Pad, Hip Guide Pad, Flat, 3 x 5



*HCPCS: E0956

*HCPCS codes are manufacturer recommendations and should not be relied upon for reimbursement as payor policies vary.

Pad, Hip Guide Pad, Flat, 3 x 5
Flat Hip Guide Pad is 1/2″ medium visco foam over 3/8″ birch plywood base, with a cover that is black reverse Dartex material on the contact surface and black neoprene material on the back side. 3″ tall x 5″ long. L-Bracket is black, carbon steel, and slotted 1″ on center for 1/4-20 bolts. The bracket is 3.5″ long on the short side and 8″ on the long side. Includes 1 Pad and 1 Bracket.

This 3x5 hip guide pad has the following characteristics:

  • 1/2" medium visco foam over a 3/8", 7 ply birch plywood base
  • Black reverse Dartex® contact surface with black neoprene on back side
  • 1/4-20 t-nuts installed 1" on center
  • Weighs 0.22 pounds
More Information
Attaches To Bracket
Model Pad
Pad Size 3" x 5"
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