ESBD_539193_1784236646176_Exhibit_G_FY27_Product-Price_List.xlsx

This is a Product-Price List exhibit (Exhibit G) for a Texas state contract opportunity (HHS0017599v2) with Mexia SSLC for fiscal year 2027, detailing labor and product pricing for orthotic and prosthetic devices and supplies. The document outlines pricing for repair and modification of orthotic devices including foot inserts, orthopedic footwear, ankle-foot orthoses, and knee orthoses, with unit pricing specified by Healthcare Common Procedure Coding System (HCPCS) codes. Additionally, the price list includes compression hosiery products, specifically Jobst Compression Hose available in gradient compression levels (15-20 mmHg, 20-30 mmHg, and 30-40 mmHg) in various styles including knee-high and thigh-high configurations with options for closed toe, open toe, and silicone band features in both beige and black colorways. The list indicates that custom diabetic socks and fitting services with mandatory follow-up appointments are included in the offering.

The pricing structure is presented on a per-unit basis for individual orthotic and prosthetic items and on a per-pair basis for compression hosiery products, though specific dollar amounts are not populated in the provided document excerpt. The product offerings indicate compliance with Medicare coding standards and suggest coverage for diabetic patients requiring custom orthopedic solutions. The contract scope encompasses both off-the-shelf and custom-fabricated orthotic devices as well as compression therapy solutions, with product specifications detailing material composition, durometer standards, and sizing availability across multiple compression levels and garment configurations.