Pad, Headrest Pad, Tri-form, Straight, Left Side
List
$79.00*HCPCS: K0108
*HCPCS codes are manufacturer recommendations and should not be relied upon for reimbursement as payor policies vary.
SKU
32414L
Pad, Headrest Pad, Tri-form, Straight, Left Side
Pad, Headrest Pad, Tri-form, Straight, Left Side
TriForm Headrest Assembly Pieces
- Left Side Pad to create an Adjustable 3-panel headrest
- Includes cover that is removable for adding switches
- Locking Hinge(s) and/or receiver plate are included
- Use with any headrest hardware
- Left Curved Side Pads
| Attaching Hardware | Multiple |
|---|---|
| Cover | Smooth |
| Hardware | TriForm Hinge/Adaptor |
| Pad | Tri-Form |
| Size | Straight Left Side |
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