COMPONENT PRICE LIST - Permobil · 2017. 11. 2. · 201126 aero z custom t-nut,m6 ea $5 k0108...

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March 1, 2017 (Prices are subject to change without notice.) COMPONENT PRICE LIST

Transcript of COMPONENT PRICE LIST - Permobil · 2017. 11. 2. · 201126 aero z custom t-nut,m6 ea $5 k0108...

  • March 1, 2017(Prices are subject to change without notice.)

    COMPONENTPRICE LIST

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    Effective March 1, 2017

    PPL_117_REV I

    permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    Stock Code Description Unit List Price HCPCS Code

    200602 COMP. HANGER TOP PIVOT .051,M EA $6 K0108

    200603 1” FOOTREST CLAMP,M6-RAW EA $19

    200933 FTREST TUBE EXPAN CLAMP-B,MTR EA $22 K0108

    200940 SIDEGUARD BRACKET RIGID,M4 EA $50 K0108

    201126 AERO Z CUSTOM T-NUT,M6 EA $5 K0108

    201138 BACKPLUG SHORT,1.00 x .051,MTR EA $3 K0108

    201146 COMP HANGER RELEASE PIN,METRIC EA $9 K0108

    201147 COMP. HANGER TOP PIVOT,METRIC EA $6 K0108

    201151 HANGER PLUG .083,METRIC EA $6 K0108

    201228 CUSTOM T-NUT M6 EA $8 K0108

    201251 COMP. HANGER MOUNT .051,METRIC EA $6 K0108

    201260 COMP. HANGER MOUNT,METRIC EA $5 K0108

    201262 Z2 BACK SADDLE,METRIC EA $15 K0108

    201263 STRAIGHT 11-15 BACKREST TUBE EA $60 K0108

    201266 STRAIGHT 16-20 BACKREST TUBE EA $60 K0108

    201268 8° 11-15 BACKREST TUBE EA $65 K0108

    201270 8° 16-20 BACKREST TUBE EA $65 K0108

    201272 ANGLEADJ FOOTPLATE 6.0,METRIC EA $48 K0108

    201273 ANGLE ADJ FOOTPLATE 7.0,METRIC EA $48 K0108

    201274 HIMOUNT FTPLATE EXT, 2”,METRIC EA $37 K0108

    201275 HIMOUNT FTPLATE EXT, 4”,METRIC EA $37 K0108

    201276 PED, FOOTREST SPACER,METRIC EA $26

    201279 D-ADJ FLIPBACK FTPLATE,M,8-10” EA $110

    201280 D-ADJ FLIPBACK FTPLATE,M,9-11” EA $107

    201281 D-ADJ FLPBACK FTPLATE,M,10-12” EA $110

    201282 D-ADJ FLPBACK FTPLATE,M,11-13” EA $110

    201283 D-ADJ FLPBACK FTPLATE,M,12-14” EA $110

    201299 LOCKING BLOCK,6mm EA $26 K0108

    201300 FLIPUP FTPLT BRKT,1” TUBE,R,M EA $29 K0108

    201301 LT FTPLATE FOLDER 4.203,MTR EA $73 K0108

    201305 FOOTPLATE DPTH ADJ,12-13”,MTR EA $62 K0108

    201308 FOOTPLATE DPTH ADJ,14-15”,MTR EA $62 K0108

    201310 FTPLATE RT OVRCNT 8.814,MTR EA $42 K0108

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    PPL_117_REV I

    Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    201317 PIVOT TUBE,7.00”, 9.36” EA $20 K0108

    201324 D-SHAPE EXT BENT,7.25,M EA $10 K0108

    201327 FTREST EXT STR MED,METRIC EA $41 K0108

    201392 STANDOFF HEX,SS,METRIC EA $8

    201394 1” TUBE BACKREST SADDLE,METRIC EA $26

    201396 FOLDDOWN BACK ADJ TUBE XS,MTR EA $7 K0108

    201398 FOLDDOWN BACK ADJ TUBE STD,MTR EA $8 K0108

    201401 BACKREST TUBE EXT. PLUG,METRIC EA $15 K0108

    201402 UPHOLSTRY RETAINER,METRIC EA $16 K0108

    201405 FLIP BACK ARMREST TUBE,METRIC EA $27 K0108

    201408 CASTER AXLE, LONG,METRIC EA $7 K0108

    201409 FLIPUP FTPLT BRKT,1” TUBE,L,M EA $29 K0108

    201410 SLIDEIN SEAT TUBE EXT PLUG,MTR EA $8 K0108

    201412 ANGLE ADJ FOOTPLATE 8.000,MTR EA $48 K0108

    201413 ANGLE ADJ FOOTPLATE 9.0,METRIC EA $48 K0108

    201414 ANGLEADJ FOOTPLATE 10.0,METRIC EA $48 K0108

    201415 ANGLEADJ FOOTPLATE 11.0,METRIC EA $48 K0108

    201417 CLAMP STOP,METRIC EA $25 K0108

    201418 FLIP BACK SPACER,METRIC EA $8 K0108

    201432 ENDPLUG,C-FIBER RELEASE BAR,M6 EA $21 K0108

    201434 LT FTPLATE FOLDER 5.203,MTR EA $73 K0108

    201436 RT FOOTPLATE FOLDER 5.203,MTR EA $73 K0108

    201437 LT FTPLATE FOLDER 6.203,MTR EA $73 K0108

    201438 RT FOOTPLATE FOLDER 6.203,MTR EA $73 K0108

    201442 LT FTPLATE FOLDER 7.203,MTR EA $73 K0108

    201443 RT FOOTPLATE FOLDER 7.203,MTR EA $73 K0108

    201444 RT FOOTPLATE FOLDER 4.203,MTR EA $73 K0108

    201445 PED, FTRST ANG ADJ BRACKET,MTR EA $48 K0108

    201448 FTPLATE RT OVRCNT 5.814,METRIC EA $73 K0108

    201449 FTPLATE RT OVRCNT 6.314,METRIC EA $73 K0108

    201450 FTPLATE RT OVRCNT 6.814,METRIC EA $73 K0108

    201451 FTPLATE RT OVRCNT 7.814,METRIC EA $73 K0108

    201455 FTREST ANGLE ADJ. BTM EXT,RT,M EA $55 K0108

    201457 FTPLATE RT OVRCNT 5.314,METRIC EA $73 K0108

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    Effective March 1, 2017

    PPL_117_REV I

    permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    201464 FOLDDOWN BACK ADJ TUBE LNG,MTR EA $11 K0108

    201465 Z2 ARMREST ADJ RCVR,RT,METRIC EA $48 K0108

    201466 Z2 ARMREST ADJ RCVR,LT,METRIC EA $48 K0108

    201475 FTREST EXT,D-SHAPE BENT,MED,M6 EA $10 K0043

    201476 FTREST EXT,D-SHAPE BENT,LNG,M6 EA $10 K0043

    201502 ZRA SPORTARM TUBE-RIGHT,MTR EA $81 K0108

    201513 2GX ARMREST RCVR,MTR EA $41 K0108

    201515 Z2 ARMREST TUBE TALL-LT,MTR EA $81 K0108

    201516 Z2 ARMREST TUBE TALL-RT,MTR EA $81 K0108

    201521 OVR CTR FOOTPLATE HINGE,METRIC EA $23 K0108

    201535 ARM TUBE,AA,SHORT 12-15”,L,M6 EA $79 K0108

    201536 ARM TUBE,AA,SHORT 12-15”,R,M6 EA $79 K0108

    201540 SEATRAIL 11”,M5 EA $6 K0108

    201565 CAMBER CLAMP RT, METRIC EA $45 K0108

    201566 CAMBER CLAMP LFT, METRIC EA $45 K0108

    201567 CAMBER CLAMP,METRIC EA $15 K0108

    201568 LOCKING ,METRIC EA $13 K0108

    201583 6-9” FLIP BACK ARM UPRIGHT,MTR EA $34 K0108

    201584 9-12” FLIPBACK ARM UPRIGHT,MTR EA $34 K0108

    201610 AX/R,ARMREST TUBE,9-12” R,MTR EA $70 K0108

    201611 AX/R,ARMREST TUBE,9-12” L,MTR EA $70 K0108

    201617 AX/R,ARMREST TUBE,12-15” R,MTR EA $70 K0108

    201618 AX/R,ARMREST TUBE,12-15” L,MTR EA $70 K0108

    201651 Z2 BACK EXT TUBE, SHORT,MTR EA $32 K0108

    201652 CAP, RIGID SIDEGUARD,M5 EA $11 K0108

    201674 SEATRAIL 12”, M5 EA $6 K0108

    201675 SEATRAIL 13”, M5 EA $6 K0108

    201676 SEATRAIL 14”, M5 EA $6 K0108

    201677 SEATRAIL 15”, M5 EA $6 K0108

    201678 SEATRAIL 16”, M5 EA $6 K0108

    201680 SEATRAIL 17”, M5 EA $6 K0108

    201681 SEATRAIL 18”, M5 EA $6 K0108

    201682 SEATRAIL 19”, M5 EA $6 K0108

    201683 SEATRAIL 20”, M5 EA $6 K0108

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    PPL_117_REV I

    Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    201684 SEATRAIL 10”, M5 EA $6 K0108

    201685 SEATRAIL 9”, M5 EA $6 K0108

    201686 COMPOSITE SEAT PAN RIB, M3 EA $24

    201712 BEARING FORK STEM,STD,M10/M12 EA $11 K0108

    201714 BEARINGFORK STEM,+0.5”,M10/M12 EA $19 K0108

    201723 BACKREST LATCH SPACER,M6 EA $4 K0108

    201728 FLIP BACK ARMREST STOP LT,M5 EA $62 K0108

    201729 FLIP BACK ARMREST STOP RT,M5 EA $62 K0108

    201733 P-HANDLE 11-15 TUBE,MTR EA $65 K0108

    201734 P-HANDLE 8° 11-15 TUBE,MTR EA $70 K0108

    201735 P-HANDLE 8° 16-20 TUBE,MTR EA $70 K0108

    201736 FOLDDOWN BACK TOP PIVOT,M6 EA $53 K0108

    201749 FTPLATE LT OVRCTR 5.814, MTR EA $73 K0108

    201750 FTPLATE LT OVRCTR 6.814, MTR EA $73 K0108

    201751 FTPLATE LT OVRCTR 7.814, MTR EA $73 K0108

    201752 FTPLATE LT OVRCTR 5.314, MTR EA $73 K0108

    201753 FTPLATE LT OVRCTR 6.314, MTR EA $73 K0108

    201754 FTPLATE LT OVRCTR 7.314, MTR EA $73 K0108

    201761 SNGLSIDE CASTER ENDCAP-CLR,M5 EA $15 K0108

    201762 SNGLSIDE CASTER ENDCAP-BLK,M5 EA $15 K0108

    201772 SPINERGY POWER/MAN SPACER,M4 EA $9 K0108

    201773 COLLAR, QUAD QUICK RLS AXLE,M4 EA $9 K0108

    201776 C-FIBER12K FLAT TOW PANEL,STD EA $106 K0108

    201777 C-FIBER12K FLAT TOW PANEL,SML EA $106 K0108

    201784 CAST, TOE CLAMP,RIGHT,M6 EA $24 K0108

    201789 VERT AXLE PLATE/COMP SADDLE,M6 EA $13 K0108

    201790 COMP. HANGER DEFLECTOR -LT,M5 EA $6 K0108

    201848 LUGGAGE CARRIER CLAMP,1.25”,M6 EA $47 K0108

    201855 ZR CAMBER CLAMP-BLK,M6 EA $34 K0108

    201864 CAST, TOE CLAMP,LEFT,M6 EA $24 K0108

    201874 ROTATION BRACKET,M6 EA $18 K0108

    201890 COMP. HANGER DEFLECTOR -RT,M5 EA $6 K0108

    201891 RIGID AXLE PLATE CLAMP,M6 EA $39 K0108

    201892 SRTD ADJHT P-HNDL PLATE,M4/M6 EA $16 K0108

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    Effective March 1, 2017

    PPL_117_REV I

    permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    201893 FTPLATE RT OVRCNT 8.314,MTR EA $43 K0108

    201895 FOOTPLATE DPTH ADJ,16-17”,M6 EA $62 K0041

    201896 FOOTPLATE DPTH ADJ,18-19”,M6 EA $62 K0041

    201899 ARM STOP,M6 EA $30 K0108

    201900 PED, ARM STOP,M5 EA $19 K0108

    201907 AX2, WHEEL LOCK EXT X-LONG,M6 EA $27 K0108

    201912 1-PIECE FLIPUP FTRST SPACER,M6 EA $13 K0108

    201913 FTPLATE LT OVRCNT 8.314,MTR EA $43 K0108

    201947 P/P WHEEL LOCK MOUNT LONG,M6 EA $27 K0108

    201948 CLAMP,WHLLOCK,THRD,1.25-.75,M6 EA $20 K0108

    201949 CRUTCH HOLDER BENT TUBE,M5/M6 EA $40 K0108

    201953 BAND CLAMP, THREADED,M6 EA $11 K0108

    201965 SIDEGUARD SPACER,M6 EA $8 K0108

    201984 AERO X AMPUTEE AXLE PLATE,M6 EA $106 E0959

    201987 FOLDING BACKREST BAR PIVOT,M6 EA $38 K0108

    201998 Z2 STD ANTI-TIP RCVR,RT,M6 EA $37 K0108

    201999 Z2 STD ANTI-TIP RCVR,LT,M6 EA $37 K0108

    202000 FENDERED SG TAB,M6 EA $30 K0108

    202003 M6 FLAT HEAD SPACER EA $6 K0108

    202004 CENTER MOUNT CLAMP EA $90 K0108

    202035 WHLLOCK,CBORED,1.25-.75,M6 EA $20 K0108

    202037 CRUTCH HOLDER STRAIGHT TUBE,M5 EA $40 K0108

    202039 BAND CLAMP, THRU HOLE,M6 EA $11 K0108

    202040 ADJHT P-HANDLE w/F-BAR RCVR,M EA $53 K0108

    202083 CENTER MOUNT CLAMP,METRIC EA $90 K0108

    202096 ADJ FENDER SG INNER CLAMP,M6 EA $39 K0108

    202111 STROLLER HANDLE SPACER,M5 EA $4 K0108

    202118 FOLDER HIMNT FTPLT PIVOT RH,M6 EA $64 K0108

    202130 ADJ FENDER SG OUTER CLAMP,M6 EA $45 K0108

    202132 FOLD-UP FTPLATE PIVOT TAPER,M6 EA $36 K0108

    202140 SIDEGUARD RIGID PANEL,M4 EA $66 K0108

    202150 LONG ARMREST PAD-M5 EA $23 K0019

    202152 COMP. HANGER LOCK,M8 EA $6 K0108

    202186 FOOTREST EXT STR SMALL,M6 EA $41 K0043

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    PPL_117_REV I

    Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    202194 FOOTREST EXT,D-SHAPE 7.25”,M6 EA $12 K0043

    202200 FOOTREST EXT,D-SHAPE 11.25”,M6 EA $12 K0043

    202201 FOOTREST EXT,D-SHAPE 9.25”,M6 EA $12 K0043

    202210 SINGLE SIDE FORK AXLE,M12/M5 EA $35 K0108

    202211 C CLAMP CASTER,M6 EA $22 K0108

    202212 FOOTREST EXT,D-SHAPE 6”,M6 EA $10 K0043

    202232 ANG ADJ FOOTREST CLAMP LITE,M6 EA $24 K0108

    202282 1.25” TOE CLAMP,M6 EA $5

    202289 PED AA FOOTREST CLAMP LITE,M6 EA $31 K0108

    202303 FOLDR HIMNT FTPLT PIVOT LH,MTR EA $64 K0108

    202312 8x11.1x19-STOP BUSHING-SS EA $7 K0108

    202756 18” x 1-3/8” PRIMO EXPRESS EA $67 E2220

    202757 20” x 1-3/8” PRIMO EXPRESS EA $67 E2220

    202758 22” x 1-3/8” PRIMO EXPRESS EA $67 E2220

    202759 24 x 1-3/8” PRIMO EXPRESS EA $67 E2220

    202760 25 x 1-3/8” PRIMO EXPRESS EA $67 E2220

    202761 24” PRIMO ACTIVE TIRE,SOLID EA $77 E2220

    202762 25” PRIMO ACTIVE TIRE,SOLID EA $77 E2220

    202879 EXPAN.CLAMP(B),1.25 x .045-MTR EA $34 K0108

    202932 FOOTREST ANG ADJ. SM 15-16.875,MTR EA $15 K0108

    203062 SEAT POUCH EA $57 K0108

    203063 BACK PACK EA $88 K0108

    203230 TX2 SEAT RAIL 13” EA $6 K0108

    203231 TX2 SEAT RAIL 14” EA $6 K0108

    203232 TX2 SEAT RAIL 15” EA $6 K0108

    203233 TX2 SEAT RAIL 16” EA $6 K0108

    203234 TX2 SEAT RAIL 17” EA $6 K0108

    203235 TX2 SEAT RAIL 18” EA $6 K0108

    203238 ANG ADJ FOOTREST CLAMP,METRIC EA $25

    203264 BEARING FORK STEM,+0.5” EA $19

    203265 BEARING FORK STEM,+1.0” EA $19

    203267 Z2 BEARING FORK STEM, STD, METRIC EA $20

    203268 Z2 BEARING FORK STEM, 0.5” EXT,METRIC EA $20

    203269 Z2 BEARING FORK STEM, 1.0” EXT,METRIC EA $20

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    Effective March 1, 2017

    PPL_117_REV I

    permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    203270 TITANIUM BEARING FORK STEM,METRIC EA $27

    203271 ZRA2 Ti BEARING FORK STEM,METRIC EA $27

    203273 BEARING FORK STEM,2004,STD EA $11

    714908 EXT RETAIN RING-NA3-25-BZ EA $2

    715611 M10x1.5x40-HHCS-BZ-10.9 EA $7 K0108

    716393 M5x0.8x6 CONE PT SET SCREW,BZ EA $2

    716545 M5x0.8x4 CUP PT SET SCREW,BZ EA $2

    716699 M4x0.7x10 FLAT SET SCREW,BZ EA $3 K0108

    716863 M4x0.7x5-BHCS-BZ-10.9-TL EA $2 K0108

    716903 M5x0.8x10 BHCS,BZ EA $2

    716913 M5x0.8x16 BHCS,CLEAR ZINC EA $2 K0108

    716915 M5x0.8x20 BHCS, BZ EA $3 K0108

    716917 M5x0.8x20 BHCS,ZC EA $3 K0108

    716919 M5x0.8x25 BHCS,BZ EA $1 K0108

    716923 M5x0.8x30 BHCS,BZ EA $4 K0108

    716945 M6x1.0x16 BHCS,CLEAR ZINC EA $3 K0108

    716946 M6x1.0x16 BHCS, 18-8 SS EA $3 K0108

    716947 M6x1.0x20 BHCS,BZ EA $3

    716953 M6x1.0x25 BHCS, CZ EA $3 K0108

    716955 M6x1.0x30 BHCS,BZ EA $2 K0108

    717183 M4x0.7x10-FHCS-BZ-10.9 EA $2 K0108

    717190 M4x0.7x12 FHCS-SS EA $1 K0108

    717283 M5x0.8x12 FHCS,BZ EA $1

    717285 M5x0.8x12 FHCS,ZC EA $2 K0108

    717391 M6x1.0x16 FHCS,BZ EA $2 K0108

    717395 M6x1.0x20 FHCS, BZ EA $2

    717399 M6x1.0x25 FHCS,BZ EA $2

    717407 M6x1.0x35 FHCS-BZ EA $2 K0108

    717423 M6x1.0x50 FHCS, BZ EA $3 K0108

    717439 M6x1.0x60 FHCS, BZ EA $3 K0108

    717447 M6x1.0x65 FHCS,BZ EA $3 K0108

    718163 M4x0.7x10-SHCS-BZ-10.9 EA $1 K0108

    718167 M4x0.7x12 SHCS-BZ EA $2 K0108

    718271 M5x0.8x12 SHCS,BZ EA $2

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    PPL_117_REV I

    Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    718279 M5x0.8x20 SHCS,BZ EA $2 K0108

    718285 M5x0.8x25 SHCS,ZC EA $2 K0108

    718303 M5x0.8x40 SHCS,BZ EA $2 K0108

    718391 M6x1.0x16 SHCS-BZ EA $1 K0108

    718395 M6x1.0x20 SHCS, BZ EA $1 K0108

    718397 M6x1.0x20 SHCS,ZC EA $2 K0108

    718399 M6x1.0x25 SHCS, BZ EA $2 K0108

    718401 M6x1.0x20 SHCS,ZC EA $2 K0108

    718407 M6x1.0x35 SHCS, BZ EA $2 K0108

    718415 M6x1.0x40 SHCS, BZ EA $1

    718433 M6x1.0x50 SHCS, CZ EA $3 K0108

    718465 M6x1.0x70 SHCS, CZ EA $3 K0108

    718519 M8x1.25x20 SHCS, BZ EA $1

    718523 M8x1.25x25 SHCS, BZ EA $1

    718593 M8x1.25x80 SHCS-ZC EA $3 K0108

    719521 M5-ANSI NRRW WSR-BZ-10.9 EA $2 K0108

    719522 M5-ANSI NRRW WSR-ZC-10.9 EA $1 K0108

    719524 M6-ANSI NRRW WSR-BZ-10.9 EA $1 K0108

    719525 M6-ANSI NRRW WSR-ZC-10.9 EA $2 K0108

    719526 M6-ANSI NARRW WSR-NY,BLACK EA $2 K0108

    719560 M6-ANSI REG WSR-BZ-10.9 EA $2 K0108

    719665 M5-INT LOCK WSR-ZC-10.9 EA $2 K0108

    719691 NYLON WASHER .500x.265x.031 EA $2 K0108

    719695 NYLON WSHR .260IDx.750ODx.125T EA $2 K0108

    719716 COVED WASHER,1”ODx1/4”IDx1/8” EA $3

    719718 COVD WSHR .75ODx.25IDx.125 THK EA $3 K0108

    719719 1”ODx5/16IDx1/8” COVED WHSHR EA $3 K0108

    719751 STL WASHER 16x22x0.9-FLT WSR-ZC-10.9 EA $2 K0108

    719841 M6x1.0x12 BHCS w/PATCH,BZ EA $3

    719843 M6x1.0x16 BHCS,BZ w/PATCH EA $3

    719845 M6x1.0x22 BHCS,BZ EA $2 K0108

    719846 M6x1.0x25 BHCS, BZ w/PATCH EA $3

    719850 M6x1.0x35 BHCS,BZ EA $2 K0108

    719852 M6x1.0x40 BHCS,BZ EA $1 K0108

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    Effective March 1, 2017

    PPL_117_REV I

    permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    719854 M6x1x45-BHCS-ZC-10.9 EA $2 K0108

    719855 M6x1.0x45 BHCS, BLACK ZINC EA $4 K0108

    719861 M6x1.0x70 BHCS,BLACK ZINC EA $4 K0108

    719868 M5x0.8x14 BHCS,ZC EA $2 K0108

    719870 M5x0.8x22 BHCS,BZ EA $2

    719874 M5x0.8x40 BHCS,BZ EA $2 K0108

    719880 M5x0.8x22 SHCS,BZ EA $2

    719884 M6x1.0x22 w15 THD SHCS,BZ EA $2 K0108

    719892 M5x0.8x16 FHCS,ZC w/PATCH EA $2

    719893 M5x0.8x16 FHCS,BZ w/PATCH EA $1 K0108

    719894 M6x1.0x10 FLAT PNT,BZ w/PATCH EA $1 K0108

    719897 M6x1.0x23 w/9.5THREAD LHCS,BZ EA $9 K0108

    719898 M5x0.8x35 w/10THDSHCS,BZ,PATCH EA $7

    719899 6x20 (M5x.8)THD SHCS,BZ,PATCH EA $7

    719902 M8x1.25x90,HEX HEAD BOLT EA $3 K0108

    719905 M4x0.7x5 NYLON TIP SET SCREW EA $2 K0108

    719906 M4x0.7x5 SET SCREW,18-8 EA $1 K0108

    719908 M5x0.8x25, LOW HEAD, SHCS,BZ EA $2

    719909 M5x0.8x5 SET SCREW KNURLCUP PT EA $2 K0108

    719911 M6x1x40x20THD HHCS-ZC EA $1 K0108

    719918 M6x1x70 HHCS-ZC EA $4 K0108

    719921 M8x1.25x85 HEX HEAD BOLT EA $6 K0108

    719924 M6x1.0 CUSTOM PIVOT BOLT,BZ EA $15

    719925 M8x1.25 CUSTOM STOP BOLT,BZ EA $15

    719927 M6x1.0x30 w/20 THREAD SHCS,BZ EA $5

    719930 M6x1.0x35 w/14 THREAD BHCS,BZ EA $4 K0108

    719932 M6x1.0x45 w/16 THREAD BHCS,BZ EA $3 K0108

    719933 M6x1.0x45 w/12 THREAD BHCS,BZ EA $2 K0108

    719934 M6x1.0x50 BHCS, BZ EA $3 K0108

    719935 M6x1.0x60 w/15 THREAD BHCS,BZ EA $4 K0108

    719936 M6x1.0x60 w/15 THREAD BHCS,ZC EA $4 K0108

    719937 M6x1x65 w/25 THD BHCS-BZ EA $7 K0108

    719939 M8x1.25x50 w/15 THREAD BHCS,BZ EA $7 K0108

    719940 M6x1.0x16 w/10THREAD LHCS,BZ EA $9 K0108

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    PPL_117_REV I

    Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    719951 M5x0.8x10 PHMS-BZ-10.9-TL7985 EA $1 K0108

    719952 M5x0.8x12-PHCS-ZC-10.9 EA $2 K0108

    719963 6.5x15.8x3.2-CTM MOLD-WSR-NY EA $3 K0108

    719964 M4-CTRSUNK WSR-NY EA $2 K0108

    719967 M5-COUNTR SUNK WSR-NY,BLK EA $2 K0108

    719968 M5-CTRSUNK WSR-SS-10.9 EA $2 K0108

    719969 M5-DIN125A WSR-BZ-10.9 EA $2 K0108

    719972 M5-HICOLLAR WSR-ZC-10.9 EA $1

    719973 M5-SPLIT LOCK WSR-ZC-10.9 EA $1 K0108

    719974 M6-CTR SUNK WSR-SS-10.9 EA $1 K0108

    719975 M6-HICOLLAR WSR-BZ-10.9 EA $1 K0108

    719976 M6-SPLIT LOCK WSR-BZ-10.9 EA $2 K0108

    719977 M6-SPLIT LOCK WSR-ZC-10.9 EA $2 K0108

    719978 M8-DIN125A WSR-ZC-10.9 EA $2 K0108

    719979 M8-HICOLLAR WSR-BZ-10.9 EA $2 K0108

    719981 9x12.7x0.8-FLT WSR-NY EA $2 K0108

    719982 9x12.7x1.6-FLT WSR-NY EA $3 K0108

    719983 M6-COVE WSR-BA-10.9 EA $7 K0108

    719989 M5-NYLOCK NUT,ZC-10.9 EA $2 K0108

    719990 M5-THIN NYLOCK NUT-ZC-10.9 EA $1 K0108

    719993 M6-NYLOCK NUT-BZ-10.9 EA $1 K0108

    719995 M6-THIN NYLOCK NUT-BZ-10.9 EA $1 K0108

    719996 M6-THIN NYLOCK NUT-ZC-10.9 EA $2 K0108

    719999 M8-THIN NYLOCK NUT-ZC-10.9 EA $2 K0108

    720004 M8-THIN NYLOCK NUT-BZ-10.9 EA $1 K0108

    720006 M5-RIVNUT-ZC-3.0mm-5.5mm GRIP EA $2 K0108

    720007 M6-RIVNUT-ZC EA $3 K0108

    720008 M5-RIVNUT-ZC-0.5mm-3.0mm GRIP EA $2 K0108

    720010 M6-IGUS FLANGE BEARING EA $2 K0108

    720012 M6-IGUS FLANGE BEARING EA $3 K0108

    720013 M6-IGUS FLANGE BEARING EA $5 K0108

    720017 M6x19.8 STUD ADJ BLACK HANDLE EA $48 K0108

    720021 M6x45-QUICK RELEASE CAMLOCK EA $9 K0108

    720022 6.4x9.5x15.875 BRONZE BUSHING SAE 841 EA $4 K0108

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    Effective March 1, 2017

    PPL_117_REV I

    permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    720023 M5x 1.8x10-THD FORMING SCREW-ZC EA $2 K0108

    720024 6.4x15.8x4.8-SPACER-NY EA $4 K0108

    720027 M6x1.0x35 w/17 THREAD,SHCS,BZ EA $5

    720069 M6x1x12-BHCS TAMPERPROOF-BZ-10 EA $3

    720073 M6x40-DOWEL PIN-SS EA $3 K0108

    720076 M6x1.0x31.5x6THD-LHCS-BZ-10.9 EA $7 K0108

    800006 Z2-Al.083 BKREST 10x 8-12,M6 EA $351 K0108

    800041 Z2-.083 BACKREST 11x 8-12,M6 EA $341 K0108

    800050 Z2-.083 BACKREST 12x 8-12,M6 EA $351 K0108

    800054 Z2-.083 BACKREST 13x 8-12,M6 EA $351 K0108

    800056 Z2-.083 BACKREST 14x 8-12,M6 EA $351 K0108

    800059 Z2-.083 BACKREST 15x 8-12,M6 EA $351 K0108

    800068 Z2-.083 BACKREST 16x 8-12,M6 EA $351 K0108

    800079 Z2-.083 BACKREST 17x 8-12,M6 EA $351 K0108

    800083 Z2-.083 BACKREST 18x 8-12,M6 EA $351 K0108

    800084 Z2-.083 BACKREST 19x 8-12,M6 EA $351 K0108

    800085 Z2-.083 BACKREST 20x 8-12,M6 EA $341 K0108

    800086 Z2-.083 BACKREST 10x 12-16,M6 EA $341 K0108

    800087 Z2-.083 BACKREST 11x 12-16,M6 EA $341 K0108

    800088 Z2-.083 BACKREST 12x 12-16,M6 EA $351 K0108

    800093 Z2-.083 BACKREST 13x 12-16,M6 EA $351 K0108

    800101 Z2-.083 BACKREST 14x 12-16,M6 EA $351 K0108

    800102 Z2-.083 BACKREST 15x 12-16,M6 EA $351 K0108

    800103 Z2-.083 BACKREST 16x 12-16,M6 EA $351 K0108

    800104 Z2-.083 BACKREST 17x 12-16,M6 EA $351 K0108

    800105 Z2-.083 BACKREST 18x 12-16,M6 EA $351 K0108

    800107 Z2-.083 BACKREST 19x 12-16,M6 EA $351 K0108

    800108 Z2-.083 BACKREST 20x 12-16,M6 EA $351 K0108

    800116 Z2-.083 BACKREST 11x 16-20,M6 EA $341 K0108

    800118 Z2-.083 BACKREST 12x 16-20,M6 EA $341 K0108

    800119 Z2-.083 BACKREST 13x 16-20,M6 EA $341 K0108

    800122 Z2-.083 BACKREST 14x 16-20,M6 EA $351 K0108

    800123 Z2-.083 BACKREST 15x 16-20,M6 EA $351 K0108

    800124 Z2-.083 BACKREST 16x 16-20,M6 EA $351 K0108

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    PPL_117_REV I

    Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    800172 LUGGAGE CARRIER TUBE,M6 EA $27 K0108

    800280 Z2-.083 BACKREST 17x 16-20,M6 EA $351 K0108

    800284 Z2-.083 BACKREST 18x 16-20,M6 EA $351 K0108

    800286 Z2-.083 BACKREST 19x 16-20,M6 EA $351 K0108

    800287 Z2-.083 BACKREST 20x 16-20,M6 EA $351 K0108

    800493 PED, 8” WIDTH SPACER ASY,MTR EA $14 K0108

    800494 PED, WIDTH SPACER ASY,MTR EA $14 K0108

    800884 Z2-Al.083 4”BKREST 10x8-12,M6 EA $341 K0108

    800885 Z2-Al.083 4”BKREST 11x8-12,M6 EA $341 K0108

    800886 Z2-Al.083 4”BKREST 12x8-12,M6 EA $341 K0108

    800887 Z2-Al.083 4”BKREST 13x8-12,M6 EA $351 K0108

    800888 Z2-Al.083 4”BKREST 14x8-12,M6 EA $351 K0108

    800889 Z2-Al.083 4”BKREST 15x8-12,M6 EA $351 K0108

    800890 Z2-Al.083 4”BKREST 16x8-12,M6 EA $351 K0108

    800891 Z2-Al.083 4”BKREST 17x8-12,M6 EA $351 K0108

    800892 Z2-Al.083 4”BKREST 18x8-12,M6 EA $351 K0108

    800893 Z2-Al.083 4”BKREST 19x8-12,M6 EA $351 K0108

    800894 Z2-Al.083 4”BKREST 20x8-12,M6 EA $351 K0108

    800895 Z2-Al.083 4”BKREST 10x12-16,M6 EA $351 K0108

    800896 Z2-Al.083 4”BKREST 11x12-16,M6 EA $351 K0108

    800897 Z2-Al.083 4”BKREST 12x12-16,M6 EA $351 K0108

    800898 Z2-Al.083 4”BKREST 13x12-16,M6 EA $351 K0108

    800899 Z2-Al.083 4”BKREST 14x12-16,M6 EA $351 K0108

    800900 Z2-Al.083 4”BKREST 15x12-16,M6 EA $351 K0108

    800901 Z2-Al.083 4”BKREST 16x12-16,M6 EA $351 K0108

    800902 Z2-Al.083 4”BKREST 17x12-16,M6 EA $351 K0108

    800903 Z2-Al.083 4”BKREST 18x12-16,M6 EA $351 K0108

    800904 Z2-Al.083 4”BKREST 19x12-16,M6 EA $351 K0108

    800905 Z2-Al.083 4”BKREST 20x12-16,M6 EA $351 K0108

    800908 Z2-Al.083 4”BKREST 12x16-20,M6 EA $341 K0108

    800909 Z2-Al.083 4”BKREST 13x16-20,M6 EA $351 K0108

    800910 Z2-Al.083 4”BKREST 14x16-20,M6 EA $351 K0108

    800911 Z2-Al.083 4”BKREST 15x16-20,M6 EA $351 K0108

    800912 Z2-Al.083 4”BKREST 16x16-20,M6 EA $351 K0108

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    Effective March 1, 2017

    PPL_117_REV I

    permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    800913 Z2-Al.083 4”BKREST 17x16-20,M6 EA $351 K0108

    800914 Z2-Al.083 4”BKREST 18x16-20,M6 EA $351 K0108

    800915 Z2-Al.083 4”BKREST 19x16-20,M6 EA $351 K0108

    800916 Z2-Al.083 4”BKREST 20x16-20,M6 EA $351 K0108

    801381 1” ARMREST CLAMP,RT EA $61

    801382 1” ARMREST CLAMP,LT EA $61

    801383 1.25” ARMREST CLAMP,RT EA $61

    801384 1.25” ARMREST CLAMP,LT EA $61

    200603-CK01 1” FOOTREST CLAMP,M6-BLK EA $19

    200603-CK03 1” FOOTREST CLAMP,M6-RED EA $19

    200603-CK05 1” FOOTREST CLAMP,M6-SPH EA $19

    200603-CK06 1” FOOTREST CLAMP,M6-ORG EA $19

    200603-CK08 1” FOOTREST CLAMP,M6-PUR EA $19

    200603-CK09 1” FOOTREST CLAMP,M6-PINK EA $19

    201469-CK01 Z2 OUTSIDE CAMBER MOUNT-BLK,M EA $23 K0108

    201469-CK03 Z2 OUTSIDE CAMBER MOUNT-RED,M EA $23 K0108

    201469-CK05 Z2 OUTSIDE CAMBER MOUNT-SPHR,M EA $23 K0108

    201469-CK06 Z2 OUTSIDE CAMBER MOUNT-ORG,M EA $23 K0108

    201469-CK08 Z2 OUTSIDE CAMBER MOUNT-PUR,M EA $23 K0108

    201469-CK09 Z2 OUTSIDE CAMBER MOUNT-PINK,M EA $23 K0108

    201470-CK01 Z2 VERT STRUT SHORT-BLK,METRIC EA $21 K0108

    201470-CK03 Z2 VERT STRUT SHORT-RED,METRIC EA $21 K0108

    201470-CK05 Z2 VERT STRUT SHORT-SPH,METRIC EA $21 K0108

    201470-CK06 Z2 VERT STRUT SHORT-ORG,METRIC EA $21 K0108

    201470-CK08 Z2 VERT STRUT SHORT-PUR,METRIC EA $21 K0108

    201470-CK09 Z2 VERT STRUT SHORT-PNK,METRIC EA $21 K0108

    201472-CK01 Z2 VERT STRUT MED-BLK,METRIC EA $21 K0108

    201472-CK03 Z2 VERT STRUT MED-RED,METRIC EA $21 K0108

    201472-CK05 Z2 VERT STRUT MED-SPH,METRIC EA $21 K0108

    201472-CK06 Z2 VERT STRUT MED-ORG,METRIC EA $21 K0108

    201472-CK08 Z2 VERT STRUT MED-PUR,METRIC EA $21 K0108

    201472-CK09 Z2 VERT STRUT MED-PNK,METRIC EA $21

    201473-CK01 Z2 VERT STRUT LONG-BLK,METRIC EA $21 K0108

    201473-CK03 Z2 VERT STRUT LONG-RED,METRIC EA $21 K0108

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    PPL_117_REV I

    Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    201473-CK05 Z2 VERT STRUT LONG-SPH,METRIC EA $21 K0108

    201473-CK06 Z2 VERT STRUT LONG-ORG,METRIC EA $21 K0108

    201473-CK08 Z2 VERT STRUT LONG-PUR,METRIC EA $21 K0108

    201473-CK09 Z2 VERT STRUT LONG-PNK,METRIC EA $21 K0108

    201499-CK01 ZR2 CAMBER CLAMP,RT,MTR,BLK EA $52 K0108

    201499-CK03 ZR2 CAMBER CLAMP,RT,MTR,RED EA $52 K0108

    201499-CK05 ZR2 CAMBER CLAMP,RT,MTR,SPH EA $52 K0108

    201499-CK06 ZR2 CAMBER CLAMP,RT,MTR,ORG EA $52 K0108

    201499-CK08 ZR2 CAMBER CLAMP,RT,MTR,PUR EA $52 K0108

    201499-CK09 ZR2 CAMBER CLAMP,RT,MTR,PINK EA $52 K0108

    201585-CK01 Z2 CAMBER CLAMP RT- BLK, MTR EA $82 K0108

    201585-CK03 Z2 CAMBER CLAMP RT- RED, MTR EA $82 K0108

    201585-CK05 Z2 CAMBER CLAMP RT- SPH, MTR EA $82 K0108

    201585-CK06 Z2 CAMBER CLAMP RT- ORG, MTR EA $82 K0108

    201585-CK08 Z2 CAMBER CLAMP RT- PUR, MTR EA $82 K0108

    201585-CK09 Z2 CAMBER CLAMP RT- PINK, MTR EA $82 K0108

    201586-CK01 Z2 CAMBER CLAMP LT- BLK, MTR EA $82 K0108

    201586-CK03 Z2 CAMBER CLAMP LT- RED, MTR EA $82 K0108

    201586-CK05 Z2 CAMBER CLAMP LT- SPH, MTR EA $82 K0108

    201586-CK06 Z2 CAMBER CLAMP LT- ORG, MTR EA $82 K0108

    201586-CK08 Z2 CAMBER CLAMP LT- PUR, MTR EA $82 K0108

    201586-CK09 Z2 CAMBER CLAMP LT- PINK, MTR EA $82 K0108

    201587-CK01 ZR2 CAMBER CLAMP,LT,MTR,BLK EA $52 K0108

    201587-CK03 ZR2 CAMBER CLAMP,LT,MTR,RED EA $52 K0108

    201587-CK05 ZR2 CAMBER CLAMP,LT,MTR,SPH EA $52 K0108

    201587-CK06 ZR2 CAMBER CLAMP,LT,MTR,ORG EA $52 K0108

    201587-CK08 ZR2 CAMBER CLAMP,LT,MTR,PUR EA $52 K0108

    201587-CK09 ZR2 CAMBER CLAMP,LT,MTR,PINK EA $52 K0108

    201590-CK01 PED INSIDE CLAMP-BLK,MTR EA $26

    201590-CK03 PED INSIDE CLAMP-RED,MTR EA $26

    201590-CK05 PED INSIDE CLAMP-SPH,MTR EA $26

    201590-CK06 PED INSIDE CLAMP-ORG,MTR EA $26

    201590-CK08 PED INSIDE CLAMP-PUR,MTR EA $26

    201590-CK09 PED INSIDE CLAMP-PINK,MTR EA $26

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    Effective March 1, 2017

    PPL_117_REV I

    permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    201606-CK01 TR3 CAMBER TOP BRKT-RT BLK,MTR EA $20 K0108

    201606-CK03 TR3 CAMBER TOP BRKT-RT RED,MTR EA $20 K0108

    201606-CK05 TR3 CAMBER TOP BRKT-RT SPH,MTR EA $20 K0108

    201606-CK06 TR3 CAMBER TOP BRKT-RT ORG,MTR EA $20 K0108

    201606-CK08 TR3 CAMBER TOP BRKT-RT PUR,MTR EA $20 K0108

    201606-CK09 TR3 CAMBER TOP BRKT-RT PNK,MTR EA $20 K0108

    201624-CK01 CAMBRTUBE CLAMP,EXTD,R-BLK,MTR EA $90 K0108

    201624-CK03 CAMBRTUBE CLAMP,EXTD,R-RED,MTR EA $90 K0108

    201624-CK05 CAMBRTUBE CLAMP,EXTD,R-SPH,MTR EA $90 K0108

    201624-CK06 CAMBRTUBE CLAMP,EXTD,R-ORG,MTR EA $90 K0108

    201624-CK08 CAMBRTUBE CLAMP,EXTD,R-PUR,MTR EA $90 K0108

    201624-CK09 CAMBRTUBE CLAMP,EXTD,R-PNK,MTR EA $90 K0108

    201626-CK01 CAMBRTUBE CLAMP,EXTD,L-BLK,MTR EA $90 K0108

    201626-CK03 CAMBRTUBE CLAMP,EXTD,L-RED,MTR EA $90 K0108

    201626-CK05 CAMBRTUBE CLAMP,EXTD,L-SPH,MTR EA $90 K0108

    201626-CK06 CAMBRTUBE CLAMP,EXTD,L-ORG,MTR EA $90 K0108

    201626-CK08 CAMBRTUBE CLAMP,EXTD,L-PUR,MTR EA $90 K0108

    201626-CK09 CAMBRTUBE CLAMP,EXTD,L-PNK,MTR EA $90 K0108

    201759-CK01 Z2 CASTER ENDCAP,RT-BLK,M6 EA $31 K0108

    201759-CK03 Z2 CASTER ENDCAP,RT-RED,M6 EA $31 K0108

    201759-CK05 Z2 CASTER ENDCAP,RT-SPH,M6 EA $31 K0108

    201759-CK06 Z2 CASTER ENDCAP,RT-ORG,M6 EA $31 K0108

    201759-CK08 Z2 CASTER ENDCAP,RT-PUR,M6 EA $31 K0108

    201759-CK09 Z2 CASTER ENDCAP,RT-PINK,M6 EA $31 K0108

    201760-CK01 Z2 CASTER ENDCAP,LT-BLK,M6 EA $31 K0108

    201760-CK03 Z2 CASTER ENDCAP,LT-RED,M6 EA $31 K0108

    201760-CK05 Z2 CASTER ENDCAP,LT-SPH,M6 EA $31 K0108

    201760-CK06 Z2 CASTER ENDCAP,LT-ORG,M6 EA $31 K0108

    201760-CK08 Z2 CASTER ENDCAP,LT-PUR,M6 EA $31 K0108

    201760-CK09 Z2 CASTER ENDCAP,LT-PINK,M6 EA $31 K0108

    201767-CK01 Z2 INSIDE CAMBER MOUNT-BLK,MTR EA $25 K0108

    201767-CK03 Z2 INSIDE CAMBER MOUNT-RED,MTR EA $25 K0108

    201767-CK05 Z2 INSIDE CAMBER MOUNT-SPH,MTR EA $25 K0108

    201767-CK06 Z2 INSIDE CAMBER MOUNT-ORG,MTR EA $25 K0108

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    PPL_117_REV I

    Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    201767-CK08 Z2 INSIDE CAMBER MOUNT-PUR,MTR EA $25 K0108

    201767-CK09 Z2 INSIDE CAMBER MOUNT-PNK,MTR EA $25 K0108

    201815-CK01 Z2 CASTER MOUNT,RT-BLK,M6 EA $30 K0108

    201815-CK03 Z2 CASTER MOUNT,RT-RED,M6 EA $30 K0108

    201815-CK05 Z2 CASTER MOUNT,RT-SPH,M6 EA $30 K0108

    201815-CK06 Z2 CASTER MOUNT,RT-ORG,M6 EA $30 K0108

    201815-CK08 Z2 CASTER MOUNT,RT-PUR,M6 EA $30 K0108

    201815-CK09 Z2 CASTER MOUNT,RT-PINK,M6 EA $30 K0108

    201817-CK01 Z2 CASTER MOUNT,LT-BLK,M6 EA $30 K0108

    201817-CK03 Z2 CASTER MOUNT,LT-RED,M6 EA $30 K0108

    201817-CK05 Z2 CASTER MOUNT,LT-SPH,M6 EA $30 K0108

    201817-CK06 Z2 CASTER MOUNT,LT-ORG,M6 EA $30 K0108

    201817-CK08 Z2 CASTER MOUNT,LT-PUR,M6 EA $30 K0108

    201817-CK09 Z2 CASTER MOUNT,LT-PINK,M6 EA $30 K0108

    201875-CK01 PED OUTSIDE CLAMP-BLK,M6 EA $21

    201875-CK03 PED OUTSIDE CLAMP-RED,M6 EA $21

    201875-CK05 PED OUTSIDE CLAMP-SPH,M6 EA $21

    201875-CK06 PED OUTSIDE CLAMP-ORG,M6 EA $21

    201875-CK08 PED OUTSIDE CLAMP-PUR,M6 EA $21

    201875-CK09 PED OUTSIDE CLAMP-PINK,M6 EA $21

    202019-CK01 TR3 CAMBER BRKT BLK-R,MTR EA $48 K0108

    202019-CK03 TR3 CAMBER BRKT RED-R,MTR EA $48 K0108

    202019-CK05 TR3 CAMBER BRKT SPH-R,MTR EA $48 K0108

    202019-CK06 TR3 CAMBER BRKT ORG-R,MTR EA $48 K0108

    202019-CK08 TR3 CAMBER BRKT PUR-R,MTR EA $48 K0108

    202019-CK09 TR3 CAMBER BRKT PINK-R,MTR EA $48 K0108

    202020-CK01 TR3 CAMBER BRKT BLK-L,MTR EA $48 K0108

    202020-CK03 TR3 CAMBER BRKT RED-L,MTR EA $48 K0108

    202020-CK05 TR3 CAMBER BRKT SPH-L,MTR EA $48 K0108

    202020-CK06 TR3 CAMBER BRKT ORG-L,MTR EA $48 K0108

    202020-CK08 TR3 CAMBER BRKT PUR-L,MTR EA $48 K0108

    202020-CK09 TR3 CAMBER BRKT PINK-L,MTR EA $48 K0108

    202119-CK01 TR3 CAMBER TOP BRKT BLK-LT,M8 EA $20 K0108

    202119-CK03 TR3 CAMBER TOP BRKT RED-LT,M8 EA $20 K0108

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    Effective March 1, 2017

    PPL_117_REV I

    permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    202119-CK05 TR3 CAMBER TOP BRKT SPH-LT,M8 EA $20 K0108

    202119-CK06 TR3 CAMBER TOP BRKT ORG-LT,M8 EA $20 K0108

    202119-CK08 TR3 CAMBER TOP BRKT PUR-LT,M8 EA $20 K0108

    202119-CK09 TR3 CAMBER TOP BRKT PINK-LT,M8 EA $20 K0108

    202742-CK01 BEARING FORK,CASTER CAP-BLACK EA $8 K0108

    202742-CK03 BEARING FORK,CASTER CAP-RED EA $8 K0108

    202742-CK05 BEARING FORK,CASTER CAP-SPH EA $8 K0108

    202745-CK01 Z2 CASTER CAP-BLACK EA $28 K0108

    202745-CK03 Z2 CASTER CAP-RED EA $28 K0108

    202745-CK05 Z2 CASTER CAP-SAPPHIRE EA $28 K0108

    202745-CK06 Z2 CASTER CAP-ORANGE EA $28 K0108

    202745-CK08 Z2 CASTER CAP-PURPLE EA $28 K0108

    202745-CK09 Z2 CASTER CAP-PINK EA $28 K0108

    202747-CK01 Z2 CASTER CAP 0.5”EXT-BLACK EA $30 K0108

    202747-CK03 Z2 CASTER CAP 0.5”EXT-RED EA $30 K0108

    202747-CK05 Z2 CASTER CAP 0.5”EXT-SAPPHIRE EA $30 K0108

    202747-CK06 Z2 CASTER CAP 0.5”EXT-ORANGE EA $30 K0108

    202747-CK08 Z2 CASTER CAP 0.5”EXT-PURPLE EA $30 K0108

    202747-CK09 Z2 CASTER CAP 0.5”EXT-PINK EA $30 K0108

    202748-CK01 Z2 CASTER CAP 1.0”EXT-BLACK EA $30 K0108

    202748-CK03 Z2 CASTER CAP 1.0”EXT-RED EA $30 K0108

    202748-CK05 Z2 CASTER CAP 1.0”EXT-SAPPHIRE EA $30 K0108

    202748-CK06 Z2 CASTER CAP 1.0”EXT-ORANGE EA $30 K0108

    202748-CK08 Z2 CASTER CAP 1.0”EXT-PURPLE EA $30 K0108

    202748-CK09 Z2 CASTER CAP 1.0”EXT-PINK EA $30 K0108

    202749-CK01 CASTER CAP, MONOFORK-BLACK EA $8 K0108

    202749-CK03 CASTER CAP, MONOFORK-RED EA $8 K0108

    202749-CK05 CASTER CAP, MONOFORK-SPH EA $8 K0108

    202749-CK06 CASTER CAP, MONOFORK-ORANGE EA $8 K0108

    202749-CK08 CASTER CAP, MONOFORK-PURPLE EA $8 K0108

    202749-CK09 CASTER CAP, MONOFORK-PINK EA $8 K0108

    202751-CK01 AERO Z2 CASTER CAP-BLACK EA $28 K0108

    202751-CK03 AERO Z2 CASTER CAP-RED EA $28 K0108

    202751-CK05 AERO Z2 CASTER CAP-SAPPHIRE EA $28 K0108

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    PPL_117_REV I

    Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    202751-CK06 AERO Z2 CASTER CAP-ORANGE EA $28 K0108

    202751-CK08 AERO Z2 CASTER CAP-PURPLE EA $28 K0108

    202751-CK09 AERO Z2 CASTER CAP-PINK EA $28 K0108

    202752-CK01 AERO Z2 CASTER CAP 0.5”EXT-BLK EA $30 K0108

    202752-CK03 AERO Z2 CASTER CAP 0.5”EXT-RED EA $30 K0108

    202752-CK05 AERO Z2 CASTER CAP 0.5”EXT-SPH EA $30 K0108

    202752-CK06 AERO Z2 CASTER CAP 0.5”EXT-ORG EA $30 K0108

    202752-CK08 AERO Z2 CASTER CAP 0.5”EXT-PUR EA $30 K0108

    202752-CK09 AERO Z2 CASTER CAP 0.5”EXT-PNK EA $30 K0108

    202753-CK01 AERO Z2 CASTER CAP 1.0”EXT-BLK EA $30 K0108

    202753-CK03 AERO Z2 CASTER CAP 1.0”EXT-RED EA $30 K0108

    202753-CK05 AERO Z2 CASTER CAP 1.0”EXT-SPH EA $30 K0108

    202753-CK06 AERO Z2 CASTER CAP 1.0”EXT-ORG EA $30 K0108

    202753-CK08 AERO Z2 CASTER CAP 1.0”EXT-PUR EA $30 K0108

    202753-CK09 AERO Z2 CASTER CAP 1.0”EXT-PNK EA $30 K0108

    202912-CK01 EXP.CLAMP A,1.25x.045,MTR-BLK EA $42 K0108

    202912-CK03 EXP.CLAMP A,1.25x.045,MTR-RED EA $42 K0108

    202912-CK05 EXP.CLAMP A,1.25x.045,MTR-SPH EA $42 K0108

    202912-CK06 EXP.CLAMP A,1.25x.045,MTR-ORG EA $42 K0108

    202912-CK08 EXP.CLAMP A,1.25x.045,MTR-PUR EA $42 K0108

    202912-CK09 EXP.CLAMP A,1.25x.045,MTR-PNK EA $42 K0108

    800555-Z AEROX2 DA REAR FRAME ASY,RT EA $237 K0108

    800556-Z AEROX2 DA REAR FRAME ASY,LT EA $237 K0108

    800557-Z 2GX2 REAR FRAME ASY,RIGHT EA $580 K0108

    800558-Z 2GX2 REAR FRAME ASY,LEFT EA $580 K0108

    801047-CK01 BEARING FORK,MTR SML,BLK ASY EA $70 E2226

    801047-CK06 BEARING FORK,MTR SML,ORG ASY EA $70

    801047-CK08 BEARING FORK,MTR SML,PUR ASY EA $70

    801047-CK09 BEARING FORK,MTR SML,PNK ASY EA $70

    801048-CK03 BEARING FORK,MTR STD,RED ASY EA $70 E2226

    801048-CK05 BEARING FORK,MTR STD,SPH ASY EA $70 E2226

    801048-CK06 BEARING FORK,MTR STD,ORG ASY EA $70

    801048-CK08 BEARING FORK,MTR STD,PUR ASY EA $70

    801048-CK09 BEARING FORK,MTR STD,PNK ASY EA $70

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    Effective March 1, 2017

    PPL_117_REV I

    permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    801088-CK03 MONO FORK w/BEARING,R,MTR,RED EA $103 K0108

    801088-CK05 MONO FORK w/BEARING,R,MTR,SPH EA $103 K0108

    801088-CK06 MONO FORK w/BEARING,R,MTR,ORG EA $103 K0108

    801088-CK08 MONO FORK w/BEARING,R,MTR,PUR EA $103 K0108

    801088-CK09 MONO FORK w/BEARING,R,MTR,PNK EA $103 K0108

    801089-CK03 MONO FORK w/BEARING,L,MTR,RED EA $103 K0108

    801089-CK05 MONO FORK w/BEARING,L,MTR,SPH EA $103 K0108

    801089-CK06 MONO FORK w/BEARING,L,MTR,ORG EA $103 K0108

    801089-CK08 MONO FORK w/BEARING,L,MTR,PUR EA $103 K0108

    801089-CK09 MONO FORK w/BEARING,L,MTR,PNK EA $103 K0108

    801172-Z 2GX2 DA REAR FRAME ASY,RT EA $587 K0108

    801173-Z 2GX2 DA REAR FRAME ASY,LT EA $587 K0108

    801429-CK03 AGILITY CLAMP KIT - RED EA $103

    801429-CK05 AGILITY CLAMP KIT - SAPPHIRE EA $103

    801429-CK06 AGILITY CLAMP KIT - ORANGE EA $103

    801429-CK09 AGILITY CLAMP KIT - PINK EA $100

    AS100027-Z FOLDING BACKREST HINGE ASSY PR PR $161 K0108

    AS100029-Z FIXED CAMBER TUBE 0° CAMBER EA $135 K0108

    AS100030-Z FIXED CAMBER TUBE 4° CAMBER EA $135 K0108

    AS100031-Z FIXED CAMBER TUBE 8° CAMBER EA $135 K0108

    AS100032-Z FIXED CAMBER TUBE 12° CAMBER EA $135 K0108

    AS100035-Z BACKREST EXT TUBE ASSEMBLY EA $38 K0108

    AS100036-Z BACKREST PUSH TUBE ASSY EA $63 K0108

    AS100039-Z 22”(501)PRIMO SMOOTH TIRE ASSY EA $42 E2211 E2212

    AS100040-Z 24”(540) PRIMO SMTH TIRE ASSY EA $42 E2211 E2212

    AS100041-Z 24”(540) TREADED TIRE ASSY EA $42 E2211 E2212

    AS100042-Z 25”(559) PRIMO SMITH TIRE ASSY EA $42 E2211 E2212

    AS100043-Z 26” (590) PRIMO SMTH TIRE ASSY EA $42 E2211 E2212

    AS100044-Z 26” (590) TREADED TIRE ASSY EA $42 E2211 E2212

    AS100045-Z 22” 6TAB BLK ANO HNDRIM EA $126 E2205

    AS100045S-Z 22”(501) 6TAB SLVR ANO HNDRM EA $81 E2205

    AS100046-Z 22”(501)6 TAB VINYL HNDRM ASSY EA $173 E2205

    AS100047-Z 24” 6TAB BLK ANO HNDRIM EA $126 E2205

    AS100047S-Z 24”(540) 6 TAB SLVR ANO HNDRM EA $81 E2205

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    PPL_117_REV I

    Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    AS100048-Z 24”(540)6 TAB VINYL HNDRM ASSY EA $173 E2205

    AS100049-Z 25” 6TAB BLK ANO HNDRIM EA $126 E2205

    AS100049S-Z 25”(559) 6 TAB SLVR ANO HNDRM EA $81 E2205

    AS100050-Z 25”(559)6 TAB BLK VINYL HNDRIM EA $173 E2205

    AS100051-Z 26” 6TAB BLK ANO HNDRIM EA $126 E2205

    AS100051S-Z 26”(590) 6 TAB SLVR ANO HNDRM EA $81 E2205

    AS100052-Z 26”(590)6 TAB BLK VINYL HNDRIM EA $173 E2205

    AS100053-Z ADJ CAMBER TUBE 0° CAMBER EA $298 K0108

    AS100054-Z ADJ CAMBER TUBE 4° CAMBER EA $298 K0108

    AS100055-Z ADJ CAMBER TUBE 8° CAMBER EA $298 K0108

    AS100056-Z ADJ CAMBER TUBE 12° CAMBER EA $298 K0108

    AS100058-Z FIXED CAMBER TUBE 2° CAMBER EA $135 K0108

    AS100059-Z ADJUSTABLE CAMBER TUBE, 2° EA $298 K0108

    AS100060-Z PUSH/PULL WHEEL LOCK LEFT EA $125 E2206

    AS100060B-Z PUSH/PULL WHEEL LOCK LEFT 1” EA $137 E2206

    AS100060M-Z P/P WHEEL LOCK LT F/SOLID POLY EA $161 E2206

    AS100061-Z PUSH/PULL WHEEL LOCK RIGHT EA $125 E2206

    AS100061B-Z PUSH/PULL WHEEL LOCK RIGHT 1” EA $137 E2206

    AS100061M-Z P/P WHEEL LOCK RT F/SOLID POLY EA $161 E2206

    AS100064-Z 5” PLASTIC POLY CASTER EA $48 E2219 E2225

    AS100066-Z 6” PLASTIC POLY CASTER EA $48 E2219 E2225

    AS100068-Z 6” PLASTIC PNEUMATIC CASTER EA $55 E2214 E2215 E2225

    AS100076-Z ADJ CAMBER TUBE 15° CAMBER EA $319 K0108

    AS100077-Z ADJ CAMBER TUBE 18° CAMBER EA $319 K0108

    AS100078-Z FIXED CAMBER TUBE 15° CAMBER EA $135 K0108

    AS100079-Z FIXED CAMBER TUBE 18° CAMBER EA $135 K0108

    AS100106-Z SIDEGUARD CLAMP 1” ASSEMBLY EA $82 K0108

    AS100107-Z ALUM SIDEGUARD W/CLAMP LEFT EA $143 K0108

    AS100108-Z ALUM SIDEGUARD W/CLAMP RIGHT EA $143 K0108

    AS100109-Z ABS FOOTREST 10”-11” ASSEMBLY EA $78 K0041

    AS100110-Z ABS FOOTREST 12”-13” ASSEMBLY EA $78 K0041

    AS100111-Z ABS FOOTREST 14”-15” ASSEMBLY EA $78 K0041

    AS100112-Z ABS FOOTREST 16”-19” ASSEMBLY EA $78 K0041

    AS100113-Z ABS FOOTREST SIDED 10” ASSY EA $126 K0041

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    Effective March 1, 2017

    PPL_117_REV I

    permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    AS100114-Z ABS FOOTREST SIDED 11” ASSY EA $126 K0041

    AS100115-Z ABS FOOTREST SIDED 12” ASSY EA $126 K0041

    AS100116-Z ABS FOOTREST SIDED 13” ASSY EA $126 K0041

    AS100117-Z ABS FOOTREST SIDED 14” ASSY EA $126 K0041

    AS100118-Z ABS FOOTRES SIDED 15” ASSY EA $126 K0041

    AS100119-Z ABS FOOTREST SIDED 16” ASSY EA $126 K0041

    AS100120-Z ABS FOOTREST SIDED 17-19” ASSY EA $126 K0041

    AS100122-Z 24”(540)6TAB TI HANDRIM ASSY EA $324 E2205

    AS100123-Z 25”(559)6TAB TI HANDRIM ASSY EA $324 E2205

    AS100124-Z 26”(590)6 TAB TI HANDRIM ASSY EA $324 E2205

    AS100125-Z BACK UPH, RIGID V-12 MEDIUM EA $119 E2611

    AS100126-Z BACK UPH, RIGID V-13 MEDIUM EA $119 E2611

    AS100127-Z BACK UPH, RIGID V-14 MEDIUM EA $119 E2611

    AS100128-Z BACK UPH, RIGID V-15 MEDIUM EA $119 E2611

    AS100129-Z BACK UPH, RIGID V-16 MEDIUM EA $119 E2611

    AS100130-Z BACK UPH, RIGID V-17 MEDIUM EA $119 E2611

    AS100131-Z BACK UPH, RIGID V-18 MEDIUM EA $119 E2611

    AS100132-Z BACK UPH, RIGID S-12 MEDIUM EA $341 E2611

    AS100133-Z BACK UPH, RIGID S-13 MEDIUM EA $341 E2611

    AS100134-Z BACK UPH, RIGID S-14 MEDIUM EA $341 E2611

    AS100135-Z BACK UPH, RIGID S-15 MEDIUM EA $341 E2611

    AS100136-Z BACK UPH, RIGID S-16 MEDIUM EA $341 E2611

    AS100137-Z BACK UPH, RIGID S-17 MEDIUM EA $341 E2611

    AS100138-Z BACK UPH, RIGID S-18 MEDIUM EA $341 E2611

    AS100146-Z BACK UPH, RIGID S-12 TALL EA $341 E2611

    AS100147-Z BACK UPH, RIGID S-13 TALL EA $341 E2611

    AS100148-Z BACK UPH, RIGID S-14 TALL EA $341 E2611

    AS100149-Z BACK UPH, RIGID S-15 TALL EA $341 E2611

    AS100150-Z BACK UPH, RIGID S-16 TALL EA $341 E2611

    AS100151-Z BACK UPH, RIGID S-17 TALL EA $341 E2611

    AS100152-Z BACK UPH, RIGID S-18 TALL EA $341 E2611

    AS100160-Z BACK UPH, RIGID PV-12 MEDIUM EA $119 E2611

    AS100161-Z BACK UPH, RIGID PV-13 MEDIUM EA $119 E2611

    AS100162-Z BACK UPH, RIGID PV-14 MEDIUM EA $119 E2611

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    PPL_117_REV I

    Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    AS100163-Z BACK UPH, RIGID PV-15 MEDIUM EA $119 E2611

    AS100164-Z BACK UPH, RIGID PV-16 MEDIUM EA $119 E2611

    AS100165-Z BACK UPH, RIGID PV-17 MEDIUM EA $119 E2611

    AS100166-Z BACK UPH, RIGID PV-18 MEDIUM EA $119 E2611

    AS100167-Z BACK UPH, RIGID PS-12 MEDIUM EA $341 E2611

    AS100168-Z BACK UPH, RIGID PS-13 MEDIUM EA $341 E2611

    AS100169-Z BACK UPH, RIGID PS-14 MEDIUM EA $341 E2611

    AS100170-Z BACK UPH, RIGID PS-15 MEDIUM EA $341 E2611

    AS100171-Z BACK UPH, RIGID PS-16 MEDIUM EA $341 E2611

    AS100172-Z BACK UPH, RIGID PS-17 MEDIUM EA $341 E2611

    AS100173-Z BACK UPH, RIGID PS-18 MEDIUM EA $341 E2611

    AS100183-Z BACK UPH, RIGID PS-14 TALL EA $341 E2611

    AS100184-Z BACK UPH, RIGID PS-15 TALL EA $341 E2611

    AS100185-Z BACK UPH, RIGID PS-16 TALL EA $341 E2611

    AS100186-Z BACK UPH, RIGID PS-17 TALL EA $341 E2611

    AS100187-Z BACK UPH, RIGID PS-18 TALL EA $341 E2611

    AS100188-Z ADJ CAMBER TUBE MOUNTINGS EA $149 K0108

    AS100200-Z BACKREST STRAIGHT 11-14” ASSY PR $107 K0108

    AS100201-Z BACKREST STRAIGHT 15-18” ASSY PR $107 K0108

    AS100202-Z BACKREST 8° BEND 11-14” ASSY PR $137 K0108

    AS100203-Z BACKREST 8° BEND 15-18” ASSY PR $137 K0108

    AS100204-Z BCKRST PUSH HANDLE 11-14” ASSY PR $137 K0108

    AS100205-Z BCKRST PUSH HANDLE 15-18” ASSY PR $137 K0108

    AS100206-Z BACKREST 8° PUSH 11-14” ASSY PR $155 K0108

    AS100207-Z BACKREST 8° PUSH 15-18” ASSY PR $155 K0108

    AS100208-Z FOLDER SEAT SADDLE ASSY EA $30 K0108

    AS100219-Z FTREST FLDING OVR CNT 4.814 EA $209 K0108

    AS100220-Z FTREST FLDING OVR CNT 5.314 EA $209 K0108

    AS100221-Z FTREST FLDING OVR CNT 5.814 EA $209 K0108

    AS100222-Z FTREST FLDING OVR CNT 6.314 EA $209 K0108

    AS100223-Z FTREST FLDING OVR CNT 6.814 EA $209 K0108

    AS100224-Z FTREST FLDING OVR CNT 7.314 EA $209 K0108

    AS100225-Z FTREST FLDING OVR CNT 7.814 EA $209 K0108

    AS100226-Z FLIP-UP FTREST ASSY 3.203 PR PR $173 K0042

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    Effective March 1, 2017

    PPL_117_REV I

    permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    AS100227-Z FLIP-UP FTREST ASSY 4.203 PR PR $173 K0045

    AS100228-Z FLIP-UP FTREST ASSY 5.203 PR PR $173 K0045

    AS100229-Z FLIP-UP FTREST ASSY 6.203 PR PR $173 K0045

    AS100230-Z FLIP-UP FTREST ASSY 7.203 PR PR $173 K0045

    AS100273-Z FOLDER AXLE PLATE ASSY PR $149 K0108

    AS100274-Z CASTER HOUSING ASSEMBLY PR PR $209 K0108

    AS100275-Z FLDR AXLE PLATE STD W/SPRT ARM EA $155 K0108

    AS100276-Z AXLE PLATE ASSEMBLY PR $177 K0108

    AS100279-Z BACK UPH, FOLDER PS-12 SHORT EA $341 E2611

    AS100280-Z BACK UPH, FOLDER PS-13 SHORT EA $341 E2611

    AS100281-Z BACK UPH, FOLDER PS-14 SHORT EA $341 E2611

    AS100282-Z BACK UPH, FOLDER PS-15 SHORT EA $341 E2611

    AS100283-Z BACK UPH, FOLDER PS-16 SHORT EA $341 E2611

    AS100284-Z BACK UPH, FOLDER PS-17 SHORT EA $341 E2611

    AS100285-Z BACK UPH, FOLDER PS-18 SHORT EA $341 E2611

    AS100286-Z BACK UPH, FOLDER PS-12 MEDIUM EA $341 E2611

    AS100287-Z BACK UPH, FOLDER PS-13 MEDIUM EA $341 E2611

    AS100288-Z BACK UPH, FOLDER PS-14 MEDIUM EA $341 E2611

    AS100289-Z BACK UPH, FOLDER PS-15 MEDIUM EA $341 E2611

    AS100290-Z BACK UPH, FOLDER PS-16 MEDIUM EA $341 E2611

    AS100291-Z BACK UPH, FOLDER PS-17 MEDIUM EA $341 E2611

    AS100292-Z BACK UPH, FOLDER PS-18 MEDIUM EA $341 E2611

    AS100298-Z AXLE SLEEVE ASSY EA $30 K0108

    AS100301-Z FOLDER 0° CAMBER ASSY EA $55 K0108

    AS100302-Z FOLDER 2° CAMBER ASSY EA $55 K0108

    AS100303-Z FOLDER 4° CAMBER ASSY EA $55 K0108

    AS100306-Z BACK UPH, PV-13, 13-16 ASSY EA $119 E2611

    AS100307-Z BACK UPH, PV-14, 13-16 ASSY EA $119 E2611

    AS100308-Z BACK UPH, PV-15, 13-16 ASSY EA $119 E2611

    AS100309-Z BACK UPH, PV-16, 13-16 ASSY EA $119 E2611

    AS100310-Z BACK UPH, PV-17, 13-16 ASSY EA $119 E0982

    AS100311-Z BACK UPH, PV-18, 13-16 ASSY EA $119 E2611

    AS100312-Z BACK UPH, PV-12, 15-18 ASSY EA $119 E0982

    AS100313-Z BACK UPH, PV-13, 15-18 ASSY EA $119 E2611

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    PPL_117_REV I

    Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    AS100314-Z BACK UPH, PV-14, 15-18 ASSY EA $119 E0982

    AS100315-Z BACK UPH, PV-15, 15-18 ASSY EA $119 E0982

    AS100316-Z BACK UPH, PV-16, 15-18 ASSY EA $119 E0982

    AS100317-Z BACK UPH, PV-17, 15-18 ASSY EA $119 E2611

    AS100318-Z BACK UPH, PV-18, 15-18 ASSY EA $119 E0982

    AS100333-Z HEELSTRAP FOOTPLATE 11” ASY PR $42 E0951

    AS100334-Z QUAD RELEASE AXLE EA $113 K0108

    AS100335-Z HEELSTRAP FOOTPLATE 12” ASY PR $42 E0951

    AS100336-Z HEELSTRAP FOOTPLATE 13” ASY PR $42 E0951

    AS100356-Z 3” MICRO CASTER EA $60 E2222

    AS100371-Z DESK ARM ADJUSTMENT LEVER EA $27 K0108

    AS100379-Z QUAD ALUM SIDEGUARD W/CLAMP RT EA $151 K0108

    AS100380-Z QUAD ALUM SIDEGUARD W/CLAMP LT EA $151 K0108

    AS100381-Z QUAD ALUM SM SIDGRD W/CLAMP RT EA $151 K0108

    AS100382-Z QUAD ALUM SM SIDGRD W/CLAMP LT EA $151 K0108

    AS100383-Z SM ALUM SIDEGUARD W/CLAMP RT EA $143 K0108

    AS100384-Z SM ALUM SIDEGUARD W/CLAMP LT EA $143 K0108

    AS100385-Z QUAD ALUM SIDGRD ASSY RIGHT EA $81 K0108

    AS100386-Z QUAD ALUM SIDGRD ASSY LEFT EA $81 K0108

    AS100387-Z QUAD SM ALUM SIDGRD ASSY RIGHT EA $81 K0108

    AS100388-Z QUAD SM ALUM SIDGRD ASSY LEFT EA $81 K0108

    AS100389-Z SM ALUM SIDGRD ASSEMBLY RIGHT EA $70 K0108

    AS100390-Z SM ALUM SIDGRD ASSEMBLY LEFT EA $70 K0108

    AS100399-Z 8” PLASTIC POLY CASTER EA $48 E2219 E2225

    AS100400-Z 8” PLASTIC PNEUMATIC CASTER EA $55 E2214 E2215 E2225

    AS100422-Z BACK UPH, FOLDER S-12 SHORT EA $341 E2611

    AS100423-Z BACK UPH, FOLDER S-13 SHORT EA $341 E2611

    AS100424-Z BACK UPH, FOLDER S-14 SHORT EA $341 E2611

    AS100425-Z BACK UPH, FOLDER S-15 SHORT EA $341 E2611

    AS100426-Z BACK UPH, FOLDER S-16 SHORT EA $341 E2611

    AS100427-Z BACK UPH, FOLDER S-17 SHORT EA $341 E2611

    AS100428-Z BACK UPH, FOLDER S-18 SHORT EA $341 E2611

    AS100429-Z BACK UPH, FOLDER S-12 MEDIUM EA $341 E2611

    AS100431-Z BACK UPH, FOLDER S-14 MEDIUM EA $341 E2611

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    Effective March 1, 2017

    PPL_117_REV I

    permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    AS100432-Z BACK UPH, FOLDER S-15 MEDIUM EA $341 E2611

    AS100433-Z BACK UPH, FOLDER S-16 MEDIUM EA $341 E2611

    AS100434-Z BACK UPH, FOLDER S-17 MEDIUM EA $341 E2611

    AS100435-Z BACK UPH, FOLDER S-18 MEDIUM EA $341 E2611

    AS100451-Z ALUM SIDEGUARD ASSEMBLY LEFT EA $70 K0108

    AS100452-Z ALUM SIDEGUARD ASSEMBLY RIGHT EA $70 K0108

    AS100454-Z ANTI-TIP TUBE SHORT ASSY EA $66 K0108

    AS100456-Z ANTI-TIP TUBE MEDIUM ASSY EA $66 K0108

    AS100462-Z SWING AWAY ARMREST RIGHT ASSY EA $112 E0973

    AS100463-Z SWING AWAY ARMREST LEFT ASSY EA $112 E0973

    AS100495-Z FOOTREST EXT SHORT BENT PR PR $155 K0043

    AS100496-Z FOOTREST EXT MEDIUM BENT PR PR $155 K0043

    AS100497-Z FOOTREST EXT LONG BENT PR PR $155 K0043

    AS100498-Z ANG ADJ FTREST EXT SHORT PR PR $321 K0043

    AS100499-Z ANG ADJ FTREST EXT MEDIUM PR PR $321 K0043

    AS100500-Z ANG ADJ FTREST EXT LONG PR PR $321 K0043

    AS100501-Z ANTI-TIP ASSEMBLY SHORT PR PR $280 E0971

    AS100502-Z ANTI-TIP ASSEMBLY MEDIUM PR PR $280 E0971

    AS100507-Z ANTI-TIP MOUNT ASSEMBLY EA $78 K0108

    AS100508-Z FOOTREST EXT SHORT STR8 PR PR $155 K0043

    AS100509-Z FOOTREST EXT MEDIUM STR8 PR PR $155 K0043

    AS100510-Z FOOTREST EXT LONG STR8 PR PR $155 K0043

    AS100518-Z BACK UPH, V-12, 12-16 ASSY EA $119 E2611

    AS100519-Z BACK UPH, V-13, 12-16 ASSY EA $119 E2611

    AS100520-Z BACK UPH, V-14, 12-16 ASSY EA $119 E2611

    AS100521-Z BACK UPH, V-15, 12-16 ASSY EA $119 E0982

    AS100522-Z BACK UPH, V-16, 12-16 ASSY EA $119 E2611

    AS100523-Z BACK UPH, V-17, 12-16 ASSY EA $119 E2611

    AS100524-Z BACK UPH, V-18, 12-16 ASSY EA $119 E0982

    AS100525-Z BACK UPH, V-12, 14-18 ASSY EA $119 E2611

    AS100528-Z BACK UPH, V-15, 14-18 ASSY EA $119 E0982

    AS100529-Z BACK UPH, V-16, 14-18 ASSY EA $119 E0982

    AS100530-Z BACK UPH, V-17, 14-18 ASSY EA $119 E0982

    AS100531-Z BACK UPH, V-18, 14-18 ASSY EA $119 E2611

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    PPL_117_REV I

    Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    AS100533-Z BACK UPH, S-13, 12-16 ASSY EA $341 E2611

    AS100534-Z BACK UPH, S-14, 12-16 ASSY EA $341 E2611

    AS100535-Z BACK UPH, S-15, 12-16 ASSY EA $341 E2611

    AS100536-Z BACK UPH, S-16, 12-16 ASSY EA $341 E2611

    AS100537-Z BACK UPH, S-17, 12-16 ASSY EA $341 E2611

    AS100538-Z BACK UPH, S-18, 12-16 ASSY EA $341 E2611

    AS100541-Z BACK UPH, S-14, 14-18 ASSY EA $341 E2611

    AS100542-Z BACK UPH, S-15, 14-18 ASSY EA $341 E2611

    AS100543-Z BACK UPH, S-16, 14-18 ASSY EA $341 E2611

    AS100544-Z BACK UPH, S-17, 14-18 ASSY EA $341 E2611

    AS100545-Z BACK UPH, S-18, 14-18 ASSY EA $341 E2611

    AS100546-Z ANG ADJ FOOTREST 10”-11” ASSY EA $173 K0040

    AS100547-Z ANG ADJ FOOTREST 12” ASSY EA $173 K0040

    AS100548-Z ANG ADJ FOOTREST 13” ASSY EA $173 K0040

    AS100549-Z ANG ADJ FOOTREST 14-15” ASSY EA $173 K0040

    AS100550-Z ANG ADJ FOOTREST 16-18” ASSY EA $173 K0040

    AS100551-Z HI MNT ANG ADJ FTREST 10-11” EA $265 K0108

    AS100552-Z HI MNT ANG ADJ FTREST 12” EA $265 K0108

    AS100553-Z HI MNT ANG ADJ FTREST 13” EA $265 K0108

    AS100554-Z HI MNT ANG ADJ FTREST 14-15” EA $265 K0108

    AS100555-Z HI MNT ANG ADJ FTREST 16-18” EA $265 K0108

    AS100560-Z FIFTH WHEEL ANTI-TIP (QWK REL) EA $445 K0108

    AS100563-Z FRONT ROLLER EA $137 K0108

    AS100564-Z BASKETBALL ROLLER ASSEMBLY EA $137 K0108

    AS100565-Z CASTER HOUSING ASSEMBLY PR EA $137 K0108

    AS100566-Z SHORT ANTTIP SHOR WHL F/ARM PR PR $268 E0971

    AS100567-Z LONG ANTTIP SHORT WHL F/ARM PR PR $280 E0971

    AS100568-Z SHORT ANTTIP LONG WHL F/ARM PR PR $268 E0971

    AS100569-Z LONG ANTITIP LONG WHL F/ARM PR PR $280 E0971

    AS100570-Z ANTI-TIP TUBE MEDIUM ASSEMBLY EA $43 K0108

    AS100571-Z ANTI-TIP TUBE LONG ASSEMBLY EA $66 K0108

    AS100572-Z SHORT ANTTIP W/ SHORT WHEEL PR PR $256 E0971

    AS100573-Z LONG ANTI-TIP SHORT WHEEL PR PR $268 E0971

    AS100574-Z SHORT ANTTIP W/ LONG WHEEL PR PR $256 E0971

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    Effective March 1, 2017

    PPL_117_REV I

    permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    AS100575-Z LONG ANTI-TIP LONG WHEEL PR PR $268 E0971

    AS100576-Z SX 70° HANGER PAIR ASSY PR $447 K0044

    AS100579-Z SX FRAME FRONT ASSY EA $321 K0108

    AS100580-Z FOLDER 6° CAMBER ASSY EA $55 K0108

    AS100583-Z HI MNT FLIP-UP FTREST 4.203 PR PR $309 K0037

    AS100584-Z HI MNT FLIP-UP FTREST 5.203 PR PR $309 K0037

    AS100585-Z HI MNT FLIP-UP FTREST 6.203 PR PR $309 K0037

    AS100586-Z HI MNT FLIP-UP FTREST 7.203 PR PR $309 K0037

    AS100588-Z HI MNT ANG ADJ FLIPUP 4.203 PR PR $579 K0037

    AS100589-Z HI MNT ANG ADJ FLIPUP 5.203 PR PR $579 K0037

    AS100590-Z HI MNT ANG ADJ FLIPUP 6.203 PR PR $579 K0037

    AS100591-Z HI MNT ANG ADJ FLIPUP 7.203 PR PR $579 K0037

    AS100592-Z ADJ CAMBER TUBE 6° CAMBER EA $298 K0108

    AS100597-Z FIFTH WHEEL ANTI-TIP STD EA $427 K0108

    AS100598-Z 27”(700) PRIMO SMOOTH TIRE ASY EA $52 E2211 E2212

    AS100604-Z FIXED CAMBER TUBE 6° CAMBER EA $135 K0108

    AS100607-POL 80° HANGER RIGHT ASSEMBLY EA $363 K0044

    AS100608-POL 80° HANGER LEFT ASSEMBLY EA $363 K0044

    AS100610-POL 80° TAPER HANGER LEFT ASSY EA $416 K0044

    AS100612-Z HI MNT FLIPUP FT 3.203 LFT ASY EA $173 K0037

    AS100615-Z HI MNT FLIP-UP FTREST 5.203 RT EA $178 K0037

    AS100616-Z HI MNT FLIP-UP FTREST 5.203 LT EA $178 K0037

    AS100617-Z HI MNT FLIP-UP FTREST 6.203 RT EA $178 K0037

    AS100619-Z HI MNT FLIP-UP FTREST 7.203 RT EA $178 K0037

    AS100620-Z HI MNT FLIP-UP FTREST 7.203 LT EA $178 K0037

    AS100623-Z HI MNT ANG ADJ FLIPUP 4.203 RT EA $341 K0037

    AS100624-Z HI MNT ANG ADJ FLIPUP 4.203 LT EA $341 K0037

    AS100625-Z HI MNT ANG ADJ FLIPUP 5.203 RT EA $341 K0037

    AS100626-Z HI MNT ANG ADJ FLIPUP 5.203 LT EA $341 K0037

    AS100627-Z HI MNT ANG ADJ FLIPUP 6.203 RT EA $341 K0037

    AS100628-Z HI MNT ANG ADJ FLIPUP 6.203 LT EA $341 K0037

    AS100629-Z HI MNT ANG ADJ FLIPUP 7.203 RT EA $341 K0037

    AS100630-Z HI MNT ANG ADJ FLIPUP 7.203 LT EA $341 K0037

    AS100632-Z 20”(451)TREADED TIRE ASSY EA $42 E2211 E2212

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    PPL_117_REV I

    Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    AS100633-Z 22”(501)TREADED TIRE ASSY EA $42 E2211 E2212

    AS100635-Z 20”(451)6TAB BLK HANDRIM ASSY EA $126 E2205

    AS100635S-Z 20”(451) 6 TAB SLVR ANO HNDRM EA $81 E2205

    AS100636-Z 20”(451)6 TAB VINYL HNDRM ASSY EA $173 E2205

    AS100638-Z 27”(700c)6TAB TI HANDRIM ASY EA $285 E2205

    AS100639-Z HEELSTRAP FOOTPLATE 14” ASY EA $42 E0951

    AS100640-Z AMPUTEE AXLE PLATE ASSEMBLY PR $186 E0959

    AS100642-Z CASTER HOUSING RIGHT ASSEMBLY EA $70 K0108

    AS100643-Z CASTER HOUSING LEFT ASSEMBLY EA $70 K0108

    AS100647 SX 16” LEFT SIDE FRAME ASSY EA $1,011 K0108

    AS100648 SX 16” RIGHT SIDE FRAME ASSY EA $1,011 K0108

    AS100649 SX 18” LEFT SIDE FRAME ASSY EA $1,011 K0108

    AS100649-POL SX 18” LEFT SIDEFRAME ASY-POL EA $1,281 K0108

    AS100650 SX 18” RIGHT SIDE FRAME ASSY EA $1,011 K0108

    AS100650-POL SX 18” RIGHT SIDEFRAME ASY-POL EA $1,281 K0108

    AS100651-Z FLIP-UP FTREST ASSY 4.203 RT EA $98 K0045

    AS100652-Z FLIP-UP FTREST ASSY 5.203 RT EA $98 K0045

    AS100653-Z FLIP-UP FTREST ASSY 6.203 RT EA $98 K0045

    AS100654-Z FLIP-UP FTREST ASSY 7.203 RT EA $98 K0045

    AS100655-Z FLIP-UP FTREST ASSY 4.203 LT EA $98 K0045

    AS100656-Z FLIP-UP FTREST ASSY 5.203 LT EA $98 K0045

    AS100657-Z FLIP-UP FTREST ASSY 6.203 LT EA $98 K0045

    AS100658-Z FLIP-UP FTREST ASSY 7.203 LT EA $98 K0045

    AS100659-Z FOOTREST EXT SHORT BENT EA $78 K0043

    AS100660-Z FOOTREST EXT MEDIUM BENT EA $78 K0043

    AS100661-Z FOOTREST EXT LONG BENT EA $78 K0043

    AS100662-Z FOOTREST EXT SHORT STRAIGHT EA $78 K0043

    AS100663-Z FOOTREST EXT MEDIUM STRAIGHT EA $78 K0043

    AS100664-Z FOOTREST EXT LONG STRAIGHT EA $78 K0043

    AS100665-Z ANG ADJ FTREST EXT SHORT RT EA $161 K0043

    AS100666-Z ANG ADJ FTREST EXT SHORT LT EA $161 K0043

    AS100667-Z ANG ADJ FTREST EXT MEDIUM RT EA $161 K0043

    AS100668-Z ANG ADJ FTREST EXT MEDIUM LT EA $161 K0043

    AS100669-Z ANG ADJ FTREST EXT LONG RT EA $161 K0043

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    Effective March 1, 2017

    PPL_117_REV I

    permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    AS100670-Z ANG ADJ FTREST EXT LONG LT EA $161 K0043

    AS100671 TR FRAME ASSY EA $2,704 K0108

    AS100673 FRAME ASSY TR W/ADJ CG FXD BAC EA $2,866 K0108

    AS100719-Z BOLT ON SEAT RAIL 12” ASSEMBLY PR $33 K0108

    AS100720-Z BOLT ON SEAT RAIL 13” ASSEMBLY PR $33 K0108

    AS100721-Z BOLT ON SEAT RAIL 14” ASSEMBLY PR $33 K0108

    AS100722-Z BOLT ON SEAT RAIL 15” ASSEMBLY PR $33 K0108

    AS100723-Z BOLT ON SEAT RAIL 16” ASSEMBLY PR $33 K0108

    AS100724-Z BOLT ON SEAT RAIL 17” ASSEMBLY PR $33 K0108

    AS100725-Z BOLT ON SEAT RAIL 18” ASSEMBLY PR $33 K0108

    AS100726-Z QUAD NUT ASSY EA $58 K0108

    AS100792 24” SPOX RED TREAD 6TB BLK ANO EA $512 K0070 E2205

    AS100796 24” SPOX RED MAKO 6TB VINYL EA $578 K0069 E2205

    AS100797 24” SPOX RED MAKO 6TB TI EA $661 K0069 E2205

    AS100849 26” SPOX BLK TRAD 6TB BLK ANO EA $512 K0070 E2205

    AS100850 26” SPOX BLK TREAD 6TB VINYL EA $559 K0070 E2205

    AS100875-Z CUSTOM PROJECTION H-RIM ASSY EA $379 E0967

    AS100876-Z FOAM COATED HANDRIM ASSY EA $202 E2205

    AS100878-Z HI MNT FLDING OVR CNT 5.314 EA $387 K0108

    AS100882-Z HI MNT FLDING OVR CNT 7.314 EA $387 K0108

    AS100884-Z HI MNT ANG ADJ FLDING 4.814 EA $602 K0108

    AS100886-Z HI MNT ANG ADJ FLDING 5.814 EA $602 K0108

    AS100887-Z HI MNT ANG ADJ FLDING 6.314 EA $602 K0108

    AS100888-Z HI MNT ANG ADJ FLDING 6.814 EA $602 K0108

    AS100889-Z HI MNT ANG ADJ FLDING 7.314 EA $600 K0108

    AS100890-Z HI MNT ANG ADJ FLDING 7.814 EA $602 K0108

    AS100920-Z SHORT ANTI-TIP LONG WHEEL PR PR $220 E0971

    AS100921-Z LONG ANTI-TIP SHORT WHEEL PR PR $233 E0971

    AS100922-Z LONG ANTI-TIP LONG WHEEL PR PR $233 E0971

    AS100925-Z AMPUTEE ASY w/ ANTIP SHRT-LONG EA $428 E0959 E0971

    AS100928-Z STROLLER HANDLE ASSEMBLY RIGHT EA $296 K0108

    AS100929-Z STROLLER HANDLE ASSEMBLY LEFT EA $296 K0108

    AS100932-Z SWING AWAY ARMREST RIGHT ASSY EA $155 E0973

    AS100933-Z SWING AWAY ARMREST LEFT ASSY EA $155 E0973

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    PPL_117_REV I

    Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    AS100934-Z SWING AWAY ARMREST PAIR ASSY PR $309 E0973

    AS100938-Z STROLLER HANDLE ASSEMBLY PAIR EA $536 K0108

    AS100939-Z ALUM BACKREST EXT TUBE ASSY EA $38 K0108

    AS100940-Z ALUM BACKREST PUSH TUBE ASSY EA $63 K0108

    AS100941-Z SHORT ANTI-TIP SHORT WHEEL PR PR $220 E0971

    AS100945-Z REAR WHEEL SPACING PACKAGE EA $26 K0108

    AS100946-Z QUICK RELEASE PIN STROLLER EA $52 K0108

    AS100947-Z STROLLER HANDLE EA $90 K0108

    AS100952-Z SWING AWAY ARMREST RIGHT EA $95 E0973

    AS100953-Z SWING AWAY ARMREST LEFT EA $95 E0973

    AS100954-Z ARMREST RIGHT SHORT TRA EA $90 E0973

    AS100958-Z BOLT PACKAGE EA $53 K0108

    AS100959-Z AMPUTEE AXLE PLATE ASSEMBLY EA $270 E0959

    AS100961-Z SHORT ANTI-TIP SHORT WHEEL PR PR $375 E0971

    AS100962-Z SHORT ANTI-TIP LONG WHEEL PR PR $375 E0971

    AS100963-Z EXTENSION HANDLE ASSY-LEFT EA $50 E0961

    AS100964-Z EXTENSION HANDLE ASSY-RIGHT EA $50 E0961

    AS100967-Z LONG ANTI-TIP SHORT WHEEL PR PR $375 E0971

    AS100968-Z LONG ANTI-TIP LONG WHEEL PR PR $375 E0971

    AS100969-Z ALUM BCKRST HINGE ASSEMBLY PR PR $161 K0108

    AS100973-Z LUGGAGE CARRIER W/CLAMP PAIR PR $185 K0108

    AS100974-Z SWING AWAY ARMREST ASSEMBLY PR PR $319 E0973

    AS100975-Z SWING AWAY ARM RECEPTACLE RT EA $78 K0108

    AS100976-Z SWING AWAY ARM RECEPTACLE LT EA $78 K0108

    AS100977-Z SWING AWAY ARMREST RIGHT ASSY EA $123 E0973

    AS100978-Z SWING AWAY ARMREST LEFT ASSY EA $123 E0973

    AS100979-Z BACK UPH, RIGID V-12 SHORT EA $119 E2611

    AS100980-Z BACK UPH, RIGID V-13 SHORT EA $119 E2611

    AS100981-Z BACK UPH, RIGID V-14 SHORT EA $119 E2611

    AS100982-Z BACK UPH, RIGID V-15 SHORT EA $119 E2611

    AS100983-Z BACK UPH, RIGID V-16 SHORT EA $119 E2611

    AS100984-Z BACK UPH, RIGID V-17 SHORT EA $119 E2611

    AS100985-Z BACK UPH, RIGID V-18 SHORT EA $119 E2611

    AS100986-Z BACK UPH, RIGID PV-12 SHORT EA $119 E2611

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    Effective March 1, 2017

    PPL_117_REV I

    permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    AS100987-Z BACK UPH, RIGID PV-13 SHORT EA $119 E2611

    AS100988-Z BACK UPH, RIGID PV-14 SHORT EA $119 E2611

    AS100989-Z BACK UPH, RIGID PV-15 SHORT EA $119 E2611

    AS100990-Z BACK UPH, RIGID PV-16 SHORT EA $119 E2611

    AS100991-Z BACK UPH, RIGID PV-17 SHORT EA $119 E2611

    AS100992-Z BACK UPH, RIGID PV-18 SHORT EA $119 E2611

    AS100993-Z BACK UPH, RIGID V-12 TALL EA $119 E2611

    AS100994-Z BACK UPH, RIGID V-13 TALL EA $119 E2611

    AS100995-Z BACK UPH, RIGID V-14 TALL EA $119 E2611

    AS100996-Z BACK UPH, RIGID V-15 TALL EA $119 E2611

    AS100997-Z BACK UPH, RIGID V-16 TALL EA $119 E2611

    AS100998-Z BACK UPH, RIGID V-17 TALL EA $119 E2611

    AS100999-Z BACK UPH, RIGID V-18 TALL EA $119 E2611

    AS101000-Z BACK UPH, RIGID PV-12 TALL EA $119 E2611

    AS101001-Z BACK UPH, RIGID PV-13 TALL EA $119 E2611

    AS101002-Z BACK UPH, RIGID PV-14 TALL EA $119 E2611

    AS101003-Z BACK UPH, RIGID PV-15 TALL EA $119 E2611

    AS101004-Z BACK UPH, RIGID PV-16 TALL EA $119 E2611

    AS101005-Z BACK UPH, RIGID PV-17 TALL EA $119 E2611

    AS101006-Z BACK UPH, RIGID PV-18 TALL EA $119 E2611

    AS101007-Z BACK UPH, RIGID S-12 SHORT EA $341 E2611

    AS101008-Z BACK UPH, RIGID S-13 SHORT EA $341 E2611

    AS101009-Z BACK UPH, RIGID S-14 SHORT EA $341 E2611

    AS101010-Z BACK UPH, RIGID S-15 SHORT EA $341 E2611

    AS101011-Z BACK UPH, RIGID S-16 SHORT EA $341 E2611

    AS101012-Z BACK UPH, RIGID S-17 SHORT EA $341 E2611

    AS101013-Z BACK UPH, RIGID S-18 SHORT EA $341 E2611

    AS101014-Z BACK UPH, RIGID PS-12 SHORT EA $341 E2611

    AS101016-Z BACK UPH, RIGID PS-14 SHORT EA $341 E2611

    AS101017-Z BACK UPH, RIGID PS-15 SHORT EA $341 E2611

    AS101018-Z BACK UPH, RIGID PS-16 SHORT EA $341 E2611

    AS101019-Z BACK UPH, RIGID PS-17 SHORT EA $341 E2611

    AS101020-Z BACK UPH, RIGID PS-18 SHORT EA $341 E2611

    AS101045-Z EX-SHRT ANTITIP W/SHRT EXT-RGD PR $268 E0971

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    PPL_117_REV I

    Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    AS101046-Z EX-SHRT ANTITIP W/LONG EXT-RGD PR $268 E0971

    AS101047-Z ANTI-TIP TUBE SHORT ASSEMBLY EA $66 K0108

    AS101048-Z AMPUTEE AXLE PLATE 0° CAMBER EA $331 E0959

    AS101049-Z ADJ CAMBER TUBE,2° AMPUTEE EA $331 E0959

    AS101056-Z AMPUTEE AXLE PLATE ASSEMBLY EA $331 E0959

    AS101057-Z 12” SQUARE TUBE HINGE ASSY EA $98 K0108

    AS101058-Z 13” SQUARE TUBE HINGE ASSY EA $98 K0108

    AS101059-Z 14” SQUARE TUBE HINGE ASSY EA $98 K0108

    AS101060-Z 15” SQUARE TUBE HINGE ASSY EA $98 K0108

    AS101061-Z 16” SQUARE TUBE HINGE ASSY EA $98 K0108

    AS101062-Z 17” SQUARE TUBE HINGE ASSY EA $98 K0108

    AS101063-Z 18” SQUARE TUBE HINGE ASSY EA $98 K0108

    AS101064-Z 19” SQUARE TUBE HINGE ASSY EA $98 K0108

    AS101065-Z 20” SQUARE TUBE HINGE ASSY EA $98 K0108

    AS101071-Z 20” SEATRAIL ASSY W/ SCREWS PR $33 K0108

    AS101072-Z 11” SEATRAIL ASSY W/ SCREWS PR $33 K0108

    AS101073-Z BOLT ON SEAT RAIL 19” ASSEMBLY PR $33 K0108

    AS101074-Z BOLT ON SEAT RAIL 20” ASSEMBLY PR $33 K0108

    AS101094-Z 5” SPECIAL FORK ASSEMBLY EA $95 K0108

    AS101096-Z 5”&6” STANDARD EXT FORK ASSY EA $95 K0108

    AS101097-Z 7”&8” STANDARD EXT FORK ASSY EA $95 K0108

    AS101098-Z 5”&6” 1/2” EXT FORK ASSY EA $95 K0108

    AS101099-Z 7”&8” 1/2” EXT FORK ASSY EA $95 K0108

    AS101100-Z 5”&6” 1” EXT FORK ASSY EA $95 K0108

    AS101101-Z 7”&8” 1” EXT FORK ASSY EA $95 K0108

    AS101102-Z 5”&6” 1.5” EXT FORK ASSY EA $95 K0108

    AS101103-Z 7”&8” 1.5” EXT FORK ASSY EA $95 K0108

    AS101110-Z 7&8” STD EXT FORK FOR 3&4” EA $95 K0108

    AS101111-Z 7&8” 1/2” EXT FORK FOR 3&4” EA $95 K0108

    AS101112-Z 7&8” 1” EXT FORK FOR 3&4” EA $95 K0108

    AS101113-Z 7&8” 1.5” EXT FORK FOR 3&4” EA $95 K0108

    AS101114-Z 5&6” STD EXT FORK FOR 3&4” EA $95 K0108

    AS101115-Z 5&6” 1/2” EXT FORK FOR 3&4” EA $95 K0108

    AS101116-Z 5&6” 1” EXT FORK FOR 3&4” EA $95 K0108

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    Effective March 1, 2017

    PPL_117_REV I

    permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    AS101117-Z 5&6” 1.5” EXT FORK FOR 3&4” EA $95 K0108

    AS101119-Z 3” CASTER FORK ASSY EA $113 E2222 E2226

    AS101123-Z 5” POLY/PLASTIC TR/FORK ASSY EA $113 K0077 E2226

    AS101128-Z 6” POLY/PLAST CASTER FORK ASSY EA $113 K0077 E2226

    AS101131-Z 3” CASTER 5-6” STD FORK ASSY EA $113 E2222 E2226

    AS101132-Z 3” CASTER 7-8” STD FORK ASSY EA $113 E2222 E2226

    AS101135-Z 5” POLY/PLASTIC 5-6” STD FORK EA $113 K0077

    AS101137-Z 5” POLY/PLASTIC 7-8” STD FORK EA $113 K0077

    AS101140-Z 6” POLY/PLASTIC 7-8” STD FORK EA $113 K0077

    AS101143-Z 8” POLY/PLASTIC 7-8” STD FORK EA $126 K0077

    AS101150-Z 5”POLY/PLST 5-6” FORK 1/2” EXT EA $113 K0077

    AS101174-Z 5” POLY/PL ON 7-8” FORK 1” EXT EA $113 K0077

    AS101186-Z 5” POLY/PL 5-6”FORK 1-1/2” EXT EA $113 K0077

    AS101192-Z 5” POLY/PL 7-8”FORK 1-1/2” EXT EA $113 K0077

    AS101194-Z 6” POLY/PL 7-8”FORK 1-1/2” EXT EA $113 K0077

    AS101240-Z DESKARM TRNSFR LP 9-12 RT ASSY EA $211 K0108

    AS101241-Z DESKARM TRNSFR LP 9-12 LT ASSY EA $211 K0108

    AS101309 26” SPOX BLU TREAD 6TB VINYL EA $509 K0108

    AS101332-Z DESKARM TRNSFR LP 9-12 PR ASSY PR $422 K0108

    AS101333-Z DESKARM TRNSFR LP12-15 PR ASSY PR $422 K0108

    AS101334-Z DESKARM TRNSFR LP12-15 RT ASSY EA $211 K0108

    AS101335-Z DESKARM TRNSFR LP12-15 LT ASSY EA $211 K0108

    AS101336-Z TELESCOPING HANDLE CLAMP ASY EA $92 K0108

    AS101337-Z TELESCOPING PUSH HANDLE ASSY PR $319 K0108

    AS101472-Z 3” LITE WHEEL 3-4” FORK EA $137 K0077

    AS101476-Z 3” LITE WHEEL 5-6” STD STEM EA $137 K0077

    AS101533-Z BACK UPH, RIGID V-19 SHORT EA $119 E2611

    AS101534-Z BACK UPH, RIGID V-20 SHORT EA $119 E2611

    AS101535-Z BACK UPH, RIGID V-19 MEDIUM EA $119 E2611

    AS101536-Z BACK UPH, RIGID V-20 MEDIUM EA $119 E0982

    AS101537-Z RIGID SPORT ARMREST PAIR ASSY PR $284 E0973

    AS101538-Z SWING AWAY ARMREST LEFT ASSY EA $155 E0973

    AS101539-Z SWING AWAY ARMREST RIGHT ASSY EA $155 E0973

    AS101541-Z STROLLER HANDLE LEFT ASSEMBLY EA $293 K0108

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    PPL_117_REV I

    Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    AS101542-Z STROLLER HANDLE RIGHT ASSEMBLY EA $293 K0108

    AS101544-Z ARMREST/STROLLER LEFT ASSY EA $422 K0108

    AS101545-Z ARMREST/STROLLER RIGHT ASSY EA $422 K0108

    AS101546-Z BACK UPH, RIGID V-19 TALL EA $119 E2611

    AS101547-Z BACK UPH, RIGID V-20 TALL EA $119 E2611

    AS101548-Z BACK UPH, RIGID PV-19 SHORT EA $119 E2611

    AS101550-Z BACK UPH, RIGID PV-19 MEDIUM EA $119 E2611

    AS101551-Z BACK UPH, RIGID PV-20 MEDIUM EA $119 E2611

    AS101552-Z BACK UPH, RIGID PV-19 TALL EA $119 E2611

    AS101553-Z BACK UPH, RIGID PV-20 TALL EA $119 E2611

    AS101554-Z BACK UPH, RIGID S-19 SHORT EA $341 E2611

    AS101556-Z BACK UPH, RIGID S-19 MEDIUM EA $341 E2611

    AS101557-Z BACK UPH, RIGID S-20 MEDIUM EA $341 E2611

    AS101560-Z BACK UPH, RIGID S-19 TALL EA $341 E2611

    AS101561-Z BACK UPH, RIGID S-20 TALL EA $341 E2611

    AS101562-Z BACK UPH, RIGID PS-19 SHORT EA $341 E2611

    AS101563-Z BACK UPH, RIGID PS-20 SHORT EA $341 E2611

    AS101564-Z BACK UPH, RIGID PS-19 MEDIUM EA $341 E2611

    AS101565-Z BACK UPH, RIGID PS-20 MEDIUM EA $341 E2611

    AS101566-Z BACK UPH, RIGID PS-19 TALL EA $341 E2611

    AS101567-Z BACK UPH, RIGID PS-20 TALL EA $341 E2611

    AS101568-Z CUSTOM SPORT ARMREST ASSY RT EA $209 E2611

    AS101569-Z CUSTOM SPORT ARMREST ASSY LT EA $209 E2611

    AS101570-Z BACK UPH, FOLDER S-19 SHORT EA $341 E2611

    AS101571-Z BACK UPH, FOLDER S-20 SHORT EA $341 E2611

    AS101572-Z BACK UPH, FOLDER S-19 MEDIUM EA $341 E2611

    AS101573-Z BACK UPH, FOLDER S-20 MEDIUM EA $341 E2611

    AS101574-Z BACK UPH, FOLDER PS-19 SHORT EA $341 E2611

    AS101575-Z BACK UPH, FOLDER PS-20 SHORT EA $341 E2611

    AS101576-Z BACK UPH, FOLDER PS-19 MEDIUM EA $341 E2611

    AS101577-Z BACK UPH, FOLDER PS-20 MEDIUM EA $341 E2611

    AS101590-Z HD 6”POLY/PLST 5-6”FORK STD EA $137 K0077

    AS101639-Z BACK UPH, V-20, 12-16 ASSY EA $119 E2611

    AS101643-Z BACK UPH, V-15, 8-12 ASSY EA $119 E0982

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    Effective March 1, 2017

    PPL_117_REV I

    permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    AS101644-Z BACK UPH, V-16, 8-12 ASSY EA $119 E0982

    AS101649-Z BACK UPH, V-19, 14-18 ASSY EA $119 E0982

    AS101650-Z BACK UPH, V-20, 14-18 ASSY EA $119 E0982

    AS101651-Z BACK UPH, PV-19, 13-16 ASSY EA $119 E0982

    AS101653-Z BACK UPH, PV-12, 9-12 ASSY EA $119 E0982

    AS101657-Z BACK UPH, PV-16, 9-12 ASSY EA $119 E0982

    AS101664-Z BACK UPH, S-19, 12-16 ASSY EA $341 E2611

    AS101665-Z BACK UPH, S-20, 12-16 ASSY EA $341 E2611

    AS101666-Z BACK UPH, S-19, 14-18 ASSY EA $341 E2611

    AS101670-Z BACK UPH, S-14, 8-12 ASSY EA $341 E2611

    AS101671-Z BACK UPH, S-15, 8-12 ASSY EA $341 E2611

    AS101672-Z BACK UPH, S-16, 8-12 ASSY EA $341 E2611

    AS101673-Z BACK UPH, S-17, 8-12 ASSY EA $341 E2611

    AS101675-Z BACK UPH, S-19, 8-12 ASSY EA $341 E2611

    AS101676-Z BACK UPH, S-20, 8-12 ASSY EA $341 E2611

    AS101677-Z BACK UPH, PS-19, 13-16 ASSY EA $341 E2611

    AS101682-Z BACK UPH, PS-15, 9-12 ASSY EA $341 E2611

    AS101690-Z BACK UPH, PS-19, 15-18 ASSY EA $341 E2611

    AS101691-Z BACK UPH, PS-20, 15-18 ASSY EA $341 E2611

    AS101693 HD FRAME TR, w/ADJ CG FLD BACK EA $3,028 K0108

    AS101693-POL HD FRAME TR,w/ADJCG FLDBAK-POL EA $3,732 K0108

    AS101694 HD FRAME TR, w/FIX CG FLD BACK EA $3,191 K0108

    AS101694-POL HD FRAME TR,w/FIXCG FLDBAK-POL EA $3,893 K0108

    AS101701 HEAVY DUTY X, 14”/70/0 RT ASSY EA $1,130 K0108

    AS101702 HEAVY DUTY X, 14”/70/0 LT ASSY EA $1,130 K0108

    AS101703 HEAVY DUTY X, 16”/70/0 RT ASSY EA $1,130 K0108

    AS101704 HEAVY DUTY X, 16”/70/0 LT ASSY EA $1,130 K0108

    AS101711 HEAVY DUTY X, 16”/80/0 RT ASSY EA $1,130 K0108

    AS101712 HEAVY DUTY X, 16”/80/0 LT ASSY EA $1,130 K0108

    AS101713 HEAVY DUTY X, 18”/80/0 RT ASSY EA $1,130 K0108

    AS101714 HEAVY DUTY X, 18”/80/0 LT ASSY EA $1,130 K0108

    AS101719 HEAVY DUTY X, 16”/85/0 RT ASSY EA $1,130 K0108

    AS101720 HEAVY DUTY X, 16”/85/0 LT ASSY EA $1,130 K0108

    AS101721 HEAVY DUTY X, 18”/85/0 RT ASSY EA $1,130 K0108

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    PPL_117_REV I

    Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    AS101722 HEAVY DUTY X, 18”/85/0 LT ASSY EA $1,130 K0108

    AS101730 HEAVY DUTY X, 18”/70/1 LT ASSY EA $1,130 K0108

    AS101733 HEAVY DUTY X, 14”/80/1 RT ASSY EA $1,130 K0108

    AS101734 HEAVY DUTY X, 14”/80/1 LT ASSY EA $1,130 K0108

    AS101735 HEAVY DUTY X, 16”/80/1 RT ASSY EA $1,130 K0108

    AS101736 HEAVY DUTY X, 16”/80/1 LT ASSY EA $1,130 K0108

    AS101737 HEAVY DUTY X, 18”/80/1 RT ASSY EA $1,130 K0108

    AS101738 HEAVY DUTY X, 18”/80/1 LT ASSY EA $1,130 K0108

    AS101741 HEAVY DUTY X, 14”/85/1 RT ASSY EA $1,130 K0108

    AS101742 HEAVY DUTY X, 14”/85/1 LT ASSY EA $1,130 K0108

    AS101749 HEAVY DUTY SX, 14 LT FRAME ASY EA $1,130 K0108

    AS101750 HEAVY DUTY SX, 16 LT FRAME ASY EA $1,130 K0108

    AS101751 HEAVY DUTY SX, 18 LT FRAME ASY EA $1,130 K0108

    AS101752 HEAVY DUTY SX, 20 LT FRAME ASY EA $1,130 K0108

    AS101754 HEAVY DUTY SX, 16 RT FRAME ASY EA $1,130 K0108

    AS101755 HEAVY DUTY SX, 18 RT FRAME ASY EA $1,130 K0108

    AS101756 HEAVY DUTY SX, 20 RT FRAME ASY EA $1,130 K0108

    AS101763 HD XC, w/ ADJ HEIGHT BACK ASSY EA $2,320 K0108

    AS101765-Z HVY DTY BCKRST EXT TUBE ASSY EA $46 K0108

    AS101766-Z HVY DTY BCKRST PUSH TUBE ASSY EA $67 K0108

    AS101768-Z DESK ARM CLAMP ASSY- 1.00” EA $92 K0108

    AS101773 HD FRAME TR, w/ADJ CG FIX BACK EA $3,191 K0108

    AS101775-Z HVY DTY FTREST EXT BENT S PR PR $137 K0043

    AS101776-Z HVY DTY FTREST EXT BENT M PR PR $137 K0043

    AS101777-Z HVY DTY FTREST EXT BENT L PR PR $137 K0043

    AS101778-Z HVY DTY FTREST EXT STR8 S PR PR $126 K0043

    AS101779-Z HVY DTY FTREST EXT STR8 M PR PR $126 K0043

    AS101780-Z HVY DTY FTREST EXT STR8 L PR PR $126 K0043

    AS101781-Z HVY DTY FTREST EXT BENT SHORT EA $78 K0043

    AS101782-Z HVY DTY FTREST EXT BENT MEDIUM EA $78 K0043

    AS101784-Z HVY DTY FTREST EXT STR8 SHORT EA $71 K0043

    AS101789-Z HVY DTY ANG ADJ EXT SHORT PR PR $328 K0043

    AS101790-Z HVY DTY ANG ADJ EXT MEDIUM PR PR $328 K0043

    AS101791-Z HVY DTY ANG ADJ EXT LONG PR PR $328 K0043

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    Effective March 1, 2017

    PPL_117_REV I

    permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    AS101792-Z HVY DTY ANG ADJ EXT SHORT RT EA $173 K0043

    AS101794-Z HVY DTY ANG ADJ EXT LONG RT EA $173 K0043

    AS101795-Z HVY DTY ANG ADJ EXT SHORT LT EA $173 K0043

    AS101796-Z HVY DTY ANG ADJ EXT MEDIUM LT EA $173 K0043

    AS101797-Z HVY DTY ANG ADJ EXT LONG LT EA $173 K0043

    AS101799-Z 6” SR 5-6” FORK STD STEM EA $293 K0077

    AS101803-Z 6” SRW, 7-8” FORK, 0.5” EXT EA $293 K0077

    AS101805-Z 6” SRW, 7-8” FORK, 1.0” EXT EA $293 K0077

    AS101823-Z BACK UPH, PS-14, 13-16 ASSY EA $341 E2611

    AS101824-Z BACK UPH, PS-15, 13-16 ASSY EA $341 E2611

    AS101825-Z BACK UPH, PS-16, 13-16 ASSY EA $341 E2611

    AS101826-Z BACK UPH, PS-17, 13-16 ASSY EA $341 E2611

    AS101827-Z BACK UPH, PS-18, 13-16 ASSY EA $341 E2611

    AS101829-Z BACK UPH, PS-13, 15-18 ASSY EA $341 E2611

    AS101830-Z BACK UPH, PS-14, 15-18 ASSY EA $341 E2611

    AS101831-Z BACK UPH, PS-15, 15-18 ASSY EA $341 E2611

    AS101832-Z BACK UPH, PS-16, 15-18 ASSY EA $341 E2611

    AS101833-Z BACK UPH, PS-17, 15-18 ASSY EA $341 E2611

    AS101834-Z BACK UPH, PS-18, 15-18 ASSY EA $341 E2611

    AS101896-Z TALL RIGID SPORTARM RT ASSY EA $95

    AS101897-Z TALL RIGID SPORTARM LT ASSY EA $95

    AS101916-Z FOLDING BACKREST 80° ASSY EA $161 K0108

    AS101917-Z AXLE PLATE ASSEMBLY EA $244 K0108

    AS101938-Z FOLDING BACKREST HINGE ASSY RT EA $80 K0108

    AS101939-Z FOLDING BACKREST HINGE ASSY LT EA $80 K0108

    AS101964-Z 25” (559) TREADED TIRE ASSY EA $42 E2211 E2212

    AS101966-Z CASTER HOUSING STOCKED-RIGHT EA $72 K0108

    AS101967-Z CASTER HOUSING STOCKED-LEFT EA $72 K0108

    AS101968-Z HANGER LEVER-LEFT EA $108 K0108

    AS101969-Z HANGER LEVER-RIGHT EA $108 K0108

    AS102021-Z EXPANDABLE CAMBER TUBE 0° EA $197 K0108

    AS102022-Z EXPANDABLE CAMBER TUBE 2° EA $197 K0108

    AS102023-Z EXPANDABLE CAMBER TUBE 4° EA $197 K0108

    AS102024-Z EXPANDABLE CAMBER TUBE 6° EA $197 K0108

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    PPL_117_REV I

    Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    AS102025-Z EXPANDABLE CAMBER TUBE 8° EA $197 K0108

    AS102027-Z ANG ADJ FOOTREST 19-20” ASSY EA $173 K0040

    AS102028-Z FLIP BACK ARMREST RIGHT ASSY EA $123 E0973

    AS102029-Z FLIP BACK ARMREST LEFT ASSY EA $123 E0973

    AS102030-Z FLIP BACK ARMREST PAIR ASSY PR $214 E0973

    AS102031-Z PEDIATRIC AXLE ASSEMBLY PR $102 K0108

    AS102032-Z PEDIATRIC AXLE F/STROLLER ASSY PR $102 K0108

    AS102033-Z PED BCKRST HINGE F/ARM ASSY PR PR $562 K0108

    AS102034-Z PED BCKRST HINGE ASSEMBLY PR PR $345 K0108

    AS102073-Z BACKREST EXP 8-12” H 12-14” W EA $113 K0108

    AS102074-Z BACKREST EXP 8-12” H 14-16” W EA $113 K0108

    AS102076-Z BACKREST EXP 12-16” H 12-14” W EA $113 K0108

    AS102077-Z BACKREST EXP 12-16” H 14-16” W EA $113 K0108

    AS102078-Z BACKREST EXP 12-16” H 16-18” W EA $113 K0108

    AS102079-Z BACKREST EXP 16-20” H 12-14” W EA $113 K0108

    AS102080-Z BACKREST EXP 16-20” H 14-16” W EA $113 K0108

    AS102081-Z BACKREST EXP 16-20” H 16-18” W EA $113 K0108

    AS102085-Z 90° HANGER w/FLIPUP 4.203 PAIR PR $181 K0045

    AS102086-Z 90° HANGER w/FLIPUP 5.203 PAIR PR $181 K0045

    AS102087-Z 90° HANGER w/FLIPUP 6.203 PAIR PR $181 K0045

    AS102088-Z 90° HANGER w/FLIPUP 7.203 PAIR PR $181 K0045

    AS102091-Z 90° HANGER w/FLIPUP 6.203 - RT EA $100 K0045

    AS102095-Z 90° HANGER w/FLIPUP 6.203 - LT EA $100 K0045

    AS102098-Z 90°HANGR DPTH/ANG ADJ 12-13 LT EA $127 K0042

    AS102099-Z 90°HANGR DPTH/ANG ADJ 12-13 PR PR $253 K0042

    AS102102-Z DEPTH ADJ FTREST ASSY 14-15 PR PR $193 K0042

    AS102105-Z DEPTH ADJ FTREST ASSY 16-17 PR PR $193 K0042

    AS102107-Z DEPTH ADJ FTREST ASSY 18-19 LT EA $96 K0042

    AS102108-Z DEPTH ADJ FTREST ASSY 18-19 PR PR $193 K0042

    AS102111-Z 90°HANGR DPTH/ANG ADJ 14-15 PR PR $253 K0042

    AS102112-Z 90°HANGR DPTH/ANG ADJ 16-17 RT EA $127 K0042

    AS102113-Z 90°HANGR DPTH/ANG ADJ 16-17 LT EA $127 K0042

    AS102114-Z 90°HANGR DPTH/ANG ADJ 16-17 PR PR $253 K0042

    AS102117-Z 90°HANGR DPTH/ANG ADJ 18-19 PR PR $253 K0042

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    Effective March 1, 2017

    PPL_117_REV I

    permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    AS102120-Z 90°HANGR DPTH/ANG ADJ 10-11 PR PR $253 K0042

    AS102123-Z DEPTH ADJ FTREST ASSY 10-11 PR PR $193 K0042

    AS102133-Z 8-12” BACKREST EXT TUBE ASSY EA $38 K0108

    AS102134-Z 8-12” BACKREST PUSH TUBE ASSY EA $63 K0108

    AS102135-Z 8-12” HVY DTY BCKRST EXT TUBE EA $46 K0108

    AS102136-Z 8-12” HVY DTY BCKRST PUSH TUBE EA $67 K0108

    AS102137-Z 8-12” ALUM BCKRST EXT TUBE EA $38 K0108

    AS102138-Z 8-12” ALUM BCKRST PUSH TUBE EA $63 K0108

    AS102151-Z TRAVEL AID UPRIGHT TUBE ASSY EA $94 K0108

    AS102152-Z TRAVEL WHEEL ASSEMBLY PR $774 K0108

    AS102157-Z ANG ADJ FOOTREST 14-15” ASSY EA $173 K0040

    AS102158-Z ANG ADJ FOOTREST 16” ASSY EA $173 K0040

    AS102159-Z ANG ADJ FOOTREST 17” ASSY EA $173 K0040

    AS102160-Z ANG ADJ FOOTREST 18” ASSY EA $173 K0040

    AS102161-Z ANG ADJ FOOTREST 19” ASSY EA $173 K0040

    AS102164-Z AXLE ASSEMBLY PR $102 K0108

    AS102174-Z ANG ADJ FOOTREST 20” ASSY EA $173 K0040 K0043

    AS102175-Z ANG ADJ HI MNT FTREST 14” EA $197 K0040 K0037

    AS102176-Z ANG ADJ HI MNT FTREST 15” EA $197 K0040 K0037

    AS102177-Z ANG ADJ HI MNT FTREST 16” EA $197 K0040 K0037

    AS102178-Z ANG ADJ HI MNT FTREST 17-18” EA $197 K0040 K0037

    AS102179-Z ANG ADJ HI MNT FTREST 19-20” EA $197 K0040 K0037

    AS102180-Z INV ANG ADJ HI MNT 14” ASSY EA $197 K0040 K0037

    AS102185-Z SHORT ANTI-TIP SHORT WHEEL PR PR $244 E0971

    AS102186-Z LONG ANTI-TIP SHORT WHEEL PR PR $244 E0971

    AS102187-Z SHORT ANTI-TIP LONG WHEEL PR PR $244 E0971

    AS102189-Z TRAVEL WHEEL ASSEMBLY PR $536 K0108

    AS102190-Z SWING AWAY ARMREST LEFT ASSY EA $149 E0973

    AS102191-Z SWING AWAY ARMREST RIGHT ASSY EA $149 E0973

    AS102196-Z STROLLER HANDLE LEFT ASSEMBLY EA $137 K0108

    AS102197-Z STROLLER HANDLE RIGHT ASSEMBLY EA $137 K0108

    AS102216-Z DEPTH ADJ FOOTREST 10-11 PR PR $199 K0040 K0037

    AS102217-Z DEPTH ADJ FOOTREST 12-13 PR PR $199 K0040 K0037

    AS102218-Z DEPTH ADJ FOOTREST 14-15 PR PR $199 K0040 K0037

  • STOCK CODE DESCRIPTION UNIT RETAIL HCPCS

    PPL_117_REV I

    Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax

    AS102219-Z DEPTH ADJ FOOTREST 16-17 PR PR $199 K0040 K0037

    AS102220-Z DEPTH ADJ FOOTREST 18-20 PR PR $199 K0040 K0037

    AS102223-Z DEPTH ADJ FOOTREST 14-15 RT EA $100 K0040 K0037

    AS102224-Z DEPTH ADJ FOOTREST 16-17 RT EA $100 K0040 K0037

    AS102225-Z DEPTH ADJ FOOTREST 18-20 RT EA $100 K0040 K0037

    AS102227-Z DEPTH ADJ FOOTREST 12-13 LT EA $100 K0040 K0037

    AS102228-Z DEPTH ADJ FOOTREST 14-15 LT EA $100 K0040 K0037

    AS102229-Z DEPTH ADJ FOOTREST 16-17 LT EA $100 K0040 K0037

    AS102230-Z DEPTH ADJ FOOTREST 18-20 LT EA $100 K0040 K0037

    AS102231-Z HI MOUNT DEPTH ADJ 10-11” PR PR $309 K0040 K0037

    AS102232-Z HI MOUNT DEPTH ADJ 12-13” PR PR $309 K0040 K0037

    AS102233-Z HI MOUNT DEPTH ADJ 14-15” PR PR $309 K0040 K0037

    AS102234-Z HI MOUNT DEPTH ADJ 16-17” PR PR $309 K0040 K0037

    AS102235-Z HI MOUNT DEPTH ADJ 18-20” PR PR $309 K0040 K0037

    AS102236-Z HI