Item

Code

Cat

Description

2020 COIDA

GPA

GENERAL PROSTHETIC ACCESSORIES

LA230

A22730

Patella buttons replaced

ea

253.83

LA235

A22735

Re-alignment (dynamic) of AK/TK modular prosthesis

ea

1153.87

LA236

A22736

Re-alignment (dynamic) of BK modular prosthesis

ea

1092.35

LA440

A22940

Stump care - Cleani-stump

box

1084.58

LA450

A22950

Stump care - Ampu-aid

tube

217.37

LA460

A22960

Stump care - talc

tin

294.25

LA461

A22961

Stump/skin lotion

ea

567.67

LA462

A22962

Stump lubricant

ea

449.94

LA463

A22963

Stump cleaner

ea

521.14

LA464

A22964

Stump moisturiser

ea

521.14

LA465

A22965

Stump ointment

ea

644.31

LA466

A22966

Stump moisturiser derma clean

ea

442.96

LA470

A22970

Stump care - balm

tin

521.12

LA480

A22980

Stump coning bandage 6cm

ea

425.05

LA481

A22981

Stump coning bandage 8cm

ea

536.49

LA482

A22982

Stump coning bandage 10cm

ea

719.31

LA483

A22983

Prosthetic sheath albert andre per pair

ea

784.63

LA484

A22984

Prosthetic sheath merit

ea

111.87

LA485

A22985

Fix prosthetic local 601 kneebrace

ea

465.65

LA486

A22986

Stump sock with hole for pin local

ea

335.20

LA487

A22987

Stump sock with pin imported

ea

449.24

LA488

A22988

Dermaseal residual limb stock 453D7

ea

2172.63

LA490

A22990

Stump coning bandage 15cm

ea

784.63

ADAPTORS

AD001

A24001

2R2 tube adaptor stainless steel

ea

2075.87

AD002

A24002

Bibr-003 hawk tube adaptor short E05S-BOSS

ea

946.12

AD003

A24003

2R3 tube adaptor stainless steel

ea

2203.18

AD004

A24004

Tube with adaptor 1907-13

ea

1491.16

AD005

A24005

2R38 tube adaptor titanium

ea

4372.78

AD006

A24006

A-712010 tube adaptor aluminium short

ea

572.18

AD007

A24007

S-712020 tube adaptor aluminium long

ea

722.46

AD008

A24008

Bibr-004 hawk tube adaptor E05S-A SS

ea

1195.37

FOOT ADAPTORS

AD009

A24009

2R8=M10 sach foot adaptor 1907-14

ea

1257.56

AD010

A24010

Sach foot adaptor 1907-14

ea

1348.47

AD011

A24011

2R8=M8 sach foot adaptor stainless

ea

1257.56

AD012

A24012

2R31 sach foot adaptor titanium

ea

2903.98

AD013

A24013

2R54 sach foot adaptor aluminium

ea

2392.02

AD014

A24014

Bibr-001 hawk sach foot adaptor E01S-M10SS

ea

564.62

AD015

A24015

2R10 single axis foot adaptor stainless steel

ea

3126.41

AD016

A24016

2R51 single axis foot adaptor alluminium

ea

6852.92

AD017

A24017

2R33 single axis foot adaptor titanium

ea

9100.85

AD018

A24018

2R14 connection plate for each foot

ea

170.65

AD019

A24019

Sach foam connector

ea

170.65

AD020

A24020

2R22 connection cap for single axis foot

ea

356.70

TUBE CLAMP ADAPTORS

AD021

A24021

4R21 tube clamp adaptor stainless

ea

1958.38

AD022

A24022

Tube clamp connector 1907-22

ea

1363.88

AD023

A24023

4R82 tube clamp adaptor titanium

ea

5335.18

AD024

A24024

A-342100 tube clamp adaptor female pyramid

ea

1440.49

AD025

A24025

409054-BI tube clamp adaptor

ea

2091.97

SOCKET ADAPTORS

AD026

A24026

Bibr-005 hawk clamp adaptor EO7S SS

ea

1060.58

AD027

A24027

4G70 TK lamination anchor

ea

5370.19

AD028

A24028

4R116 lamination anchor with male rotatable adapter

ea

4428.73

AD029

A24029

4R41 lamination anchor with female rotatable adapter

ea

4249.68

AD030

A24030

4R43 three prong lamination anchor - stainless steel

ea

2475.94

AD031

A24031

Rotating socket adaptor 1907-40

ea

3663.57

AD032

A24032

4R51 four hole socket adaptor with rotation - Titanium

ea

5116.95

AD033

A24033

4R37 four hole socket adaptor with rotation-Stainless Steel

ea

2604.65

AD034

A24034

4R89 three prong male rotatable socket adaptor-with rotation

ea

4167.15

AD035

A24035

Bibr-006 hawk 3 prong socket adaptor with rotation

ea

1503.11

AD036

A24036

Bibr-007 hawk 3 pyramid adaptor with rotation

ea

1401.38

AD037

A24037

4R100 socket adaptor titanium Bk

ea

3983.90

AD038

A24038

4R68 socket adaptor aluminium Bk

ea

2737.53

AD039

A24039

4R55 socket adaptor titanium

ea

3399.19

AD040

A24040

4R95 socket adaptor aluminium

ea

1969.57

AD041

A24041

4R22 socket adaptor stainless steel

ea

1453.41

AD042

A24042

2R63 socket adaptor stainless

ea

1769.52

AD043

A24043

BK socket adaptor with pyramid

ea

1534.52

AD044

A24044

4R42 socket adaptor stainless

ea

2431.18

AD045

A24045

3 prong socket adaptor

ea

1975.03

AD046

A24046

A-114040 4 prong socket adaptor

ea

2162.60

AD047

A24047

Bibr-008 3 prong fixed pyramid adaptor E11S SS

ea

1469.89

AD048

A24048

Bibr-009 4 prong socket adaptor E12S SS

ea

864.74

AD249

A24049

5R2 lamination disc - aluminium

ea

1752.75

AD250

A24050

6PC599 socket lamination platform

ea

5304.63

AD251

A24051

Boww-037 laminating socket attachment Block 70020

ea

1131.80

AD252

A24052

Boww-240 laminating socket attachment block

ea

1182.66

AD253

A24053

4R98 Sliding adaptor

ea

4907.14

AD254

A24054

Boww-200 pyramid sliding adaptor

ea

6310.05

SILICONE SLEEVES

SS001

A24001

6Y41 silicone liner without pin

ea

6268.94

SS002

A25002

6Y75 silicone gel liner - trans tibial

ea

9030.38

SS003

A25003

6Y85 sleeve liner transfemoral

ea

10161.71

SS004

A25004

14Y1 silicone arm liner

ea

11405.80

SS006

A25006

I-0104 original icecross sleeve without cover

ea

7099.98

SS008

A25008

I-4013 derma lock in sleeve

ea

9632.19

SS009

A25009

I-5006 icecross comfort locking/Cushion liner

ea

9177.44

SS010

A25010

I-6003 icecross synergy locking

ea

10989.82

SS011

A25011

I-7132 icecross transfemoral locking/cushion liner

ea

12155.00

SS014

A25014

GPDT general purpose liner

ea

12784.36

SS015

A25015

GPFR general purpose liner

ea

12784.36

SS016

A25016

AKDT alps locking liner

ea

12813.09

SS017

A25017

AKFR alps cushion liner

ea

12813.09

SS018

A25018

Boww-016 alpha spirit cushion liner SP ALC5366

ea

10249.69

SS019

A25019

Boww-006 alpha original lock liner

ea

12335.23

SS020

A25020

Boww-221 alpha AK Lock in liner

ea

12576.86

SS021

A25021

Boww 225 alpha AK cushion AKL

ea

10249.69

SEAL IN SLEEVES

SS022

A25022

I-4613 icecross dermo seal in sleeve

ea

10817.27

SS023

A25023

I-7532 icecross transfemoral seal in sleeve

ea

13763.41

SS024

A25024

I-7632 icecross transfemoral seal in conical

ea

13763.41

SEAL IN SOCKS

SS025

A25025

K5313 seal in liner socks 3 ply

ea

325.00

SS026

A25026

K5311 seal in liner sock 1 ply

ea

215.74

KNEE SLEEVES

SS027

A25027

453A2 derma protect seal-in sleeve

ea

2924.82

SS028

A25028

453A30 profelex knee sleeve long

ea

3547.46

SS029

A25029

453A40profelex knee sleeve short

ea

3153.30

SS030

A25030

F-2011 icecross knee sleeve = 35-62

ea

2908.94

SS031

A25031

BDAW-301 daw G-sleeve

ea

1632.83

SS032

A25032

BDMI-182 medi genu sleeve Mk00203000

ea

1996.53

DISTAL CUPS

SS033

A25033

I-3000 distal cup

ea

2578.19

SS034

A25034

Boww-042 gel cups

ea

1233.53

VOLUME MANAGE PADS

PINS

SS038

A25038

L-192000 attachment pin standard

ea

827.86

SS039

A25039

Boww-074 alpha lock pin

ea

953.76

SHUTTLE LOCKS

SL040

A25040

6A20 shuttle lock with distal adjustment pyramid

ea

12847.31

SL041

A25041

6A30=20 and 10 shuttle lock

ea

10519.28

SL042

A25042

14A1 shuttle lock to attach 14Y1 Silicone liner

ea

9972.32

SL043

A25043

L-621000 ice ratchet

ea

2985.02

SL044

A25044

109108 blatchfordshuttle lock

ea

9517.70

SL045

A25045

Alps shuttle lock with pyramid S498-P

ea

7444.42

SL047

A25047

Boww-061 alpha lock kit

ea

6312.59

SL048

A25048

Boww-062 lanyard lock kit

ea

6714.43

SL049

A25049

Bibr-040 hawk shuttle lock E70

ea

5849.70

VALVES

VL050

A25050

21Y12 screw valve kit

ea

4185.33

VL051

A25051

21Y40 suction valve

ea

605.69

VL052

A25052

21Y41 seat ring for 21Y40 valve

ea

173.45

VL053

A25053

21Y105 valve kit for flexible sockets

ea

2171.00

VL054

A25054

4R140 one way valve for knee sleeves

ea

1741.55

VL055

A25055

L-552000 ice lock expulsion valve TF AK valve

ea

1745.61

VL056

A25056

L-551002 ice lock expulsion valve TF BK valve

ea

1567.05

VL057

A25057

BMDI-240 medi vacu valve-1810723000

ea

735.04

VL058

A25058

BUSN-001 green dot valve plastic

ea

1591.70

VL059

A25059

BUSN-002 green dot valve stainless steel

ea

1173.22

LA510

A25060

Suction valve standard

ea

830.21

LA520

A25061

Suction valve total contact

ea

1518.74

LA530

A25062

Suction valve Green dot standard

ea

1518.74

LA540

A25063

Suction valve Green dot total contact

ea

1518.74

REPAIR KITS

RK001

A26001

2D2 single component pack for 1A6 and 1A29

ea

1321.02

RK002

A26002

2D3 for 1A20 foot

ea

807.70

RK003

A26003

2D5 service pack for 2R10 ankle

ea

414.14

RK004

A26004

3D4 service kit for 3P23 knee

ea

1966.16

RK005

A26005

2D1 Service for 3R15/3R46/3R42 knees

ea

932.77

RK006

A26006

4D13 service kit for 3R36/R20

ea

1620.73

RK007

A26007

4D18 service kit for 3R46 knee

ea

1403.02

RK008

A26008

4D19 repair kit for 3R55

ea

1176.61

RK009

A26009

4V34 declaration bumper

ea

545.73

RK010

A26010

4H5=26 knee extension stop rubber

ea

132.82

RK011

A26011

4H21 shin extension stop rubber

ea

110.21

RK012

A26012

7U25 joint bearing 509K 11X5X16X5

ea

227.38

RK013

A26013

7U25 joint big screw 501A22

ea

116.11

RK014

A26014

7U25 small joint screw 501S6X8XM3.5

ea

35.56

RK015

A26015

4B52 swinging block

ea

1978.98

RK016

A26016

4D7 repair kit for 3R21/3R30

ea

3208.57

RK017

A26017

4F34 lock control unit AK (3R17/3R33/3R40/3R41) KNEE

ea

1182.44

PARTIAL HAND PROSTHESIS

PH010

A30010

Partial hand passive

ea

25361.89

PH030

A30030

Partial opposition post

ea

17692.60

PARTIAL HAND REPAIRS

PH050

A30050

Partial new silicone socket

ea

8102.12

PH060

A30060

Partial hand - cosmetic glove replaced

ea

6100.04

WD

WRIST DISARTICULATION PROSTHESIS

WD010

A30510

Wrist disarticulation-passive (hand & cosmetic cover included)

ea

49366.19

WD020

A30520

Wrist disarticulation-functional(hand & cosmetic cover included)

ea

65147.28

WD021

A30521

Refit Wrist Disarticulation

ea

14743.00

BE

BELOW ELBOW PROSTHESIS

BE010

A31010

Below elbow prosthesis-passive(hand & cosmetic cover included)

ea

49366.19

BE020

A31020

Below elbow prosthesis-functional(hand & cosmetic cover included)

ea

65147.28

BE040

A31040

BE test socket - diagnostic

ea

2769.24

ED

ELBOW DISARTICULATION PROSTHESIS

ED010

A31510

Elbow disarticulation prosthesis-passive (hand and cosmetic cover incl)

ea

73555.03

ED020

A31520

Elbow disarticulation prosthesis-functional hand and cosmetic cover incl)

ea

95861.19

ED030

A31530

ED test socket - diagnostic

ea

2769.24

ED031

A31531

Refit ED

ea

30196.27

ABOVE ELBOW PROSTHESIS

AE010

A32010

Above elbow prosthesis - passive (hand & cosmetic cover included)

57864.50

AE020

A32020

Above elbow prosthesis - functional (hand & cosmetic cover included)

76480.12

AE040

A32040

AE test socket - diagnostic

2769.24

ADDITIONAL CHARGES

AE060

A32060

Automatic locking elbow 12K41, 12K42

ea

26935.10

AE065

A32065

Elbow joint with cable lock

ea

18898.47

AE067

A32067

Step-up joints for short BE or TE

ea

21259.95

Notes

Manual locking elbows 12K5 are supplied as standard. Prosthetist may supply an automatic elbow on request and adjust the fee accordingly.

The cost of the standard elbow must be deducted and the automatic elbow added.

Prosthetic hooks are not included with upper extremity prosthesis as standard.

SD

SHOULDER DISARTICULATION PROSTHESIS

SD010

A32510/1

Shoulder disarticulation prosthesis manual elbow (incl. passive hand & cosmetic cover)

ea

80120.56

A32510/2

Shoulder disarticulation prosthesis electric elbow (incl. passive hand & cosmetic cover)

ea

97251.61

SD020

A32520

Shoulder disarticulation - with electric elbow functional hand & cosmetic cover incl

ea

98734.29

A33155

Refit Shoulder disarticulation

ea

34556.99

AA

ACCESSORIES

AA010

A33010

Cable - AE

ea

2773.04

AA020

A33020

Cable - BE

ea

2534.56

AA030

A33030

Corset - BE

ea

2527.00

AA040

A33040

Passive hand

ea

11888.72

AA060

A33060

Functional hand

ea

14925.26

AA070

A33070

Harness - AE

ea

2534.61

AA080

A33080

Harness - BE

ea

2534.59

AA090

A33090

Hook elastics

ea

67.39

AA100

A33100

Prosthetic glove - cosmetic

ea

6052.02

AA110

A33110

Prosthetic glove - leather

ea

1265.49

AA120

A33120

Prosthetic hook - aluminium

ea

17357.91

AA130

A33130

Prosthetic hook - steel

ea

22209.94

AA140

A33140

Refit AE

ea

22481.21

AA150

A33150

Refit BE

ea

14027.11

AA160

A33160

Wrist insert - Only with repairs

ea

1632.65

AA165

A33165

Wrist Unit inclusive of wrist insert

ea

6350.07

AA170

A33170

Manual locking elbow 12K5 (Only charged separate with repairs)

ea

9804.06

AA180

A33180

C708 Base Plate

ea

108.21

AA185

133185

21A29=25 Auxila Loop

ea

830.15

AA190

A33190

C711HD Hanger

ea

219.37

AA195

A33195

C711 Standard Hanger

ea

176.34

AA196

A33196

C713HD Ball Receiver

ea

331.96

AA197

A33197

C713 Standard Ball Receiver

ea

284.85

AA198

A33198

C703HD Ball Terminal

ea

113.04

AA199

A33199

C703 Standard Ball Terminal

ea

146.95

AA200

A33200

C701HD Triple Swivel

ea

326.82

AA201

A33201

C703 Standard Triple Swivel

326.82

AA202

A33202

C709HD Retainer

ea

185.38

AA203

A33203

C709 Standard Retainer

ea

158.82

AA204

A33204

C710HD Cross Bar

ea

293.90

AA205

A33205

C710 Standard Cross Bar

ea

284.02

SS

PROSTHETIC SOCKS

SS010

A35010

Stump sock - BK 3ply

ea

453.91

SS020

A35020

Stump sock - AK 3ply

ea

507.65

SS030

A35030

Stump sock - Arm 3ply

ea

326.90

SS040

A35040

Stump sock - Symes 3ply

ea

842.32

SS090

A35090

Prosthetic sheath - imported

ea

509.54

SS100

A35100

Protective sheath - American

2519.22

SS105

A35105

Protective sheath - European (Derma seal)

4248.12

SS106

A35106

Dermaseal residual limb sock 453D7

ea

2284.30

SS110

A35110

Fix Prosthesis - European (Daw)

ea

1209.68

SS120

A35120

Fix Prosthesis - American (silicone suspension liner)

ea

596.11

SS121

A35121

Fix prosthesis local 601 kneebrace

ea

465.65

SS130

A35130

Stump shrinker BK

ea

961.19

SS140

A35140

Stump shrinker AK

ea

1277.47

SUSPENSION SYSTEMS

AK150

A21650

AK - hip-joint and pelvic band to prosthesis

ea

10953.94

AK700

A21700

AK - shoulder belt

ea

1109.58

AK701

A21701

AK - silesion belt

ea

1016.25

AK704

A21704

AK - silesion strap

ea

308.11

AK708

A21708

AK - waist belt

ea

1068.57

AK712

A21712

AK - neoprene suspension belt

ea

2809.96

BK132

A20632

BK joints and thigh corset

ea

19685.74

BK133

A20633

BK joints and weightbearing corset

ea

22094.70

BK192

A20692

BK back check strap

ea

616.31

BK193

A20693

BK backlift

ea

638.92

BK194

A20694

BK crutch strap

ea

689.73

BK197

A20697

BK ptb strap

ea

1194.40

BK198

A20698

Front Control strap

ea

761.98

BK200

A20700

BK thigh corset

ea

3311.85

BK201

A20701

BK waistbelt leather

ea

1282.05

BK202

A20702

BK waistbelt webbing

ea

839.58

OCULAR PROSTHESIS

OCU

A53015

Prosthesis Consultation (Not payable with A56000)

741.20

OCU

A53115

Impression for Ocular Prosthesis

2992.27

OCU

A53215

Iris Colour

1236.95

OCU

A53315

Model fitting

6084.76

OCU

A53415

Prosthetic manufacture and moulding

7029.11

OCU

A53515

Follow-up (Within 6 months of new or replacement prosthesis but included in item 56000)

410.17

OCU

A53715

Glass eye complete with consultation and fitting (attached motivation)

5554.99

OCU

A53815

Drill ball and socket (pegging to coral) "attached motivation"

1199.81

OCU

A53915

Trimming and Reshaping

600.71

OCU

A54015

Build up

1777.92

OCU

A54115

Veining

838.09

OCU

A54215

Polishing

371.41

OCU

A54315

Materials for custom eye

2335.03

OCU

A54415

Stock eye (every 5 years)

1668.11

OCU

A54515

Haptic Lens (every 5 years)

3673.72

OCU

A56000

Complete eye (includes consultation A53015)

23303.51