Invacare eForms For additional information, visit www.invacare.com/eForms Customer Service: 800-333-6900 Fax: 800-678-4682 www.invacare.com To order Literature: 800-828-6282 Invacare eForms offer new functionality! Invacare is pleased to offer you an upgraded solution to your ordering process. Our enhanced order forms allow you to fill out a form electronically, print and fax the form, save and email* it to Customer Service, or maintain the business practices that work for you today. The format has been revised to reveal a cleaner look with electronic selection and input functions. *Saving and emailing the eForms is available with Acrobat Professional software If you are using Adobe Acrobat Professional If you are using Adobe Reader • View and download all forms • View and download all forms • Save blank versions of the forms to your desktop • Save blank AND completed versions of the forms to maintain electronic records • Complete forms electronically • Print blank or completed forms • Complete forms electronically • Fax completed forms to Customer Service • Print blank or completed forms • Fax completed forms to Customer Service • Email completed forms to Customer Service by using the 'Email' button at the end of the form. Please note: The 'Email' button at the end of the form will not work with Adobe Reader. The 'Email' button will only work while using Adobe Acrobat Professional. For information on downloading Adobe Reader for free, or puchasing Adobe Acrobat Professional, please visit www.adobe.com. NOTE: All specifications and dimensions are approximate. For the most current pricing information, go to www.invacare.com/homecare. Page 1 of 3 Invacare® Nutron® R51™ Price List and Order Form Customer Service: 800-333-6900 www.invacare.com Fax: 800-678-4682 To order literature: 800-828-6282 TRANSACTION TYPE: Order Date Quote Account # P.O. # Company Name Phone # Address State 0 City Contact Name Zip Code Country Comments 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. SEAT ACCESSORIES FRAME SELECTION POWER CHAIR TYPE Nutron R51 w/MK5™ NX™ Electronics ................ $4,795.00 R51 9120 L8651 Solid Seat Insert .......................................................... $98.00 Omit Seat Upholstery ......................................... Less $10.00 FRAME WIDTH W16 W18 W20 ARM SELECTIONS 16" Seat Width ........................................................... Standard 18" Seat Width.........................................................No Charge 20" Seat Width ............................................................ $329.00 SEAT DEPTH D16 D17 D18 16" Seat Depth ........................................................... Standard 17" Seat Depth ........................................................ No Charge 18" Seat Depth ........................................................ No Charge SEAT-TO-FLOOR HEIGHT STF1734 17 3/4" Seat-to-Floor .............................................. No Charge STF1934 19 3/4" Seat-to-Floor ................................................. Standard Wet Black ............................................................... No Charge UPHOLSTERY U240 28F 29F 18F 19F Flip Up Desk Length Fixed Ht Conv ............ No Charge Flip Up Desk Length Adj. Ht Conv ................... $230.00 Flip Up Full Length Fixed Ht Conv .................. Standard Flip Up Full Length Adj. Ht Conv ..................... $230.00 E0973 E0973 ARM ACCESSORIES L8401 L8405 Omit Arms .......................................................... Less $20.00 Omit Arm Pads ................................................... Less $10.00 CASTER AND REAR WHEEL OPTIONS CASTERS FRAME FINISH 24P ARM TYPE (PAIR) Black Nylon Upholstery ............................................ Standard 1251BK 1228 1259 REAR WHEEL TYPE 1476 1477 BACK AND SEAT SELECTIONS 8" x 2" Pneumatic ................................................... No Charge 8" x 1 3/4" Semi Pneumatic Lt Grey ......................... Standard 6" x 2" Semi Pneumatic ......................................... No Charge 12 1/2" x 2 1/4" Pneumatic Tires ............................... Standard 12 1/2" x 2 1/4" Flat Free Tires ................................. $150.00 BACK TYPE AHAB BATTERY CHARGER OPTIONS BACK HEIGHT BH16 BH17 BH18 BH19 16" Back Height ..................................................... No Charge 17" Back Height ........................................................ Standard 18" Back Height ..................................................... No Charge 19" Back Height ..................................................... No Charge SEAT POSITIONING STRAPS 1515 1311BK BATTERY OPTIONS Adjustable Height/Angle Back .................................. Standard Clear 110CHARGER LESTR L8900 110 Volt Battery Charger ..................... No Charge Lester 8-Amp Battery Charger ................. $320.00 Omit Charger ...................................... Less $80.00 BATTERIES 22NFMKG-2 Clear MK Battery Gel (2 each) ............................................ $300.00 Push Button Style Seat Pos. Strap ............................ Standard Airline Buckle Seat Pos. Strap ..................................... $50.00 NOTE: All specifications and dimensions are approximate. For the most current pricing information, go to www.invacare.com/homecare. Revised March 9, 2015 Form No. 01-330 Invacare® Nutron® R51™ ELECTRONICS R51 Specifications JOYSTICK MOUNTING HARDWARE LEFT Left Hand Mounted Joystick .................................. No Charge MISCELLANEOUS ACCESSORIES MISCELLANEOUS ACCESSORIES 1304 1209 NO2 Wheel Locks .............................................................. $45.00 Tire Pump .................................................................... $35.00 Oxygen Holder .......................................................... $150.00 20"-26" 9° Ground Clearance 3 1/2" Weight Capacity 250 lbs. Motor 350 watt Maximum Speed 4 mph Front (footrest in place) 33" 12" Heights Swingaway Footrests 13 1/2" - 19" ................... $165.00 Swingaway Elev. Legrests 16" - 19 3/4" .......... $255.00 Smartleg Art. Legrests 17 1/4" - 21 1/2" .......... $320.00 E0990 K0053 FOOTPLATE OPTIONS 17 3/4" seat-to-floor 35" - 38" 19 3/4" seat-to-floor 37" - 40" Back angle -5° - 20° Weight Aluminum Footplates ............................................. No Charge Extra Large Aluminum Footplates ............................. $115.00 Not available on 16" wide frame. AT5543 1450 Width Incline Capability Rear (anti tippers in place) FRONT RIGGINGS 1650 1350 40 3/4" Turning Radius** FRONT RIGGING OPTIONS PW93 P904A PAL4A Length* Adjustable Angle Flip-Up Footplates ......................... $165.00 Aluminum Footplates Deluxe ................................ No Charge Heel Loop ........................................................... $45.00 Calf Strap ............................................................ $36.00 9342 "H" Strap ............................................................ $56.00 90 lbs. Battery Options 22NF Front casters (standard) 8" x 2" Front casters (optional) 6" x 2" Drive wheels 12 1/2" x 2 1/4" E0951 Warranty 2" wide hook and loop closure. Seating and Positioning For your seating needs please refer to the following: Rehab Seating and Positioning Products see Price List Form 07-027 155 lbs. Without batteries Wheel and caster size FOOTREST/LEGREST ACCESSORIES HLOOP 1337 With 22NF batteries Base frame 60 months Seat frame 36 months Electronics 12 months Motor/gearbox 12 months * Measured with PW93 front riggings and anti tippers with a 16" seat depth. ** Measured with 16" W x 16" D seat. Comments Print Form Email Form Clear Form NOTE: All specifications and dimensions are approximate. For the most current pricing information, go to www.invacare.com/homecare. Invacare Corporation USA One Invacare Way Elyria, OH USA 44035-4190 800-333-6900 Revised March 9, 2015 www.invacare.com ©2013 Invacare Corporation All rights reserved. Trademarks are identified by the symbols™ and ®. All trademarks are owned by or licensed to Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification. Form No. 01-330
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