Quickie P-11 Manuale Utente Scaricare il pdf (Pagina 5)

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

 

105J91 Omni* Only



105J89 Compact Joystick with Omni*



105J90 Output Module w/ Omni*



105A401 Output Module w/o Omni* (ECM)



* Omni is always mounted on the opposite side of the joystick

 



105A404 2nd Output module for additional ports



 



105HM2 - Left Side Mount N/C

Height Adjustable.

105HM1 - Right Side Mount N/C

Joystick w/mono jacks

and monochrome display

105SW1

Micro Light Switch

10. SPECIALTY INPUT INDIVIDUAL COMPONENT

$75.00

Specialty Input Device - Single Switch (cont)

105SW11

Penta Switch $200.00

$160.00

Battery Straps

105BK2

N/C

Ribbon Switch $95.00

105SW9

105BK1 Battery Strap GP-24

$150.00

105SW6

Battery Strap and Insert 22NF

N/C

R-Net Expandable Drive Control Upgrade (90A)

$950.00

$1,050.00Drive Controller Upgrade Options

105SW4

Joystick w/Toggle/Speed Pot /Color Disp.

E2373

E2351

Addition of Second Joystick to Specialty Input

105A602 - Rnet Bluetooth Mouse-mover

$995.00

Omit Charger

R-net OMNI and Output Options

OMNI Mount

(If used with Joystick must be mounted opposite side)

$850.00

105J88 -

$975.00

$395.00

Buddy Button Switch $75.00

Disc Switch

$1,050.00

E2351

105ID9

$780.00

Specialty Input Device - Requires USCM

105ID6

CA-5 Interface Box

Mini Proportional Joystick

105ID10

Wobble Switch



Switch Mount Bracket (Not available

with wobble switch)

$195.00

$500.00

Specialty Input Device - Single Switch

9. ELECTRONICS

Drive Control

105J57 - 90A VR2 Non-Expandable Controller

E2377 Expandable Controller - R-net

105EX01

105SW10

Egg Switch-Black $95.00

105SW2

$525.00

STD

R-net Joystick and Expandable Options

105J70 - Std LED Joystick for Expandable Ctrls

N/C

105EX02 E2313 Harnessing for Expandable Controller

$425.00

105J88 - Joystick W/Toggle, Spd Pot & Color Disp.

$395.00

$1,050.00

$235.00

N/C

Left Side Mount

N/C

$200.00

Joystick Mount (Fixed or Swing Away)



105J93

Joystick Mount (Location)

105DK2 -

Fixed Mount

Swing Away Mount

105JM1 -

105JM2 E1028

105JH1 E2323 Ball Handle

$75.00

Joystick Handle

105DK1 - Right Side Mount

Battery Charger

105BJ19 8 A Battery Charger CTE

N/C

105BJ3

$75.00

105JH2 E2323 Foam Ball Handle

$75.00

105JH4 E2323 T-Handle

105JH6 E2323 Goalpost

$75.00

-$40.00

Batteries

105A48 E2363 Battery GP-24 Gel Pair (for best range)

$390.00

105A47 E2361 Battery 22NF Gel Pair

$320.00

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

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