Contract Effective 9/1/17 MDHHS Contract Hearing Aid ... Effective 9/1/17 MDHHS Contract Hearing Aid...

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Contract Effective 9/1/17 MDHHS Contract Hearing Aid Definitions BELTONE Page 1 of 4 DESCRIPTION & FEATURES (See below) db RANGE MODEL NUMBER (19 Characters or less) HCPCS CODE(S) EQUIPMENT PUBLISHED LIST PRICE EQUIPMENT PERCENT DISCOUNT OFF LIST PRICE EQUIPMENT TOTAL PRICE FIXED NON - WARRANTY REPAIR PRICE NON - WARRANTY REPAIR PERIOD (MONTHS) WARRANTY REPAIR PERIOD (MONTHS) LEGEND 6 63DRW up to 110 dB HL 203939xx V5257 $979.00 59.244% $399.00 $100.00 12 24 Digital BTE-RIE with twelve (12) channels, automatic noise reduction, adaptive directionality, wireless capability LEGEND 6 64DRW up to 110 dB HL 194210xx V5257 $979.00 59.244% $399.00 $100.00 12 24 Digital BTE-RIE with twelve (12) channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil LEGEND 6 76DW up to 110 dB HL 193687xx V5257 $979.00 59.244% $399.00 $100.00 12 24 Digital BTE with twelve (12) channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil LEGEND 6 86DW up to 110 dB HL 193689xx V5257 $979.00 59.244% $399.00 $100.00 12 24 Digital BTE with twelve (12) channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil LEGEND 6 63DRW up to 110 dB HL 203939xx V5261 $1,958.00 59.244% $798.00 $200.00 12 24 Digital BTE-RIE with twelve (12) channels, automatic noise reduction, adaptive directionality, wireless capability LEGEND 6 64DRW up to 110 dB HL 194210xx V5261 $1,958.00 59.244% $798.00 $200.00 12 24 Digital BTE-RIE with twelve (12) channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil LEGEND 6 76DW up to 110 dB HL 193687xx V5261 $1,958.00 59.244% $798.00 $200.00 12 24 Digital BTE with twelve (12) channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil LEGEND 6 86DW up to 110 dB HL 193689xx V5261 $1,958.00 59.244% $798.00 $200.00 12 24 Digital BTE with twelve (12) channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil BOLD 3 95D 60 to 120 dB HL 188820xx V5257 $899.00 55.617% $399.00 $100.00 12 24 Digital BTE with nine (9) channels, automatic noise reduction, adaptive directionality plus T-coil for patients with severe to profound hearing loss BOLD 3 95D 60 to 120 dB HL 188820xx V5261 $1,798.00 55.617% $798.00 $200.00 12 24 Digital BTE with nine (9) channels, automatic noise reduction, adaptive directionality plus T-coil for patients with severe to profound hearing loss ALLY 3 64DRW 10 to 110 dB HL 196267xx V5257 $789.00 55.767% $349.00 $100.00 12 24 Digital BTE-RIE with eight (8) Channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil ALLY 3 66DW up to 80 dB HL 196271xx V5257 $789.00 55.767% $349.00 $100.00 12 24 Digital BTE with eight (8) Channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil ALLY 3 76DW up to 100 dB HL 196276xx V5257 $789.00 55.767% $349.00 $100.00 12 24 Digital BTE with eight (8) Channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil BEHIND THE EAR TYPES - The total price shall be for a single hearing aid or two hearing aids and appropriate case. List model numbers/name and full range of the instrument has a T-coil or T-coil capability. For digital aids, indicate whether a remote control is required. For conventional aids, indicate whether it is a linear or compression circuit L = Linear, C = Compression.

Transcript of Contract Effective 9/1/17 MDHHS Contract Hearing Aid ... Effective 9/1/17 MDHHS Contract Hearing Aid...

Page 1: Contract Effective 9/1/17 MDHHS Contract Hearing Aid ... Effective 9/1/17 MDHHS Contract Hearing Aid Definitions BELTONE Page 2 of 4 DESCRIPTION & FEATURES (See below) db RANGE

Contract Effective 9/1/17 MDHHS Contract Hearing Aid DefinitionsBELTONE

Page 1 of 4

DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST

PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY REPAIR

PRICE

NON - WARRANTY

REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

LEGEND 6 63DRW up to 110 dB HL 203939xx V5257 $979.00 59.244% $399.00 $100.00 12 24Digital BTE-RIE with twelve (12) channels, automatic noise reduction, adaptive directionality, wireless capabilityLEGEND 6 64DRW up to 110 dB HL 194210xx V5257 $979.00 59.244% $399.00 $100.00 12 24Digital BTE-RIE with twelve (12) channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil

LEGEND 6 76DW up to 110 dB HL 193687xx V5257 $979.00 59.244% $399.00 $100.00 12 24Digital BTE with twelve (12) channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil

LEGEND 6 86DW up to 110 dB HL 193689xx V5257 $979.00 59.244% $399.00 $100.00 12 24Digital BTE with twelve (12) channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil

LEGEND 6 63DRW up to 110 dB HL 203939xx V5261 $1,958.00 59.244% $798.00 $200.00 12 24Digital BTE-RIE with twelve (12) channels, automatic noise reduction, adaptive directionality, wireless capabilityLEGEND 6 64DRW up to 110 dB HL 194210xx V5261 $1,958.00 59.244% $798.00 $200.00 12 24Digital BTE-RIE with twelve (12) channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil

LEGEND 6 76DW up to 110 dB HL 193687xx V5261 $1,958.00 59.244% $798.00 $200.00 12 24Digital BTE with twelve (12) channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil

LEGEND 6 86DW up to 110 dB HL 193689xx V5261 $1,958.00 59.244% $798.00 $200.00 12 24Digital BTE with twelve (12) channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil

BOLD 3 95D 60 to 120 dB HL 188820xx V5257 $899.00 55.617% $399.00 $100.00 12 24Digital BTE with nine (9) channels, automatic noise reduction, adaptive directionality plus T-coil for patients with severe to profound hearing lossBOLD 3 95D 60 to 120 dB HL 188820xx V5261 $1,798.00 55.617% $798.00 $200.00 12 24Digital BTE with nine (9) channels, automatic noise reduction, adaptive directionality plus T-coil for patients with severe to profound hearing lossALLY 3 64DRW 10 to 110 dB HL 196267xx V5257 $789.00 55.767% $349.00 $100.00 12 24Digital BTE-RIE with eight (8) Channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil

ALLY 3 66DW up to 80 dB HL 196271xx V5257 $789.00 55.767% $349.00 $100.00 12 24Digital BTE with eight (8) Channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil

ALLY 3 76DW up to 100 dB HL 196276xx V5257 $789.00 55.767% $349.00 $100.00 12 24Digital BTE with eight (8) Channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil

BEHIND THE EAR TYPES - The total price shall be for a single hearing aid or two hearing aids and appropriate case. List model numbers/name and full range of the instrument has a T-coil or T-coil capability. For digital aids, indicate whether a remote control is required. For conventional aids, indicate whether it is a linear or compression circuit L = Linear, C = Compression.

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Contract Effective 9/1/17 MDHHS Contract Hearing Aid DefinitionsBELTONE

Page 2 of 4

DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST

PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY REPAIR

PRICE

NON - WARRANTY

REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

ALLY 3 86DW 20 to 115 dB HL 196282xx V5257 $789.00 55.767% $349.00 $100.00 12 24Digital BTE with eight (8) Channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil

ALLY 3 64DRW 10 to 110 dB HL 196267xx V5261 $1,578.00 55.767% $698.00 $200.00 12 24Digital BTE-RIE with eight (8) Channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil

ALLY 3 66DW up to 80 dB HL 196271xx V5261 $1,578.00 55.767% $698.00 $200.00 12 24Digital BTE with eight (8) Channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil

ALLY 3 76DW up to 100 dB HL 196276xx V5261 $1,578.00 55.767% $698.00 $200.00 12 24Digital BTE with eight (8) Channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil

ALLY 3 86DW 20 to 115 dB HL 196282xx V5261 $1,578.00 55.767% $698.00 $200.00 12 24Digital BTE with eight (8) Channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coilORIGIN 3 64D up to 100 dB HL 191854xx V5257 $649.00 55.470% $289.00 $100.00 12 24Digital BTE with six (6) Channels, automatic feedbackcancellation, directional microphone, auto-phone plus T-coilORIGIN 3 64D up to 100 dB HL 191854xx V5261 $1,298.00 55.470% $578.00 $200.00 12 24Digital BTE with six (6) Channels, automatic feedbackcancellation, directional microphone, auto-phone plus T-coilORIGIN 2 75D 10 to 90 dB HL 178420xx V5257 $519.00 52.023% $249.00 $100.00 12 24Digital BTE with four (4) Channels, automatic feedbackcancellation, directional microphone plus T-coilORIGIN 2 85D 20 to 100 dB HL 178421xx V5257 $519.00 52.023% $249.00 $100.00 12 24Digital BTE with four (4) Channels, automatic feedbackcancellation, directional microphone plus T-coilORIGIN 2 75D 10 to 90 dB HL 178420xx V5261 $1,038.00 52.023% $498.00 $200.00 12 24Digital BTE with four (4) Channels, automatic feedbackcancellation, directional microphone plus T-coilORIGIN 2 85D 20 to 100 dB HL 178421xx V5261 $1,038.00 52.023% $498.00 $200.00 12 24Digital BTE with four (4) Channels, automatic feedbackcancellation, directional microphone plus T-coil

FULL SHELL CONCHA MODELDESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST

PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY REPAIR

PRICE

NON - WARRANTY

REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

LEGEND 6 ITE up to 110 dB HL LND6-45-FS V5256 $979.00 59.244% $399.00 $100.00 12 24Digital ITE with twelve (12) channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil capability

IN THE EAR TYPES – Prices shall be for a single hearing aid or two hearing aids and case. List model number for the full range of instruments. Include all features. Indicate Class D power or Class B power.

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Contract Effective 9/1/17 MDHHS Contract Hearing Aid DefinitionsBELTONE

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FULL SHELL CONCHA MODELDESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST

PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY REPAIR

PRICE

NON - WARRANTY

REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

LEGEND 6 ITE up to 110 dB HL LND6-45-FS V5260 $1,958.00 59.244% $798.00 $200.00 12 24Digital ITE with twelve (12) channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil capabilityALLY 3 ITE 20 to 115 dB HL ALY3-45-FS V5256 $789.00 55.767% $349.00 $100.00 12 24Digital ITE with eight (8) Channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil capabilityALLY 3 ITE 20 to 115 dB HL ALY3-45-FS V5260 $1,578.00 55.767% $698.00 $200.00 12 24Digital ITE with eight (8) Channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil capabilityORIGIN 2 ITE up to 95 dB HL OR2-45-FS V5256 $349.00 28.653% $249.00 $100.00 12 24Digital ITE with four (4) Channels, automatic feedbackcancellation, directional microphone plus T-coil capabilityORIGIN 2 ITE up to 95 dB HL OR2-45-FS V5260 $698.00 28.653% $498.00 $200.00 12 24Digital ITE with four (4) Channels, automatic feedbackcancellation, directional microphone plus T-coil capability

HALF SHELL CONCHA MODELDESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST

PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY REPAIR

PRICE

NON - WARRANTY

REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

LEGEND 6 ITE up to 110 dB HL LND6-45-HS V5256 $979.00 59.244% $399.00 $100.00 12 24Digital ITE with twelve (12) channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil capabilityLEGEND 6 ITE up to 110 dB HL LND6-45-HS V5260 $1,958.00 59.244% $798.00 $200.00 12 24Digital ITE with twelve (12) channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil capabilityALLY 3 ITE 20 to 115 dB HL ALY3-45-HS V5256 $789.00 55.767% $349.00 $100.00 12 24Digital ITE with eight (8) Channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil capabilityALLY 3 ITE 20 to 115 dB HL ALY3-45-HS V5260 $1,578.00 55.767% $698.00 $200.00 12 24Digital ITE with eight (8) Channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil capabilityORIGIN 2 ITE up to 95 dB HL OR2-45-HS V5256 $349.00 28.653% $249.00 $100.00 12 24Digital ITE with four (4) Channels, automatic feedbackcancellation, directional microphone plus T-coil capabilityORIGIN 2 ITE up to 95 dB HL OR2-45-HS V5260 $698.00 28.653% $498.00 $200.00 12 24Digital ITE with four (4) Channels, automatic feedbackcancellation, directional microphone plus T-coil capability

IN THE EAR TYPES – Prices shall be for a single hearing aid, or two hearing aids and case. List model number for the full range of instruments. Include all features. Indicate Class D power or Class B power.

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Contract Effective 9/1/17 MDHHS Contract Hearing Aid DefinitionsBELTONE

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LOW PROFILE MODELDESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST

PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY REPAIR

PRICE

NON - WARRANTY

REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

LEGEND 6 ITE up to 110 dB HL LND6-45-LP V5256 $979.00 59.244% $399.00 $100.00 12 24Digital ITE with twelve (12) channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil capabilityLEGEND 6 ITE up to 110 dB HL LND6-45-LP V5260 $1,958.00 59.244% $798.00 $200.00 12 24Digital ITE with twelve (12) channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil capabilityALLY 3 ITE 20 to 115 dB HL ALY3-45-LP V5256 $789.00 55.767% $349.00 $100.00 12 24Digital ITE with eight (8) Channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil capabilityALLY 3 ITE 20 to 115 dB HL ALY3-45-LP V5260 $1,578.00 55.767% $698.00 $200.00 12 24Digital ITE with eight (8) Channels, automatic noise reduction, adaptive directionality, wireless capability plus T-coil capabilityORIGIN 2 ITE up to 95 dB HL OR2-45-LP V5256 $349.00 28.653% $249.00 $100.00 12 24Digital ITE with four (4) Channels, automatic feedbackcancellation, directional microphone plus T-coil capabilityORIGIN 2 ITE up to 95 dB HL OR2-45-LP V5260 $698.00 28.653% $498.00 $200.00 12 24Digital ITE with four (4) Channels, automatic feedbackcancellation, directional microphone plus T-coil capability

FEATURES = Digital (full digital signal processing with two or three channels, etc.), List CROS and BiCros on separate price lines.

IN THE EAR TYPES – Prices shall be for a single hearing aid or two hearing aids and case. List model number for the full range of instruments. Include all features. Indicate Class D power or Class B power.

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Contract Effective 9/1/17 MDHHS Contract Hearing Aid DefinitionsHANSATON (Unitron Hearing)

Page 1 of 2

DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST

PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY REPAIR

PRICE

NON - WARRANTY

REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Flow 1 13 SP BTE up to 85 dB Flow 1 V5257 $400.00 55.000% $180.00 $100.00 12 months 36 monthsDigital Programmable 2 channel/4 band BTE 2 memories, C circuit, T-coil, Directional Mics Feedback Reduction, no remote control

up to 85 dB Flow 1 V5261 $800.00 55.000% $360.00 $100.00 12 months 36 months

Flow 2 675 UP BTE up to 86 dB Flow 2 V5257 $575.00 51.000% $281.75 $100.00 12 months 36 monthsDigital Programmable 4 channel/8 band BTE C Circuit, T-coil, Directional microphone, DAI no remote control

up to 86 dB Flow 2 V5261 $1,150.00 51.000% $563.50 $100.00 12 months 36 months

sound 3-312 up to 86 dB sound3 V5257 $500.00 60.200% $199.00 $100.00 12 months 36 months8 channels/band, 3 RIC, no t-coil, directional mic, remote control compatible, feedback manager

up to 86 dB sound3 V5261 $1,000.00 60.200% $398.00 $100.00 12 months 36 months

Beat 3 13 SP up to 86 dB beat3 V5257 $575.00 56.000% $253.00 $100.00 12 months 36 monthsDigital Programmable 6 channel/6 band BTE 4 memories, C Circuit, auto T-coil, Directional Mics Remote control optional, DAI, Feedback Manager

up to 86 dB beat3 V5261 $1,150.00 56.000% $506.00 $100.00 12 months 36 months

soundSHD 3 S312/13 up to 86 dB soundSHD3 V5257 $550.00 56.000% $242.00 $100.00 12 months 36 monthsDigital Programmable 8 channel/8 band RIC 4 memories, C Circuit, auto T-coil, Directional Mics Remote control optional, Feedback Manager

up to 86 dB soundSHD3 V5261 $1,100.00 56.000% $484.00 $100.00 12 months 36 months

soundSHD 5 S312/13 up to 86 dB soundSHD5 V5257 $850.00 60.000% $340.00 $100.00 12 months 36 monthsDigital Programmable 12 channel/12 band BTE 4 memories, C circuit, auto T-coil, Directional Mics Remote control optional, DAI, Feedback Manager

up to 86 dB soundSHD5 V5261 $1,700.00 60.000% $680.00 $100.00 12 months 36 months

FULL SHELL CONCHA MODEL DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST

PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY REPAIR

PRICE

NON - WARRANTY

REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

JamHD 3Digital Programmable Full Concha ITE CBDMIC8 channels/8 bands, C circuit, Feedback Manager CBTCDirectional Microphone - no charge CBPHCOTelecoil - no charge CBVCSwitchless Telecoil - no charge CBPBVolume Control - no chargePush Button - no charge

up to 65 dB JamHD 3 ITE V5256 $550.00 56.000% $242.00 $100.00 12 month 36 monthsup to 65 dB JamHD 3 ITE V5260 $1,100.00 56.000% $484.00 $100.00 12 month 36 months

HALF SHELL CONCHA DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST

PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY REPAIR

PRICE

NON - WARRANTY

REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)JamHD 3Digital Programmable Half Shell Concha ITE8 channels/8 bands, C circuit, Feedback ManagerDirectional Microphone - no charge CBDMICTelecoil - no charge CBTCSwitchless Telecoil - no charge CBPHCOVolume Control - no charge CBVCPush Button - no charge CBPB

up to 65 dB JamHD 3 HS V5256 $575.00 56.000% $253.00 $100.00 12 month 36 monthsup to 65 dB JamHD 3 HS V5260 $1,150.00 56.000% $506.00 $100.00 12 month 36 months

BEHIND THE EAR TYPES - The total price shall be for a single hearing aid or two hearing aids and appropriate case. List model numbers/name and full range of the instrument has a T-coil or T-coil capability. For digital aids, indicate whether a remote control is required. For conventional aids, indicate whether it is a linear or compression circuit L = Linear, C = Compression.

IN THE EAR TYPES – Prices shall be for a single hearing aid or two hearing aids and case. List model number for the full range of instruments. Include all features. Indicate Class D power or Class B power.

IN THE EAR TYPES – Prices shall be for a single hearing aid, or two hearing aids and case. List model number for the full range of instruments. Include all features. Indicate Class D power or Class B power.

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Contract Effective 9/1/17 MDHHS Contract Hearing Aid DefinitionsHANSATON (Unitron Hearing)

Page 2 of 2

LOW PROFILE DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST

PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY REPAIR

PRICE

NON - WARRANTY

REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

JamHD 3Digital Programmable Low Profile8 channels/8 bands, C circuitFeedback ManagerDirectional Microphone - no charge CBDMICTelecoil - no charge CBTCSwitchless Telecoil - no charge CBPHCOVolume Control - no charge CBVCPush Button - no charge CBPB

up to 65 dB JamHD 3 LP V5256 $550.00 56.000% $242.00 $100.00 12 month 36 monthsup to 65 dB JamHD 3 LP V5260 $1,100.00 56.000% $484.00 $100.00 12 month 36 months

IN THE EAR TYPES – Prices shall be for a single hearing aid or two hearing aids and case. List model number for the full range of instruments. Include all features. Indicate Class D power or Class B power.

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Contract Effective 9/1/17 MDHHS Contract Hearing Aid DefinitionsOTICON

Page 1 of 9

DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)

HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST

PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)Opn 3 miniRITE-T - Advanced Digital miniRITE with Telecoil (Receiver-In-Ear style BTE), Made for iPhone®, 312 battery, 48 processing channels, 12 fitting bands, Frequency range up to 8000 Hz, Adaptive directionality system, Binaural wireless technology, advanced Noise Management system, Binaural Synchronization and coordination of features, Tinnitus Support System (integrated sound generator can be enabled as part of a tinnitus management program to provide tinnitus relief), DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control. Telecoil and autophone, FM compatible via telecoil.

0-105 dB 001-410-125 V5257 $1,195.00 70.795% $349.00 $100.00 12 36

Opn 3 miniRITE-T - Binaural, Advanced Digital miniRITE with Telecoil (Receiver-In-Ear style BTE), Made for iPhone®, 312 battery, 48 processing channels, 12 fitting bands, Frequency range up to 8000 Hz, Adaptive directionality system, Binaural wireless technology, advanced Noise Management system, Binaural Synchronization and coordination of features, Tinnitus Support System (integrated sound generator can be enabled as part of a tinnitus management program to provide tinnitus relief), DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control. Telecoil and autophone, FM compatible via telecoil.

0-105 dB 001-410-125 V5261 $2,390.00 70.795% $698.00 $100.00 12 36

Opn 3 Plus Power BTE - Advanced Digital Power BTE, Made for iPhone®, 312 battery, 48 processing channels, 12 fitting bands, Frequency range up to 8000 Hz, Adaptive directionality system, Binaural wireless technology, advanced Noise Management system, Binaural Synchronization and coordination of features, Tinnitus Support System (integrated sound generator can be enabled as part of a tinnitus management program to provide tinnitus relief), DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume Control, Telecoil, FM compatible via telecoil, two-color LED indicator.

25-106 dB 001-410-100 V5257 $1,195.00 70.795% $349.00 $100.00 12 36

Opn 3 Plus Power BTE - Binaural, Advanced Digital Power BTE, Made for iPhone®, 312 battery, 48 processing channels, 12 fitting bands, Frequency range up to 8000 Hz, Adaptive directionality system, Binaural wireless technology, advanced Noise Management system, Binaural Synchronization and coordination of features, Tinnitus Support System (integrated sound generator can be enabled as part of a tinnitus management program to provide tinnitus relief), DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume Control, Telecoil, FM compatible via telecoil, two-color LED indicator.

25-106 dB 001-410-100 V5261 $2,390.00 70.795% $698.00 $100.00 12 36

Opn 3 miniRITE - Advanced Digital miniRITE (Receiver-In-Ear style BTE), Made for iPhone®, 312 battery, Rechargeable battery option, 48 processing channels, 12 fitting bands, Frequency range up to 8000 Hz, Adaptive directionality system, Binaural wireless technology, advanced Noise Management system, Binaural Synchronization and coordination of features, Tinnitus Support System (integrated sound generator can be enabled as part of a tinnitus management program to provide tinnitus relief), DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control.

0-105 dB 001-410-016 V5257 $1,195.00 70.795% $349.00 $100.00 12 36

Opn 3 miniRITE - Binaural, Advanced Digital miniRITE (Receiver-In-Ear style BTE), Made for iPhone®, 312 battery, Rechargeable battery option, 48 processing channels, 12 fitting bands, Frequency range up to 8000 Hz, Adaptive directionality system, Binaural wireless technology, advanced Noise Management system, Binaural Synchronization and coordination of features, Tinnitus Support System (integrated sound generator can be enabled as part of a tinnitus management program to provide tinnitus relief), DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control.

0-105 dB 001-410-016 V5261 $2,390.00 70.795% $698.00 $100.00 12 36

Alta2 Power Plus BTE - Premium Digital Power Plus BTE, 13 battery, Binaural Synchronization, Multi-band Adaptive Directionality, Speech-Weighted Modulation Noise Management, 10 Fitting bands, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

20-105 dB 001-311-100 V5257 $1,295.00 69.189% $399.00 $100.00 12 36

Alta2 Power Plus BTE - Binaural, Premium Digital Power Plus BTE, 13 battery, Binaural Synchronization, Multi-band Adaptive Directionality, Speech-Weighted Modulation Noise Management, 10 Fitting bands, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

20-105 dB 001-311-100 V5261 $2,590.00 69.189% $798.00 $100.00 12 36

Alta2 BTE - Premium Digital BTE, 13 battery, Binaural Synchronization, Multi-band Adaptive Directionality, Speech-Weighted Modulation Noise Management, 10 Fitting bands, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

0-85 dB 001-311-031 V5257 $1,295.00 69.189% $399.00 $100.00 12 36

Alta2 BTE - Binaural, Premium Digital BTE, 13 battery, Binaural Synchronization, Multi-band Adaptive Directionality, Speech-Weighted Modulation Noise Management, 10 Fitting bands, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

0-85 dB 001-311-031 V5261 $2,590.00 69.189% $798.00 $100.00 12 36

BEHIND THE EAR TYPES - The total price shall be for a single hearing aid or two hearing aids and appropriate case. List model numbers/name and full range of the instrument has a T-coil or T-coil capability. For digital aids, indicate whether a remote control is required. For conventional aids, indicate whether it is a linear or compression circuit L = Linear, C = Compression.

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DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)

HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST

PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)Alta2 miniBTE - Premium Digital miniBTE, 312 battery, Binaural Synchronization, Multi-band Adaptive Directionality, Speech-Weighted Modulation Noise Management, 10 Fitting bands, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control.

0-85 dB 001-311-027 V5257 $1,295.00 69.189% $399.00 $100.00 12 36

Alta2 miniBTE - Binaural, Premium Digital miniBTE, 312 battery, Binaural Synchronization, Multi-band Adaptive Directionality, Speech-Weighted Modulation Noise Management, 10 Fitting bands, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control.

0-85 dB 001-311-027 V5261 $2,590.00 69.189% $798.00 $100.00 12 36

Alta2 miniRITE- Premium Digital miniRITE (Receiver-In-Ear style BTE), 312 battery, Binaural Synchronization, Multi-band Adaptive Directionality, Speech-Weighted Modulation Noise Management, 10 Fitting bands, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control.

0-105 dB 001-311-016 V5257 $1,295.00 69.189% $399.00 $100.00 12 36

Alta2 miniRITE - Binaural, Premium Digital miniRITE (Receiver-In-Ear style BTE), 312 battery, Binaural Synchronization, Multi-band Adaptive Directionality, Speech-Weighted Modulation Noise Management, 10 Fitting bands, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control.

0-105 dB 001-311-016 V5261 $2,590.00 69.189% $798.00 $100.00 12 36

Alta2 Power BTE - Premium Digital Power BTE, 13 battery, Binaural Synchronization, Multi-band Adaptive Directionality, Speech-Weighted Modulation Noise Management, 10 Fitting bands, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

20-100 dB 001-311-012 V5257 $1,295.00 69.189% $399.00 $100.00 12 36

Alta2 Power BTE - Binaural, Premium Digital Power BTE, 13 battery, Binaural Synchronization, Multi-band Adaptive Directionality, Speech-Weighted Modulation Noise Management, 10 Fitting bands, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

20-100 dB 001-311-012 V5261 $2,590.00 69.189% $798.00 $100.00 12 36

Alta2 RITE - Premium Digital RITE (Receiver-In-Ear style BTE), 312 battery, Binaural Synchronization, Multi-band Adaptive Directionality, Speech-Weighted Modulation Noise Management, 10 Fitting bands, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

0-105 dB 001-311-009 V5257 $1,295.00 69.189% $399.00 $100.00 12 36

Alta2 RITE - Binaural, Premium Digital RITE (Receiver-In-Ear style BTE), 312 battery, Binaural Synchronization, Multi-band Adaptive Directionality, Speech-Weighted Modulation Noise Management, 10 Fitting bands, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

0-105 dB 001-311-009 V5261 $2,590.00 69.189% $798.00 $100.00 12 36

Nera2 Power Plus BTE - Advanced Digital Power Plus BTE, 13 battery, Binaural Coordination, Single-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

20-105 dB 001-163-100 V5257 $750.00 66.667% $250.00 $100.00 12 36

Nera2 Power Plus BTE - Binaural, Advanced Digital Power Plus BTE, 13 battery, Binaural Coordination, Single-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

20-105 dB 001-163-100 V5261 $1,500.00 66.667% $500.00 $100.00 12 36

Nera2 miniRITE - Advanced Digital miniRITE (Receiver-In-Ear style BTE), 312 battery, Binaural Coordination, Single-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control.

0-105 dB 001-163-074 V5257 $750.00 66.667% $250.00 $100.00 12 36

Nera2 miniRITE - Binaural, Advanced Digital miniRITE (Receiver-In-Ear style BTE), 312 battery, Binaural Coordination, Single-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control.

0-105 dB 001-163-074 V5261 $1,500.00 66.667% $500.00 $100.00 12 36

Nera2 Pro BTE - Advanced Digital BTE, 13 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

0-85 dB 001-163-031 V5257 $950.00 63.263% $349.00 $100.00 12 36

Nera2 Pro BTE - Binaural, Advanced Digital BTE, 13 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

0-85 dB 001-163-031 V5261 $1,900.00 63.263% $698.00 $100.00 12 36

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DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)

HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST

PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)Nera2 Pro miniBTE - Advanced Digital miniBTE, 312 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control.

0-85 dB 001-163-027 V5257 $950.00 63.263% $349.00 $100.00 12 36

Nera2 Pro miniBTE - Binaural, Advanced Digital miniBTE, 312 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control.

0-85 dB 001-163-027 V5261 $1,900.00 63.263% $698.00 $100.00 12 36

Nera2 Pro miniRITE - Advanced Digital miniRITE (Receiver-In-Ear style BTE), 312 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control.

0-105 dB 001-163-016 V5257 $950.00 63.263% $349.00 $100.00 12 36

Nera2 Pro miniRITE - Binaural, Advanced Digital miniRITE (Receiver-In-Ear style BTE), 312 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control.

0-105 dB 001-163-016 V5261 $1,900.00 63.263% $698.00 $100.00 12 36

Nera2 Pro designRITE - Advanced Digital designRITE (Receiver-In-Ear style BTE), 312 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control with Streamer accessory only.

0-80 dB 001-163-012 V5257 $950.00 63.263% $349.00 $100.00 12 36

Nera2 Pro designRITE - Binaural, Advanced Digital designRITE (Receiver-In-Ear style BTE), 312 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control with Streamer accessory only.

0-80 dB 001-163-012 V5261 $1,900.00 63.263% $698.00 $100.00 12 36

Nera2 Pro RITE - Advanced Digital RITE (Receiver-In-Ear style BTE), 312 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

0-105 dB 001-163-009 V5257 $950.00 63.263% $349.00 $100.00 12 36

Nera2 Pro RITE - Binaural, Advanced Digital RITE (Receiver-In-Ear style BTE), 312 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

0-105 dB 001-163-009 V5261 $1,900.00 63.263% $698.00 $100.00 12 36

Nera2 Pro Power BTE - Advanced Digital Power BTE, 13 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

20-100 dB 001-151-100 V5257 $950.00 63.263% $349.00 $100.00 12 36

Nera2 Pro Power BTE - Binaural, Advanced Digital Power BTE, 13 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

20-100 dB 001-151-100 V5261 $1,900.00 63.263% $698.00 $100.00 12 36

Nera2 Pro Power Plus BTE - Advanced Digital Power Plus BTE, 13 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

20-105 dB 001-151-031 V5257 $950.00 63.263% $349.00 $100.00 12 36

Nera2 Pro Power Plus BTE - Binaural, Advanced Digital Power Plus BTE, 13 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

20-105 dB 001-151-031 V5261 $1,900.00 63.263% $698.00 $100.00 12 36

Nera2 BTE - Advanced Digital BTE, 13 battery, Binaural Coordination, Single-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

0-85 dB 001-151-027 V5257 $750.00 66.667% $250.00 $100.00 12 36

Nera2 BTE - Binaural, Advanced Digital BTE, 13 battery, Binaural Coordination, Single-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

0-85 dB 001-151-027 V5261 $1,500.00 66.667% $500.00 $100.00 12 36

Nera2 RITE - Advanced Digital RITE (Receiver-In-Ear style BTE), 312 battery, Binaural Coordination, Single-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

0-105 dB 001-151-016 V5257 $750.00 66.667% $250.00 $100.00 12 36

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DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)

HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST

PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)Nera2 RITE - Binaural, Advanced Digital RITE (Receiver-In-Ear style BTE), 312 battery, Binaural Coordination, Single-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

0-105 dB 001-151-016 V5261 $1,500.00 66.667% $500.00 $100.00 12 36

Nera2 Power BTE - Advanced Digital Power BTE, 13 battery, Binaural Coordination, Single-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

20-100 dB 001-151-012 V5257 $750.00 66.667% $250.00 $100.00 12 36

Nera2 Power BTE - Binaural, Advanced Digital Power BTE, 13 battery, Binaural Coordination, Single-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

20-100 dB 001-151-012 V5261 $1,500.00 66.667% $500.00 $100.00 12 36

Nera2 miniBTE - Advanced Digital miniBTE, 13 battery, Binaural Coordination, Single-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control.

0-85 dB 001-151-009 V5257 $750.00 66.667% $250.00 $100.00 12 36

Nera2 miniBTE - Binaural, Advanced Digital miniBTE, 13 battery, Binaural Coordination, Single-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control.

0-85 dB 001-151-009 V5261 $1,500.00 66.667% $500.00 $100.00 12 36

Ria2 Pro Power Plus BTE - Essential Digital Power Plus BTE, 13 battery, Binaural Synchronization, Single-Band Adaptive Directionality, Modulation Noise Management, 6 channels, Adaptation Manager, Frequency range up to 8000 Hz, Tinnitus Support System (integrated sound generator can be enabled as part of a tinnitus management program to provide tinnitus relief), DSL v5.0 or NAL-NL1 fitting rationales, Volume control, tcoil and

20-105 dB 001-112-100 V5257 $625.00 64.000% $225.00 $100.00 12 36

Ria2 Pro Power Plus BTE - Binaural, Essential Digital Power Plus BTE, 13 battery, Binaural Synchronization, Single-Band Adaptive Directionality, Modulation Noise Management, 6 channels, Adaptation Manager, Frequency range up to 8000 Hz, Tinnitus Support System (integrated sound generator can be enabled as part of a tinnitus management program to provide tinnitus relief), DSL v5.0 or NAL-NL1 fitting rationales, Volume control, tcoil and autophone, DAI and FM Compatibility.

20-105 dB 001-112-100 V5261 $1,250.00 64.000% $450.00 $100.00 12 36

Ria2 Pro designRITE - Essential Digital designRITE (Receiver-In-Ear style BTE), 312 battery, Binaural Synchronization, Single-Band Adaptive Directionality, Modulation Noise Management, 6 channels, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0 or NAL-NL1 fitting rationales, Volume control with Streamer accessory only.

0-80 dB 001-112-074 V5257 $625.00 64.000% $225.00 $100.00 12 36

Ria2 Pro designRITE - Binaural, Essential Digital designRITE (Receiver-In-Ear style BTE), 312 battery, Binaural Synchronization, Single-Band Adaptive Directionality, Modulation Noise Management, 6 channels, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0 or NAL-NL1 fitting rationales, Volume control with Streamer accessory only.

0-80 dB 001-112-074 V5261 $1,250.00 64.000% $450.00 $100.00 12 36

Ria2 Pro BTE - Essential Digital BTE, 13 battery, Binaural Synchronization, Single-Band Adaptive Directionality, Modulation Noise Management, 6 channels, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0 or NAL-NL1 fitting rationales, Volume control, tcoil and autophone, DAI and FM Compatibility.

0-85 dB 001-112-031 V5257 $625.00 64.000% $225.00 $100.00 12 36

Ria2 Pro BTE - Binaural, Essential Digital BTE, 13 battery, Binaural Synchronization, Single-Band Adaptive Directionality, Modulation Noise Management, 6 channels, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0 or NAL-NL1 fitting rationales, Volume control, tcoil and autophone, DAI and FM Compatibility.

0-85 dB 001-112-031 V5261 $1,250.00 64.000% $450.00 $100.00 12 36

Ria2 Pro miniBTE - Essential Digital miniBTE, 312 battery, Binaural Synchronization, Single-Band Adaptive Directionality, Modulation Noise Management, 6 channels, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0 or NAL-NL1 fitting rationales, Volume control.

0-85 dB 001-112-027 V5257 $625.00 64.000% $225.00 $100.00 12 36

Ria2 Pro miniBTE - Binaural, Essential Digital miniBTE, 312 battery, Binaural Synchronization, Single-Band Adaptive Directionality, Modulation Noise Management, 6 channels, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0 or NAL-NL1 fitting rationales, Volume control.

0-85 dB 001-112-027 V5261 $1,250.00 64.000% $450.00 $100.00 12 36

Ria2 Pro miniRITE - Essential Digital miniRITE (Receiver-In-Ear style BTE), 312 battery, Binaural Synchronization, Single-Band Adaptive Directionality, Modulation Noise Management, 6 channels, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0 or NAL-NL1 fitting rationales, Volume control.

0-105 dB 001-112-016 V5257 $625.00 64.000% $225.00 $100.00 12 36

Ria2 Pro miniRITE - Binaural, Essential Digital miniRITE (Receiver-In-Ear style BTE), 312 battery, Binaural Synchronization, Single-Band Adaptive Directionality, Modulation Noise Management, 6 channels, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0 or NAL-NL1 fitting rationales, Volume control.

0-105 dB 001-112-016 V5261 $1,250.00 64.000% $450.00 $100.00 12 36

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DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

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HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST

PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)Ria2 Pro Power BTE - Essential Digital Power BTE, 13 battery, Binaural Synchronization, Single-Band Adaptive Directionality, Modulation Noise Management, 6 channels, Adaptation Manager, Frequency range up to 8000 Hz, Tinnitus Support System (integrated sound generator can be enabled as part of a tinnitus management program to provide tinnitus relief), DSL v5.0 or NAL-NL1 fitting rationales, Volume control, tcoil and autophone, DAI and FM Compatibility.

20-100 dB 001-112-012 V5257 $625.00 64.000% $225.00 $100.00 12 36

Ria2 Pro Power BTE - Binaural, Essential Digital Power BTE, 13 battery, Binaural Synchronization, Single-Band Adaptive Directionality, Modulation Noise Management, 6 channels, Adaptation Manager, Frequency range up to 8000 Hz, Tinnitus Support System (integrated sound generator can be enabled as part of a tinnitus management program to provide tinnitus relief), DSL v5.0 or NAL-NL1 fitting rationales, Volume control, tcoil and autophone, DAI and FM Compatibility.

20-100 dB 001-112-012 V5261 $1,250.00 64.000% $450.00 $100.00 12 36

Ria2 Pro RITE - Essential Digital RITE (Receiver-In-Ear style BTE), 312 battery, Binaural Synchronization, Single-Band Adaptive Directionality, Modulation Noise Management, 6 channels, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0 or NAL-NL1 fitting rationales, Volume control, tcoil and autophone, DAI and FM Compatibility.

0-105 dB 001-112-009 V5257 $625.00 64.000% $225.00 $100.00 12 36

Ria2 Pro RITE - Binaural, Essential Digital RITE (Receiver-In-Ear style BTE), 312 battery, Binaural Synchronization, Single-Band Adaptive Directionality, Modulation Noise Management, 6 channels, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0 or NAL-NL1 fitting rationales, Volume control, tcoil and autophone, DAI and FM Compatibility.

0-105 dB 001-112-009 V5261 $1,250.00 64.000% $450.00 $100.00 12 36

Ria2 Power Plus BTE - Entry Digital Plus Power BTE, 13 battery, Binaural Coordination, Single-Band Adaptive Directionality, Noise Management, 4 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

20-105 dB 001-106-100 V5257 $425.00 53.177% $199.00 $100.00 12 36

Ria2 Power Plus BTE - Binaural, Entry Digital Plus Power BTE, 13 battery, Binaural Coordination, Single-Band Adaptive Directionality, Noise Management, 4 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

20-105 dB 001-106-100 V5261 $850.00 53.177% $398.00 $100.00 12 36

Ria2 BTE - Entry Digital BTE, 13 battery, Binaural Coordination, Single-Band Adaptive Directionality, Noise Management, 4 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

0-85 dB 001-106-031 V5257 $425.00 53.177% $199.00 $100.00 12 36

Ria2 BTE - Binaural, Entry Digital BTE, 13 battery, Binaural Coordination, Single-Band Adaptive Directionality, Noise Management, 4 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

0-85 dB 001-106-031 V5261 $850.00 53.177% $398.00 $100.00 12 36

Ria2 miniBTE - Entry Digital mini BTE, 312 battery, Binaural Coordination, Single-Band Adaptive Directionality, Noise Management, 4 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control.

0-85 dB 001-106-027 V5257 $425.00 53.177% $199.00 $100.00 12 36

Ria2 miniBTE - Binaural, Entry Digital mini BTE, 312 battery, Binaural Coordination, Single-Band Adaptive Directionality, Noise Management, 4 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control.

0-85 dB 001-106-027 V5261 $850.00 53.177% $398.00 $100.00 12 36

Ria2 miniRITE - Entry Digital miniRITE (Receiver-In-Ear style BTE), 312 battery, Binaural Coordination, Single-Band Adaptive Directionality, Noise Management, 4 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control.

0-105 dB 001-106-016 V5257 $425.00 53.177% $199.00 $100.00 12 36

Ria2 miniRITE - Binaural, Entry Digital miniRITE (Receiver-In-Ear style BTE), 312 battery, Binaural Coordination, Single-Band Adaptive Directionality, Noise Management, 4 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control.

0-105 dB 001-106-016 V5261 $850.00 53.177% $398.00 $100.00 12 36

Ria2 Power BTE - Entry Digital Power BTE, 13 battery, Binaural Coordination, Single-Band Adaptive Directionality, Noise Management, 4 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

20-100 dB 001-106-012 V5257 $425.00 53.177% $199.00 $100.00 12 36

Ria2 Power BTE - Binaural, Entry Digital Power BTE, 13 battery, Binaural Coordination, Single-Band Adaptive Directionality, Noise Management, 4 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

20-100 dB 001-106-012 V5261 $850.00 53.177% $398.00 $100.00 12 36

Ria2 RITE - Entry Digital RITE (Receiver-In-Ear style BTE), 312 battery, Binaural Coordination, Single-Band Adaptive Directionality, Noise Management, 4 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

0-105 dB 001-106-009 V5257 $425.00 53.177% $199.00 $100.00 12 36

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DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)

HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST

PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)Ria2 RITE - Binaural, Entry Digital RITE (Receiver-In-Ear style BTE), 312 battery, Binaural Coordination, Single-Band Adaptive Directionality, Noise Management, 4 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility.

0-105 dB 001-106-009 V5261 $850.00 53.177% $398.00 $100.00 12 36

Sensei Pro SP BTE - Premium Digital Pediatric Super Power BTE, 13 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 10 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility, LED Indicator.

20-110 dB 001-063-014 V5257 $1,100.00 68.273% $349.00 $100.00 12 36

Sensei Pro SP BTE - Binaural, Premium Digital Pediatric Super Power BTE, 13 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 10 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility, LED Indicator.

20-110 dB 001-063-014 V5261 $2,200.00 68.273% $698.00 $100.00 12 36

Sensei SP BTE - Advanced Digital Pediatric Super BTE, 13 battery, Binaural Coordination, Single-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility, LED indicator.

20-110 dB 001-062-014 V5257 $775.00 74.323% $199.00 $100.00 12 36

Sensei SP BTE - Binaural, Advanced Digital Pediatric Super BTE, 13 battery, Binaural Coordination, Single-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility, LED indicator.

20-110 dB 001-062-014 V5261 $1,550.00 74.323% $398.00 $100.00 12 36

Sensei Pro BTE 13 - Premium Digital Pediatric BTE, 13 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 10 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility, LED Indicator.

0-90 dB 001-053-031 V5257 $695.00 49.784% $349.00 $100.00 12 36

Sensei Pro BTE 13 - Binaural, Premium Digital Pediatric BTE, 13 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 10 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility, LED Indicator.

0-90 dB 001-053-031 V5261 $1,390.00 49.784% $698.00 $100.00 12 36

Sensei Pro BTE 312 - Premium Digital Pediatric BTE, 312 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 10 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility, LED Indicator.

0-75 dB 001-053-015 V5257 $695.00 49.784% $349.00 $100.00 12 36

Sensei Pro BTE 312 - Binaural, Premium Digital Pediatric BTE, 312 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 10 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility, LED Indicator.

0-75 dB 001-053-015 V5261 $1,390.00 49.784% $698.00 $100.00 12 36

Sensei Pro RITE - Premium Digital Pediatric RITE (Receiver-In-Ear style BTE), 312 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 10 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility, LED Indicator.

0-100 dB 001-053-009 V5257 $695.00 49.784% $349.00 $100.00 12 36

Sensei Pro RITE - Binaural, Premium Digital Pediatric RITE (Receiver-In-Ear style BTE), 312 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 10 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility, LED Indicator.

0-100 dB 001-053-009 V5261 $1,390.00 49.784% $698.00 $100.00 12 36

Sensei BTE 13 - Advanced Digital Pediatric BTE, 13 battery, Binaural Coordination, Single-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility, LED indicator.

0-90 dB 001-052-031 V5257 $395.00 49.620% $199.00 $100.00 12 36

Sensei BTE 13 - Binaural, Advanced Digital Pediatric BTE, 13 battery, Binaural Coordination, Single-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility, LED indicator.

0-90 dB 001-052-031 V5261 $790.00 49.620% $398.00 $100.00 12 36

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DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)

HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST

PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)Sensei BTE 312 - Advanced Digital Pediatric BTE, 312 battery, Binaural Coordination, Single-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility,LED indicator.

0-75 dB 001-052-015 V5257 $395.00 49.620% $199.00 $100.00 12 36

Sensei BTE 312 - Binaural, Advanced Digital Pediatric BTE, 312 battery, Binaural Coordination, Single-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility,LED indicator.

0-75 dB 001-052-015 V5261 $790.00 49.620% $398.00 $100.00 12 36

Sensei RITE - Advanced Digital Pediatric RITE (Receiver-In-Ear style BTE), 312 battery, Binaural Coordination, Single-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility,LED indicator.

0-100 dB 001-052-009 V5257 $395.00 49.620% $199.00 $100.00 12 36

Sensei RITE - Binaural, Advanced Digital Pediatric RITE (Receiver-In-Ear style BTE), 312 battery, Binaural Coordination, Single-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility,LED indicator.

0-100 dB 001-052-009 V5261 $790.00 49.620% $398.00 $100.00 12 36

Dynamo SP8 BTE – Advanced Digital Super Power BTE, 13 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, Adaptation Manager, Frequency range up to 6500 Hz, DSL v5.0, NAL-NL2 or NAL-RP fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility

20-110 dB 001-033-014 V5257 $1,295.00 73.050% $349.00 $100.00 12 36

Dynamo SP8 BTE – Binaural Advanced Digital Super Power BTE, 13 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, Adaptation Manager, Frequency range up to 6500 Hz, DSL v5.0, NAL-NL2 or NAL-RP fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility

20-110 dB 001-033-014 V5261 $2,590.00 73.050% $698.00 $100.00 12 36

Dynamo SP6 BTE – Essential Digital Super Power BTE, 13 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 6 fitting bands, Adaptation Manager, Frequency range up to 6500 Hz, DSL v5.0, NAL-NL2 or NAL-RP fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility

20-110 dB 001-032-014 V5257 $795.00 62.390% $299.00 $100.00 12 36

Dynamo SP6 BTE – Binaural Essential Digital Super Power BTE, 13 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 6 fitting bands, Adaptation Manager, Frequency range up to 6500 Hz, DSL v5.0, NAL-NL2 or NAL-RP fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility

20-110 dB 001-032-014 V5261 $1,590.00 62.390% $598.00 $100.00 12 36

Dynamno SP4 BTE - – Entry Digital Super Power BTE, 13 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 4 fitting bands, Adaptation Manager, Frequency range up to 6500 Hz, DSL v5.0, NAL-NL2 or NAL-RP fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility

20-110 dB 001-031-014 V5257 $595.00 62.185% $225.00 $100.00 12 36

Dynamno SP4 BTE – Binaural Entry Digital Super Power BTE, 13 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 4 fitting bands, Adaptation Manager, Frequency range up to 6500 Hz, DSL v5.0, NAL-NL2 or NAL-RP fitting rationales, Volume control, telecoil and auto telecoil, DAI and FM Compatibility

20-110 dB 001-031-014 V5261 $1,190.00 62.185% $450.00 $100.00 12 36

Sumo DM - Basic Digital Super Power BTE, 675 battery, 8 channels, 8 fitting bands, 3 programs, an Automatic Feedback Manager and Adaptation Manager, and programmable telecoil, bone conduction modification available.

50-115 dB 001-010-035 V5257 $775.00 48.516% $399.00 $100.00 12 36

Sumo DM - Binaural, Basic Digital Super Power BTE, 675 battery, 8 channels, 8 fitting bands, 3 programs, an Automatic Feedback Manager and Adaptation Manager, and programmable telecoil, bone conduction modification available, Options:

50-115 dB 001-010-035 V5261 $1,550.00 48.516% $798.00 $100.00 12 36

FULL SHELL CONCHA MODEL DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)

HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST

PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)Alta2 Full Shell - Premium Digital Full Shell ITE (In-The-Ear), 13 or 312 battery, Binaural Synchronization, Multi-band Adaptive Directionality, Speech-Weighted Modulation Noise Management, 10 Fitting bands, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil.

20-90 dB 001-311-006 V5256 $1,295.00 69.189% $399.00 $100.00 12 36

IN THE EAR TYPES – Prices shall be for a single hearing aid or two hearing aids and case. List model number for the full range of instruments. Include all features. Indicate Class D power or Class B power.

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Page 8 of 9

FULL SHELL CONCHA MODEL DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)

HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST

PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)Alta2 Full Shell - Binaural, Premium Digital Full Shell ITE (In-The-Ear), 13 or 312 battery, Binaural Synchronization, Multi-band Adaptive Directionality, Speech-Weighted Modulation Noise Management, 10 Fitting bands, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil.

20-90 dB 001-311-006 V5260 $2,590.00 69.189% $798.00 $100.00 12 36

Nera2 Pro Full Shell - Advanced Digital Full Shell ITE (In-The-Ear), 13 or 312 battery, Binaural Coordination, Single-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil.

20-90 dB 001-163-006 V5256 $950.00 63.263% $349.00 $100.00 12 36

Nera2 Pro Full Shell - Binaural, Advanced Digital Full Shell ITE (In-The-Ear), 13 or 312 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil.

20-90 dB 001-163-006 V5260 $1,900.00 63.263% $698.00 $100.00 12 36

Nera2 Full Shell - Advanced Digital Full Shell ITE (In-The-Ear), 13 or 312 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil.

20-90 dB 001-151-006 V5256 $750.00 66.667% $250.00 $100.00 12 36

Nera2 Full Shell - Binaural, Advanced Digital Full Shell ITE (In-The-Ear), 13 or 312 battery, Binaural Coordination, Single-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil.

20-90 dB 001-151-006 V5260 $1,500.00 66.667% $500.00 $100.00 12 36

Ria2 Pro Full Shell - Entry Digital Full Shell ITE (In-The-Ear), 13 or 312 battery, Binaural Coordination, Single-Band Adaptive Directionality, Noise Management, 4 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil.

20-90 dB 001-112-006 V5256 $625.00 64.000% $225.00 $100.00 12 36

Ria2 Pro Full Shell - Binaural, Essential Digital Full Shell ITE (In-The-Ear), 13 or 312 battery, Binaural Synchronization, Single-Band Adaptive Directionality, Modulation Noise Management, 6 channels, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0 or NAL-NL1 fitting rationales, Volume control, tcoil and autophone.

20-90 dB 001-112-006 V5260 $1,250.00 64.000% $450.00 $100.00 12 36

Ria2 Full Shell - Essential Digital Full Shell ITE (In-The-Ear), 13 or 312 battery, Binaural Synchronization, Single-Band Adaptive Directionality, Modulation Noise Management, 6 channels, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0 or NAL-NL1 fitting rationales, Volume control, tcoil and autophone.

20-90 dB 001-106-006 V5256 $425.00 53.177% $199.00 $100.00 12 36

Ria2 Full Shell - Binaural, Entry Digital Full Shell ITE (In-The-Ear), 13 or 312 battery, Binaural Coordination, Single-Band Adaptive Directionality, Noise Management, 4 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil.

20-90 dB 001-106-006 V5260 $850.00 53.177% $398.00 $100.00 12 36

HALF SHELL CONCHA DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)

HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST

PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)Alta2 Half Shell - Premium Digital Half Shell ITE (In-The-Ear), 13 or 312 battery, Binaural Synchronization, Multi-band Adaptive Directionality, Speech-Weighted Modulation Noise Management, 10 Fitting bands, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil.

20-90 dB 001-311-004 V5256 $1,295.00 69.189% $399.00 $100.00 12 36

Alta2 Half Shell - Binaural, Premium Digital Half Shell ITE (In-The-Ear), 13 or 312 battery, Binaural Synchronization, Multi-band Adaptive Directionality, Speech-Weighted Modulation Noise Management, 10 Fitting bands, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil.

20-90 dB 001-311-004 V5260 $2,590.00 69.189% $798.00 $100.00 12 36

Nera2 Half Shell - Advanced Digital Half Shell ITE (In-The-Ear), 13 or 312 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil.

20-90 dB 001-163-004 V5256 $750.00 66.667% $250.00 $100.00 12 36

Nera2 Half Shell - Binaural, Advanced Digital Half Shell ITE (In-The-Ear), 13 or 312 battery, Binaural Synchronization, Multi-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil.

20-90 dB 001-163-004 V5260 $1,500.00 66.667% $500.00 $100.00 12 36

IN THE EAR TYPES – Prices shall be for a single hearing aid, or two hearing aids and case. List model number for the full range of instruments. Include all features. Indicate Class D power or Class B power.

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Page 9 of 9

HALF SHELL CONCHA DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)

HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST

PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)Nera2 Pro Half Shell - Advanced Digital Half Shell ITE (In-The-Ear), 13 or 312 battery, Binaural Coordination, Single-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil.

20-90 dB 001-151-004 V5256 $950.00 63.263% $349.00 $100.00 12 36

Nera2 Pro Half Shell - Binaural, Advanced Digital Half Shell ITE (In-The-Ear), 13 or 312 battery, Binaural Coordination, Single-band Adaptive Directionality, TriState Noise Management, 8 fitting bands, 16 frequency channels, Adaptation Manager, Frequency range up to 10000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil.

20-90 dB 001-151-004 V5260 $1,900.00 63.263% $698.00 $100.00 12 36

Ria2 Pro Half Shell - Essential Digital Half Shell ITE (In-The-Ear), 13 or 312 battery, Binaural Synchronization, Single-Band Adaptive Directionality, Modulation Noise Management, 6 channels, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0 or NAL-NL1 fitting rationales, Volume control, tcoil and autophone.

20-90 dB 001-112-004 V5256 $425.00 53.177% $199.00 $100.00 12 36

Ria2 Pro Half Shell - Binaural, Essential Digital Half Shell ITE (In-The-Ear), 13 or 312 battery, Binaural Synchronization, Single-Band Adaptive Directionality, Modulation Noise Management, 6 channels, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0 or NAL-NL1 fitting rationales, Volume control, tcoil and autophone.

20-90 dB 001-112-004 V5260 $850.00 53.177% $398.00 $100.00 12 36

Ria2 Half Shell - Entry Digital Half Shell ITE (In-The-Ear), 13 or 312 battery, Binaural Coordination, Single-Band Adaptive Directionality, Noise Management, 4 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil.

20-90 dB 001-106-004 V5256 $625.00 64.000% $225.00 $100.00 12 36

Ria2 Half Shell - Binaural, Entry Digital Half Shell ITE (In-The-Ear), 13 or 312 battery, Binaural Coordination, Single-Band Adaptive Directionality, Noise Management, 4 fitting bands, Adaptation Manager, Frequency range up to 8000 Hz, DSL v5.0, NAL-NL2 or NAL-NL1 fitting rationales, Volume control, telecoil and auto telecoil.

20-90 dB 001-106-004 V5260 $1,250.00 64.000% $450.00 $100.00 12 36

LOW PROFILE DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)

HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST

PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)Get LP - Digital hearing aid with Fixed Directionality, Modulation Noise Management, 4 channels, 4 programs, Adaptation Manager, Frequency range up to 6500 Hz, NAL-NL1, NAL-NL2, DSL v5.0a m[i/o] fitting rationales, Volume control, telecoil

0-85 dB 001-050-005 V5256 $345.00 42.319% $199.00 $100.00 12 36

Get LP - Binaural Digital hearing aid with Fixed Directionality, Modulation Noise Management, 4 channels, 4 programs, Adaptation Manager, Frequency range up to 6500 Hz, NAL-NL1, NAL-NL2, DSL v5.0a m[i/o] fitting rationales, Volume control, telecoil

0-85 dB 001-050-005 V5260 $690.00 42.319% $398.00 $100.00 12 36

FEATURES = Digital (full digital signal processing with two or three channels, etc.), List CROS and BiCros on separate price lines.

IN THE EAR TYPES – Prices shall be for a single hearing aid or two hearing aids and case. List model number for the full range of instruments. Include all features. Indicate Class D power or Class B power.

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Page 1 of 9

DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Bolero B30 - M312 61db Max Gain - 132 Max Output 050-0362-01 V5257 Monaural $649.00 45.763% $352.00 $129.00 12 36V5261 Binaural $1,158.00 45.763% $628.06 $258.00 12 36

Bolero B30 -P 65db Max Gain - 133 Max Output 050-0366-01 V5257 Monaural $649.00 45.763% $352.00 $258.00 12 36V5261 Binaural $1,158.00 45.763% $628.06 $129.00 12 36

Bolero B30 -SP 70db Max Gain - 133 Max Output 050-0370-01 V5257 Monaural $649.00 45.763% $352.00 $129.00 12 36V5261 Binaural $1,158.00 45.763% $628.06 $258.00 12 36

Audeo B30-10 46 Max Gain/ 130 dB Max Output 050-0346-01 V5257 Monaural $649.00 45.763% $352.00 $129.00 12 36 V5261 Binaural $1,298.00 45.763% $704.00 $258.00 12 36

Audeo B30 312 46 dB Max Gain/130 dB Max Output 050-0350-01 V5257 Monaural $649.00 45.763% $352.00 $129.00 12 36

V5261 Binaural $1,298.00 45.763% $704.00 $258.00 12 36

Audeo B30-312 T 46 dB Max Gain/130 dB Max Output 050-0354-01 V5257 Monaural $649.00 45.763% $352.00 $129.00 12 36

V5261 Binaural $1,298.00 45.763% $704.00 $258.00 12 36

Audeo B30-13 46 dB/130 dB 050-0358-01 V5257 Monaural $649.00 45.763% $352.00 $129.00 12 36 V5261 Binaural $1,298.00 45.763% $704.00 $258.00 12 36

CROS B 312- 30 level (exlcudes Audeo&Bolero B-R) 60 dB Max Gain -122 Output 050-0274-01.30 V5180 Cros $1,398.00 47.581% $731.00 $110.00 12 24Designed for those with Unilateral hearing loss. Transfers the microphone input signal to any model of Phonak Belong Audeo & Bolero

BEHIND THE EAR TYPES - The total price shall be for a single hearing aid or two hearing aids and appropriate case. List model numbers/name and full range of the instrument has a T-coil or T-coil capability. For digital aids, indicate whether a remote control is required. For conventional aids, indicate whether it is a linear or compression circuit L = Linear, C = Compression.

Digital BTE - programmable 8 channels/2 Programs. Includes Sound Recover2-QuickSync - WhistleBlock - NoiseBlock - Tinnitus Balance - Datalogging - Cros B/BiCros compatibility -Roger (ComPilot II/Roger X) - Size 312 Battery. Moderate/Severe hearing loss

Digital BTE 8 Channels/2 Programs- Includes AutoSense OS- Tinnitus Balance- Sound Recover2- Noise Block- Quick Sync- Whistle Block- Cros B Compatible- T Coil/Roger MyLink -WaterResistant - Datalogging - Wind/Weather Protection - Size 312 Battery. Moderate/Severe hearing loss

Digital BTE - programmable 8 channels/2 Programs. Includes SoundRecover2-QuickSync - WhistleBlock - NoiseBlock - Tinnitus Balance - Datalogging- CrosB/BiCros compatibility -T Coil/Roger MyLink-Roger (ComPilotII/RogerX) - Size 13 Battery. Moderate/Severe hearing loss

Digital Power BTE 8 Channels/2 Programs- Includes AutoSense OS- Tinnitus Balance- Sound Recover2- Noise Block- Quick Sync- Whistle Block- Cros B Compatible- T Coil/Roger MyLink- Roger 18 Integrated Receiver- Roger Ready -WaterResistant - Datalogging - Wind/Weather Protection - Size 312 Battery. Moderate/Severe hearing loss

Digital Super Power BTE 8 Channels/2 Programs- Includes AutoSense OS- Tinnitus Balance- Sound Recover2- Noise Block- Quick Sync- Whistle Block- Cros B Compatible- T Coil/Roger MyLink- Roger 18 Integrated Receiver-WaterResistant - Datalogging - Wind/Weather Protection - Size 312 Battery. Moderate/Severe hearing loss

Digital BTE - programmable 8 channels/2 Programs. Includes SoundRecover2 -QuickSync - WhistleBlock - NoiseBlock- Tinnitus Balance - Datalogging -Cros B/BiCros compatibility-Roger (ComPilot II/Roger X) - Size 10 Battery. Mild-Moderate/Severe hearing loss

Digital BTE - programmable 8 channels/2 Programs. Includes SoundRecover2 -QuickSync - WhistleBlock - NoiseBlock - Tinnitus Balance- T-Coil/ Roger MyLink- Roger (ComPilot II/Roger X-Datalogging- Cros B/BiCros compatibility- Size 312 Battery. Moderate/Severe hearing loss

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Contract Effective 9/1/17 MDHHS Contract Hearing Aid DefinitionsPHONAK

Page 2 of 9

DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

CROS B 13- 30 level (exlcudes Audeo & Bolero B-R) 63 dB Max Gain -122 Output 050-0275-01.30 V5180 Cros $1,398.00 47.581% $731.00 $110.00 12 24Designed for those with Unilateral hearing loss. Transfers the microphone input signal to any model of Phonak Belong Audeo & Bolero

Bolero V50 - M 63db Max Gain - 133 Max Output 050-0282-01 V5257 Monaural $799.00 51.815% $385.00 $129.00 12 36V5261 Binaural $1,598.00 51.815% $770.00 $258.00 12 36

Bolero V50 - P 65db Max Gain - 133 Max Output 050-0290-01 V5257 Monaural $799.00 51.815% $385.00 $129.00 12 36V5261 Binaural $1,598.00 51.815% $770.00 $258.00 12 36

Bolero V50 - SP 70db Max Gain - 133 Max Output 050-0294-01 V5257 Monaural $799.00 51.815% $385.00 $129.00 12 36V5261 Binaural $1,598.00 51.815% $770.00 $258.00 12 36

Bolero V30 - M 63db Max Gain - 133 Max Output 050-0281-01 V5257 Monaural $629.00 52.464% $299.00 $129.00 12 36V5261 Binaural $1,258.00 52.464% $598.00 $258.00 12 36

Bolero V30 - P 65db Max Gain - 133 Max Output 050-0289-01 V5257 Monaural $629.00 52.464% $299.00 $129.00 12 36V5261 Binaural $1,258.00 52.464% $598.00 $258.00 12 36

Bolero V30 - SP 70db Max Gain - 133 Max Output 050-0293-01 V5257 Monaural $629.00 52.464% $299.00 $129.00 12 36V5261 Binaural $1,258.00 52.464% $598.00 $258.00 12 36

Sky V-50 SP 75db Max Gain - 140 Max Output 050-0335-01 V5257 Monaural $799.00 51.815% $385.00 $129.00 12 36V5261 Binaural $1,598.00 51.815% $770.00 $258.00 12 36

Sky V-50 RIC 65db Max Gain - 133 Max Output 050-0343-01 V5257 Monaural $799.00 51.815% $385.00 $129.00 12 36V5261 Binaural $1,598.00 51.815% $770.00 $258.00 12 36

Digital RIC, AutoSense OS, WhistleBlock, NoiseBlock, Quick Sync, SoundRecover, Tinnitus Balance, auto Acclimatization, UltraZoom Essential, 8 channels, WCP compatible, size 13 battery, Roger compatible, telecoil

Digital BTE, AutoSense OS, WhistleBlock, NoiseBlock, Quick Sync, SoundRecover, Tinnitus Balance, auto Acclimatization, UltraZoom Essential, 8 channels, WCP compatible, size 13 battery, Roger compatible, telecoil

Pediatric Digital Super Power BTE - programmable 12 channels/4 programs. Includes SoundRecover2 - UltraZoom -QuickSync - DuoPhone-Flex Control-WhistleBlock - NoiseBlock - Tinnitus Balance WaterResistant - Datalogging - EasyPhone - FM/DAI - Cros/BiCros compatibility - Wind/Weather Protection - Size 13 Battery. Moderate/Severe hearing loss

Pediatric Digital BTE - programmable 12 channels/4 programs. Includes SoundRecover2 - UltraZoom Advanced-QuickSync - WhistleBlock - NoiseBlock - Flex Volume - Zoom Control - UserPreference - Tinnitus Balance- WindBlock WaterResistant - Datalogging - EasyPhone - FM/DAI - Cros/BiCros compatibility - T-Coil - Wind/Weather Protection - Size 13 Battery. Moderate/Severe hearing loss

Digital RIC,AutoSense OS, SNR-Boost, FlexControl, Flex Volume, DuoPhone, Real Ear Sound, WhistleBlock, NoiseBlock, Quick Sync, SoundRecover, Tinnitus Balance, auto Acclimatization, UltraZoom Standard, 12 channels, WCP compatible, size 312 battery, telecoil, Roger compatible

Digital RIC, Power, AutoSense OS, SNR-Boost, FlexControl, Flex Volume, DuoPhone, Real Ear Sound, WhistleBlock, NoiseBlock, Quick Sync, SoundRecover, Tinnitus Balance, auto Acclimatization, UltraZoom Standard, 12 channels, WCP compatible, size 13 battery, telecoil, Roger compatible

Digital BTE, Super Power, AutoSense OS, SNR-Boost, FlexControl, Flex Volume, DuoPhone, Real Ear Sound, WhistleBlock, NoiseBlock, Quick Sync, SoundRecover, Tinnitus Balance, auto Acclimatization, UltraZoom Standard, 12 channels, WCP compatible, size 13 battery, telecoil, Roger compatible

Digital RIC, AutoSense OS, WhistleBlock, NoiseBlock, Quick Sync, SoundRecover, Tinnitus Balance, auto Acclimatization, UltraZoom Essential, 8 channels, WCP compatible, size 312 battery, Roger compatible, telecoil

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Contract Effective 9/1/17 MDHHS Contract Hearing Aid DefinitionsPHONAK

Page 3 of 9

DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Sky V50 - M 63db Max Gain - 133 Max Output 050-0327-01 V5257 Monaural $799.00 51.815% $385.00 $129.00 12 36V5261 Binaural $1,598.00 51.815% $770.00 $258.00 12 36

Sky V50 - P 63db Max Gain - 133 Max Output 050-0331-01 V5257 Monaural $799.00 51.815% $385.00 $129.00 12 36V5261 Binaural $1,598.00 51.815% $770.00 $258.00 12 36

Sky V50-UP 82db Max Gain - 133 Max Output 050-0339-01 V5257 Monaural $799.00 51.815% $385.00 $129.00 12 36V5261 Binaural $1,598.00 51.815% $770.00 $258.00 12 36

Naida V-50 UP 82db Max Gain - 142 Max Output 050-0247-01 V5257 Monaural $799.00 51.815% $385.00 $129.00 12 36 V5261 Binaural $1,598.00 51.815% $770.00 $258.00 12 36

Naida V-50 SP 75db Max Gain - 140 Max Output 050-0243-01 V5257 Monaural $799.00 51.815% $385.00 $129.00 12 36 V5261 Binaural $1,598.00 51.815% $770.00 $258.00 12 36

Naida V-50 RIC 65db Max Gain - 133 Max Output 050-0266-01 V5257 Monaural $799.00 51.815% $385.00 $129.00 12 36 V5261 Binaural $1,598.00 51.815% $770.00 $258.00 12 36

Naida V-30 UP 82db Max Gain - 142 Max Output 050-0246-01 V5257 Monaural $629.00 52.464% $299.00 $129.00 12 36 V5261 Binaural $1,258.00 52.464% $598.00 $258.00 12 36

Naida V-30 SP 75db Max Gain - 140 Max Output 050-0242-01 V5257 Monaural $629.00 52.464% $299.00 $129.00 12 36 V5261 Binaural $1,258.00 52.464% $598.00 $258.00 12 36

Digital Super Power BTE - programmable 12 channels/4 programs. Includes SoundRecover2 - UltraZoom Advanced-QuickSync - WhistleBlock - NoiseBlock - Flex Volume - Zoom Control - UserPreference - Tinnitus Balance- WindBlock WaterResistant - Datalogging - DuoPhone - FM/DAI - Cros/BiCros compatibility - T-Coil - Wind/Weather Protection - Size 675 Battery. Moderate/Severe hearing loss

Digital Super Power BTE - programmable 12 channels/4 programs. Includes SoundRecover2 - UltraZoom -QuickSync - WhistleBlock - NoiseBlock - Tinnitus Balance WaterResistant - Datalogging - DuoPhone - FM/DAI - Cros/BiCros compatibility - Wind/Weather Protection - Size 13 Battery. Moderate/Severe hearing loss

Digital BTE - programmable 12 channels/4 programs. Includes SoundRecover - UltraZoom Advanced-QuickSync - WhistleBlock - NoiseBlock - Flex Volume - Zoom Control - UserPreference - Tinnitus Balance- WindBlock WaterResistant - Datalogging - EasyPhone - FM/DAI - Cros/BiCros compatibility - T-Coil - Wind/Weather Protection - Size 13 Battery. Moderate/Severe hearing loss

Digital Super Power BTE - programmable 8 channels/3 programs. Includes SoundRecover2 -everyday automatic -QuickSync - WhistleBlock - Tinnitus Balance -WaterResistant - Datalogging -Cros/BiCros compatibility - Wind/Weather Protection - Size 675 Battery. Moderate/Severe hearing loss

Pediatric Digital BTE - programmable 12 channels/4 programs. Includes SoundRecover2 - UltraZoom -QuickSync - WhistleBlock - NoiseBlock - Tinnitus Balance WaterResistant - Datalogging - EasyPhone - FM/DAI - Cros/BiCros compatibility - Wind/Weather Protection - Size 312 Battery. Moderate/Severe hearing loss

Pediatric Digital BTE - programmable 12 channels/4 programs. Includes SoundRecover2 - UltraZoom -QuickSync - WhistleBlock - NoiseBlock - Tinnitus Balance WaterResistant - Datalogging - EasyPhone - FM/DAI - Cros/BiCros compatibility - Wind/Weather Protection - Size 13 Battery. Moderate/Severe hearing loss

Pediatric Digital BTE - programmable 12 channels/4 programs. Includes SoundRecover2 - UltraZoom -QuickSync - WhistleBlock - NoiseBlock - Tinnitus Balance WaterResistant - Datalogging - EasyPhone - FM/DAI - Cros/BiCros compatibility - Wind/Weather Protection - Size 675 Battery. Moderate/Severe hearing loss

Digital Super Power BTE - programmable 8 channels/3 programs. Includes SoundRecover2 -everyday automatic -QuickSync - WhistleBlock - Tinnitus Balance -WaterResistant - Datalogging -Cros/BiCros compatibility - Wind/Weather Protection - Size 13 Battery. Moderate/Severe hearing loss

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Contract Effective 9/1/17 MDHHS Contract Hearing Aid DefinitionsPHONAK

Page 4 of 9

DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Naida V-30 RIC 65db Max Gain - 133 Max Output 050-0265-01 V5257 Monaural $629.00 52.464% $299.00 $129.00 12 36 V5261 Binaural $1,258.00 52.464% $598.00 $258.00 12 36

Audeo V50-10 69db Max Gain - 129 Max Output050-0094-01 V5257 Monaural $799.00 51.815% $385.00 $129.00 12 36

V5261 Binaural $1,598.00 51.815% $770.00 $258.00 12 36

Audeo V50 - 312 69db Max Gain - 129 Max Output050-0169-01 V5257 Monaural $799.00 51.815% $385.00 $129.00 12 36

V5261 Binaural $1,598.00 51.815% $770.00 $258.00 12 36

Audeo V50 - 312T 69db Max Gain - 129 Max Output050-0208-01 V5257 Monaural $799.00 51.815% $385.00 $129.00 12 36

V5261 Binaural $1,598.00 51.815% $770.00 $258.00 12 36

Audeo V50 - 13 69db Max Gain - 129 Max Output 050-0217-01 V5257 Monaural $799.00 51.815% $385.00 $129.00 12 36V5261 Binaural $1,598.00 51.815% $770.00 $258.00 12 36

Audeo V30 - 10 69db Max Gain - 129 Max Output 050-0093-01 V5257 Monaural $629.00 52.464% $299.00 $129.00 12 36 V5261 Binaural $1,258.00 52.464% $598.00 $258.00 12 36

Audeo V30 - 312 69db Max Gain - 129 Max Output 050-0109-01 V5257 Monaural $629.00 52.464% $299.00 $129.00 12 36 V5261 Binaural $1,258.00 52.464% $598.00 $258.00 12 36

Audeo V30 - 312T 69db Max Gain - 129 Max Output 050-0198-01 V5257 Monaural $629.00 52.464% $299.00 $129.00 12 36 V5261 Binaural $1,258.00 52.464% $598.00 $258.00 12 36

Audeo V30 - 13 69db Max Gain - 129 Max Output 050-0216-01 V5257 Monaural $629.00 52.464% $299.00 $129.00 12 36 V5261 Binaural $1,258.00 52.464% $598.00 $258.00 12 36

Digital RIC, AutoSense OS, SNR-Boost, FlexControl, Flex Volume, DuoPhone, Real Ear Sound, WhistleBlock, NoiseBlock, Quick Sync, SoundRecover, Tinnitus Balance, auto Acclimatization, UltraZoom Standard, 12 channels, WCP compatible, size 13 battery, telecoil, Roger compatible

Digital RIC, AutoSense OS, WhistleBlock, NoiseBlock, Quick Sync, SoundRecover, Tinnitus Balance, auto Acclimatization, UltraZoom Essential, 8 channels, WCP compatible, size 10 battery, Roger compatible

Digital RIC,AutoSense OS, WhistleBlock, NoiseBlock, Quick Sync, SoundRecover, Tinnitus Balance, auto Acclimatization, UltraZoom Essential, 8 channels, WCP compatible, size 13 battery, Roger compatible, telecoil

Digital RIC, AutoSense OS, WhistleBlock, NoiseBlock, Quick Sync, SoundRecover, Tinnitus Balance, auto Acclimatization, UltraZoom Essential, 8 channels, WCP compatible, size 312 battery, Roger compatible, telecoil

Digital BTE - programmable 8 channels/3 programs. Includes SoundRecover - UltraZoom Advanced-QuickSync - WhistleBlock - NoiseBlock - Flex Volume - Zoom Control - UserPreference - Tinnitus Balance- WindBlock WaterResistant - Datalogging - EasyPhone - FM/DAI - Cros/BiCros compatibility - T-Coil - Wind/Weather Protection - Size 13 Battery. Moderate/Severe hearing loss

Digital RIC, AutoSense OS, SNR-Boost, FlexControl, Flex Volume, DuoPhone, Real Ear Sound, WhistleBlock, NoiseBlock, Quick Sync, SoundRecover, Tinnitus Balance, auto Acclimatization, UltraZoom Standard, 12 channels, WCP compatible, size 10 battery, Roger compatible

Digital RIC, AutoSense OS, SNR-Boost, FlexControl, Flex Volume, DuoPhone, Real Ear Sound, WhistleBlock, NoiseBlock, Quick Sync, SoundRecover, Tinnitus Balance, auto Acclimatization, UltraZoom Standard, 12 channels, WCP compatible, size 312 battery, Roger compatible

Digital RIC,AutoSense OS, SNR-Boost, FlexControl, Flex Volume, DuoPhone, Real Ear Sound, WhistleBlock, NoiseBlock, Quick Sync, SoundRecover, Tinnitus Balance, auto Acclimatization, UltraZoom Standard, 12 channels, WCP compatible, size 312 battery, telecoil, Roger compatible

Digital RIC,AutoSense OS, WhistleBlock, NoiseBlock, Quick Sync, SoundRecover, Tinnitus Balance, auto Acclimatization, UltraZoom Essential, 8 channels, WCP compatible, size 312 battery, Roger compatible

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Contract Effective 9/1/17 MDHHS Contract Hearing Aid DefinitionsPHONAK

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DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

CROS II 312 - BTE Venture Package 30 level 60db Max Gain - 122 Max Output 050-0228-01.30 V5180 Cros $1,378.00 50.798% $678.00 $110.00 12 24

CROS II 13 - BTE Venture Package 30 level 63db Max Gain - 133 Max Output 050-0229.01.30 V5180 Cros $1,378.00 50.798% $678.00 $110.00 12 24

CROS II 312 - BTE Venture Package 50 level 60db Max Gain - 122 Max Output 050-0228-01.50 V5180 Cros $1,548.00 50.607% $764.00 $110.00 12 24

CROS II 13 - BTE Venture Package 50 level 63db Max Gain - 133 Max Output 050-0229-01.50 V5180 Cros $1,548.00 50.607% $764.00 $110.00 12 24

Sky Q-50 SP 75db Max Gain - 140 Max Output 050-0166-01 V5257 Monaural $725.00 46.897% $385.00 $129.00 12 24 V5261 Binaural $1,450.00 46.897% $769.99 $258.00 12 24

Sky Q-50 RIC 65db Max Gain - 133 Max Output 050-0205-01 V5257 Monaural $725.00 46.897% $385.00 $129.00 12 24 V5261 Binaural $1,450.00 46.897% $769.99 $258.00 12 24

Sky Q-50 UP 82db Max Gain - 142 Max Output 050-0176-01 V5257 Monaural $725.00 46.897% $385.00 $129.00 12 24 V5261 Binaural $1,450.00 46.897% $769.99 $258.00 12 24

Sky Q-50 M13 63db Max Gain - 133 Max Output 050-0163-01 V5257 Monaural $725.00 46.897% $385.00 $129.00 12 24 V5261 Binaural $1,450.00 46.897% $769.99 $258.00 12 24

Naida Q-50 RIC 65db Max Gain - 133 Max Output 050-0139-01 V5257 Monaural $725.00 46.897% $385.00 $129.00 12 24 V5261 Binaural $1,450.00 46.897% $769.99 $258.00 12 24

Pediatric Digital BTE - programmable 12 channels/4 programs. Includes SoundRecover - UltraZoom Advanced-QuickSync - WhistleBlock - NoiseBlock - Flex Volume - Zoom Control - UserPreference - Tinnitus Balance- WindBlock WaterResistant - Datalogging - EasyPhone - FM/DAI - Cros/BiCros compatibility - T-Coil - Wind/Weather Protection - Size13 Battery. Moderate/Severe hearing loss

Digital BTE - programmable 12 channels/4 programs. Includes SoundRecover - UltraZoom Advanced-QuickSync - WhistleBlock - NoiseBlock - Flex Volume - Zoom Control - UserPreference - Tinnitus Balance- WindBlock WaterResistant - Datalogging - EasyPhone - FM/DAI - Cros/BiCros compatibility - T-Coil - Wind/Weather Protection - Size 13 Battery. Moderate/Severe hearing loss

Designed for those with Unilateral hearing loss. Transfers the microphone input signal to any model of Phonak Audéo V and Bolero V

Designed for those with Unilateral hearing loss. Transfers the microphone input signal to any model of Phonak Audéo V and Bolero V

Designed for those with Unilateral hearing loss. Transfers the microphone input signal to any model of Phonak Audéo V and Bolero V

Digital BTE - programmable 12 channels/4 programs. Includes SoundRecover - UltraZoom Advanced-QuickSync - WhistleBlock - NoiseBlock - Flex Volume - Zoom Control - UserPreference - Tinnitus Balance- WindBlock WaterResistant - Datalogging - EasyPhone - FM/DAI - Cros/BiCros compatibility - T-Coil - Wind/Weather Protection - Size 13 Battery. Moderate/Severe hearing loss

Pediatric Digital Super Powe BTE - programmable 12 channels/4 programs. Includes SoundRecover - UltraZoom Advanced-QuickSync - WhistleBlock - NoiseBlock - Flex Volume - Zoom Control - UserPreference - Tinnitus Balance- WindBlock WaterResistant - Datalogging - EasyPhone - FM/DAI - Cros/BiCros compatibility - T-Coil - Wind/Weather Protection - Size 675 Battery. Moderate/Severe hearing loss

Designed for those with Unilateral hearing loss. Transfers the microphone input signal to any model of Phonak Audéo V and Bolero V

Pediatric Digital Super Power BTE - programmable 12 channels/4 programs. Includes SoundRecover - UltraZoom -QuickSync - WhistleBlock - NoiseBlock - Tinnitus Balance WaterResistant - Datalogging - EasyPhone - FM/DAI - Cros/BiCros compatibility - Wind/Weather Protection - Size 13 Battery. Moderate/Severe hearing loss

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Contract Effective 9/1/17 MDHHS Contract Hearing Aid DefinitionsPHONAK

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DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Naida Q-50 UP 82db Max Gain - 142 Max Output 050-0136-01 V5257 Monaural $725.00 46.897% $385.00 $129.00 12 24 V5261 Binaural $1,450.00 46.897% $769.99 $258.00 12 24

Naida Q-50 SP 75db Max Gain - 140 Max Output 050-0133-01 V5257 Monaural $725.00 46.897% $385.00 $129.00 12 24 V5261 Binaural $1,450.00 46.897% $769.99 $258.00 12 24

Naida Q-30 RIC 65db Max Gain - 133 Max Output 050-0148-01 V5257 Monaural $579.00 48.359% $299.00 $129.00 12 24 V5261 Binaural $1,158.00 48.359% $598.00 $258.00 12 24

Naida Q-30 SP 75db Max Gain - 140 Max Output 050-0146-01 V5257 Monaural $579.00 48.359% $299.00 $129.00 12 24 V5261 Binaural $1,158.00 48.359% $598.00 $258.00 12 24

Naida Q-30 UP 70db Max Gain - 133 Max Output 050-0147-01 V5257 Monaural $579.00 48.359% $299.00 $129.00 12 24 V5261 Binaural $1,158.00 48.359% $598.00 $258.00 12 24

PHONAK CROS - Quest BTE+ 50 63db Max Gain - 133 Max Output 050-0689-C0.50 V5180 Cros $1,424.00 46.338% $764.00 $110.00 24

PHONAK CROS H2O -Quest BTE +50 63db Max Gain - 133 Max Output 050-0986-01.50 V5180 Cros $1,424.00 46.338% $764.00 $110.00 12 24

PHONAK CROS - Quest BTE+ 30 63db Max Gain - 133 Max Output 050-0689-C0.30 V5180 Cros $1,278.00 47.069% $676.00 $110.00 12 24

PHONAK CROS H2O - Quest BTE +30 63db Max Gain - 133 Max Output 050-0986-01.30 V5180 Cros $1,278.00 47.069% $676.00 $110.00 12 24

Digital Super Powe BTE - programmable 12 channels/4 programs. Includes SoundRecover - UltraZoom Advanced-QuickSync - WhistleBlock - NoiseBlock - Flex Volume - Zoom Control - UserPreference - Tinnitus Balance- WindBlock WaterResistant - Datalogging - EasyPhone - FM/DAI - Cros/BiCros compatibility - T-Coil - Wind/Weather Protection - Size 675 Battery. Moderate/Severe hearing loss

Digital BTE - programmable 8 channels/3 programs. Includes Ultrazoom essential -T-coil SoundRecover -everyday automatic -QuickSync - WhistleBlock - Tinnitus Balance -WaterResistant - Datalogging -Cros/BiCros compatibility - Wind/Weather Protection - Size 13 Battery. Moderate/Severe hearing loss

Wireless real audio transmission - real ear sound - One touch synchronizaton thru QuickSync. Allows patient to access features in hearing instrument (50 level Hearing instrument included)

Wireless real audio transmission - real ear sound - Water Resistance - One touch synchronizaton thru QuickSync. Allows patient to access features in hearing instrument (50 level Hearing instrument is included)

Wireless real audio transmission - real ear sound - One touch synchronizaton thru QuickSync. Allows patient to access features in hearing instrument (30 level Hearing instrument included)

Digital Super Power BTE - programmable 12 channels/4 programs. Includes SoundRecover - UltraZoom -QuickSync - WhistleBlock - NoiseBlock - Tinnitus Balance WaterResistant - Datalogging - EasyPhone - FM/DAI - Cros/BiCros compatibility - Wind/Weather Protection - Size 13 Battery. Moderate/Severe hearing loss

Digital BTE - programmable 8 channels/3 programs. Includes Ultrazoom essential -T-coil SoundRecover -everyday automatic -QuickSync - WhistleBlock - Tinnitus Balance -WaterResistant - Datalogging -Cros/BiCros compatibility - Wind/Weather Protection - Size 13 Battery. Moderate/Severe hearing loss

Digital Super Power BTE - Includes SoundRecover2 -everyday automatic -QuickSync -Sound Relax-Wind Block-Speech in 360-Speech in Loud Noise-Dou Phone-Real Ear Sound-Flex Control- WhistleBlock-Noise Block - Tinnitus Noise Generator -WaterResistant - Datalogging -Cros B compatibility-Roger Ready-Music - Wind/Weather Protection - Size 13 Battery. Moderate/Severe hearing loss

Wireless real audio transmission - real ear sound - Water Resistance - One touch synchronizaton thru QuickSync. Allows patient to access features in hearing instrument (30 level Hearing instrument is included)

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Contract Effective 9/1/17 MDHHS Contract Hearing Aid DefinitionsPHONAK

Page 7 of 9

FULL SHELL CONCHA MODEL DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Virto B30-13 063-0239-01 V5256 Monaural $649.00 45.763% $352.00 $129.00 12 36V5260 Binaural $1,298.00 45.763% $704.00 $258.00 12 36

Virto V50-13 063-0154-01 V5256 Monaural $799.00 51.815% $385.00 $129.00 12 36V5260 Binaural $1,598.00 51.815% $770.00 $258.00 12 36

Virto Q50 - 13 063-0088-01 V5256 Monaural $725.00 46.897% $385.00 $129.00 12 24V5260 Binaural $1,450.00 46.897% $769.99 $258.00 12 24

70db Max Gain - 130 Max Output

Virto V30-13 063-0158-01 V5256 Monaural $629.00 52.464% $299.00 $129.00 12 36V5260 Binaural $1,258.00 52.464% $598.00 $258.00 12 36

Virto Q30 13 063-0015-01 V5256 Monaural $579.00 48.359% $299.00 $129.00 12 24V5260 Binaural $1,158.00 48.359% $598.00 $258.00 12 24

70db Max Gain - 130 Max Output

PHONAK CROS 13 - Quest ITE+30 063-0122-01.30 V5170 Cros $1,278.00 47.07% $676 $110.00 12 24

55db Peak Gain - 122 db Peak Output

PHONAK CROS 13 - Quest ITE+50 063-0122-01.50 V5170 Cros $1,424.00 46.39% $764 $110.00 12 24

55db Peak Gain - 122 db Peak Output

CROS II 13 -Venture ITE Package 50 level 063-0099-01.50 V5170 Cros $1,588.00 50.607% $784.36 $110.00 12 24

CROS II 13 -Venture ITE Package 30 level 063-0099-01.30 V5170 Cros $1,328.00 50.931% $651.64 $110.00 12 24

CROS B Custom 13- 30 level Belong Virto 063-0247-01.30 V5170 Cros $1,398.00 47.581% $731.00 $110.00 12 24

Designed for those with Unilateral hearing loss. Transfers the microphone input signal to any model of Phonak Belong Virto

63 dB Max Gain -122 Output

Digital ITE AutoSense OS, WhistleBlock, NoiseBlock, Quick Sync, SoundRecover, Tinnitus Balance, auto Acclimatization, UltraZoom Essential, 8 channels, WCP compatible, size 13 battery, Roger compatible, telecoil

70db Max Gain - 130 Max Output

Wireless real audio transmission - real ear sound. One touch synchornization through QuickSync. Allows patient to access features in hearing instrument (50 level Hearing instrument is included)

Designed for those with Unilateral hearing loss. Transfers the microphone input signal to Phonak Virto V hearing aids

70db Max Gain - 130 Max Output

Designed for those with Unilateral hearing loss. Transfers the microphone input signal to Phonak Virto V hearing aids

70db Max Gain - 130 Max Output

Digital Full shell 8 Channels/2 Programs- Includes AutoSense OS- Tinnitus Balance- Sound Recover2- Noise Block- Quick Sync- Whistle Block- Cros B Compatible -WaterResistant - Datalogging - Wind/Weather Protection - Size 312 Battery. Moderate/Severe hearing loss

70db Max Gain - 130 Max Output

Digital ITE, 12 channels/4 programs,AutoSense OS, SNR-Boost, FlexControl, Flex Volume, DuoPhone, Real Ear Sound, WhistleBlock, NoiseBlock, Quick Sync, SoundRecover, Tinnitus Balance, auto Acclimatization, UltraZoom Standard, 12 channels, WCP compatible, size 13 battery, telecoil, Roger compatible

70db Max Gain - 130 Max Output

Digital ITE - programmable 12 channels/4 programs. Includes SoundRecover - UltraZoom -QuickSync - WhistleBlock - NoiseBlock - Tinnitus Balance WaterResistant - Datalogging - EasyPhone - FM/DAI - Cros/BiCros compatibility - Wind/Weather Protection - Size 13 Battery. Moderate/Severe hearing loss

IN THE EAR TYPES – Prices shall be for a single hearing aid or two hearing aids and case. List model number for the full range of instruments. Include all features. Indicate Class D power or Class B power.

Digital ITE - programmable 8 channels/3 programs. Includes Ultrazoom essential -T-coil SoundRecover -everyday automatic -QuickSync - WhistleBlock - Tinnitus Balance -WaterResistant - Datalogging -Cros/BiCros compatibility - Wind/Weather Protection - Size 13 Battery. Moderate/Severe hearing loss

Wireless real audio transmission - real ear sound. One touch synchornization through QuickSync. Allows patient to access features in hearing instrument (30 level Hearing instrument is included)

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Contract Effective 9/1/17 MDHHS Contract Hearing Aid DefinitionsPHONAK

Page 8 of 9

HALF SHELL CONCHA DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)Virto B30 312 063-0235-01 V5256 Monaural $649 45.76% $352.00 $129 12 36

70db Max Gain - 130 Max Output V5260 Binaural $1,298 45.76% $704 $258 12 36

Virto V30-312 063-0157-01 V5256 Monaural $629.00 52.464% $299.00 $129 12 36V5260 Binaural $1,258.00 52.464% $598.00 $258 12 36

Virto V50-312 063-0153-01 V5256 Monaural $799.00 51.815% $385.00 $129 12 36V5260 Binaural $1,598.00 51.815% $770.00 $258 12 36

Virto Q50 - 312 NW Half Shell 063-0086-01 V5256 Monaural $725.00 46.897% $385.00 $129 12 24V5260 Binaural $1,450.00 46.897% $770.00 $258 12 24

60db Max Gain - 122 Max Output

Virto Q50 - 312 Half Shell 063-0087-01 V5256 Monaural $725.00 46.897% $385.00 $129 12 24V5260 Binaural $1,450.00 46.897% $770.00 $258 12 24

60db Max Gain - 122 Max Output

Virto Q30 - 312 NW Half Shell 063-0011-01 V5256 Monaural $579.00 48.359% $299.00 $129 12 24V5260 Binaural $1,158.00 48.359% $598.00 $258 12 24

60db Max Gain - 122 Max Output

Virto Q30 - 312 Half Shell 063-0013-01 V5256 Monaural $579.00 48.359% $299.00 $129 12 24V5260 Binaural $1,158.00 48.359% $598.00 $258 12 24

60db Max Gain - 122 Max Output

PHONAK CROS 312 - Quest ITE+30 063-0417-01.30 V5170 Cros $1,278.00 47.07% $676 $110.00 12 24

55db Peak Gain - 122 db Peak Output

PHONAK CROS 312 - Quest ITE+50 063-0417-01.50 V5170 Cros $1,424.00 46.51% $764 $110.00 12 24

55db Peak Gain - 122 db Peak Output

CROS II 312 -Venture ITE Package 50 level 063-0098-01.50 V5170 Cros $1,474.00 48.148% $764.00 $110.00 12 24

Wireless real audio transmission - real ear sound. One touch synchornization through QuickSync. Allows patient to access features in hearing instrument (30 level Hearing instrument is included)

Wireless real audio transmission - real ear sound. One touch synchornization through QuickSync. Allows patient to access features in hearing instrument (50 level Hearing instrument is included)

Digital Half shell 8 Channels/2 Programs- Includes AutoSense OS- Tinnitus Balance- Sound Recover2- Noise Block- Quick Sync- Whistle Block- Cros B Compatible -WaterResistant - Datalogging - Wind/Weather Protection - Size 312 Battery. Moderate/Severe hearing loss

Digital Half Shell,AutoSense OS, WhistleBlock, NoiseBlock, Quick Sync, SoundRecover, Tinnitus Balance, auto Acclimatization, UltraZoom Essential, 8 channels, WCP compatible, size 312 battery, Roger compatible, telecoil

60db Max Gain - 122 Max Output

Digital Half Shell, AutoSense OS, SNR-Boost, FlexControl, Flex Volume, DuoPhone, Real Ear Sound, WhistleBlock, NoiseBlock, Quick Sync, SoundRecover, Tinnitus Balance, auto Acclimatization, UltraZoom Standard, 12 channels, WCP compatible, size 312 battery, telecoil, Roger compatible

60db Max Gain - 122 Max Output

Designed for those with Unilateral hearing loss. Transfers the microphone input signal to Phonak Virto V hearing aids 70db Max Gain - 130 Max Output

IN THE EAR TYPES – Prices shall be for a single hearing aid, or two hearing aids and case. List model number for the full range of instruments. Include all features. Indicate Class D power or Class B power.

Digital ITE - programmable 12 channels/4 programs. Includes SoundRecover - UltraZoom -QuickSync - WhistleBlock - NoiseBlock - Tinnitus Balance WaterResistant - Datalogging - EasyPhone - FM/DAI - Cros/BiCros compatibility - Wind/Weather Protection - Size 312 Battery. Moderate/Severe hearing loss

Digital ITE - programmable 12 channels/4 programs. Includes SoundRecover - UltraZoom -QuickSync - WhistleBlock - NoiseBlock - Tinnitus Balance WaterResistant - Datalogging - EasyPhone - FM/DAI - Cros/BiCros compatibility - Wind/Weather Protection - Size 312 Battery. Moderate/Severe hearing loss

Digital ITE - programmable 8 channels/3 programs. Includes Ultrazoom essential -T-coil SoundRecover -everyday automatic -QuickSync - WhistleBlock - Tinnitus Balance -WaterResistant - Datalogging -Cros/BiCros compatibility - Wind/Weather Protection - Size 312 Battery. Moderate/Severe hearing loss

Digital ITE - programmable 8 channels/3 programs. Includes Ultrazoom essential -T-coil SoundRecover -everyday automatic -QuickSync - WhistleBlock - Tinnitus Balance -WaterResistant - Datalogging -Cros/BiCros compatibility - Wind/Weather Protection - Size 312 Battery. Moderate/Severe hearing loss

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Contract Effective 9/1/17 MDHHS Contract Hearing Aid DefinitionsPHONAK

Page 9 of 9

HALF SHELL CONCHA DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

CROS II 312 -Venture ITE Package 30 level 063-0098-01.30 V5170 Cros $1,328.00 48.359% $678.00 $110.00 12 24

CROS B Custom 312- 30 level Virto Belong 063-0246-01.30 V5170 Cros $1,398.00 47.581% $731.00 $110.00 12 24

Designed for those with Unilateral hearing loss. Transfers the microphone input signal to any model of Phonak Virto Belong

63 dB Max Gain -122 Output

LOW PROFILE DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Virto B30-10 Low Profile MC 063-0219-01 V5256 Monaural $649.00 45.763% $352.00 $129.00 12 36V5260 Binaural $1,298.00 45.763% $704.00 $258.00 12 36

Virto V50 - Low Profile MC 063-0152-01 V5256 Monaural $799.00 51.815% $385.00 $129.00 12 36V5260 Binaural $1,598.00 51.815% $770.00 $258.00 12 36

Virto Q50 - 10 NW O 063-0084-01 V5256 Monaural $725.00 46.897% $385.00 $129.00 12 2440db Max Gain - 112 Max Output V5260 Binaural $1,450.00 46.897% $770.00 $258.00 12 24

Virto V30 - Low Profile MC 063-0178-01 V5256 Monaural $629.00 52.464% $299.00 $258.00 12 36V5260 Binaural $1,258.00 52.464% $598.00 $258.00 12 36

Virto Q30 - 10 NW O 063-0009-01 V5256 Monaural $579.00 48.359% $299.00 $129.00 12 24V5260 Binaural $1,158.00 48.359% $598.00 $258.00 12 24

Designed for those with Unilateral hearing loss. Transfers the microphone input signal to Phonak Virto V hearing aids 70db Max Gain - 130 Max Output

Digital ITE - programmable 8 channels/4 programs. Includes SoundRecover2 - Sound Relax-Flex Control-Tinnitus Balance Generator-Quick Sync-WhistleBlock - NoiseBlock- UserPreference - Tinnitus Balance- WindBlock WaterResistant - Datalogging- Wind/Weather Protection - Size10 Battery. Mild/Moderate hearing loss

Digital ITE - programmable 8 channels/2 programs. Includes SoundRecover - UltraZoom Advanced-WhistleBlock - NoiseBlock - Flex Volume - Zoom Control - UserPreference - Tinnitus Balance- WindBlock WaterResistant - Datalogging- Wind/Weather Protection - Size10 Battery. Mild/Moderate hearing loss

IN THE EAR TYPES – Prices shall be for a single hearing aid or two hearing aids and case. List model number for the full range of instruments. Include all features. Indicate Class D power or Class B power.

60db Max Gain - 122 Max Output

60db Max Gain - 122 Max Output

60db Max Gain - 122 Max Output

60db Max Gain - 122 Max Output

Digital ITE - programmable 16 channels/7 programs. Includes SoundRecover2 -Speech in 360-Sound Relax-Wind Block-Flex Control-Tinnitus Balance Noise Generator- UltraZoom Advanced-WhistleBlock - NoiseBlock -Quick Sync - Zoom Control - UserPreference - Tinnitus Balance- WindBlock WaterResistant - Datalogging- Wind/Weather Protection - Size10 Battery. Mild/Moderate hearing loss

Digital ITE - programmable 12 channels/3 programs. Includes SoundRecover - UltraZoom Advanced-WhistleBlock - NoiseBlock - Flex Volume - Zoom Control - UserPreference - Tinnitus Balance- WindBlock WaterResistant - Datalogging- Wind/Weather Protection - Size10 Battery. Mild/Moderate hearing loss

Digital ITE - programmable 8 channels/4 programs. Includes SoundRecover - Flex Control-Tinnitus Balance Generator-Noise Block-Quick Sync-WhistleBlock - NoiseBlock- UserPreference - Tinnitus Balance- WindBlock WaterResistant - Datalogging- Wind/Weather Protection - Size10 Battery. Mild/Moderate hearing loss

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Contract Effective 9/1/2017 MDHHS Contract Hearing Aid DefinitionsRESOUND

Page 1 of 24

DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

ReSound Vea 3 Mini BTEDigital, Mini BTE with dual microphones. Size 312battery. 7-band WARP sound processing, Dual Stabilizer II DFS with Whistle Control Feedback Manager, Adaptive Directionality with Integrated Wind Noise Management, Soft Switching, Fixed Directionality, Noise Tracker II noise reduction, push button, up to 4 programs including Telecoil, DAI compatible. Power-saving chip technology. iSolate nanotech moisture protection.MONAURAL (V5257) Mild, Moderate, Severe VE360-DI V5257 $555.00 50.000% $277.50 $95.00 12 24

BINAURAL (V5261) Mild, Moderate, Severe VE360-DI V5261 $1,110.00 50.000% $555.00 $190.00 12 24ReSound Vea 3 Standard BTEDigital, Standard BTE with dual microphones. Size13 battery. 7-band WARP sound processing, DualStabilizer II DFS with Whistle Control Feedback Manager, Adaptive Directionality with Integrated Wind Noise Management, Soft Switching, FixedDirectionality, Noise Tracker II noise reduction,push button, volume control, up to 4 programs including Telecoil, DAI compatible. Power-saving chip technology. iSolate nanotech moisture protection.MONAURAL (V5257) Mild, Moderate, Severe, Profound VE370-DI V5257 $555.00 50.000% $277.50 $95.00 12 24

BINAURAL (V5261) Mild, Moderate, Severe, Profound VE370-DI V5261 $1,110.00 50.000% $555.00 $190.00 12 24ReSound Vea 2 Standard BTEDigital, Standard BTE with dual microphones. Size 13 battery. 6-band WARP sound processing, DualStabilizer II DFS with Whistle Control Feedback Manager, Fixed Directionality, Noise Tracker II noise reduction, push button, volume control, up to 3 programs including Telecoil, DAI compatible. Power-saving chip technology. iSolate nanotecmoisture protection.MONAURAL (V5257) Mild, Moderate, Severe, Profound VE270-DVI V5257 $495.00 50.000% $247.50 $95.00 12 24

BINAURAL (V5261) Mild, Moderate, Severe, Profound VE270-DVI V5261 $990.00 50.000% $495.00 $190.00 12 24ReSound Vea 3 Power BTEDigital, Power BTE with dual microphones. Size 13battery. 7-band WARP sound processing, Dual Stabilizer II DFS with Whistle Control Feedback Manager, Adaptive Directionality with IntegratedWind Noise Management, Soft Switching, Fixed Directionality, Noise Tracker II noise reduction, push button, volume control, up to 4 programsincluding Telecoil, DAI compatible. Power-savingchip technology. iSolate nanotech moisture protection.MONAURAL (V5257) Mild, Moderate, Severe, Profound VE380-DVI V5257 $555.00 50.000% $277.50 $95.00 12 24

BINAURAL (V5261) Mild, Moderate, Severe, Profound VE380-DVI V5261 $1,110.00 50.000% $555.00 $190.00 12 24ReSound Vea 2 Power BTEDigital, Power BTE with dual microphones. Size 13 battery. 6-band WARP sound processing, DualStabilizer II DFS with Whistle Control FeedbackManager, Fixed Directionality, Noise Tracker II noise reduction, push button, volume control, up to 3 programs including Telecoil, DAI compatible.Power-saving chip technology. iSolate nanotech moisture protection.MONAURAL (V5257) Mild, Moderate, Severe, Profound VE280-DVI V5257 $495.00 50.000% $247.50 $95.00 12 24

BINAURAL (V5261) Mild, Moderate, Severe, Profound VE280-DVI V5261 $990.00 50.000% $495.00 $190.00 12 24

BEHIND THE EAR TYPES - The total price shall be for a single hearing aid or two hearing aids and appropriate case. List model numbers/name and full range of the instrument has a T-coil or T-coil capability. For digital aids, indicate whether a remote control is required. For conventional aids, indicate whether it is a linear or compression circuit L = Linear, C = Compression.

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Contract Effective 9/1/2017 MDHHS Contract Hearing Aid DefinitionsRESOUND

Page 2 of 24

DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

LiNX2 5 RIE BTEDigital, wireless RIE. Dual microphones. Size 13 battery. Push button. Made for iPhone technology. 4 receiver options: Low Power, Medium Power, High Power, Ultra Power (Encased). Surround Sound by ReSound, 9-warp compression bands, Environmental Classifier, Sound Shaper frequency compression, Low frequency bass boost. Noise Tracker II noise reduction, WindGuard, Expansion. Directional Mix Processor. Directionality: SoftSwitching, Adaptive DIrectionality. Fixed Directionality. DFS Ultra II feedback management, Music Mode, Auto DFS. Synchronized push button, Synchronized volume control, Smart Start, PhoneNow, Comfort Phone. iSolate nanotech moisture protection. 6-gain handles, 4 fully flexible programs, Synchronized Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression, Semi-linear, Linear amplification strategies. Tinnitus Sound Generator. In-situ audiometry. Wireless: 2.4 GHz wireless technology. Made for iPhone. Ear-to-ear communication. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Mini Microphone Apps: ReSound Control app. ReSound Smart app. ReSound Relief app. MONAURAL (V5257) Mild, Moderate, Severe, Profound LS562-DRW V5257 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5261) Mild, Moderate, Severe, Profound LS562-DRW V5261 $2,150.00 63.070% $794.00 $190.00 12 24

LiNX2 5 Mini RIE BTEDigital, wireless mini RIE. Dual microphones. Size 312 battery. Push button. Made for iPhone technology. 4 receiver options: Low Power, Medium Power, High Power, Ultra Power (Encased). Surround Sound by ReSound, 9-warp compression bands, Environmental Classifier, Sound Shaper frequency compression, Low frequency bass boost. Noise Tracker II noise reduction, WindGuard, Expansion. Directional Mix Processor. Directionality: SoftSwitching, Adaptive DIrectionality. Fixed Directionality.DFS Ultra II feedback management, Music Mode, Auto DFS. Synchronized push button, Synchronized volume control, Smart Start, PhoneNow, Comfort Phone.iSolate nanotech moisture protection. 6-gain handles, 4 fully flexible programs, Synchronized Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression, Semi-linear, Linear amplification strategies. Tinnitus Sound Generator. In-situ audiometry. Wireless: 2.4 GHz wireless technology. Made for iPhone. Ear-to-ear communication. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Mini Microphone. Apps: ReSound Control app. ReSound Smart app. ReSound Relief app. MONAURAL (V5257) Mild, Moderate, Severe, Profound LS561-DRW V5257 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5261) Mild, Moderate, Severe, Profound LS561-DRW V5261 $2,150.00 63.070% $794.00 $190.00 12 24

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DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

LiNX2 5 Standard BTEDigital, wireless standard BTE. Dual microphones. Size 13 battery. Thin Tube Adaptor. 3 earhook sizes, Push button, Volume Control. Made for iPhone technology. Surround Sound by ReSound, 9-warp compression bands, Environmental Classifier, Sound Shaper frequency compression, Low frequency bass boost. Noise Tracker II noise reduction, indGuard, Expansion. Directional Mix Processor. Directionality: SoftSwitching, Adaptive DIrectionality. Fixed Directionality. DFS Ultra II feedback management, Music Mode, Auto DFS. Synchronized push button, Synchronized volume control, Smart Start, PhoneNow, Comfort Phone. iSolate nanotech moisture protection. 6-gain handles, 4 fully flexible programs, Synchronized Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression, Semi-linear, Linear amplification strategies. Tinnitus Sound Generator. In-situ audiometry. Wireless: 2.4 GHz wireless technology. Made for iPhone. Ear-to-ear communication. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Mini Microphone. Apps: ReSound Control app. ReSound Smart app. ReSound Relief app.MONAURAL (V5257) Mild, Moderate, Severe, Profound LS577-DW V5257 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5261) Mild, Moderate, Severe, Profound LS577-DW V5261 $2,150.00 63.070% $794.00 $190.00 12 24

LiNX2 5 Power BTEDigital, wireless power BTE. Dual microphones. Size 13 battery. 3 earhook sizes. Supports earmolds. Push button, volume Control. Made for iPhone technology. Surround Sound by ReSound, 9-warp compression bands, Environmental Classifier, Sound Shaper frequency compression, Low frequency bass boost. Noise Tracker II noise reduction, indGuard, Expansion. Directional Mix Processor. Directionality: SoftSwitching, Adaptive Directionality. Fixed Directionality. DFS Ultra II feedback management, Music Mode, Auto DFS. Synchronized push button, Synchronized volume control, Smart Start, PhoneNow, Comfort Phone. iSolate nanotech moisture protection. 6-gain handles, 4 fully flexible programs, Synchronized Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression, Semi-linear, Linear amplification strategies. Tinnitus Sound Generator. In-situ audiometry. Wireless: 2.4 GHz wireless technology. Made for iPhone. Ear-to-ear communication. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Mini Microphone. Apps: ReSound Control app. ReSound Smart app. ReSound Relief app. MONAURAL (V5257) Mild, Moderate, Severe, Profound LS588-DW V5257 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5261) Mild, Moderate, Severe, Profound LS588-DW V5261 $2,150.00 63.070% $794.00 $190.00 12 24

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DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Enya 3 Standard BTEDigital, wireless standard BTE. Dual microphones. Size 13 battery. 3 earhook sizes, Supports earmolds. Push button, Volume Control. DAI/FM boot optional. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFS NoiseTracker II, WindGuard Directional Options: Softswitching, Adaptive Directionality. Tinnitus Sound Generator Wireless: 2.4 GHz wireless technology. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Micro Microphone, Multi Microphone. Apps: ReSound Control app. ReSound Relief app. MONAURAL (V5257) Mild, Moderate, Severe EY377-DW V5257 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5261) Mild, Moderate, Severe EY377-DW V5261 $1,160.00 48.276% $600.00 $190.00 12 24

Enya 3 Power BTEDigital, wireless high power BTE. Dual microphones. Size 13 battery. Push button. Volume Control. DAI/FM boot optional. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II, WindGuard Directional Options: Softswitching, Adaptive Directionality, Tinnitus Sound Generator Wireless: 2.4 GHz wireless technology. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Micro Microphone, Multi Microphone. Apps: ReSound Control app. ReSound Relief app. MONAURAL (V5257) Mild, Moderate, Severe, Profound EY388-DW V5257 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5261) Mild, Moderate, Severe, Profound EY388-DW V5261 $1,160.00 48.276% $600.00 $190.00 12 24Enya 3 Mini BTEDigital Mini BTE. Dual microphones. Size 312 battery. Push button. DAI/FM boot optional. Supports standard hook, mini hook, supports earmold ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFS NoiseTracker II, WindGuard Directional Options: Softswitching, Adaptive Directionality, Tinnitus Sound Generator Wireless: 2.4 GHz wireless technology. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Micro Microphone, Multi Microphone. Apps: ReSound Control app. ReSound Relief app.MONAURAL (V5257) Mild, Moderate, Severe EY367-DW V5257 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5261) Mild, Moderate, Severe EY367-DW V5261 $1,160.00 48.276% $600.00 $190.00 12 24Enya 3 Standard RIC BTEDigital, wireless RIE. Dual microphones. Size 13 battery. Multi-function switch. DAI/FM boot optional. Made for iPhone technology. 4 receiver options: Low Power, Medium Power, High Power, Ultra Power (Encased). ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II, WindGuard Directional Options: Softswitching, Adaptive Directionality, Tinnitus Sound Generator Wireless: 2.4 GHz wireless technology. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Micro Microphone, Multi Microphone. Apps: ReSound Control app. ReSound Relief appMONAURAL (V5257) Mild, Moderate, Severe, Profound EY362-DRW V5257 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5261) Mild, Moderate, Severe, Profound EY362-DRW V5261 $1,160.00 48.276% $600.00 $190.00 12 24

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DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Enya 2 Standard BTEDigital, wireless standard BTE. Dual microphones. Size 13 battery. 3 earhook sizes, Supports earmolds.Push button, Volume Control. DAI/FM boot optional. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFS NoiseTracker IIDirectional Options: Adaptive Directionality. Tinnitus Sound Generator Wireless: 2.4 GHz wireless technology. Wireless fitting with Airlink. Compatible with Unite Remote Control 2MONAURAL (V5257) Mild, Moderate, Severe EY277-DW V5257 $520.00 47.115% $275.00 $95.00 12 24

BINAURAL (V5261) Mild, Moderate, Severe EY277-DW V5261 $1,040.00 47.115% $550.00 $190.00 12 24Enya 2 Power BTEDigital, wireless high power BTE. Dual microphones. Size 13 battery. Push button. Volume Control. DAI/FM boot optional. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II Directional Options: Adaptive Directionality, Tinnitus Sound Generator Wireless: 2.4 GHz wireless technology. Wireless fitting with Airlink. Compatible with Unite Remote Control 2 MONAURAL (V5257) Mild, Moderate, Severe, Profound EY288-DW V5257 $520.00 47.115% $275.00 $95.00 12 24

BINAURAL (V5261) Mild, Moderate, Severe, Profound EY288-DW V5261 $1,040.00 47.115% $550.00 $190.00 12 24Enya 2 Mini BTEDigital Mini BTE. Dual microphones. Size 312 battery. Push button. DAI/FM boot optional. Supports standard hook, mini hook, thin tube adaptor. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker IIDirectional Options: Adaptive Directionality, Tinnitus Sound Generator Wireless: 2.4 GHz wireless technology. Wireless fitting with Airlink. Compatible with Unite Remote Control 2MONAURAL (V5257) Mild, Moderate, Severe EY267-DW V5257 $520.00 47.115% $275.00 $95.00 12 24

BINAURAL (V5261) Mild, Moderate, Severe EY267-DW V5261 $1,040.00 47.115% $550.00 $190.00 12 24

Enzo2 5 Super Power BTE Digital, wireless super power BTE. Dual microphones. Size 675 battery. Push button. Volume Control. DAI/FM battery door. Surround Sound by ReSound, 9-warp compression bands, Environmental Classifier, Sound Shaper frequency compression, Low frequency bass boost. Noise Tracker II noise reduction, WindGuard, Expansion. Directional Mix Processor. Directionality: Natural Directionality II, SoftSwitching, Adaptive DIrectionality. Fixed Directionality.DFS Ultra II feedback management, Music Mode, Auto DFS. Synchronized push button, Synchronized volume control, Smart Start, PhoneNow, Comfort Phone.iSolate nanotech moisture protection. 6-gain handles, 4 fully flexible programs, Synchronized Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression, Semi-linear, Linear amplification strategies. In-situ audiometry. Tinnitus Sound Generator. Wireless: 2.4 GHz wireless technology. Ear-to-ear communication. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Multi Microphone, Micro Microphone, ReSound Control app. ReSound Relief app.MONAURAL (V5257) Severe, Profound EN598-DW V5257 $895.00 55.642% $397.00 $95.00 12 24

BINAURAL (V5261) Severe, Profound EN598-DW V5261 $1,790.00 55.642% $794.00 $190.00 12 24

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DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Enzo2 5 High Power BTE Digital, wireless high power BTE. Dual microphones. Size 13 battery. Push button. Volume Control. DAI/FM boot optional. Surround Sound by ReSound, 17-warp compression bands, Environmental Classifier, Sound Shaper frequency compression, Low frequency bass boost. Environmental Optimizer. Noise Tracker II noise reduction, WindGuard, Expansion. Directional Mix Processor. Directionality: Binuaural Directionality, Natural Directionality II, Synchronized SoftSwitching, Multiscope Adaptive DIrectionality. Fixed Directionality. DFS Ultra II feedback management, Music Mode, Auto DFS. Synchronized push button, Synchronized volume control, Smart Start, PhoneNow, Comfort Phone.iSolate nanotech moisture protection. 7-gain handles, 4 fully flexible programs, Synchronized Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression, Semi-linear, Linear amplification strategies. In-situ audiometry. Tinnitus Sound Generator. Wireless: 2.4 GHz wireless technology. Ear-to-ear communication. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Multi Microphone, Micro Microphone,, ReSound Control app. ReSound Relief appMONAURAL (V5257) Moderate, Severe, Profound EN588-DW V5257 $895.00 55.642% $397.00 $95.00 12 24

BINAURAL (V5261) Moderate, Severe, Profound EN588-DW V5261 $1,790.00 55.642% $794.00 $190.00 12 24

Up 7 Mini BTEDigital, Mini BTE with dual microphones. Size 312 battery. 3 Earhook sizes, Thin Tube Adaptor, Open Fitting capabilities, Surround Sound , 17-bandWarp compression, DFS Ultra II with built-in Whistle Control. Environmental Optimizer, Natural Directionality, NoiseTracker II, WindGuard, Split-band directional choices including: Multiscope Adaptive, Synchronized SoftSwitching & Fixed, iSolate nanotech moisture protection, Onboard Analyzer II datalogging, 4 Customizable programs, In-situ audiometry, SmartStart delayed activation, PhoneNow with auto-phone, Expansion Programmable volume control, 2.4 GHz Wireless technology with optional Unite Remote control, Unite TV streamer, & Unite Phone Clip and optional Wireless programming with Airlink Extra accessories: Clip'n'Go + Bend'n'Go + Stick'n'Go Retention KitFor children ages 0-18MONAURAL (V5257) Mild, Moderate, Severe UP767-DW V5257 $1,645.00 75.866% $397.00 $95.00 12 24

BINAURAL (V5261) Mild, Moderate, Severe UP767-DW V5261 $3,290.00 75.866% $794.00 $190.00 12 24

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DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Up Smart 7 Standard BTEDigital, wireless standard BTE. Dual microphones. Size 13 battery. Thin Tube Adaptor. 3 earhook sizes, Push button, Volume Control. Made for iPhone technology. Surround Sound by ReSound, 17-warp compression bands, Environmental Classifier, Sound Shaper frequency compression, Noise Tracker II noise reduction, WindGuard, Expansion. Directional Mix Processor. Directionality: Natural Directionality II. Synchronized SoftSwitching, SoftSwitching, MultiScope Adaptive DIrectionality, Fixed Directionality. Environmental Optimizer. DFS Ultra II feedback management, Music Mode, Auto DFS. Synchronized push button, Synchronized volume control, Smart Start, PhoneNow, Comfort Phone. iSolate nanotech oisture protection. 7-gain handles, 3 fully flexible programs, Synchronized Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression, In-situ audiometry. Wireless: 2.4 GHz wireless technology. Made for iPhone. Ear-to-ear communication. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Mini Microphone, ReSound Control app. ReSound Smart app. ReSound Relief app. LED indicator, tamper-proof battery door Extra accessories: Clip'n'Go + Bend'n'Go + Stick'n'Go Retention KitFor children ages 0-18MONAURAL (V5257)

Mild, Moderate, Severe UPS777-DLW V5257 $1,645.00 75.866% $397.00 $95.00 12 24

BINAURAL (V5261) Mild, Moderate, Severe UPS777-DLW V5261 $3,290.00 75.866% $794.00 $190.00 12 24Up Smart 7 Power BTEDigital, wireless power BTE. Dual microphones. Size 13 battery. 3 earhook sizes. Supports earmolds. Push button, Volume Control. Made for iPhone technology. Surround Sound by ReSound, 17-warp compression bands, Environmental Classifier, Sound Shaper frequency compression, Noise Tracker II noise reduction, WindGuard, Expansion. Directional Mix Processor. Directionality: Natural Directionality II. Synchronized SoftSwitching, SoftSwitching, MultiScope Adaptive DIrectionality, Fixed Directionality. Environmental Optimizer. DFS Ultra II feedback management, Music Mode, Auto DFS. Synchronized push button, Synchronized volume control, Smart Start, PhoneNow, Comfort Phone. iSolate nanotech moisture protection. 7-gain handles, 3 fully flexible programs, Synchronized Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression, Semi-linear, Linear amplification strategies. In-situ audiometry. Wireless: 2.4 GHz wireless technology. Made for iPhone. Ear-to-ear communication. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Mini Microphone, ReSound Control app. ReSound Smart app. ReSound Relief app. LED indicator, tamper-proof battery doorExtra accessories: Clip'n'Go + Bend'n'Go + Stick'n'Go Retention KitFor children ages 0-18MONAURAL (V5257) Moderate, Severe, Profound UPS788-DLW V5257 $1,645.00 75.866% $397.00 $95.00 12 24

BINAURAL (V5261) Moderate, Severe, Profound UPS788-DLW V5261 $3,290.00 75.866% $794.00 $190.00 12 24

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DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Up Smart 7 Super Power BTEDigital, wireless super power BTE. Dual microphones. Size 675 battery. Push button. Volume Control. DAI/FM battery door. Made for iPhone technology. Surround Sound by ReSound, 17-warp compression bands, Environmental Classifier, Sound Shaper frequency compression, Low frequency bass boost. Noise Tracker II noise reduction, WindGuard, Expansion. Directional Mix Processor. Directionality: Natural Directionality II. Synchronized SoftSwitching, SoftSwitching, MultiScope Adaptive DIrectionality. Fixed Directionality. Environmental Optimizer. DFS Ultra II feedback management, Music Mode, Auto DFS. Synchronized push button, Synchronized volume control, Smart Start, PhoneNow, Comfort Phone. iSolate nanotech moisture protection. 9-gain handles, 4 fully flexible programs, Synchronized Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression, Semi-linear, Linear amplification strategies. In-situ audiometry. Wireless: 2.4 GHz wireless technology. Made for iPhone. Ear-to-ear communication. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Mini Microphone, ReSound Control app. ReSound Smart app. ReSound Relief app. LED indicator, tamper-proof battery doorExtra accessories: Clip'n'Go + Bend'n'Go + Stick'n'Go Retention KitFor children ages 0-18MONAURAL (V5257)

Moderate, Severe, Profound UPS798-DLW V5257 $1,645.00 75.866% $397.00 $95.00 12 24

BINAURAL (V5261) Moderate, Severe, Profound UPS798-DLW V5261 $3,290.00 75.866% $794.00 $190.00 12 24Up Smart 5 Standard BTEDigital, wireless standard BTE. Dual microphones. Size 13 battery. Thin Tube Adaptor. 3 earhook sizes, Push button, Volume Control. Made for iPhone technology. Surround Sound by ReSound, 17-warp compression bands, Environmental Classifier, Sound Shaper frequency compression, Noise Tracker II noise reduction, WindGuard, Expansion. Directional Mix Processor. Directionality: SoftSwitching, Adaptive Directionality, Fixed Directionality. DFS Ultra II feedback management, Music Mode, Auto DFS. Synchronized push button, Synchronized volume control, Smart Start, PhoneNow, Comfort Phone. iSolate nanotech moisture protection. 7-gain handles, 3 fully flexible programs, Synchronized Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression. In-situ audiometry. Wireless: 2.4 GHz wireless technology. Made for iPhone. Ear-to-ear communication. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Mini Microphone, ReSound Smart app., ReSound Control app. ReSound Relief app. LED indicator, tamper-proof battery doorExtra accessories: Clip'n'Go + Bend'n'Go + Stick'n'Go Retention KitFor children ages 0-18MONAURAL (V5257)

Mild, Moderate, Severe UPS577-DLW V5257 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5261) Mild, Moderate, Severe UPS577-DLW V5261 $2,150.00 63.070% $794.00 $190.00 12 24

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DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Up Smart 5 Power BTEDigital, wireless power BTE. Dual microphones. Size 13 battery. 3 earhook sizes. Supports earmolds. Push button, Volume Control. Made for iPhone technology. Surround Sound by ReSound, 17-warp compression bands, Environmental Classifier, Sound Shaper frequency compression, Noise Tracker II noise reduction, WindGuard, Expansion. Directional Mix Processor. Directionality: SoftSwitching, Adaptive Directionality, Fixed Directionality. DFS Ultra II feedback management, Music Mode, Auto DFS. Synchronized push button, Synchronized volume control, Smart Start, PhoneNow, Comfort Phone. iSolate nanotech moisture protection. 7-gain handles, 3 fully flexible programs, Synchronized Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression, Semi-linear, Linear amplification strategies. In-situ audiometry. Wireless: 2.4 GHz wireless technology. Made for iPhone. Ear-to-ear communication. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Mini Microphone, ReSound Smart App., ReSound Control app. , ReSound Relief App. LED indicator, tamper-proof battery doorExtra accessories: Clip'n'Go + Bend'n'Go + Stick'n'Go Retention KitFor children ages 0-18MONAURAL (V5257) Moderate, Severe, Profound UPS588-DLW V5257 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5261) Moderate, Severe, Profound UPS588-DLW V5261 $2,150.00 63.070% $794.00 $190.00 12 24

Up Smart 5 Super Power BTEDigital, wireless super power BTE. Dual microphones. Size 675 battery. Push button. Volume Control. DAI/FM battery door. Surround Sound by ReSound, 9-warp compression bands, Environmental Classifier, Sound Shaper frequency compression, Low frequency bass boost. Noise Tracker II noise reduction, WindGuard, Expansion. Directional Mix Processor. Directionality: SoftSwitching, Adaptive DIrectionality. Fixed Directionality. DFS Ultra II feedback management, Music Mode, Auto DFS. Synchronized push button, Synchronized volume control, Smart Start, PhoneNow, Comfort Phone. iSolate nanotech moisture protection. 9-gain handles, 4 fully flexible programs, Synchronized Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression, Semi-linear, Linear amplification strategies. In-situ audiometry. Wireless: 2.4 GHz wireless technology. Ear-to-ear communication. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Mini Microphone, ReSound Smart app., ReSound Control app. ReSound Relief app. LED indicator, tamper-proof battery doorExtra accessories: Clip'n'Go + Bend'n'Go + Stick'n'Go Retention KitFor children ages 0-18MONAURAL (V5257) Moderate, Severe, Profound UPS598-DLW V5257 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5261) Moderate, Severe, Profound UPS598-DLW V5261 $2,150.00 63.070% $794.00 $190.00 12 24

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FULL SHELL CONCHA MODEL DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Vea 3 Full ShellDigital full-shell ITE, Size 13 battery. 7-band WARP sound processing, Dual Stabilizer II DFS with Whistle Control Feedback Manager, Adaptive Directionality with Integrated Wind Noise Management, Soft Switching, Fixed Directionality, Noise Tracker II noise reduction, push button, volume control, up to 4 programs including Telecoil, DAI compatible. Low battery drain warning. Power-saving chip technology. iSolate nanotech moisture protection.MONAURAL (V5256) Mild, Moderate, Severe VE350 V5256 $555.00 50.000% $277.50 $95.00 12 24

BINAURAL (V5260) Mild, Moderate, Severe VE350 V5260 $1,110.00 50.000% $555.00 $190.00 12 24Vea 3 Directional Full ShellDigital Full-shell ITE with Dual Microphones, Size 13 battery. 7-band WARP sound processing, Dual Stabilizer II DFS with Whistle Control Feedback Manager, Adaptive Directionality with Integrated Wind Noise Management, Soft Switching, Fixed Directionality, Noise Tracker II noise reduction, push button, volume control, up to 4 programs including Telecoil, DAI compatible. Low battery drain warning. Power-saving chip technology. iSolate nanotech moisture protection.MONAURAL (V5256)

Mild, Moderate, Severe VE350-D V5256 $555.00 50.000% $277.50 $95.00 12 24

BINAURAL (V5260) Mild, Moderate, Severe VE350-D V5260 $1,110.00 50.000% $555.00 $190.00 12 24

Vea 3 Power Full ShellDigital Full-shell ITE,Size 13 battery. 7-band WARP sound processing, Dual Stabilizer II DFS with Whistle Control Feedback Manager, Adaptive Directionality with Integrated Wind Noise Management, Soft Switching, Fixed Directionality, Noise Tracker II noise reduction, push button, volume control, up to 4 programs including Telecoil, DAI compatible. Low battery drain warning. Power-saving chip technology. iSolate nanotech moisture protection.MONAURAL (V5256) Moderate, Severe, Profound VE350-P V5256 $555.00 50.000% $277.50 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound VE350-P V5260 $1,110.00 50.000% $555.00 $190.00 12 24

Vea 3 Directional Power Full ShellPower, Digital Full-shell ITE with Dual Microphones. Size 13 battery. 7-band WARP sound processing, Dual Stabilizer II DFS with Whistle Control Feedback Manager, Adaptive Directionality with Integrated Wind Noise Management, Soft Switching, Fixed Directionality, Noise Tracker II noise reduction, push button, volume control, up to 4 programs including Telecoil, DAI compatible. Low battery drain warning. Power-saving chip technology. iSolate nanotech moisture protection.MONAURAL (V5256) Moderate, Severe, Profound VE350-DP V5256 $555.00 50.000% $277.50 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound VE350-DP V5260 $1,110.00 50.000% $555.00 $190.00 12 24

IN THE EAR TYPES – Prices shall be for a single hearing aid or two hearing aids and case. List model number for the full range of instruments. Include all features. Indicate Class D power or Class B power.

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MODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Vea 2 Full ShellDigital full-shell ITE, Size 13 battery. 6-band WARP sound processing, Dual Stabilizer II DFS with Whistle Control Feedback Manager, Fixed Directionality, Noise Tracker II noise reduction, push button, volume control, up to 3 programs including Telecoil, DAI compatible. Power-saving chip technology. iSolate nanotech moisture protection.MONAURAL (V5256) Mild, Moderate, Severe VE250 V5256 $495.00 50.000% $247.50 $95.00 12 24

BINAURAL (V5260) Mild, Moderate, Severe VE250 V5260 $990.00 50.000% $495.00 $190.00 12 24

Vea 2 Directional Full ShellDigital Full-shell ITE with Dual Microphones. Size 13 battery. 6-band WARP sound processing, Dual Stabilizer II DFS with Whistle Control Feedback Manager, Fixed Directionality, Noise Tracker II noise reduction, push button, volume control, up to 3 programs including Telecoil, DAI compatible. Power-saving chip technology. iSolate nanotech moisture protection.MONAURAL (V5256) Mild, Moderate, Severe VE250-D V5256 $495.00 50.000% $247.50 $95.00 12 24

BINAURAL (V5260) Mild, Moderate, Severe VE250-D V5260 $990.00 50.000% $495.00 $190.00 12 24

Vea 2 Power Full ShellDigital Full-shell ITE,Size 13 battery. 6-band WARP sound processing, Dual Stabilizer II DFS with Whistle Control Feedback Manager, Fixed Directionality, Noise Tracker II noise reduction, push button, volume control, up to 3 programs including Telecoil, DAI compatible. Power-saving chip technology. iSolate nanotech moisture protection.MONAURAL (V5256) Moderate, Severe, Profound VE250-P V5256 $495.00 50.000% $247.50 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound VE250-P V5260 $990.00 50.000% $495.00 $190.00 12 24Vea 2 Directional Power Full ShellPower, Digital Full-shell ITE with Dual Microphones. Size 13 battery. 6-band WARP sound processing, Dual Stabilizer II DFS with Whistle Control Feedback Manager, Fixed Directionality, Noise Tracker II noise reduction, push button, volume control, up to 3 programs including Telecoil, DAI compatible. Power-saving chip technology. iSolate nanotech moisture protection.MONAURAL (V5256) Moderate, Severe, Profound VE250-DP V5256 $495.00 50.000% $247.50 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound VE250-DP V5260 $990.00 50.000% $495.00 $190.00 12 24

LiNX2 5 Ultra Power Full ShellDigital full shell. Single microphone. Size 13 battery. Push button, Volume Control. Made for iPhone technology. Surround Sound by ReSound, 9-warp compression bands, Environmental Classifier, Sound Shaper frequency compression, Low frequency bass boost. Noise Tracker II noise reduction, WindGuard, Expansion. DFS Ultra II feedback management, Music Mode, Auto DFS. Smart Start, PhoneNow. iSolate nanotech moisture protection. 6-gain handles, 4 fully flexible programs, Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression, Semi-linear, Linear amplification strategies. Tinnitus Sound Generator. In-situ audiometry.MONAURAL (V5256) Moderate, Severe, Profound LS5ITE UP FS V5256 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound LS5ITE UP FS V5260 $2,150.00 63.070% $794.00 $190.00 12 24

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FULL SHELL CONCHA MODEL DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)LiNX2 5 High Power Full ShellDigital full shell. Single microphone. Size 13 battery. Push button, Volume Control. Made for iPhone technology. Surround Sound by ReSound, 9-warp compression bands, Environmental Classifier, Sound Shaper frequency compression. Noise Tracker II noise reduction, WindGuard, Expansion. DFS Ultra II feedback management, Music Mode, Auto DFS. Smart Start, PhoneNow. iSolate nanotech moisture protection. 6-gain handles, 4 fully flexible programs, Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression. Tinnitus Sound Generator. In-situ audiometry.MONAURAL (V5256) Moderate, Severe, Profound LS5ITE HP FS V5256 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound LS5ITE HP FS V5260 $2,150.00 63.070% $794.00 $190.00 12 24

LiNX2 5 Medium Power Full ShellDigital full shell. Single microphone. Size 13 battery. Push button, Volume Control. Made for iPhone technology. Surround Sound by ReSound, 9-warp compression bands, Environmental Classifier, Sound Shaper frequency compression. Noise Tracker II noise reduction, WindGuard, Expansion. DFS Ultra II feedback management, Music Mode, Auto DFS. Smart Start, PhoneNow. iSolate nanotech moisture protection. 6-gain handles, 4 fully flexible programs, Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression. Tinnitus Sound Generator. In-situ audiometry.MONAURAL (V5256) Mild, Moderate, Severe LS5ITE MP FS V5256 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5260) Mild, Moderate, Severe LS5ITE MP FS V5260 $2,150.00 63.070% $794.00 $190.00 12 24

LiNX2 5 Directional Ultra Power Full ShellDigital full shell. Dual microphones. Size 13 battery. Push button, Volume Control. Surround Sound by ReSound, 9-warp compression bands, Environmental Classifier, Sound Shaper frequency compression, Low frequency bass boost. Noise Tracker II noise reduction, WindGuard, Expansion. Directional Mix Processor. Directionality: SoftSwitching, Adaptive DIrectionality. Fixed Directionality. DFS Ultra II feedback management, Music Mode, Auto DFS. Smart Start, PhoneNow. iSolate nanotech moisture protection. 6-gain handles, 4 fully flexible programs, Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression, Semi-linear, Linear amplification strategies. Tinnitus Sound Generator. In-situ audiometry.MONAURAL (V5256) Moderate, Severe, Profound LS5ITE-D UP FS V5256 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound LS5ITE-D UP FS V5260 $2,150.00 63.070% $794.00 $190.00 12 24

LiNX2 5 Directional High Power Full ShellDigital full shell. Dual microphones. Size 13 battery. Push button, Volume Control. Surround Sound by ReSound, 9-warp compression bands, Environmental Classifier, Sound Shaper frequency compression. Noise Tracker II noise reduction, WindGuard, Expansion. Directional Mix Processor. Directionality: SoftSwitching, Adaptive DIrectionality. Fixed Directionality. DFS Ultra II feedback management, Music Mode, Auto DFS. Smart Start, PhoneNow. iSolate nanotech moisture protection. 6-gain handles, 4 fully flexible programs, Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression. Tinnitus Sound Generator. In-situ audiometry.MONAURAL (V5256) Moderate, Severe, Profound LS5ITE-D HP FS V5256 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound LS5ITE-D HP FS V5260 $2,150.00 63.070% $794.00 $190.00 12 24

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FULL SHELL CONCHA MODEL DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

LiNX2 5 Directional Medium Power Full ShellDigital full shell. Dual microphones. Size 13 battery. Push button, Volume Control. Surround Sound by ReSound, 9-warp compression bands, Environmental Classifier, Sound Shaper frequency compression. Noise Tracker II noise reduction, WindGuard, Expansion. Directional Mix Processor. Directionality: SoftSwitching, Adaptive Directionality. Fixed Directionality. DFS Ultra II feedback management, Music Mode, Auto DFS. Smart Start, PhoneNow. iSolate nanotech moisture protection. 6-gain handles, 4 fully flexible programs, Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression. Tinnitus Sound Generator. In-situ audiometry.MONAURAL (V5256) Mild, Moderate, Severe LS5ITE-D MP FS V5256 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5260) Mild, Moderate, Severe LS5ITE-D MP FS V5260 $2,150.00 63.070% $794.00 $190.00 12 24LiNX2 5 Wireless Ultra Power Full ShellDigital, wireless full shell. Single microphone. Size 13 battery. Push button, Volume Control. Made for iPhone technology. Surround Sound by ReSound, 9-warp compression bands, Environmental Classifier, Sound Shaper frequency compression, Low frequency bass boost. Noise Tracker II noise reduction, WindGuard, Expansion. DFS Ultra II feedback management, Music Mode, Auto DFS. Synchronized push button, Synchronized volume control, Smart Start, PhoneNow, Comfort Phone. iSolate nanotech moisture protection. 6-gain handles, 4 fully flexible programs, Synchronized Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression, Semi-linear, Linear amplification strategies. Tinnitus Sound Generator. In-situ audiometry. Wireless: 2.4 GHz wireless technology. Made for iPhone. Ear-to-ear communication. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Mini Microphone. Apps: ReSound Control app. ReSound Smart app. ReSound Relief app. MONAURAL (V5256)

Moderate, Severe, Profound LS5ITE-W UP FS V5256 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound LS5ITE-W UP FS V5260 $2,150.00 63.070% $794.00 $190.00 12 24LiNX2 5 Wireless High Power Full ShellDigital, wireless full shell. Single microphone. Size 13 battery. Push button, Volume Control. Made for iPhone technology. Surround Sound by ReSound, 9-warp compression bands, Environmental Classifier, Sound Shaper frequency compression, Noise Tracker II noise reduction, WindGuard, Expansion. DFS Ultra II feedback management, Music Mode, Auto DFS. Synchronized push button, Synchronized volume control, Smart Start, PhoneNow, Comfort Phone. iSolate nanotech moisture protection. 6-gain handles, 4 fully flexible programs, Synchronized Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression. Tinnitus Sound Generator. In-situ audiometry. Wireless: 2.4 GHz wireless technology. Made for iPhone. Ear-to-ear communication. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Mini Microphone. Apps: ReSound Control app. ReSound Smart app. ReSound Relief app.MONAURAL (V5256)

Moderate, Severe, Profound LS5ITE-W HP FS V5256 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound LS5ITE-W HP FS V5260 $2,150.00 63.070% $794.00 $190.00 12 24

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FULL SHELL CONCHA MODEL DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

LiNX2 5 Wireless Medium Power Full ShellDigital, wireless full shell. Single microphone. Size 13 battery. Push button, Volume Control. Made for iPhone technology. Surround Sound by ReSound, 9-warp compression bands, Environmental Classifier, Sound Shaper frequency compression, Noise Tracker II noise reduction, WindGuard, Expansion. DFS Ultra II feedback management, Music Mode, Auto DFS. Synchronized push button, Synchronized volume control, Smart Start, PhoneNow, Comfort Phone. iSolate nanotech moisture protection. 6-gain handles, 4 fully flexible programs, Synchronized Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression. Tinnitus Sound Generator. In-situ audiometry. Wireless: 2.4 GHz wireless technology. Made for iPhone. Ear-to-ear communication. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Mini Microphone. Apps: ReSound Control app. ReSound Smart app. ReSound Relief app. MONAURAL (V5256)

Mild, Moderate, Severe LS5ITE-W MP FS V5256 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5260) Mild, Moderate, Severe LS5ITE-W MP FS V5260 $2,150.00 63.070% $794.00 $190.00 12 24

LiNX2 5 Directional Wireless High Power Full ShellDigital, wireless full shell. Dual microphones. Size 13 battery. Volume control, push button. Made for iPhone technology. Surround Sound by ReSound, 9-warp compression bands, Environmental Classifier, Sound Shaper frequency compression, Noise Tracker II noise reduction, WindGuard, Expansion. Directional Mix Processor. Directionality: SoftSwitching, Adaptive DIrectionality. Fixed Directionality. DFS Ultra II feedback management, Music Mode, Auto DFS. Synchronized push button, Synchronized volume control, Smart Start, PhoneNow, Comfort Phone. iSolate nanotech moisture protection. 6-gain handles, 4 fully flexible programs, Synchronized Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression. Tinnitus Sound Generator. In-situ audiometry. Wireless: 2.4 GHz wireless technology. Made for iPhone. War-to-ear communication. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Mini Microphone. Apps: ReSound Control app. ReSound Smart app. ReSound Relief app. MONAURAL (V5256) Moderate, Severe, Profound LS5ITE-DW HP FS V5256 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound LS5ITE-DW HP FS V5260 $2,150.00 63.070% $794.00 $190.00 12 24Enya 3 Ultra Power Full ShellDigital full shell. Single microphone. Size 13 battery. Push button, Volume Control. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II, WindGuard Tinnitus Sound Generator MONAURAL (V5256) Moderate, Severe, Profound EY3ITE UP FS V5256 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound EY3ITE UP FS V5260 $1,160.00 48.276% $600.00 $190.00 12 24Enya 3 High Power Full ShellDigital full shell. Single microphone. Size 13 battery. Push button, Volume Control. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II, WindGuard Tinnitus Sound Generator MONAURAL (V5256) Moderate, Severe, Profound EY3ITE HP FS V5256 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound EY3ITE HP FS V5260 $1,160.00 48.276% $600.00 $190.00 12 24

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FULL SHELL CONCHA MODEL DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)Enya 3 Medium Power Full ShellDigital full shell. Single microphone. Size 13 battery. Push button, Volume Control. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II, WindGuard Tinnitus Sound Generator MONAURAL (V5256) Mild, Moderate, Severe EY3ITE MP FS V5256 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5260) Mild, Moderate, Severe EY3ITE MP FS V5260 $1,160.00 48.276% $600.00 $190.00 12 24

Enya 3 Directional Ultra Power Full ShellDigital full shell. Dual microphone. Size 13 battery. Push button, Volume Control. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II, WindGuard Directional Options: Softswitching, Adaptive Directionality.Tinnitus Sound Generator MONAURAL (V5256) Moderate, Severe, Profound EY3ITE-D UP FS V5256 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound EY3ITE-D UP FS V5260 $1,160.00 48.276% $600.00 $190.00 12 24

Enya 3 Directional High Power Full ShellDigital full shell. Dual microphone. Size 13 battery. Push button, Volume Control. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II, WindGuard Directional Options: Softswitching, Adaptive Directionality.Tinnitus Sound Generator MONAURAL (V5256) Moderate, Severe, Profound EY3ITE-D HP FS V5256 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound EY3ITE-D HP FS V5260 $1,160.00 48.276% $600.00 $190.00 12 24

Enya 3 Directional Medium Power Full ShellDigital full shell. Dual microphone. Size 13 battery. Push button, Volume Control. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II, WindGuard Directional Options: Softswitching, Adaptive Directionality.Tinnitus Sound Generator MONAURAL (V5256) Mild, Moderate, Severe EY3ITE-D MP FS V5256 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5260) Mild, Moderate, Severe EY3ITE-D MP FS V5260 $1,160.00 48.276% $600.00 $190.00 12 24

Enya 3 Wireless Ultra Power Full ShellDigital full shell. Single microphone. Size 13 battery. Push button, Volume Control. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II, WindGuard Tinnitus Sound Generator Wireless: 2.4 GHz wireless technology. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Micro Microphone, Multi Microphone. Apps: ReSound Control app. ReSound Relief app. MONAURAL (V5256) Moderate, Severe, Profound EY3ITE-W UP FS V5256 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound EY3ITE-W UP FS V5260 $1,160.00 48.276% $600.00 $190.00 12 24

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FULL SHELL CONCHA MODEL DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Enya 3 Wireless High Power Full ShellDigital full shell. Single microphone. Size 13 battery. Push button, Volume Control. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II, WindGuard Tinnitus Sound Generator Wireless: 2.4 GHz wireless technology. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Micro Microphone, Multi Microphone. Apps: ReSound Control app. ReSound Relief app. MONAURAL (V5256) Moderate, Severe, Profound EY3ITE-W HP FS V5256 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound EY3ITE-W HP FS V5260 $1,160.00 48.276% $600.00 $190.00 12 24Enya 3 Wireless Medium Power Full Shelligital full shell. Single microphone. Size 13 battery. Push button, Volume Control. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II, WindGuard Tinnitus Sound Generator Wireless: 2.4 GHz wireless technology. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Micro Microphone, Multi Microphone. Apps: ReSound Control app. ReSound Relief app. MONAURAL (V5256) Mild, Moderate, Severe EY3ITE-W MP FS V5256 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5260) Mild, Moderate, Severe EY3ITE-W MP FS V5260 $1,160.00 48.276% $600.00 $190.00 12 24Enya 3 Directional Wireless Ultra Power Full ShellDigital full shell. Dual microphone. Size 13 battery. Push button, Volume Control. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II, WindGuard Directional Options: Softswitching, Adaptive Directionality.Tinnitus Sound Generator Wireless: 2.4 GHz wireless technology. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Micro Microphone, Multi Microphone. Apps: ReSound Control app. ReSound Relief app. MONAURAL (V5256) Moderate, Severe, Profound EY3ITE-DW UP FS V5256 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound EY3ITE-DW UP FS V5260 $1,160.00 48.276% $600.00 $190.00 12 24

Enya 3 Directional Wireless High Power Full ShellDigital full shell. Dual microphone. Size 13 battery. Push button, Volume Control. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II, WindGuard Directional Options: Softswitching, Adaptive Directionality.Tinnitus Sound Generator Wireless: 2.4 GHz wireless technology. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Micro Microphone, Multi Microphone. Apps: ReSound Control app. ReSound Relief app. MONAURAL (V5256) Moderate, Severe, Profound EY3ITE-DW HP FS V5256 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound EY3ITE-DW HP FS V5260 $1,160.00 48.276% $600.00 $190.00 12 24

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FULL SHELL CONCHA MODEL DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)Enya 3 Directional Wireless Medium Power Full ShellDigital full shell. Dual microphone. Size 13 battery. Push button, Volume Control. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II, WindGuard Directional Options: Softswitching, Adaptive Directionality.Tinnitus Sound Generator Wireless: 2.4 GHz wireless technology. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Micro Microphone, Multi Microphone. Apps: ReSound Control app. ReSound Relief app. MONAURAL (V5256) Mild, Moderate, Severe EY3ITE-DW MP FS V5256 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5260) Mild, Moderate, Severe EY3ITE-DW MP FS V5260 $1,160.00 48.276% $600.00 $190.00 12 24

HALF SHELL CONCHA DESCRIPTION & FEATURES (See below) db RANGE MANUFACTURER HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Vea 3 Half ShellDigital Half Shell ITE, Size 13 battery. 7-band WARP sound processing, Dual Stabilizer II DFS with Whistle Control Feedback Manager, Adaptive Directionality with Integrated Wind Noise Management, Soft Switching, Fixed Directionality, Noise Tracker II noise reduction, push button, volume control, up to 4 programs including Telecoil, DAI compatible. Low battery drain warning. Power-saving chip technology. iSolate nanotech moisture protection.MONAURAL (V5256) Mild, Moderate, Severe ReSound V5256 $555.00 50.000% $277.50 $95.00 12 24

BINAURAL (V5260) Mild, Moderate, Severe ReSound V5260 $1,110.00 50.000% $555.00 $190.00 12 24Vea 3 Directional Half ShellDigital Half Shell ITE with Dual Microphones, Size 13 battery. 7-band WARP sound processing, Dual Stabilizer II DFS with Whistle Control Feedback Manager, Adaptive Directionality with Integrated Wind Noise Management, Soft Switching, Fixed Directionality, Noise Tracker II noise reduction, push button, volume control, up to 4 programs including Telecoil, DAI compatible. Low battery drain warning. Power-saving chip technology. iSolate nanotech moisture protection.MONAURAL (V5256)

Mild, Moderate, Severe ReSound V5256 $555.00 50.000% $277.50 $95.00 12 24

BINAURAL (V5260) Mild, Moderate, Severe ReSound V5260 $1,110.00 50.000% $555.00 $190.00 12 24Vea 3 Power Half ShellDigital Half Shell ITE,Size 13 battery. 7-band WARP sound processing, Dual Stabilizer II DFS with Whistle Control Feedback Manager, Adaptive Directionality with Integrated Wind Noise Management, Soft Switching, Fixed Directionality, Noise Tracker II noise reduction, push button, volume control, up to 4 programs including Telecoil, DAI compatible. Low battery drain warning. Power-saving chip technology. iSolate nanotech moisture protection.MONAURAL (V5256) Moderate, Severe, Profound ReSound V5256 $555.00 50.000% $277.50 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound ReSound V5260 $1,110.00 50.000% $555.00 $190.00 12 24

IN THE EAR TYPES – Prices shall be for a single hearing aid, or two hearing aids and case. List model number for the full range of instruments. Include all features. Indicate Class D power or Class B power.

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EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Vea 3 Directional Power Half ShellPower, Digital Half Shell ITE with Dual Microphones. Size 13 battery. 7-band WARP sound processing, Dual Stabilizer II DFS with Whistle Control Feedback Manager, Adaptive Directionality with Integrated Wind Noise Management, Soft Switching, Fixed Directionality, Noise Tracker II noise reduction, push button, volume control, up to 4 programs including Telecoil, DAI compatible. Low battery drain warning. Power-saving chip technology. iSolate nanotech moisture protection.MONAURAL (V5256) Moderate, Severe, Profound ReSound V5256 $555.00 50.000% $277.50 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound ReSound V5260 $1,110.00 50.000% $555.00 $190.00 12 24Vea 2 Half ShellDigital Half Shell ITE, Size 13 battery. 6-band WARP sound processing, Dual Stabilizer II DFS with Whistle Control Feedback Manager, Fixed Directionality, Noise Tracker II noise reduction, push button, volume control, up to 3 programs including Telecoil, DAI compatible. Power-saving chip technology. iSolate nanotech moisture protection.MONAURAL (V5256)

Mild, Moderate, Severe ReSound V5256 $495.00 50.000% $247.50 $95.00 12 24

BINAURAL (V5260) Mild, Moderate, Severe ReSound V5260 $990.00 50.000% $495.00 $190.00 12 24Vea 2 Directional Half ShellDigital Half Shell ITE with Dual Microphones. Size 13 battery. 6-band WARP sound processing, Dual Stabilizer II DFS with Whistle Control Feedback Manager, Fixed Directionality, Noise Tracker II noise reduction, push button, volume control, up to 3 programs including Telecoil, DAI compatible. Power-saving chip technology. iSolate nanotech moisture protection.MONAURAL (V5256)

Mild, Moderate, Severe ReSound V5256 $495.00 50.000% $247.50 $95.00 12 24

BINAURAL (V5260) Mild, Moderate, Severe ReSound V5260 $990.00 50.000% $495.00 $190.00 12 24Vea 2 Power Half ShellDigital Half Shell ITE,Size 13 battery. 6-band WARP sound processing, Dual Stabilizer II DFS with Whistle Control Feedback Manager, Fixed Directionality, Noise Tracker II noise reduction, push button, volume control, up to 3 programs including Telecoil, DAI compatible. Power-saving chip technology. iSolate nanotech moisture protection.MONAURAL (V5256)

Moderate, Severe, Profound ReSound V5256 $495.00 50.000% $247.50 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound ReSound V5260 $990.00 50.000% $495.00 $190.00 12 24Vea 2 Directional Power Half ShellPower, Digital Half Shell ITE with Dual Microphones. Size 13 battery. 6-band WARP sound processing, Dual Stabilizer II DFS with Whistle Control Feedback Manager, Fixed Directionality, Noise Tracker II noise reduction, push button, volume control, up to 3 programs including Telecoil, DAI compatible. Power-saving chip technology. iSolate nanotech moisture protection.MONAURAL (V5256) Moderate, Severe, Profound ReSound V5256 $495.00 50.000% $247.50 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound ReSound V5260 $990.00 50.000% $495.00 $190.00 12 24

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EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

LiNX2 5 Ultra Power Half ShellDigital Half Shell. Single microphone. Size 13 battery. Push button, Volume Control. Made for iPhone technology. Surround Sound by ReSound, 9-warp compression bands, Environmental Classifier, Sound Shaper frequency compression, Low frequency bass boost. Noise Tracker II noise reduction, WindGuard, Expansion. DFS Ultra II feedback management, Music Mode, Auto DFS. Smart Start, PhoneNow. iSolate nanotech moisture protection. 6-gain handles, 4 fully flexible programs, Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression, Semi-linear, Linear amplification strategies. Tinnitus Sound Generator. In-situ audiometry.MONAURAL (V5256)

Moderate, Severe, Profound ReSound V5256 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound ReSound V5260 $2,150.00 63.070% $794.00 $190.00 12 24LiNX2 5 High Power Half ShellDigital Half Shell. Single microphone. Size 13 battery. Push button, Volume Control. Made for iPhone technology. Surround Sound by ReSound, 9-warp compression bands, Environmental Classifier, Sound Shaper frequency compression. Noise Tracker II noise reduction, WindGuard, Expansion. DFS Ultra II feedback management, Music Mode, Auto DFS. Smart Start, PhoneNow. iSolate nanotech moisture protection. 6-gain handles, 4 fully flexible programs, Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression. Tinnitus Sound Generator. In-situ audiometry.MONAURAL (V5256)

Moderate, Severe, Profound ReSound V5256 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound ReSound V5260 $2,150.00 63.070% $794.00 $190.00 12 24LiNX2 5 Medium Power Half ShellDigital Half Shell. Single microphone. Size 13 battery. Push button, Volume Control. Made for iPhone technology. Surround Sound by ReSound, 9-warp compression bands, Environmental Classifier, Sound Shaper frequency compression. Noise Tracker II noise reduction, WindGuard, Expansion. DFS Ultra II feedback management, Music Mode, Auto DFS. Smart Start, PhoneNow. iSolate nanotech moisture protection. 6-gain handles, 4 fully flexible programs, Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression. Tinnitus Sound Generator. In-situ audiometry.MONAURAL (V5256)

Mild, Moderate, Severe ReSound V5256 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5260) Mild, Moderate, Severe ReSound V5260 $2,150.00 63.070% $794.00 $190.00 12 24

LiNX2 5 Directional Ultra Power Half ShellDigital Half Shell. Dual microphones. Size 13 battery. Push button, Volume Control. Surround Sound by ReSound, 9-warp compression bands, Environmental Classifier, Sound Shaper frequency compression, Low frequency bass boost. Noise Tracker II noise reduction, WindGuard, Expansion. Directional Mix Processor. Directionality: SoftSwitching, Adaptive DIrectionality. Fixed Directionality. DFS Ultra II feedback management, Music Mode, Auto DFS. Smart Start, PhoneNow. iSolate nanotech moisture protection. 6-gain handles, 4 fully flexible programs, Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression, Semi-linear, Linear amplification strategies. Tinnitus Sound Generator. In-situ audiometry.MONAURAL (V5256) Moderate, Severe, Profound ReSound V5256 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound ReSound V5260 $2,150.00 63.070% $794.00 $190.00 12 24

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EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

LiNX2 5 Directional High Power Half ShellDigital Half Shell. Dual microphones. Size 13 battery. Push button, Volume Control. Surround Sound by ReSound, 9-warp compression bands, Environmental Classifier, Sound Shaper frequency compression. Noise Tracker II noise reduction, WindGuard, Expansion. Directional Mix Processor. Directionality: SoftSwitching, Adaptive DIrectionality. Fixed Directionality. DFS Ultra II feedback management, Music Mode, Auto DFS. Smart Start, PhoneNow. iSolate nanotech moisture protection. 6-gain handles, 4 fully flexible programs, Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression. Tinnitus Sound Generator. In-situ audiometry.MONAURAL (V5256)

Moderate, Severe, Profound ReSound V5256 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound ReSound V5260 $2,150.00 63.070% $794.00 $190.00 12 24

LiNX2 5 Directional Medium Power Half ShellDigital Half Shell. Dual microphones. Size 13 battery. Push button, Volume Control. Surround Sound by ReSound, 9-warp compression bands, Environmental Classifier, Sound Shaper frequency compression. Noise Tracker II noise reduction, WindGuard, Expansion. Directional Mix Processor. Directionality: SoftSwitching, Adaptive Directionality. Fixed Directionality. DFS Ultra II feedback management, Music Mode, Auto DFS. Smart Start, PhoneNow. iSolate nanotech moisture protection. 6-gain handles, 4 fully flexible programs, Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression. Tinnitus Sound Generator. In-situ audiometry.MONAURAL (V5256) Mild, Moderate, Severe ReSound V5256 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5260) Mild, Moderate, Severe ReSound V5260 $2,150.00 63.070% $794.00 $190.00 12 24LiNX2 5 Wireless Ultra Power Half ShellDigital, wireless Half Shell. Single microphone. Size 13 battery. Push button, Volume Control. Made for iPhone technology. Surround Sound by ReSound, 9-warp compression bands, Environmental Classifier, Sound Shaper frequency compression, Low frequency bass boost. Noise Tracker II noise reduction, WindGuard, Expansion. DFS Ultra II feedback management, Music Mode, Auto DFS. Synchronized push button, Synchronized volume control, Smart Start, PhoneNow, Comfort Phone. iSolate nanotech moisture protection. 6-gain handles, 4 fully flexible programs, Synchronized Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression, Semi-linear, Linear amplification strategies. Tinnitus Sound Generator. In-situ audiometry. Wireless: 2.4 GHz wireless technology. Made for iPhone. Ear-to-ear communication. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Mini Microphone. Apps: ReSound Control app. ReSound Smart app. ReSound Relief app. MONAURAL (V5256)

Moderate, Severe, Profound ReSound V5256 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound ReSound V5260 $2,150.00 63.070% $794.00 $190.00 12 24

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HALF SHELL CONCHA DESCRIPTION & FEATURES (See below) db RANGE MANUFACTURER HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

LiNX2 5 Wireless High Power Half ShellDigital, wireless Half Shell. Single microphone. Size 13 battery. Push button, Volume Control. Made for iPhone technology. Surround Sound by ReSound, 9-warp compression bands, Environmental Classifier, Sound Shaper frequency compression, Noise Tracker II noise reduction, WindGuard, Expansion. DFS Ultra II feedback management, Music Mode, Auto DFS. Synchronized push button, Synchronized volume control, Smart Start, PhoneNow, Comfort Phone. iSolate nanotech moisture protection. 6-gain handles, 4 fully flexible programs, Synchronized Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression. Tinnitus Sound Generator. In-situ audiometry. Wireless: 2.4 GHz wireless technology. Made for iPhone. Ear-to-ear communication. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Mini Microphone. Apps: ReSound Control app. ReSound Smart app. ReSound Relief app.MONAURAL (V5256)

Moderate, Severe, Profound ReSound V5256 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound ReSound V5260 $2,150.00 63.070% $794.00 $190.00 12 24LiNX2 5 Wireless Medium Power Half ShellDigital, wireless Half Shell. Single microphone. Size 13 battery. Push button, Volume Control. Made for iPhone technology. Surround Sound by ReSound, 9-warp compression bands, Environmental Classifier, Sound Shaper frequency compression, Noise Tracker II noise reduction, WindGuard, Expansion. DFS Ultra II feedback management, Music Mode, Auto DFS. Synchronized push button, Synchronized volume control, Smart Start, PhoneNow, Comfort Phone. iSolate nanotech moisture protection. 6-gain handles, 4 fully flexible programs, Synchronized Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression. Tinnitus Sound Generator. In-situ audiometry. Wireless: 2.4 GHz wireless technology. Made for iPhone. Ear-to-ear communication. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Mini Microphone. Apps: ReSound Control app. ReSound Smart app. ReSound Relief app. MONAURAL (V5256)

Mild, Moderate, Severe ReSound V5256 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5260) Mild, Moderate, Severe ReSound V5260 $2,150.00 63.070% $794.00 $190.00 12 24

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EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

LiNX2 5 Directional Wireless High Power Half ShellDigital, wireless Half Shell. Dual microphones. Size 13 battery. Volume control, push button. Made for iPhone technology. Surround Sound by ReSound, 9-warp compression bands, Environmental Classifier, Sound Shaper frequency compression, Noise Tracker II noise reduction, WindGuard, Expansion. Directional Mix Processor. Directionality: SoftSwitching, Adaptive DIrectionality. Fixed Directionality. DFS Ultra II feedback management, Music Mode, Auto DFS. Synchronized push button, Synchronized volume control, Smart Start, PhoneNow, Comfort Phone. iSolate nanotech moisture protection. 6-gain handles, 4 fully flexible programs, Synchronized Acceptance Manager, Onboard Analyzer II. Wide Dynamic Range Compression. Tinnitus Sound Generator. In-situ audiometry. Wireless: 2.4 GHz wireless technology. Made for iPhone. War-to-ear communication. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Mini Microphone. Apps: ReSound Control app. ReSound Smart app. ReSound Relief app. MONAURAL (V5256) Moderate, Severe, Profound ReSound V5256 $1,075.00 63.070% $397.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound ReSound V5260 $2,150.00 63.070% $794.00 $190.00 12 24

Enya 3 Ultra Power Half ShellDigital Half Shell. Single microphone. Size 13 battery. Push button, Volume Control. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II, WindGuard Tinnitus Sound Generator MONAURAL (V5256) Moderate, Severe, Profound ReSound V5256 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound ReSound V5260 $1,160.00 48.276% $600.00 $190.00 12 24Enya 3 High Power Half ShellDigital Half Shell. Single microphone. Size 13 battery. Push button, Volume Control. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II, WindGuard Tinnitus Sound Generator MONAURAL (V5256) Moderate, Severe, Profound ReSound V5256 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound ReSound V5260 $1,160.00 48.276% $600.00 $190.00 12 24Enya 3 Medium Power Half ShellDigital Half Shell. Single microphone. Size 13 battery. Push button, Volume Control. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II, WindGuard Tinnitus Sound Generator MONAURAL (V5256) Mild, Moderate, Severe ReSound V5256 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5260) Mild, Moderate, Severe ReSound V5260 $1,160.00 48.276% $600.00 $190.00 12 24

Enya 3 Directional Ultra Power Half ShellDigital Half Shell. Dual microphone. Size 13 battery. Push button, Volume Control. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II, WindGuard Directional Options: Softswitching, Adaptive Directionality.Tinnitus Sound Generator MONAURAL (V5256) Moderate, Severe, Profound ReSound V5256 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound ReSound V5260 $1,160.00 48.276% $600.00 $190.00 12 24

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EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Enya 3 Directional High Power Half ShellDigital Half Shell. Dual microphone. Size 13 battery. Push button, Volume Control. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II, WindGuard Directional Options: Softswitching, Adaptive Directionality.Tinnitus Sound Generator MONAURAL (V5256) Moderate, Severe, Profound ReSound V5256 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound ReSound V5260 $1,160.00 48.276% $600.00 $190.00 12 24

Enya 3 Directional Medium Power Half ShellDigital Half Shell. Dual microphone. Size 13 battery. Push button, Volume Control. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II, WindGuard Directional Options: Softswitching, Adaptive Directionality.Tinnitus Sound Generator MONAURAL (V5256) Mild, Moderate, Severe ReSound V5256 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5260) Mild, Moderate, Severe ReSound V5260 $1,160.00 48.276% $600.00 $190.00 12 24Enya 3 Wireless Ultra Power Half ShellDigital Half Shell. Single microphone. Size 13 battery. Push button, Volume Control. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II, WindGuard Tinnitus Sound Generator Wireless: 2.4 GHz wireless technology. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Micro Microphone, Multi Microphone. Apps: ReSound Control app. ReSound Relief app. MONAURAL (V5256) Moderate, Severe, Profound ReSound V5256 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound ReSound V5260 $1,160.00 48.276% $600.00 $190.00 12 24Enya 3 Wireless High Power Half ShellDigital Half Shell. Single microphone. Size 13 battery. Push button, Volume Control. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II, WindGuard Tinnitus Sound Generator Wireless: 2.4 GHz wireless technology. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Micro Microphone, Multi Microphone. Apps: ReSound Control app. ReSound Relief app. MONAURAL (V5256) Moderate, Severe, Profound ReSound V5256 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound ReSound V5260 $1,160.00 48.276% $600.00 $190.00 12 24Enya 3 Wireless Medium Power Half Shelligital Half Shell. Single microphone. Size 13 battery. Push button, Volume Control. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II, WindGuard Tinnitus Sound Generator Wireless: 2.4 GHz wireless technology. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Micro Microphone, Multi Microphone. Apps: ReSound Control app. ReSound Relief app. MONAURAL (V5256) Mild, Moderate, Severe ReSound V5256 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5260) Mild, Moderate, Severe ReSound V5260 $1,160.00 48.276% $600.00 $190.00 12 24

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EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Enya 3 Directional Wireless Ultra Power Half ShellDigital Half Shell. Dual microphone. Size 13 battery. Push button, Volume Control. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II, WindGuard Directional Options: Softswitching, Adaptive Directionality.Tinnitus Sound Generator Wireless: 2.4 GHz wireless technology. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Micro Microphone, Multi Microphone. Apps: ReSound Control app. ReSound Relief app. MONAURAL (V5256) Moderate, Severe, Profound ReSound V5256 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound ReSound V5260 $1,160.00 48.276% $600.00 $190.00 12 24

Enya 3 Directional Wireless High Power Half ShellDigital Half Shell. Dual microphone. Size 13 battery. Push button, Volume Control. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II, WindGuard Directional Options: Softswitching, Adaptive Directionality.Tinnitus Sound Generator Wireless: 2.4 GHz wireless technology. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Micro Microphone, Multi Microphone. Apps: ReSound Control app. ReSound Relief app. MONAURAL (V5256) Moderate, Severe, Profound ReSound V5256 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5260) Moderate, Severe, Profound ReSound V5260 $1,160.00 48.276% $600.00 $190.00 12 24Enya 3 Directional Wireless Medium Power Half ShellDigital Half Shell. Dual microphone. Size 13 battery. Push button, Volume Control. ReSound Range II Chip, 8-Warp compression bands. DFS Ultra II, Auto DFSNoiseTracker II, WindGuard Directional Options: Softswitching, Adaptive Directionality.Tinnitus Sound Generator Wireless: 2.4 GHz wireless technology. Wireless fitting with Airlink. Compatible with Unite wireless accessories: Remote Control 2, TV Streamer 2, Phone Clip+, Micro Microphone, Multi Microphone. Apps: ReSound Control app. ReSound Relief app. MONAURAL (V5256) Mild, Moderate, Severe ReSound V5256 $580.00 48.276% $300.00 $95.00 12 24

BINAURAL (V5260) Mild, Moderate, Severe ReSound V5260 $1,160.00 48.276% $600.00 $190.00 12 24

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DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Emerald M 60 6c (Receiver in Canal)Fully Digital 32-Channel, Auto-adaptive 32-channel Directional, 6 memory, bandwidth comp, wireless sync, tinnitus function, wireless programming, Rechargeable 13 battery (optional)Rocker Switch

45-75dB Emerald M 60 6c

V5257 Monaural

V5261 Binaural $1,115.00 65% $390.25 $95.00 12 36

Emerald S 60 6c (Receiver in Canal)Fully Digital 32-Channel, Auto-adaptive 32-channel Directional, 6 memory, bandwidth comp, wireless sync, tinnitus function, wireless programming, Rechargeable 312 battery (optional)Rocker Switch

45-75dB Emerald S 60 6c

V5257 Monaural

V5261 Binaural $1,115.00 65% $390.25 $95.00 12 36

Mosaic M 60 6cFully Digital 32-Channel, Auto-adaptive 32-channel Directional, 6 memory, bandwidth comp, wireless sync, tinnitus function, wireless programming, Rechargeable 13 battery (optional)Rocker Switch

60dB Mosaic M 60 6c

V5257 Monaural

V5261 Binaural $1,115.00 65% $390.25 $95.00 12 36

Mosaic M NR 60 6cFully Digital 32-Channel, Auto-adaptive 32-channel Directional, 6 memory, bandwidth comp, wireless sync, tinnitus function, wireless programmingRocker Switch

60dB Mosaic M NR 60 6c

V5257 Monaural

V5261 Binaural $1,115.00 65% $390.25 $95.00 12 36

Mosaic P 60 6cFully Digital 32-Channel, Auto-adaptive 32-channel Directional, 6 memory, bandwidth comp, wireless sync, tinnitus function, wireless programmingRocker Switch

70dB Mosaic P 60 6c

V5257 Monaural

V5261 Binaural $1,115.00 65% $390.25 $95.00 12 36

Mosaic HP 60 6cFully Digital 32-Channel, Auto-adaptive 32-channel Directional, 6 memory, bandwidth comp, wireless sync, tinnitus function, wireless programmingPush Button, Rocker Switch

82dB Mosaic HP 60 6c

V5257 Monaural

V5261 Binaural $1,125.00 65% $393.75 $95.00 12 36

Wireless CROS Transmitter + Emerald M RIC PackageIdeal for patients with unaidable hearing loss in one ear: TruCore CROS and BiCROS solutions are based on wireless communication with its industry benchmark for low battery consumption. A CROS RIC transmitter is worn behind the unaidable ear and the sound it receives is sent wirelessly to the TruCore hearing aid on the other side, thus allowing the wearer to hear sounds from both sides.

45-75dB CROS RIC +Emerald M 80 6c V5180 $2,498.00 70% $749.40 $95.00 12 36

Wireless CROS Transmitter + Emerald M RIC PackageIdeal for patients with unaidable hearing loss in one ear: TruCore CROS and BiCROS solutions are based on wireless communication with its industry benchmark for low battery consumption. A CROS RIC transmitter is worn behind the unaidable ear and the sound it receives is sent wirelessly to the TruCore hearing aid on the other side, thus allowing the wearer to hear sounds from both sides.

45-75dB CROS RIC +Emerald M 60 6c V5180 $1,874.00 70% $562.20 $95.00 12 36

Wireless CROS Transmitter + Stellar Li RIC PackageIdeal for patients with unaidable hearing loss in one ear: TruCore CROS and BiCROS solutions are based on wireless communication with its industry benchmark for low battery consumption. A CROS RIC transmitter is worn behind the unaidable ear and the sound it receives is sent wirelessly to the TruCore hearing aid on the other side, thus allowing the wearer to hear sounds from both sides.

45-75dB CROS RIC +Stellar Li 80 6c V5180 $2,498.00 70% $749.40 $95.00 12 36

BEHIND THE EAR TYPES - The total price shall be for a single hearing aid or two hearing aids and appropriate case. List model numbers/name and full range of the instrument has a T-coil or T-coil capability. For digital aids, indicate whether a remote control is required. For conventional aids, indicate whether it is a linear or compression circuit L = Linear, C = Compression.

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Page 2 of 2

DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Wireless CROS Transmitter + Stellar Li RIC PackageIdeal for patients with unaidable hearing loss in one ear: TruCore CROS and BiCROS solutions are based on wireless communication with its industry benchmark for low battery consumption. A CROS RIC transmitter is worn behind the unaidable ear and the sound it receives is sent wirelessly to the TruCore hearing aid on the other side, thus allowing the wearer to hear sounds from both sides.

45-75dB CROS RIC +Stellar Li 60 6c V5180 $1,874.00 70% $562.20 $95.00 12 36

Wireless CROS Transmitter + Emerald S RIC PackageIdeal for patients with unaidable hearing loss in one ear: TruCore CROS and BiCROS solutions are based on wireless communication with its industry benchmark for low battery consumption. A CROS RIC transmitter is worn behind the unaidable ear and the sound it receives is sent wirelessly to the TruCore hearing aid on the other side, thus allowing the wearer to hear sounds from both sides.

45-75dB CROS RIC +Emerald S 80 6c V5180 $2,498.00 70% $749.40 $95.00 12 36

Wireless CROS Transmitter + Emerald S RIC PackageIdeal for patients with unaidable hearing loss in one ear: TruCore CROS and BiCROS solutions are based on wireless communication with its industry benchmark for low battery consumption. A CROS RIC transmitter is worn behind the unaidable ear and the sound it receives is sent wirelessly to the TruCore hearing aid on the other side, thus allowing the wearer to hear sounds from both sides.

45-75dB CROS RIC +Emerald S 60 6c V5180 $1,874.00 70% $562.20 $95.00 12 36

Wireless CROS Transmitter + Mosaic M/M NR/P/HP BTE PackageIdeal for patients with unaidable hearing loss in one ear: TruCore CROS and BiCROS solutions are based on wireless communication with its industry benchmark for low battery consumption. A CROS RIC transmitter is worn behind the unaidable ear and the sound it receives is sent wirelessly to the TruCore hearing aid on the other side, thus allowing the wearer to hear sounds from both sides.

60-70dB CROS RIC +Mosaic 80 6c V5180 $2,498.00 70% $749.40 $95.00 12 36

Wireless CROS Transmitter + Mosaic M/M NR/P/HP BTE PackageIdeal for patients with unaidable hearing loss in one ear: TruCore CROS and BiCROS solutions are based on wireless communication with its industry benchmark for low battery consumption. A CROS RIC transmitter is worn behind the unaidable ear and the sound it receives is sent wirelessly to the TruCore hearing aid on the other side, thus allowing the wearer to hear sounds from both sides.

60-70dB CROS RIC +Mosaic 60 6c V5180 $1,874.00 70% $562.20 $95.00 12 36

FEATURES = Digital (full digital signal processing with two or three channels, etc.), List CROS and BiCros on separate price lines.

FULL SHELL CONCHA MODEL DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Wireless CROS Transmitter + Sterling 60 6c PackageIdeal for patients with unaidable hearing loss in one ear: TruCore CROS and BiCROS solutions are based on wireless communication with its industry benchmark for low battery consumption. A CROS RIC transmitter is worn behind the unaidable ear and the sound it receives is sent wirelessly to the TruCore hearing aid on the other side, thus allowing the wearer to hear sounds from both sides.

55-65dB CROS +Sterling 60 6c V5170 $1,874.00 70.000% $562.20 $95.00 12 36

IN THE EAR TYPES – Prices shall be for a single hearing aid or two hearing aids and case. List model number for the full range of instruments. Include all features. Indicate Class D power or Class B power.

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Page 1 of 3

DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Cellion 2px (Receiver in Canal)Fully Digital 16-Channel, Auto-adaptive 16-channel Directional, 4 memory, frequency comp, e2e wireless 3.0, tinnitus therapy, wireless programming, Rechargeable Li-Ion batteryPush Button

45-75dB Cellion 2px

V5257 Monaural

V5261 Binaural $849.00 56.000% $373.56 $95.00 12 36

Pure 2px (Receiver in Canal)Fully Digital 16-Channel, Auto-adaptive 16-channel Directional, 4 memory, frequency comp, e2e wireless 3.0, tinnitus therapy, wireless programmingRocker Switch

45-75dB Pure 2px

V5257 Monaural

V5261 Binaural $849.00 60.000% $339.60 $95.00 12 36

Pure 1px (Receiver in Canal)Fully Digital 16-Channel, Auto-adaptive 16-channel Directional, 4 memory, frequency comp, e2e wireless 3.0, wireless programmingRocker Switch

45-75dB Pure 1px

V5257 Monaural

V5261 Binaural $629.00 55.000% $283.05 $95.00 12 36

Motion S 2pxFully Digital 16-Channel, Auto-adaptive 16-channel Directional, 4 memory, frequency comp, e2e wireless 3.0, tinnitus therapy, wireless programmingPush Button

55dB Motion S 2px

V5257 Monaural

V5261 Binaural $849.00 60.000% $339.60 $95.00 12 36

Motion SA 2pxFully Digital 16-Channel, Auto-adaptive 16-channel Directional, 4 memory, frequency comp, e2e wireless 3.0, tinnitus therapy, wireless programmingRocker Switch

60dB Motion SA 2px

V5257 Monaural

V5261 Binaural $849.00 60.000% $339.60 $95.00 12 36

Motion P 2pxFully Digital 16-Channel, Auto-adaptive 16-channel Directional, 4 memory, frequency comp, e2e wireless 3.0, tinnitus therapy, wireless programmingRocker Switch

70dB Motion P 2px

V5257 Monaural

V5261 Binaural $849.00 60.000% $339.60 $95.00 12 36

Motion SP 2pxFully Digital 16-Channel, Auto-adaptive 16-channel Directional, 4 memory, frequency comp, e2e wireless 3.0, tinnitus therapy, wireless programmingPush Button, Rocker Switch

82dB Motion SP 2px

V5257 Monaural

V5261 Binaural $849.00 60.000% $339.60 $95.00 12 36

Motion S 1pxFully Digital 16-Channel, Auto-adaptive 16-channel Directional, 4 memory, frequency comp, e2e wireless 3.0, wireless programmingPush Button

55dB Motion S 1px

V5257 Monaural

V5261 Binaural $629.00 55.000% $283.05 $95.00 12 36

Motion SA 1pxFully Digital 16-Channel, Auto-adaptive 16-channel Directional, 4 memory, frequency comp, e2e wireless 3.0, wireless programmingRocker Switch

60dB Motion SA 1px

V5257 Monaural

V5261 Binaural $629.00 55.000% $283.05 $95.00 12 36

Motion P 1pxFully Digital 16-Channel, Auto-adaptive 16-channel Directional, 4 memory, frequency comp, e2e wireless 3.0, wireless programmingRocker Switch

70dB Motion P 1px

V5257 Monaural

V5261 Binaural $629.00 55.000% $283.05 $95.00 12 36

Motion SP 1pxFully Digital 16-Channel, Auto-adaptive 16-channel Directional, 4 memory, frequency comp, e2e wireless 3.0, wireless programmingPush Button, Rocker Switch

82dB Motion SP 1px

V5257 Monaural

V5261 Binaural $629.00 55.000% $283.05 $95.00 12 36

BEHIND THE EAR TYPES - The total price shall be for a single hearing aid or two hearing aids and appropriate case. List model numbers/name and full range of the instrument has a T-coil or T-coil capability. For digital aids, indicate whether a remote control is required. For conventional aids, indicate whether it is a linear or compression circuit L = Linear, C = Compression.

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Page 2 of 3

DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Wireless CROS Transmitter + Carat 3px RIC PackageIdeal for patients with unaidable hearing loss in one ear: primax CROS and BiCROS solutions are based on e2e wireless 3.0 with its industry benchmark for low battery consumption. A CROS Pure transmitter is worn behind the unaidable ear and the sound it receives is sent wirelessly to the primax hearing aid on the other side, thus allowing the wearer to hear sounds from both sides.

45-75dB CROS+Carat 3px V5180 $1,698.00 55.000% $764.10 $95.00 12 36

Wireless CROS Transmitter + Cellion 3px RIC PackageIdeal for patients with unaidable hearing loss in one ear: primax CROS and BiCROS solutions are based on e2e wireless 3.0 with its industry benchmark for low battery consumption. A CROS Pure transmitter is worn behind the unaidable ear and the sound it receives is sent wirelessly to the primax hearing aid on the other side, thus allowing the wearer to hear sounds from both sides.

45-75dB CROS+Cellion 3px V5180 $1,698.00 55.000% $764.10 $95.00 12 36

Wireless CROS Transmitter + Pure 3px RIC PackageIdeal for patients with unaidable hearing loss in one ear: primax CROS and BiCROS solutions are based on e2e wireless 3.0 with its industry benchmark for low battery consumption. A CROS Pure transmitter is worn behind the unaidable ear and the sound it receives is sent wirelessly to the primax hearing aid on the other side, thus allowing the wearer to hear sounds from both sides.

45-75dB CROS+Pure 3px V5180 $1,698.00 55.000% $764.10 $95.00 12 36

Wireless CROS Transmitter + Motion SX/SA/P/SP 3px BTE PackageIdeal for patients with unaidable hearing loss in one ear: primax CROS and BiCROS solutions are based on e2e wireless 3.0 with its industry benchmark for low battery consumption. A CROS Pure transmitter is worn behind the unaidable ear and the sound it receives is sent wirelessly to the primax hearing aid on the other side, thus allowing the wearer to hear sounds from both sides.

60-70dB CROS+Motion 3px V5180 $1,698.00 55.000% $764.10 $95.00 12 36

FEATURES = Digital (full digital signal processing with two or three channels, etc.), List CROS and BiCros on separate price lines.

FULL SHELL CONCHA MODEL DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Wireless CROS Transmitter + Insio 3px PackageIdeal for patients with unaidable hearing loss in one ear: primax CROS and BiCROS solutions are based on e2e wireless 3.0 with its industry benchmark for low battery consumption. A CROS Pure transmitter is worn behind the unaidable ear and the sound it receives is sent wirelessly to the primax hearing aid on the other side, thus allowing the wearer to hear sounds from both sides.

55-65dB CROS+Insio 3px V5170 $1,698.00 55.000% $764.10 $95.00 12 36

FEATURES = Digital (full digital signal processing with two or three channels, etc.), List CROS and BiCros on separate price lines.

IN THE EAR TYPES – Prices shall be for a single hearing aid or two hearing aids and case. List model number for the full range of instruments. Include all features. Indicate Class D power or Class B power.

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Page 3 of 3

HALF SHELL CONCHA DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Wireless CROS Transmitter + Insio 3px PackageIdeal for patients with unaidable hearing loss in one ear: primax CROS and BiCROS solutions are based on e2e wireless 3.0 with its industry benchmark for low battery consumption. A CROS Pure transmitter is worn behind the unaidable ear and the sound it receives is sent wirelessly to the primax hearing aid on the other side, thus allowing the wearer to hear sounds from both sides.

50-65dB CROS+Insio 3px V5170 $1,698.00 55.000% $764.10 $95.00 12 36

FEATURES = Digital (full digital signal processing with two or three channels, etc.)

LOW PROFILE DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Wireless CROS Transmitter + Insio 3px PackageIdeal for patients with unaidable hearing loss in one ear: primax CROS and BiCROS solutions are based on e2e wireless 3.0 with its industry benchmark for low battery consumption. A CROS Pure transmitter is worn behind the unaidable ear and the sound it receives is sent wirelessly to the primax hearing aid on the other side, thus allowing the wearer to hear sounds from both sides.

50-65dB CROS+Insio 3px V5170 $1,698.00 55.000% $764.10 $95.00 12 36

IN THE EAR TYPES – Prices shall be for a single hearing aid or two hearing aids and case. List model number for the full range of instruments. Include all features. Indicate Class D power or Class B power.

IN THE EAR TYPES – Prices shall be for a single hearing aid, or two hearing aids and case. List model number for the full range of instruments. Include all features. Indicate Class D power or Class B power.

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Page 1 of 7

DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Muse i1600 Micro RIC 312: 16 channels/bands, Wireless, Multiflex tinnitus, Music enhancement, Directional Mics, Ear to ear phone streaming, ATR, T-Coil, Feedback cancellation, MM, Manual user controls, Wireless accessories optional, Size 312 battery

86 dB+ Muse i1600 mRIC V5257 $1,998.00 80.030% $399.00 $84.99 12 Months 24 Months

Muse i1600 Micro RIC 312: 16 channels/bands, Wireless, Multiflex tinnitus, Music enhancement, Directional Mics, Ear to ear phone streaming, ATR, T-Coil, Feedback cancellation, MM, Manual user controls, Wireless accessories optional, Size 312 battery

86 dB+ Muse i1600 mRIC V5261 $3,996.00 80.030% $798.00 $169.98 12 Months 24 Months

Muse i1600 Mini BTE 312: 16 channels/bands, Wireless, Multiflex tinnitus, Music enhancement, Directional Mics, Ear to ear phone streaming, ATR, T-Coil, Feedback cancellation, MM, Manual user controls, Wireless accessories optional, Size 312 battery

86 dB+ Muse i1600 Mini BTE V5257 $1,998.00 80.030% $399.00 $84.99 12 Months 24 Months

Muse i1600 Mini BTE 312: 16 channels/bands, Wireless, Multiflex tinnitus, Music enhancement, Directional Mics, Ear to ear phone streaming, ATR, T-Coil, Feedback cancellation, MM, Manual user controls, Wireless accessories optional, Size 312 battery

86 dB+ Muse i1600 Mini BTE V5261 $3,996.00 80.030% $798.00 $169.98 12 Months 24 Months

Muse i1600 BTE 13: 16 channels/bands, Wireless, Multiflex tinnitus, Music enhancement, Directional Mics, Ear to ear phone streaming, ATR, T-Coil, Feedback cancellation, MM, Manual user controls, Wireless accessories optional, Size 13 battery

86 dB+ Muse i1600 BTE 13 V5257 $1,998.00 80.030% $399.00 $84.99 12 Months 24 Months

Muse i1600 BTE 13: 16 channels/bands, Wireless, Multiflex tinnitus, Music enhancement, Directional Mics, Ear to ear phone streaming, ATR, T-Coil, Feedback cancellation, MM, Manual user controls, Wireless accessories optional, Size 13 battery

86 dB+ Muse i1600 BTE 13 V5261 $3,996.00 80.030% $798.00 $169.98 12 Months 24 Months

Muse i1200 Micro RIC 312: 12 channels/bands, Wireless, Directional Mics, Feedback cancellation, Multiflex tinnitus, Wireless accessories optional, Manual user controls, ATR, Telecoil Size 312 battery

86 dB+ Muse i1200 mRIC V5257 $1,198.00 72.538% $329.00 $84.99 12 Months 24 Months

Muse i1200 Micro RIC 312: 12 channels/bands, Wireless, Directional Mics, Feedback cancellation, Multiflex tinnitus, Wireless accessories optional, Manual user controls, ATR, Telecoil Size 312 battery

86 dB+ Muse i1200 mRIC V5261 $2,396.00 72.538% $658.00 $169.98 12 Months 24 Months

Muse i1200 Mini BTE 312: 12 channels/bands, Wireless, Directional Mics, Feedback cancellation, Multiflex tinnitus, Wireless accessories optional, Manual user controls, ATR, Telecoil Size 312 battery

86 dB+ Muse i1200 Mini BTE V5257 $1,198.00 72.538% $329.00 $84.99 12 Months 24 Months

Muse i1200 Mini BTE 312: 12 channels/bands, Wireless, Directional Mics, Feedback cancellation, Multiflex tinnitus, Wireless accessories optional, Manual user controls, ATR, Telecoil Size 312 battery

86 dB+ Muse i1200 Mini BTE V5261 $2,396.00 72.538% $658.00 $169.98 12 Months 24 Months

Muse i1200 BTE 13: 12 channels/bands, Wireless, Directional Mics, Feedback cancellation, Multiflex tinnitus, Wireless accessories optional, Manual user controls, ATR, Telecoil Size 13 battery

86 dB+ Muse i1200 BTE 13 V5257 $1,198.00 72.538% $329.00 $84.99 12 Months 24 Months

Muse i1200 BTE 13: 12 channels/bands, Wireless, Directional Mics, Feedback cancellation, Multiflex tinnitus, Wireless accessories optional, Manual user controls, ATR, Telecoil Size 13 battery

86 dB+ Muse i1200 BTE 13 V5261 $2,396.00 72.538% $658.00 $169.98 12 Months 24 Months

Muse i1000 Micro RIC 312: 10 channels/bands, Wireless, Directional Mics, Feedback cancellation, Multiflex tinnitus, Wireless accessories optional, Manual user controls, ATR, Telecoil Size 312 battery

86 dB+ Muse i1000 mRIC V5257 $998.00 72.044% $279.00 $84.99 12 Months 24 Months

Muse i1000 Micro RIC 312: 10 channels/bands, Wireless, Directional Mics, Feedback cancellation, Multiflex tinnitus, Wireless accessories optional, Manual user controls, ATR, Telecoil Size 312 battery

86 dB+ Muse i1000 mRIC V5261 $1,996.00 72.044% $558.00 $169.98 12 Months 24 Months

BEHIND THE EAR TYPES - The total price shall be for a single hearing aid or two hearing aids and appropriate case. List model numbers/name and full range of the instrument has a T-coil or T-coil capability. For digital aids, indicate whether a remote control is required. For conventional aids, indicate whether it is a linear or compression circuit L = Linear, C = Compression.

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Page 2 of 7

DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Muse i1000 Mini BTE 312: 10 channels/bands, Wireless, Directional Mics, Feedback cancellation, Multiflex tinnitus, Wireless accessories optional, Manual user controls, ATR, Telecoil Size 312 battery

86 dB+ Muse i1000 Mini BTE V5257 $998.00 72.044% $279.00 $84.99 12 Months 24 Months

Muse i1000 Mini BTE 312: 10 channels/bands, Wireless, Directional Mics, Feedback cancellation, Multiflex tinnitus, Wireless accessories optional, Manual user controls, ATR, Telecoil Size 312 battery

86 dB+ Muse i1000 Mini BTE V5261 $1,996.00 72.044% $558.00 $169.98 12 Months 24 Months

Muse i1000 BTE 13: 10 channels/bands, Wireless, Directional Mics, Feedback cancellation, Multiflex tinnitus, Wireless accessories optional, Manual user controls, ATR, Telecoil Size 13 battery

86 dB+ Muse i1000 BTE 13 V5257 $998.00 72.044% $279.00 $84.99 12 Months 24 Months

Muse i1000 BTE 13: 10 channels/bands, Wireless, Directional Mics, Feedback cancellation, Multiflex tinnitus, Wireless accessories optional, Manual user controls, ATR, Telecoil Size 13 battery

86 dB+ Muse i1000 BTE 13 V5261 $1,996.00 72.044% $558.00 $169.98 12 Months 24 Months

Cros/BiCros Transmitter w/Muse i2400 Micro RIC 312: Compatible with Muse mRIC 312t only 86 dB+ CrosMuse i2400 mRIC V5180 $2,697.00 71.153% $778.00 $84.99 12 Months 36 Months

Cros/BiCros Transmitter w/Muse i2400 Micro RIC 312: Compatible with Muse mRIC 312t only 86 dB+ CrosMuse i2400 mRIC V5220 $2,697.00 71.153% $778.00 $169.98 12 Months 36 Months

Cros/BiCros Transmitter w/Muse i2400 RIC 312: Compatible with Muse RIC 312t only 86 dB+ CrosMuse i2400 RIC V5180 $2,697.00 71.153% $778.00 $84.99 12 Months 36 Months

Cros/BiCros Transmitter w/Muse i2400 RIC 312: Compatible with Muse RIC 312t only 86 dB+ CrosMuse i2400 RIC V5220 $2,697.00 71.153% $778.00 $169.98 12 Months 36 Months

Cros/BiCros Transmitter w/Muse i2400 Mini BTE 312: Compatible with Muse BTE 312 only 86 dB+ CrosMuse i2400 mBTE V5180 $2,697.00 71.153% $778.00 $84.99 12 Months 36 Months

Cros/BiCros Transmitter w/Muse i2400 Mini BTE 312: Compatible with Muse BTE 312 only 86 dB+ CrosMuse i2400 mBTE V5220 $2,697.00 71.153% $778.00 $169.98 12 Months 36 Months

Cros/BiCros Transmitter w/Muse i2400 BTE 13: Compatible with Muse BTE 13 only 86 dB+ CrosMuse i2400 BTE V5180 $2,697.00 71.153% $778.00 $84.99 12 Months 36 Months

Cros/BiCros Transmitter w/Muse i2400 BTE 13: Compatible with Muse BTE 13 only 86 dB+ CrosMuse i2400 BTE V5220 $2,697.00 71.153% $778.00 $169.98 12 Months 36 Months

Cros/BiCros Transmitter w/Muse i2000 Micro RIC 312: Compatible with Muse mRIC 312t only 86 dB+ CrosMuse i2000 mRIC V5180 $2,628.00 71.157% $758.00 $84.99 12 Months 24 Months

Cros/BiCros Transmitter w/Muse i2000 Micro RIC 312: Compatible with Muse mRIC 312t only 86 dB+ CrosMuse i2000 mRIC V5220 $2,628.00 71.157% $758.00 $169.98 12 Months 24 Months

Cros/BiCros Transmitter w/Muse i2000 RIC 312: Compatible with Muse RIC 312t only 86 dB+ CrosMuse i2000 RIC V5180 $2,628.00 71.157% $758.00 $84.99 12 Months 24 Months

Cros/BiCros Transmitter w/Muse i2000 RIC 312: Compatible with Muse RIC 312t only 86 dB+ CrosMuse i2000 RIC V5220 $2,628.00 71.157% $758.00 $169.98 12 Months 24 Months

Cros/BiCros Transmitter w/Muse i2000 Mini BTE 312: Compatible with Muse BTE 312 only 86 dB+ CrosMuse i2000 mBTE V5180 $2,628.00 71.157% $758.00 $84.99 12 Months 24 Months

Cros/BiCros Transmitter w/Muse i2000 Mini BTE 312: Compatible with Muse BTE 312 only 86 dB+ CrosMuse i2000 mBTE V5220 $2,628.00 71.157% $758.00 $169.98 12 Months 24 Months

Cros/BiCros Transmitter w/Muse i2000 BTE 13: Compatible with Muse BTE 13 only 86 dB+ CrosMuse i2000 BTE V5180 $2,628.00 71.157% $758.00 $84.99 12 Months 24 Months

Cros/BiCros Transmitter w/Muse i2000 BTE 13: Compatible with Muse BTE 13 only 86 dB+ CrosMuse i2000 BTE V5220 $2,628.00 71.157% $758.00 $169.98 12 Months 24 Months

Cros/BiCros Transmitter w/Muse i1600 Micro RIC 312: Compatible with Muse mRIC 312t only 86 dB+ CrosMuse i1600 mRIC V5180 $2,559.00 71.161% $738.00 $84.99 12 Months 24 Months

Cros/BiCros Transmitter w/Muse i1600 Micro RIC 312: Compatible with Muse mRIC 312t only 86 dB+ CrosMuse i1600 mRIC V5220 $2,559.00 71.161% $738.00 $169.98 12 Months 24 Months

Cros/BiCros Transmitter w/Muse i1600 RIC 312: Compatible with Muse RIC 312t only 86 dB+ CrosMuse i1600 RIC V5180 $2,559.00 71.161% $738.00 $84.99 12 Months 24 Months

Cros/BiCros Transmitter w/Muse i1600 RIC 312: Compatible with Muse RIC 312t only 86 dB+ CrosMuse i1600 RIC V5220 $2,559.00 71.161% $738.00 $169.98 12 Months 24 Months

Cros/BiCros Transmitter w/Muse i1600 Mini BTE 312: Compatible with Muse BTE 312 only 86 dB+ CrosMuse i1600 mBTE V5180 $2,559.00 71.161% $738.00 $84.99 12 Months 24 Months

Cros/BiCros Transmitter w/Muse i1600 Mini BTE 312: Compatible with Muse BTE 312 only 86 dB+ CrosMuse i1600 mBTE V5220 $2,559.00 71.161% $738.00 $169.98 12 Months 24 Months

Cros/BiCros Transmitter w/Muse i1600 BTE 13: Compatible with Muse BTE 13 only 86 dB+ CrosMuse i1600 BTE V5180 $2,559.00 71.161% $738.00 $84.99 12 Months 24 Months

Cros/BiCros Transmitter w/Muse i1600 BTE 13: Compatible with Muse BTE 13 only 86 dB+ CrosMuse i1600 BTE V5220 $2,559.00 71.161% $738.00 $169.98 12 Months 24 Months

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Page 3 of 7

DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Halo 2 i1600 RIC 13: 24 channels/bands, Wireless, Multiflex tinnitus, Music enhancement, Directional Mics, Ear to ear phone streaming, ATR, T-Coil, Feedback cancellation, MM, Manual user controls, iPhone or Android device compatible, Size 13 battery

86 dB+ Halo 2 i1600 RIC 13 V5257 $2,098.00 80.982% $399.00 $84.99 12 Months 24 Months

Halo 2 i1600 RIC 13: 24 channels/bands, Wireless, Multiflex tinnitus, Music enhancement, Directional Mics, Ear to ear phone streaming, ATR, T-Coil, Feedback cancellation, MM, Manual user controls, iPhone or Android device compatible, Size 13 battery

86 dB+ Halo 2 i1600 RIC 13 V5261 $4,196.00 80.982% $798.00 $169.98 12 Months 24 Months

Halo 2 i1600 RIC 312: 24 channels/bands, Wireless, Multiflex tinnitus, Music enhancement, Directional Mics, Ear to ear phone streaming, ATR, T-Coil, Feedback cancellation, MM, Manual user controls, iPhone or Android device compatible, Size 312 battery

86 dB+ Halo 2 i1600 RIC312 V5257 $2,098.00 80.982% $399.00 $84.99 12 Months 24 Months

Halo 2 i1600 RIC 312: 24 channels/bands, Wireless, Multiflex tinnitus, Music enhancement, Directional Mics, Ear to ear phone streaming, ATR, T-Coil, Feedback cancellation, MM, Manual user controls, iPhone or Android device compatible, Size 312 battery

86 dB+ Halo 2 i1600 RIC312 V5261 $4,196.00 80.982% $798.00 $169.98 12 Months 24 Months

Halo i70 BTE 13: 8 channels/8 band, wireless, manual user controls, ATR, Telecoil, Feedback eliminator, directional mics, MM, iPhone or Android device needed, size 13 battery

86 dB+ Halo i70 BTE V5257 $2,098.00 81.459% $389.00 $84.99 12 Months 24 Months

Halo i70 BTE 13: 8 channels/8 band, wireless, manual user controls, ATR, Telecoil, Feedback eliminator, directional mics, MM, iPhone or Android device needed, size 13 battery

86 dB+ Halo i70 BTE V5261 $4,196.00 81.459% $778.00 $169.98 12 Months 24 Months

Z Series i70 RIC 312: 8 channels/8 bands, wireless, manual user controls, ATR, Telecoil, Feedback eliminator, directional mics, MM, remote control optional, size 312 battery

86 dB+ Z Series i70 RIC V5257 $1,998.00 80.030% $399.00 $84.99 12 Months 24 Months

Z Series i70 RIC 312: 8 channels/8 bands, wireless, manual user controls, ATR, Telecoil, Feedback eliminator, directional mics, MM, remote control optional, size 312 battery

86 dB+ Z Series i70 RIC V5261 $3,996.00 80.030% $798.00 $169.98 12 Months 24 Months

Z Series i70 micro RIC 312: 8 channels/8 bands, wireless, manual user controls, ATR, Feedback eliminator, directional mics, MM, remote control optional, tinnitus masker, size 312 battery

86 dB+ Z Series i70 mRIC V5257 $1,998.00 80.030% $399.00 $84.99 12 Months 24 Months

Z Series i70 micro RIC 312: 8 channels/8 bands, wireless, manual user controls, ATR, Feedback eliminator, directional mics, MM, remote control optional, tinnitus masker, size 312 battery

86 dB+ Z Series i70 mRIC V5261 $3,996.00 80.030% $798.00 $169.98 12 Months 24 Months

Z Series i70 BTE 13: 8 channels/8 bands, wireless, manual user controls, ATR, Telecoil, Feedback eliminator, directional mics, MM, remote control optional, size 13 battery

86 dB+ Z Series i70 BTE V5257 $1,998.00 80.030% $399.00 $84.99 12 Months 24 Months

Z Series i70 BTE 13: 8 channels/8 bands, wireless, manual user controls, ATR, Telecoil, Feedback eliminator, directional mics, MM, remote control optional, size 13 battery

86 dB+ Z Series i70 BTE V5261 $3,996.00 80.030% $798.00 $169.98 12 Months 24 Months

Z Series i70 PowerPlus BTE 13: 8 channels/8 bands, wireless, manual user controls, ATR, Telecoil, Feedback eliminator, directional mics, MM, remote control optional, size 13 battery

86 dB+ Z Series i70 P+BTE V5257 $1,998.00 80.030% $399.00 $84.99 12 Months 24 Months

Z Series i70 PowerPlus BTE 13: 8 channels/8 bands, wireless, manual user controls, ATR, Telecoil, Feedback eliminator, directional mics, MM, remote control optional, size 13 battery

86 dB+ Z Series i70 P+BTE V5261 $3,996.00 80.030% $798.00 $169.98 12 Months 24 Months

Z Series i70 mini BTE 312: 8 channels/8 bands, wireless, manual user controls, ATR, Telecoil, Feedback eliminator, directional mics, MM, remote control optional, size 312 battery

86 dB+ Z Series i70 mBTE V5257 $1,998.00 80.030% $399.00 $84.99 12 Months 24 Months

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DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Z Series i70 mini BTE 312: 8 channels/8 bands, wireless, manual user controls, ATR, Telecoil, Feedback eliminator, directional mics, MM, remote control optional, size 312 battery

86 dB+ Z Series i70 mBTE V5261 $3,996.00 80.030% $798.00 $169.98 12 Months 24 Months

Z Series i30 RIC 312: 6 channels/6 bands, wireless, manual user controls, ATR, Telecoil, Feedback eliminator, directional mics, MM, remote control optional, size 312 battery

86 dB+ Z Series i30 RIC V5257 $1,198.00 69.199% $369.00 $84.99 12 Months 24 Months

Z Series i30 RIC 312: 6 channels/6 bands, wireless, manual user controls, ATR, Telecoil, Feedback eliminator, directional mics, MM, remote control optional, size 312 battery

86 dB+ Z Series i30 RIC V5261 $2,396.00 69.199% $738.00 $169.98 12 Months 24 Months

Z Series i30 micro RIC 312: 6 channels 6 bands, wireless, manual user controls, ATR, Feedback eliminator, directional mics, MM, remote control optional, tinnitus masker, size 312 battery

86 dB+ Z Series i30 mRIC V5257 $1,198.00 69.199% $369.00 $84.99 12 Months 24 Months

Z Series i30 micro RIC 312: 6 channels 6 bands, wireless, manual user controls, ATR, Feedback eliminator, directional mics, MM, remote control optional, tinnitus masker, size 312 battery

86 dB+ Z Series i30 mRIC V5261 $2,396.00 69.199% $738.00 $169.98 12 Months 24 Months

Z Series i30 BTE 13: 6 channels/6 bands, wireless, manual user controls, ATR, Telecoil, Feedback eliminator, directional mics, MM, remote control optional, size 13 battery

86 dB+ Z Series i30 BTE 13 V5257 $1,198.00 69.199% $369.00 $84.99 12 Months 24 Months

Z Series i30 BTE 13: 6 channels/6 bands, wireless, manual user controls, ATR, Telecoil, Feedback eliminator, directional mics, MM, remote control optional, size 13 battery

86 dB+ Z Series i30 BTE 13 V5261 $2,396.00 69.199% $738.00 $169.98 12 Months 24 Months

Z Series i30 BTE PowerPlus 13: 6 channels/6 bands, wireless, manual user controls, ATR, Telecoil, Feedback eliminator, directional mics, MM, remote control optional, size 13 battery

86 dB+ Z Series i30 P+BTE V5257 $1,198.00 69.199% $369.00 $84.99 12 Months 24 Months

Z Series i30 BTE PowerPlus 13: 6 channels/6 bands, wireless, manual user controls, ATR, Telecoil, Feedback eliminator, directional mics, MM, remote control optional, size 13 battery

86 dB+ Z Series i30 P+BTE V5261 $2,396.00 69.199% $738.00 $169.98 12 Months 24 Months

Z Series i30 mini BTE 312: 6 channels/6 bands, wireless, manual user controls, ATR, Telecoil, Feedback eliminator, directional mics, MM, remote control optional, size 312 battery

86 dB+ Z Series i30 mBTE V5257 $1,198.00 69.199% $369.00 $84.99 12 Months 24 Months

Z Series i30 mini BTE 312: 6 channels/6 bands, wireless, manual user controls, ATR, Telecoil, Feedback eliminator, directional mics, MM, remote control optional, size 312 battery

86 dB+ Z Series i30 mBTE V5261 $2,396.00 69.199% $738.00 $169.98 12 Months 24 Months

Z Series i20 RIC 312: 4 channels/4 bands, wireless, manual user controls, ATR, Telecoil, Feedback eliminator, directional mics, MM, remote control optional, size 312 battery

86 dB+ Z Series i20 RIC V5257 $998.00 65.030% $349.00 $84.99 12 Months 24 Months

Z Series i20 RIC 312: 4 channels/4 bands, wireless, manual user controls, ATR, Telecoil, Feedback eliminator, directional mics, MM, remote control optional, size 312 battery

86 dB+ Z Series i20 RIC V5261 $1,996.00 65.030% $698.00 $169.98 12 Months 24 Months

Z Series i20 micro RIC 312: 4 channels 4 bands, wireless, manual user controls, ATR, Feedback eliminator, directional mics, MM, remote control optional, tinnitus masker, size 312 battery

86 dB+ Z Series i20 mRIC V5257 $998.00 65.030% $349.00 $84.99 12 Months 24 Months

Z Series i20 micro RIC 312: 4 channels 4 bands, wireless, manual user controls, ATR, Feedback eliminator, directional mics, MM, remote control optional, tinnitus masker, size 312 battery

86 dB+ Z Series i20 mRIC V5261 $1,996.00 65.030% $698.00 $169.98 12 Months 24 Months

Z Series i20 BTE 13: 4 channels/4 bands, wireless, manual user controls, ATR, Telecoil, Feedback eliminator, directional mics, MM, remote control optional, size 13 battery

86 dB+ Z Series i20 BTE 13 V5257 $998.00 65.030% $349.00 $84.99 12 Months 24 Months

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Page 5 of 7

DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Z Series i20 BTE 13: 4 channels/4 bands, wireless, manual user controls, ATR, Telecoil, Feedback eliminator, directional mics, MM, remote control optional, size 13 battery

86 dB+ Z Series i20 BTE 13 V5261 $1,996.00 65.030% $698.00 $169.98 12 Months 24 Months

Z Series i20 PowerPlus BTE 13: 4 channels/4 bands, wireless, manual user controls, ATR, Telecoil, Feedback eliminator, directional mics, MM, remote control optional, size 13 battery

86 dB+ Z Series i20 P+BTE V5257 $998.00 65.030% $349.00 $84.99 12 Months 24 Months

Z Series i20 PowerPlus BTE 13: 4 channels/4 bands, wireless, manual user controls, ATR, Telecoil, Feedback eliminator, directional mics, MM, remote control optional, size 13 battery

86 dB+ Z Series i20 P+BTE V5261 $1,996.00 65.030% $698.00 $169.98 12 Months 24 Months

Z Series i20 mini BTE 312: 4 channels/4 bands, wireless, manual user controls, ATR, Telecoil, Feedback eliminator, directional mics, MM, remote control optional, size 312 battery

86 dB+ Z Series i20 mBTE V5257 $998.00 65.030% $349.00 $84.99 12 Months 24 Months

Z Series i20 mini BTE 312: 4 channels/4 bands, wireless, manual user controls, ATR, Telecoil, Feedback eliminator, directional mics, MM, remote control optional, size 312 battery

86 dB+ Z Series i20 mBTE V5261 $1,996.00 65.030% $698.00 $169.98 12 Months 24 Months

3 Series 70 RIC 312: 8 channels/8 bands, configured with manual user controls, ATR, Feedback eliminator, directional mics, MM, size 312 battery

86 dB+ 3 Series 70 RIC V5257 $1,698.00 77.091% $389.00 $84.99 12 Months 24 Months

3 Series 70 RIC 312: 8 channels/8 bands, configured with manual user controls, ATR, Feedback eliminator, directional mics, MM, size 312 battery

86 dB+ 3 Series 70 RIC V5261 $3,396.00 77.091% $778.00 $169.98 12 Months 24 Months

3 Series 70 mini BTE 312: 8 channels/8 bands, configured with manual user controls, ATR, Feedback eliminator, directional mics, MM, size 312 battery

86 dB+ 3 Series 70 mBTE V5257 $1,698.00 77.091% $389.00 $84.99 12 Months 24 Months

3 Series 70 mini BTE 312: 8 channels/8 bands, configured with manual user controls, ATR, Feedback eliminator, directional mics, MM, size 312 battery

86 dB+ 3 Series 70 mBTE V5261 $3,396.00 77.091% $778.00 $169.98 12 Months 24 Months

3 Series 70 BTE 13: 8 channels/8 bands, configured with manual user controls, ATR, Feedback eliminator, directional mics, MM, size 13 battery

86 dB+ 3 Series 70 BTE 13 V5257 $1,698.00 77.091% $389.00 $84.99 12 Months 24 Months

3 Series 70 BTE 13: 8 channels/8 bands, configured with manual user controls, ATR, Feedback eliminator, directional mics, MM, size 13 battery

86 dB+ 3 Series 70 BTE 13 V5261 $3,396.00 77.091% $778.00 $169.98 12 Months 24 Months

3 Series 70 PowerPlus BTE 13: 8 channels/8 bands, configured with manual user controls, ATR, Feedback eliminator, directional mics, MM, size 13 battery

86 dB+ 3 Series 70 P+BTE V5257 $1,698.00 77.091% $389.00 $84.99 12 Months 24 Months

3 Series 70 PowerPlus BTE 13: 8 channels/8 bands, configured with manual user controls, ATR, Feedback eliminator, directional mics, MM, size 13 battery

86 dB+ 3 Series 70 P+BTE V5261 $3,396.00 77.091% $778.00 $169.98 12 Months 24 Months

3 Series 30 RIC 312: 6 channels/6 bands, MM, directional mics, ATR, configured with manual user controls, size 312 battery

86 dB+ 3 Series 30 RIC V5257 $998.00 67.034% $329.00 $84.99 12 Months 24 Months

3 Series 30 RIC 312: 6 channels/6 bands, MM, directional mics, ATR, configured with manual user controls, size 312 battery

86 dB+ 3 Series 30 RIC V5261 $1,996.00 67.034% $658.00 $169.98 12 Months 24 Months

3 Series 30 mini BTE 312: 6 channels/6 bands, MM, directional mics, ATR, configured with manual user controls, size 312 battery

86 dB+ 3 Series 30 mBTE V5257 $998.00 67.034% $329.00 $84.99 12 Months 24 Months

3 Series 30 mini BTE 312: 6 channels/6 bands, MM, directional mics, ATR, configured with manual user controls, size 312 battery

86 dB+ 3 Series 30 mBTE V5261 $1,996.00 67.034% $658.00 $169.98 12 Months 24 Months

3 Series 30 BTE 13: 6 channels/6 bands, MM, directional mics, ATR, configured with manual user controls, size 13 battery

86 dB+ 3 Series 30 BTE 13 V5257 $998.00 67.034% $329.00 $84.99 12 Months 24 Months

3 Series 30 BTE 13: 6 channels/6 bands, MM, directional mics, ATR, configured with manual user controls, size 13 battery

86 dB+ 3 Series 30 BTE 13 V5261 $1,996.00 67.034% $658.00 $169.98 12 Months 24 Months

3 Series 30 PowerPlus BTE 13: 6 channels/6 bands, MM, directional mics, ATR, configured with manual user controls, size 13 battery

86 dB+ 3 Series 30 P+BTE V5257 $998.00 67.034% $329.00 $84.99 12 Months 24 Months

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DESCRIPTION & FEATURES (See below) db RANGEMODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

3 Series 30 PowerPlus BTE 13: 6 channels/6 bands, MM, directional mics, ATR, configured with manual user controls, size 13 battery

86 dB+ 3 Series 30 P+BTE V5261 $1,996.00 67.034% $658.00 $169.98 12 Months 24 Months

3 Series 20 RIC: 4 channels/4 bands, MM, directional mics, ATR, configured with manual user controls, size 312 battery

86 dB+ 3 Series 20 RIC V5257 $798.00 62.531% $299.00 $84.99 12 Months 24 Months

3 Series 20 RIC: 4 channels/4 bands, MM, directional mics, ATR, configured with manual user controls, size 312 battery

86 dB+ 3 Series 20 RIC V5261 $1,596.00 62.531% $598.00 $169.98 12 Months 24 Months

3 Series 20 mini BTE 312: 4 channels/4 bands, MM, directional mics, ATR, configured with manual user controls, size 312 battery

86 dB+ 3 Series 20 mBTE V5257 $798.00 62.531% $299.00 $84.99 12 Months 24 Months

3 Series 20 mini BTE 312: 4 channels/4 bands, MM, directional mics, ATR, configured with manual user controls, size 312 battery

86 dB+ 3 Series 20 mBTE V5261 $1,596.00 62.531% $598.00 $169.98 12 Months 24 Months

3 Series 20 BTE 13: 4 channels/4 bands, MM, directional mics, ATR, configured with manual user controls, size 13 battery

86 dB+ 3 Series 20 BTE 13 V5257 $798.00 62.531% $299.00 $84.99 12 Months 24 Months

3 Series 20 BTE 13: 4 channels/4 bands, MM, directional mics, ATR, configured with manual user controls, size 13 battery

86 dB+ 3 Series 20 BTE 13 V5261 $1,596.00 62.531% $598.00 $169.98 12 Months 24 Months

3 Series 20 PowerPlus BTE 13: 4 channels/4 bands, MM, directional mics, ATR, configured with manual user controls, size 13 battery

86 dB+ 3 Series 20 P+BTE V5257 $798.00 62.531% $299.00 $84.99 12 Months 24 Months

3 Series 20 PowerPlus BTE 13: 4 channels/4 bands, MM, directional mics, ATR, configured with manual user controls, size 13 battery

86 dB+ 3 Series 20 P+BTE V5261 $1,596.00 62.531% $598.00 $169.98 12 Months 24 Months

FULL SHELL CONCHA MODEL DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Z Series i30 ITE: 6 channels/6 bands, wireless, directional mics, MM, ATR, manual user controls 86 dB+ Z Series i30 ITE V5256 $1,198.00 70.033% $359.00 $84.99 12 months 24 Months

Z Series i30 ITE: 6 channels/6 bands, wireless, directional mics, MM, ATR, manual user controls 86 dB+ Z Series i30 ITE V5260 $2,396.00 70.033% $718.00 $169.98 12 months 24 Months

Z Series i20 ITE: 4 channels/4 bands, wireless, directional mics, MM, ATR, manual user controls 86 dB+ Z Series i20 ITE V5256 $998.00 66.032% $339.00 $84.99 12 months 24 Months

Z Series i20 ITE: 4 channels/4 bands, wireless, directional mics, MM, ATR, manual user controls 86 dB+ Z Series i20 ITE V5260 $1,996.00 66.032% $678.00 $169.98 12 months 24 Months

3 Series 70 ITE: 8 channels/8 bands, directional mics, self learning, ATR, t-coil, MM, remote control optional 86 dB+ 3 Series 70 ITE V5256 $1,698.00 77.091% $389.00 $84.99 12 months 24 Months

3 Series 70 ITE: 8 channels/8 bands, directional mics, self learning, ATR, t-coil, MM, remote control optional 86 dB+ 3 Series 70 ITE V5260 $3,396.00 77.091% $778.00 $169.98 12 months 24 Months

3 Series 30 ITE: 6 channels/6 bands, MM, directional mics, ATR 86 dB+ 3 Series 30 ITE V5256 $998.00 67.034% $329.00 $84.99 12 months 24 Months

3 Series 30 ITE: 6 channels/6 bands, MM, directional mics, ATR 86 dB+ 3 Series 30 ITE V5260 $1,996.00 67.034% $658.00 $169.98 12 months 24 Months

3 Series 20 ITE: 4 channels/4 bands, MM, directional mics, ATR 86 dB+ 3 Series 20 ITE V5256 $798.00 62.531% $299.00 $84.99 12 months 24 Months

3 Series 20 ITE: 4 channels/4 bands, MM, directional mics, ATR 86 dB+ 3 Series 20 ITE V5260 $1,596.00 62.531% $598.00 $169.98 12 months 24 Months

FEATURES = Digital (full digital signal processing with two or three channels, etc.), List CROS and BiCros on separate price lines.

IN THE EAR TYPES – Prices shall be for a single hearing aid or two hearing aids and case. List model number for the full range of instruments. Include all features. Indicate Class D power or Class B power.

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HALF SHELL CONCHA DESCRIPTION & FEATURES (See below) db RANGE

MODEL NUMBER (19 Characters or

less)HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT DISCOUNT OFF LIST

PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)

Z Series i30 HS: 6 channels/6 bands, wireless, directional mics, MM, ATR, manual user controls 86 dB+ Z Series i30 HS V5256 $1,198.00 70.033% $359.00 $84.99 12 month 24 Months

Z Series i30 HS: 6 channels/6 bands, wireless, directional mics, MM, ATR, manual user controls 86 dB+ Z Series i30 HS V5260 $2,396.00 70.033% $718.00 $169.98 12 month 24 Months

Z Series i20 HS: 4 channels/4 bands, wireless, directional mics, MM, ATR, manual user controls 86 dB+ Z Series i20 HS V5256 $998.00 66.032% $339.00 $84.99 12 month 24 Months

Z Series i20 HS: 4 channels/4 bands, wireless, directional mics, MM, ATR, manual user controls 86 dB+ Z Series i20 HS V5260 $1,996.00 66.032% $678.00 $169.98 12 month 24 Months

3 Series 70 HS: 8 channels/8 bands directional mics, self learning, ATR, t-coil, MM, remote control optional 86 dB+ 3 Series 70 HS V5256 $1,698.00 77.091% $389.00 $84.99 12 month 24 Months

3 Series 70 HS: 8 channels/8 bands directional mics, self learning, ATR, t-coil, MM, remote control optional 86 dB+ 3 Series 70 HS V5260 $3,396.00 77.091% $778.00 $169.98 12 month 24 Months

3 Series 30 HS: 6 channels/6 bands MM, directional mics, ATR, MM 86 dB+ 3 Series 30 HS V5256 $998.00 67.034% $329.00 $84.99 12 month 24 Months

3 Series 30 HS: 6 channels/6 bands MM, directional mics, ATR, MM 86 dB+ 3 Series 30 HS V5260 $1,996.00 67.034% $658.00 $169.98 12 month 24 Months

3 Series 20 HS: 4 channels/4 bands, MM, directional mics, ATR 86 dB+ 3 Series 20 HS V5256 $798.00 62.531% $299.00 $84.99 12 month 24 Months

3 Series 20 HS: 4 channels/4 bands, MM, directional mics, ATR 86 dB+ 3 Series 20 HS V5260 $1,596.00 62.531% $598.00 $169.98 12 month 24 Months

IN THE EAR TYPES – Prices shall be for a single hearing aid, or two hearing aids and case. List model number for the full range of instruments. Include all features. Indicate Class D power or Class B power.

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Page 1 of 3

DESCRIPTION & FEATURES (See below) db RANGE MODEL NUMBER (19 Characters or less) HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT

DISCOUNT OFF LIST PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)Tempus Moxi Fit 600 CRT up to 62 TMF600 V5257 $799.00 51.815% $385.00 $75.00 12 MONTH 36 month312 battery, Sound Nav (3 environments), Speech Enhancement, Noise Reduction, Multiband Adapative directionality, Pinna Effect, AntiShock 2, Wind control, Feedback Manager, Natural Sound Balance, Log It All, Patient Ratings, Data logging, Flex:trial, Flex:upgrade, Rechargeable, DuoLink, T-Coil, Easy-T, Binaural Phone, Autmatic Adaption Manager, myMusic, Frequestion compression, Tinnitus masker, IntelliVent, Streaming programs, Manual programs, NAL-NL2/NL1 and DSLv5, 10 fitting channels

up to 62 TMF600 V5261 $1,598.00 51.815% $770.00 $75.00 12 MONTH 36 month

Tempus Moxi Fit 500 CRT up to 62 TMF500 V5257 $549.00 45.537% $299.00 $75.00 12 MONTH 36 month312 battery, AutoMic, Speech Enhancement, Noise Reduction, Multiband Adapative directionality, Pinna Effect, AntiShock 2, Wind control, Feedback Manager, Natural Sound Balance, Log It All, Patient Ratings, Data logging, Flex:trial, Flex:upgrade, Rechargeable, DuoLink, T-Coil, Easy-T, Autmatic Adaption Manager, myMusic, Frequestion compression, Tinnitus masker, IntelliVent, Streaming programs, Manual programs, NAL-NL2/NL1 and DSLv5, 6 fitting channels

up to 62 TMF500 V5261 $1,098.00 45.537% $598.00 $75.00 12 MONTH 36 month

Tempus Moxi Kiss 600 CRT up to 62 TMK600 V5257 $799.00 51.815% $385.00 $75.00 12 MONTH 36 month312 battery, Sound Nav (3 environments), Speech Enhancement, Noise Reduction, Multiband Adapative directionality, Pinna Effect, AntiShock 2, Wind control, Feedback Manager, Natural Sound Balance, Log It All, Patient Ratings, Data logging, Flex:trial, Flex:upgrade, DuoLink, Easy-T, Binaural Phone, Autmatic Adaption Manager, myMusic, Frequestion compression, Tinnitus masker, IntelliVent, Streaming programs, Manual programs, NAL-NL2/NL1 and DSLv5, 10 fitting channels

up to 62 TMK600 V5261 $1,598.00 51.815% $770.00 $75.00 12 MONTH 36 month

Tempus Moxi Kiss 500 CRT up to 62 TMK500 V5257 $549.00 45.537% $299.00 $75.00 12 MONTH 36 month312 battery, AutoMic, Speech Enhancement, Noise Reduction, Multiband Adapative directionality, Pinna Effect, AntiShock 2, Wind control, Feedback Manager, Natural Sound Balance, Log It All, Patient Ratings, Data logging, Flex:trial, Flex:upgrade, DuoLink, Easy-T, Autmatic Adaption Manager, myMusic, Frequestion compression, Tinnitus masker, IntelliVent, Streaming programs, Manual programs, NAL-NL2/NL1 and DSLv5, 6 fitting channels

up to 62 TMK500 V5261 $1,098.00 45.537% $598.00 $75.00 12 MONTH 36 month

Tempus Moxi Dura 600 CRT up to 66 TMD600 V5257 $799.00 51.815% $385.00 $75.00 12 MONTH 36 month13 battery, Sound Nav (3 environments), Speech Enhancement, Noise Reduction, Multiband Adapative directionality, Pinna Effect, AntiShock 2, Wind control, Feedback Manager, Natural Sound Balance, Log It All, Patient Ratings, Data logging, Flex:trial, Flex:upgrade, DuoLink, T-Coil, Easy-T, Easy-DAI, Binaural Phone, Autmatic Adaption Manager, myMusic, Frequestion compression, Tinnitus masker, IntelliVent, Streaming programs, Manual programs, NAL-NL2/NL1 and DSLv5, 10 fitting channels

up to 66 TMD600 V5261 $1,598.00 51.815% $770.00 $75.00 12 MONTH 36 month

Tempus Moxi Dura 500 CRT up to 66 TMD500 V5257 $549.00 45.537% $299.00 $75.00 12 MONTH 36 month13 battery, AutoMic, Speech Enhancement, Noise Reduction, Multiband Adapative directionality, Pinna Effect, AntiShock 2, Wind control, Feedback Manager, Natural Sound Balance, Log It All, Patient Ratings, Data logging, Flex:trial, Flex:upgrade, DuoLink, T-Coil, Easy-T, Easy-DAI, Autmatic Adaption Manager, myMusic, Frequestion compression, Tinnitus masker, IntelliVent, Streaming programs, Manual programs, NAL-NL2/NL1 and DSLv5, 6 fitting channels

up to 66 TMD500 V5261 $1,098.00 45.537% $598.00 $75.00 12 MONTH 36 month

Tempus Moxi Now 600 CRT up to 57 TMN600 V5257 $799.00 51.815% $385.00 $75.00 12 MONTH 36 month10A battery, Sound Nav (3 environments), Speech Enhancement, Noise Reduction, Multiband Adapative directionality, Pinna Effect, AntiShock 2, Wind control, Feedback Manager, Natural Sound Balance, Log It All, Patient Ratings, Data logging, Flex:trial, Flex:upgrade, DuoLink, Easy-T, Binaural Phone, Autmatic Adaption Manager, myMusic, Frequestion compression, Tinnitus masker, IntelliVent, Streaming programs, Manual programs, NAL-NL2/NL1 and DSLv5, 10 fitting channels

up to 57 TMN600 V5261 $1,598.00 51.815% $770.00 $75.00 12 MONTH 36 month

Tempus Moxi Now 500 CRT up to 57 TMN500 V5257 $549.00 45.537% $299.00 $75.00 12 MONTH 36 month10A battery, AutoMic, Speech Enhancement, Noise Reduction, Multiband Adapative directionality, Pinna Effect, AntiShock 2, Wind control, Feedback Manager, Natural Sound Balance, Log It All, Patient Ratings, Data logging, Flex:trial, Flex:upgrade, DuoLink, Easy-T, Autmatic Adaption Manager, myMusic, Frequestion compression, Tinnitus masker, IntelliVent, Streaming programs, Manual programs, NAL-NL2/NL1 and DSLv5, 6 fitting channels

up to 57 TMN500 V5261 $1,098.00 45.537% $598.00 $75.00 12 MONTH 36 month

BEHIND THE EAR TYPES - The total price shall be for a single hearing aid or two hearing aids and appropriate case. List model numbers/name and full range of the instrument has a T-coil or T-coil capability. For digital aids, indicate whether a remote control is required. For conventional aids, indicate whether it is a linear or compression circuit L = Linear, C = Compression.

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DESCRIPTION & FEATURES (See below) db RANGE MODEL NUMBER (19 Characters or less) HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT

DISCOUNT OFF LIST PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)Tempus Moxi Fit R 500 CRT up to 62 TMFR500 V5257 $624.00 45.537% $339.85 $75.00 12 MONTH 36 month312 battery, AutoMic, Speech Enhancement, Noise Reduction, Multiband Adapative directionality, Pinna Effect, AntiShock 2, Wind control, Feedback Manager, Natural Sound Balance, Log It All, Patient Ratings, Data logging, Flex:trial, Flex:upgrade, Rechargeable, DuoLink, T-Coil, Easy-T, Autmatic Adaption Manager, myMusic, Frequestion compression, Tinnitus masker, IntelliVent, Streaming programs, Manual programs, NAL-NL2/NL1 and DSLv5, 6 fitting channels

up to 62 TMFR500 V5261 $1,248.00 45.537% $679.70 $75.00 12 MONTH 36 month

Tempus Stride M 600 BTE up to 63 TSM600 V5257 $799.00 51.815% $385.00 $75.00 12 MONTH 36 month312 battery, Sound Nav, 3 environments, Speech enhancement, Noise reduction, Multiband Adaptive directionality, Pinna effect, AntiShock 2, Wind control, feedback manager, natural sound balance, log it all, data logging, flex:upgrade, flex:trial, duolink, telecoil and easy-t, binaural phone, automatic adaption manager, binaural myMusic, frequency compression, tinnitus masker, intellivent, streaming programs, manual programs, NAL-NL2/NL and DSLv5, 10 Fitting channels

up to 63 TSM600 V5261 $1,598.00 51.815% $770.00 $75.00 12 MONTH 36 month

Tempus Stride M 500 BTE up to 63 TSM500 V5257 $549.00 45.537% $299.00 $75.00 12 MONTH 36 month312 battery, Sound Nav AutoMic, Speech enhancement, Noise reduction, Multiband Adaptive directionality, Pinna effect, AntiShock 2, Wind control, feedback manager, natural sound balance, log it all, data logging, flex:upgrade, flex:trial, duolink, telecoil and easy-t, binaural phone, automatic adaption manager, binaural myMusic, frequency compression, tinnitus masker, intellivent, streaming programs, manual programs, NAL-NL2/NL and DSLv5, 6 Fitting channels

up to 63 TSM500 V5261 $1,098.00 45.537% $598.00 $75.00 12 MONTH 36 month

Tempus P Dura 600 BTE up to 63 TPD600 V5257 $799.00 51.815% $385.00 $75.00 12 MONTH 36 month13 battery, Sound Nav, 3 environments, Speech enhancement, Noise reduction, Multiband Adaptive directionality, Pinna effect, AntiShock 2, Wind control, feedback manager, natural sound balance, log it all, data logging, flex:upgrade, flex:trial, duolink, telecoil and easy-t, easy DAI, binaural phone, automatic adaption manager, binaural myMusic, frequency compression, tinnitus masker, intellivent, streaming programs, manual programs, NAL-NL2/NL and DSLv5, 10 Fitting channels

up to 63 TPD600 V5261 $1,598.00 51.815% $770.00 $75.00 12 MONTH 36 month

Tempus P Dura 500 BTE up to 63 TPD500 V5257 $549.00 45.537% $299.00 $75.00 12 MONTH 36 month13 battery, Sound Nav AutoMic, Speech enhancement, Noise reduction, Multiband Adaptive directionality, Pinna effect, AntiShock 2, Wind control, feedback manager, natural sound balance, log it all, data logging, flex:upgrade, flex:trial, duolink, telecoil and easy-t, binaural phone, automatic adaption manager, binaural myMusic, frequency compression, tinnitus masker, intellivent, streaming programs, manual programs, NAL-NL2/NL and DSLv5, 6 Fitting channels

up to 63 TPD500 V5261 $1,098.00 45.537% $598.00 $75.00 12 MONTH 36 month

Tempus P 600 BTE up to 66 TP600 V5257 $799.00 51.815% $385.00 $75.00 12 MONTH 36 month13 battery, Sound Nav, 3 environments, Speech enhancement, Noise reduction, Multiband Adaptive directionality, Pinna effect, AntiShock 2, Wind control, feedback manager, natural sound balance, log it all, data logging, flex:upgrade, flex:trial, duolink, telecoil and easy-t, binaural phone, automatic adaption manager, binaural myMusic, frequency compression, tinnitus masker, intellivent, streaming programs, manual programs, NAL-NL2/NL and DSLv5, 10 Fitting channels

up to 66 TP600 V5261 $1,598.00 51.815% $770.00 $75.00 12 MONTH 36 month

Tempus P 500 BTE up to 66 TP500 V5257 $549.00 45.537% $299.00 $75.00 12 MONTH 36 month13 battery, Sound Nav AutoMic, Speech enhancement, Noise reduction, Multiband Adaptive directionality, Pinna effect, AntiShock 2, Wind control, feedback manager, natural sound balance, log it all, data logging, flex:upgrade, flex:trial, duolink, telecoil and easy-t, binaural phone, automatic adaption manager, binaural myMusic, frequency compression, tinnitus masker, intellivent, streaming programs, manual programs, NAL-NL2/NL and DSLv5, 6 Fitting channels

up to 66 TP500 V5261 $1,098.00 45.537% $598.00 $75.00 12 MONTH 36 month

Max E SP BTE up to 142 MAXESP V5257 $579.00 39.131% $352.43 $75.00 12 MONTH 36 monthVC, DIR, T-Coil, Easy -T, NR, AS, 4 Prgs, digital, Data-Logging, PAM, 13 Bat, duo-link, 6 bands, 6 channels, SmartFocus SP, Freq Comp, DAI, IP57 Prot Rating, wireless prg, Std Earhook or Slim tube

up to 142 V5261 $1,158.00 39.131% $704.86 $75.00 12 MONTH 36 month

Max E SPm BTE up to 140 MAXESPM V5257 $579.00 39.131% $352.43 $75.00 12 MONTH 36 monthVC, DIR, T-Coil, Easy -T, NR, AS, 4 Prgs, digital, Data-Logging, PAM, 13 Bat, duo-link, 6 bands, 6 channels, SmartFocus SP, Freq Comp, DAI, IP57 Prot Rating, wireless prg, Std Earhook or Slim tube

up to 142 V5261 $1,158.00 39.131% $704.86 $75.00 12 MONTH 36 month

FEATURES = Digital (full digital signal processing with two or three channels, etc.), List CROS and BiCros on separate price lines.

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FULL SHELL CONCHA MODEL DESCRIPTION & FEATURES (See below) db RANGE MODEL NUMBER (19 Characters or less) HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT

DISCOUNT OFF LIST PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)Unitron Stride Full shell 600 up to 130 S600FS V5256 $799.00 51.815% $385.00 $75.00 12 months 36 monthsSound Nav, Sound Conductor, MyMusic, nat snd bal, AAM, Frequency compression, multi-adp dir, NRLD, antishock, tinnitus masker, feedback mngr, opt rem SE+, 3 streaming prog binaural phone, duolink, wireless, 10 bnd, 10 ch, data logging & learning, Log It All, t-coil, easy-t, antishock, IP57, 2 environ ments, digital VC, push-button, wireless

up to 130 S600FS V5260 $1,598.00 51.815% $770.00 $75.00 12 months 36 months

Unitron Stride Full shell 500 up to 130 S500FS V5256 $549.00 45.537% $299.00 $75.00 12 months 36 months4 man prog, Sound Conductor, MyMusic, nat snd bal, AAM, Frequency compression, multi-adp dir, NRLD, antishock, tinnitus masker, feedback mngr, opt rem SE+, 3 streaming prog binaural phone, duolink, wireless, 6 bnd, 6 ch, data logging & learning, Log It All, t-coil, easy-t, antishock, IP57, Auto Mic Sound Nav VC, push-button, wireless

up to 130 S500FS V5260 $1,098.00 45.537% $598.00 $75.00 12 months 36 months

HALF SHELL CONCHA DESCRIPTION & FEATURES (See below) db RANGE MODEL NUMBER (19 Characters or less) HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT

DISCOUNT OFF LIST PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)Unitron Stride Half shell 600 up to 130 S600HS V5256 $799.00 51.815% $385.00 $75.00 12 Months 36 monthsSound Nav, Sound Conductor, MyMusic, nat snd bal, AAM, Frequency compression, multi-adp dir, NRLD, antishock, tinnitus masker, feedback mngr, opt rem SE+, 3 streaming prog binaural phone, duolink, wireless, 10 bnd, 10 ch, data logging & learning, Log It All, t-coil, easy-t, antishock, IP57, 2 environ ments, digital VC, push-button, wireless

up to 130 S600HS V5260 $1,598.00 51.815% $770.00 $75.00 12 Months 36 months

Unitron Stride Half shell 500 up to 130 S500HS V5256 $549.00 45.537% $299.00 $75.00 12 Months 36 months4 man prog, Sound Conductor, MyMusic, nat snd bal, AAM, Frequency compression, multi-adp dir, NRLD, antishock, tinnitus masker, feedback mngr, opt rem SE+, 3 streaming prog binaural phone, duolink, wireless, 6 bnd, 6 ch, data logging & learning, Log It All, t-coil, easy-t, antishock, IP57, Auto Mic Sound Nav VC, push-button, wireless

up to 130 S500HS V5260 $1,098.00 45.537% $598.00 $75.00 12 Months 36 months

LOW PROFILE DESCRIPTION & FEATURES (See below) db RANGE MODEL NUMBER (19 Characters or less) HCPCS CODE(S)

EQUIPMENT PUBLISHED LIST PRICE

EQUIPMENT PERCENT

DISCOUNT OFF LIST PRICE

EQUIPMENT TOTAL PRICE

FIXED NON - WARRANTY

REPAIR PRICE

NON - WARRANTY REPAIR PERIOD

(MONTHS)

WARRANTY REPAIR PERIOD

(MONTHS)Unitron Stride Low Profile 600 up to 130 S600LP 5256 $799.00 51.815% $385.00 $75.00 12 Months 36 monthsSound Nav, Sound Conductor, MyMusic, nat snd bal, AAM, Frequency compression, multi-adp dir, NRLD, antishock, tinnitus masker, feedback mngr, opt rem SE+, 3 streaming prog binaural phone, duolink, wireless, 10 bnd, 10 ch, data logging & learning, Log It All, t-coil, easy-t, antishock, IP57, 2 environ ments, digital VC, push-button, wireless

up to 130 S600LP 5260 $1,598.00 51.815% $770.00 $75.00 12 Months 36 months

Unitron Stride Low Profile 500 up to 130 S500LP 5256 $549.00 45.537% $299.00 $75.00 12 Months 36 months4 man prog, Sound Conductor, MyMusic, nat snd bal, AAM, Frequency compression, multi-adp dir, NRLD, antishock, tinnitus masker, feedback mngr, opt rem SE+, 3 streaming prog binaural phone, duolink, wireless, 6 bnd, 6 ch, data logging & learning, Log It All, t-coil, easy-t, antishock, IP57, Auto Mic Sound Nav VC, push-button, wireless

up to 130 S500LP 5260 $1,098.00 45.537% $598.00 $75.00 12 Months 36 months

IN THE EAR TYPES – Prices shall be for a single hearing aid or two hearing aids and case. List model number for the full range of instruments. Include all features. Indicate Class D power or Class B power.

IN THE EAR TYPES – Prices shall be for a single hearing aid, or two hearing aids and case. List model number for the full range of instruments. Include all features. Indicate Class D power or Class B power.

IN THE EAR TYPES – Prices shall be for a single hearing aid or two hearing aids and case. List model number for the full range of instruments. Include all features. Indicate Class D power or Class B power.

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MODEL NON - NON-WARRANTY WARRANTYBEHIND THE EAR NUMBER PUBLISHED PERCENT (%) WARRANTY REPAIR PERIOD

db (19 Characters HCPC LIST DISCOUNT TOTAL REPAIR PERIOD (MONTHS)DESCRIPTION & FEATURES (See below) RANGE or less) CODE(S) PRICE OFF LIST PRICE PRICE (MONTHS)

Beyond 220 U2-FS receiver in the ear with configurable push button 26-45 dB10 band sensogram, 6 channel processing, U-Platform with direct wireless mobile connectivity, Wireless, 3 Programs and Zen+ and B2-FS 5261 Binaural $2,488.00 69% $770.00 $200.00 12 24

2.4 GHz Bluetooth connectivity allows for direct iPhone audio streaming as well as direct control from smartphones and tablets for both iPhone and select Android phones. 46-65 dB 5257 Monaural $1,244.00 69% $385.00 $100.00 12 24

T-Coil, audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program and66-85 dB86 dB +

Unique 220 U2-FA Fashion BTE with volume control and push button 26-45 dB U2-FA-VC 5261 Binaural $2,288.00 66% $770.00 $200.00 12 2410 band sensogram, 6 channel processing, U-Platform, Wireless, 3 Programs and Zen+ and 5257 Monaural $1,144.00 66% $385.00 $100.00 12 24T-Coil, audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB

and66-85 dB

Unique 220 U2-FA Fashion m-BTE with configurable push button 26-45 dB U2-FA-m 5261 Binaural $2,288.00 66% $770.00 $200.00 12 2410 band sensogram, 6 channel processing, U-Platform, Wireless, 3 Programs and Zen+ and 5257 Monaural $1,144.00 66% $385.00 $100.00 12 24Audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB

and66-85 dB

Unique 220 U2-FS receiver in the ear with configurable push button 26-45 dB10 band sensogram, 6 channel processing, U-Platform, Wireless, 3 Programs and Zen+ and U2-FS 5261 Binaural $2,288.00 66% $770.00 $200.00 12 24T-Coil, audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB 5257 Monaural $1,144.00 66% $385.00 $100.00 12 24

and66-85 dB86 dB +

Unique 220 U2-FS receiver in the ear with push button & Widex Wireless Cros System 26-45 dB

10 band sensogram, 6 channel processing, U-Platform, Wireless, 3 Programs and Zen+ and U2-FS-Cros V5180 Hearing Aid, Cros, BTE

$1,893.00 60% $759.00 $200.00 12 24

T-Coil, audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB $100.00 12 24and

66-85 dB86 dB +

Unique 110 U1-FA Fashion BTE with volume control and push button 26-45 dB10 band sensogram, 4 channel processing, U-Platform, Wireless, 3 Programs and Zen+ and U1-FA-VC 5261 Binaural $1,678.00 62% $630.00 $200.00 12 12T-Coil, audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB 5257 Monaural $839.00 62% $315.00 $100.00 12 12

and66-85 dB

Unique 110 U1-FA Fashion m-BTE with configurable push button 26-45 dB10 band sensogram, 4 channel processing, U-Platform, Wireless, 3 Programs and Zen+ and U1-FA-m 5261 Binaural $1,678.00 62% $630.00 $200.00 12 12Audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB 5257 Monaural $839.00 62% $315.00 $100.00 12 12

and66-85 dB

Unique 110 U1-FS receiver in the ear with configurable push button 26-45 dB10 band sensogram, 4 channel processing, U-Platform, Wireless, 3 Programs and Zen+ and U1-FS 5261 Binaural $1,678.00 62% $630.00 $200.00 12 12T-Coil, audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB 5257 Monaural $839.00 62% $315.00 $100.00 12 12

and66-85 dB86 dB +

Unique 110 U1-FS receiver in the ear with push button & Widex Wireless Cros System 26-45 dB

10 band sensogram, 4 channel processing, U-Platform, Wireless, 3 Programs and Zen+ and U1-FS-Cros V5180 Hearing Aid, Cros, BTE

$1,588.00 57% $689.00 $200.00 12 12

audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB $100.00 12 12and

66-85 dB86 dB +

and86+ dB

Dream 220 9 BTE with volume control 26-45 dB14 band sensogram, 5 channel processing, C-ISP, Wireless, 3 Programs and Zen+ and D2-9-VC 5261 Binaural $1,748.00 60% $700.00 $200.00 12 24T-Coil, audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB 5257 Monaural $874.00 60% $350.00 $100.00 12 24

BEHIND THE EAR TYPES - The total price shall be for a single hearing aid and appropriate case. List model numbers/name and full range of the instrument has a T-coil or T-coil capability. For analog, programmable and digital aids, indicate whether a remote control is required. For conventional aids, indicate whether it is a linear or compression circuit L = Linear, C = Compression.

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MODEL NON - NON-WARRANTY WARRANTYBEHIND THE EAR NUMBER PUBLISHED PERCENT (%) WARRANTY REPAIR PERIOD

db (19 Characters HCPC LIST DISCOUNT TOTAL REPAIR PERIOD (MONTHS)DESCRIPTION & FEATURES (See below) RANGE or less) CODE(S) PRICE OFF LIST PRICE PRICE (MONTHS)

Dream 220 9 BTE without volume control 26-45 dB14 band sensogram, 5 channel processing, C-ISP, Wireless, 3 Programs and Zen+ and D2-9 5261 Binaural $1,748.00 60% $700.00 $200.00 12 24T-Coil, audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB 5257 Monaural $874.00 60% $350.00 $100.00 12 24Dream 220 D2-FS receiver in the ear with push button 26-45 dB14 band sensogram, 5 channel processing, C-ISP, Wireless, 3 Programs and Zen+ and D2-FS 5261 Binaural $1,948.00 64% $700.00 $200.00 12 24T-Coil, audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB 5257 Monaural $974.00 64% $350.00 $100.00 12 24

and66-85 dB86 dB +

Dream 220 m-CB micro ClearBand BTE 26-45 dB14 band sensogram, 5 channel processing, C-ISP, Wireless, 3 Programs and Zen+ and D2-MR CB 5261 Binaural $1,748.00 60% $700.00 $200.00 12 24audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB 5257 Monaural $874.00 60% $350.00 $100.00 12 24Dream 220 Fashion BTE with volume control and program button 26-45 dB14 band sensogram, 5 channel processing, C-ISP, Wireless, 3 Programs and Zen+ and D2-FA-VC 5261 Binaural $1,748.00 60% $700.00 $200.00 12 24T-Coil, audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB 5257 Monaural $874.00 60% $350.00 $100.00 12 24

and66-85 dB

Dream 220 Fashion Power BTE with volume control and program button 46-65 dB14 band sensogram, 5 channel processing, C-ISP, Wireless, 3 Programs and Zen+ and D2-FAP-VC 5261 Binaural $1,748.00 60% $700.00 $200.00 12 24T-Coil, audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 66-85 dB 5257 Monaural $874.00 60% $350.00 $100.00 12 24

and86+ dB

Dream 220 9 BTE with volume control & Widex Wireless Cros System 26-45 dB14 band sensogram, 5 channel processing, C-ISP, Wireless, 3 Programs and Zen+ and D2-9-VC-Cros

T-Coil, audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB V5180 Hearing Aid, Cros, BTE

$1,623.00 55% $724.00 $100.00 12 24

Dream 220 9 BTE without volume control & Widex Wireless Cros System 26-45 dB14 band sensogram, 5 channel processing, C-ISP, Wireless, 3 Programs and Zen+ and D2-9-Cros

T-Coil, audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB V5180 Hearing Aid, Cros, BTE

$1,623.00 55% $724.00 $100.00 12 24

Dream 220 D2-FS receiver in the ear with push button & Widex Wireless Cros System 26-45 dB14 band sensogram, 5 channel processing, C-ISP, Wireless, 3 Programs and Zen+ and D2-FS-Cros

T-Coil, audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB V5180 Hearing Aid, Cros, BTE

$1,723.00 58% $724.00 $100.00 12 24

and66-85 dB86 dB +

Dream 220 m-CB micro ClearBand BTE & Widex Wireless Cros System 26-45 dB14 band sensogram, 5 channel processing, C-ISP, Wireless, 3 Programs and Zen+ and D2-MR CB-Cros

audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB V5180 Hearing Aid, Cros, BTE

$1,623.00 55% $724.00 $100.00 12 24

Dream 220 Fashion BTE with volume control and program button & Widex Wireless Cros System 26-45 dB14 band sensogram, 5 channel processing, C-ISP, Wireless, 3 Programs and Zen+ and D2-FA-VC-Cros

T-Coil, audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB V5180 Hearing Aid, Cros, BTE

$1,623.00 55% $724.00 $100.00 12 24

and66-85 dB

Dream 220 Fashion Power BTE with volume control and program button & Widex Wireless Cros System 46-65 dB14 band sensogram, 5 channel processing, C-ISP, Wireless, 3 Programs and Zen+ and D2-FAP-VC-Cros

T-Coil, audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 66-55 dB V5180 Hearing Aid, Cros, BTE

$1,623.00 55% $724.00 $100.00 12 24

and86+ dB

Dream 110 9 BTE with volume control 26-45 dB14 band sensogram, 3 channel processing, C-ISP, Wireless, 2 Programs and Zen+ and D1-9-VC 5261 Binaural $1,198.00 62% $450.00 $200.00 12 12audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB 5257 Monaural $599.00 62% $225.00 $100.00 12 12Dream 110 9 BTE without volume control 26-45 dB14 band sensogram, 3 channel processing, C-ISP, Wireless, 2 Programs and Zen+ and D1-9 5261 Binaural $1,198.00 62% $450.00 $200.00 12 12audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB 5257 Monaural $599.00 62% $225.00 $100.00 12 12

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Page 3 of 4

MODEL NON - NON-WARRANTY WARRANTYBEHIND THE EAR NUMBER PUBLISHED PERCENT (%) WARRANTY REPAIR PERIOD

db (19 Characters HCPC LIST DISCOUNT TOTAL REPAIR PERIOD (MONTHS)DESCRIPTION & FEATURES (See below) RANGE or less) CODE(S) PRICE OFF LIST PRICE PRICE (MONTHS)

Dream 110 D1-FS receiver in the ear with push button 26-45 dB14 band sensogram, 3 channel processing, C-ISP, Wireless, 2 Programs and Zen+ and D1-FS 5261 Binaural $1,398.00 68% $450.00 $200.00 12 12audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB 5257 Monaural $699.00 68% $225.00 $100.00 12 12

and66-85 dB86 dB +

Dream 110 m-CB micro ClearBand BTE 26-45 dB14 band sensogram, 3 channel processing, C-ISP, Wireless, 2 Programs and Zen+ and D1-MR CB 5261 Binaural $1,198.00 62% $450.00 $200.00 12 12audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB 5257 Monaural $599.00 62% $225.00 $100.00 12 12Dream 110 Fashion BTE with volume control and program button 26-45 dB14 band sensogram, 3 channel processing, C-ISP, Wireless, 2 Programs and Zen+ and D1FA-VC 5261 Binaural $1,198.00 62% $450.00 $200.00 12 12audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB 5257 Monaural $599.00 62% $225.00 $100.00 12 12

and66-85 dB

Dream 110 9 BTE with volume control & Widex Wireless Cros System 26-45 dB14 band sensogram, 3 channel processing, C-ISP, Wireless, 2 Programs and Zen+ and D1-9-VC-Cros

audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB V5180 Hearing Aid, Cros, BTE

$1,348.00 56% $599.00 $100.00 12 12

Dream 110 9 BTE without volume control & Widex Wireless Cros System 26-45 dB14 band sensogram, 3 channel processing, C-ISP, Wireless, 2 Programs and Zen+ and D1-9-Cros

audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB V5180 Hearing Aid, Cros, BTE

$1,348.00 56% $599.00 $100.00 12 12

Dream 110 D1-FS receiver in the ear with push button & Widex Wireless Cros System 26-45 dB14 band sensogram, 3 channel processing, C-ISP, Wireless, 2 Programs and Zen+ and D1-FS-Cros

audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB V5180 Hearing Aid, Cros, BTE

$1,448.00 59% $599.00 $100.00 12 12

and66-85 dB86 dB +

Dream 110 m-CB micro ClearBand BTE & Widex Wireless Cros System 26-45 dB14 band sensogram, 3 channel processing, C-ISP, Wireless, 2 Programs and Zen+ and D1-MR CB-Cros

audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB V5180 Hearing Aid, Cros, BTE

$1,348.00 56% $599.00 $100.00 12 12

Dream 110 Fashion BTE with volume control and program button & Widex Wireless Cros System 26-45 dB14 band sensogram, 3 channel processing, C-ISP, Wireless, 2 Programs and Zen+ and D1FA-VC-Cros

audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB V5180 Hearing Aid, Cros, BTE

$1,348.00 56% $599.00 $100.00 12 12

and66-85 dB

MODEL NON - NON-WARRANTY WARRANTY FULL CONCHA MODEL NUMBER PUBLISHED PERCENT (%) WARRANTY REPAIR PERIOD

IN THE EAR - FULL SHELL db (19 Characters HCPC LIST DISCOUNT TOTAL REPAIR PERIOD (MONTHS)DESCRIPTION & FEATURES (See below) RANGE or less) CODE(S) PRICE OFF LIST PRICE PRICE (MONTHS)

Unique 220 In the Ear-Full Shell 26-45 dB10 band sensogram, 6 channel processing, U-Platform, Wireless, 3 Programs and Zen+ and U2-XPF 5260 Binaural $2,288.00 66% $770.00 $200.00 12 24T-Coil, audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB 5256 Monaural $1,144.00 66% $385.00 $100.00 12 24Unique 110 In the Ear-Full Shell 26-45 dB10 band sensogram, 4 channel processing, U-Platform, Wireless, 3 Programs and Zen+ and U1-XPF 5260 Binaural $1,678.00 62% $630.00 $200.00 12 12T-Coil, audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB 5256 Monaural $839.00 62% $315.00 $100.00 12 12Dream 220 In the Ear-Full Shell 26-45 dB14 band sensogram, 5 channel processing, C-ISP, Wireless, 3 Programs and Zen+ and D2-XPF 5260 Binaural $1,748.00 60% $700.00 $200.00 12 24T-Coil, audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB 5256 Monaural $874.00 60% $350.00 $100.00 12 24Dream 110 In the Ear-Full Shell 26-45 dB14 band sensogram, 3 channel processing, C-ISP, Wireless, 2 Prog and Zen + and D1-XPF 5260 Binaural $1,198.00 62% $450.00 $200.00 12 12adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB 5256 Monaural $599.00 62% $225.00 $100.00 12 12

IN THE EAR TYPES – Prices shall be for a single hearing aid and case. List model number for the full range of instruments. Include all features. Indicate Class D power or Class B power.

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Page 4 of 4

MODEL NON - NON-WARRANTY WARRANTYHALF SHELL CONCHA MODEL NUMBER PUBLISHED PERCENT (%) WARRANTY REPAIR PERIOD

db (19 Characters HCPC LIST DISCOUNT TOTAL REPAIR PERIOD (MONTHS)DESCRIPTION & FEATURES (See below) RANGE or less) CODE(S) PRICE OFF LIST PRICE* PRICE ** (MONTHS)

Unique 220 In the Ear-Half Shell 26-45 dB10 band sensogram, 6 channel processing, U-Platform, Wireless, 3 Programs and Zen+ and U2-XPH 5260 Binaural $2,288.00 66% $770.00 $200.00 12 24T-Coil, audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB 5256 Monaural $1,144.00 66% $385.00 $100.00 12 24Unique 110 In the Ear-Half Shell 26-45 dB10 band sensogram, 4 channel processing, U-Platform, Wireless, 3 Programs and Zen+ and U1-XPH 5260 Binaural $1,678.00 62% $630.00 $200.00 12 12T-Coil, audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB 5256 Monaural $839.00 62% $315.00 $100.00 12 12Dream 220 In the Ear-Half Shell 26-45 dB14 band sensogram, 5 channel processing, C-ISP, Wireless, 3 Programs and Zen+ and D2-XPH 5260 Binaural $1,748.00 60% $700.00 $200.00 12 24T-Coil, audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB 5256 Monaural $874.00 60% $350.00 $100.00 12 24Dream 110 In the Ear-Half Shell 26-45 dB14 band sensogram, 3 channel processing, C-ISP, Wireless, 2 Prog and Zen + and D1-XPH 5260 Binaural $1,198.00 62% $450.00 $200.00 12 12T-Coil, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB 5256 Monaural $599.00 62% $225.00 $100.00 12 12

IN THE EAR TYPES – Prices shall be for a single hearing aid and case. List model number for the full range of instruments. Include all features. Indicate Class D power or Class B power.