Quickie P200 with Perfect Fit Seating
EIP2, Effective January 2006
ORDERING INFORMATION PHONE: (800)
ACCOUNT INFORMATION
Account No: ________________________________________________
Date: ______________________________________________________
P.O. #: _____________________________________________________
Buyer: _____________________________________________________
Marked For: _________________________________________________
QUICKIE P200
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| 029PC1 | K0011 Quickie | $7,095.00 |
Frame Color |
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| 029C2 | Black | NC |
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| 029C10 | Black Opal | NC |
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| 029C1 | Blue | NC |
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| 029C38 | Blue Opal | NC |
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| 029C12 | Blue Velvet | NC |
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| 029C36 | Candy Blue | NC |
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| 029C35 | Candy Red | NC |
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| 029C39 | Candy Turquoise | NC |
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| 029C6 | Forest Green | NC |
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| 029C4 | Midnight Purple | NC |
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| 029C37 | Orange | NC |
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| 029C5 | Pearl Pink | NC |
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| 029C40 | Razzleberry | NC |
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| 029C11 | Toxic Green | NC |
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| 029C8 | Yellow | NC |
Custom Colors |
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| 029C41 | Berry Vibrations | $250.00 |
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| 029C20 | Graphite | $250.00 |
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| 029C15 | Purple Chase | $250.00 |
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| 029C42 | Stars & Stripes | $250.00 |
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| 029C43 | Mossy Oak Camouflage | $250.00 |
Seat Height3 |
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| 029HT11 | NC | |
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| 029HT13 | $155.00 | |
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| ELECTRONICS |
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Joystick |
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| 029J5 | E2320 Qtronix Remote | NC |
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| 029J4 | E2320 Qtronix Remote w/ 1/8" Jacks 1 | $160.00 |
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Joystick Mount Hardware |
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| 029JM1 | Fixed Arm | NC |
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| 029JM2 | E1028 Swing Away Arm | $235.00 |
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| 029JM3 | E1028 Center Mount Swing Away Arm | $235.00 |
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Hand Mount |
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| 029HM1 | Right | NC |
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| 029HM2 | Left | NC |
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Height Adjustable Mount |
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| 029HI01 | Fixed Mount | NC |
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| 029HI02 | Adjustable Mount | $95.00 |
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Joy Stick Handle |
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| 029JH3 | Stick Handle | NC |
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| 029JH4 | E2323 | $75.00 |
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| 029JH1 | E2323 Ball Handle | $75.00 |
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| 029JH2 | E2323 Foam Ball Handle | $75.00 |
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Drop Ship/Ship To: _____________________________________________
Name: ________________________________________________________
Address: _____________________________________________________
City: |
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Zip Code:____________ Phone Number:_________________________ | ||||||
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| BATTERIES |
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Batteries |
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| 136A48 | E2363 | Gp 24 Gel Cell (Pair) | $390.00 |
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Battery Charger |
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| 029BJ1 |
| 8 A Battery Charger Bench Top | NC |
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| 029BJ1 |
| 8 A Battery Charger Compact | NC |
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| 029BJ3 |
| Omit Battery Charger | |
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| DRIVE WHEEL |
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| 029DW1 |
| 10" Mag Pneumatic | NC |
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| 029DW2 | K0093 | 10" Mag Pneumatic w/Insert | $240.00 |
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| 029DW10 |
| 12" Mag Pneumatic | NC |
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| 029DW11 K0093 | 12" Mag Pneumatic w/Insert | $260.00 | |
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| CASTERS |
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Caster Wheel |
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| 029CW21 |
| 8" Pneumatic | NC |
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| 029CW20 K0097 | 8" Airless Insert | $125.00 | |
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| FOOTREST |
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Frame Mount Hanger2 |
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| 029H27 |
| Swing Away | NC |
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| 029H19 | E0990 | Elevating | $270.00 |
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| 029H32 |
| Omit Hanger | |
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Extension Tube2 |
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| 029E28 |
| Swing Away | NC |
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Foot Plate |
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| 029F1 |
| Composite w/Heel Loops | NC |
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| 029F3 |
| Adult Angle Adjust w/Heel Loops | $210.00 |
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| K0040 | Angle Adjustable Footplate | $165.00 |
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| E0951 | Heel Loop | $45.00 |
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| 029F7 |
| Omit Foot Plate and Extension Tube | |
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Footrest Accessories |
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| K0038 | Leg Strap, Black | $30.00 |
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| 029A110 | E0952 | Toe Loop 4 | $45.00 |
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FOOTNOTES:
1Two single switches required to operate both the on/off and mode select functions.
2Not available with Seat Mount Hangers
3Seat Height measured a 3° of
4Only available with adult angle adjustable footplates.
5Extension tube range from seat to footplate is 14" to 18" with Frame Mount
6Extension tube range from seat to footplate is 15" to 19" with Frame Mount
PROPER USE OF HCPCS CODES DOES NOT ENSURE COVERAGE OR PAYMENT. FOR COVERAGE INFORMATION , VERIFY THE APPROPRIATE PAYER'S COVERAGE POLICY.
Specifications are subject to change without notice. Copyright @ 2005, Sunrise Medical. (7.05) Quickie P200 W/ PF - Page 1 of 4 100551 Rev. A.
