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Annexures

Annexure B : Material Cost for Pressure Garments

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Annexure B

MODIFIER 0009 : MATERIAL COST FOR PRESSURE GARMENTS

Code

Code Description

RAND

66801

Glove to wrist

122.55

66802

Glove to elbow

285.19

66803

Gauntlet (Glove with palm and thumb only)

122.55

66804

Sleeve: Upper/forearm

162.64

66805

Sleeve: full

244.56

66807

Sleeveless vest

587.98

66808

Upper leg

293.27

66809

Lower leg

195.36

66812

Briefs

488.64

66813

Anklet / Foot

285.84

66815

Chin strap

204.68

66816

Full face mask

391.91

66818

Finger sock

27.03