Upper Limb Prosthetics

Rules:

Fee includes all materials to manufacture final prosthesis

No repairs may be charged to CF within 24 months of manufacturing

All definitive sockets needs to be reinforced with carbon fiber

Item

Code

Cat

Code Description

Rand

Partial Hand Prosthesis

PH010

A30010

0

Partial hand passive

ea

29321.39

PH030

A30030

0

Partial opposition post

ea

20454.77

Partial Hand Repairs

PH050

A30050

0

Partial new silicone socket

ea

9367.01

PH060

A30060

0

Partial hand - cosmetic glove replaced

ea

7052.38

Wrist Disarticulation Prosthesis

WD010

A30510

0

Wrist disarticulation - passive (hand & cosmetic glove incl)

ea

57073.24

WD020

A30520

0

Wrist disarticulation - functional (hand & cosmetic glove incl)

ea

75318.07

WD021

A30521

0

Refit Wrist Disarticulation

ea

17044.67

Below Elbow Prosthesis

BE010

A31010

0

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

ea

57073.24

BE020

A31020

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

ea

75318.07

BE040

A31040

0

Below Elbow test socket - diagnostic

ea

3201.58

AA150

A33150

0

Refit Below Elbow

ea

16217.02

Elbow Disarticulation Prosthesis

ED010

A31510

0

Elbow disarticulation prosthesis - passive (hand & cosmetic cover Incl)

ea

85038.44

ED020

A31520

0

Elbow disarticulation prosthesis - functional (hand & cosmetic cover incl)

ea

110827.04

ED030

A31530

0

Elbow disarticulation test socket - diagnostic

ea

3201.58

ED031

A31531

0

Refit Elbow disarticulation

ea

34910.51

Above Elbow Prosthesis

AE010

A32010

0

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

ea

66898.31

AE020

A32020

0

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

ea

88420.20

AE040

A32040

0

Above elbow test socket - diagnostic

ea

3201.58

AA140

A33140

0

Refit Above elbow

ea

25990.98

Shoulder disarticulation Prosthesis

SD010

A32510/1

0

Shoulder disarticulation prosthesis manual elbow - elbow, hand & cosmetic cover incl

ea

92628.98

SD010

A32510/2

0

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

ea

112434.52

SD020

A32520

Shoulder disarticulation prosthesis electric elbow (incl, functional hand & cosmetic cover)

ea

114148.68

A33155

0

Refit Shoulder disarticulatlon

ea

39952.03

SD012

A33156

Flexible inner socket for upper limb prosthesis

4900.21

Upper Limb suspension

UP100

A25042

Upper limb Shuttle lock (inclusive of pin)

ea

11529.20

UP101

A25004

Upper limb liner

ea

13186.48

UP102

A25005

Pull in tube for suction suspension

ea

406.40

UP103

A25006

Donning sheath for suction suspension

ea

1375.33

Prosthetic Hands

Functional

AA060

A33060

Mechanical cable operated hand (open/closing)

17255.39

AA120

A33120

Prosthetic hook - aluminium

20067.82

AA130

A33130

Prosthetic hook - steel

25677.35

Passive

AA040

A33040

Passive cosmetic hand

13744.78

Cosmetic Gloves

AA100

A33100

Prosthetic glove - cosmetic

ea

6996.86

AA110

A33110

Prosthetic glove - leather

ea

1463.06

Elbows

AE060

A32060

Automatic locking elbow

ea

31140.21

AE065

A32065

Manual locking elbow

ea

21848.89

AE065

A32065

Step-upjoints for short BE or TE

ea

24579.06

AE065

A32065

AE modular kit

ea

9720.97

AE065

A32065

Replacement forearm

ea

29243.11

AE065

A32065

Replacement elbow cable

ea

1238.27

Shoulders

AS100

A32066

Standard

ea

9849.96

AS102

A32068

Modular

ea

8513.22

Harness

AA808

A33080

BE harness

ea

2930.30

AA070

A33070

Discontinued

AA071

A33071

AE Figure 8 harness kit

ea

3535.62

Accessories

AA010

A33010

Cable - AE

ea

3205.96

AA020

A33020

0

Cable - BE

ea

2930.26

AA030

A33030

0

Corset -BE

ea

2921.52

AA070

A33070

Harness - AE

ea

2930.31

AA185

A33185

0

Axilla Loop

ea

959.75

AA186

A33186

Axilla pad

943.82

AA090

A33090

0

Hook elastics

ea

77.91

AA160

A33160

0

Wrist Insert-Only with repairs

ea

1887.53

AA165

A33165

0

Wrist Unit inclusive of wrist insert

ea

7341.44

AA170

A33170

0

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

ea

11334.66

AA180

A33180

0

Harness Base Plate

ea

125.10

AA190

A33190

0

Cable Hanger

ea

253.62

AA195

A33195

0

Standard Hanger

ea

203.86

AA196

A33196

0

Harness Ball Receiver

ea

383.78

AA198

A33198

0

Harness Ball Terminal

ea

130.69

AA200

A33200

0

C701HD Triple Swivel

ea

377.85

AA201

A33201

0

C703 Standard Triple Swivel

377.85

AA202

A33202

0

C709HD Retainer

ea

214.32

AA203

A33203

0

C709 Standard Retainer

ea

183.62

AA204

A33204

0

C710HD Cross Bar

ea

339.78

AA205

A33205

0

C710 Standard Cross Bar

ea

328.35

AA206

A33206

Ball shaft adapter

529.28

AA208

A33208

BE harness strap

148.52

AA209

A33209

BE strap connector

731.57

AA210

A33210

Cable housing

461.00

AA211

A33211

Harness anchor plate

79.59

Prosthetic Socks

SS010

A35010

0

Stump sock - BK 3ply

ea

524.78

SS020

A35020

0

Stump sock - AK 3ply

ea

586.91

SS030

A35030

0

Stump sock - Arm 3ply

ea

377.94

SS040

A35040

0

Stump sock - Symes 3ply

ea

973.83

SS090

A35090

0

Prosthetic sheath - imported

ea

589.09

SS100

A35100

0

Protective sheath - American

2912.52

SS105

A35105

0

Protective sheath - European (Derma seal)

4911.33

SS106

A35106

0

Dermaseal residual limb sock 453D7

ea

2640.92

SS110

A35110

0

Fix Prosthesis - European (Daw)

ea

1398.53

SS120

A35120

0

Fix Prosthesis - American (silicone suspension liner)

ea

689.18

SS121

A35121

0

Fix  prosthesis local 601 knee brace

ea

538.35

SS130

A35130

0

Stump shrinker BK

ea

1111.25

SS140

A35140

0

Stump shrinker AK

ea

1476.91

Suspension Systems

AK150

A21650

0

AK - hip-joint and pelvic band to prosthesis

ea

12664.07

AK700

A21700

0

AK - shoulder belt

ea

1282.81

AK701

A21701

0

AK - silesion belt

ea

1174.90

AK704

A21704

0

AK - silesion strap

ea

356.21

AK708

A21708

0

AK - waist belt

ea

1235.39

AK712

A21712

0

AK - neoprene suspension belt

ea

3248.65

BK132

A20632

0

BK joints including thigh corset

ea

22759.07

BK133

A20633

0

Bk joints including weightbearing corset

ea

25544.12

BK192

A20692

0

BK back check strap

ea

712.53

BK193

A20693

0

BK backlift

ea

738.66

BK194

A20694

0

BK crutch strap

ea

797.41

BK197

A20697

0

BK ptb strap

ea

1380.87

BK198

A20698

0

Front Control strap

ea

880.94

BK200

A20700

0

BK thigh corset

ea

3828.90

BK201

A20701

0

BK waistbelt leather

ea

1482.20

BK202

A20702

0

BK waistbelt webbing

ea

970.66

Ocular Prosthesis

OCU

A53015

0

Prosthesis Consultation( Not payable with A56000)

856.92

OCU

A53115

0

Impression for Ocular Prosthesis

3459.42

OCU

A53215

0

Iris Colour

1430.07

OCU

A53315

0

Model Fitting

7034.71

OCU

A53415

Prosthetic manufacture and moulding

8126.49

OCU

A53515

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

474.21

OCU

A53715

Glass eye complete with consultation and fitting (attached motivation)

6422.23

OCU

A53815

0

Drill balland socket (pegging to coral) "attached motivation"

1387.13

OCU

A53915

0

Trimming and Reshaping

694.50

OCU

A54015

0

Build up

2055.49

OCU

A54115

0

Veining

968.93

OCU

A54215

0

Polishing

429.39

OCU

A54315

0

Materials for custom eye

2699.58

OCU

A54415

0

Stock eye (every 5 years)

1928.54

OCU

A54515

0

Haptic Lens (every 5 years)

4247.26

OCU

A56000

0

Complete eye (includes consultation A53015)

26941.65

AA070

A33070

AE triple centre harness complete

ea

6959.98