Product Categories, HCPCS Codes, Weights and Bid Limits - Round One
In situations where one of the CBAs/MSAs covers more than one state, the fee schedule for the state with the highest allowed charges is used to set the Bid Limit: MO for Kansas City; NC for Charlotte; OH for Cincinnati.
PRODUCT CATEGORY 1
Oxygen Supplies and Equipment
Bid Limit- Competitive Bid Amount Must Be Lower Than The Fee Schedule Amounts Listed Below:
Weight
Bid Type ( P=
Purchase
R=Rental) ¹
Base Unit to Report for
Supplier Capacity ²
Riverside,
CA
Miami, FL Orlando, FL
Cleveland,
Kansas
Charlotte,
OH
City, MO-KS
NC-SC
Cincinnati, Pittsburgh,
OH-KY-IN
PA
Dallas, TX
San Juan,
PR
Payment Class A- Stationary Oxygen Equipment & Oxygen Contents (Stationary &
Portable) Includes codes E0424, E0439, E1390 and E1391
0.5371712028
R
1 unit = 1 monthly rental
$198.40
$198.40
$198.40
$198.40
$198.40
$198.40
$198.40
$198.40
$198.40
$198.40
Payment Class B - Portable Equipment Only (Gaseous or Liquid Tanks) Includes
Codes E0431 and E0434
0.4181839664
R
1 unit = 1 monthly rental
$31.79
$31.79
$31.79
$31.79
$31.79
$31.79
$31.79
$31.79
$31.79
$31.79
Payment Class C - Oxygen Generating Portable Equipment Only (OGPE) Includes
codes E1392 and K0738
0.0418183966
R
1 unit = 1 monthly rental
$51.63
$51.63
$51.63
$51.63
$51.63
$51.63
$51.63
$51.63
$51.63
$51.63
0.0011852459
R
1 unit = 1 monthly rental
$77.45
$77.45
$77.45
$77.45
$77.45
$77.45
$77.45
$77.45
$77.45
$77.45
0.0016049650
0.0000018644
0.0000020420
0.0000025747
0.0000000444
0.0000000444
0.0000189107
0.0000106539
0.0000000444
0.0000000444
R
P
P
P
P
P
P
P
P
P
1 unit = 1 monthly rental
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 foot of tubing
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
$77.45
$58.15
$0.83
$0.08
$3.59
$0.72
$145.79
$134.04
$32.87
$24.75
$77.45
$58.15
$0.83
$0.08
$3.59
$0.69
$151.98
$134.04
$32.87
$24.75
$77.45
$58.15
$0.83
$0.08
$3.59
$0.69
$151.98
$134.04
$32.87
$24.75
$77.45
$58.15
$0.83
$0.08
$3.59
$0.72
$171.52
$134.04
$32.87
$24.75
$77.45
$58.15
$0.83
$0.08
$3.59
$0.72
$148.10
$134.04
$32.87
$24.75
$77.45
$58.15
$0.83
$0.08
$3.59
$0.72
$163.38
$134.04
$32.87
$24.75
$77.45
$58.15
$0.83
$0.08
$3.59
$0.72
$171.52
$134.04
$32.87
$24.75
$77.45
$58.15
$0.83
$0.08
$3.59
$0.69
$145.79
$134.04
$32.87
$24.75
$77.45
$58.15
$0.83
$0.08
$3.59
$0.69
$171.52
$134.04
$32.87
$24.75
$77.45
$69.79
$1.03
$0.10
$4.30
$0.80
$183.40
$160.85
$39.45
$29.71
Payment Class D - Stationary Oxygen Contents Only - Includes Codes E0441 and
E0442
Payment Class E - Portable Oxygen Contents Only - Includes Codes E0443 and
E0444
A4608
A4615
A4616
A4617
A4620
E0560
E0580
E1353
E1355
Transtracheal oxygen cath
Cannula
Tubing, per foot
Mouthpiece
Mask
Humidifier supplemental w/ i
Nebulizer for use w/ regulat
Regulator
Stand/rack
PRODUCT CATEGORY 2
Standard Power Wheelchairs, Scooters, and Related Accessories
E0950
Tray
E0951
E0952
E0955
E0956
E0957
E0960
E0973
E0978
Loop heel
Toe loop/holder, each
E0981
E0982
E0990
E0995
E1016
E1020
E1028
E2208
E2209
E2210
E2361
E2363
E2365
E2366
Seat upholstery replacement
Back upholstery replacement
Wheelchair elevating leg res
Wheelchair calf rest
Shock absorber for power w/c
Residual limb support system
swingaway hardware for joystick
Cylinder tank carrier, each
Arm trough each
Bearings any type, replacement
22nf sealed leadacid battery
Gr24 sealed leadacid battery
U1 sealed leadacid battery
POWER WHEELCHAIR ACCESSORY, BATTERY CHARGER, SINGLE
MODE, FOR USE WITH ONLY ONE BATTERY TYPE, SEALED OR NON
SEALED, EACH
E2367
POWER WHEELCHAIR ACCESSORY, BATTERY CHARGER, DUAL
MODE, FOR USE WITH EITHER BATTERY TYPE, SEALED OR NONSEALED, EACH
Cushioned headrest
W/c lateral trunk/hip suppor
W/c medial thigh support
W/c shoulder harness/straps
W/Ch access det adj armrest
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each
Bid Limit- Competitive Bid Amount Must Be Lower Than The Fee Schedule Amounts Listed Below:
Weight
0.0017268323
0.0245185532
0.0007343231
0.0049792712
0.0034933297
0.0007192545
0.0012288430
0.0585187866
Bid Type ( P=
Purchase
R=Rental) ¹
P
P
P
P
P
P
P
P
Base Unit to Report for
Supplier Capacity ²
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
Riverside,
CA
$93.02
$18.98
$16.01
$202.18
$98.58
$137.93
$90.98
$97.72
0.0951003618
0.0011870030
0.0008056272
0.0538609274
0.0008547685
0.0006389921
0.0009216193
0.0073331339
0.0102453466
0.0017789597
0.0081526560
0.0482998834
0.0308724342
0.1578548792
P
P
P
P
P
P
P
P
P
P
P
P
P
P
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
$36.30
$46.67
$43.80
$109.42
$30.40
$131.31
$243.41
$206.54
$116.80
$105.39
$6.55
$137.15
$182.89
$110.31
$36.30
$47.15
$51.53
$117.43
$25.84
$131.31
$243.41
$206.54
$118.78
$107.16
$6.55
$139.47
$186.00
$112.17
$36.30
$47.15
$51.53
$117.43
$25.84
$131.31
$243.41
$206.54
$118.78
$107.16
$6.55
$139.47
$186.00
$112.17
$41.98
$40.08
$43.80
$99.82
$25.84
$131.31
$243.41
$206.54
$118.78
$107.16
$6.55
$139.47
$186.00
$112.17
$36.30
$42.82
$51.53
$99.82
$30.40
$131.31
$243.41
$206.54
$118.78
$107.16
$6.55
$139.47
$186.00
$112.17
$41.46
$44.44
$43.80
$110.18
$28.84
$131.31
$243.41
$206.54
$118.78
$107.16
$6.55
$139.47
$186.00
$112.17
$41.98
$40.08
$43.80
$99.82
$25.84
$131.31
$243.41
$206.54
$118.78
$107.16
$6.55
$139.47
$186.00
$112.17
$42.70
$47.15
$51.53
$117.43
$26.43
$131.31
$243.41
$206.54
$118.78
$107.16
$6.55
$139.47
$186.00
$112.17
$41.44
$40.08
$51.53
$112.25
$25.84
$131.31
$243.41
$206.54
$118.78
$107.16
$6.55
$139.47
$186.00
$112.17
$55.67
$45.66
$46.59
$181.91
$47.88
$157.55
$292.11
$247.85
$142.52
$128.61
$7.18
$167.37
$223.20
$134.63
0.0037315795
P
1 unit = 1 purchased item
$263.62
$263.62
$263.62
$224.08
$263.62
$224.08
$224.08
$224.08
$263.62
$403.89
0.0004562010
P
1 unit = 1 purchased item
$419.08
$419.08
$419.08
$419.08
$419.08
$419.08
$419.08
$419.08
$419.08
$502.88
Miami, FL Orlando, FL
$88.36
$88.36
$18.98
$18.98
$18.83
$18.83
$202.18
$202.18
$98.58
$98.58
$137.93
$137.93
$90.98
$90.98
$97.72
$97.72
Cleveland,
Kansas
Charlotte, Cincinnati, Pittsburgh,
San Juan,
OH
City, MO-KS
NC-SC
OH-KY-IN
PA
Dallas, TX
PR
$88.36
$88.36
$103.95
$88.36
$103.95
$103.95
$114.18
$16.13
$18.98
$17.75
$16.13
$18.98
$16.13
$21.03
$16.01
$18.83
$18.83
$16.01
$18.83
$16.85
$20.88
$202.18
$202.18
$202.18
$202.18
$202.18
$202.18
$242.60
$98.58
$98.58
$98.58
$98.58
$98.58
$98.58
$118.29
$137.93
$137.93
$137.93
$137.93
$137.93
$137.93
$165.52
$90.98
$90.98
$90.98
$90.98
$90.98
$90.98
$109.17
$97.72
$114.97
$114.97
$97.72
$97.72
$97.72
$113.55
E2368
E2369
E2370
E2371
E2381
E2382
E2383
E2384
E2385
E2386
E2387
E2388
E2389
E2390
E2391
E2392
E2394
E2395
E2396
E2601
E2602
E2603
E2604
E2605
E2606
E2607
E2608
E2611
E2612
E2613
E2614
E2615
E2616
E2618
E2619
E2620
E2621
K0015
K0017
K0018
K0019
K0020
K0037
K0038
K0039
K0040
K0041
K0042
K0043
K0044
K0045
K0046
K0047
K0050
K0051
K0052
K0053
K0098
K0195
K0733
POWER WHEELCHAIR COMPONENT, MOTOR, REPLACEMENT
ONLY
POWER WHEELCHAIR COMPONENT, GEAR BOX, REPLACEMENT
ONLY
POWER WHEELCHAIR COMPONENT, MOTOR AND GEAR BOX
COMBINATION, REPLACEMENT ONLY
POWER WHEELCHAIR ACCESSORY, GROUP 27 SEALED LEAD ACID
BATTERY, (E.G. GEL CELL, ABSORBED GLASSMAT), EACH
Pneum drive wheel tire
Tube, pneum wheel drive tire
Insert, pneum wheel drive
Pneumatic caster tire
Tube, pneumatic caster tire
Foam filled drive wheel tire
Foam filled caster tire
Foam drive wheel tire
Foam caster tire
Solid drive wheel tire
Solid caster tire
Solid caster tire, integrate
Drive wheel excludes tire
Caster wheel excludes tire
Caster fork
Gen w/c cushion wdth < 22 in
Gen w/c cushion wdth >=22 in
Skin protect wc cus wd <22in
Skin protect wc cus wd>=22in
Position wc cush wdth <22 in
Position wc cush wdth>=22 in
Skin pro/pos wc cus wd <22in
Skin pro/pos wc cus wd>=22in
Gen use back cush wdth <22in
Gen use back cush wdth>=22in
Position back cush wd <22in
Position back cush wd>=22in
Pos back post/lat wdth <22in
Pos back post/lat wdth>=22in
Wc acc solid seat supp base
Replacement cover for WC cushion
WC planar back cush wd <22in
WC planar back cush wd>=22in
DETACHABLE, NON-ADJUSTABLE HEIGHT ARMREST, EACH
DETACHABLE, ADJUSTABLE HEIGHT ARMREST, BASE, EACH
DETACHABLE, ADJUSTABLE HEIGHT ARMREST, UPPER PORTION,
EACH
ARM PAD, EACH
FIXED, ADJUSTABLE HEIGHT ARMREST, PAIR
HIGH MOUNT FLIP-UP FOOTREST, EACH
LEG STRAP, EACH
LEG STRAP, H STYLE, EACH
ADJUSTABLE ANGLE FOOTPLATE, EACH
LARGE SIZE FOOTPLATE, EACH
STANDARD SIZE FOOTPLATE, EACH
FOOTREST, LOWER EXTENSION TUBE, EACH
FOOTREST, UPPER HANGER BRACKET, EACH
FOOTREST, COMPLETE ASSEMBLY
ELEVATING LEGREST, LOWER EXTENSION TUBE, EACH
ELEVATING LEGREST, UPPER HANGER BRACKET, EACH
RATCHET ASSEMBLY
CAM RELEASE ASSEMBLY, FOOTREST OR LEGREST, EACH
SWINGAWAY, DETACHABLE FOOTRESTS, EACH
ELEVATING FOOTRESTS, ARTICULATING (TELESCOPING), EACH
DRIVE BELT FOR POWER WHEELCHAIR
ELEVATING LEG RESTS, PAIR (FOR USE WITH CAPPED RENTAL
WHEELCHAIR BASE)
POWER WHEELCHAIR ACCESSORY, 12 TO 24 AMP HOUR SEALED
LEAD ACID BATTERY, EACH (E.G. GEL CELL, ABSORBED
GLASSMAT)
0.0011283338
P
1 unit = 1 purchased item
$516.57
$516.57
$516.57
$516.57
$516.57
$516.57
$516.57
$516.57
$516.57
$619.88
0.0002123070
P
1 unit = 1 purchased item
$449.94
$449.94
$449.94
$449.94
$449.94
$449.94
$449.94
$449.94
$449.94
$539.89
0.0033202736
P
1 unit = 1 purchased item
$802.84
$802.84
$802.84
$802.84
$802.84
$802.84
$802.84
$802.84
$802.84
$963.40
0.0004045915
0.0024436012
0.0513254646
0.0995797278
0.0011549498
0.0243945866
0.0009774405
0.0040423244
0.0009774405
0.0040423244
0.0004887202
0.0011549498
0.0011549498
0.0000647277
0.0000440149
0.0000284802
0.0540792929
0.0022800731
0.0088353868
0.0006235093
0.0013167174
0.0001582981
0.0041936319
0.0002112713
0.0034321231
0.0001542073
0.0009057740
0.0000316907
0.0015818939
0.0000528178
0.0008793133
0.0007773541
0.0001011824
0.0000041426
0.0021818423
0.0004450679
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
$150.74
$74.90
$20.41
$149.34
$79.57
$48.67
$147.98
$63.84
$50.39
$27.36
$42.79
$20.50
$53.88
$76.75
$54.55
$66.51
$61.16
$119.40
$151.59
$188.41
$269.17
$419.93
$289.85
$348.09
$312.35
$422.54
$393.04
$543.93
$452.32
$608.58
$153.68
$51.32
$547.70
$574.76
$178.67
$50.25
$150.74
$76.18
$20.77
$151.88
$80.91
$49.50
$150.51
$64.93
$50.39
$27.36
$42.79
$20.50
$53.88
$76.75
$54.55
$56.53
$61.16
$119.40
$151.59
$188.41
$269.17
$419.93
$289.85
$348.09
$312.35
$422.54
$393.04
$543.93
$452.32
$608.58
$153.68
$51.32
$547.70
$574.76
$181.70
$51.11
$150.74
$76.18
$20.77
$151.88
$80.91
$49.50
$150.51
$64.93
$50.39
$27.36
$42.79
$20.50
$53.88
$76.75
$54.55
$56.53
$61.16
$119.40
$151.59
$188.41
$269.17
$419.93
$289.85
$348.09
$312.35
$422.54
$393.04
$543.93
$452.32
$608.58
$153.68
$51.32
$547.70
$574.76
$181.70
$51.11
$150.74
$76.18
$20.77
$151.88
$80.91
$49.50
$150.51
$64.93
$50.39
$27.36
$42.79
$20.50
$53.88
$76.75
$54.55
$56.53
$61.16
$119.40
$151.59
$188.41
$269.17
$419.93
$289.85
$348.09
$312.35
$422.54
$393.04
$543.93
$452.32
$608.58
$153.68
$51.32
$547.70
$574.76
$181.70
$51.11
$150.74
$76.18
$20.77
$151.88
$80.91
$49.50
$150.51
$66.53
$50.39
$27.36
$42.79
$20.50
$53.88
$76.75
$54.55
$66.51
$61.16
$119.40
$151.59
$188.41
$269.17
$419.93
$289.85
$348.09
$312.35
$422.54
$393.04
$543.93
$452.32
$608.58
$153.68
$51.32
$547.70
$574.76
$181.70
$51.11
$150.74
$76.18
$20.77
$151.88
$80.91
$49.50
$150.51
$66.87
$50.39
$27.36
$42.79
$20.50
$53.88
$76.75
$54.55
$66.51
$61.16
$119.40
$151.59
$188.41
$269.17
$419.93
$289.85
$348.09
$312.35
$422.54
$393.04
$543.93
$452.32
$608.58
$153.68
$51.32
$547.70
$574.76
$181.70
$51.11
$150.74
$76.18
$20.77
$151.88
$80.91
$49.50
$150.51
$64.93
$50.39
$27.36
$42.79
$20.50
$53.88
$76.75
$54.55
$56.53
$61.16
$119.40
$151.59
$188.41
$269.17
$419.93
$289.85
$348.09
$312.35
$422.54
$393.04
$543.93
$452.32
$608.58
$153.68
$51.32
$547.70
$574.76
$181.70
$51.11
$150.74
$76.18
$20.77
$151.88
$80.91
$49.50
$150.51
$67.49
$50.39
$27.36
$42.79
$20.50
$53.88
$76.75
$54.55
$56.53
$61.16
$119.40
$151.59
$188.41
$269.17
$419.93
$289.85
$348.09
$312.35
$422.54
$393.04
$543.93
$452.32
$608.58
$153.68
$51.32
$547.70
$574.76
$181.70
$51.11
$150.74
$76.18
$20.77
$151.88
$80.91
$49.50
$150.51
$64.93
$50.39
$27.36
$42.79
$20.50
$53.88
$76.75
$54.55
$56.53
$61.16
$119.40
$151.59
$188.41
$269.17
$419.93
$289.85
$348.09
$312.35
$422.54
$393.04
$543.93
$452.32
$608.58
$153.68
$51.32
$547.70
$574.76
$181.70
$51.11
$180.88
$91.43
$24.92
$182.27
$97.07
$59.36
$180.58
$77.91
$55.44
$30.09
$47.04
$22.58
$64.66
$92.08
$65.46
$89.28
$73.38
$143.29
$181.91
$226.11
$323.02
$503.90
$347.80
$417.70
$374.86
$507.04
$471.65
$652.73
$542.81
$730.30
$184.43
$61.57
$657.22
$689.73
$218.03
$61.32
0.0001787521
0.0152173856
0.0004541297
0.0001172866
0.0006760682
0.0001904549
0.0104687005
0.0017869514
0.0002656944
0.0008740833
0.0005056530
0.0008834558
0.0001104514
0.0002493830
0.0000607923
0.0002346251
0.0023608015
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
$28.09
$17.24
$45.67
$48.16
$23.84
$52.99
$73.41
$52.05
$30.97
$19.20
$16.37
$56.62
$19.20
$75.18
$31.96
$51.72
$90.90
$28.55
$16.35
$46.46
$48.16
$24.26
$53.88
$74.67
$52.92
$36.43
$19.53
$16.64
$56.62
$19.53
$76.48
$32.50
$52.61
$92.44
$28.55
$16.35
$46.46
$48.16
$24.26
$53.88
$74.67
$52.92
$36.43
$19.53
$16.64
$56.62
$19.53
$76.48
$32.50
$52.61
$92.44
$28.54
$16.35
$46.46
$40.94
$24.26
$53.88
$74.67
$52.92
$34.64
$19.53
$16.64
$56.62
$19.53
$76.48
$32.50
$52.61
$92.44
$28.55
$17.24
$46.46
$48.16
$24.26
$53.88
$74.67
$52.92
$30.97
$19.53
$16.64
$52.65
$19.53
$76.48
$32.50
$52.61
$92.44
$28.55
$16.84
$46.46
$40.94
$24.26
$53.88
$74.67
$52.92
$30.97
$19.53
$16.64
$56.62
$19.53
$76.48
$32.50
$52.61
$92.44
$28.54
$16.35
$46.46
$40.94
$24.26
$53.88
$74.67
$52.92
$34.64
$19.53
$16.64
$56.62
$19.53
$76.48
$32.50
$52.61
$92.44
$28.55
$16.35
$46.46
$48.16
$24.26
$53.88
$74.67
$52.92
$36.43
$19.53
$16.64
$56.62
$19.53
$76.48
$32.50
$52.61
$92.44
$28.55
$16.35
$46.46
$48.16
$24.26
$53.88
$74.67
$52.92
$36.43
$19.53
$16.64
$56.62
$19.53
$76.48
$32.50
$52.61
$92.44
$34.27
$19.61
$55.75
$68.98
$29.14
$64.67
$89.59
$63.52
$68.98
$23.42
$19.96
$67.95
$23.42
$91.77
$39.00
$63.13
$110.93
0.0009267975
0.0000719772
P
P
1 unit = 1 purchased item
1 unit = 1 purchased item
$100.31
$25.96
$102.01
$26.41
$102.01
$26.41
$102.01
$26.41
$102.01
$27.03
$102.01
$27.21
$102.01
$26.41
$102.01
$27.21
$102.01
$26.41
$122.41
$31.68
0.0466824151
P
1 unit = 1 monthly rental
$205.50
$197.30
$197.30
$210.70
$210.70
$210.70
$210.70
$210.70
$210.70
$252.90
0.0051467348
P
1 unit = 1 purchased item
$30.21
$30.21
$30.21
$30.21
$30.21
$30.21
$30.21
$30.21
$30.21
$36.25
K0734
K0735
K0736
K0737
Adj skin pro w/c cus wd<22in
Adj skin pro wc cus wd>=22in
Adj skin pro/pos wc cus<22in
Adj skin pro/pos wc cus>=22¾
K0800
K0801
K0802
K0806
K0807
K0808
K0813
POWER OPERATED VEHICLE, GROUP 1 STANDARD
POWER OPERATED VEHICLE, GROUP 1 HEAVY DUTY
POWER OPERATED VEHICLE, GROUP 1 VERY HEAVY DUTY
POWER OPERATED VEHICLE, GROUP 2 STANDARD
POWER OPERATED VEHICLE, GROUP 2 HEAVY DUTY
POWER OPERATED VEHICLE, GROUP 2 VERY HEAVY DUTY
POWER WHEELCHAIR, GROUP 1 STANDARD, PORTABLE,
SLING/SOLID SEAT AND BACK
POWER WHEELCHAIR, GROUP 1 STANDARD, PORTABLE,
CAPTAINS CHAIR
POWER WHEELCHAIR, GROUP 1 STANDARD, SLING/SOLID SEAT
AND BACK
POWER WHEELCHAIR, GROUP 1 STANDARD, CAPTAINS CHAIR
K0814
K0815
K0816
K0820
K0821
K0822
K0823
K0824
K0825
K0826
K0827
K0828
K0829
POWER WHEELCHAIR, GROUP 2 STANDARD, PORTABLE,
SLING/SOLID SEAT/BACK
POWER WHEELCHAIR, GROUP 2 STANDARD, PORTABLE,
CAPTAINS CHAIR
POWER WHEELCHAIR, GROUP 2 STANDARD, SLING/SOLID
SEAT/BACK
POWER WHEELCHAIR, GROUP 2 STANDARD, CAPTAINS CHAIR
POWER WHEELCHAIR, GROUP 2 HEAVY DUTY, SLING/SOLID
SEAT/BACK
POWER WHEELCHAIR, GROUP 2 HEAVY DUTY, CAPTAINS CHAIR
POWER WHEELCHAIR, GROUP 2 VERY HEAVY DUTY, SLING/SOLID
SEAT/BACK
POWER WHEELCHAIR, GROUP 2 VERY HEAVY DUTY, CAPTAINS
CHAIR
POWER WHEELCHAIR, GROUP 2 EXTRA HEAVY DUTY,
SLING/SOLID SEAT/BACK
POWER WHEELCHAIR, GROUP 2 EXTRA HEAVY DUTY, CAPTAINS
CHAIR
0.0040156048
0.0001781307
0.0014793134
0.0000807802
0.0079016677
0.0007708944
0.0000642412
0.0008752864
0.0002047688
0.0000160603
P
P
P
P
P
P
P
P
P
P
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
$331.47
$421.78
$334.19
$423.06
$1,292.77
$2,084.22
$2,358.66
$1,563.91
$2,373.05
$3,671.60
$331.47
$421.78
$334.19
$423.06
$1,292.77
$2,084.22
$2,358.66
$1,563.91
$2,373.05
$3,671.60
$331.47
$421.78
$334.19
$423.06
$1,292.77
$2,084.22
$2,358.66
$1,563.91
$2,373.05
$3,671.60
$331.47
$421.78
$334.19
$423.06
$1,292.77
$2,084.22
$2,358.66
$1,563.91
$2,373.05
$3,671.60
$331.47
$421.78
$334.19
$423.06
$1,292.77
$2,084.22
$2,358.66
$1,563.91
$2,373.05
$3,671.60
$331.47
$421.78
$334.19
$423.06
$1,292.77
$2,084.22
$2,358.66
$1,563.91
$2,373.05
$3,671.60
$331.47
$421.78
$334.19
$423.06
$1,292.77
$2,084.22
$2,358.66
$1,563.91
$2,373.05
$3,671.60
$331.47
$421.78
$334.19
$423.06
$1,292.77
$2,084.22
$2,358.66
$1,563.91
$2,373.05
$3,671.60
$331.47
$421.78
$334.19
$423.06
$1,292.77
$2,084.22
$2,358.66
$1,563.91
$2,373.05
$3,671.60
$397.78
$506.13
$401.04
$507.68
$1,422.03
$2,292.63
$2,594.54
$1,720.33
$2,610.36
$4,038.75
0.0003193825
P
1 unit = 1 purchased item
$2,412.40
$2,412.40
$2,412.40
$2,412.40
$2,412.40
$2,412.40
$2,412.40
$2,412.40
$2,412.40
$2,653.80
0.0003193825
P
1 unit = 1 purchased item
$3,087.80
$3,087.80
$3,087.80
$3,087.80
$3,087.80
$3,087.80
$3,087.80
$3,087.80
$3,087.80
$3,396.70
0.0002906740
P
1 unit = 1 purchased item
$3,516.30
$3,516.30
$3,516.30
$3,516.30
$3,516.30
$3,516.30
$3,516.30
$3,516.30
$3,516.30
$3,867.80
0.0002906740
P
1 unit = 1 purchased item
$3,367.40
$3,367.40
$3,367.40
$3,367.40
$3,367.40
$3,367.40
$3,367.40
$3,367.40
$3,367.40
$3,704.10
0.0001345713
P
1 unit = 1 purchased item
$2,576.60
$2,576.60
$2,576.60
$2,576.60
$2,576.60
$2,576.60
$2,576.60
$2,576.60
$2,576.60
$2,834.10
0.0001345713
P
1 unit = 1 purchased item
$3,307.70
$3,307.70
$3,307.70
$3,307.70
$3,307.70
$3,307.70
$3,307.70
$3,307.70
$3,307.70
$3,638.10
0.0461032972
P
1 unit = 1 purchased item
$3,997.50
$3,997.50
$3,997.50
$3,997.50
$3,997.50
$3,997.50
$3,997.50
$3,997.50
$3,997.50
$4,397.20
0.0461032972
P
1 unit = 1 purchased item
$4,023.70
$4,023.70
$4,023.70
$4,023.70
$4,023.70
$4,023.70
$4,023.70
$4,023.70
$4,023.70
$4,426.30
0.0024322092
P
1 unit = 1 purchased item
$4,842.70
$4,842.70
$4,842.70
$4,842.70
$4,842.70
$4,842.70
$4,842.70
$4,842.70
$4,842.70
$5,327.10
0.0024322092
P
1 unit = 1 purchased item
$4,433.20
$4,433.20
$4,433.20
$4,433.20
$4,433.20
$4,433.20
$4,433.20
$4,433.20
$4,433.20
$4,876.60
0.0005035282
P
1 unit = 1 purchased item
$6,269.30
$6,269.30
$6,269.30
$6,269.30
$6,269.30
$6,269.30
$6,269.30
$6,269.30
$6,269.30
$6,896.30
0.0005035282
P
1 unit = 1 purchased item
$5,330.90
$5,330.90
$5,330.90
$5,330.90
$5,330.90
$5,330.90
$5,330.90
$5,330.90
$5,330.90
$5,863.90
0.0000924848
P
1 unit = 1 purchased item
$6,908.20
$6,908.20
$6,908.20
$6,908.20
$6,908.20
$6,908.20
$6,908.20
$6,908.20
$6,908.20
$7,599.10
0.0000924848
P
1 unit = 1 purchased item
$6,343.70
$6,343.70
$6,343.70
$6,343.70
$6,343.70
$6,343.70
$6,343.70
$6,343.70
$6,343.70
$6,978.10
PRODUCT CATEGORY 3
Complex Rehabilitative Power Wheelchairs and Related Accessories
E0950
Tray
E0951
E0952
E0955
E0956
E0957
E0960
E0973
E0978
E0981
E0982
E0990
E0995
E1002
E1003
HEEL LOOP/HOLDER, ANY TYPE, WITH OR WITHOUT ANKLE
STRAP, EACH
TOE LOOP/HOLDER, ANY TYPE, EACH
Bid Limit- Competitive Bid Amount Must Be Lower Than The Fee Schedule Amounts Listed Below:
Weight
0.0018555980
Bid Type ( P=
Purchase
R=Rental) ¹
P
Base Unit to Report for
Supplier Capacity ²
1 unit = 1 purchased item
Riverside,
CA
$93.02
0.0263468429
0.0007890799
P
P
1 unit = 1 purchased item
1 unit = 1 purchased item
$18.98
$16.01
$18.98
$18.83
$18.98
$18.83
$16.13
$16.01
$18.98
$18.83
$17.75
$18.83
$16.13
$16.01
$18.98
$18.83
$16.13
$16.85
$21.03
$20.88
0.0053505635
0.0037538189
0.0007728876
0.0013204749
P
P
P
P
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
$202.18
$98.58
$137.93
$90.98
$202.18
$98.58
$137.93
$90.98
$202.18
$98.58
$137.93
$90.98
$202.18
$98.58
$137.93
$90.98
$202.18
$98.58
$137.93
$90.98
$202.18
$98.58
$137.93
$90.98
$202.18
$98.58
$137.93
$90.98
$202.18
$98.58
$137.93
$90.98
$202.18
$98.58
$137.93
$90.98
$242.60
$118.29
$165.52
$109.17
0.0628823923
P
1 unit = 1 purchased item
$97.72
$97.72
$97.72
$97.72
$114.97
$114.97
$97.72
$97.72
$97.72
$113.55
0.1021917679
0.0012755150
0.0008657009
P
P
P
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
$36.30
$46.67
$43.80
$36.30
$47.15
$51.53
$36.30
$47.15
$51.53
$41.98
$40.08
$43.80
$36.30
$42.82
$51.53
$41.46
$44.44
$43.80
$41.98
$40.08
$43.80
$42.70
$47.15
$51.53
$41.44
$40.08
$51.53
$55.67
$45.66
$46.59
0.0578772077
0.0009185065
P
P
1 unit = 1 purchased item
1 unit = 1 purchased item
$109.42
$30.40
$117.43
$25.84
$117.43
$25.84
$99.82
$25.84
$99.82
$30.40
$110.18
$28.84
$99.82
$25.84
$117.43
$26.43
$112.25
$25.84
$181.91
$47.88
0.0025622699
P
1 unit = 1 purchased item
$4,053.21
$4,053.21
$4,053.21
$4,053.21
$4,053.21
$4,053.21
$4,053.21
$4,053.21
$4,053.21
$4,863.84
0.0000234815
P
1 unit = 1 purchased item
$4,391.30
$4,391.30
$4,391.30
$4,391.30
$4,391.30
$4,391.30
$4,391.30
$4,391.30
$4,391.30
$5,269.56
Miami, FL Orlando, FL
$88.36
$88.36
Cleveland,
Kansas
Charlotte, Cincinnati, Pittsburgh,
San Juan,
OH
City, MO-KS
NC-SC
OH-KY-IN
PA
Dallas, TX
PR
$88.36
$88.36
$103.95
$88.36
$103.95
$103.95
$114.18
Cushioned headrest
W/c lateral trunk/hip suppor
W/c medial thigh support
W/c shoulder harness/straps
WHEELCHAIR ACCESSORY, ADJUSTABLE HEIGHT, DETACHABLE
ARMREST, COMPLETE ASSEMBLY, EACH
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each
Seat upholstery replacement
Back upholstery replacement
WHEELCHAIR ACCESSORY, ELEVATING LEG REST, COMPLETE
ASSEMBLY, EACH
WHEELCHAIR ACCESSORY, CALF REST/PAD, EACH
WHEELCHAIR ACCESSORY, POWER SEATING SYSTEM, TILT ONLY
WHEELCHAIR ACCESSORY, POWER SEATING SYSTEM, RECLINE
ONLY, WITHOUT SHEAR REDUCTION
E1004
E1005
E1006
WHEELCHAIR ACCESSORY, POWER SEATING SYSTEM, RECLINE
ONLY, WITH MECHANICAL SHEAR REDUCTION
WHEELCHAIR ACCESSORY, POWER SEATNG SYSTEM, RECLINE
ONLY, WITH POWER SHEAR REDUCTION
WHEELCHAIR ACCESSORY, POWER SEATING SYSTEM,
COMBINATION TILT AND RECLINE, WITHOUT SHEAR REDUCTION
0.0001007147
P
1 unit = 1 purchased item
$4,869.05
$4,869.05
$4,869.05
$4,869.05
$4,869.05
$4,869.05
$4,869.05
$4,869.05
$4,869.05
$5,842.82
0.0000612078
P
1 unit = 1 purchased item
$5,270.36
$5,270.36
$5,270.36
$5,270.36
$5,270.36
$5,270.36
$5,270.36
$5,270.36
$5,270.36
$6,324.45
0.0000306039
P
1 unit = 1 purchased item
$6,455.70
$6,455.70
$6,455.70
$6,455.70
$6,455.70
$6,455.70
$6,455.70
$6,455.70
$6,455.70
$7,746.85
E1007
WHEELCHAIR ACCESSORY, POWER SEATING SYSTEM,
COMBINATION TILT AND RECLINE, WITH MECHANICAL SHEAR
REDUCTION
0.0006584847
P
1 unit = 1 purchased item
$8,741.27
$8,741.27
$8,741.27
$8,741.27
$8,741.27
$8,741.27
$8,741.27
$8,741.27
$8,741.27
$10,489.52
E1008
WHEELCHAIR ACCESSORY, POWER SEATING SYSTEM,
COMBINATION TILT AND RECLINE, WITH POWER SHEAR
REDUCTION
0.0004429219
P
1 unit = 1 purchased item
$8,742.05
$8,742.05
$8,742.05
$8,742.05
$8,742.05
$8,742.05
$8,742.05
$8,742.05
$8,742.05
$10,490.47
E1010
WHEELCHAIR ACCESSORY, ADDITION TO POWER SEATING
SYSTEM, POWER LEG ELEVATION SYSTEM, INCLUDING LEG REST,
PAIR
E1016
E1020
E1028
E1029
E1030
E2208
E2209
E2210
E2310
SHOCK ABSORBER FOR POWER WHEELCHAIR, EACH
RESIDUAL LIMB SUPPORT SYSTEM FOR WHEELCHAIR
swingaway hardware for joystick
Ventilator tray, fixed
Ventilator Tray, gimbaled
Cylinder tank carrier, each
WHEELCHAIR ACCESSORY, ARM TROUGH, EACH
Bearings any type, replacement
POWER WHEELCHAIR ACCESSORY, ELECTRONIC CONNECTION
BETWEEN WHEELCHAIR CONTROLLER AND ONE POWER SEATING
SYSTEM MOTOR, INCLUDING ALL RELATED ELECTRONICS,
INDICATOR FEATURE, MECHANICAL FUNCTION SELECTION
SWITCH, AND FIXED MOUNTING HARDWARE
0.0016010848
0.0006866403
0.0009903422
0.0078799481
0.0000447930
0.0000753969
0.0110093176
0.0019116124
0.0087605800
P
P
P
P
P
P
P
P
P
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
$1,143.79
$131.31
$243.41
$206.54
$369.54
$1,165.27
$116.80
$105.39
$6.55
$1,143.79
$131.31
$243.41
$206.54
$369.54
$1,165.27
$118.78
$107.16
$6.55
$1,143.79
$131.31
$243.41
$206.54
$369.54
$1,165.27
$118.78
$107.16
$6.55
$1,143.79
$131.31
$243.41
$206.54
$369.54
$1,165.27
$118.78
$107.16
$6.55
$1,143.79
$131.31
$243.41
$206.54
$369.54
$1,165.27
$118.78
$107.16
$6.55
$1,143.79
$131.31
$243.41
$206.54
$369.54
$1,165.27
$118.78
$107.16
$6.55
$1,143.79
$131.31
$243.41
$206.54
$369.54
$1,165.27
$118.78
$107.16
$6.55
$1,143.79
$131.31
$243.41
$206.54
$369.54
$1,165.27
$118.78
$107.16
$6.55
$1,143.79
$131.31
$243.41
$206.54
$369.54
$1,165.27
$118.78
$107.16
$6.55
$1,372.54
$157.55
$292.11
$247.85
$443.44
$1,398.33
$142.52
$128.61
$7.18
0.0012305550
P
1 unit = 1 purchased item
$1,170.24
$1,170.24
$1,170.24
$1,170.24
$1,170.24
$1,170.24
$1,170.24
$1,170.24
$1,170.24
$1,404.29
E2311
POWER WHEELCHAIR ACCESSORY, ELECTRONIC CONNECTION
BETWEEN WHEELCHAIR CONTROLLER AND TWO OR MORE
POWER SEATING SYSTEM MOTORS, INCLUDING ALL RELATED
ELECTRONICS, INDICATOR FEATURE, MECHANICAL FUNCTION
SELECTION SWITCH, AND FIXED MOUNTING HARDWARE
0.0011473681
P
1 unit = 1 purchased item
$2,369.20
$2,369.20
$2,369.20
$2,369.20
$2,369.20
$2,369.20
$2,369.20
$2,369.20
$2,369.20
$2,843.06
E2321
POWER WHEELCHAIR ACCESSORY, HAND CONTROL INTERFACE,
REMOTE JOYSTICK, NONPROPORTIONAL, INCLUDING ALL
RELATED ELECTRONICS, MECHANICAL STOP SWITCH, AND FIXED
MOUNTING HARDWARE
0.0005759098
P
1 unit = 1 purchased item
$1,589.10
$1,589.10
$1,589.10
$1,589.10
$1,589.10
$1,589.10
$1,589.10
$1,589.10
$1,589.10
$1,906.92
E2322
POWER WHEELCHAIR ACCESSORY, HAND CONTROL INTERFACE,
MULTIPLE MECHANICAL SWITCHES, NONPROPORTIONAL,
INCLUDING ALL RELATED ELECTRONICS, MECHANICAL STOP
SWITCH, AND FIXED MOUNTING HARDWARE
0.0001019388
P
1 unit = 1 purchased item
$1,410.36
$1,410.36
$1,410.36
$1,410.36
$1,410.36
$1,410.36
$1,410.36
$1,410.36
$1,410.36
$1,692.44
E2323
POWER WHEELCHAIR ACCESSORY, SPECIALTY JOYSTICK HANDLE
FOR HAND CONTROL INTERFACE, PREFABRICATED
0.0006849710
P
1 unit = 1 purchased item
$69.16
$69.16
$69.16
$69.16
$69.16
$69.16
$69.16
$69.16
$69.16
$82.99
E2324
POWER WHEELCHAIR ACCESSORY, CHIN CUP FOR CHIN
CONTROL INTERFACE
POWER WHEELCHAIR ACCESSORY, SIP AND PUFF INTERFACE,
NONPROPORTIONAL, INCLUDING ALL RELATED ELECTRONICS,
MECHANICAL STOP SWITCH, AND MANUAL SWINGAWAY
MOUNTING HARDWARE
0.0000361682
P
1 unit = 1 purchased item
$43.82
$43.82
$43.82
$43.82
$43.82
$43.82
$43.82
$43.82
$43.82
$52.61
0.0000573128
P
1 unit = 1 purchased item
$1,346.83
$1,346.83
$1,346.83
$1,346.83
$1,346.83
$1,346.83
$1,346.83
$1,346.83
$1,346.83
$1,616.19
0.0000673286
P
1 unit = 1 purchased item
$347.14
$347.14
$347.14
$347.14
$347.14
$347.14
$347.14
$347.14
$347.14
$416.55
0.0000222574
P
1 unit = 1 purchased item
$2,612.38
$2,612.38
$2,612.38
$2,612.38
$2,612.38
$2,612.38
$2,612.38
$2,612.38
$2,612.38
$3,134.84
0.0000328853
P
1 unit = 1 purchased item
$4,955.32
$4,955.32
$4,955.32
$4,955.32
$4,955.32
$4,955.32
$4,955.32
$4,955.32
$4,955.32
$5,946.40
0.0000066772
P
1 unit = 1 purchased item
$1,766.13
$1,766.13
$1,766.13
$1,766.13
$1,766.13
$1,766.13
$1,766.13
$1,766.13
$1,766.13
$2,119.37
E2325
E2326
E2327
POWER WHEELCHAIR ACCESSORY, BREATH TUBE KIT FOR SIP
AND PUFF INTERFACE
POWER WHEELCHAIR ACCESSORY, HEAD CONTROL INTERFACE,
MECHANICAL, PROPORTIONAL, INCLUDING ALL RELATED
ELECTRONICS, MECHANICAL DIRECTION CHANGE SWITCH, AND
FIXED MOUNTING HARDWARE
E2328
POWER WHEELCHAIR ACCESSORY, HEAD CONTROL OR
EXTREMITY CONTROL INTERFACE, ELECTRONIC, PROPORTIONAL,
INCLUDING ALL RELATED ELECTRONICS AND FIXED MOUNTING
HARDWARE
E2329
POWER WHEELCHAIR ACCESSORY, HEAD CONTROL INTERFACE,
CONTACT SWITCH MECHANISM, NONPROPORTIONAL, INCLUDING
ALL RELATED ELECTRONICS, MECHANICAL STOP SWITCH,
MECHANICAL DIRECTION CHANGE SWITCH, HEAD ARRAY, AND
FIXED MOUNTING HARDWARE
E2330
POWER WHEELCHAIR ACCESSORY, HEAD CONTROL INTERFACE,
PROXIMITY SWITCH MECHANISM, NONPROPORTIONAL, INCLUDING
ALL RELATED ELECTRONICS, MECHANICAL STOP SWITCH,
MECHANICAL DIRECTION CHANGE SWITCH, HEAD ARRAY, AND
FIXED MOUNTING HARDWARE
E2351
POWER WHEELCHAIR ACCESSORY, ELECTRONIC INTERFACE TO
OPERATE SPEECH GENERATING DEVICE USING POWER
WHEELCHAIR CONTROL INTERFACE
E2361
POWER WHEELCHAIR ACCESSORY, 22NF SEALED LEAD ACID
BATTERY, EACH, (E.G. GEL CELL, ABSORBED GLASSMAT)
E2363
POWER WHEELCHAIR ACCESSORY, GROUP 24 SEALED LEAD ACID
BATTERY, EACH (E.G. GEL CELL, ABSORBED GLASSMAT)
E2365
POWER WHEELCHAIR ACCESSORY, U-1 SEALED LEAD ACID
BATTERY, EACH (E.G. GEL CELL, ABSORBED GLASSMAT)
POWER WHEELCHAIR ACCESSORY, BATTERY CHARGER, SINGLE
MODE, FOR USE WITH ONLY ONE BATTERY TYPE, SEALED OR NON
SEALED, EACH
E2366
E2367
POWER WHEELCHAIR ACCESSORY, BATTERY CHARGER, DUAL
MODE, FOR USE WITH EITHER BATTERY TYPE, SEALED OR NONSEALED, EACH
E2368
POWER WHEELCHAIR COMPONENT, MOTOR, REPLACEMENT
ONLY
POWER WHEELCHAIR COMPONENT, GEAR BOX, REPLACEMENT
ONLY
POWER WHEELCHAIR COMPONENT, MOTOR AND GEAR BOX
COMBINATION, REPLACEMENT ONLY
POWER WHEELCHAIR ACCESSORY, GROUP 27 SEALED LEAD ACID
BATTERY, (E.G. GEL CELL, ABSORBED GLASSMAT), EACH
E2369
E2370
E2371
E2373
E2374
E2375
E2376
E2377
E2381
E2382
E2383
E2384
E2385
E2386
E2387
E2388
E2389
E2390
E2391
E2392
E2394
E2395
E2396
E2601
E2602
E2603
E2604
E2605
E2606
E2607
E2608
E2611
E2612
E2613
E2614
E2615
E2616
E2618
E2619
E2620
E2621
K0015
Hand/chin ctrl spec joystick
Hand/chin ctrl std joystick
Non-expandable controller
Expandable controller, repl
Expandable controller, initl
Pneum drive wheel tire
Tube, pneum wheel drive tire
Insert, pneum wheel drive
Pneumatic caster tire
Tube, pneumatic caster tire
Foam filled drive wheel tire
Foam filled caster tire
Foam drive wheel tire
Foam caster tire
Solid drive wheel tire
Solid caster tire
Solid caster tire, integrate
Drive wheel excludes tire
Caster wheel excludes tire
Caster fork
Gen w/c cushion wdth < 22 in
Gen w/c cushion wdth >=22 in
Skin protect wc cus wd <22in
Skin protect wc cus wd>=22in
Position wc cush wdth <22 in
Position wc cush wdth>=22 in
Skin pro/pos wc cus wd <22in
Skin pro/pos wc cus wd>=22in
Gen use back cush wdth <22in
Gen use back cush wdth>=22in
Position back cush wd <22in
Position back cush wd>=22in
Pos back post/lat wdth <22in
Pos back post/lat wdth>=22in
Wc acc solid seat supp base
Replacement cover for WC cushion
WC planar back cush wd <22in
WC planar back cush wd>=22in
DETACHABLE, NON-ADJUSTABLE HEIGHT ARMREST, EACH
0.0000812394
P
1 unit = 1 purchased item
$3,422.09
$3,422.09
$3,422.09
$3,422.09
$3,422.09
$3,422.09
$3,422.09
$3,422.09
$3,422.09
$4,106.51
0.0000122416
P
1 unit = 1 purchased item
$698.63
$698.63
$698.63
$698.63
$698.63
$698.63
$698.63
$698.63
$698.63
$838.37
0.0519014899
P
1 unit = 1 purchased item
$137.15
$139.47
$139.47
$139.47
$139.47
$139.47
$139.47
$139.47
$139.47
$167.37
0.0331745176
P
1 unit = 1 purchased item
$182.89
$186.00
$186.00
$186.00
$186.00
$186.00
$186.00
$186.00
$186.00
$223.20
0.1696257393
P
1 unit = 1 purchased item
$110.31
$112.17
$112.17
$112.17
$112.17
$112.17
$112.17
$112.17
$112.17
$134.63
0.0040098344
P
1 unit = 1 purchased item
$263.62
$263.62
$263.62
$224.08
$263.62
$224.08
$224.08
$224.08
$263.62
$403.89
0.0004902189
P
1 unit = 1 purchased item
$419.08
$419.08
$419.08
$419.08
$419.08
$419.08
$419.08
$419.08
$419.08
$502.88
0.0012124709
P
1 unit = 1 purchased item
$516.57
$516.57
$516.57
$516.57
$516.57
$516.57
$516.57
$516.57
$516.57
$619.88
0.0002281382
P
1 unit = 1 purchased item
$449.94
$449.94
$449.94
$449.94
$449.94
$449.94
$449.94
$449.94
$449.94
$539.89
0.0035678584
P
1 unit = 1 purchased item
$802.84
$802.84
$802.84
$802.84
$802.84
$802.84
$802.84
$802.84
$802.84
$963.40
0.0004347609
0.0005564346
0.0002476134
0.0005007911
0.0005007911
0.0158628367
0.0026258147
0.0551526815
0.1070051495
0.0012410717
0.0262136325
0.0010503259
0.0043437508
0.0010503259
0.0043437508
0.0005251629
0.0012410717
0.0012410717
0.0000695543
0.0000472969
0.0000306039
0.0581118561
0.0024500927
0.0094942205
0.0006700029
0.0014149018
0.0001701020
0.0045063410
0.0002270253
0.0036880483
0.0001657062
0.0009733153
0.0000340538
0.0016998520
0.0000567563
0.0009448815
0.0008353196
0.0001087273
0.0000044515
0.0023445371
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
$150.74
$1,258.35
$169.36
$856.56
$1,342.27
$485.71
$74.90
$20.41
$149.34
$79.57
$48.67
$147.98
$63.84
$50.39
$27.36
$42.79
$20.50
$53.88
$76.75
$54.55
$66.51
$61.16
$119.40
$151.59
$188.41
$269.17
$419.93
$289.85
$348.09
$312.35
$422.54
$393.04
$543.93
$452.32
$608.58
$153.68
$51.32
$547.70
$574.76
$178.67
$150.74
$1,209.93
$169.36
$856.56
$1,342.27
$485.71
$76.18
$20.77
$151.88
$80.91
$49.50
$150.51
$64.93
$50.39
$27.36
$42.79
$20.50
$53.88
$76.75
$54.55
$56.53
$61.16
$119.40
$151.59
$188.41
$269.17
$419.93
$289.85
$348.09
$312.35
$422.54
$393.04
$543.93
$452.32
$608.58
$153.68
$51.32
$547.70
$574.76
$181.70
$150.74
$1,209.93
$169.36
$856.56
$1,342.27
$485.71
$76.18
$20.77
$151.88
$80.91
$49.50
$150.51
$64.93
$50.39
$27.36
$42.79
$20.50
$53.88
$76.75
$54.55
$56.53
$61.16
$119.40
$151.59
$188.41
$269.17
$419.93
$289.85
$348.09
$312.35
$422.54
$393.04
$543.93
$452.32
$608.58
$153.68
$51.32
$547.70
$574.76
$181.70
$150.74
$1,258.35
$169.36
$856.56
$1,342.27
$485.71
$76.18
$20.77
$151.88
$80.91
$49.50
$150.51
$64.93
$50.39
$27.36
$42.79
$20.50
$53.88
$76.75
$54.55
$56.53
$61.16
$119.40
$151.59
$188.41
$269.17
$419.93
$289.85
$348.09
$312.35
$422.54
$393.04
$543.93
$452.32
$608.58
$153.68
$51.32
$547.70
$574.76
$181.70
$150.74
$1,258.35
$169.36
$856.56
$1,342.27
$485.71
$76.18
$20.77
$151.88
$80.91
$49.50
$150.51
$66.53
$50.39
$27.36
$42.79
$20.50
$53.88
$76.75
$54.55
$66.51
$61.16
$119.40
$151.59
$188.41
$269.17
$419.93
$289.85
$348.09
$312.35
$422.54
$393.04
$543.93
$452.32
$608.58
$153.68
$51.32
$547.70
$574.76
$181.70
$150.74
$1,246.25
$169.36
$856.56
$1,342.27
$485.71
$76.18
$20.77
$151.88
$80.91
$49.50
$150.51
$66.87
$50.39
$27.36
$42.79
$20.50
$53.88
$76.75
$54.55
$66.51
$61.16
$119.40
$151.59
$188.41
$269.17
$419.93
$289.85
$348.09
$312.35
$422.54
$393.04
$543.93
$452.32
$608.58
$153.68
$51.32
$547.70
$574.76
$181.70
$150.74
$1,258.35
$169.36
$856.56
$1,342.27
$485.71
$76.18
$20.77
$151.88
$80.91
$49.50
$150.51
$64.93
$50.39
$27.36
$42.79
$20.50
$53.88
$76.75
$54.55
$56.53
$61.16
$119.40
$151.59
$188.41
$269.17
$419.93
$289.85
$348.09
$312.35
$422.54
$393.04
$543.93
$452.32
$608.58
$153.68
$51.32
$547.70
$574.76
$181.70
$150.74
$1,209.93
$169.36
$856.56
$1,342.27
$485.71
$76.18
$20.77
$151.88
$80.91
$49.50
$150.51
$67.49
$50.39
$27.36
$42.79
$20.50
$53.88
$76.75
$54.55
$56.53
$61.16
$119.40
$151.59
$188.41
$269.17
$419.93
$289.85
$348.09
$312.35
$422.54
$393.04
$543.93
$452.32
$608.58
$153.68
$51.32
$547.70
$574.76
$181.70
$150.74
$1,209.93
$169.36
$856.56
$1,342.27
$485.71
$76.18
$20.77
$151.88
$80.91
$49.50
$150.51
$64.93
$50.39
$27.36
$42.79
$20.50
$53.88
$76.75
$54.55
$56.53
$61.16
$119.40
$151.59
$188.41
$269.17
$419.93
$289.85
$348.09
$312.35
$422.54
$393.04
$543.93
$452.32
$608.58
$153.68
$51.32
$547.70
$574.76
$181.70
$180.88
$1,451.93
$186.28
$942.20
$1,476.49
$534.30
$91.43
$24.92
$182.27
$97.07
$59.36
$180.58
$77.91
$55.44
$30.09
$47.04
$22.58
$64.66
$92.08
$65.46
$89.28
$73.38
$143.29
$181.91
$226.11
$323.02
$503.90
$347.80
$417.70
$374.86
$507.04
$471.65
$652.73
$542.81
$730.30
$184.43
$61.57
$657.22
$689.73
$218.03
K0017
K0018
K0019
K0020
K0037
K0038
K0039
K0040
K0041
K0042
K0043
K0044
K0045
K0046
K0047
K0050
K0051
K0052
K0053
K0098
K0195
K0733
DETACHABLE, ADJUSTABLE HEIGHT ARMREST, BASE, EACH
DETACHABLE, ADJUSTABLE HEIGHT ARMREST, UPPER PORTION,
EACH
ARM PAD, EACH
FIXED, ADJUSTABLE HEIGHT ARMREST, PAIR
HIGH MOUNT FLIP-UP FOOTREST, EACH
LEG STRAP, EACH
LEG STRAP, H STYLE, EACH
ADJUSTABLE ANGLE FOOTPLATE, EACH
LARGE SIZE FOOTPLATE, EACH
STANDARD SIZE FOOTPLATE, EACH
FOOTREST, LOWER EXTENSION TUBE, EACH
FOOTREST, UPPER HANGER BRACKET, EACH
FOOTREST, COMPLETE ASSEMBLY
ELEVATING LEGREST, LOWER EXTENSION TUBE, EACH
ELEVATING LEGREST, UPPER HANGER BRACKET, EACH
RATCHET ASSEMBLY
CAM RELEASE ASSEMBLY, FOOTREST OR LEGREST, EACH
SWINGAWAY, DETACHABLE FOOTRESTS, EACH
ELEVATING FOOTRESTS, ARTICULATING (TELESCOPING), EACH
DRIVE BELT FOR POWER WHEELCHAIR
ELEVATING LEG RESTS, PAIR (FOR USE WITH CAPPED RENTAL
WHEELCHAIR BASE)
POWER WHEELCHAIR ACCESSORY, 12 TO 24 AMP HOUR SEALED
LEAD ACID BATTERY, EACH (E.G. GEL CELL, ABSORBED
GLASSMAT)
K0734
K0735
K0736
K0737
Adj skin pro w/c cus wd<22in
Adj skin pro wc cus wd>=22in
Adj skin pro/pos wc cus<22in
Adj skin pro/pos wc cus>=22 in
K0835
POWER WHEELCHAIR, GROUP 2 STANDARD, SINGLE POWER
OPTION, SLING/SOLID SEAT/BACK,
POWER WHEELCHAIR, GROUP 2 STANDARD, SINGLE POWER
OPTION, CAPTAINS CHAIR
POWER WHEELCHAIR, GROUP 2 HEAVY DUTY, SINGLE POWER
OPTION, SLING/SOLID SEAT/BACK
POWER WHEELCHAIR, GROUP 2 HEAVY DUTY, SINGLE POWER
OPTION, CAPTAINS CHAIR,
POWER WHEELCHAIR, GROUP 2 VERY HEAVY DUTY, SINGLE
POWER OPTION, SLING/SOLID SEAT/BACK
POWER WHEELCHAIR, GROUP 2 EXTRA HEAVY DUTY, SINGLE
POWER OPTION, SLING/SOLID SEAT/BACK
POWER WHEELCHAIR, GROUP 2 STANDARD, MULTIPLE POWER
OPTION, SLING/SOLID SEAT/BACK
POWER WHEELCHAIR, GROUP 2 STANDARD, MULTIPLE POWER
OPTION, CAPTAINS CHAIR,
POWER WHEELCHAIR, GROUP 2 HEAVY DUTY, MULTIPLE POWER
OPTION, SLING/SOLID SEAT/BACK
POWER WHEELCHAIR, GROUP 3 STANDARD, SLING/SOLID
SEAT/BACK
POWER WHEELCHAIR, GROUP 3 STANDARD, CAPTAINS CHAIR
K0836
K0837
K0838
K0839
K0840
K0841
K0842
K0843
K0848
K0849
K0850
K0851
K0852
K0853
K0854
K0855
K0856
K0857
K0858
K0859
POWER WHEELCHAIR, GROUP 3 HEAVY DUTY, SLING/SOLID
SEAT/BACK,
POWER WHEELCHAIR, GROUP 3 HEAVY DUTY, CAPTAINS CHAIR
POWER WHEELCHAIR, GROUP 3 VERY HEAVY DUTY, SLING/SOLID
SEAT/BACK
POWER WHEELCHAIR, GROUP 3 VERY HEAVY DUTY, CAPTAINS
CHAIR
POWER WHEELCHAIR, GROUP 3 EXTRA HEAVY DUTY,
SLING/SOLID SEAT/BACK
POWER WHEELCHAIR, GROUP 3 EXTRA HEAVY DUTY, CAPTAINS
CHAIR
POWER WHEELCHAIR, GROUP 3 STANDARD, SINGLE POWER
OPTION, SLING/SOLID SEAT/BACK,
POWER WHEELCHAIR, GROUP 3 STANDARD, SINGLE POWER
OPTION, CAPTAINS CHAIR
POWER WHEELCHAIR, GROUP 3 HEAVY DUTY, SINGLE POWER
OPTION, SLING/SOLID SEAT/BACK
POWER WHEELCHAIR, GROUP 3 HEAVY DUTY, SINGLE POWER
OPTION, CAPTAINS CHAIR,
0.0004782555
P
1 unit = 1 purchased item
$50.25
$51.11
$51.11
$51.11
$51.11
$51.11
$51.11
$51.11
$51.11
$61.32
0.0001920812
0.0163521096
0.0004879931
0.0001260324
0.0007264810
0.0002046566
0.0112493264
0.0019202000
0.0002855066
0.0009392616
0.0005433584
0.0009493330
0.0001186875
0.0002679789
0.0000653254
0.0002521205
0.0025368408
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
$28.09
$17.24
$45.67
$48.16
$23.84
$52.99
$73.41
$52.05
$30.97
$19.20
$16.37
$56.62
$19.20
$75.18
$31.96
$51.72
$90.90
$28.55
$16.35
$46.46
$48.16
$24.26
$53.88
$74.67
$52.92
$36.43
$19.53
$16.64
$56.62
$19.53
$76.48
$32.50
$52.61
$92.44
$28.55
$16.35
$46.46
$48.16
$24.26
$53.88
$74.67
$52.92
$36.43
$19.53
$16.64
$56.62
$19.53
$76.48
$32.50
$52.61
$92.44
$28.54
$16.35
$46.46
$40.94
$24.26
$53.88
$74.67
$52.92
$34.64
$19.53
$16.64
$56.62
$19.53
$76.48
$32.50
$52.61
$92.44
$28.55
$17.24
$46.46
$48.16
$24.26
$53.88
$74.67
$52.92
$30.97
$19.53
$16.64
$52.65
$19.53
$76.48
$32.50
$52.61
$92.44
$28.55
$16.84
$46.46
$40.94
$24.26
$53.88
$74.67
$52.92
$30.97
$19.53
$16.64
$56.62
$19.53
$76.48
$32.50
$52.61
$92.44
$28.54
$16.35
$46.46
$40.94
$24.26
$53.88
$74.67
$52.92
$34.64
$19.53
$16.64
$56.62
$19.53
$76.48
$32.50
$52.61
$92.44
$28.55
$16.35
$46.46
$48.16
$24.26
$53.88
$74.67
$52.92
$36.43
$19.53
$16.64
$56.62
$19.53
$76.48
$32.50
$52.61
$92.44
$28.55
$16.35
$46.46
$48.16
$24.26
$53.88
$74.67
$52.92
$36.43
$19.53
$16.64
$56.62
$19.53
$76.48
$32.50
$52.61
$92.44
$34.27
$19.61
$55.75
$68.98
$29.14
$64.67
$89.59
$63.52
$68.98
$23.42
$19.96
$67.95
$23.42
$91.77
$39.00
$63.13
$110.93
0.0009959066
0.0000773444
P
P
1 unit = 1 purchased item
1 unit = 1 purchased item
$100.31
$25.96
$102.01
$26.41
$102.01
$26.41
$102.01
$26.41
$102.01
$27.03
$102.01
$27.21
$102.01
$26.41
$102.01
$27.21
$102.01
$26.41
$122.41
$31.68
0.0501634109
P
1 unit = 1 monthly rental
$205.50
$197.30
$197.30
$210.70
$210.70
$210.70
$210.70
$210.70
$210.70
$252.90
0.0055305145
0.0043150388
0.0001914135
0.0015896223
0.0000868038
P
P
P
P
P
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
$30.21
$331.47
$421.78
$334.19
$423.06
$30.21
$331.47
$421.78
$334.19
$423.06
$30.21
$331.47
$421.78
$334.19
$423.06
$30.21
$331.47
$421.78
$334.19
$423.06
$30.21
$331.47
$421.78
$334.19
$423.06
$30.21
$331.47
$421.78
$334.19
$423.06
$30.21
$331.47
$421.78
$334.19
$423.06
$30.21
$331.47
$421.78
$334.19
$423.06
$30.21
$331.47
$421.78
$334.19
$423.06
$36.25
$397.78
$506.13
$401.04
$507.68
0.0022952926
P
1 unit = 1 purchased item
$4,057.40
$4,057.40
$4,057.40
$4,057.40
$4,057.40
$4,057.40
$4,057.40
$4,057.40
$4,057.40
$4,463.30
0.0022952926
P
1 unit = 1 purchased item
$4,207.50
$4,207.50
$4,207.50
$4,207.50
$4,207.50
$4,207.50
$4,207.50
$4,207.50
$4,207.50
$4,628.50
0.0001011474
P
1 unit = 1 purchased item
$4,842.70
$4,842.70
$4,842.70
$4,842.70
$4,842.70
$4,842.70
$4,842.70
$4,842.70
$4,842.70
$5,327.10
0.0001011474
P
1 unit = 1 purchased item
$4,332.30
$4,332.30
$4,332.30
$4,332.30
$4,332.30
$4,332.30
$4,332.30
$4,332.30
$4,332.30
$4,765.60
0.0000189651
P
1 unit = 1 purchased item
$6,269.30
$6,269.30
$6,269.30
$6,269.30
$6,269.30
$6,269.30
$6,269.30
$6,269.30
$6,269.30
$6,896.30
0.0000063217
P
1 unit = 1 purchased item
$9,498.30
$9,498.30
$9,498.30
$9,498.30
$9,498.30
$9,498.30
$9,498.30
$9,498.30
$9,498.30
$10,447.90
0.0009453823
P
1 unit = 1 purchased item
$4,318.60
$4,318.60
$4,318.60
$4,318.60
$4,318.60
$4,318.60
$4,318.60
$4,318.60
$4,318.60
$4,750.70
0.0009453823
P
1 unit = 1 purchased item
$4,318.60
$4,318.60
$4,318.60
$4,318.60
$4,318.60
$4,318.60
$4,318.60
$4,318.60
$4,318.60
$4,750.70
0.0001674868
P
1 unit = 1 purchased item
$5,199.60
$5,199.60
$5,199.60
$5,199.60
$5,199.60
$5,199.60
$5,199.60
$5,199.60
$5,199.60
$5,719.60
0.0017296769
P
1 unit = 1 purchased item
$5,284.40
$5,284.40
$5,284.40
$5,284.40
$5,284.40
$5,284.40
$5,284.40
$5,284.40
$5,284.40
$5,812.60
0.0017296769
P
1 unit = 1 purchased item
$5,080.70
$5,080.70
$5,080.70
$5,080.70
$5,080.70
$5,080.70
$5,080.70
$5,080.70
$5,080.70
$5,588.80
0.0001042812
P
1 unit = 1 purchased item
$6,129.80
$6,129.80
$6,129.80
$6,129.80
$6,129.80
$6,129.80
$6,129.80
$6,129.80
$6,129.80
$6,742.70
0.0001042812
P
1 unit = 1 purchased item
$5,893.70
$5,893.70
$5,893.70
$5,893.70
$5,893.70
$5,893.70
$5,893.70
$5,893.70
$5,893.70
$6,483.00
0.0000307715
P
1 unit = 1 purchased item
$7,082.60
$7,082.60
$7,082.60
$7,082.60
$7,082.60
$7,082.60
$7,082.60
$7,082.60
$7,082.60
$7,790.90
0.0000307715
P
1 unit = 1 purchased item
$7,275.60
$7,275.60
$7,275.60
$7,275.60
$7,275.60
$7,275.60
$7,275.60
$7,275.60
$7,275.60
$8,003.00
0.0000068381
P
1 unit = 1 purchased item
$9,638.60
$9,638.60
$9,638.60
$9,638.60
$9,638.60
$9,638.60
$9,638.60
$9,638.60
$9,638.60
$10,602.30
0.0000068381
P
1 unit = 1 purchased item
$9,105.10
$9,105.10
$9,105.10
$9,105.10
$9,105.10
$9,105.10
$9,105.10
$9,105.10
$9,105.10
$10,015.50
0.0015822217
P
1 unit = 1 purchased item
$5,672.30
$5,672.30
$5,672.30
$5,672.30
$5,672.30
$5,672.30
$5,672.30
$5,672.30
$5,672.30
$6,239.60
0.0015822217
P
1 unit = 1 purchased item
$5,786.00
$5,786.00
$5,786.00
$5,786.00
$5,786.00
$5,786.00
$5,786.00
$5,786.00
$5,786.00
$6,364.20
0.0000783738
P
1 unit = 1 purchased item
$7,037.60
$7,037.60
$7,037.60
$7,037.60
$7,037.60
$7,037.60
$7,037.60
$7,037.60
$7,037.60
$7,741.30
0.0000783738
P
1 unit = 1 purchased item
$6,711.70
$6,711.70
$6,711.70
$6,711.70
$6,711.70
$6,711.70
$6,711.70
$6,711.70
$6,711.70
$7,382.60
K0860
K0861
K0862
K0863
K0864
POWER WHEELCHAIR, GROUP 3 VERY HEAVY DUTY, SINGLE
POWER OPTION, SLING/SOLID SEAT/BACK
POWER WHEELCHAIR, GROUP 3 STANDARD, MULTIPLE POWER
OPTION, SLING/SOLID SEAT/BACK
POWER WHEELCHAIR, GROUP 3 HEAVY DUTY, MULTIPLE POWER
OPTION, SLING/SOLID SEAT/BACK
POWER WHEELCHAIR, GROUP 3 VERY HEAVY DUTY, MULTIPLE
POWER OPTION, SLING/SOLID SEAT/BACK
POWER WHEELCHAIR, GROUP 3 EXTRA HEAVY DUTY, MULTIPLE
POWER OPTION, SLING/SOLID SEAT/BACK
0.0000174164
P
1 unit = 1 purchased item
$10,054.10
$10,054.10
$10,054.10
$10,054.10
$10,054.10
$10,054.10
$10,054.10
$10,054.10
$10,054.10
$11,059.50
0.0017093670
P
1 unit = 1 purchased item
$5,681.40
$5,681.40
$5,681.40
$5,681.40
$5,681.40
$5,681.40
$5,681.40
$5,681.40
$5,681.40
$6,249.60
0.0001302057
P
1 unit = 1 purchased item
$7,037.60
$7,037.60
$7,037.60
$7,037.60
$7,037.60
$7,037.60
$7,037.60
$7,037.60
$7,037.60
$7,741.30
0.0000488271
P
1 unit = 1 purchased item
$10,054.10
$10,054.10
$10,054.10
$10,054.10
$10,054.10
$10,054.10
$10,054.10
$10,054.10
$10,054.10
$11,059.50
0.0000162757
P
1 unit = 1 purchased item
$11,964.50
$11,964.50
$11,964.50
$11,964.50
$11,964.50
$11,964.50
$11,964.50
$11,964.50
$11,964.50
$13,161.10
PRODUCT CATEGORY 4
Mail-Order Diabetic Supplies
A4233
Alkaline battery
A4234
J-cell battery
A4235
Lithium battery
A4236
Silver oxide battery
A4253
Blood glucose/reagent strips
A4256
Calibrator solution/chips
A4258
Lancet device each
A4259
Lancets per box
Bid Limit- Competitive Bid Amount Must Be Lower Than The Fee Schedule Amounts Listed Below:
Weight
0.0046510217
0.0004147532
0.0097933169
0.0004398805
0.6787869405
0.0560973169
0.0280931067
0.2217236636
Bid Type ( P=
Purchase
R=Rental) ¹
P
P
P
P
P
P
P
P
Base Unit to Report for
Supplier Capacity ²
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 50 strips
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 100 lancets
PRODUCT CATEGORY 5
Enteral Nutrients, Equipment, and Supplies
B4034
B4035
B4036
B4081
B4082
B4083
B4086
B4149
B4150
B4152
B4153
B4154
B4155
B9000
B9002
E0776
Enter feed supkit syr by day
Enteral feed supp pump per d
Enteral feed sup kit grav by
Enteral ng tubing w/ stylet
Enteral ng tubing w/o stylet
Enteral stomach tube levine
Gastrostomy/jejunostomy tube
EF blenderized foods
EF complet w/intact nutrient
EF calorie dense>/=1.5Kcal
EF hydrolyzed/amino acids
EF spec metabolic noninherit
EF incomplete/modular
Enter infusion pump w/o alrm
Enteral infusion pump w/ ala
Iv pole
A4604
A7030
A7031
A7032
A7033
A7034
A7035
A7036
A7037
A7038
A7039
A7044
Tubing with heating element
CPAP full face mask
Replacement facemask interfa
Replacement nasal cushion
Replacement nasal pillows
Nasal application device
Pos airway press headgear
Pos airway press chinstrap
Pos airway pressure tubing
Pos airway pressure filter
Filter, non disposable w pap
PAP oral interface
Miami, FL Orlando, FL
$0.80
$0.80
$3.63
$3.63
$2.34
$2.34
$1.68
$1.68
$36.94
$36.94
$10.55
$10.55
$18.05
$18.05
$12.06
$12.06
Cleveland,
Kansas
Charlotte, Cincinnati, Pittsburgh,
San Juan,
OH
City, MO-KS
NC-SC
OH-KY-IN
PA
Dallas, TX
PR
$0.80
$0.80
$0.80
$0.80
$0.80
$0.80
$0.95
$3.63
$3.63
$3.63
$3.63
$3.63
$3.63
$4.36
$2.34
$2.34
$2.34
$2.34
$2.34
$2.34
$2.80
$1.68
$1.68
$1.68
$1.68
$1.68
$1.68
$2.00
$36.93
$32.74
$33.22
$36.93
$36.94
$34.55
$35.52
$11.44
$10.66
$11.44
$11.44
$9.72
$11.44
$10.10
$18.05
$17.75
$18.05
$18.05
$18.05
$18.05
$21.67
$10.83
$12.06
$12.06
$10.83
$10.83
$12.06
$11.94
Bid Limit- Competitive Bid Amount Must Be Lower Than The Fee Schedule Amounts Listed Below:
Weight
0.0123856160
0.0383174109
0.0049994448
0.0000015972
0.0000023225
0.0000016404
0.0001095402
0.0032133805
0.5049960396
0.1840815263
0.0152416041
0.2310759603
0.0054088251
0.0000027239
0.0000624843
0.0000998838
Bid Type ( P=
Purchase
R=Rental) ¹
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
Base Unit to Report for
Supplier Capacity ²
1 unit = 1 kit/day
1 unit = 1 kit/day
1 unit = 1 kit/day
1 unit - 1 tube
1 unit - 1 tube
1 unit - 1 tube
1 unit - 1 tube
1 unit - 100 calories
1 unit - 100 calories
1 unit - 100 calories
1 unit - 100 calories
1 unit - 100 calories
1 unit - 100 calories
1 unit = 1 purchased item
1 unit = 1 monthly rental
1 unit = 1 monthly rental
PRODUCT CATEGORY 6
Continuous Positive Airway Pressure Devices, Respiratory Assist Devices, and
Related Supplies and Accessories
Riverside,
CA
$0.80
$3.63
$2.34
$1.68
$36.94
$9.72
$17.75
$12.06
Riverside,
CA
$6.38
$12.16
$8.34
$22.55
$16.78
$2.57
$37.22
$1.64
$0.70
$0.58
$1.99
$1.27
$0.99
$1,278.99
$1,278.99
106.37
Miami, FL Orlando, FL
$6.38
$6.38
$12.16
$12.16
$8.34
$8.34
$22.55
$22.55
$16.78
$16.78
$2.57
$2.57
$37.22
$37.22
$1.64
$1.64
$0.70
$0.70
$0.58
$0.58
$1.99
$1.99
$1.27
$1.27
$0.99
$0.99
$1,278.99
$1,278.99
$1,278.99
$1,278.99
106.37
106.37
Cleveland,
Kansas
Charlotte, Cincinnati, Pittsburgh,
San Juan,
OH
City, MO-KS
NC-SC
OH-KY-IN
PA
Dallas, TX
PR
$6.38
$6.38
$6.38
$6.38
$6.38
$6.38
$6.38
$12.16
$12.16
$12.16
$12.16
$12.16
$12.16
$12.16
$8.34
$8.34
$8.34
$8.34
$8.34
$8.34
$8.34
$22.55
$22.55
$22.55
$22.55
$22.55
$22.55
$22.55
$16.78
$16.78
$16.78
$16.78
$16.78
$16.78
$16.78
$2.57
$2.57
$2.57
$2.57
$2.57
$2.57
$2.57
$37.22
$37.22
$37.22
$37.22
$37.22
$37.22
$37.22
$1.64
$1.64
$1.64
$1.64
$1.64
$1.64
$1.64
$0.70
$0.70
$0.70
$0.70
$0.70
$0.70
$0.70
$0.58
$0.58
$0.58
$0.58
$0.58
$0.58
$0.58
$1.99
$1.99
$1.99
$1.99
$1.99
$1.99
$1.99
$1.27
$1.27
$1.27
$1.27
$1.27
$1.27
$1.27
$0.99
$0.99
$0.99
$0.99
$0.99
$0.99
$0.99
$1,278.99
$1,278.99
$1,278.99
$1,278.99
$1,278.99
$1,278.99
$1,278.99
$1,278.99
$1,278.99
$1,278.99
$1,278.99
$1,278.99
$1,278.99
$1,278.99
106.37
106.37
106.37
106.37
106.37
106.37
106.37
Bid Limit- Competitive Bid Amount Must Be Lower Than The Fee Schedule Amounts Listed Below:
Weight
0.0006454109
0.0340818540
0.0038265122
0.0340014674
0.0232288916
0.1649731635
0.1555462941
0.0219028393
0.1451307539
0.2246232543
0.0467139707
0.0003837690
Bid Type ( P=
Purchase
R=Rental) ¹
P
P
P
P
P
P
P
P
P
P
P
P
Base Unit to Report for
Supplier Capacity ²
1 unit - 1 tube
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit - 1 pair
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
Riverside,
CA
$66.81
$188.64
$69.77
$40.53
$28.41
$117.64
$39.75
$18.20
$41.02
$5.39
$15.33
$120.91
Miami, FL Orlando, FL
$66.81
$66.81
$188.64
$188.64
$69.77
$69.77
$40.53
$40.53
$28.41
$28.41
$117.64
$117.64
$34.69
$34.69
$15.47
$15.47
$38.33
$38.33
$5.13
$5.13
$13.03
$13.03
$120.91
$120.91
Charlotte, Cincinnati, Pittsburgh,
San Juan,
Cleveland,
Kansas
NC-SC
OH-KY-IN
PA
Dallas, TX
PR
OH
City, MO-KS
$66.81
$66.81
$66.81
$66.81
$66.81
$66.81
$80.16
$188.64
$188.64
$188.64
$188.64
$188.64
$188.64
$226.37
$69.77
$69.77
$69.77
$69.77
$69.77
$69.77
$83.70
$40.53
$40.53
$40.53
$40.53
$40.53
$40.53
$48.64
$28.41
$28.41
$28.41
$28.41
$28.41
$28.41
$34.08
$117.64
$117.64
$117.64
$117.64
$117.64
$117.64
$141.18
$39.75
$39.75
$35.76
$39.75
$35.42
$34.69
$41.63
$15.47
$18.20
$15.47
$15.47
$18.20
$15.47
$17.81
$40.87
$41.02
$39.48
$40.87
$39.21
$38.33
$46.00
$4.58
$5.39
$5.30
$4.58
$4.58
$5.13
$6.17
$13.99
$15.33
$13.03
$13.99
$15.33
$13.03
$14.43
$120.91
$120.91
$120.91
$120.91
$120.91
$120.91
$145.08
A7045
A7046
E0470
E0471
E0472
E0561
E0562
E0601
Repl exhalation port for PAP
Repl water chamber, PAP dev
RAD w/o backup non-inv intfc
RAD w/backup non inv intrfc
RAD w backup invasive intrfc
Humidifier nonheated w PAP
Humidifier heated used w PAP
Cont airway pressure device
0.0005402884
0.0127842271
0.0109032933
0.0028479634
0.0000216724
0.0057291495
0.0519208404
0.0601943846
P
P
P
P
P
P
P
P
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 monthly rental
1 unit = 1 monthly rental
1 unit = 1 monthly rental
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 monthly rental
PRODUCT CATEGORY 7
Hospital Beds and Related Supplies
E0250
E0251
E0255
E0256
E0260
E0261
E0265
E0266
E0271
E0272
E0280
E0290
E0291
E0292
E0293
E0294
E0295
E0296
E0297
E0300
E0301
E0302
E0303
E0304
E0305
E0310
E0316
E0910
E0911
E0912
E0940
Hosp bed fixed ht w/ mattres
Hosp bed fixd ht w/o mattres
Hospital bed var ht w/ mattr
Hospital bed var ht w/o matt
Hosp bed semi-electr w/ matt
Hosp bed semi-electr w/o mat
Hosp bed total electr w/ mat
Hosp bed total elec w/o matt
Mattress innerspring
Mattress foam rubber
Bed cradle
Hosp bed fx ht w/o rails w/m
Hosp bed fx ht w/o rail w/o
Hosp bed var ht w/o rail w/o
Hosp bed var ht w/o rail w/
Hosp bed semi-elect w/ mattr
Hosp bed semi-elect w/o matt
Hosp bed total elect w/ matt
Hosp bed total elect w/o mat
Enclosed ped crib hosp grade
HD hosp bed, 350-600 lbs
Ex hd hosp bed > 600 lbs
Hosp bed hvy dty xtra wide
Hosp bed xtra hvy dty x wide
Rails bed side half length
Rails bed side full length
Bed safety enclosure
Trapeze bar attached to bed
Trapeze bar heavy duty attached to bed
Trapeze bar heavy duty free standing
Trapeze bar free standing
Negative Pressure Wound Therapy Pumps and Related Supplies and Accessories
Neg pres wound ther drsg set
Disposable Canister
Tubing
Neg press wound therapy pump
Weight
0.0179047386
0.0001819797
0.0347598952
0.0005185710
0.7708492018
0.0234600947
0.0096498988
0.0000241692
0.0149855998
0.0054394862
0.0006923758
0.0002409809
0.0000323440
0.0001834014
0.0000529589
0.0019203832
0.0013122441
0.0000071086
0.0000014217
0.0000142172
0.0005633551
0.0000220366
0.0073150854
0.0002747467
0.0006795804
0.0023383677
0.0001201350
0.0862373960
0.0001691842
0.0008942595
0.0191547826
Bid Type ( P=
Purchase
R=Rental) ¹
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
Base Unit to Report for
Supplier Capacity ²
1 unit = 1 monthly rental
1 unit = 1 monthly rental
1 unit = 1 monthly rental
1 unit = 1 monthly rental
1 unit = 1 monthly rental
1 unit = 1 monthly rental
1 unit = 1 monthly rental
1 unit = 1 monthly rental
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 monthly rental
1 unit = 1 monthly rental
1 unit = 1 monthly rental
1 unit = 1 monthly rental
1 unit = 1 monthly rental
1 unit = 1 monthly rental
1 unit = 1 monthly rental
1 unit = 1 monthly rental
1 unit = 1 purchased item
1 unit = 1 monthly rental
1 unit = 1 monthly rental
1 unit = 1 monthly rental
1 unit = 1 monthly rental
1 unit = 1 monthly rental
1 unit = 1 purchased item
1 unit = 1 monthly rental
1 unit = 1 monthly rental
1 unit = 1 monthly rental
1 unit = 1 monthly rental
1 unit = 1 monthly rental
A4636
A4637
Handgrip for cane etc
Repl tip cane/crutch/walker
$19.47
$19.51
$2,329.40
$5,458.40
$5,458.40
$107.00
$301.22
$949.50
$19.47
$19.51
$2,566.00
$6,421.70
$6,421.70
$107.00
$301.22
$1,117.10
$19.47
$19.51
$2,566.00
$6,421.70
$6,421.70
$107.00
$301.22
$1,117.10
$19.47
$19.51
$2,566.00
$6,421.70
$6,421.70
$107.00
$301.22
$1,117.10
$19.47
$19.51
$2,566.00
$6,421.70
$6,421.70
$107.00
$301.22
$1,117.10
$19.47
$19.51
$2,181.10
$5,458.40
$5,458.40
$107.00
$301.22
$1,022.30
$19.47
$19.51
$2,566.00
$5,458.40
$5,458.40
$107.00
$301.22
$1,027.80
$23.36
$23.39
$1,098.60
$7,462.90
$7,462.90
$128.40
$361.44
$1,173.60
Riverside,
CA
$904.80
$740.80
$1,031.80
$708.50
$1,404.60
$1,272.80
$1,995.50
$1,775.90
$190.97
$202.37
$38.20
$635.30
$461.60
$714.30
$607.80
$1,242.90
$1,273.50
$1,411.60
$1,356.50
$2,838.62
$2,569.30
$7,154.40
$2,901.70
$7,706.70
$177.90
$190.45
$2,031.70
$176.30
$498.50
$1,144.70
$338.80
Miami, FL Orlando, FL
$977.60
$977.60
$740.80
$740.80
$1,122.80
$1,122.80
$788.80
$788.80
$1,404.60
$1,404.60
$1,164.00
$1,164.00
$1,699.00
$1,699.00
$1,509.50
$1,509.50
$188.73
$188.73
$190.97
$190.97
$37.00
$37.00
$747.40
$747.40
$543.00
$543.00
$790.50
$790.50
$673.10
$673.10
$1,110.50
$1,110.50
$1,082.50
$1,082.50
$1,395.70
$1,395.70
$1,195.70
$1,195.70
$2,838.62
$2,838.62
$2,622.70
$2,622.70
$7,154.40
$7,154.40
$2,955.50
$2,955.50
$7,706.70
$7,706.70
$151.20
$151.20
$183.90
$183.90
$2,112.80
$2,112.80
$200.00
$200.00
$498.50
$498.50
$1,144.70
$1,144.70
$308.20
$308.20
San Juan,
Cleveland,
Kansas
Charlotte, Cincinnati, Pittsburgh,
Dallas, TX
PR
OH
City, MO-KS
NC-SC
OH-KY-IN
PA
$977.60
$977.60
$912.90
$977.60
$977.60
$977.60
$1,317.60
$718.60
$740.80
$740.80
$718.60
$740.80
$740.80
$1,000.20
$1,174.80
$998.60
$1,053.90
$1,174.80
$1,143.70
$1,174.80
$1,676.90
$710.40
$708.50
$795.70
$710.40
$780.90
$833.50
$1,250.00
$1,404.60
$1,404.60
$1,404.60
$1,404.60
$1,404.60
$1,404.60
$1,404.60
$1,369.40
$1,164.00
$1,164.00
$1,369.40
$1,286.50
$1,369.40
$1,944.20
$1,998.80
$1,720.50
$1,998.80
$1,998.80
$1,998.80
$1,998.80
$2,855.60
$1,731.10
$1,550.00
$1,757.50
$1,731.10
$1,775.90
$1,775.90
$2,536.30
$212.81
$205.87
$345.70
$188.73
$208.56
$222.04
$188.73
$190.61
$176.82
$202.37
$190.61
$194.91
$185.02
$234.69
$32.47
$38.20
$32.47
$32.47
$37.00
$38.20
$63.21
$635.30
$635.30
$658.00
$635.30
$747.40
$747.40
$997.90
$461.60
$470.30
$487.60
$461.60
$543.00
$543.00
$720.80
$714.30
$762.10
$714.30
$714.30
$810.70
$840.40
$1,311.20
$607.80
$607.80
$607.80
$607.80
$715.10
$715.10
$1,099.40
$1,292.60
$1,110.50
$1,110.50
$1,292.60
$1,306.50
$1,306.50
$2,005.10
$1,273.50
$1,082.50
$1,082.50
$1,273.50
$1,273.50
$1,273.50
$948.40
$1,395.70
$1,642.00
$1,642.00
$2,187.60
$1,395.70
$1,395.70
$1,642.00
$1,195.70
$1,218.60
$1,406.70
$1,195.70
$1,406.70
$1,406.70
$1,909.70
$2,838.62
$2,838.62
$2,838.62
$2,838.62
$2,838.62
$2,838.62
$3,406.34
$2,707.20
$2,707.20
$2,707.20
$2,707.20
$2,586.60
$2,707.20
$3,239.50
$7,154.40
$7,154.40
$7,154.40
$7,154.40
$7,154.40
$7,154.40
$8,695.80
$3,039.80
$3,039.80
$3,039.80
$3,039.80
$2,919.00
$3,039.80
$3,572.10
$7,706.70
$7,706.70
$7,706.70
$7,706.70
$7,706.70
$7,706.70
$9,248.00
$168.90
$177.90
$151.20
$168.90
$160.00
$177.90
$100.30
$167.18
$194.14
$177.87
$167.18
$165.02
$182.42
$196.55
$2,112.80
$1,984.80
$2,112.80
$1,929.60
$1,486.40
$1,984.80
$2,112.80
$193.40
$197.50
$170.00
$193.40
$200.00
$200.00
$190.80
$498.50
$498.50
$498.50
$498.50
$498.50
$498.50
$597.90
$1,144.70
$1,144.70
$1,144.70
$1,144.70
$1,144.70
$1,144.70
$1,373.60
$347.70
$347.70
$295.50
$347.70
$295.50
$347.70
$373.90
Bid Limit- Competitive Bid Amount Must Be Lower Than The Fee Schedule Amounts Listed Below:
Weight
0.8099677984
0.0498295239
0.1338939871
0.0063086906
Bid Type ( P=
Purchase
R=Rental) ¹
P
P
P
P
Base Unit to Report for
Supplier Capacity ²
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 tube
1 unit = 1 monthly rental
PRODUCT CATEGORY 9
Walkers and Related Accessories
$19.47
$19.51
$2,329.40
$5,458.40
$5,458.40
$107.00
$301.22
$949.50
Bid Limit- Competitive Bid Amount Must Be Lower Than The Fee Schedule Amounts Listed Below:
PRODUCT CATEGORY 8
A6550
A7000
A7002
E2402
$19.47
$19.51
$2,463.20
$6,421.70
$6,421.70
$107.00
$301.22
$1,052.60
Riverside,
CA
$27.42
$9.54
$3.83
$17,164.60
Cleveland,
Kansas
Charlotte, Cincinnati, Pittsburgh,
San Juan,
Miami, FL Orlando, FL
OH
City, MO-KS
NC-SC
OH-KY-IN
PA
Dallas, TX
PR
$27.42
$27.42
$27.42
$27.42
$27.42
$27.42
$27.42
$27.42
$32.90
$9.10
$9.10
$9.01
$9.54
$9.37
$9.01
$8.33
$9.10
$10.90
$3.26
$3.26
$3.83
$3.83
$3.26
$3.83
$3.46
$3.26
$2.71
$17,164.60 $17,164.60 $17,164.60 $17,164.60 $17,164.60 $17,164.60 $17,164.60 $17,164.60 $20,597.10
Bid Limit- Competitive Bid Amount Must Be Lower Than The Fee Schedule Amounts Listed Below:
Weight
0.0003747787
0.0036547504
Bid Type ( P=
Purchase
R=Rental) ¹
P
P
Base Unit to Report for
Supplier Capacity ²
1 unit = 1 purchased item
1 unit = 1 purchased item
Riverside,
CA
$4.21
$2.13
Miami, FL Orlando, FL
$3.58
$3.58
$1.81
$1.81
Cleveland,
Kansas
Charlotte, Cincinnati, Pittsburgh,
San Juan,
OH
City, MO-KS
NC-SC
OH-KY-IN
PA
Dallas, TX
PR
$3.58
$4.21
$3.63
$3.58
$3.58
$3.58
$2.37
$2.13
$2.13
$2.13
$2.13
$2.13
$1.88
$2.70
E0130
E0135
E0140
E0141
E0143
E0144
E0147
E0148
E0149
E0154
E0155
E0156
E0157
E0158
E0159
Walker rigid adjust/fixed ht
Walker folding adjust/fixed
Walker w trunk support
Rigid wheeled walker adj/fix
Walker folding wheeled w/o s
Enclosed walker w rear seat
Walker variable wheel resist
Heavyduty walker no wheels
Heavy duty wheeled walker
Walker platform attachment
Walker wheel attachment,pair
Walker seat attachment
Walker crutch attachment
Walker leg extenders set of4
Brake for wheeled walker
0.0015448430
0.1089049783
0.0001920412
0.0118041240
0.6807428974
0.0005907811
0.0014586527
0.0032028217
0.0064350464
0.0149621829
0.0304823208
0.1309950655
0.0004481545
0.0025464763
0.0016600852
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = 1 pair
1 unit = 1 purchased item
1 unit = 1 purchased item
1 unit = set of 4
1 unit = 1 purchased item
PRODUCT CATEGORY 10
Support Surfaces ( Miami and San Juan Only)
E0193
E0277
E0371
E0372
E0373
Powered air flotation bed
Powered pres-redu air mattrs
Nonpower mattress overlay
Powered air mattress overlay
Nonpowered pressure mattress
$70.23
$83.84
$360.71
$115.29
$111.97
$318.45
$574.81
$127.05
$223.20
$70.51
$31.56
$26.43
$69.63
$32.18
$17.87
$70.23
$83.84
$360.71
$114.83
$113.02
$318.45
$574.81
$127.05
$223.20
$59.93
$29.06
$22.47
$69.63
$27.35
$17.87
$70.23
$83.84
$360.71
$114.83
$113.02
$318.45
$574.81
$127.05
$223.20
$59.93
$29.06
$22.47
$69.63
$27.35
$17.87
$64.33
$76.62
$360.71
$98.00
$102.20
$318.45
$574.81
$127.05
$223.20
$59.93
$26.83
$22.47
$69.63
$27.35
$17.87
$68.41
$83.84
$360.71
$106.82
$120.23
$318.45
$574.81
$127.05
$223.20
$70.51
$26.83
$22.47
$69.63
$30.10
$17.87
$66.09
$83.84
$360.71
$115.29
$106.09
$318.45
$574.81
$127.05
$223.20
$70.51
$26.83
$23.65
$81.92
$30.40
$17.87
$64.33
$76.62
$360.71
$98.00
$102.20
$318.45
$574.81
$127.05
$223.20
$59.93
$26.83
$22.47
$69.63
$27.35
$17.87
$70.23
$79.73
$360.71
$115.29
$120.23
$318.45
$574.81
$127.05
$223.20
$68.25
$30.54
$26.43
$69.63
$32.18
$17.81
$65.27
$83.84
$360.71
$106.16
$115.80
$318.45
$574.81
$127.05
$223.20
$70.51
$31.56
$22.47
$69.63
$31.01
$17.87
$90.92
$121.04
$432.88
$145.89
$152.25
$382.15
$689.80
$152.47
$267.83
$80.87
$44.94
$124.90
$76.01
$39.96
$19.65
Bid Limit- Competitive Bid Amount Must Be Lower Than The Fee Schedule Amounts Listed Below:
Weight
0.0094379627
0.9024461164
0.0164891748
0.0438580550
0.0277686912
Bid Type ( P=
Purchase
R=Rental) ¹
P
P
P
P
P
Base Unit to Report for
Supplier Capacity ²
1 unit = 1 monthly rental
1 unit = 1 monthly rental
1 unit = 1 monthly rental
1 unit = 1 monthly rental
1 unit = 1 monthly rental
Riverside,
CA
n/a
n/a
n/a
n/a
n/a
Miami, FL Orlando, FL
$8,067.70
n/a
$6,950.80
n/a
$4,068.60
n/a
$4,936.90
n/a
$5,655.30
n/a
Cleveland,
Kansas
Charlotte,
OH
City, MO-KS
NC-SC
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
¹ Bid Type (Purchase or Rental) is not necessarily an indication that this is how payment will be made for the item under the program. In the case of capped rental DME,
these items are generaly paid on a monthly rental basis using fee schedule amounts derived from historic allowed payment amounts for purchase of the item. Likewise,
under competitive bidding, items will be paid on a monthly rental basis using single payment amounts derived from bids submitted for purchase of the item. The following
key explains how rental payments are derived for certain classes of equipment. In the case of all purchased used equipment, payment is based on 75% of purchase bids.
Rental Payments Based off Purchase Bids
▪ Capped Rental DME - single payment amount for rental months 1-3 based on 10% of purchase bids and single payment amount for rental months 4-13 based on 7.5% of purchase bids
▪ Enteral Nutrition Equipment - single payment amount for rental months 1-3 based on 10% of purchase bids and single payment amount for rental months 4-15 based on 7.5% of purchase bids
▪ Inexpensive or Routinely Purchased DME - single payment amount for rental based on 10% of purchase bids
Payment Basis refers to how the item will be paid: MPA is a monthly payment amount for oxygen and/or oxygen equipment; NU is purchased new; UE is purchased used;
² When submitting bids, suppliers must report their capacity for furnishing items in the CBA in terms of units per HCPCS code. The base units to be used in reporting supplier capacity is listed in
this column. In cases where an item is paid on both a purchase and rental basis, suppliers should only report their capacity for furnishing items based on the predominant method of payment
under Medicare. For example, over 90% of the time, power wheelcahirs are purchased rather than rented, so suppliers will report their capacity for frunishing these items on a purchase basis.
Cincinnati, Pittsburgh,
OH-KY-IN
PA
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
Dallas, TX
n/a
n/a
n/a
n/a
n/a
San Juan,
PR
$11,027.10
$7,035.10
$5,212.40
$6,325.00
$7,245.30