1. quickie s636 bc/sc/mpc power chair - Quickie-Wheelchairs.com

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.Option # HCPCS DefinitionPriceOption #HCPCSDefinitionPrice8. FOOTRESTSHanger (Pair)105H2 70° Swing Away Hanger N/C105H3790° Swing Away (Only available with kidsN/Cangle adjustable footplates) 105H14 E0990 Manual Elevating Hanger (Req.aluminum footplate or angle adj. andMed. Extension Tubes)$280.00 105H38 E1010 Power Elevating (Pair) Order with $1,440.00Power ELR/ALR extension tubes.Maximum rider weight limit 250 lbs.Only available with seat widths 16"and greater.105H39105H32105E1105E2E1010Power Articulating (Pair) Order withPower ELR/ALR extension tubes.Maximum rider weight limit 250 lbs.Only available with seat widths 16"and greater.Omit Hangers ($15.00)Extension TubeNot available with 90° hangers.Short (13" - 15")Medium (15" - 18") Not available withmulti-position footplate.105E5 Long (18" - 20")105E33Power ELR/ALR Med (15.5" to 18")Use Multi-positional Footplates for shorterleg lengths (13" - 15-1/2").$1,880.00N/CN/CN/CN/C Kids Angle Adj. w/ Leg Strap (Only available with 90°hangers) 105F5 K0042 Aluminum (Only avail. w/manual ELR) $30.00 Two-piece Locking w/Heel Loop (Only avail. w/ 70° SA $210.00Hangers)Foot Plate (Pair)Adult Angle Adjust. w/ heel loop$210.00105F282 K0040 Adult Angle Adjustable Footplate$165.00105HL10 E0951 Heel Loop $45.00$195.00105F283 K0040 Kids Angle Adjustable Footplate $165.00105LS13 K0038 Leg Strap $30.00105F61 K0040 Two-piece Locking Footplate$165.00105HL10 E0951 Heel Loop$45.00Multi-Positional w/Heel LoopNot avail. w/med. Ext. tubes. Avail. for use only on the 70°swing-away hanger and the Power ALR and ELR.$215.00105F47 K0040 Multi-Positional Footplate $170.00105HL10 E0951 Heel Loop $45.00105F6 Omit Foot Plate w/Heel Loop N/C105LS3105A110K0038E0952Footrest AccessoriesExtra Leg Strap, BlackToe Loop (Only available with angleadjustable footplates)$30.00$45.00105E34Power ELR/ALR Long (17.5" to 20")N/CORDERING INFORMATION PHONE: (800) 236-4215, FAX: (602) 279-0952, WEBSITE: www.southwestmedical.comPage 4