Phone: Nov-17
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1 By Ormesa New 201 Growth Parkway Angola, IN U.S Suggested Retail Price List in USD Phone: Nov-17 Fax: Quote: P.O. Bill To Dealer: Contact: Address: City: State: Zip: Phone: Fax: Mark For: Ship To Same as Bill To Dealer: Contact: Address: City: State: Zip: Phone: Fax: Mark For: New Bug Features and Specifications Seat - can be used as a floor sitter, width and depth adjustable by 4" in each direction, small (1/2) can be forward or reverse facing Tilt & Recline - incorporated in the seat 40, easily adjusts with levers located on seat back Headrest - incorporated into the backrest so that the child always has a support Backrest - slightly contoured, can recline 40 (hinge coincides with child's center of gravity) height adjustable 4" with slots for accessories Elevating Legrest - push button adjustable, footrest is height and angle adjustable Stroller Frame - bronze powder coated aluminum with an angle adjustable push-handle New BUG Seat - includes: seat back, seat pan, tilt, and recline. NBS New BUG Small $1, E1399 NBS3 New BUG Medium $1, E1399 Base Options NB Wheel Base Sm $1, E1238 NB Wheel Base Md $2, E Set of Tie Down Hooks (Only available with NB869) $ K0108 Intended for forward-facing transport of the pushchair in a motor vehicle. Conforms with ISO 7176/19 and ANSI RESNA WC/19. NB Wheel Base Sm $2, E1238 NB Wheel Base Md $2, E1238 NB856-1 Hi-Low Feeding Base Sm $1, E1399 NB856-3 Hi-Low Feeding Base Md $1, E1399
2 Colors This price is only valid when purchasing a seat unit. Part Number Description Price NBOR-1/NBOR-3 Orange $10.00 NBBL-1/NBBL-3 Blue $10.00 NBPK-1/NBPK-3 Pink $10.00 Footrest Options Footplate and Hardware Required Parts NB810-1 Angle Adjustable Flip Up Footplate Sm requires NB810-HW $ K0040 NB810-3 Angle Adjustable Flip Up Footplate Md requires NB810-HW $ K0040 NB810-HW Footplate Hardware and Adjustment Tool $ E1028 Footrest Accessories NB811 Calf Strap $50.00 E Foot Strap 8-11" $70.00 E A Foot Strap 11-14" $80.00 E0951 NB892-1/2 Padded Foot Plate Sm $ K0108 NB892-3/4 Padded Foot Plate Md $ K0108 Hip Guide Options Hip Guides and Hardware Required Parts Size Small Left Hip Guide width & angle adj armrest & upholstery NB815-L-1 requires NB815-HW Right Hip Guide width & angle adj armrest & upholstery $60.00 E0956 NB815-R-1 requires NB815-HW $60.00 E0956 NB815-L-HW/R- HW Hardware for Hip Guide and Arm Rest $60.00 E1028 Size Medium Left Hip Guide width & angle adj armrest & upholstery NB815-L-3 requires NB815-HW Right Hip Guide width & angle adj armrest & upholstery $60.00 E0956 NB815-R-3 requires NB815-HW $60.00 E0956 NB815-L-HW/R- HW Hardware for Hip Guide and Arm Rest $60.00 E1028 Positioning Options Leg Straps Sm $ K Leg Straps Md $ K0038 Page 2/5
3 Positioning Options Continued NB920-1/2 4 Point Pelvic Belt Sm $ E0978 NB920-3/4 4 Point Pelvic Belt Md $ E Pelvic Belt Sm $95.00 E Pelvic Belt Md $95.00 E /2 Chest Belt Sm $85.00 E /4 Chest Belt Md $85.00 E Point Harness Sm $ E Point Harness Md $ E0960 NB Point Vest Harness Sm $ E0960 NB Point Vest Harness Md $ E Vest Harness Sm $ E Vest Harness Md $ E0960 NB868-1 Wrappable and Flexible Trunk Supports Sm $ E0956 height and depth adjustable NB868-3 Wrappable and Flexible Truck Supports Md $ E0956 height and depth adjustable HB B1 Body Point X Small 4 Point Hip Belt WC19 Compliant $97.00 E size 9" - 11" SH260X5-B1 Body Point X Small Pivot Fit Shoulder Harness WC19 Compliant $ E size 9" - 11" NB838-1 Lateral Pads Sm requires NB838-HW $ E0956 NB838-3 Lateral Pads Md requires NB838-HW $ E0956 NB838-HW Lateral Hardware - height and depth adjustable $ E1028 NB834-1 Padded Abduction Block with Hardware Sm - depth adjustable $ E0957 NB834-3 Padded Abduction Block with Hardware Md - depth adjustable $ E0957 NB852-1 Headrest w/ Parietal Supports Sm - fixed, height adjustable $ E0955 NB852-3 Headrest w/ Parietal Supports Md - fixed, height adjustable $ E0955 NB863-1 Headrest w/ Occipital-Parietal Supports Sm requires NB863-HW $ E0955 NB863-3 Headrest w/ Occipital-Parietal Supports Md requires NB863-HW $ E0955 NB863-HW Multi Axis Hardware - angle and depth adjustable $ E1028 NB934. Suspension Headrest Attachment - angle and depth adjustable requires NB863 & NB 863-HW $65.00 E1028 Page 3/5
4 Accessories NB854-BL Blue Shade Umbrella $ K0108 NB854-BLA Black Shade Umbrella $ K0108 NB854-OR Orange Shade Umbrella $ K0108 NB854-YL Yellow Shade Umbrella $ K0108 NB854-PK Pink Shade Umbrella $ K0108 NB819-1 Retractable Canopy Sm front and rear view window requires NB819-HW $ K0108 Retractable Canopy Md front and rear view window NB819-3 requires NB819-HW $ K0108 NB819-HW Canopy Hardware $95.00 E1028 NB825-1 Rain Cover Sm requires NB819 $ K0108 NB825-3 Rain Cover Md requires NB819 $ K0108 NB824-1 Transparent Table with Edge & Hollow Sm requires NB824-HW $ E0950 NB824-3 Transparent Table with Edge & Hollow Md requires NB824-HW $ E0950 NB824-HW Adjustable and Removable Table Hardware $ E1028 NB839-1 Front Handle Sm $ K0108 NB839-3 Front Handle Md $ K Thermal Cover Sm $ K Thermal Cover Md $ K Medical Necessity Basket - Not compatible with NB927 or NB935 $ K0108 NB927-1 Vent Tray Sm - Not compatible with 858 $ E1029 NB927-3 Vent Tray Md - Not compatible with 858 $ E1029 NB922 Water Bottle Holder $45.00 K0108 NB935 Oxygen Bottle Holder - Not compatible with 858 $ E2208 NB-IV IV Pole $ K0108 Page 4/5
5 Client Measurements: A Back height: F Lower leg length: B Chest depth: G Head height: C Chest width: H Arm height: D Seat depth: Age: E Seat width: Weight: DIMENSIONS 4 wheel base 3 wheel base 4 wheel base with seat Note: All specification and prices are subject to change without notice. Prices listed are only valid if ordering with a unit. The HCPCS codes provided are not intended to be billing or legal advice, rather Innovation In Motion's interpretation of the code definitions. Use of the codes provided does not ensure coverage or payment for the item. For coverage information, verify the policy of the appropriate payer. It is recommended to contact Innovation In Motion with any questions regarding proper ordering of the chair at Page 5/5
Phone: Jan 17. Fax: usa.com Quote: P.O. usa.com Bill To
By Ormesa New 201 Growth Parkway Angola, IN 46703 U.S Suggested Retail Price List Phone: 800 327 0681 Jan 17 Fax: 260 665 3047 Email: iim@mobility usa.com Quote: P.O. www.mobility usa.com Bill To Dealer:
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