Invacare® IVC™ Tracer® SX5 Wheelchair (Builders)
Price List and Order Form | Effective July 1, 2008 |
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For ease of ordering, contact Customer Service Toll Free at: |
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To order Literature: | www.invacare.com |
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Company Name ______________________________________________________Account # ____________________________________________
Phone ________________________P.O. # ________________________________Date_________________________________________________
Ship to Name & Address ____________________________________________________________________________________________________
Special Note
HCPCS codes are not intended to be, nor should be considered billing or legal advice. Providers are responsible for determining the appropriate billing codes when submitting claims to the Medicare Program and should consult an attorney or other advisor to discuss specific situations in further detail.
NOTE: Existing base information (serial #) will need to be supplied to Customer Service to ensure correct configuration.
FRAME & SEAT | WHEELS |
CHAIR TYPE
TRSX5 Tracer SX5 Builder Wheelchair (K0003) ............ 678.00
FRAME TYPE 1
ADULT | Adult 19.5 | No Charge |
HEMI | Hemi 17.5 | No Charge |
FRAME WIDTH & DEPTH
WD46 | 14" Wide X 16" Deep (K0108) | No Charge |
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WD66 | 16" Wide X 16" Deep | No Charge |
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WD86 | 18" Wide X 16" Deep | No Charge | 2 |
WD06 | 20" Wide X 16" Deep (K0006/E2201) | No Charge | |
WD26 | 22" Wide X 16" Deep (K0006/E2201) | 142.00 | 2 |
WHEEL OPTIONS
U1763BK | 20" Composite Urethane Tires | 113.00 |
U1764BK | 22" Composite Urethane Tires | 113.00 |
2244BK | 24" Composite Pneumatic Tires | 140.00 |
4244BK | 24" Comp Pneumatic w/FF Inserts (E2213) | 225.00 |
U2222 | 24" Composite Urethane Tires | Standard |
U2244BK | 24" Composite Urethane Treaded Tires | 120.00 |
WHEEL OPTIONS (ONE ARM DRIVE) 4
99457R | One Arm Drive w/2244BK/FF RH (E0958) | 589.00 |
99458L | One Arm Drive w/2244BK/FF LH (E0958) | 589.00 |
9456L | One Arm Drive w/U2222 LH (E0958) | 606.00 |
9456R | One Arm Drive w/U2222 RH (E0958) | 606.00 |
ARM & BACK
ARM TYPE 3
18FB | Full Length Fixed Ht. | No Charge |
19FB | Full Length Adj. Ht. | 130.00 |
28FB | Desk Lng Fxd Ht. | No Charge |
29FB | Desk Lng Adj. Ht. | |
BACK TYPE
BH16 | Back Height 16" | .............................................. Standard |
BH18 | Back Height 18" | ............................................. No Charge |
HANDRIMS OPTIONS
AHDRM | Aluminum Handrims | No Charge | 5 |
CHDRM | Chrome Plated Handrims | No Charge | 6 |
COM | Composite Handrims | Standard | |
L8702 | Omit Handrims | Less 15.00 |
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WHEEL LOCKS
9690B | Pull To Lock Whl Locks (Std on Hemi) | No Charge |
9691B | Push To Lock Whl Locks (Std on Adult) | No Charge |
9690 | Pull To Lock Disk Wheel Locks | No Charge |
9691 | Push To Lock Disk Wheel Locks | No Charge |
COLORS | POSITIONING STRAPS |
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UPHOLSTERY COLORS
U240 | Black Nylon Upholstery | Standard |
U550 | Midnight Blue Vinyl Uph | No Charge |
U67 | Black Vinyl | No Charge |
U86 | Ruby Red Vinyl | No Charge |
| CASTERS |
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CASTER OPTIONS |
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AT902 | 6" Composite Urethane 3 Spoke | No Charge |
AT903 | 8" X 1.25" Composite Urethane | No Charge |
1255 | 8" X 1" Solid Rubber Dark Grey | Standard |
1228 | 8" X 1.75" Semi Pneumatic Casters Lt Grey | 56.00 |
FOOTNOTES
1Based on 24" wheels and 8" casters, see
220" and 22" widths have 300 lb wt limit, standard with 1228 casters, 24" rear wheels and CHDRM handrims.
3Arms are Flipback
SEAT POSITIONING STRAPS
1515 | Push Button Style Buckle Seat Pos Strap (E0978) | 50.00 |
1321BK Hook &Loop Seat Positioning Strap (E0978)........ 40.00
FOOTNOTES
4Not available with amputee attachment.
5Not available with U2222 rear wheels.
6Available with 24" rear wheels only.
NOTE: All specifications and dimensions are approximate. |
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For the most current pricing information go to www.invacare.com. | page 1 |
