WA-PLY*-3-18WA-PLY*-3-20WA-PLY*-3-22WA-PLY*-3-24WA-PLY*-3-26WA-PLY*-3-28WA-PLY*-3-30WA-PLY*-3-32
Vendor Size Plies PriceComfort Products Inc (Easy Care) Standard Sizes 3, 5 & 6 Open Market
39
Prosthetic Socks
Below Knee (BK) Sock - Wool/Coolmax® HCPCS - L8420
Material: Wool/Coolmax®Package: ea
TO ORDER: Material-Ply*-Size-Length in inchesSample WCM-3*-0/1-14/16 *Insert number for ply
Manuracturer and Price:
Length
Size: 0Top: 6-7 inches(15-18cm)Toe: 3-4 inches(7.6-10.2cm)
Size: 0/1Top: 6-7 inches(15-18cm)Toe: 4-5 inches (10.2-12.7cm)
Size: 1/2Top: 7-8 inches (18-20cm)Toe: 4-5 inches (10.2-12.7cm)
Size 2/3:Top: 8-9 inches (20-23cm)Toe: 5-6 inches (12.7-15.2cm)
8”-10” (20-25cm)10”-12” (25-30cm)12”-14” (30-36cm)16”-18” (41-46cm)20”-22” (51-56cm)24”-26” (61-66cm)
WCM-PLY*-0-8/10
WCM-PLY*-0-10/12
WCM-PLY*-0-12/14
WCM-PLY*-0-16/18
WCM-PLY*-0-20/22
WCM-PLY*-0-24/26
WCM-PLY*-0/1-8/10
WCM-PLY*-0/1-10/12
WCM-PLY*-0/1-12/14
WCM-PLY*-0/1-16/18
WCM-PLY*-0/1-20/22
WCM-PLY*-0/1-24/26
WCM-PLY*-1/2-8/10
WCM-PLY*-1/2-10/12
WCM-PLY*-1/2-12/14
WCM-PLY*-1/2-16/18
WCM-PLY*-1/2-20/22
WCM-PLY*-1/2-24/26
WCM-PLY*-2/3-8/10
WCM-PLY*-2/3-10/12
WCM-PLY*-2/3-12/14
WCM-PLY*-2/3-16/18
WCM-PLY*-2/3-20/22
WCM-PLY*-2/3-24/26
Vendor Size Plies PriceTrulife (Hood Stretch Ultra)
Royal Knit (Royal Stretch)
Small-XL (0-6)
Standard Sizes
2-5
3, 5 & 6
Open Market
Open Market
Prosthetic Socks
40 Prices subject to change without notice
Below Knee (BK) Sock - Wool/Nylon HCPCS - L8420
Material: Wool/Nylon
Package: ea
TO ORDER: Material-Ply*-Size-Length in inchesSample WN-3*-0-16 *Insert number for ply
Manufacturer and Price:
Length
Size: 0Top: 6 inches(15cm)Toe: 3.5 inches(8.9cm)
Size: 1Top: 7 inches(18cm)Toe: 4 inches (8.9cm)
Size: 2Top: 8 inches (20cm)Toe: 5 inches (12.7cm)(10-18 inch lendth)Toe: 4 inches (10.2cm)(20-34 inch length)
Size 3:Top: 9 inches (23cm)Toe: 6 inches (15.2cm)(10-18 inch length)Toe: 4.5 inches (11.4cm)(20-34 inch length)
8” (20cm)10” (25cm)12” (33cm)14” (36cm)16” (41cm)18” (46cm)20” (51cm)22” (56cm)24” (61cm)26” (66cm)28” (71cm)30” (76cm)32” (81cm)34” (87cm)
WN-PLY*-0-8WN-PLY*-0-10WN-PLY*-0-12WN-PLY*-0-14 WN-PLY*-0-16WN-PLY*-0-18WN-PLY*-0-20WN-PLY*-0-22WN-PLY*-0-24WN-PLY*-0-26WN-PLY*-0-28WN-PLY*-0-30WN-PLY*-0-32WN-PLY*-0-34
WN-PLY*-1-8WN-PLY*-1-10WN-PLY*-1-12WN-PLY*-1-14 WN-PLY*-1-16WN-PLY*-1-18WN-PLY*-1-20WN-PLY*-1-22WN-PLY*-1-24WN-PLY*-1-26WN-PLY*-1-28WN-PLY*-1-30WN-PLY*-1-32WN-PLY*-1-34
WN-PLY*-2-8WN-PLY*-2-10WN-PLY*-2-12WN-PLY*-2-14 WN-PLY*-2-16WN-PLY*-2-18WN-PLY*-2-20WN-PLY*-2-22WN-PLY*-2-24WN-PLY*-2-26WN-PLY*-2-28WN-PLY*-2-30WN-PLY*-2-32WN-PLY*-2-34
WN-PLY*-3-8WN-PLY*-3-10WN-PLY*-3-12WN-PLY*-3-14WN-PLY*-3-16WN-PLY*-3-18WN-PLY*-3-20WN-PLY*-3-22WN-PLY*-3-24WN-PLY*-3-26WN-PLY*-3-28WN-PLY*-3-30WN-PLY*-3-32WN-PLY*-3-34
Vendor Size Plies PriceTrulife (Hood Superwash) Small-XL (0-6) 1-8 Open Market
41
Prosthetic SocksBelow Knee - Wool/Silver
HCPCS - L8420
Material: Wool/SilverPackage: ea
Vendor Size Plies PriceTrulife (Hood Wool/Silver w/Coolmax)
Knit Rite, Inc. (X-Wool)
Small-XL (0-6)
Small 0Medium 1-2
2-5
3, 5 & 63, 5 & 6
Open Market
$7.95$9.80
Manufacturer and Price:
ITEM NAME PLIES SIZEFITS SOCK
SIZE LENGTHWX-*-NRW-XSHORT-ARM 3,5 Narrow X-Short 0 8”-10” (20-25cm)WX-*-NRW-SHORT-ARM 3,5,6 Narrow Short 0 10”-12” (25-30cm)WX-*-NRW-REG-ARM 3,5,6 Narrow Regular 0 14”-16” (35-40cm)WX-*-NRW-LONG-ARM 3,5,6 Narrow Long 0 18”-20” (45-50cm)
ITEM NAME PLIES SIZEFITS SOCK
SIZE LENGTHWX-*-MED-XSHORT-ARM 3,5 Medium X-Short 1 8”-10” (20-25cm)WX-*-MED-SHORT-ARM 3,5,6 Medium Short 1 10”-12” (25-30cm)WX-*-MED-REG-ARM 3,5,6 Medium Regular 1 14”-16” (35-40cm)
ITEM NAME PLIES SIZEFITS SOCK
SIZE LENGTHWX-*-MED-XSHORT-KR 3,5 Medium X-Short 2 8”-10” (20-25cm)WX-*-MED-SHORT-KR 3,5,6 Medium Short 2 10”-12” (25-30cm)WX-*-MED-REG-KR 3,5,6 Medium Regular 2 14”-16” (35-40cm)WX-*-MED-LONG-KR 3,5,6 Medium Long 2 18”-20” (45-50cm)WX-*-MED-XLONG-KR 3,5 Medium X-Long 2 22”-24” (55-60cm)
Prosthetic Socks
42 Prices subject to change without notice
Below Knee (BK) Sock - Suspension(Hole in the Toe)
HCPCS - L8420Available in Cotton, Coolmax, Orlon Acrylic, Orlon Lycra, Wool, Wool Coolmax, Wool Nylon and Wool Silver
Package: ea
Call for ordering information: Veteran Services Division at 303-215-5245 (e-mail: [email protected])Specifymaterialandply,length,topwidth(lyingflat),othermeasurementsandtoewidth.Patternsmay be necessary for socks with special contours, for example, knee disarticulation socks.
Material Vendor Size Plies PriceCotton
Coolmax
Orlon Acrylic
Knit Rite, Inc.
Knit Rite, Inc
Trulife
Trulife
Knit Rite, Inc.
Small 0Medium 1-2Large 3-4X-Large 5-6
Small 0Medium 1-2Large 3-4X-Large 5-6
Small-XL (0-6)
Small-XL (0-6)
Small Medium
1-3 & 51-3 & 51-3 & 51-3 & 5
1, 2, 3, 5 & 61, 2, 3, 5 & 61, 2, 3, 5 & 61, 2, 3, 5 & 6
2-5
1-5
3, 5 & 63, 5 & 6
Open MarketOpen MarketOpen MarketOpen Market
Open MarketOpen MarketOpen MarketOpen Market
Open Market
Open Market
$7.78$8.70
43
Prosthetic Socks
Material Vendor Size Plies PriceOrlon Lycra
Wool (Super Sock)
Wool (Sterling Stretch)
Wool/Coolmax®
Wool/Nylon
Wool/Silver
Trulife
Knit Rite, Inc
Knit Rite, Inc.
Knite Rite, Inc.
Trulife
Trulife
Trulife
Trulife
Knit Rite, Inc.
Small-XL (0-6)
Small 0Medium 1-2Large 3-4
Small 0Medium 1-2Large 3-4
Small 0Medium 1-2Large 3-4
Small-XL (0-6)
Small-XL (0-6)
Small-XL (0-6)
Small-XL (0-6)
Small 0Medium 1-2Large 3-4
1-5
2-42-42-4
3 & 53 & 53 & 5
1-3 & 5-81-3 & 5-81-3 & 5-8
1-8
2-5
1-8
2-5
3 & 53 & 53, 5 & 6
Open Market
$7.54$8.41$9.30
$6.38$7.53$8.67
$6.38$7.53$8.67
Open Market
Open Market
Open Market
Open Market
$8.72 $10.50 $12.82
Below Knee (BK) Sock - Suspension(Hole in the Toe)
(continued) HCPCS - L8420
Prosthetic Socks
44 Prices subject to change without notice
Below Knee (BK) Sock - Custom Toe andTop, Custom Width and Pelvic Cut
(Non-Standard) HCPCS - L8420
Available in Cotton, Coolmax®, Orlon Acrylic, Orlon Lycra, Wool, Wool Coolmax®, Wool Nylon and Wool Silver
Package: ea
Call for ordering information: Veteran Services Division at 303-215-5245 (e-mail: [email protected])Specifymaterialandply,length,topwidth(lyingflat),othermeasurementsandtoewidth.Patternsmay be necessary for socks with special contours, for example, knee disarticulation socks.
Material Vendor Size Plies Sell PriceCotton
Coolmax
Orlon Acrylic
Knit Rite, Inc.
Knit Rite, Inc
Trulife
Trulife
Knit Rite, Inc.
Small 0Medium 1-2Large 3-4X-Large 5-6
Small 0Medium 1-2Large 3-4X-Large 5-6
Small-XL (0-6)
Small-XL (0-6)
Small Medium
1-3 & 51-3 & 51-3 & 51-3 & 5
1, 2, 3, 5 & 61, 2, 3, 5 & 61, 2, 3, 5 & 61, 2, 3, 5 & 6
2-5
1-5
3, 5 & 63, 5 & 6
$9.23 $9.92
$11.68 $12.90
$8.57$8.81$9.42$10.10
Open Market
Open Market
$9.30$12.24
45
Prosthetic Socks
Material Vendor Size Plies PriceOrlon Lycra
Wool (Super Sock)
Wool (Sterling Stretch)
Wool/Coolmax®
Wool/Nylon
Wool/Silver
Trulife
Knit Rite, Inc
Knit Rite, Inc.
Knite Rite, Inc.
Trulife
Trulife
Trulife
Trulife
Knit Rite, Inc.
Small-XL (0-6)
Small 0Medium 1-2Large 3-4
Small 0Medium 1-2Large 3-4X-Large 5-6
Small 0Medium 1-2Large 3-4X-Large 5-6
Small-XL (0-6)
Small-XL (0-6)
Small-XL (0-6)
Small-XL (0-6)
Small 0Medium 1-2Large 3-4X-Large 5-6
1-5
2-42-42-4
3 & 53 & 53 & 53 & 5
1-3 & 5-81-3 & 5-81-3 & 5-81-3 & 5-8
1-8
2-5
1-5
1-8
3 & 53 & 53, 5 & 63, 5 & 6
Open Market
$6.47 $7.34 $7.23
$7.45$8.60$9.74
$10.88
$7.45$8.60$9.74
$10.88
Open Market
Open Market
Open Market
Open Market
Open MarketOpen MarketOpen MarketOpen Market
Below Knee (BK) Sock - Custom Toe andTop, Custom Width and Pelvic Cut
(Non-Standard)(continued) HCPCS - L8420
Prosthetic Socks
46 Prices subject to change without notice
Below Knee (BK) Sheath - DAW HCPCS - L8400
Material: Polyamide single knit meshPackage: ea
Manufacture: Daw Industries 1300, 1301, 1501, 1502 Price: Open Market
TO ORDER: Sheath/DAW-Daw Size-length in centimeters-Clr*Sample SHEATH/DAW-XXXX-F1-20-YLW* *Insert color code GRN (Green) YLW (Yellow)
NOTE: Insert style number at the XXXX
Sock Size: 0DAW Size: F1Top: 6 inches (15cm)Style: 1300, 1301
Sock Size: 1DAW Size: F2Top: 7 inches (18cm)Style: 1300, 1301
Sock Size: 2DAW Size: F3Top: 8 inches (20cm)Style: 1300, 1301
SHEATH/DAW-XXXX-F1-20-CLR*SHEATH/DAW-XXXX-F1-25-CLR*SHEATH/DAW-XXXX-F1-30-CLR*SHEATH/DAW-XXXX-F1-35-CLR*SHEATH/DAW-XXXX-F1-40-CLR*SHEATH/DAW-XXXX-F1-45-CLR*
SHEATH/DAW-XXXX-F2-20-CLR*SHEATH/DAW-XXXX-F2-25-CLR*SHEATH/DAW-XXXX-F2-30-CLR*SHEATH/DAW-XXXX-F2-35-CLR*SHEATH/DAW-XXXX-F2-40-CLR*SHEATH/DAW-XXXX-F2-45-CLR*
SHEATH/DAW-XXXX-F3-20-CLR*SHEATH/DAW-XXXX-F3-25-CLR*SHEATH/DAW-XXXX-F3-30-CLR*SHEATH/DAW-XXXX-F3-35-CLR*SHEATH/DAW-XXXX-F3-40-CLR*SHEATH/DAW-XXXX-F3-45-CLR*
Sock Size: 0DAW Size: F1Top: 6 inches (15cm)Style: 1300, 1301
Sock Size: 1DAW Size: F2Top: 7 inches (18cm)Style: 1300, 1301
Sock Size: 2DAW Size: F3Top: 8 inches (20cm)Style: 1300, 1301
SHEATH/DAW-XXXX-F1-50-CLR*SHEATH/DAW-XXXX-F1-55-CLR*SHEATH/DAW-XXXX-F1-60-CLR*SHEATH/DAW-XXXX-F1-65-CLR*SHEATH/DAW-XXXX-F1-70-CLR*SHEATH/DAW-XXXX-F1-75-CLR*
SHEATH/DAW-XXXX-F2-50-CLR*SHEATH/DAW-XXXX-F2-55-CLR*SHEATH/DAW-XXXX-F2-60-CLR*SHEATH/DAW-XXXX-F2-65-CLR*SHEATH/DAW-XXXX-F2-70-CLR*SHEATH/DAW-XXXX-F2-75-CLR*
SHEATH/DAW-XXXX-F3-50-CLR*SHEATH/DAW-XXXX-F3-55-CLR*SHEATH/DAW-XXXX-F3-60-CLR*SHEATH/DAW-XXXX-F3-65-CLR*SHEATH/DAW-XXXX-F3-70-CLR*SHEATH/DAW-XXXX-F3-75-CLR*
CM INCHES CM INCHES20 8 50 2025 10 55 2230 12 60 2435 14 65 2640 16 70 2845 18 75 30
Yellow Design, Styles 1300 and 1301 (YLW)Green Design, Styles 1501 and 1502 (GRN)
47
Prosthetic SocksBelow Knee (BK) Sheath - Nylon
HCPCS - L8400
Material: NylonColors: White (WHT), Beige (BG)Package: 2 ea
TO ORDER: Sheath-N-Size-Length-CLR*Sample SHEATH-N-NRW-MEDIUM-WHT* * Insert Color
Sewn toe
Manufacturers and Prices:
LengthSize: NarrowWidth: 5.5-7 inches (14-18cm)
Size: RegularWidth: 7-8 inches (18-20cm)
Extra Short 8”-12” (20-30cm)Short 10”-14” (25-36cm)Medium 16”-20” (41-51cm)Long 22”-28”(56-71cm)
SHEATH-N-NRW-XSHORT-CLR*
SHEATH-N-NRW-SHORT-CLR*
SHEATH-N-NRW-MED-CLR*
SHEATH-N-NRW-LONG-CLR*
SHEATH-N-REG-XSHORT-CLR*
SHEATH-N-REG-SHORT-CLR*
SHEATH-N-REG-MED-CLR*
SHEATH-N-REG-LONG-CLR*
Vendor Type PriceKnit Rite, Inc. (Zens)
Trulife (Hood Sheaths)
Standard & Non-Suspension
Standard
$2.65
Open Market
Knitted toe
LengthSize: BK2Width: 5.5-9 inches (14-23)
Short 10”-14” (25-36cmMedium 16”-20” (41-51cm)Long 22”-28” (56-71cm)
SHEATH-N-BK2-SHORT-CLR*SHEATH-N-BK2-MED-CLR*SHEATH-N-BK2-LONG-CLR*
Prosthetic Socks
48 Prices subject to change without notice
Below Knee (BK) Sheath - Silipos HCPCS - L8417
Material: Nylon sheath, polymer gel impregnated
Manufacturer: SiliposPackage: ea
TO ORDER: SHEATH-SILO-Size-Part No.-TypeSample SHEATH-SILO-1-13315-STD
Type
Size: 1Length: 10-13” (25-33-cm)Gel Dip Length: 8” (20cm)Top Circumference:6.5-10” (16.5-25.4cm)Toe Circumference:6.5-9 “ (16.5-22.9cm)
Size 2Length: 15-17” (38-43cm)Gel Dip Length: 10” (25cm)Top Circumference:7-12” (17.8-30.5cm)Toe Circumference:7-10.5” (17.8-26.7) Price
Double CushionExtra LifeStandard
SHEATH-SILO-1-13415-DBLSHEATH-SILO-1-13815-XLFSHEATH-SILO-1-13315-STD
SHEATH-SILO-2-13425-DBLSHEATH-SILO-2-13825-XLFSHEATH-SILO-2-13325-STD
Open MarketOpen MarketOpen Market
Type
Size: 3 Length: 15-17” (38-43cm)Gel Dip Length: 10” (25cm)Top Circumference:8-14” (20.3-35.6cm)Toe Circumference:8-12.5” (20.3-31.8cm)
Size: 4Length: 17-19” (43-48cm)Gel Dip Length: 13” (33cm)Top Circumference:8-14” (20.3-35.6cm)Toe Circumference:8-12.5” (20.3-31.8cm) Price
Double CushionExtra LifeStandard
SHEATH-SILO-3-13435-DBLSHEATH-SILO-3-13835-XLFSHEATH-SILO-3-13335-STD
SHEATH-SILO-4-13445-DBLSHEATH-SILO-4-13845-XLFSHEATH-SILO-4-13345-STD
Open MarketOpen MarketOpen Market
49
Prosthetic Socks
Above Knee (AK) Sheath - Silipos® HCPCS - L8417
Material: Nylon sheath, polymer gel impregnated Manufacturer: Silipos®Package: ea
TO ORDER:SHEATH-SILO-Size-Part No.-Type
Sample SHEATH-SILO-1-13315-STD
Type
Size: 5Length: 17-19” (43-48cm)Gel Dip Length: 10” (25cm)Top Circumference:9-16” (22.9-40.6cm)Toe Circumference:9-14” (22.9-35.6cm)
Size: 6Length: 18-21” (46-53cm)Gel Dip Length: 13” (33cm)Top Circumference:9-16” (22.9-40.6cm)Toe Circumference:9-14” (22.9-35.6cm) Price
Double CushionExtra LifeStandard
SHEATH-SILO-5-13455-DBLSHEATH-SILO-5-13855-XLFSHEATH-SILO-5-13355-STD
SHEATH-SILO-6-13465-DBLSHEATH-SILO-6-13865-XLFSHEATH-SILO-6-13365-STD
Open MarketOpen MarketOpen Market
Type
Size: 7Length: 18-21” (46-53cm)Gel Dip Length: 13” (33cm)Top Circumference:11-18” (28-45.7cm)Toe Circumference:11-15” (28-40.6cm)
Size: 8Length: 18-21” (46-53cm)Gel Dip Length: 13” (33cm)Top Circumference:12-21” (30.5-53.3cm)Toe Circumference:12-19” (30.5-48.3cm) Price
Double CushionExtra LifeStandard
SHEATH-SILO-7-13475-DBLSHEATH-SILO-7-13875-XLFSHEATH-SILO-7-13375-STD
SHEATH-SILO-8-13485-DBLSHEATH-SILO-8-13885-XLFSHEATH-SILO-8-13385-STD
Open MarketOpen MarketOpen Market
Prosthetic Socks
50 Prices subject to change without notice
Hip Disarticulation Sock HCPCS - L8430
Available in cotton, Orlon Acrylic, Orlon Acrylic/Lycra blend, Wool, and Wool/Coolmax (tetra/channel polyester) blend.Package: eaCall for ordering information: Veteran Services Division at 303-914-5145 (e-mail: [email protected]) Specifymaterialandply,length,topwidth(lyingflat),othermeasurementsandtoewidth.Patternmay also be necessary.
Manufacturers and Prices: Trulife Limited Price: Open Market, variesKnit Rite, Inc. Price: Open Market, varies
Hip Disarticulation Sock - Standard Size Coolmax HCPCS - L8430
Material: Coolmax (tetra/channel polyester) Ply: 3Package: eaSeamless, availablewithorwithoutflySpecify right or left side amputation.
Manufacturer and Price:
Side
Size: Extra SmallWaist size:14”-21” (38-53cm)Length: 12”-14” (30-36cm)
Size: SmallWaist size: 22”-28” (56-71cm)Length: 14”-16” (36-41cm)
LeftnoflyRightnoflyLeftw/flyRightw/fly
HD-CM-3-XSMALL-LT-NFHD-CM-3-XSMALL-RT-NFHD-CM-3-XSMALL-LT-WFHD-CM-3-XSMALL-RT-WF
HD-CM-3-SMALL-LT-NFHD-CM-3-SMALL-RT-NFHD-CM-3-SMALL-LT-WFHD-CM-3-SMALL-RT-WF
Side Size: MediumWaist size: 29”-36” (74-91cm)Length:16”-18” (41-46cm)
Size: LargeWaist size: 36”-47” (91-119cm)Length: 16”-18” (41-46cm)
LeftnoflyRightnoflyLeftw/flyRightw/fly
HD-CM-3-MED-LT-NFHD-CM-3-MED-RT-NFHD-CM-3-MED-LT-WFHD-CM-3-MED-RT-WF
HD-CM-3-LG-LT-NFHD-CM-3-LG-RT-NFHD-CM-3-LG-LT-WFHD-CM-3-LG-RT-WF
Vendor PriceRoyal Knit Open Market
Withflyadd$4.00
51
Prosthetic Socks
Manufacturer and Price:
Symes Sock - Coolmax HCPCS - L8420
Also available: Customized length, ankle, toe and top widths
Manufacturer and Price:
Length
Size: 0Configuration: ATop: 6” (15cm)Ankle: 3” (7.6cm)Toe: 3.5” (8.9cm)
Size: 0Configuration: BTop: 6” (15cm)Ankle: 3” (7.6cm)Toe: 4” (10.2cm)
Size: 0Configuration: CTop: 6” (15cm)Ankle: 3.5” (8.9cm)Toe: 4” (10.2cm)
Size: 0Configuration: DTop: 6” (15cm)Ankle: 3.5” (8.9cm)Toe: 4.5” (11.4cm)
16”-18” (41-46cm)20”-22” (51-56cm)24”-26” (61-66cm)
CM-PLY*-0-16/18-A
CM-PLY*-0-20/22-A
CM-PLY*-0-24/26-A
CM-PLY*-0-16/18-B
CM-PLY*-0-20/22-B
CM-PLY*-0-24/26-B
CM-PLY*-0-16/18-C
CM-PLY*-0-20/22-C
CM-PLY*-0-24/26-C
CM-PLY*-0-16/18-D
CM-PLY*-0-20/22-D
CM-PLY*-0-24/26-D
Length
Size: 1Configuration: ATop: 6” (15cm)Ankle: 3” (7.6cm)Toe: 3.5” (8.9cm)
Size: 1Configuration: BTop: 6” (15cm)Ankle: 3” (7.6cm)Toe: 4” (10.2cm)
Size: 1Configuration: CTop: 6” (15cm)Ankle: 3.5” (8.9cm)Toe: 4” (10.2cm)
Size: 1Configuration: DTop: 6” (15cm)Ankle: 3.5” (8.9cm)Toe: R.5” (11.4cm)
16”-18” (41-46cm)20”-22” (51-56cm)24”-26” (61-66cm)
CM-PLY*-1-16/18-A
CM-PLY*-1-20/22-A
CM-PLY*-1-24/26-A
CM-PLY*-1-16/18-B
CM-PLY*-1-20/22-B
CM-PLY*-1-24/26-B
CM-PLY*-1-16/18-C
CM-PLY*-1-20/22-C
CM-PLY*-1-24/26-C
CM-PLY*-1-16/18-D
CM-PLY*-1-20/22-D
CM-PLY*-1-24/26-D
Vendor Plies PriceKnit Rite, Inc. (Soft Sock)
Trulife (Hood Cool Sock II)
Royal Knit
3, 5 & 63, 5 & 63, 5 & 63, 5 & 6
2-5
Standard sizes
Open MarketOpen MarketOpen MarketOpen Market
Open Market
Open Market
Material: CoolmaxPackage: ea
Prosthetic Socks
52 Prices subject to change without notice
Symes Sock - Cotton HCPCS - L8420
Material: Cotton
Package: ea
TO ORDER:Material-Ply*-Size-Lengthininches-Configuration(A,B,CorD)Sample C-2*-0-18-A *Insert number for ply
Also available: Customized length, ankle, toe and top widths
Manufacturers and Prices:
Length
Size: 0Configuration: ATop: 6” (15cm)Ankle: 3” (7.6cm)Toe: 3.5” (8.9cm)
Size: 0Configuration: BTop: 6” (15cm)Ankle: 3” (7.6cm)Toe: 4” (10.2cm)
Size: 0Configuration: CTop: 6” (15cm)Ankle: 3.5” (8.9cm)Toe: 4” (10.2cm)
Size: 0Configuration: DTop: 6” (15cm)Ankle: 3.5” (8.9cm)Toe: 4.5” (11.4cm)
18” (46cm20” (51cm)22” (56cm)24” (61cm)26” (66cm)
C-PLY*-0-18-AC-PLY*-0-20-AC-PLY*-0-22-AC-PLY*-0-24-AC-PLY*-0-26-A
C-PLY*-0-18-BC-PLY*-0-20-BC-PLY*-0-22-BC-PLY*-0-24-BC-PLY*-0-26-B
C-PLY*-0-18-CC-PLY*-0-20-CC-PLY*-0-22-CC-PLY*-0-24-CC-PLY*-0-26-C
C-PLY*-0-18-DC-PLY*-0-20-DC-PLY*-0-22-DC-PLY*-0-24-DC-PLY*-0-26-D
Length
Size: 1Configuration: ATop: 6” (15cm)Ankle: 3” (7.6cm)Toe: 3.5” (8.9cm)
Size: 1Configuration: BTop: 6” (15cm)Ankle: 3” (7.6cm)Toe: 4” (10.2cm)
Size: 1Configuration: CTop: 6” (15cm)Ankle: 3.5” (8.9cm)Toe: 4” (10.2cm)
Size: 1Configuration: DTop: 6” (15cm)Ankle: 3.5” (8.9cm)Toe: R.5” (11.4cm)
18” (46cm20” (51cm)22” (56cm)24” (61cm)26” (66cm)
C-PLY*-1-18-AC-PLY*-1-20-AC-PLY*-1-22-AC-PLY*-1-24-AC-PLY*-1-26-A
C-PLY*-1-18-BC-PLY*-1-20-BC-PLY*-1-22-BC-PLY*-1-24-BC-PLY*-1-26-B
C-PLY*-1-18-CC-PLY*-1-20-C C-PLY*-1-22-CC-PLY*-1-24-CC-PLY*-1-26-C
C-PLY*-1-18-DC-PLY*-1-20-DC-PLY*-1-22-DC-PLY*-1-24-DC-PLY*-1-26-D
Vendor Size Plies PriceKnit Rite, Inc. (Sterling) Small 0
Medium 1 & 2Large 3 & 4X-Large 5 & 6
1, 2, 3 & 51, 2, 3 & 51, 2, 3 & 51, 2, 3 & 5
$9.23$9.92
$11.68 $12.90
53
Prosthetic SocksSymes Sock - Orlon/Acrylic
HCPCS - L8420
Material: Orlon Acrylic
Package: ea
TO ORDER: Material-Ply*-Size-Lengthininches-Configuration(A,B,CorD)Sample OA-3*-0-18-A *Insert number for ply
Also available: Customized length, ankle, toe and top widths
Manufacturer and Price:
Length
Size: 0Configuration: ATop: 6” (15cm)Ankle: 3” (7.6cm)Toe: 3.5” (8.9cm)
Size: 0Configuration: BTop: 6” (15cm)Ankle: 3” (7.6cm)Toe: 4” (10.2cm)
Size: 0Configuration: CTop: 6” (15cm)Ankle: 3.5” (8.9cm)Toe: 4” (10.2cm)
Size: 0Configuration: DTop: 6” (15cm)Ankle: 3.5” (8.9cm)Toe: 4.5” (11.4cm)
18” (46cm20” (51cm)22” (56cm)24” (61cm)26” (66cm)
OA-PLY*-0-18-AOA-PLY*-0-20-AOA-PLY*-0-22-AOA-PLY*-0-24-AOA-PLY*-0-26-A
OA-PLY*-0-18-BOA-PLY*-0-20-BOA-PLY*-0-22-BOA-PLY*-0-24-BOA-PLY*-0-26-B
OA-PLY*-0-18-COA-PLY*-0-20-COA-PLY*-0-22-COA-PLY*-0-24-COA-PLY*-0-26-C
OA-PLY*-0-18-DOA-PLY*-0-20-DOA-PLY*-0-22-DOA-PLY*-0-24-DOA-PLY*-0-26-D
Length
Size: 1Configuration: ATop: 6” (15cm)Ankle: 3” (7.6cm)Toe: 3.5” (8.9cm)
Size: 1Configuration: BTop: 6” (15cm)Ankle: 3” (7.6cm)Toe: 4” (10.2cm)
Size: 1Configuration: CTop: 6” (15cm)Ankle: 3.5” (8.9cm)Toe: 4” (10.2cm)
Size: 1Configuration: DTop: 6” (15cm)Ankle: 3.5” (8.9cm)Toe: R.5” (11.4cm)
18” (46cm20” (51cm)22” (56cm)24” (61cm)26” (66cm)
OA-PLY*-1-18-AOA-PLY*-1-20-AOA-PLY*-1-22-AOA-PLY*-1-24-AOA-PLY*-1-26-A
OA-PLY*-1-18-BOA-PLY*-1-20-BOA-PLY*-1-22-BOA-PLY*-1-24-BOA-PLY*-1-26-B
OA-PLY*-1-18-COA-PLY*-1-20-C OA-PLY*-1-22-COA-PLY*-1-24-COA-PLY*-1-26-C
OA-PLY*-1-18-DOA-PLY*-1-20-DOA-PLY*-1-22-DOA-PLY*-1-24-DOA-PLY*-1-26-D
Vendor Size Plies PriceTrulife (Hood Comfy Stretch)
Knit Rite, Inc. (Sterling Stretch)
Small - XL (0-6)
Small 0Medium 1 & 2Large 3 & 4X-Large 5 & 6
1-5
3, 5 & 63, 5 & 63, 5 & 63, 5 & 6
Open Market
Open MarketOpen MarketOpen MarketOpen Market
Prosthetic Socks
54 Prices subject to change without notice
Symes Sock - Acrylic/Lycra HCPCS - L8420
Material: Acrylic Lycra Package: ea
TO ORDER:Material-Ply*-Size-Lengthininches-Configuration(A,B,CorD)Sample OL-2*-0-18-A *Insert number for ply
Also available: Customized length, ankle, toe and top widths
Manufacturers and Prices:
Length
Size: 0Configuration: ATop: 6” (15cm)Ankle: 3” (7.6cm)Toe: 3.5” (8.9cm)
Size: 0Configuration: BTop: 6” (15cm)Ankle: 3” (7.6cm)Toe: 4” (10.2cm)
Size: 0Configuration: CTop: 6” (15cm)Ankle: 3.5” (8.9cm)Toe: 4” (10.2cm)
Size: 0Configuration: DTop: 6” (15cm)Ankle: 3.5” (8.9cm)Toe: 4.5” (11.4cm)
18” (46cm20” (51cm)22” (56cm)24” (61cm)26” (66cm)
Ol-PLY*-0-18-AOL-PLY*-0-20-AOL-PLY*-0-22-AOL-PLY*-0-24-AOL-PLY*-0-26-A
OL-PLY*-0-18-BOL-PLY*-0-20-BOL-PLY*-0-22-BOL-PLY*-0-24-BOL-PLY*-0-26-B
OL-PLY*-0-18-COL-PLY*-0-20-COL-PLY*-0-22-COL-PLY*-0-24-COL-PLY*-0-26-C
OL-PLY*-0-18-DOL-PLY*-0-20-DOL-PLY*-0-22-DOL-PLY*-0-24-DOL-PLY*-0-26-D
Length
Size: 1Configuration: ATop: 6” (15cm)Ankle: 3” (7.6cm)Toe: 3.5” (8.9cm)
Size: 1Configuration: BTop: 6” (15cm)Ankle: 3” (7.6cm)Toe: 4” (10.2cm)
Size: 1Configuration: CTop: 6” (15cm)Ankle: 3.5” (8.9cm)Toe: 4” (10.2cm)
Size: 1Configuration: DTop: 6” (15cm)Ankle: 3.5” (8.9cm)Toe: R.5” (11.4cm)
18” (46cm20” (51cm)22” (56cm)24” (61cm)26” (66cm)
OL-PLY*-1-18-AOL-PLY*-1-20-AOL-PLY*-1-22-AOL-PLY*-1-24-AOL-PLY*-1-26-A
OL-PLY*-1-18-BOL-PLY*-1-20-BOL-PLY*-1-22-BOL-PLY*-1-24-BOL-PLY*-1-26-B
OL-PLY*-1-18-COL-PLY*-1-20-C OL-PLY*-1-22-COL-PLY*-1-24-COL-PLY*-1-26-C
OL-PLY*-1-18-DOL-PLY*-1-20-DOL-PLY*-1-22-DOL-PLY*-1-24-DOL-PLY*-1-26-D
Vendor Size Plies PriceTrulife (Hood Comfy Stretch)
Knit Rite, Inc (A+)
Small - XL (0-6)
Small 0Medium 1-2Large 3-4X-Large 5-6
1 - 5
2, 3 & 42, 3 & 42, 3 & 4N/A
Open Market
$8.43$11.43$12.29$13.14
55
Prosthetic SocksSymes Sock - Wool
HCPCS - L8420Material: Wool Package: ea
TO ORDER: Material-Ply*-Size-Lengthininches-Configuration(A,B,CorD)Sample W-2*-0-18-A *Insert number for ply
Also available: Customized length, ankle, toe and top widthsManufacturers and Prices:
Length
Size: 0Configuration: ATop: 6” (15cm)Ankle: 3” (7.6cm)Toe: 3.5” (8.9cm)
Size: 0Configuration: BTop: 6” (15cm)Ankle: 3” (7.6cm)Toe: 4” (10.2cm)
Size: 0Configuration: CTop: 6” (15cm)Ankle: 3.5” (8.9cm)Toe: 4” (10.2cm)
Size: 0Configuration: DTop: 6” (15cm)Ankle: 3.5” (8.9cm)Toe: 4.5” (11.4cm)
18” (46cm20” (51cm)22” (56cm)24” (61cm)26” (66cm)
W-PLY*-0-18-AW-PLY*-0-20-AW-PLY*-0-22-AW-PLY*-0-24-AW-PLY*-0-26-A
W-PLY*-0-18-BW-PLY*-0-20-BW-PLY*-0-22-BW-PLY*-0-24-BW-PLY*-0-26-B
W-PLY*-0-18-CW-PLY*-0-20-CW-PLY*-0-22-CW-PLY*-0-24-CW-PLY*-0-26-C
W-PLY*-0-18-DW-PLY*-0-20-DW-PLY*-0-22-DW-PLY*-0-24-DW-PLY*-0-26-D
Length
Size: 1Configuration: ATop: 6” (15cm)Ankle: 3” (7.6cm)Toe: 3.5” (8.9cm)
Size: 1Configuration: BTop: 6” (15cm)Ankle: 3” (7.6cm)Toe: 4” (10.2cm)
Size: 1Configuration: CTop: 6” (15cm)Ankle: 3.5” (8.9cm)Toe: 4” (10.2cm)
Size: 1Configuration: DTop: 6” (15cm)Ankle: 3.5” (8.9cm)Toe: 4.5” (11.4cm)
18” (46cm20” (51cm)22” (56cm)24” (61cm)26” (66cm)
W-PLY*-1-18-AW-PLY*-1-20-AW-PLY*-1-22-AW-PLY*-1-24-AW-PLY*-1-26-A
W-PLY*-1-18-BW-PLY*-1-20-BW-PLY*-1-22-BW-PLY*-1-24-BW-PLY*-1-26-B
W-PLY*-1-18-CW-PLY*-1-20-C W-PLY*-1-22-CW-PLY*-1-24-CW-PLY*-1-26-C
W-PLY*-1-18-DW-PLY*-1-20-DW-PLY*-1-22-DW-PLY*-1-24-DW-PLY*-1-26-D
Vendor Size Plies PriceTrulife (Hood Wool Classic)
Knit Rite, Inc. (Sterling Stretch)
Knit Rite, Inc. (Super Sock)
Small - XL (0-6)
Small 0Medium 1 & 2Large 3 & 4X-Large 5 & 6
Small 0Medium 1 & 2Large 3 & 4X-Large 5 & 6
1-8
1-3 & 5-81-3 & 5-81-3 & 5-81-3 & 5-8
3, 5 & 63, 5 & 63. 5 & 63, 5 & 6
Open Market
$7.66$8.70$9.74$11.24
$7.66$8.70$9.74$11.24
Prosthetic Socks
56 Prices subject to change without notice
Symes Sock - Wool/Coolmax® HCPCS - L8420
Material: Wool/Coolmax®
Package: ea
TO ORDER: Material-Ply*-Size-Lengthininches-Configuration(A,B,CorD)Sample WCM-3*-0-16/18-A *Insert number for ply
Also available: Customized length, ankle, toe and top widths
Manufacturer and Price:
Length
Size: 0Configuration: ATop: 6” (15cm)Ankle: 3” (7.6cm)Toe: 3.5” (8.9cm)
Size: 0Configuration: BTop: 6” (15cm)Ankle: 3” (7.6cm)Toe: 4” (10.2cm)
Size: 0Configuration: CTop: 6” (15cm)Ankle: 3.5” (8.9cm)Toe: 4” (10.2cm)
Size: 0Configuration: DTop: 6” (15cm)Ankle: 3.5” (8.9cm)Toe: 4.5” (11.4cm)
16”-18” (41-46cm)20”-22” (51-56cm)24”-26” (61-66cm)
WCM-PLY*-0-16/18-A
WCM-PLY*-0-20/22-A
WCM-PLY*-0-24/26-A
WCM-PLY*-0-16/18-B
WCM-PLY*-0-20/22-B
WCM-PLY*-0-24/26-B
WCM-PLY*-0-16/18-C
WCM-PLY*-0-20/22-C
WCM-PLY*-0-24/26-C
WCM-PLY*-0-16/18-D
WCM-PLY*-0-20/22-D
WCM-PLY*-0-24/26-D
Length
Size: 1Configuration: ATop: 6” (15cm)Ankle: 3” (7.6cm)Toe: 3.5” (8.9cm)
Size: 1Configuration: BTop: 6” (15cm)Ankle: 3” (7.6cm)Toe: 4” (10.2cm)
Size: 1Configuration: CTop: 6” (15cm)Ankle: 3.5” (8.9cm)Toe: 4” (10.2cm)
Size: 1Configuration: DTop: 6” (15cm)Ankle: 3.5” (8.9cm)Toe: R.5” (11.4cm)
16”-18” (41-46cm)20”-22” (51-56cm)24”-26” (61-66cm)
WCM-PLY*-1-16/18-A
WCM-PLY*-1-20/22-A
WCM-PLY*-1-24/26-A
WCM-PLY*-1-16/18-B
WCM-PLY*-1-20/22-B
WCM-PLY*-1-24/26-B
WCM-PLY*-1-16/18-C
WCM-PLY*-1-20/22-C
WCM-PLY*-1-24/26-C
WCM-PLY*-1-16/18-D
WCM-PLY*-1-20/22-D
WCM-PLY*-1-24/26-D
Vendor Size Plies PriceTrulife (Hood Stretch Ultra)
Royal Knit (Royal Stretch)
Small 0Medium 1
Standard Sizes
2-52-5
3, 5 & 6
Open MarketOpen Market
Open Market
57
Prosthetic Socks
Length
Size: 0Configuration: ATop: 6” (15cm)Ankle: 3” (7.6cm)Toe: 3.5” (8.9cm)
Size: 0Configuration: BTop: 6” (15cm)Ankle: 3” (7.6cm)Toe: 4” (10.2cm)
Size: 0Configuration: CTop: 6” (15cm)Ankle: 3.5” (8.9cm)Toe: 4” (10.2cm)
Size: 0Configuration: DTop: 6” (15cm)Ankle: 3.5” (8.9cm)Toe: 4.5” (11.4cm)
16”-18” (41-46cm)20”-22” (51-56cm)24”-26” (61-66cm)
WCM-PLY*-0-16/18-A
WCM-PLY*-0-20/22-A
WCM-PLY*-0-24/26-A
WCM-PLY*-0-16/18-B
WCM-PLY*-0-20/22-B
WCM-PLY*-0-24/26-B
WCM-PLY*-0-16/18-C
WCM-PLY*-0-20/22-C
WCM-PLY*-0-24/26-C
WCM-PLY*-0-16/18-D
WCM-PLY*-0-20/22-D
WCM-PLY*-0-24/26-D
Above Knee (AK) Sock-Symes, Chopart SockNon-Standard
HCPCS - L8430
Available in Coolmax (tetra/channel polyester), Cotton, Orlon acrylic, Orlon Acrylic/Lycra blend, Wool, and Wool/Coolmax (tetra/channel polyester) blend.
Call for ordering information: Veteran Services Division at 303-914-5145 (e-mail: [email protected])Specifymaterialandply,length,topwidth(lyingflat),anklewidthandtoewidth.Pattern may also be necessary.
Material Vendor Size Plies PriceCotton
Coolmax®
Orlon Acrylic
Knit Rite, Inc.
Knit Rite, Inc
Trulife
Knit Rite, Inc.
Small 0Medium 1-2Large 3-4X-Large 5-6
Small 0Medium 1-2Large 3-4X-Large 5-6
Small-XL (0-6)
WideX-Wide
1-3 & 51-3 & 51-3 & 51-3 & 5
3, 5 & 63, 5 & 63, 5 & 63, 5 & 6
2-5
3, 5 & 63 & 5
$9.23$9.92
$11.68 $12.90
$8.57$8.81$9.42$10.10
Open Market
$13.16 $14.80
Prosthetic Socks
58 Prices subject to change without notice
Immediate Post Operative Socks - Spandex HCPCS - L8499
Stockinette HCPCS - L8499
Material: Acrylic/Lycra-SpandexAll socks are 18 inch (46cm) lengthPackage: 1 ea.
Packaged for easy sterilization.
Material: Cotton, tubular knitPackage: ft Order by foot for Knit Rite, Inc.Order bt roll (75 feet) for Comfort Products
Manufacturer and Price:
Top and Toe Item NameTop: 5 inches (13cm) Toe: 4 inches (10cm)Top: 6 inches (15cm) Toe: 5 inches (13cm)Top: 8 inches (20cm) Toe: 6 inches (15cm)Top: 9 inches (23cm) Toe: 7 inches (18cm)
SPANDEX-18-5-4SPANDEX-18-6-5SPANDEX-18-8-6SPANDEX-18-9-7
Vendor PriceKnit Rite, Inc. (Post-op) Open Market
Width Item Name2 inches (5cm)3 inches (8cm)4 inches (10cm)5 inches (13cm)6 inches (15cm)8 inches (20cm)10 inches (25cm)
C-2-ST-FTC-3-ST-FTC-4-ST-FTC-5-ST-FTC-6-ST-FTC-8-ST-FTC-10-ST-FT
Vendor PriceKnit Rite, Inc. (Value Line)
Comfort Products
Open Market
Open Market
Manufacturer and Price:
59
Prosthetic Socks
Material: Acrylic/Lycra-SpandexAll socks are 18 inch (46cm) lengthPackage: 1 ea.
Packaged for easy sterilization.
Material: Cotton, tubular knitPackage: ft Order by foot for Knit Rite, Inc.Order bt roll (75 feet) for Comfort Products
Manufacturer and Price:
Stockinette, continued HCPCS - L8499
T-Shirt HCPCS - L8499
Material: Nylon, tubular knitPackage: ft Order by roll only (75 feet)
Material: CottonPackage: eaWhite, no pockets, short sleeve, crew neck
Width Item Name2 inches (5cm)3 inches (8cm)4 inches (10cm)5 inches (13cm)6 inches (15cm)
N-2-ST-FTN-3-ST-FTN-4-ST-FTN-5-ST-FTN-6-ST-FT
Vendor PriceComfort Products Open Market
Size Item NameSmall 34-36” (86-91cm)Medium 38-40” (97-102cm)Large 42-44” (107-112cm)XLarge 46-48” (117-122cm)XXLarge 50-52” (127-132cm)
TSHIRT-C-SMALLTSHIRT-C-MEDTSHIRT-C-LGTSHIRT-C-XLGTSHIRT-C-XXLG
Vendor PriceVarious Open Market
Prosthetic Socks
60 Prices subject to change without notice
Above Knee (AK) Shrinkers HCPCS - L8460
Material: Juzo Varin Soft-in Compression: 20-30 mmHg Model: 3511 30-40 mmHg Model: 3512All above knee shrinkers include the hip attachmentPackage: ea
Manufacturer: Julius Zorn Inc. Price: Open Market
TO ORDER: SHRINKER-AK-Size/Length-Model*-JZSample SHRINKER-AK-XS/12-3511*-JZ *Insert Model Number
Length
Size: Extra SmallTop Circumference: 17.25” (44cm)Knee Circumference: 16.25” (41cm)Toe Circumference: 12.25” (31cm)
Size: SmallTop Circumference: 19” (48cm)Knee Circumference: 17.25” (44cm)Toe Circumference: 13.5 “ (34cm)
8” (20cm)10” (25cm)12” (30cm14” (36cm)
SHRINKER-AK-XS/8-MODEL*-JZSHRINKER-AK-XS/10-MODEL*-JZSHRINKER-AK-XS/12-MODEL*-JZSHRINKER-AK-XS/14-MODEL*-JZ
SHRINKER-AK-S/8-MODEL*-JZSHRINKER-AK-S/10-MODEL*-JZSHRINKER-AK-S/12-MODEL*-JZSHRINKER-AK-S/14-MODEL*-JZ
Length
Size: MediumTop Circumference: 20.5” (52cm)Knee Circumference: 18.5” (47cm)Toe Circumference: 14.5” (37cm)
Size: Large Top Circumference: 22” (56cm)Knee Circumference: 19.75” (50cm)Toe Circumference: 15.75” (40cm)
8” (20cm)10” (25cm)12” (30cm14” (36cm)
SHRINKER-AK-M/8-MODEL*-JZSHRINKER-AK-M/10-MODEL*-JZSHRINKER-AK-M/12-MODEL*-JZSHRINKER-AK-M/14-MODEL*-JZ
SHRINKER-AK-L/8-MODEL*-JZSHRINKER-AK-L/10-MODEL*-JZSHRINKER-AK-L/12-MODEL*-JZSHRINKER-AK-L/14-MODEL*-JZ
Length: Size: Extra LargeTop Circumference: 23.75” (60cm)Knee Circumference: 20.75” (43cm)Toe Circumference: 17” (43cm)
Size: Extra Extra LargeTop Circumference: 25.25” (64cm)Knee Circumference: 22” (56cm)Toe Circumference: 18” (40cm)
8” (20cm)10” (25cm)12” (30cm14” (36cm)
SHRINKER-AK-XL/8-MODEL*-JZSHRINKER-AK-XL/10-MODEL*-JZSHRINKER-AK-XL/12-MODEL*-JZSHRINKER-AK-XL/14-MODEL*-JZ
SHRINKER-AK-XXL-8-MODEL*-JZSHRINKER-AK-XXL/10-MODEL*-JZSHRINKER-AK-XXL/12-MODEL*-JZSHRINKER-AK-XXL/14-MODEL*-JZ
61
Prosthetic Socks
Length
Size: Extra SmallTop Circumference: 17.25” (44cm)Knee Circumference: 16.25” (41cm)Toe Circumference: 12.25” (31cm)
Size: SmallTop Circumference: 19”(48cm)Knee Circumference: 17.25” (44cm)Toe Circumference: 13.5 “ (34cm)
8” (20cm)10” (25cm)12” (30cm14” (36cm)
SHRINKER-AK-XS/8-MODEL*-JZSHRINKER-AK-XS/10-MODEL*-JZSHRINKER-AK-XS/12-MODEL*-JZSHRINKER-AK-XS/14-MODEL*-JZ
SHRINKER-AK-S/8-MODEL*-JZSHRINKER-AK-S/10-MODEL*-JZSHRINKER-AK-S/12-MODEL*-JZSHRINKER-AK-S/14-MODEL*-JZ
Material: Juzo Silver Compression: 20-30 mmHg Model: 3561 30-40 mmHg Model: 3562All above knee shrinkers include the hip attachmentPackage: ea
Above Knee (AK) Shrinkers with Silver ((X-static)HCPCS - L8460
Length
Size: MediumTop Circumference: 20.5” (52cm)Knee Circumference: 18.5” (47cm)Toe Circumference: 14.5” (37cm)
Size: Large Top Circumference: 22” (56cm)Knee Circumference: 19.75” (50cm)Toe Circumference: 15.75” (40cm)
8” (20cm)10” (25cm)12” (30cm14” (36cm)
SHRINKER-AK-M/8-MODEL*-JZSHRINKER-AK-M/10-MODEL*-JZSHRINKER-AK-M/12-MODEL*-JZSHRINKER-AK-M/14-MODEL*-JZ
SHRINKER-AK-L/8-MODEL*-JZSHRINKER-AK-L/10-MODEL*-JZSHRINKER-AK-L/12-MODEL*-JZSHRINKER-AK-L/14-MODEL*-JZ
Length: Size: Extra LargeTop Circumference: 23.75” (60cm)Knee Circumference: 20.75” (43cm)Toe Circumference: 17” (43cm)
Size: Extra Extra LargeTop Circumference: 25.25” (64cm)Knee Circumference: 22” (56cm)Toe Circumference: 18” (40cm)
8” (20cm)10” (25cm)12” (30cm14” (36cm)
SHRINKER-AK-XL/8-MODEL*-JZSHRINKER-AK-XL/10-MODEL*-JZSHRINKER-AK-XL/12-MODEL*-JZSHRINKER-AK-XL/14-MODEL*-JZ
SHRINKER-AK-XXL-8-MODEL*-JZSHRINKER-AK-XXL/10-MODEL*-JZSHRINKER-AK-XXL/12-MODEL*-JZSHRINKER-AK-XXL/14-MODEL*-JZ
Manufacturer: Julius Zorn Inc. Price: Open Market
TO ORDER: SHRINKER-AK-Size/Length-Model*-JZSample SHRINKER-AK-XS/12-3561*-JZ *Insert Model Number
Prosthetic Socks
62 Prices subject to change without notice
Below Knee (BK) Shrinkers HCPCS - L8440
Material: Juzo Varin Soft-in Compression: 20-30 mmHg Model: 3511 30-40 mmHg Model: 3512Package: ea
Manufacturer: Julius Zorn Inc. Price: Open Market
TO ORDER: SHRINKER-BK-Size/Length-Model*-JZSample SHRINKER-BK-XS/12-3511*-JZ *Insert Model Number
Length
Size: Extra SmallTop Circumference: 16.25” (41cm)Knee Circumference: 12.25” (31cm)Toe Circumference: 11.5” (29cm)
Size: SmallTop Circumference: 17.15” (44cm)Knee Circumference: 13.5” (34cm)Toe Circumference: 12.5” (32cm)
12” (30cm15” (38cm)18” (46cm)
SHRINKER-BK-XS/12-MODEL*-JZSHRINKER-BK-XS/15-MODEL*-JZSHRINKER-BK-XS/18-MODEL*-JZ
SHRINKER-BK-S/12-MODEL*-JZSHRINKER-BK-S/15-MODEL*-JZSHRINKER-BK-S/18-MODEL*-JZ
Length
Size: MediumTop Circumference: 18.5” (47cm)Knee Circumference: 14.5” (36cm)Toe Circumference: 13.75” (35cm)
Size: LargeTop Circumference: 19.75” (50cm)Knee Circumference: 15.75” (40cm)Toe Circumference: 15: (38cm)
12” (30cm15” (38cm)18” (46cm)
SHRINKER-BK-M/12-MODEL*-JZSHRINKER-BK-M/15-MODEL*-JZSHRINKER-BK-M/18-MODEL*-JZ
SHRINKER-BK-L/12-MODEL*-JZSHRINKER-BK-L/15-MODEL*-JZSHRINKER-BK-L/18-MODEL*-JZ
Length
Size: Extra LargeTop Circumference: 20.75” (53cm)Knee Circumference: 17” (43cm)Toe Circumference: 16.25” (41cm)
Size: Extra Extra LargeTop Circumference: 22” (56cm)Knee Circumference: 18” (46cm)Toe Circumference: 17.5” (44cm)
12” (30cm15” (38cm)18” (46cm)
SHRINKER-BK-XL/12-MODEL*-JZSHRINKER-BK-XL/15-MODEL*-JZSHRINKER-BK-XL/18-MODEL*-JZ
SHRINKER-BK-XXL/12-MODEL*-JZSHRINKER-BK-XXL/15-MODEL*-JZSHRINKER-BK-XXL/18-MODEL*-JZ
63
Prosthetic SocksBelow Knee (BK) Shrinkers with Silver (X-static)
HCPCS - L8460
Material: Juzo SilverCompression: 20-30 mmHg Model: 3561 30-40 mmHg Model: 3562All above knee shrinkers include the hip attachmentPackage: ea
TO ORDER: SHRINKER-BK-Size/Length-Model*-JZSample SHRINKER-BK-XS/12-3561*-JZ *Insert Model Number
Length
Size: Extra SmallTop Circumference: 16.25” (41cm)Knee Circumference: 12.25” (31cm)Toe Circumference: 11.5” (29cm)
Size: SmallTop Circumference: 17.15” (44cm)Knee Circumference: 13.5” (34cm)Toe Circumference: 12.5” (32cm)
12” (30cm15” (38cm)18” (46cm)
SHRINKER-BK-XS/12-MODEL*-JZSHRINKER-BK-XS/15-MODEL*-JZSHRINKER-BK-XS/18-MODEL*-JZ
SHRINKER-BK-S/12-MODEL*-JZSHRINKER-BK-S/15-MODEL*-JZSHRINKER-BK-S/18-MODEL*-JZ
Length
Size: MediumTop Circumference: 18.5” (47cm)Knee Circumference: 14.5” (36cm)Toe Circumference: 13.75” (35cm)
Size: LargeTop Circumference: 19.75” (50cm)Knee Circumference: 15.75” (40cm)Toe Circumference: 15: (38cm)
12” (30cm15” (38cm)18” (46cm)
SHRINKER-BK-M/12-MODEL*-JZSHRINKER-BK-M/15-MODEL*-JZSHRINKER-BK-M/18-MODEL*-JZ
SHRINKER-BK-L/12-MODEL*-JZSHRINKER-BK-L/15-MODEL*-JZSHRINKER-BK-L/18-MODEL*-JZ
Length
Size: Extra LargeTop Circumference: 20.75” (53cm)Knee Circumference: 17” (43cm)Toe Circumference: 16.25” (41cm)
Size: Extra Extra LargeTop Circumference: 22” (56cm)Knee Circumference: 18” (46cm)Toe Circumference: 17.5” (44cm)
12” (30cm15” (38cm)18” (46cm)
SHRINKER-BK-XL/12-MODEL*-JZSHRINKER-BK-XL/15-MODEL*-JZSHRINKER-BK-XL/18-MODEL*-JZ
SHRINKER-BK-XXL/12-MODEL*-JZSHRINKER-BK-XXL/15-MODEL*-JZSHRINKER-BK-XXL/18-MODEL*-JZ
Manufacturer: Julius Zorn Inc. Price: Open Market
Prosthetic Socks
64 Prices subject to change without notice
Above Knee (AK) Shrinkers HCPCS - L8460
Material: 92% polyester, 8% spandex (latex free) Light Compression 25-30mmHG
Package: eaColor: White
LengthSize: #2Fits Circumference: 5”-7” (13-18cm)
Size: #2.5Fits Circumference: 7”-10” (18-25cm)
18” (45cm)24” (60cm)
SHRINKER-AK-2HOS-02-18-KRSHRINKER-AK-2HOS-02-24-KR
SHRINKER-AK-2HOS-OS-18-KRSHRINKER-AK-2HOS-OS-24-KR
LengthSize: #3Fits Circumference: 9”-12” (23-30cm)
Size: #3.5Fits Circumference: 10”-13” (25-33cm)
18” (45cm)24” (60cm)30” (75cm)
SHRINKER-AK-2HOS-03-18-KRSHRINKER-AK-2HOS-03-24-KRSHRINKER-AK-2HOS-03-30-KR
SHRINKER-AK-2HOS-S3-18-KRSHRINKER-AK-2HOS-S3-24-KRNot available
LengthSize: #4Fits Circumference: 12”-16” (30-40cm)
Size: #5Fits Circumference: 15”-20” (38-50cm)
18” (45cm)24” (60cm)30” (75cm)
SHRINKER-AK-2HOS-04-18-KRSHRINKER-AK-2HOS-04-24-KRSHRINKER-AK-2HOS-04-30-KR
SHRINKER-AK-2HOS-05-18-KRSHRINKER-AK-2HOS-05-24-KRSHRINKER-AK-2HOS-05-30-KR
LengthSize: #6Fits Circumference: 18”-24” (45-60cm)
18” (45cm)24” (60cm)30” (75cm)
SHRINKER-AK-2HOS-06-18-KRSHRINKER-AK-2HOS-06-24-KRSHRINKER-AK-2HOS-06-30-KR
Manufacturer: Knit Rite, Inc. Compressogrip® Price: $18.73
65
Prosthetic Socks
Groin to Distal-Length
Size: Flat Measure: Toe 4” (10cm) Top 6” (15cm)Fits Circumference: Toe: 12”-14.5” (30-37cm) Top: 15”-17” (38-43cm)
Size: Flat Measure: Toe 4” (10cm) Top 7” (18cm)Fits Circumference: Toe: 12”-14.5” (30-37cm) Top: 17.5”-20.5” (44.5-52.1cm)
7” (18cm)10” (25cm)13” (33cm)
SHRINKER-AK-2HPM-6407-KRSHRINKER-AK-2HPM-6410-KRSHRINKER-AK-2HPM-6413-KR
SHRINKER-AK-2HPM-7407-KRSHRINKER-AK-2HPM-7410-KRSHRINKER-AK-2HPM-7413-KR
Above Knee (AK) Shrinkers HCPCS - L8460
Material: 92% polyester, 8% spandex (latex free)Medium Compression 30-35 mmHG
Include the hip attachmentPackage: eaColor: White
Groin to Distal-Length
Size: Flat Measure: Toe 4” (10cm) Top 8” (20cm)Fits Circumference: Toe: 12”-14.5” (30-36.8cm) Top: 21”-23”” (50-58cm)
7” (18cm)10” (25cm)13” (33cm)
SHRINKER-AK-2HPM-8407-KRSHRINKER-AK-2HPM-8410-KRSHRINKER-AK-2HPM-8413-KR
Manufacturer: Knit Rite, Inc. Compressogrip® Price: $37.83
Prosthetic Socks
66 Prices subject to change without notice
Above Knee (AK) Shrinkers HCPCS - L8460
Groin to Distal-Length
Size: Flat Measure: Toe 5” (13cm) Top 7” (18cm)Fits Circumference: Toe: 15”-17.5” (38-44.5cm) Top: 17.5”-20.5” (44.4-52.1cm)
Size: Flat Measure: Toe 5” (13cm) Top 8” (20cm)Fits Circumference: Toe: Toe: 15”-17.5” (38-44.5cm) Top: 21”-23” (53-58cm)
7” (18cm)10” (25cm)13” (33cm)
SHRINKER-AK-2HPM-7507-KRSHRINKER-AK-2HPM-7510-KRSHRINKER-AK-2HPM-7513-KR
SHRINKER-AK-2HPM-8507-KRSHRINKER-AK-2HPM-8510-KRSHRINKER-AK-2HPM-8513-KR
Material: 92% polyester, 8% spandex (latex free)Medium Compression 30-35 mmHG
Includes the hip attachmentPackage: eaColor: White
Groin to Distal-Length
Size: Flat Measure: Toe 5” (13cm) Top 9” (23cm)Fits Circumference: Toe: 15”-17.5” (38-44.5cm) Top: 23.5”-25.5” (64.7-27.4cm)
7” (18cm)10” (25cm)13” (33cm)
SHRINKER-AK-2HPM-9507-KRSHRINKER-AK-2HPM-9510-KRSHRINKER-AK-2HPM-9513-KR
Manufacturer: Knit Rite, Inc. Compressogrip® Price: $37.83
67
Prosthetic Socks
Groin to Distal-Length
Size: Flat Measure: Toe 5” (13cm) Top 9” (23cm)Fits Circumference: Toe: 15”-17.5” (38-44.5cm) Top: 23.5”-25.5” (64.7-27.4cm)
7” (18cm)10” (25cm)13” (33cm)
SHRINKER-AK-2HPM-9507-KRSHRINKER-AK-2HPM-9510-KRSHRINKER-AK-2HPM-9513-KR
Above Knee (AK) Shrinkers HCPCS - L8460
Material: 92% polyester, 8% spandex (latex free)Medium Compression 30-35 mmHG
Includes the hip attachmentPackage: ea
Groin to Distal-Length
Size: Flat Measure: Toe 6” (15cm) Top 8” (20cm)Fits Circumference: Toe: 18”-22” (46-59cm) Top: 21”-23” (53-58cm)
Size: Flat Measure: Toe 6” (15cm) Top 9” (23cm)Fits Circumference: Toe: 18”-22” (46-59cm) Top: 23.5”-25.5” (24.7-27.4cm)
7” (18cm)10” (25cm)13” (33cm)
SHRINKER-AK-2HPM-8607-KRSHRINKER-AK-2HPM-8610-KRSHRINKER-AK-2HPM-8613-KR
SHRINKER-AK-2HPM-9607-KRSHRINKER-AK-2HPM-9610-KRSHRINKER-AK-2HPM-9613-KR
Groin to Distal-Length
Size: Flat Measure: Toe 6” (15cm) Top 10” (18cm)Fits Circumference: Toe: 18”-22” (46-59cm) Top: 26”-29” (66-74cm)
7” (18cm)10” (25cm)13” (33cm)
SHRINKER-AK-2HPM-0607-KRSHRINKER-AK-2HPM-0610-KRSHRINKER-AK-2HPM-0613-KR
Manufacturer: Knit Rite, Inc. Compressogrip® Price: $37.83
Prosthetic Socks
68 Prices subject to change without notice
Above Knee (AK) Shrinkers HCPCS - L8460
Material: 88% polyester, 8% spandex, 4% x-static (latex free)Light Compression 25-30 mmHG
Includes the hip attachmentPackage: eaColor: White
Size: XsmallFits Circumference: 12”-17” (30-43cm)Flat Width: 5” (13cm)
Size: SmallFits Circumference: 15”-20” (38-50cm)Flat Width: 6” (15cm)
SHRINKER-AK-2HOX-05-XS-KR SHRINKER-AK-2HOX-06-SM-KR
Size: MediumFits Circumference: 18”-24” (45-60cm)Flat Width: 7.5” (19.1cm)
Size: LargeFits Circumference: 24”-32” (60-80cm)Flat Width: 9” (23cm)
SHRINKER-AK-2HOX-07-MD-KR SHRINKER-AK-2HOX-09-LG-KR
Manufacturer: Knit Rite, Inc. Compressogrip® Price: $21.77
69
Prosthetic SocksBelow Knee (BK) Shrinkers
HCPCS - L8460
Material: 88% polyester, 8% spandex, 4% x-static (latex free)Light Compression 25-30 mmHG
Includes the hip attachmentPackage: eaColor: White
LengthSize: 2Fits Circumference: 5”-7” (13-18cm)
Size: 2.5Fits Circumference: 10”-13” (25-33cm)
18” (46cm)24” (61cm)
SHRINKER-BK-2HOS-02-18-KRSHRINKER-BK-2HOS-02-24-KR
SHRINKER-BK-2HOS-OS-18-KRSHRINKER-BK-2HOS-OS-24-KR
LengthSize: 3Fits Circumference: 9”-12” (23-30cm)
Size: 3.5Fits Circumference: 10”-13” (25-33cm)
18” (46cm)24” (61cm)30” (76cm)
SHRINKER-BK-2HOS-03-18-KRSHRINKER-BK-2HOS-03-24-KRSHRINKER-BK-2HOS-03-30-KR
SHRINKER-BK-2HOS-S3-18-KRSHRINKER-BK-2HOS-S3-24-KRNot available
LengthSize: 4Fits Circumference: 12”-16” (30-0cm)
Size: 5Fits Circumference: 15”-20” (38-50cm)
18” (46cm)24” (61cm)30” (76cm)
SHRINKER-BK-2HOS-04-18-KRSHRINKER-BK-2HOS-04-24-KRSHRINKER-BK-2HOS-04-30-KR
SHRINKER-BK-2HOS-05-18-KRSHRINKER-BK-2HOS-05-24-KRSHRINKER-BK-2HOS-05-30-KR
LengthSize: 6Fits Circumference: 9”-12” (23-30cm)
18” (46cm)24” (61cm)30” (76cm)
SHRINKER-BK-2HOS-06-18-KRSHRINKER-BK-2HOS-06-24-KRSHRINKER-BK-2HOS-06-30-KR
Manufacturer: Knit Rite, Inc. Compressogrip® Price: $6.95
Prosthetic Socks
70 Prices subject to change without notice
Below Knee (BK) Shrinkers HCPCS - L8460
Material: Rayon/Lycra core yarn.Medium Compression 30-35 mmHG
Package: eaColor: White
Length
Width: NarrowFlat Measurement: Toe: 3” (8cm) Top: 5” (13cm)Fits Circumference: Toe: 9”-11” (23cm) Top: 13”-14” (33-35cm)
Width: MediumFlat Measurement: Toe: 4” (10cm) Top: 6” (15cm)Fits Circumference: Toe: 12”-14” (30-35cm) Top: 15”-17” (38-43cm)
10” (25cm)12” (30cm)14” (35cm)
SHRINKER-BK-2HPM-RN-10-KRSHRINKER-BK-2HPM-RN-12-KRSHRINKER-BK-2HPM-RN-14-KR
SHRINKER-BK-2HPM-RM-10-KRSHRINKER-BK-2HPM-RM-12-KRSHRINKER-BK-2HPM-RM-14-KR
Length
Width: WideFlat Measurement: Toe: 5” (13cm) Top: 7” (18cm)Fits Circumference: Toe: 15”-17” (38-43cm) Top: 18”-20” (46-51cm)
10” (25cm)12” (30cm)14” (35cm)
SHRINKER-BK-2HPM-RW-10-KRSHRINKER-BK-2HPM-RW-12-KRSHRINKER-BK-2HPM-RW-14-KR
Manufacturer: Knit Rite, Inc. Compressogrip® Price: Open Market
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For custom made shrinkers call for ordering information: Veteran Services Division at 303-273-6200 (e-mail: [email protected])
Specify width, flat measurements and circumference.
71
Prosthetic Socks
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Knit-Rite Inc120 Osage Avenue Kansas City, KS 66105
CONTRACT # - VA791-12-D-0019CONTRACT DATES - July 1, 2012 to May 31, 2016
PH: 913 281-4600 or 800 821-3094
FAX: 913-279-6395 or 800 462-4707
DUNS # -- 04-393-9941
TIN # – 43-1600470
Business Type - Small Hubzone
Veteran Services Division
Requests for items managed: veteran record information Phone: (303) 215-5245 Fax: (303) 215-9470 MSExchangeAddress: [email protected] Electronics Laboratory
Hearing aid repair actions; loaner hearing aids
Phone: (303) 215-5230 Fax: (303) 215-9471 MS ExchangeAddress: [email protected]
Acquisition Division Purchase and contract actions Phone: (303) 273-6205 Fax: (303) 215-9074 MS ExchangeAddress: [email protected] Logistics Division Inventory Management
Phone: (303) 273-6280 Fax: (303) 215-9469 MS ExchangeAddress: [email protected] Mailing Address:
DenverAcquisition and Logistics Center PO Box 25166 Denver CO 80225-0166
Shipping Address: DenverAcquisition and Logistics Center 555 Corporate Circle Golden CO 80401-5621
The Denver Acquisition and Logistics Center (DALC) provides products and services directly to Veterans Health Administration Clinics and other Government agencies nationally, and disabled veterans worldwide. Products available include:
· Cochlear Implants and accessories (Implants not currently included in catalog) · Custom and stock hearing aids (Not currently included in catalog) · Hearing aid accessories · Batteries · Assistive devices and accessories · Assistive Listening devices (to include alerting devices) · Prosthetic socks · Aids for the visually impaired · Orthotic softgoods Telehealth
If additional information is required on a specific item, please contact the Veteran Services Division at 303-215-5245.
How to Order
The Remote Order Entry System (ROES) simplifies the ordering process. Facilities are able to place orders electronically which increases the accuracy in the ordering process and allows the tracking of the order status on-line. Specific ordering information is described below. Clinics may also order directly from Knit Rite, Inc. using the contract number. A. VA Prosthetic and Sensory Aids Service VA Audiology and Speech Pathology Service
Orders should be placed through ROES. Please refer to the “ROES Training Manual and Reference Guide” for specific instructions on placing an order. Items can be shipped to the requesting service or specific veteran.
Individual veteran records should be established through ROES by the appropriate VA service. Once established in DALC records as having continuing eligibility status, veterans then may order the following items directly from the DALC:
Batteries: Complete and mail VA Form 2346, “Request for Hearing Aid Batteries and Accessories.” A replacement order card (VA Form 2346) is enclosed with the supply of batteries for use when more are needed.
General Information
For Vendor information:
If vendor information is needed, click on the vendor name located below the item name and you will be directed to the vendor information sheet that is located at the end of the catalog.
Shipping Methods
All Orders are processed in the order in which they are received except for emergency orders. This includes assigning serial numbers to Veterans in VistA
After orders are processed and serial numbers of devices requiring registration is complete, Items are assembled for packaging.
Orders with multiple items are assembled and packed as one shipment.
Packaged orders are processed through UPS Worldship and shipping labels are affixed to boxes
All packages ready for shipment are staged on carts and placed in the UPS pick-up area.
UPS picks up packages for shipment to end users. (Veterans or Stations)
*Note: All orders are sent 2 day Air regardless of routine or priority order status. ** Note: Only Emergency orders are shipped Next Day Air.
Returns
For Telehealth devices, send back monitors only. Do not send back the peripheals.