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

Partial hand passive

ea

32945.52

PH030

A30030

Partial opposition post

ea

22982.98

Partial Hand Repairs

PH050

A30050

Partial new silicone socket

ea

10524.78

PH060

A30060

Partial hand - cosmetic glove replaced

ea

7924.06

Wrist Disarticulation Prosthesis

WD020

A30520

Wrist disarticulation - (cosmetic/functional) -Hand & cosmetic cover incl

ea

84627.38

WD021

A30521

Refit Wrist Disarticulation - (cosmetic/functional) -Hand & cosmetic cover incl

ea

84627.38

Below Elbow Prosthesis

BE020

A31020

Below elbow prosthesis (cosmetic/functional) -Hand & cosmetic cover incl

ea

84627.38

BE040

A31040

BE test socket - diagnostic

ea

3597.29

AA150

A33150

Refit Below Elbow - (cosmetic/functional) -Hand & cosmetic cover incl

ea

84627.38

Elbow Disarticulation Prosthesis

ED020

A31520

Elbow disarticulation prosthesis - (cosmetic/functional) -Hand & cosmetic cover incl

ea

124525.26

ED030

A31530

ED test socket - diagnostic

ea

3597.29

ED031

A31531

Refit Elbow disarticulation- (cosmetic/functional) -Hand & cosmetic cover incl

ea

124525.26

Above Elbow Prosthesis

AE020

A32020

Above elbow prosthesis - (cosmetic/functional) -Hand & cosmetic cover incl

ea

99348.93

AE040

A32040

AE test socket - diagnostic

ea

3597.29

AA140

A33140

Refit Above elbow - (cosmetic/functional) -Hand & cosmetic cover incl

ea

99348.93

Shoulder disarticulation Prosthesis

A32510/2

Shoulder disarticulation prosthesis - (cosmetic/functional) -Hand & cosmetic cover incl

ea

126331.43

A33155

Refit Shoulder disarticulation - (cosmetic/functional) -Hand & cosmetic cover incl

ea

126331.44

SD012

A33156

Flexible inner socket for upper limb prosthesis

5505.88

Upper Limb suspension

A25004

Upper limb liner

ea

14816.32

UP102

A25005

Pull in tube for suction suspension

ea

456.63

UP103

A25006

Donning sheath for suction suspension

ea

1545.32

A25042

Upper limb Shuttle lock (inclusive of pin)

ea

12954.21

Prosthetic Hands

Functional

AA060

A33060

Mechanical cable operated hand (open/closing)

ea

19388.16

AA130

A33130

Prosthetic hook - steel

ea

28851.07

Passive

AA040

A33040

Passive cosmetic hand

ea

15443.64

Cosmetic Gloves

AA100

A33100

Prosthetic glove - cosmetic

ea

7861.67

AA110

A33110

Prosthetic glove - leather

ea

1643.89

Elbows

AE060

A32060

Automatic locking elbow

ea

34989.14

AE062

A32062

AE modular kit

ea

10922.48

AE063

A32063

Replacement forearm

ea

32857.56

AE064

A32064

Replacement elbow cable

ea

1391.32

AE065

A32065

Manual locking elbow

ea

24549.42

AE067

A32067

Step-up joints for short BE or TE

ea

27617.03

Shoulders

AS100

A32066

Standard

ea

11067.42

AS102

A32068

Modular

ea

9565.45

Harness

AA071

A33071

AE Figure 8 harness kit

ea

3972.62

AA808

A33080

Harness - BE

ea

3292.48

Accessories

AA010

A33010

Cable - AE

ea

3602.22

AA030

A33030

Corset -BE

ea

3282.62

AA070

A33070

Harness - AE

ea

3292.50

AA090

A33090

Hook elastics

ea

87.54

AA185

A33185

Axilla Loop

ea

1078.38

AA186

A33186

Axilla pad

1060.48

A33190

Cable Hanger

284.97

AA160

A33160

Wrist Insert-Only with repairs

ea

2120.84

AA165

A33165

Wrist Unit inclusive of wrist insert

ea

8248.84

AA170

A33170

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

ea

12735.63

AA180

A33180

C708 Base Plate

ea

140.57

AA195

A33195

C711 Standard Hanger

ea

229.07

AA196

A33196

Harness Ball Receiver

ea

431.22

AA198

A33198

Harness Ball Terminal

ea

146.84

AA200

A33200

C701HD Triple Swivel

ea

424.55

AA201

A33201

C703 Standard Triple Swivel

424.55

AA202

A33202

C709HD Retainer

ea

240.81

AA203

A33203

C709 Standard Retainer

ea

206.31

AA204

A33204

C710HD Cross Bar

ea

381.78

AA205

A33205

C710 Standard Cross Bar

ea

368.94

AA206

A33206

Ball shaft adapter

594.70

AA208

A33208

BE harness strap

166.88

AA209

A33209

BE strap connector

821.99

AA210

A33210

Cable housing

517.98

AA211

A33211

Harness anchor plate

89.43

Prosthetic Socks

SS010

A35010

Stump sock - BK 3ply

ea

589.64

SS020

A35020

Stump sock - AK 3ply

ea

659.45

SS030

A35030

Stump sock - Arm 3ply

ea

424.65

SS040

A35040

Stump sock - Symes 3ply

ea

1094.19

SS090

A35090

Prosthetic sheath - imported

ea

661.90

SS100

A35100

Protective sheath - American

3272.51

SS105

A35105

Protective sheath - European (Derma seal)

5518.37

SS106

A35106

Dermaseal residual limb sock 453D7

ea

2967.34

SS110

A35110

Fix Prosthesis - European (Daw)

ea

1571.39

SS120

A35120

Fix Prosthesis - American (silicone suspension liner)

ea

774.36

SS121

A35121

Fix  prosthesis local 601 knee brace

ea

604.89

SS130

A35130

Stump shrinker BK

ea

1248.60

SS140

A35140

Stump shrinker AK

ea

1659.45

Suspension Systems

AK150

A21650

AK - hip-joint and pelvic band to prosthesis

ea

14229.35

AK700

A21700

AK - shoulder belt

ea

1441.37

AK701

A21701

AK - silesion belt

ea

1320.12

AK704

A21704

AK - silesion strap

ea

400.24

AK708

A21708

AK - waist belt

ea

1388.09

AK712

A21712

AK - neoprene suspension belt

ea

3650.19

BK132

A20632

BK joints including thigh corset

ea

25572.10

BK133

A20633

Bk joints including weightbearing corset

ea

28701.38

BK192

A20692

BK back check strap

ea

800.60

BK193

A20693

BK backlift

ea

829.96

BK194

A20694

BK crutch strap

ea

895.97

BK197

A20697

BK ptb strap

ea

1551.55

BK198

A20698

Front Control strap

ea

989.83

BK200

A20700

BK thigh corset

ea

4302.15

BK201

A20701

BK waistbelt leather

ea

1665.40

BK202

A20702

BK waistbelt webbing

ea

1090.63

Ocular Prosthesis

OCU

A53015

Prosthesis Consultation (Not payable with A56000)

962.84

OCU

A53115

Impression for Ocular Prosthesis

3887.00

OCU

A53215

Iris Colour

1606.82

OCU

A53315

Model Fitting

7904.21

OCU

A53415

Prosthetic manufacture and moulding

9130.93

OCU

A53515

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

532.81

OCU

A53715

Glass eye complete with consultation and fitting (attached motivation)

7216.02

OCU

A53815

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

1558.58

OCU

A53915

Trimming and Reshaping

780.34

OCU

A54015

Build up

2309.55

OCU

A54115

Veining

1088.70

OCU

A54215

Polishing

482.47

OCU

A54315

Materials for custom eye

3033.25

OCU

A54415

Stock eye (every 5 years)

2166.91

OCU

A54515

Haptic Lens (every 5 years)

4772.23

OCU

A56000

Complete eye (includes consultation A53015)

30271.64