Item

Code

Cat

Description

2021 COIDA

GPA

GENERAL PROSTHETIC ACCESSORIES

LA230

A22730

Patella buttons replaced

ea

267.72

LA235

A22735

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

ea

1216.99

LA236

A22736

Re-alignment (dynamic) of BK modular prosthesis

ea

1152.10

LA440

A22940

Stump care - Cleani-stump

box

1143.91

LA450

A22950

Stump care - Ampu-aid

tube

229.26

LA460

A22960

Stump care - talc

tin

310.35

LA461

A22961

Stump/skin lotion

ea

598.73

LA462

A22962

Stump lubricant

ea

474.55

LA463

A22963

Stump cleaner

ea

549.64

LA464

A22964

Stump moisturiser

ea

549.64

LA465

A22965

Stump ointment

ea

679.56

LA466

A22966

Stump moisturiser derma clean

ea

467.19

LA470

A22970

Stump care - balm

tin

549.62

LA480

A22980

Stump coning bandage 6cm

ea

448.30

LA481

A22981

Stump coning bandage 8cm

ea

565.62

LA482

A22982

Stump coning bandage 10cm

ea

758.65

LA483

A22983

Prosthetic sheath albert andre per pair

ea

827.55

LA484

A22984

Prosthetic sheath merit

ea

117.99

LA486

A22986

Stump sock with hole for pin local

ea

353.54

LA487

A22987

Stump sock with pin imported

ea

473.82

LA488

A22988

Dermaseal residual limb stock 453D7

ea

2291.47

LA490

A22990

Stump coning bandage 15cm

ea

827.55

ADAPTORS

AD001

A24001

2R2 tube adaptor stainless steel

ea

2189.42

AD002

A24002

Bibr-003 hawk tube adaptor short E05S-BOSS

ea

997.88

AD003

A24003

2R3 tube adaptor stainless steel

ea

2323.70

AD004

A24004

Tube with adaptor 1907-13

ea

1572.73

AD005

A24005

2R38 tube adaptor titanium

ea

4611.97

AD006

A24006

A-712010 tube adaptor aluminium short

ea

603.48

AD007

A24007

S-712020 tube adaptor aluminium long

ea

761.97

AD008

A24008

Bibr-004 hawk tube adaptor E05S-A SS

ea

1260.76

FOOT ADAPTORS

AD009

A24009

2R8=M10 sach foot adaptor 1907-14

ea

1326.35

AD010

A24010

Sach foot adaptor 1907-14

ea

1422.24

AD011

A24011

2R8=M8 sach foot adaptor stainless

ea

1326.35

AD012

A24012

2R31 sach foot adaptor titanium

ea

3062.83

AD013

A24013

2R54 sach foot adaptor aluminium

ea

2522.86

AD014

A24014

Bibr-001 hawk sach foot adaptor E01S-M10SS

ea

595.51

AD015

A24015

2R10 single axis foot adaptor stainless steel

ea

3297.43

AD016

A24016

2R51 single axis foot adaptor alluminium

ea

7227.43

AD017

A24017

2R33 single axis foot adaptor titanium

ea

9598.67

AD018

A24018

2R14 connection plate for each foot

ea

179.99

AD019

A24019

Sach foam connector

ea

179.99

AD020

A24020

2R22 connection cap for single axis foot

ea

376.21

TUBE CLAMP ADAPTORS

AD021

A24021

4R21 tube clamp adaptor stainless

ea

2065.50

AD022

A24022

Tube clamp connector 1907-22

ea

1438.48

AD023

A24023

4R82 tube clamp adaptor titanium

ea

5627.02

AD024

A24024

A-342100 tube clamp adaptor female pyramid

ea

1519.28

AD025

A24025

409054-BI tube clamp adaptor

ea

2206.40

SOCKET ADAPTORS

AD026

A24026

Bibr-005 hawk clamp adaptor EO7S SS

ea

1118.60

AD027

A24027

4G70 TK lamination anchor

ea

5663.94

AD028

A24028

4R116 lamination anchor with male rotatable adapter

ea

4670.98

AD029

A24029

4R41 lamination anchor with female rotatable adapter

ea

4482.14

AD030

A24030

4R43 three prong lamination anchor - stainless steel

ea

2611.38

AD031

A24031

Rotating socket adaptor 1907-40

ea

3863.96

AD032

A24032

4R51 four hole socket adaptor with rotation - Titanium

ea

5396.85

AD033

A24033

4R37 four hole socket adaptor with rotation-Stainless Steel

ea

2747.12

AD034

A24034

4R89 three prong male rotatable socket adaptor-with rotation

ea

4395.09

AD035

A24035

Bibr-006 hawk 3 prong socket adaptor with rotation

ea

1585.33

AD036

A24036

Bibr-007 hawk 3 pyramid adaptor with rotation

ea

1478.03

AD037

A24037

4R100 socket adaptor titanium Bk

ea

4201.82

AD038

A24038

4R68 socket adaptor aluminium Bk

ea

2887.27

AD039

A24039

4R55 socket adaptor titanium

ea

3585.12

AD040

A24040

4R95 socket adaptor aluminium

ea

2077.30

AD041

A24041

4R22 socket adaptor stainless steel

ea

1532.91

AD042

A24042

2R63 socket adaptor stainless

ea

1866.32

AD043

A24043

BK socket adaptor with pyramid

ea

1618.46

AD044

A24044

4R42 socket adaptor stainless

ea

2564.17

AD045

A24045

3 prong socket adaptor

ea

2083.06

AD046

A24046

A-114040 4 prong socket adaptor

ea

2280.90

AD047

A24047

Bibr-008 3 prong fixed pyramid adaptor E11S SS

ea

1550.30

AD048

A24048

Bibr-009 4 prong socket adaptor E12S SS

ea

912.04

AD249

A24049

5R2 lamination disc - aluminium

ea

1848.62

AD250

A24050

6PC599 socket lamination platform

ea

5594.79

AD251

A24051

Boww-037 laminating socket attachment Block 70020

ea

1193.71

AD252

A24052

Boww-240 laminating socket attachment block

ea

1247.36

AD253

A24053

4R98 Sliding adaptor

ea

5175.56

AD254

A24054

Boww-200 pyramid sliding adaptor

ea

6655.21

SILICONE SLEEVES

SS001

A24001

6Y41 silicone liner without pin

ea

6611.85

SS002

A25002

6Y75 silicone gel liner - trans tibial

ea

9524.34

SS003

A25003

6Y85 sleeve liner transfemoral

ea

10717.56

SS004

A25004

14Y1 silicone arm liner

ea

12029.70

SS006

A25006

I-0104 original icecross sleeve without cover

ea

7488.35

SS008

A25008

I-4013 derma lock in sleeve

ea

10159.07

SS009

A25009

I-5006 icecross comfort locking/Cushion liner

ea

9679.45

SS010

A25010

I-6003 icecross synergy locking

ea

11590.97

SS011

A25011

I-7132 icecross transfemoral locking/cushion liner

ea

12819.88

SS014

A25014

GPDT general purpose liner

ea

13483.67

SS015

A25015

GPFR general purpose liner

ea

13483.67

SS016

A25016

AKDT alps locking liner

ea

13513.96

SS017

A25017

AKFR alps cushion liner

ea

13513.96

SS018

A25018

Boww-016 alpha spirit cushion liner SP ALC5366

ea

10810.34

SS019

A25019

Boww-006 alpha original lock liner

ea

13009.97

SS020

A25020

Boww-221 alpha AK Lock in liner

ea

13264.81

SS021

A25021

Boww 225 alpha AK cushion AKL

ea

10810.34

SEAL IN SLEEVES

SS022

A25022

I-4613 icecross dermo seal in sleeve

ea

11408.97

SS023

A25023

I-7532 icecross transfemoral seal in sleeve

ea

14516.27

SS024

A25024

I-7632 icecross transfemoral seal in conical

ea

14516.27

SEAL IN SOCKS

SS025

A25025

K5313 seal in liner socks 3 ply

ea

342.78

SS026

A25026

K5311 seal in liner sock 1 ply

ea

227.54

KNEE SLEEVES

SS027

A25027

453A2 derma protect seal-in sleeve

ea

3084.80

SS028

A25028

453A30 profelex knee sleeve long

ea

3741.51

SS029

A25029

453A40profelex knee sleeve short

ea

3325.78

SS030

A25030

F-2011 icecross knee sleeve = 35-62

ea

3068.07

SS032

A25032

Genu Sleeve

ea

2105.75

DISTAL CUPS

SS033

A25033

Alpha Gel Cup

ea

2719.22

SS034

A25034

Boww-042 gel cups

ea

1301.01

VOLUME MANAGE PADS

PINS

SS038

A25038

L-192000 attachment pin standard

ea

873.14

SS039

A25039

Boww-074 alpha lock pin

ea

1005.93

SHUTTLE LOCKS

SL040

A25040

6A20 shuttle lock with distal adjustment pyramid

ea

13550.05

SL041

A25041

6A30=20 and 10 shuttle lock

ea

11094.69

SL042

A25042

14A1 shuttle lock to attach 14Y1 Silicone liner

ea

10517.81

SL043

A25043

L-621000 ice ratchet

ea

3148.30

SL044

A25044

109108 blatchfordshuttle lock

ea

10038.32

SL045

A25045

Alps shuttle lock with pyramid S498-P

ea

7851.62

SL047

A25047

Boww-061 alpha lock kit

ea

6657.88

SL048

A25048

Boww-062 lanyard lock kit

ea

7081.71

SL049

A25049

Hawk Shuttle Lock

ea

6169.68

VALVES

VL050

A25050

21Y12 screw valve kit

ea

4414.27

VL051

A25051

21Y40 suction valve

ea

638.82

VL052

A25052

21Y41 seat ring for 21Y40 valve

ea

182.94

VL053

A25053

21Y105 valve kit for flexible sockets

ea

2289.75

VL054

A25054

4R140 one way valve for knee sleeves

ea

1836.82

VL055

A25055

L-552000 ice lock expulsion valve TF AK valve

ea

1841.09

VL056

A25056

L-551002 ice lock expulsion valve TF BK valve

ea

1652.76

VL057

A25057

One way valve VAC300

ea

775.24

VL058

A25058

Green dot valve

ea

1678.76

LA510

A25060

Suction valve standard

ea

875.63

LA520

A25061

Suction valve total contact

ea

1601.82

LA530

A25062

Suction valve Green dot standard

ea

1601.82

LA540

A25063

Suction valve Green dot total contact

ea

1601.82

REPAIR KITS

RK001

A26001

2D2 single component pack for 1A6 and 1A29

ea

1393.28

RK002

A26002

2D3 for 1A20 foot

ea

851.88

RK003

A26003

2D5 service pack for 2R10 ankle

ea

436.79

RK004

A26004

3D4 service kit for 3P23 knee

ea

2073.71

RK005

A26005

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

ea

983.79

RK006

A26006

4D13 service kit for 3R36/R20

ea

1709.39

RK007

A26007

4D18 service kit for 3R46 knee

ea

1479.77

RK008

A26008

4D19 repair kit for 3R55

ea

1240.97

RK009

A26009

4V34 declaration bumper

ea

575.58

RK010

A26010

4H5=26 knee extension stop rubber

ea

140.08

RK011

A26011

4H21 shin extension stop rubber

ea

116.24

RK012

A26012

7U25 joint bearing 509K 11X5X16X5

ea

239.82

RK013

A26013

7U25 joint big screw 501A22

ea

122.46

RK014

A26014

7U25 small joint screw 501S6X8XM3.5

ea

37.50

RK015

A26015

4B52 swinging block

ea

2087.23

RK016

A26016

4D7 repair kit for 3R21/3R30

ea

3384.08

RK017

A26017

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

ea

1247.12

PARTIAL HAND PROSTHESIS

PH010

A30010

Partial hand passive

ea

26749.19

PH030

A30030

Partial opposition post

ea

18660.38

PIPDriver

MCPDriver - 1 Digit w/strap system

MCPDriver - 2 Digit w/strap system

MCPDriver - 3 Digit w/strap system

MCPDriver - 4 Digit w/strap system

ThumbDriver -1 Digit w/strap system

ThumbDriver+1 additional Digit w/strap system

ThumbDriver+2 additional Digit w/strap system

ThumbDriver+3additional Digit w/strap system

ThumbDriver+4 additional Digit w/strap system

Griplock finger

PARTIAL HAND REPAIRS

PH050

A30050

Partial new silicone socket

ea

8545.30

PH060

A30060

Partial hand - cosmetic glove replaced

ea

6433.71

WD

WRIST DISARTICULATION PROSTHESIS

WD010

A30510

Wrist disarticulation-passive (hand & cosmetic cover included)

ea

52066.52

WD020

A30520

Wrist disarticulation-functional(hand & cosmetic cover included)

ea

68710.83

WD021

A30521

Refit Wrist Disarticulation

ea

15549.44

BE

BELOW ELBOW PROSTHESIS

BE010

A31010

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

ea

52066.52

BE020

A31020

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

ea

68710.83

BE040

A31040

BE test socket - diagnostic

ea

2920.72

ED

ELBOW DISARTICULATION PROSTHESIS

ED010

A31510

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

ea

77578.49

ED020

A31520

Elbow disarticulation prosthesis-functional hand and cosmetic cover incl)

ea

101104.80

ED030

A31530

ED test socket - diagnostic

ea

2920.72

ED031

A31531

Refit ED

ea

31848.01

ABOVE ELBOW PROSTHESIS

AE010

A32010

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

61029.69

AE020

A32020

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

80663.58

AE040

A32040

AE test socket - diagnostic

2920.72

ADDITIONAL CHARGES

AE060

A32060

Automatic locking elbow 12K41, 12K42

ea

28408.45

AE065

A32065

Elbow joint with cable lock

ea

19932.21

AE067

A32067

Step-up joints for short BE or TE

ea

22422.87

Notes

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

SD

SHOULDER DISARTICULATION PROSTHESIS

SD010

A32510/1

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

ea

84503.16

A32510/2

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

ea

102571.27

SD020

A32520

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

ea

104135.05

A33155

Refit Shoulder disarticulation

ea

36447.26

AA

ACCESSORIES

AA010

A33010

Cable - AE

ea

2924.72

AA020

A33020

Cable - BE

ea

2673.20

AA030

A33030

Corset - BE

ea

2665.23

AA040

A33040

Passive hand

ea

12539.03

AA060

A33060

Functional hand

ea

15741.67

AA070

A33070

Harness - AE

ea

2673.25

AA080

A33080

Harness - BE

ea

2673.24

AA090

A33090

Hook elastics

ea

71.07

AA100

A33100

Prosthetic glove - cosmetic

ea

6383.06

AA110

A33110

Prosthetic glove - leather

ea

1334.71

AA120

A33120

Prosthetic hook - aluminium

ea

18307.39

AA130

A33130

Prosthetic hook - steel

ea

23424.82

AA140

A33140

Refit AE

ea

23710.93

AA150

A33150

Refit BE

ea

14794.40

AA160

A33160

Wrist insert - Only with repairs

ea

1721.96

AA165

A33165

Wrist Unit inclusive of wrist insert

ea

6697.41

AA170

A33170

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

ea

10340.34

AA180

A33180

C708 Base Plate

ea

114.13

AA185

133185

21A29=25 Auxila Loop

ea

875.56

AA190

A33190

C711HD Hanger

ea

231.37

AA195

A33195

C711 Standard Hanger

ea

185.98

AA196

A33196

C713HD Ball Receiver

ea

350.12

AA197

A33197

C713 Standard Ball Receiver

ea

300.44

AA198

A33198

C703HD Ball Terminal

ea

119.22

AA199

A33199

C703 Standard Ball Terminal

ea

154.99

AA200

A33200

C701HD Triple Swivel

ea

344.70

AA201

A33201

C703 Standard Triple Swivel

344.70

AA202

A33202

C709HD Retainer

ea

195.52

AA203

A33203

C709 Standard Retainer

ea

167.51

AA204

A33204

C710HD Cross Bar

ea

309.97

AA205

A33205

C710 Standard Cross Bar

ea

299.55

SS

PROSTHETIC SOCKS

SS010

A35010

Stump sock - BK 3ply

ea

478.74

SS020

A35020

Stump sock - AK 3ply

ea

535.42

SS030

A35030

Stump sock - Arm 3ply

ea

344.79

SS040

A35040

Stump sock - Symes 3ply

ea

888.40

SS090

A35090

Prosthetic sheath - imported

ea

537.41

SS100

A35100

Protective sheath - American

2657.02

SS105

A35105

Protective sheath - European (Derma seal)

4480.49

SS106

A35106

Dermaseal residual limb sock 453D7

ea

2409.25

SS110

A35110

Fix Prosthesis - European (Daw)

ea

1275.85

SS120

A35120

Fix Prosthesis - American (silicone suspension liner)

ea

628.72

SS121

A35121

Fix prosthesis local 601 kneebrace

ea

491.12

SS130

A35130

Stump shrinker BK

ea

1013.77

SS140

A35140

Stump shrinker AK

ea

1347.35

SUSPENSION SYSTEMS

AK150

A21650

AK - hip-joint and pelvic band to prosthesis

ea

11553.13

AK700

A21700

AK - shoulder belt

ea

1170.28

AK701

A21701

AK - silesion belt

ea

1071.84

AK704

A21704

AK - silesion strap

ea

324.96

AK708

A21708

AK - waist belt

ea

1127.02

AK712

A21712

AK - neoprene suspension belt

ea

2963.67

BK132

A20632

BK joints and thigh corset

ea

20762.55

BK133

A20633

BK joints and weightbearing corset

ea

23303.28

BK192

A20692

BK back check strap

ea

650.02

BK193

A20693

BK backlift

ea

673.87

BK194

A20694

BK crutch strap

ea

727.46

BK197

A20697

BK ptb strap

ea

1259.73

BK198

A20698

Front Control strap

ea

803.66

BK200

A20700

BK thigh corset

ea

3493.01

BK201

A20701

BK waistbelt leather

ea

1352.17

BK202

A20702

BK waistbelt webbing

ea

885.51

OCULAR PROSTHESIS

OCU

A53015

Prosthesis Consultation (Not payable with A56000)

781.75

OCU

A53115

Impression for Ocular Prosthesis

3155.94

OCU

A53215

Iris Colour

1304.62

OCU

A53315

Model fitting

6417.60

OCU

A53415

Prosthetic manufacture and moulding

7413.60

OCU

A53515

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

432.60

OCU

A53715

Glass eye complete with consultation and fitting (attached motivation)

5858.85

OCU

A53815

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

1265.44

OCU

A53915

Trimming and Reshaping

633.57

OCU

A54015

Build up

1875.17

OCU

A54115

Veining

883.94

OCU

A54215

Polishing

391.73

OCU

A54315

Materials for custom eye

2462.76

OCU

A54415

Stock eye (every 5 years)

1759.36

OCU

A54515

Haptic Lens (every 5 years)

3874.68

OCU

A56000

Complete eye (includes consultation A53015)

24578.21

ENDED CODES FOR 2022

A22610/3

1, 2

Foot - w/o ankle CC2 LIGHT OWW

A22616/7

3

Foot with parymid blatchford senior foot 120kg

A22709/3

Knee Cat 2 Total polmer friction

A22985

Fix prosthetic local 601 kneebrace

A25031

BDAW-301 daw G-sleev

A25059

BUSN-002green dot valve stainless steel