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Right Side - 4 Each X-Small Pouch (EV6020-04XX-001), 2 Each Large O-Ring (1 1/8" - 1 3/8") (EV7020-00XX-RNG), 2 Each Belts (EV7030-18XX-BLT) 79EV6420004-Box
Product Description
Right Side - 4 Each X-Small Pouch (EV6020-04XX-001), 2 Each Large O-Ring (1 1/8" - 1 3/8") (EV7020-00XX-RNG), 2 Each Belts (EV7030-18XX-BLT).
Other Details
HCPCS:
A4377
Special Order:
Y
UOM:
Box
UOM to Each:
10
