Quickie P-11 Bedienungsanleitung PDF herunterladen (Seite 4)

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



105F6

Omit Foot Plate w/Heel Loop N/C

$215.00

Multi-Positional Footplate $170.00

105HL10

E0951

Heel Loop $45.00



Kids Angle Adj. w/ Leg Strap (Only available with 90°

hangers)

$195.00

105F283 K0040

Kids Angle Adjustable Footplate $165.00

$165.00

105HL10 E0951

Heel Loop $45.00

N/C

Hanger (Pair)

105H2 70° Swing Away Hanger

N/C



$280.00

105H14 E0990

Manual Elevating Hanger (Req.

aluminum footplate or angle adj. and

Med. Extension Tubes)

° Swing Away (Only available with kids

angle adjustable footplates)

8. FOOTRESTS

$30.00Aluminum

(Only avail. w/manual ELR)

105LS13 K0038

Leg Strap $30.00

K0042

$1,440.00Power Elevating (Pair) Order with

Power ELR/ALR extension tubes.

Maximum rider weight limit 250 lbs.

Only available with seat widths 16"

and greater.

Foot Plate (Pair)

$210.00

105F282 K0040

Omit Hangers

($15.00)

105F5

Two-piece Locking w/Heel Loop (Only avail. w/ 70° SA

Hangers)

105F61

K0040

Two-piece Locking Footplate

Adult Angle Adjust. w/ heel loop

Power Articulating (Pair) Order with

Power ELR/ALR extension tubes.

Maximum rider weight limit 250 lbs.

Only available with seat widths 16"

and greater.

Short (13" - 15")

Not available with 90° hangers.

Extension Tube

105E1

N/C

E1010



105H38 E1010

105H37

105E34



105H39

105H32



N/C

Power ELR/ALR Long (17.5" to 20")

105E2

105E5

Long (18" - 20")

105E33

Medium (15" - 18") Not available with

multi-position footplate.

N/C

$45.00

E0952

Toe Loop (Only available with angle

adjustable footplates)



105A110

Power ELR/ALR Med (15.5" to 18")

Use Multi-positional Footplates for shorter

leg lengths (13" - 15-1/2").

N/C



$210.00

$165.00

E0951

105HL10

$45.00

$1,880.00

Heel Loop

105F47

K0040



Multi-Positional w/Heel Loop

Not avail. w/med. Ext. tubes. Avail. for use only on the 70°

swing-away hanger and the Power ALR and ELR.

Adult Angle Adjustable Footplate

105LS3 K0038

Footrest Accessories

$30.00Extra Leg Strap, Black

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

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