Tracer SX5 Manufacturer's Price List

Invacare® IVC™ Tracer® SX5 Wheelchair (Stock) Quick Ship Order Form
Price List and Order Form
Effective June 1, 2006
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.# ___________________________________________
Ship To Name & Address ______________________________________________________________________________________
Special Note
HCPCS codes are not intended to be, nor should be considered billing or legal advice. Providers are responsible for
determining the appropriate billing codes when submitting claims to the Medicare Program and should consult an
attorney or other advisor to discuss specific situations in further detail.
STOCK WHEELCHAIR CONFIGURATIONS
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TRSX56FB (9153637780) K0003
16" X 16" Frame with Flip -Back Fixed Height, Desk Length Arms..................................................................................................................$625.00
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TRSX58FB (9153637785) K0003
18" X 16" Frame with Flip -Back Fixed Height, Desk Length Arms ....................................................................................................................625.00
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TRSX58FBF (9153637781) K0003
18" X 16" Frame with Flip -Back Fixed Height, Full Length Arms........................................................................................................................625.00
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TRSX50FB (9153637777) K0003/K0006/E2201
20" X 16" Frame with Flip -Back Fixed Height, Desk Length Arms ....................................................................................................................625.00
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TRSX50FBF (9153645173) K0003/K0006/E2201
20" X 16" Frame with Flip -Back Fixed Height, Full Length Arms........................................................................................................................625.00
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TRSX52FB (9153645174) K0003/K0006/E2201
22" X 16" Frame with Flip -Back Fixed Height, Desk Length Arms ....................................................................................................................767.00
STOCK FRONT RIGGING OPTIONS
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T93HE (9153637918)
Economy Hemi Footrests; Composite Footplates without heel loops .............................................................................................................$ 62.00
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T93HC (9153637786) E0951
Hemi Footrests; Composite Footplates with heel loops ..........................................................................................................................................90.00
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T93HA (9153637801) E0951
Hemi Footrests; Aluminum Footplates with heel loops ............................................................................................................................................90.00
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T94HE (9153637919) E0990
Economy Hemi Elevating Legrests; Composite Footplates & Calf Pads .............................................................................................................105.00
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T94HC (9153637788) E0990
Hemi Elevating Legrests; Composite Footplates & Padded Calf Pads .................................................................................................................175.00
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T94HA (9153637804) E0990
Hemi Elevating Legrests; Aluminum Footplates & Padded Calf Pads ...................................................................................................................175.00
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AHL4A (9153619911) K0053
Hemi Smartleg Articulating Legrests; Aluminum Footplates & Padded Calf Pads.............................................................................................320.00
For the most current pricing information refer to www.invacare.com.
Invacare® IVC™ Tracer® SX5 Wheelchair Stock
Accessories and Options
STOCK OPTIONS & ACCESSORIES
ANTI-TIPPERS
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1360 (9153629710) E0971
Adjustable Rear Anti-Tippers .........................................................................................................................................................................................$82.00
MISCELLANEOUS
1
2
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1329BKST (9153645341) E0961
8" Wheel Lock Extensions.................................................................................................................................................................................................39.00
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1335ST (9153645342)
Non-Folding Device ............................................................................................................................................................................................................40.00
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1514 (9153602056)
Overhead Anti-Theft Device.............................................................................................................................................................................................46.00
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1515ST (9153645344) E0978
Push Button Style Seat Positioning Strap.......................................................................................................................................................................50.00
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1496 (9153632659) E2208/K0105
IV/Oxygen Cylinder Holder Package Assembly .........................................................................................................................................................158.00
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1497 (9153632671) E2208
Oxygen Cylinder Holder Package Assembly ..............................................................................................................................................................151.00
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1820ST (9153645345)
Non-Removable Device for Front Riggings...................................................................................................................................................................20.00
Footnotes
1. Not available on 20” and 22” widths
2. Not avilable on 22” widths
All Stock Tracer SX5 Wheelchairs Include:
Standard
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Dual Axle Positions (17 1/2" and 19 1/2" Seat-to-Floor)
16" Back Height
8" x 1" Solid Rubber Casters (8 x 1 3/4” on 20” and 22” widths)
24" Composite Wheels with Urethane Tires
Composite Handrims (Chrome Plated on 20” and 22” widths)
Black Nylon Upholstery (U240)
Padded Armpads
Wheel Locks
Specifications
Seat Widths
Overall Width
Seat Depth
Overall Depth
Back Heights
Seat-to-floor
Weight limit
Chair Weight
Shipping Weight
16", 18", 20" or 22"
Seat Width plus 8 1/2"
16"
31 7/8" (18x16 without front riggings)
16"
17 1/2" or 19 1/2"
250 lbs. (300 lbs on 20” and 22” widths)
34 3/4 lbs. (18x16 without front riggings)
44 1/4 lbs.
The Tracer SX5 Wheelchair can also be custom ordered.
Please refer to order form 02-076.
Note: All specifications and dimensions are approximate.
Invacare Corporation
USA
One Invacare Way
Elyria, OH USA
44035-4190
800-333-6900
www.invacare.com
Invacare, the medallion logo and Tracer are registered trademarks, and
IVC and Yes, you can. are trademarks of Invacare Corporation.
Specifications and prices are subject to change without notification.
© 2006 Invacare Corporation
Form No. 06-026
P2006_026A

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