Price_List_2016

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PHYSIPRO PRICE LIST 2016
ORDER
Tel : 1-800-668-2252
Fax : 819-565-3337
E-mail: [email protected]
2016 Price List
Products
HCPCS
Products #
Description
MSRP
QT.
SEAT CUSHIONS
Zero Pressure Cushion
E2607
S1265
Less than 22" width
Each
$
362
E2607
E2608
E2608
S1276
S1269
S1286
Less than 22" width - with gel insert
22" or greater width
22" or greater width - with gel insert
Each
$
765
Each
Each
$
$
362
765
N/A
S1270
Replacement cover
Each
$
129
N/A
S1330
Waterproof Inner Cover
Each
$
82
N/A
S1332
Customization fee
Each
$
70
E2607
S1290
Less than 22" width
Each
$
445
E2607
E2608
E2608
S1300
S1295
S1305
Less than 22" width - with gel insert
22" or greater width
22" or greater width - with gel insert
N/A
S1271
Replacement cover
Each
Each
Each
Each
$
$
$
$
890
462
865
129
N/A
S1277
Waterproof Inner Cover
Each
$
82
N/A
S1332
Customization fee
Each
$
70
E2603
E2604
N/A
S2985
S2987
Less than 22" width
22" or greater width
S3000
Replacement cover
Each
Each
Each
$
$
$
337
337
129
N/A
S3005
Waterproof Inner Cover
Each
$
82
N/A
S1332
Customization fee
Each
$
70
E2603
E2604
S3100
Less than 22" width
22" or greater width
Each
$
299
S3105
Each
$
299
N/A
S2951
Replacement cover
Each
$
129
N/A
S2953
Waterproof Inner Cover
Each
$
34
N/A
S1332
Customization fee
Each
$
70
E2607
E2608
S2957
S2958
Less than 22" width
22" or greater width
Each
$
267
Each
$
267
N/A
S2290
Replacement cover
Each
$
134
N/A
S2295
Waterproof Inner Cover
Each
$
34
N/A
S1332
Customization fee
Each
$
70
Ultra Cushion
C3S Cushion
BRIO Cushion
Resolve Cushion
Samples available upon request.
See Individual product literature for complete product details and descriptions
Visit us online: www.physipro.com
1
ORDER
Tel : 1-800-668-2252
Fax : 819-565-3337
E-mail: [email protected]
2016 Price List
Products
HCPCS
Products #
Description
MSRP
QT.
LXA Cushion
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
S2455
S2456
S2458
S2459
S2996
S2460
S2465
S1332
LXA Cushion 2" - 14'' to 18'' width
LXA Cushion 2.5" 14'' to 18'' width
LXA Cushion 3" 14'' to 18'' width
LXA Cushion 3.5" 14'' to 18'' width
20" or greater width
Replacement cover
Waterproof Inner Cover
Customization fee
Each
Each
Each
Each
Each
Each
Each
Each
$
$
$
$
$
$
$
$
607
612
624
632
1 082
157
82
70
S2980
ABS Reinforcement
Each
$
75
Canvas Seat
N/A
Lateral Pelvic Cushion
N/A
S2860
Lateral Pelvic Cushion #1 (plastazote/urethane/sunmate)
Each
$
70
N/A
S2861
Lateral Pelvic Cushion #1 (firm urethane)
Each
$
45
N/A
S2865
Lateral Pelvic Cushion #2 (plastazote/urethane/sunmate)
Each
$
74
N/A
S2866
Lateral Pelvic Cushion #2 (firm urethane)
Each
$
45
N/A
S2870
Lateral Pelvic Cushion #3 (plastazote/urethane/sunmate)
Each
$
75
N/A
S2871
Lateral Pelvic Cushion #3 (Firm Urethane)
Each
$
49
Samples available upon request.
See Individual product literature for complete product details and descriptions
Visit us online: www.physipro.com
2
ORDER
Tel : 1-800-668-2252
Fax : 819-565-3337
E-mail: [email protected]
2016 Price List
Products
HCPCS
Products #
Description
MSRP
QT.
Lateral Pelvic Support
N/A
S2890
Lateral Pelvic Support #1
Each
$
74
N/A
S2895
Lateral Pelvic Support #2
Each
$
74
N/A
S2900
Lateral Pelvic Support #3
Each
$
74
Lateral Adductor Support
N/A
S2965
Lateral Adductor Support # 1
Each
$
74
N/A
S2970
Lateral Adductor Support # 2
Each
$
74
N/A
S2975
Lateral Adductor Support # 3
Each
$
74
Flat - Anti-Thrust Wedge - constructa foam - All Sizes
Each
$
45
Pointed - Anti-Thrust Wedge - constructa foam - All Sizes
Each
$
45
Anti-Thrust Wedge
N/A
N/A
S2670-3
S2655
Pelvic Obliquity Wedge
N/A
S2675
Pelvic Obliquity Wedge - Urethane
Each
$
49
N/A
S2680
Pelvic Obliquity Wedge - Constructa Foam
Each
$
54
Base Wedge - Anti-Hammock Effect
N/A
S2685
Pointed - Anti-Hammock Wedge
Each
$
57
N/A
S2695
Flat - Anti-Hammock Wedge
Each
$
57
N/A
S2700
Reinforcement ABS Plate
Each
$
54
Medial Thigh Abductor #1 - Constructa Foam
Each
$
57
Medial Thigh Abductor #2 - Constructa Foam
Each
$
57
Medial Thigh Abductor #3 - Constructa Foam
Each
$
57
Medial Thigh Abductor #1 - Urethane
Each
$
45
Medial Thigh Abductor #2 - Urethane
Each
$
49
Medial Thigh Abductor #3 - Urethane
Each
$
50
Aluminum reinforcement
Pair
$
200
Medial Thigh Abductor
N/A
S2710
N/A
S2715
N/A
S2720
N/A
S2725
N/A
S2730
N/A
S2735
Aluminum reinforcement
N/A
D3805
Samples available upon request.
See Individual product literature for complete product details and descriptions
Visit us online: www.physipro.com
3
ORDER
Tel : 1-800-668-2252
Fax : 819-565-3337
E-mail: [email protected]
2016 Price List
Products
HCPCS
Products #
Description
MSRP
QT.
BACKRESTS
PREMIUM Backrest
E2611
E2612
D5206
D5207
Less than 22" width
22" or greater width
Each
$
279
Each
$
299
N/A
D5441
Less than 22" width - with VELCRO
Each
$
307
N/A
D5442
22" or greater width - with VELCRO
Each
$
307
N/A
D4695
Velcro Backpost Sleeves (pair) with zip
Pair
$
142
N/A
D4700
Velcro Backpost Sleeves (pair) without zip
Pair
$
149
Foam Base Premium Backrest
N/A
D5202
Cushion Customization
Each
$
82
N/A
VR10091
Sunmate soft 1"
Each
$
117
N/A
VR10110
Sumate soft 1/2"
Each
$
70
N/A
VR10074
Viscose 1/2"
Each
$
49
N/A
VR10073
Viscose 1"
Each
$
75
N/A
VR10111
Temper Foam T-36 1/2"
Each
$
129
N/A
VR10093
Temper Foam T-36 1"
Each
$
259
Adjustable Laterals
E0956
D00A
X-Small - Right
Each
$
162
E0956
D00A
X-Small - Left
Each
$
162
E0956
D00A
Small - Right
Each
$
162
E0956
D00A
Small - Left
Each
$
162
E0956
D00A
Medium - Right
Each
$
162
E0956
D00A
Medium - Left
Each
$
162
E0956
D00A
Large - Right
Each
$
162
E0956
D00A
Large - Left
Each
$
162
Adjustable and Swing-Away Laterals
E1028 + E0956
D00S
X-Small - Right
Each
$
232
E1028 + E0956
D00S
X-Small - Left
Each
$
232
E1028 + E0956
D00S
Small - Right
Each
$
232
E1028 + E0956
D00S
Small- Left
Each
$
232
E1028 + E0956
D00S
Medium - Right
Each
$
232
E1028 + E0956
D00S
Medium - Left
Each
$
232
E1028 + E0956
D00S
Large - Right
Each
$
232
E1028 + E0956
D00S
Large - Left
Each
$
232
N/A
D3865
Cushioned Strap 1"
Each
$
42
N/A
D3868
Cushioned Strap 1 1/2"
Each
$
49
N/A
D3869
Cushioned Strap 2"
Each
$
50
N/A
D4045
Booster Cushion #1
Each
$
137
N/A
D4050
Booster Cushion #2
Each
$
137
N/A
D3380
Thoracic Wedge - Constructa Foam
Each
$
34
N/A
D3385
Thoracic Wedge - Urethane
Each
$
12
Cushioned Strap
Booster Cushion
Thoracic Wedge
Sacro-Lumbar Corrector
N/A
D3410
Sacro-Lumbar corrector 1" Urethane
Each
$
20
N/A
D3415
Sacro-Lumbar corrector 1 1/2" Urethane
Each
$
20
N/A
D3420
Sacro-Lumbar corrector 2" Urethane
Each
$
20
N/A
D3425
Sacro-Lumbar corrector 1" Constructor Foam
Each
$
59
N/A
D3430
Sacro-Lumbar corrector 1 1/2" Constructor Foam
Each
$
59
N/A
D3435
Sacro-Lumbar corrector 2" Constructor Foam
Each
$
59
Samples available upon request.
See Individual product literature for complete product details and descriptions
Visit us online: www.physipro.com
4
ORDER
Tel : 1-800-668-2252
Fax : 819-565-3337
E-mail: [email protected]
2016 Price List
Products
HCPCS
Products #
Description
MSRP
QT.
Velcro Back
N/A
D4060
Velcro Back #1 - 14" x 16"
Each
$
124
N/A
D4065
Velcro Back #2 - 16" x 16"
Each
$
124
N/A
D4070
Velcro Back #3 - 18" x 16"
Each
$
124
N/A
D3935
Elevated Laterals #1 with cover
Each
$
240
N/A
D3945
Elevated Laterals #2 with cover
Each
$
240
N/A
D3955
Elevated Laterals #3 with cover
Each
$
240
N/A
D3965
Elevated Laterals #4 with cover
Each
$
240
N/A
D3975
Shaped Laterals #1 with cover
Each
$
140
N/A
D3985
Shaped Laterals #2 with cover
Each
$
140
Elevated Laterals
Shaped Laterals
Anti-Sling Laterals
N/A
D3995
Anti-Sling Laterals #1 with cover
Each
$
140
N/A
D4005
Anti-Sling Laterals #2 with cover
Each
$
140
E2613
HPP-1212
12" x 12"
Each
$
954
E2613
HPP-1214
12" x 14"
Each
$
954
E2613
HPP-1414
14" x 14"
Each
$
954
E2613
HPP-1416
14" x 16"
Each
$
954
E2613
HPP-1418
14" x 18"
Each
$
954
E2613
HPP-1616
16" x 16"
Each
$
954
E2613
HPP-1618
16" x 18"
Each
$
954
E2613
HPP-1620
16" x 20"
Each
$
954
E2613
HPP-1816
18" x 16"
Each
$
954
E2613
HPP-1818
18" x 18"
Each
$
954
E2613
HPP-1820
18" x 20"
Each
$
954
E2613
HPP-2016
20" x 16"
Each
$
954
E2613
HPP-2018
20" x 18"
Each
$
954
E2613
20" x 20"
22" x 22"
Each
$
954
E2614
HPP-2020
HPP-2222
Each
$
1 015
E2614
HPP-2224
22" x 24"
Each
$
1 015
E2614
HPP-2226
22" x 26"
Each
$
1 015
N/A
PH-02341
Extension Plate
Pair
$
40
HP2 Backrest
N/A
HP01
Cover back cutout-with headrest
Each
$
35
N/A
HP02
Cover back cutout-Chest Support
Each
$
35
N/A
HPY
Customize foam cushion - Profiled Model
Each
$
82
N/A
HP1CEX
Replacement Cover - One Color
Each
$
279
N/A
HP2CEX
Replacement Cover - Two Colors
Each
$
279
HP2 Sport Backrest
E2613
HPS12
HP2 Sport Backrest Width 12"
Each
$
954
E2613
HPS14
HP2 Sport Backrest Width 14"
Each
$
954
E2613
HPS15
HP2 Sport Backrest Width 16"
Each
$
954
E2613
HPS18
HP2 Sport Backrest Width 18"
Each
$
954
N/A
HPS1C
Replacement Cover - One Color
Each
$
279
N/A
HPS2C
Replacement Cover - Two Colors
Each
$
279
Samples available upon request.
See Individual product literature for complete product details and descriptions
Visit us online: www.physipro.com
5
ORDER
Tel : 1-800-668-2252
Fax : 819-565-3337
E-mail: [email protected]
2016 Price List
Products
HCPCS
Products #
Description
MSRP
QT.
Adjustable Laterals
E0956
HPTA
Pediatric - Right
Each
$
95
E0956
HPTA
Pediatric - Left
Each
$
95
E0956
HPTA
X-Small - Right
Each
$
95
E0956
HPTA
X-Small - Left
Each
$
95
E0956
HPTA
Small - Right
Each
$
95
E0956
HPTA
Small - Left
Each
$
95
E0956
HPTA
Medium - Right 4 1/2" depth
Each
$
95
E0956
HPTA
Medium - Right 5 1/2" depth
Each
$
95
E0956
HPTA
Medium - Left 4 1/2" depth
Each
$
95
E0956
HPTA
Medium - Left 5 1/2" depth
Each
$
95
E0956
HPTA
Large - Right 4 1/2" depth
Each
$
95
E0956
HPTA
Large - Right 5 1/2" depth
Each
$
95
E0956
HPTA
Large - Left 4 1/2" depth
Each
$
95
E0956
HPTA
Large - Left 5 1/2" depth
Each
$
95
Adjustable and Swing-Away Laterals
E1028 + E0956
HPTS
Pediatric - Right
Each
$
217
E1028 + E0956
HPTS
Pediatric - Left
Each
$
217
E1028 + E0956
HPTS
X-Small - Right
Each
$
217
E1028 + E0956
HPTS
X-Small - Left
Each
$
217
E1028 + E0956
HPTS
Small - Right
Each
$
217
E1028 + E0956
HPTS
Small - Left
Each
$
217
E1028 + E0956
HPTS
Medium - Right 4 1/2" depth
Each
$
217
E1028 + E0956
HPTS
Medium - Right 5 1/2" depth
Each
$
217
E1028 + E0956
HPTS
Medium - Left 4 1/2" depth
Each
$
217
E1028 + E0956
HPTS
Medium - Left 5 1/2" depth
Each
$
217
E1028 + E0956
HPTS
Large - Right 4 1/2" depth
Each
$
217
E1028 + E0956
HPTS
Large - Right 5 1/2" depth
Each
$
217
E1028 + E0956
HPTS
Large - Left 4 1/2" depth
Each
$
217
E1028 + E0956
HPTS
Large - Left 5 1/2" depth
Each
$
217
Samples available upon request.
See Individual product literature for complete product details and descriptions
Visit us online: www.physipro.com
6
ORDER
Tel : 1-800-668-2252
Fax : 819-565-3337
E-mail: [email protected]
2016 Price List
Products
HCPCS
Products #
Description
MSRP
QT.
PAD AND HEADRESTS HARDWARE
Basic Pad
N/A
AT5000
Basic Pad # 1
Each
$
125
N/A
AT5005
Basic Pad # 2
Each
$
125
N/A
AT5010
Basic Pad # 3
Each
$
125
Combined Headrest
N/A
AT5030
Combined Headrest # 1
Each
$
115
N/A
AT5035
Combined Headrest # 2
Each
$
115
N/A
AT5040
Combined Headrest # 3
Each
$
115
Lateral Adjustment Headrest
N/A
AT5060
Lateral Adjustment Headrest - Small
Each
$
349
N/A
AT5070
Lateral Adjustment Headrest- Large
Each
$
349
Headrest Hardware
N/A
AT5450
Symbio
Each
$
340
N/A
AT5140
Symbio - Pediatric
Each
$
340
E1028
AT5115
Straight - Multi-adjustable Aluminum
Each
$
199
E1028
AT5120
Offset - Multi-adjustable Aluminum
Each
$
204
AT5135
Tension Bar
Each
$
209
Tension Bar
N/A
N/A
BP-0.5U-XS
½ unit - catalyst and resin kit - sunmate extra-soft
Each
$
135
N/A
BP-1U-XS
1 unit - catalyst and resin kit - sunmate extra-soft
Each
$
215
N/A
BP-0.5U-S
½ unit - catalyst and resin kit - sunmate soft
Each
$
135
N/A
BP-1U-S
1 unit - catalyst and resin kit - sunmate soft
Each
$
215
ASSESSMENT TOOLS
Assessment Tools
N/A
AM8505
Goniometer
Each
$
74
N/A
AM8515
Evaluation Rule
Each
$
374
Samples available upon request.
See Individual product literature for complete product details and descriptions
Visit us online: www.physipro.com
7