adp codes and pricing - Maple Leaf Wheelchair
Transcription
adp codes and pricing - Maple Leaf Wheelchair
ADP CODES AND PRICING Effective December 12th, 2013 MANUAL WHEELCHAIR ADP CODES AND PRICING PRODUCT ADP CODE ADP PRICE MLW PRICE NRG+ WMA2WM005 $1680.00 $1748.00 SWIFT WMA2WM010 $1680.00 $2478.00 EZ RIDE WMA3WM005 $2655.00 $2608.00 SUPERTILT WM0001111 $2446.00 $2699.00 LOWRIDER WM0001080 $2446.00 $2699.00 MLTR 500 WMA5WM010 $2446.00 $2195.00 MLTR 600 WMA5WM010 $2446.00 $2408.00 MLT 700A WMA5WM015 $2446.00 $2195.00 MLT 700B WMA5WM015 $2446.00 $1995.00 NOTE: MLW PRICE IS BASED ON SUGGESTED RETAIL INCLUDING ARMS, TREADED URETHANE TIRES, BRAKE EXTENSIONS, ANTI TIPPERS AND FOOTRESTS. SEATING PRODUCTS ADP CODE DESCRIPTION ADP PRICE SEBWM0005 CONTOUR PADDED PERSONAL BACK $288.00 SE0001085 ML DEEP $486.00 SE0001086 ML MID $560.00 SE0001087 ML SHALLOW $435.00 SE0001088 ML SHAPE $656.00 SE0001089 ML KYPHOTIC $666.00 SE0001090 ML COZY $384.00 SE0001091 ML EXTREME COMFORT $500.00 SE0001092 ML BARIATRIC $627.00 SEBWM00010 CONTOUR SEAT CUSHION $208.00 SEBWM0005 CONTOUR HEADREST WITH HARDWARE $256.00 NRG+ OPTIONS AND ACCESSORIES ADP CODE DESCRIPTION SEMCF990L CUSTOM W/C MODIFICATIONS (CRR) WAMA WAMB WAMC WAMD WAME WAMF WAMG WAMH WAMI WAMJ WAMK WAMK WAML WAMO WAMP WAMQ WAMT WAMU WAMV WAMW WAMX WAMY WAMN SEAT WIDTH GREATER THAN 18” SEAT DEPTH GREATER THAN 18” HEAVY DUTY XBRACES AND UPHOL ADJ. TENSION BACK UP TO 18” WIDE ADJ. TENSION BACK OVER 18” WIDE HEAVY DUTY PACKAGE 250-349 LBS HEAVY DUTY PACKAGE 350-449 LBS HEAVY DUTY PACKAGE 450+ LBS RECLINER OPTION ANGLE ADJ. FOOTPLATES (PR) ELEVATING LEGREST (PR) ELEVATING LEGREST ARTICULATING (PR) ONE ARM/LEVER DRIVE PLASTIC COATED HANDRIMS (PR) SPOKE PROTECTORS (PR) PROJECTED HANDRIMS (PR) AMPUTEE AXLE PLATES (PR) QUICK RELEASE AXLES (PR) CLOTHING GUARDS (PR) STROLLER HANDLES/PEDIATRIC OXYGEN TANK HOLDER VENTILATOR TRAY UNILATERAL BRAKES ADP PRICE MLW PRICE $40.00+ PARTS LBR ONLY $399.00 $450.00 $265.00 $350.00 $680.00 $450.00 $140.00 $140.00 $240.00 $240.00 $730.00 $992.00 $1100.00 $527.00 $580.00 $130.00 $240.00 $404.00 $190.00 $404.00 $380.00 $1046.00 $1500.00 $134.00 $120.00 $116.00 $140.00 $224.00 $180.00 $113.00 $125.00 $110.00 $120.00 $126.00 $147.00 $120.00 $195.00 $190.00 $425.00 $420.00 $149.00 $150.00 NOTE: 1. ANGLE ADJ. INCLUDE SE000032Z 2. (CRR) - CLINICAL RATIONAL REQUIRED 3. WHERE NO PRICE APPEARS, THE ITEM IS EITHER NOT AVAILABLE OR CUSTOM QUOTE IS REQUIRED $75.00 EA $60.00 NRG+ GOLD OPTIONS AND ACCESSORIES ADP CODE DESCRIPTION SEMCF990L CUSTOM W/C MODIFICATIONS (CRR) WAMA WAMB WAMC WAMD WAME WAMF WAMG WAMH WAMI WAMJ WAMK WAMK WAML WAMO WAMP WAMQ WAMT WAMU WAMV WAMW WAMX WAMY SEAT WIDTH GREATER THAN 18” SEAT DEPTH GREATER THAN 18” HEAVY DUTY XBRACES AND UPHOL ADJ. TENSION BACK UP TO 18” WIDE ADJ. TENSION BACK OVER 18” WIDE HEAVY DUTY PACKAGE 250-349 LBS HEAVY DUTY PACKAGE 350-449 LBS HEAVY DUTY PACKAGE 450+ LBS RECLINER OPTION ANGLE ADJ. FOOTPLATES (PR) ELEVATING LEGREST (PR) ELEVATING LEGREST ARTICULATING (PR) ONE ARM/LEVER DRIVE PLASTIC COATED HANDRIMS (PR) SPOKE PROTECTORS (PR) PROJECTED HANDRIMS (PR) AMPUTEE AXLE PLATES (PR) QUICK RELEASE AXLES (PR) CLOTHING GUARDS (PR) STROLLER HANDLES/PEDIATRIC OXYGEN TANK HOLDER VENTILATOR TRAY ADP PRICE MLW PRICE $40.00+ PARTS LBR ONLY $399.00 $450.00 $265.00 $350.00 $680.00 $450.00 $140.00 $140.00 $240.00 $240.00 $730.00 $992.00 $1100.00 $527.00 $130.00 $240.00 $404.00 $280.00 $404.00 $1046.00 $1500.00 $134.00 $120.00 $116.00 $140.00 $224.00 $180.00 $113.00 $125.00 $110.00 $120.00 $126.00 $147.00 $120.00 $195.00 $190.00 $425.00 $420.00 NOTE: 1. ANGLE ADJ. INCLUDE SE000032Z 2. (CRR) - CLINICAL RATIONAL REQUIRED 3. WHERE NO PRICE APPEARS, THE ITEM IS EITHER NOT AVAILABLE OR CUSTOM QUOTE IS REQUIRED $75.00 EA $60.00 SWIFT OPTIONS AND ACCESSORIES ADP CODE DESCRIPTION ADP PRICE MLW PRICE SEMCF990L CUSTOM W/C MODIFICATIONS (CRR) WAMA WAMA WAMA WAMB WAMC WAMD WAME WAMF WAMG WAMH WAMI WAMJ WAMK WAMK WAML WAMO WAMP WAMQ WAMT WAMU WAMV WAMW WAMX WAMY SEAT WIDTH - 18” UP TO 20” SEAT WIDTH - 21” UP TO 24” SEAT WIDTH - 24”+ SEAT DEPTH GREATER THAN 18” HEAVY DUTY XBRACES AND UPHOL ADJ. TENSION BACK UP TO 18” WIDE ADJ. TENSION BACK OVER 18” WIDE HEAVY DUTY PACKAGE 250-349 LBS HEAVY DUTY PACKAGE 350-449 LBS HEAVY DUTY PACKAGE 450+ LBS RECLINER OPTION ANGLE ADJ. FOOTPLATES (PR) ELEVATING LEGREST (PR) ELEVATING LEGREST ARTICULATING (PR) ONE ARM/LEVER DRIVE PLASTIC COATED HANDRIMS (PR) SPOKE PROTECTORS (PR) PROJECTED HANDRIMS (PR) AMPUTEE AXLE PLATES (PR) QUICK RELEASE AXLES (PR) CLOTHING GUARDS (PR) STROLLER HANDLES/PEDIATRIC OXYGEN TANK HOLDER VENTILATOR TRAY $40.00+ LBR $399.00 $399.00 $399.00 $265.00 $680.00 $140.00 $240.00 $730.00 $992.00 $1100.00 $527.00 $130.00 $404.00 $404.00 $1046.00 $134.00 $116.00 $224.00 $113.00 $110.00 $126.00 $147.00 $195.00 $425.00 PARTS ONLY $350.00 $450.00 $600.00 $350.00 $140.00 $240.00 $1100.00 $1200.00 $1600.00 $730.00 $240.00 $190.00 $380.00 $1500.00 $120.00 $140.00 $180.00 $125.00 $120.00 $120.00 $190.00 $420.00 NOTE: 1. ANGLE ADJ. INCLUDE SE000032Z 2. (CRR) - CLINICAL RATIONAL REQUIRED 3. WHERE NO PRICE APPEARS, THE ITEM IS EITHER NOT AVAILABLE OR CUSTOM QUOTE IS REQUIRED $75.00 EA $60.00 EZ RIDE OPTIONS AND ACCESSORIES ADP CODE DESCRIPTION SEMCF990L CUSTOM W/C MODIFICATIONS (CRR) WAMA WAMB WAMC WAMD WAME WAMF WAMG WAMH WAMI WAMJ WAMK WAMK WAML WAMO WAMP WAMQ WAMT WAMU WAMV WAMW WAMX WAMY SEAT WIDTH GREATER THAN 18” SEAT DEPTH GREATER THAN 18” HEAVY DUTY XBRACES AND UPHOL ADJ. TENSION BACK UP TO 18” WIDE ADJ. TENSION BACK OVER 18” WIDE HEAVY DUTY PACKAGE 250-349 LBS HEAVY DUTY PACKAGE 350-449 LBS HEAVY DUTY PACKAGE 450+ LBS RECLINER OPTION ANGLE ADJ. FOOTPLATES (PR) ELEVATING LEGREST (PR) ELEVATING LEGREST ARTICULATING (PR) ONE ARM/LEVER DRIVE PLASTIC COATED HANDRIMS (PR) SPOKE PROTECTORS (PR) PROJECTED HANDRIMS (PR) AMPUTEE AXLE PLATES (PR) QUICK RELEASE AXLES (PR) CLOTHING GUARDS (PR) STROLLER HANDLES/PEDIATRIC OXYGEN TANK HOLDER VENTILATOR TRAY ADP PRICE MLW PRICE $40.00+ PARTS LBR ONLY $399.00 $450.00 $265.00 $350.00 $680.00 $450.00 $140.00 $140.00 $240.00 $240.00 $730.00 $992.00 $1100.00 $527.00 $580.00 $130.00 $240.00 $404.00 $190.00 $404.00 $380.00 $1046.00 $1500.00 $134.00 $120.00 $116.00 $140.00 $224.00 $180.00 $113.00 $125.00 $110.00 $120.00 $126.00 $147.00 $120.00 $195.00 $190.00 $425.00 $420.00 NOTE: 1. ANGLE ADJ. INCLUDE SE000032Z 2. (CRR) - CLINICAL RATIONAL REQUIRED 3. WHERE NO PRICE APPEARS, THE ITEM IS EITHER NOT AVAILABLE OR CUSTOM QUOTE IS REQUIRED $75.00 EA $60.00 SUPERTILT OPTIONS AND ACCESSORIES ADP CODE DESCRIPTION SEMCF990L CUSTOM W/C MODIFICATIONS (CRR) WANA WAMA WAMA WAMA WAMB WAMB WAMD WAME WAMF WAMG WAMH WAMI WAMJ WAMK WAMK WAML WAMO WAMP WAMQ WAMT WAMU WAMW WAMX WAMY (DTO) - DYNAMIC TILT OPTION SEAT WIDTH - 18” UP TO 20” SEAT WIDTH - 20” UP TO 22” SEAT WIDTH - 22” UP TO 24” SEAT DEPTH - 18” UP TO 20” SEAT DEPTH - 20” UP TO 22” ADJ. TENSION BACK UP TO 18” WIDE ADJ. TENSION BACK OVER 18” WIDE HEAVY DUTY PACKAGE 250-349 LBS HEAVY DUTY PACKAGE 350-449 LBS HEAVY DUTY PACKAGE 450+ LBS RECLINER OPTION ANGLE ADJ. FOOTPLATES (PR) ELEVATING LEGREST (PR) ELEVATING LEGREST ARTICULATING (PR) ONE ARM/LEVER DRIVE PLASTIC COATED HANDRIMS (PR) SPOKE PROTECTORS (PR) PROJECTED HANDRIMS (PR) AMPUTEE AXLE PLATES (PR) QUICK RELEASE AXLES (PR) STROLLER HANDLES/PEDIATRIC OXYGEN TANK HOLDER VENTILATOR TRAY NOTE: 1. ANGLE ADJ. INCLUDE SE000032Z 2. (CRR) - CLINICAL RATIONAL REQUIRED 3. WHERE NO PRICE APPEARS, THE ITEM IS EITHER NOT AVAILABLE OR CUSTOM QUOTE IS REQUIRED ADP PRICE MLW PRICE $40.00+ PARTS LBR ONLY $1200.00 $600.00 $399.00 $300.00 $399.00 $460.00 $399.00 $680.00 $265.00 $200.00 $265.00 $460.00 $140.00 $140.00 $240.00 $240.00 $730.00 $740.00 $992.00 $900.00 $1100.00 $1120.00 $527.00 $560.00 $130.00 $240.00 $404.00 $190.00 $404.00 $380.00 $1046.00 $1500.00 $134.00 $120.00 $116.00 $140.00 $224.00 $180.00 $113.00 $125.00 $110.00 $120.00 $147.00 $195.00 $190.00 $425.00 $420.00 $75.00 EA $60.00 MLTR500/600 OPTIONS AND ACCESSORIES ADP CODE DESCRIPTION ADP PRICE MLW PRICE SEMCF990L CUSTOM W/C MODIFICATIONS (CRR) WAMA WAMA WAMJ WAMK WAMK WAMO WAMX WAMY SEAT WIDTH - 18” UP TO 20” SEAT WIDTH - 20” UP TO 24” ANGLE ADJ. FOOTPLATES (PR) ELEVATING LEGREST (PR) ELEVATING LEGREST ARTICULATING (PR) PLASTIC COATED HANDRIMS (PR) OXYGEN TANK HOLDER VENTILATOR TRAY $40.00+ LBR $399.00 $399.00 $130.00 $404.00 $404.00 $134.00 $195.00 $425.00 PARTS ONLY $460.00 $580.00 $240.00 $190.00 $380.00 $120.00 $190.00 $420.00 $75.00 EA $60.00 NOTE: 1. ANGLE ADJ. INCLUDE SE000032Z 2. (CRR) - CLINICAL RATIONAL REQUIRED 3. WHERE NO PRICE APPEARS, THE ITEM IS EITHER NOT AVAILABLE OR CUSTOM QUOTE IS REQUIRED MLT 700A/B OPTIONS AND ACCESSORIES ADP CODE DESCRIPTION ADP PRICE MLW PRICE WMA5WM015 WMA5WM015 SEFND0020 SETND0015 SETND0005 SETND0005 SETND0035 SELND0010 SEFCF104L(2) SEFND0010 SERND0030 SERND0030 SERND0020 SERND0020 SEMCF651L(2) SEBND0016(6) SEBND0015(6) SEAND0025(2) SEAND0010(2) SEAND0030(3) SEFND0015 SESND1015 SEHCF050L SEFCF102L SEMCF990L MLT700A MLT700B CONTRACTURE SLING ½ LAP CLEAR TRAY FULL CLEAR LAP TRAY FULL CLEAR LAP TRAY - LOCK PADDING SWINGAWAY LATERALS XLF-EXTRA LARGE FOOTPLATES NPLS-NYLON PADDED LEGSTRAP ASB PADDED - AUTO SEAT BELT FSB PADDED - FASTEX SEAT BELT AUTO SEAT BELT PADDED - 4 POINT FASTEX SEAT BELT PADDED - 4 POINT SIDE BOLSTERS BACK PAD SEAT PAD DEPTH ADJ. POSITIONING ARMS EXTRA WIDE ARM PADS GEL ARM PADS 1 PIECE FOOTBOARD SOLID SEAT INSERT HEADREST ELEVATING SYSTEM - 1 PIECE BACK HEIGHT CUSTOM $2195.00 $1995.00 $240.00 $240.00 $280.00 $280.00 $75.00 $360.00 $120.00EA $60.00 $65.00 $65.00 $150.00 $150.00 $60.00EA $55.00EA $55.00EA $140.00EA $105.00EA WAMA WAMA WAMA WAMB WAMD WAME WAMF WAMG WAMH WAMI WAMJ WAMK WAMK SEAT WIDTH - 18” UP TO 20” SEAT WIDTH - 20” UP TO 23” SEAT WIDTH - 23” UP TO 26” SEAT DEPTH - 18”+ ADJ. TENSION BACK UP TO 18” WIDE ADJ. TENSION BACK OVER 18” WIDE HEAVY DUTY PACKAGE 250-349 LBS HEAVY DUTY PACKAGE 350-449 LBS HEAVY DUTY PACKAGE 450+ LBS RECLINER OPTION ANGLE ADJ. FOOTPLATES (PR) ELEVATING LEGREST (PR) ELEVATING LEGREST ARTICULATING (PR) $2348.00 $2348.00 $240.00 $235.00 $190.00 $190.00 $75.00 $360.00 $75.00EA $50.00 $65.00 $65.00 $150.00 $150.00 $60.00EA $55.00EA $55.00EA $140.00EA $105.00EA $75.00EA $110.00 $80.00 $200.00 $440.00 $40.00+ LBR $399.00 $399.00 $399.00 $265.00 $140.00 $240.00 $730.00 $992.00 $1100.00 $527.00 $130.00 $404.00 $404.00 $100.00 $80.00 $220.00 $440.00 PARTS ONLY $360.00 $480.00 $680.00 $300.00 $140.00 $240.00 $740.00 $900.00 $1120.00 $560.00 $240.00 $190.00 $380.00 NOTE: 1. ANGLE ADJ. INCLUDE SE000032Z 2. (CRR) - CLINICAL RATIONAL REQUIRED 3. WHERE NO PRICE APPEARS, THE ITEM IS EITHER NOT AVAILABLE OR CUSTOM QUOTE IS REQUIRED $75.00 EA $60.00 POSITIONING DEVICES TRAYS ADP CODE DESCRIPTION ADP PRICE MLW PRICE SETND0005 SETND0010 SETND0005+ SETND0035 SETND0010+ SETND0035 SETND0015 SETND0020 SETND0015+ SETND0035 SETND0010+ SETND0035 FULL CLEAR TRAY (ACC011) CUSTOM FULL CLEAR TRAY FULL PADDED TRAY (ACC010) $190.00 $325.00 $265.00 $120.00 $160.00 $135.00 CUSTOM FULL PADDED TRAY $400.00 $175.00 HALF CLEAR TRAY (ACC015-R, ACC016-L) CUSTOM HALF CLEAR TRAY HALF PADDED TRAY (ACC013-R, ACC014-L) CUSTOM HALF PADDED TRAY $235.00 $315.00 $315.00 $120.00 $150.00 $150.00 $390.00 $175.00 “T” NUT INSERT FOR FULL TRAY “T” NUT INSERT FOR HALF TRAY CUSTOM LEXAN TRAY WITH HARDWARE SEAMLESS PADDED TRAY $20.00 $20.00 $20.00 $20.00 $420.00 $200.00 NO UPCHARGE SETCF103L SETND0005+ BLOCKS ADP CODE DESCRIPTION ADP PRICE MLW PRICE SETND0030 SETND0030 SETND0030 SETND0030 ELBOW BLOCK (MAX 4) HAND BLOCK (MAX 4) ARM BLOCK (MAX 4) CHEST BLOCK (MAX 4) $65.00 $65.00 $65.00 $65.00 $30.00 $30.00 $40.00 $30.00 ARM SUPPORT ADP CODE DESCRIPTION ADP PRICE MLW PRICE SEAND0010 SEAND0030 EXTRA WIDE / LONG ADD MOLECULAR PRESSURE RELIEF (GEL/FOAM MAX 2) $105.00 $75.00 $50.00 $35.00 BACK SUPPORT ADP CODE DESCRIPTION ADP PRICE MLW PRICE SEBND0015+ ADDITIONAL POSTURAL SUPPORT LUMBAR PAD OR FOAM PAD (MAX 6) ADDITIONAL PRESSURE RELIEF (GEL/AIR INSERT) MAX 6 FIXED LATERAL SUPPORT (MAX 2) REMOVABLE LATERAL SHOULDER WINGS $55.00 $25.00 $134.00 $65.00 $120.00 $192.50 $110.00 $60.00 $91.25 $55.00 SEBND0020 SELND0005 SELND0015 SELND0020 SEATS ADP CODE DESCRIPTION ADP PRICE MLW PRICE SESND1015 SESND1020 SESND1035 SEMCF209L5 SEMCF702L SESND1040 SOLID SEAT INSERT (SSI) DROP BASE + 4 HOOKS (UPHS15-1”) LEG CHANNEL / ROHO BOLSTER CUSTOM LEG CHANNEL / ROHO BOLSTER FIXED PADDED ADDUCTOR (2) ADDITIONAL POSTURAL SUPPORT (POMMELS/WEDGES & ANTI TRUST) MAX 6 EXTRA COVER STANDARD EXTRA COVER NON STANDARD EXTRA COVER BARIATRIC $80.00 $250.00 $180.00 $380.00 $120.00 $80.00 $40.00 $125.00 $90.00 $140.00 $60.00 $40.00 $75.00 $115.00 $155.00 $55.00 $75.00 $100.00 SESND1050 SESND1055 SESND1060 FOOT/LEG SUPPORT ADP CODE DESCRIPTION ADP PRICE MLW PRICE SEFND0010 CALF PANEL/NYLON PADDED LEG STRAP (NPLS) AMP SUPPORT 1 PIECE FOOT BOARD (CM6) FOOT BOX/CONTRATURE SLING 1 OR 2 PIECE (CSL) EXTRA PADDING FOR SPECIFIC PRESSURE RELIEF (CRR) 1 PIECE DOUBLE FOOTBOX FOOT PLATE EXTENSION FOOT POCKET NOT PADDED CALF SUPPORT PADDED FOOTREST PADDING $50.00 $22.00 $285.00 $110.00 $240.00 $142.50 $48.00 $120.00 $50.00 $25.00 $297.00 $75.00 $200.00 $195.00 $60.00 $150.00 $35.00 $60.00 $75.00 $30.00 SEFND0005 SEFND0015 SEFND0020 SEFND0035 SEFCF103L SE0000322 SEFCF106L SEFCF107L SEMCF803L HEADREST ADP CODE DESCRIPTION ADP PRICE MLW PRICE SEHND0005 SEHND0010 STANDARD MOUNTING HARDWARE NON-STANDARD MOUNTING HARDWARE MULTI AXIS/VERTICAL SWIVEL MOUNTING BRACKET ML STANDARD HEADREST CONTOURED HEADREST (UPHT218) COMPLEX CONTOURED HEADREST REMOVABLE HEADREST COVER COMPLEX REMOVABLE HEADREST COVER $140.00 $160.00 $70.00 $80.00 $100.00 $256.00 $200.00 $310.00 $120.00 $180.00 $50.00 $128.00 $100.00 $150.00 $60.00 $90.00 SEHND0020 SEHWM0005 SEHCF050L SEHCF060L SEMCF001L SEMCF002L BELTS ADP CODE DESCRIPTION ADP PRICE MLW PRICE SERND0001 SERND0010 SERND0020 SERND0030 CHEST HARNESS SHOULDER STRAP ANY 4 POINT (PADDED) ANY 2 POINT (PADDED) 1 PIECE AUTO STYLE 2 PIECE AUTO STYLE 1 PIECE FASTEX 2 PIECE FASTEX CANE / CRUTCH $140.00 $60.00 $150.00 $65.00 $70.00 $30.00 $75.00 $30.00 $9.50 $9.50 $11.50 $11.50 $22.80 $38.00