Invacare IVC Tracer SX5 Fascicule
Invacare
®
IVC™ Tracer
®
SX5
Wheelchair
(Builders)
Price List and Order Form
Effective July 1, 2008
For ease of ordering, contact Customer Service Toll Free at:
800-333-6900 Fax: 800-678-4682
To order Literature: 800-828-6282
800-333-6900 Fax: 800-678-4682
To order Literature: 800-828-6282
www.invacare.com
Company Name ______________________________________________________Account # ____________________________________________
Phone ________________________ P.O. # ________________________________Date_________________________________________________
Ship to Name & Address ____________________________________________________________________________________________________
NOTE: All specifications and dimensions are approximate.
For the most current pricing information go to www.invacare.com.
page 1
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.
submitting claims to the Medicare Program and should consult an attorney or other advisor to discuss specific situations in further detail.
NOTE: Existing base information (serial #) will need to be supplied to Customer Service to ensure correct configuration.
FRAME & SEAT
CHAIR TYPE
TRSX5
Tracer SX5 Builder Wheelchair (K0003) ............ 678.00
FRAME TYPE
ADULT Adult
19.5 ....................................................... No Charge
HEMI
Hemi 17.5 ....................................................... No Charge
FRAME WIDTH & DEPTH
WD46
14" Wide X 16" Deep (K0108) ...................... No Charge
WD66
16" Wide X 16" Deep..................................... No Charge
WD86
18" Wide X 16" Deep..................................... No Charge
WD06
20" Wide X 16" Deep (K0006/E2201) .......... No Charge
WD26
22" Wide X 16" Deep (K0006/E2201) ................ 142.00
ARM & BACK
ARM TYPE
18FB
Full Length Fixed Ht. Flip-Back 10" ............. No Charge
19FB
Full Length Adj. Ht. Flip-Back 10"-14" .............. 130.00
28FB
Desk Lng Fxd Ht. Flip-Back 10" (E0973) ..... No Charge
29FB
Desk Lng Adj. Ht. Flip-Back 10"-14" (E0973) ... 130.00
BACK TYPE
BH16
Back Height 16" .............................................. Standard
BH18 Back
Height
18" ............................................. No Charge
COLORS
UPHOLSTERY COLORS
U240 Black
Nylon Upholstery.................................. Standard
U550
Midnight Blue Vinyl Uph .............................. No Charge
U67 Black
Vinyl..................................................... No Charge
U86
Ruby Red Vinyl .............................................. No Charge
CASTERS
CASTER OPTIONS
AT902
6" Composite Urethane 3 Spoke .................... No Charge
AT903
8" X 1.25" Composite Urethane..................... No Charge
1255
8" X 1" Solid Rubber Dark Grey .................... Standard
1228
8" X 1.75" Semi Pneumatic Casters Lt Grey ......... 56.00
FOOTNOTES
FOOTNOTES
1
Based on 24" wheels and 8" casters, see seat-to-floor matrix.
2
20" and 22" widths have 300 lb wt limit, standard with 1228 casters, 24" rear
wheels and CHDRM handrims.
3
Arms are Flipback non-removable.
WHEELS
WHEEL OPTIONS
U1763BK
20" Composite Urethane Tires ............................. 113.00
U1764BK
22" Composite Urethane Tires ............................. 113.00
2244BK
24" Composite Pneumatic Tires ........................... 140.00
4244BK 24"
Comp
Pneumatic
w/FF Inserts (E2213) ........ 225.00
U2222 24"
Composite
Urethane Tires ........................ Standard
U2244BK
24" Composite Urethane Treaded Tires ............... 120.00
WHEEL OPTIONS (ONE ARM DRIVE)
99457R
One Arm Drive w/2244BK/FF RH (E0958) ........ 589.00
99458L
One Arm Drive w/2244BK/FF LH (E0958) ........ 589.00
9456L
One Arm Drive w/U2222 LH (E0958)................. 606.00
9456R
One Arm Drive w/U2222 RH (E0958) ................ 606.00
HANDRIMS OPTIONS
AHDRM Aluminum
Handrims .....................................No Charge
CHDRM Chrome
Plated
Handrims................................No Charge
COM Composite
Handrims ....................................... Standard
L8702 Omit
Handrims ..............................................Less 15.00
WHEEL LOCKS
9690B
Pull To Lock Whl Locks (Std on Hemi) ........No Charge
9691B
Push To Lock Whl Locks (Std on Adult).......No Charge
9690
Pull To Lock Disk Wheel Locks ....................No Charge
9691
Push To Lock Disk Wheel Locks...................No Charge
POSITIONING STRAPS
SEAT POSITIONING STRAPS
1515
Push Button Style Buckle Seat Pos Strap (E0978) ....... 50.00
1321BK
Hook &Loop Seat Positioning Strap (E0978)........ 40.00
4
Not available with amputee attachment.
5
Not available with U2222 rear wheels.
6
Available with 24" rear wheels only.