Quickie P-11 Manuale Utente Scaricare il pdf (Pagina 7)

D D

The

HCPCS CODES

provided are based on code verification through PDAC or our interpretation of the code definitions.

The use of

HCPCS CODES

does not ensure coverage or payment. For coverage information, verify the appropriate payer's coverage policy.

Price

Definition

HCPCS

Option #

HCPCS

Price

Definition

Specialty Driver Control Options (requires expandable controls)

Note: Available only with Std armpads 14-20"

All packages must be added to the specialty control on-chair package.



Not available with Upholstered backs



Large Tufftak (18"-20")



Quickie Sip n' Puff System

105ID26

E2325 Sip N' Puff Kit

105EA3

E0955 Headrest



105A1 Black Utility

105EA1

E1028 Headrest Removable Mount



105A2 Black/Charcoal Kids

105EA4

E2326 Sip n' Puff Tubing and Hardware



ASL Head Array Package (Adult)



105A142 1.5" Auto Style Buckle

105ID31

E2330 ASL Proximity Head Array (Adult)



105A12 Belt 2" Aircraft Buckle

105EA1

E1028 Headrest Removable Mount



105A13 Belt 2" Aircraft Buckle Padded



ASL Head Array Package (Ped)

105ID30

E2330 ASL Proximity Head Array (Ped)



105EA1

E1028 Headrest Removable Mount



 

Switch-It Head Array Package (Adult)

105ID13

E2330 Switch-it Proximity Head Array

105EA1

E1028 Headrest Removable Mount



Switch-It Head Array Package (Pediatric)



105ID14

E2330 Switch-it Proximity Head Array



105EA1

E1028 Headrest Removable Mount



HMC Proportional Mini Joystick Chin/Lip Control Pkg.



105ID28

E2312 Mini Joystick



105EA3

E0955 Headrest



105EA1

E1028 Headrest Removable Mount



HMC Proportional Mini Joystick Midline w/Gatlin Pkg.



105ID32

E2312 Mini joystick

105EA5

E1028 Swing Away Mount

 

Proportional Chin Control Package

105ID12

Proportional Joystick

105EA1

Removable Mount



128 lbs (without batteries)

29-1/2" (Without Footrests)

Up to 6.5 mph for 6.5 + package

105DN2

E2331 Attendant Control for R-net

$995.00

MOUNTING LOCATION: Left Back Cane

N/C

105DN1 MOUNTING LOCATION: Right Back Cane

N/C

105PR2

$1,870.00

$265.00

VR-2 Hand Held Programmer (HHP)

$250.00

Backpack

$5,585.00

$210.00

$450.00

Wheelchair Tray Table (Size based on seat width chosen)

$210.00

$4,595.00

E1030 Articulating Vent Tray

$1,395.00

$4,120.00

$210.00

$4,595.00

$4,385.00

$4,180.00

$210.00

$4,390.00

$5,795.00

$5,585.00

$210.00

$250.00 $2,795.00

105A450

105PR3 R-net PC Programmer with Dongle

105PR4

R-net Hand Held (DTT)

$400.00

$250.00

$55.00

$50.00

Electronic Programmers

E0978

$120.00

Medium Tufftak (15"-17-")

E0978

$110.00

N/C

Positioning Belt - Select for any style seat

$210.00

15. ACCESSORIE

105A31 E0950

105A32 E0950

Weight:

Overall Width

Overall Length:

Additional Specifications

Top Speed:

25-3/4" (Standard Width Base); 27-3/4" (Wide Base)

(Measured at drive wheels)

As far as 12.4 miles (With Group 24 batteries depending

on conditions and user environment)

Range:

$1,000.00

Attendant Control

105A465 E2331 Attendant Control for VR-2

$995.00

Ribbon Switch

$95.00

Single Switch (pick a switch to operate your tilt or recline with toggle

Wobble Switch

$500.00

Egg Switch-Black

$95.00

Micro Light Switch

$75.00

$265.00

105SW1 Buddy Button Switch

$75.00

105SW9

$3,795.00

105SW6

$210.00

105SW2 Disc Switch

$160.00

E2312

$3,585.00

Black/Charcoal

$45.00

105A82 Caddy

$45.00

105VT2

105SW10

Single Switch Mount Bracket

105SW11

E1028

Miscellaneous

Switch Mount Bracket

$195.00

Seat Pouch

105A8

105SW4

Vent Options

ORDERING INFORMATION PHONE: (800) 236-4215, FAX: (602) 279-0952, WEBSITE: www.southwestmedical.com

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