9000XT Manufacturer's Price List - Phc-online.com

Invacare ® IVC 9000 XT Wheelchair
Price List and Order Form Effective July 1, 2003 Revised April 25, 2007
For ease of ordering, contact Customer Service Toll Free at:
800-333- 6900 Fax: 800-678-4682
To order Literature: 800-828-6282
www.invacare.com
Company Name ______________________________________________________________Account #. ______________________________Date _____________________
Phone # _______________________________________________________________________ P.O.# ______________________________________________________________
PRE-CONFIGURED STOCK
STOCK CHAIRS
o 9153629153 9XT/WD86/88 .................................................$986.00
9000XT 18" X 16" 88"
o 9153629154 9XT/WD66/88....................................................986.00
9000XT 16" X 16" 88"
o 9153629155 9XT/WD86/78....................................................986.00
9000XT 18" X 16" 78"
o 9153633131 9XT/WD06/88....................................................986.00
9000XT 20" X 16" 88"
o 9153633417 9XT/WD86/28....................................................986.00
9000XT 18" X 16" 28
STOCK FRONT RIGGING
E0951 o 9153637801 T93HA.....................................................................90.00
Hemi Sw. Footrests Aluminum Footplates w/Heel Loops
E0951 o 9153637786 T93HC ....................................................................90.00
Hemi Sw. Footrests Composite Footplates w/Heel Loops
E0990 o 9153637804 T94HA/U67 .................................................................175.00
Hemi Sw. Elev Legrests Aluminum Footplates
E0990 o 9153637788 T94HC/U67.........................................................175.00
Hemi Sw. Elev Legrests Composite Footplates
K0053 o 9153619911 AHL4A/U67.........................................................175.00
Hemi Smart Leg Art. Legrest Aluminum
STOCK OPTIONS
K2208 o 9153632671 1497 Oxygen Holder Pkg Assembly............151.00
K0108 o 9153632659 1496 IV/Oxygen Holder Pkg Assembly .....158.00
E0971 o 9153629710 1360 Adj. Rear Anti-Tippers (8" Casters) ....82.00
E0971 o 9153629726 1360A Adj. Rear Anti-Tippers (6" Casters)...82.00
E0961 o 9153629713 A1576 Wheel Lock Extensions ........................39.00
o 9153629686 1100 Tool Kit...........................................No Charge
FRAME & SEAT
FRAME TYPE
• 9XT 9000XT.........................................................................986.00
FRAME WIDTH & DEPTH
o WD46 14" X 16" .............................................................No Charge
o WD47 14" X 17"......................................................................118.00
o WD48 14" X 18"......................................................................118.00
o WD56 15" X 16"......................................................................118.00
o WD57 15" X 17"......................................................................118.00
o WD58 15" X 18"......................................................................118.00
o WD66 16" X 16" .............................................................No Charge
o WD67 16" X 17"......................................................................118.00
o WD68 16" X 18"......................................................................118.00
o WD76 17" X 16"......................................................................118.00
o WD77 17" X 17"......................................................................118.00
o WD78 17" X 18"......................................................................118.00
o WD86 18" X 16" .............................................................No Charge
o WD87 18" X 17"......................................................................118.00
o WD88 18" X 18"......................................................................118.00
K0004
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.
1
1
1
1
1
1
1
1
1
FRAME WIDTH & DEPTH CONT.
o WD96 19" X 16"......................................................................142.00
o WD97 19" X 17"......................................................................254.00
o WD98 19" X 18"......................................................................254.00
o WD06 20" X 16"......................................................................142.00
o WD07 20" X 17"......................................................................254.00
o WD08 20" X 18"......................................................................254.00
o WD26 22" X 16"......................................................................142.00
o WD27 22" X 17"......................................................................254.00
o WD28 22" X 18"......................................................................254.00
SEAT TO FLOOR HEIGHT
2 o
Adult (19 1/2" STF).............................................No Charge
2 o H Hemi (17 1/2" STF).............................................No Charge
o SH Super Low (14 1/2" STF)..............................................85.00
3,4 o SHE
Super Hemi (15 1/2" STF).................................No Charge
ARM & BACK
ARM TYPE
o 18 Full Length Fixed Ht. Conventional (10")....................No Charge
o 19 Full Length Adj. Ht.Conventional (10"-14").........................126.00
o 28 Desk Length Fixed Ht.Conventional (10")................No Charge
o 29 Desk Length Adj. Ht. Conventional (10"-14") .....................126.00
6
o 78 Full Length Fixed Ht. Space-Saver (10").........No Charge
6 o 79 Full Length Adj. Ht. Space-Saver (10"-14")............126.00
6 o 88 Desk Length Fixed Ht.Space-Saver (10") ..................No Charge
6 o 89 Desk Length Adj. Ht. Space-Saver (10"-14").........126.00
6
o 79JY Full Length Adj. Ht. Space-Saver (8"-10")..............130.00
6 o 89JY Desk Length Adj. Ht. Space-Saver (8"-10")...........130.00
5
BACK TYPE
o ADJ
o S1418
1,7 o ANGLE
1,7 o ANGLE-S
8 o EXT-B
8 o EXT-S
Adjustable Back w/10° Bend...........................No Charge
Straight Back w/Push Handles (14"-18").......No Charge
Adj. Angle Back w/10° Bend.....................................100.00
Adj. Angle Back w/Straight........................................100.00
4" Extended Back Cane 10° Bend............................20.00
4" Extended Back Cane Straight...............................20.00
FOOTNOTES
1. Not available with Super Low seat-to-floor.
2. Based on 24" wheels and 8" casters. See seat-to-floor matrix.
3. Based on 20" wheels and 6" casters. See seat-to-floor matrix.
4. Requires AT902 (6" casters), U1763BK (20" composite wheels, urethane
tires) AHDRM (aluminum handrims) and A1576 (wheel lock extensions).
Seat-to-floor height is approximately 15 1/2".
5. Removable arm style, flipback.
6. Not available with adjustable angle back type.
7. Standard with rear anti-tippers.
8. Only available with Super Low seat-to-floor.
*Note: All specifications and dimensions are approximate.
E2201
E2201
E2201
E2201
E2201
E2201
E0973
E0973
E0973
E0973
E0973
E0973
For the most current pricing information refer to www.invacare.com.
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E2213
Invacare ® IVC 9000 XT W heelchair
Accessories and Options
COLORS
FRAME FINISH
o 08P Deep Purple........................................................No Charge
o 15P Chrome..................................................................Standard
o 17P Cobalt Blue..........................................................No Charge
o 22P Anthraite..............................................................No Charge
o 24P Wet Black.............................................................No Charge
o 71P Silver Vein .............................................................No Charge
o 88P Wet Black w/Twilight Sparkle..........................No Charge
o 104P Electric Teal..........................................................No Charge
o 105P Midnight Blue......................................................No Charge
CANDY COLORS
o 61P Electric Red .........................................................No Charge
o 62P Electric Blue.........................................................No Charge
o 66P Electric Purple.....................................................No Charge
UPHOLSTERY COLORS
1
o U67 Black Vinyl............................................................No Charge
1
o U85 Dark Blue Vinyl ...................................................No Charge
1
o U88 Camel Vinyl..........................................................No Charge
1
o U240 Black Nylon Upholstery.....................................Standard
2
o U245 Black Sail Cloth Adj. Tension Seat .............................10.00
NAUGAHYDE
o WRAP Wrap Around Upholstery...........................................77.00
3
o SOUPH Screwed On Back Upholstery ...................................89.00
CASTERS
CASTER OPTIONS
o AT902 6" Composite Urethane 3 Spoke ...................No Charge
4 o 1228 8" X 1 3/4" Semi. Pneu Casters Lt Grey ..................56.00
4 o AT903 8" X 1-1/4" Composite Urethane.....................Standard
4
o 1299 8" X 1" Solid Rubber Casters ........................No Charge
4 o 1292 8" X 1-1/4" Pneumatic Casters...................................87.00
4 o 1492 8" X 1-1/4" Pneu. w/Flat Free Inserts.....................104.00
o L8840 Omit Casters.....................................................Less 50.00
o L8790 Omit Caster And Fork Assemblies...............Less 50.00
3
5
WHEEL OPTIONS (ONE ARM DRIVE)
6
o 9457R One Arm Drive w/2244BK Mag Wheel RH.........589.00
6
o 9458L One Arm Drive w/2244BK Mag Wheel LH.........589.00
6
o 99457R One Arm Drive w/2244BK/Flat Free RH .............697.00
6
o 99458L One Arm Drive w/2244BK/Flat Free LH..............697.00
6
o 9456L One Arm Drive w/U2222 LH..................................606.00
6
o 9456R One Arm Drive w/U2222 RH .................................606.00
o LDR96RI CLD One Arm Drive 6" Right Hand.....................797.00
o LDR96LI CLD One Arm Drive 6" Left Hand........................797.00
o LDR98RI CLD One Arm Drive 8" Right Hand.....................797.00
o LDR98LI CLD One Arm Drive 8" Left Hand........................797.00
4,6,7
4,6,7
4,6,7
4,6,7
HANDRIM OPTIONS
8 o AHDRM Aluminum Handrims.........................................No Charge
o CHDRM Chrome Plated Handrims................................No Charge
9 o COM Composite Handrim...........................................Standard
o 1512 Plastic Coated Aluminum Handrims.........................85.00
9 o 1224-8 8 Alum. Oblique Proj. Hdrm, Plstic Coat ..............252.00
9 o 1225-8 8 Alum. Vert. Proj. Hdrm. Plstic Coat .....................252.00
o L8702 Omit Handrims.................................................Less 15.00
REAR AXLE
3,4
o OFFAXL Offset Axle......................................................................40.00
WHEEL LOCKS
10 o 9695 Hill Holder......................................................................90.00
o 9690B Pull To Lock Whl Locks (Std on Hemi).........No Charge
o 9691B Push To Lock Whl Locks (Std on Adult) .......No Charge
o 9690 Pull To Lock Disk Whl Locks .........................No Charge
o 9691 Push To Lock Disk Whl Locks .......................No Charge
o A1567 Pull To Lock Clamp On Wheel Locks......................76.00
o 1721 High Push To Lock Clamp On Wheel Locks ..........71.00
POSITIONING STRAPS
SEAT POSITIONING STRAPS
o 1311BK Airline Buckle Seat Positioning Strap.......................50.00
o 1515 Push Button Style Seat Positioning Strap ................50.00
o 1321BK Hook & Loop Seat Positioning Strap .......................40.00
E0958
E0958
E0958
E0958
E0958
E0958
E0958
E0958
E0958
E0958
E0967
E0967
E0974
E0978
E0978
E0978
11
E2213
E2213
E2213
CASTER JOURNAL OPTION
3,4
o ADJC Adjustable Caster Journal ...........................................29.00
3,4
o ADJCPB Adjustable Percison Bearing Caster Journal...........41.00
WHEELS
WHEEL OPTIONS
o 1763BK 20" Composite Pneumatic Tires.............................117.00
o 4763BK 20" Composite Pneu. Flat Free Inserts..................232.00
o U1763BK 20" Composite Urethane Tires ...............................113.00
o 1764BK 22" Composite Pneumatic Tires.............................117.00
o 4764BK 22" Composite Pneu. Flat Free Inserts..................232.00
4 o 5244BK 24" Heavy Duty Comp. Pneu. w/FF Inserts ..........298.00
4 o U1764BK 22" Composite Urethane Tires ...............................113.00
4 o 2244BK 24" Composite Pneumatic Tires.............................140.00
4 o 4244BK 24" Composite Pneu. w/FF Inserts.........................225.00
4 o U2244BK 24" Composite Urethane Treaded Tires..............120.00
4 o U2222 24" Composite Urethane Tires.......................Standard
o L8701 Omit Rear Wheels ...........................................Less 50.00
CHEST POSITIONING STRAPS
o 7311BK Airline Buckle Chest Positioning Strap....................50.00
o 9515 Push Button Style Chest Positioning Strap .............50.00
o 7321BK Hook & Loop Chest Positioning Strap ....................40.00
FOOTNOTES
1. Vinyl upholstery must choose WRAP or SOUPH.
2. U245 sail cloth adjustable tension seat upholstery available w/U240 black
nylon back upholstery only.
3. Not available with Adjustable Angle or Adjustable Angle-S back type.
4. Not available w/Super Low seat to floor.
5. The Cyclical Lever Drive requires treaded rear wheels and is only available
on 16, 17, and 18" deep. Hemi seat-to-floor must use space saver arms.
Weight limit is 250 lbs.
6. Not available w/amputee attachment or offset axle
7. Not available with adjustable caster journal..
8. Not available w/U2222 rear wheels.
9. Not available on 20" and 22" composite rear wheels.
10. Not available w ith urethane tires or 20" rear wheels.
11. Fixed caster journals are standard.
*Note: All specifications and dimensions are approximate.
E0960
E0960
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E0950
E2207
K0105
E0971
E0959
E0971
E0959
Invacare ® IVC 9000 XT Wheelchair
Accessories and Options
ACCESSORIES & STOCK OPTIONS FRONT RIGGING OPTIONS
BACK ACCESSORIES
o L8601 Omit Back Upholstery .......................................Less 10.00
1 o ADJTENS Adjustable Tension Back Upholstery......................112.00
o 1160 Carrying Pocket ............................................................54.00
2 o STC Stencil Back Upholstery ..............................................29.00
o RB Dual Back Liner.............................................................49.00
o 9130-16 Solid Back Insert 16" High .......................................105.00
o 9130-18 Solid Back Insert 18" High .......................................105.00
o BP02 Back Pack........................................................................50.00
SEAT ACCESSORIES
o L8651 Omit Seat Upholstery .....................................Less 10.00
o 9662L Drop Hook Solid Folding Seat ................................126.00
3 o 9120 Solid Seat Insert ............................................................98.00
o RS Dual Seat Liner..............................................................49.00
o SP-01 Seat Pouch......................................................................35.00
ARM ACCESSORIES
o L8401 Omit Arms..........................................................Less 20.00
o L8405 Omit Arm Pads..................................................Less 10.00
o NRAS Non-Removable Arm With Screws ..........................10.00
4 o 1300 Utility Tray ....................................................................157.00
o 1571 Fabric Clothing Protectors.........................................40.00
MISCELLANEOUS ACCESSORIES
5 o 1305L Crutch & Cane Carrier...............................................43.00
6,7 o 1577QR Quick Release Axles.....................................................86.00
5 o 2218 IV Rod, Telescopic.......................................................148.00
o 2226 Front Anti-Tippers ........................................................83.00
8 o 9357SH Super Low Amputee Attachment..............................95.00
8 o 1360SH Super Low Adjustable Rear Anti-Tipper .................82.00
6,7 o 9357L Amputee Attachment...................................................95.00
STOCK OPTIONS
o 1497 Oxygen Holder Package Assembly .........................151.00
o 1496 IV/Oxygen Holder Package Assembly ....................158.00
o 1360 Adjustable Rear Anti-Tipper (8" Casters)...............82.00
o 1360A Adjustable Rear Anti-Tipper (6" Casters)...............82.00
14 o A1576 Wheel Lock Extensions ..............................................39.00
o 1100 Tool Kit.................................................................No Charge
5,6,10
5,6,10
5,9,11,12
5,9,13
E2208
K0108
E0971
E0971
E0961
FRONT RIGGING
o SH904M Super Low Elev. Legrests 11"-17"...........................266.00
o SH904MS Super Low Elev. Legrests 14" Wide........................266.00
o SH93E Super Low Ext. Sw. Footrests 11"-17"...................185.00
o SH93ES Super Low Ext. Sw. Footrests 14" Wide ...............185.00
o H93M Hemi Minimum Swingaway Footrests ....................185.00
o AHL4A Hemi Smartleg ® Art. Legrests 16" & Above ..........320.00
o AHL4C Hemi Smartleg Art. Legrests 16" & Above ...........320.00
o AHS4A Hemi Smartleg Art. Legrests 14" - 15" Wide .......320.00
o H93E Hemi Ext Swingaway Footrests...............................185.00
o T93HA Hemi Sw. Footrest Aluminum Footplates
w/Heel Loops.................................................................90.00
o T93HC Hemi Sw. Footrests Composite Footplates
w/Heel Loops.................................................................90.00
o T93HS Hemi Sw. Footrests Aluminum Footplates 14" Wide......90.00
o T94HA Hemi Sw. Elev. Legrests Aluminum Footplates.....175.00
o T94HC Hemi Sw. Elev. Legrests Composite Footplates...175.00
o T94HS Hemi Sw Elev. Legrests Alum Footplates 14" Wide......175.00
o T963A
15
60° Footrest Aluminum Footplate ............................90.00
o T963C
16
60° Footrest Composite Footplate..........................90.00
o T963S 60° Footrest Composite Footplate 14" Wide.......90.00
17
FOOTPLATE OPTIONS
o 1350 Extra Large Aluminum Footplates.............................79.00
o AT5543 Adjustable Angle Flip-Up Footplates ........................67.00
FOOTREST/LEGREST ACCESSORIES
o 1820 Non-Removable Device ..............................................12.00
o 1337 Calf Strap........................................................................36.00
o 1600BK Heel Loops With Ankle Straps..................................56.00
o 9342 ”H” Strap........................................................................56.00
o MFXL Minimum Legrest Extension.....................................182.00
o 1346 Heel Loops.....................................................................39.00
o FPP Footplate Parallel With Floor ..................................171.00
o L8515 Omit Calf Pads ...................................................Less 10.00
o IMPACTG Impact Guards...............................................................51.00
FOOTNOTES
1. Not available w/amputee attachment or offset axle
2. Only available w/Vinyl upholstery. 3/4" block letters.
3. Not available on 22" wide chairs.
4. Not available with 24" rear wheel set in Hemi position.
5. Not available with traditional one arm drive, but is available with CLD one
arm drive.
6. Not available with offset axle.
7. Not available with any one arm drive.
8. Only available on Super Low seat to floor.
9. For 0° and 6° seat angles. See service manual for details.
10. Not available with amputee attachment.
11. Only available with 8" casters.
12. Standard w/Adjustable Angle Back.
13. Only available with 6" casters.
14. Elastic cord wheel lock extensions. Hemi seat to floors come standard with
non-cord wheel lock extensions.
15. Only available on T944 elevating legrests.
16. Standard on footrests.
17. Only available w/H93M front riggings.
*Note: All specifications and dimensions are approximate.
E0990
E0990
K0053
K0053
K0053
E0990
E0990
E0990
K0041
K0040
K0038
E0951
K0039
E0951
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