PROSTHETIC SOCKS CATALOG · PROSTHETIC SOCKS CATALOG . The VA Denver Acquisition & Logistics Center...

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

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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




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


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


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


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)


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



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


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


Length





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



Vendor Size Plies PriceKnit Rite, Inc. (Super Sock)

Knit Rite, Inc. (Sterling Wool)

Trulife (Hood Wool Classic)



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


Length





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



Vendor Size Plies PriceComfort Products Inc (Easy Care) Standard Sizes 3, 5 & 6 Open Market

Prosthetic Socks


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


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




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




Vendor Size Plies PriceTrulife (Hood Superwash) Small-XL (0-6) 1-8 Open Market

Prosthetic Socks


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


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)


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


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-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-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


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-XL (0-6)

Small-XL (0-6)

Small-XL (0-6)


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


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



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


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



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


Prosthetic Socks


Material: Coolmax® Package: ea

TO ORDER: Material-Ply*-Sizes-Length in inchesSample CM-Ply*-0/1-8/10-ARM *Insert number for ply


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


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


Medium 1 1, 2, 3 & 51, 2, 3 & 5

$7.08$8.30

Prosthetic Socks


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


Length




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


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


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




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




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


Prosthetic Socks


Arm Sock - Wool/Acrylic HCPCS - L8435


Package: ea

TO ORDER: Material-Ply*-Size-Length in inchesSample WA-3*-0-16-ARM *Insert number for ply


Length




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


23

Prosthetic Socks

Arm Sock - Wool/Coolmax® HCPCS - L8435


Package: ea

TO ORDER: Material-Ply*-Sizes-Length in inchesSample WCM-3-0/1-16/18-ARM *Insert number for ply


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



Small 0Medium 1

Standard Sizes

2-52-5

3, 5 & 6


Open Market

Prosthetic Socks


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


Vendor Size Plies PriceTrulife (Hood Superwash) Small 0

Medium 11-81-8


Length




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)


Small 0Medium 1

Narrow 0Medium 1

1-81-8

3, 5 & 63, 5 & 6


$7.95 $9.80



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)


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


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


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


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


Below Knee (BK) Sock - Compensator Socks HCPCS - L8410

Material: Stretchy sheathDescription: Graduated Length Volume Filler Sock


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


29

Prosthetic Socks

Below Knee (BK) Sock - Coolmax® HCPCS - L8420


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



Vendor Size Plies Price

Royal Knit (Royal Flush) Standard sizes 3, 5 & 6 Open Market

Prosthetic Socks


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



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)


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: 12655Length: 12” (30cm)Gel Length: 10” (25cm)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



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)



CL-GEL-1-12555-SILO CL-GEL-2-12565-SIL CL-GEL-3-12575-SILO

Vendor PriceSilipos (Ultra Cushion) Open Market


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


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


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


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)


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)


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


Below Knee (BK) Sock - Cottonette HCPCS - L8420

Material: Mercerized Cotton

Package: ea

TO ORDER: CT-2-Size-LengthSample CT-2-A-12


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


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


Length



Size: 2Top: 8 inches (20cm)Toe: 5 inches (12.7cm)(10-18 inch length)Toe: 4 inches (10.2cm)(20-33 inch length)



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





Knit Rite, Inc (A+)

Small - XL (0-6)


2, 3 & 4

2, 3 & 42, 3 & 42, 3 & 4N/A

Opem Market

$6.47$7.34$8.23N/A

Prosthetic Socks


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


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


Length






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









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


Below Knee (BK) Sock - Wool/Acrylic HCPCS - L8420


Package: ea

TO ORDER: Material-Ply*-Size-Length in inchesSample WA-3*-0-16 *Insert number for ply


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)


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





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



Small-XL (0-6)

Standard Sizes

2-5

3, 5 & 6

Open Market

Open Market

Prosthetic Socks


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


Length



Size: 2Top: 8 inches (20cm)Toe: 5 inches (12.7cm)(10-18 inch lendth)Toe: 4 inches (10.2cm)(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*-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)


Small-XL (0-6)

Small 0Medium 1-2

2-5

3, 5 & 63, 5 & 6

Open Market

$7.95$9.80



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)


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)


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


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



Coolmax

Orlon Acrylic

Knit Rite, Inc.

Knit Rite, Inc

Trulife

Trulife

Knit Rite, Inc.



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 Market

Open Market

$7.78$8.70

43

Prosthetic Socks


Wool (Super Sock)


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-XL (0-6)

Small-XL (0-6)

Small-XL (0-6)

Small-XL (0-6)


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


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


Material Vendor Size Plies Sell PriceCotton

Coolmax

Orlon Acrylic

Knit Rite, Inc.

Knit Rite, Inc

Trulife

Trulife

Knit Rite, Inc.



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


Wool (Super Sock)


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-XL (0-6)

Small-XL (0-6)

Small-XL (0-6)

Small-XL (0-6)


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


Below Knee (BK) Sock - Custom Toe andTop, Custom Width and Pelvic Cut

(Non-Standard)(continued) HCPCS - L8420

Prosthetic Socks


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



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*









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


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


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


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





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





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





Prosthetic Socks


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.


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


Symes Sock - Coolmax HCPCS - L8420

Also available: Customized length, ankle, toe and top widths


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: 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 Market

Open Market

Material: CoolmaxPackage: ea

Prosthetic Socks


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



Length





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





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


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



Length





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





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


Knit Rite, Inc. (Sterling Stretch)

Small - XL (0-6)


1-5

3, 5 & 63, 5 & 63, 5 & 63, 5 & 6

Open Market


Prosthetic Socks


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



Length





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





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


Knit Rite, Inc (A+)

Small - XL (0-6)


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





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





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)



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


Symes Sock - Wool/Coolmax® HCPCS - L8420


Package: ea

TO ORDER: Material-Ply*-Size-Lengthininches-Configuration(A,B,CorD)Sample WCM-3*-0-16/18-A *Insert number for ply



Length





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





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



Small 0Medium 1

Standard Sizes

2-52-5

3, 5 & 6


Open Market

57

Prosthetic Socks

Length





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.


Coolmax®

Orlon Acrylic

Knit Rite, Inc.

Knit Rite, Inc

Trulife

Knit Rite, Inc.



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


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


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


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


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


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: 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: 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


TO ORDER: SHRINKER-AK-Size/Length-Model*-JZSample SHRINKER-AK-XS/12-3561*-JZ *Insert Model Number

Prosthetic Socks


Below Knee (BK) Shrinkers HCPCS - L8440

Material: Juzo Varin Soft-in Compression: 20-30 mmHg Model: 3511 30-40 mmHg Model: 3512Package: ea


TO ORDER: SHRINKER-BK-Size/Length-Model*-JZSample SHRINKER-BK-XS/12-3511*-JZ *Insert Model Number

Length


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: 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: 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: 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


Prosthetic Socks



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


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


Size: #5Fits Circumference: 15”-20” (38-50cm)

18” (45cm)24” (60cm)30” (75cm)




18” (45cm)24” (60cm)30” (75cm)


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



Material: 92% polyester, 8% spandex (latex free)Medium Compression 30-35 mmHG

Include the hip attachmentPackage: eaColor: White


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)



Prosthetic Socks




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)




Includes the hip attachmentPackage: eaColor: White



7” (18cm)10” (25cm)13” (33cm)



67

Prosthetic Socks



7” (18cm)10” (25cm)13” (33cm)




Includes the hip attachmentPackage: ea


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)




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)



Prosthetic Socks



Material: 88% polyester, 8% spandex, 4% x-static (latex free)Light Compression 25-30 mmHG


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


69

Prosthetic SocksBelow Knee (BK) Shrinkers

HCPCS - L8460

Material: 88% polyester, 8% spandex, 4% x-static (latex free)Light Compression 25-30 mmHG


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


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


Size: 5Fits Circumference: 15”-20” (38-50cm)

18” (46cm)24” (61cm)30” (76cm)




18” (46cm)24” (61cm)30” (76cm)



Prosthetic Socks


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

-------------------------------------------------------------------------------------------------------------------------

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

-

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.

PROSTHETIC SOCKS CATALOG · PROSTHETIC SOCKS CATALOG . The VA Denver Acquisition & Logistics Center...

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