Effective March 1, 2014, upon delivery, the DME corresponding to these HCPCS codes is owned by DSS. POWERED PRESSURE-REDUCING AIR MATTRESS E0300 E0277
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1 E0277 POWERED PRESSURE-REDUCING AIR MATTRESS E0300 PEDIATRIC CRIB HOSPITAL GRADE FULLY ENCLOSED WITH OR WITHOUT TOP ENCLOSURE E0301 HOSPITAL BED HEAVY DUTY EXTRA WIDE WITH WEIGHT CAPACITY GREATER THAN 350 POUNDS E0302 HOSPITAL BED EXTRA HEAVY DUTY EXTRA WIDE WITH WEIGHT CAPACITY GREATER THAN 600 P E0303 HOSPITAL BED HEAVY DUTY EXTRA WIDE WITH WEIGHT CAPACITY GREATER THAN 350 POUNDS* E0304 HOSPITAL BED EXTRA HEAVY DUTY EXTRA WIDE WITH WEIGHT CAPACITY GREATER THAN 600 P* E0260 HOSPITAL BED SEMI-ELECTRIC (HEAD AND FOOT ADJUSTMENT) WITH ANY TYPE SIDE RAILS W E0261 HOSPITAL BED SEMI-ELECTRIC (HEAD AND FOOT ADJUSTMENT) WITH ANY TYPE SIDE RAILS W E0266 HOSPITAL BED TOTAL ELECTRIC (HEAD FOOT AND HEIGHT ADJUSTMENTS) WITH ANY TYPE SID E0635 PATIENT LIFT ELECTRIC WITH SEAT OR SLING E0636 PATIENT LIFT SUPPORT AND POSITIONING SYS E0637 COMBINATION SIT TO STAND FRAME/TABLE SYSTEM ANY SIZE INCLUDING PEDIATRIC WITH SE E0639 PATIENT LIFT MOVEABLE FROM ROOM TO ROOM WITH DISASSEMBLY AND REASSEMBLY INCLUDES E0640 PATIENT LIFT FIXED SYSTEM INCLUDES ALL COMPONENTS/ACCESSORIES E0641 STANDING FRAME/TABLE SYSTEM MULTI-POSITION (E.G. THREE-WAY STANDER) ANY SIZE INC E0642 STANDING FRAME/TABLE SYSTEM MOBILE (DYNAMIC STANDER) ANY SIZE INCLUDING PEDIATRI E0958 MANUAL WHEELCHAIR ACCESSORY ONE-ARM DRIVE ATTACHMENT EACH E0983 MANUAL WHEELCHAIR ACCESSORY POWER ADD-ON TO CONVERT MANUAL WHEELCHAIR TO MOTORIZ E0984 MANUAL WHEELCHAIR ACCESSORY POWER ADD-ON TO CONVERT MANUAL WHEELCHAIR TO MOTORIZ E0985 WHEELCHAIR ACCESSORY SEAT LIFT MECHANISM E0986 MANUAL WHEELCHAIR ACCESSORY PUSH ACTIVATED POWER ASSIST EACH E0988 MANUAL WHEELCHAIR ACCESSORY LEVER-ACTIVATED WHEEL DRIVE PAIR E1002 WHEELCHAIR ACCESSORY POWER SEATING SYSTEM TILT ONLY E1003 WHEELCHAIR ACCESSORY POWER SEATING SYSTEM RECLINE ONLY WITHOUT SHEAR REDUCTION E1004 WHEELCHAIR ACCESSORY POWER SEATING SYSTEM RECLINE ONLY WITH MECHANICAL SHEAR RED E1005 WHEELCHAIR ACCESSORY POWER SEATNG SYSTEM RECLINE ONLY WITH POWER SHEAR REDUCTION E1006 WHEELCHAIR ACCESSORY POWER SEATING SYSTEM COMBINATION TILT AND RECLINE WITHOUT S E1007 WHEELCHAIR ACCESSORY POWER SEATING SYSTEM COMBINATION TILT AND RECLINE WITH ME E1008 WHEELCHAIR ACCESSORY POWER SEATING SYSTEM COMBINATION TILT AND RECLINE WITH PO
2 E1009 E1010 E1011 E1014 E1017 E1018 E1029 E1030 E1037 E1050 E1060 E1070 E1083 E1084 E1085 E1086 E1087 E1088 E1089 E1090 E1092 E1093 E1100 E1110 E1130 E1140 E1150 E1160 E1161 E1170 E1171 E1172 WHEELCHAIR ACCESSORY ADDITION TO POWER SEATING SYSTEM MECHANICALLY LINKED LEG EL WHEELCHAIR ACCESSORY ADDITION TO POWER SEATING SYSTEM POWER LEG ELEVATION SYSTEM MODIFICATION TO PEDIATRIC SIZE WHEELCHAIR WIDTH ADJUSTMENT PACKAGE (NOT TO BE DI RECLINING BACK ADDITION TO PEDIATRIC SIZE WHEELCHAIR HEAVY-DUTY SHOCK ABSORBER FOR HEAVY-DUTY OR EXTRA HEAVY-DUTY MANUAL WHEELCHAIR E HEAVY-DUTY SHOCK ABSORBER FOR HEAVY-DUTY OR EXTRA HEAVY-DUTY POWER WHEELCHAIR EA WHEELCHAIR ACCESSORY VENTILATOR TRAY FIXED WHEELCHAIR ACCESSORY VENTILATOR TRAY GIMBALED TRANSPORT CHAIR PEDIATRIC SIZE FULLY-RECLINING WHEELCHAIR FIXED FULL LENGTH ARMS SWING AWAY DETACHABLE ELEVATIN FULLY-RECLINING WHEELCHAIR DETACHABLE ARMS DESK OR FULL LENGTH SWING AWAY DETACH FULLY-RECLINING WHEELCHAIR DETACHABLE ARMS (DESK OR FULL LENGTH) SWING AWAY DETA HEMI-WHEELCHAIR FIXED FULL LENGTH ARMS SWING AWAY DETACHABLE ELEVATING LEG REST HEMI-WHEELCHAIR DETACHABLE ARMS DESK OR FULL LENGTH ARMS SWING AWAY DETACHABLE E HEMI-WHEELCHAIR FIXED FULL LENGTH ARMS SWING AWAY DETACHABLE FOOT RESTS HEMI-WHEELCHAIR DETACHABLE ARMS DESK OR FULL LENGTH SWING AWAY DETACHABLE FOOTRE HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR FIXED FULL LENGTH ARMS SWING AWAY DETACHABL HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR DETACHABLE ARMS DESK OR FULL LENGTH SWING A HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR FIXED LENGTH ARMS SWING AWAY DETACHABLE F HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR DETACHABLE ARMS DESK OR FULL LENGTH SWING A WIDE HEAVY DUTY WHEEL CHAIR DETACHABLE ARMS (DESK OR FULL LENGTH) SWING AWAY D WIDE HEAVY DUTY WHEELCHAIR DETACHABLE ARMS DESK OR FULL LENGTH ARMS SWING AWAY D SEMI-RECLINING WHEELCHAIR FIXED FULL LENGTH ARMS SWING AWAY DETACHABLE ELEVATING SEMI-RECLINING WHEELCHAIR DETACHABLE ARMS (DESK OR FULL LENGTH) ELEVATING LEG STANDARD WHEELCHAIR FIXED FULL LENGTH ARMS FIXED OR SWING AWAY DETACHABLE FOOTRE WHEELCHAIR DETACHABLE ARMS DESK OR FULL LENGTH SWING AWAY DETACHABLE FOOTRESTS WHEELCHAIR DETACHABLE ARMS DESK OR FULL LENGTH SWING AWAY DETACHABLE ELEVATING L WHEELCHAIR FIXED FULL LENGTH ARMS SWING AWAY DETACHABLE ELEVATING LEGRESTS MANUAL ADULT SIZE WHEELCHAIR INCLUDES TILT IN SPACE AMPUTEE WHEELCHAIR FIXED FULL LENGTH ARMS SWING AWAY DETACHABLE ELEVATING LEGRES AMPUTEE WHEELCHAIR FIXED FULL LENGTH ARMS WITHOUT FOOTRESTS OR LEGREST AMPUTEE WHEELCHAIR DETACHABLE ARMS (DESK OR FULL LENGTH) WITHOUT FOOTRESTS OR
3 E1180 E1190 E1195 E1200 E1220 E1221 E1222 E1223 E1224 E1225 E1226 E1227 E1228 E1229 E1230 E1231 E1232 E1233 E1234 E1235 E1236 E1237 E1238 E1240 E1250 E1260 E1270 E1280 E1285 E1290 E1295 E1296 AMPUTEE WHEELCHAIR DETACHABLE ARMS (DESK OR FULL LENGTH) SWING AWAY DETACHABLE F AMPUTEE WHEELCHAIR DETACHABLE ARMS (DESK OR FULL LENGTH) SWING AWAY DETACHABLE E HEAVY DUTY WHEELCHAIR FIXED FULL LENGTH ARMS SWING AWAY DETACHABLE ELEVATING L AMPUTEE WHEELCHAIR FIXED FULL LENGTH ARMS SWING AWAY DETACHABLE FOOTREST WHEELCHAIR; SPECIALLY SIZED OR CONSTRUCTED (INDICATE BRAND NAME MODEL NUMBER IF WHEELCHAIR WITH FIXED ARM FOOTRESTS WHEELCHAIR WITH FIXED ARM ELEVATING LEGRESTS WHEELCHAIR WITH DETACHABLE ARMS FOOTRESTS WHEELCHAIR WITH DETACHABLE ARMS ELEVATING LEGRESTS WHEELCHAIR ACCESSORY MANUAL SEMI-RECLINING BACK (RECLINE GREATER THAN 15 DEGREES WHEELCHAIR ACCESSORY MANUAL FULLY RECLINING BACK (RECLINE GREATER THAN 80 DEGREE SPECIAL HEIGHT ARMS FOR WHEELCHAIR SPECIAL BACK HEIGHT FOR WHEELCHAIR WHEELCHAIR PEDIATRIC SIZE NOT OTHERWISE SPECIFIED POWER OPERATED VEHICLE (THREE OR FOUR WHEEL NONHIGHWAY) SPECIFY BRAND NAME AND WHEELCHAIR PEDIATRIC SIZE TILT-IN-SPACE RIGID ADJUSTABLE WITH SEATING SYSTEM WHEELCHAIR PEDIATRIC SIZE TILT-IN-SPACE FOLDING ADJUSTABLE WITH SEATING SYSTEM WHEELCHAIR PEDIATRIC SIZE TILT-IN-SPACE RIGID ADJUSTABLE WITHOUT SEATING SYSTEM WHEELCHAIR PEDIATRIC SIZE TILT-IN-SPACE FOLDING ADJUSTABLE WITHOUT SEATING SYSTE WHEELCHAIR PEDIATRIC SIZE RIGID ADJUSTABLE WITH SEATING SYSTEM WHEELCHAIR PEDIATRIC SIZE FOLDING ADJUSTABLE WITH SEATING SYSTEM WHEELCHAIR PEDIATRIC SIZE RIGID ADJUSTABLE WITHOUT SEATING SYSTEM WHEELCHAIR PEDIATRIC SIZE FOLDING ADJUSTABLE WITHOUT SEATING SYSTEM LIGHTWEIGHT WHEELCHAIR DETACHABLE ARMS (DESK OR FULL LENGTH) SWING AWAY DETACHAB LIGHTWEIGHT WHEELCHAIR FIXED FULL LENGTH ARMS SWING AWAY DETACHABLE FOOTREST LIGHTWEIGHT WHEELCHAIR DETACHABLE ARMS (DESK OR FULL LENGTH) SWING AWAY DETACHAB LIGHTWEIGHT WHEELCHAIR FIXED FULL LENGTH ARMS SWING AWAY DETACHABLE ELEVATING LE HEAVY DUTY WHEELCHAIR DETACHABLE ARMS (DESK OR FULL LENGTH) ELEVATING LEGRESTS HEAVY DUTY WHEELCHAIR FIXED FULL LENGTH ARMS SWING AWAY DETACHABLE FOOTREST HEAVY DUTY WHEELCHAIR DETACHABLE ARMS (DESK OR FULL LENGTH) SWING AWAY DETACHABL HEAVY DUTY WHEELCHAIR FIXED FULL LENGTH ARMS ELEVATING LEGREST SPECIAL WHEELCHAIR SEAT HEIGHT FROM FLOOR
4 E2201 E2202 E2203 E2204 E2227 E2228 E2230 E2291 E2292 E2293 E2294 E2295 E2300 E2301 E2331 E2340 E2341 E2342 E2343 E2366 E2375 E2376 E2377 E2378 K0001 K0002 K0003 K0004 K0005 K0006 K0007 K0010 MANUAL WHEELCHAIR ACCESSORY NONSTANDARD SEAT FRAME WIDTH GREATER THAN OR EQUAL T MANUAL WHEELCHAIR ACCESSORY NONSTANDARD SEAT FRAME WIDTH INCHES MANUAL WHEELCHAIR ACCESSORY NONSTANDARD SEAT FRAME DEPTH 20 TO LESS THAN 22 INCH MANUAL WHEELCHAIR ACCESSORY NONSTANDARD SEAT FRAME DEPTH 22 TO 25 INCHES MANUAL WHEELCHAIR ACCESSORY GEAR REDUCTION DRIVE WHEEL EACH MANUAL WHEELCHAIR ACCESSORY WHEEL BRAKING SYSTEM AND LOCK COMPLETE EACH MANUAL WHEELCHAIR ACCESSORY MANUAL STANDING SYSTEM BACK PLANAR FOR PEDIATRIC SIZE WHEELCHAIR INCLUDING FIXED ATTACHING HARDWARE SEAT PLANAR FOR PEDIATRIC SIZE WHEELCHAIR INCLUDING FIXED ATTACHING HARDWARE BACK CONTOURED FOR PEDIATRIC SIZE WHEELCHAIR INCLUDING FIXED ATTACHING HARDWARE SEAT CONTOURED FOR PEDIATRIC SIZE WHEELCHAIR INCLUDING FIXED ATTACHING HARDWARE MANUAL WHEELCHAIR ACCESSORY FOR PEDIATRIC SIZE WHEELCHAIR DYNAMIC SEATING FRAME POWER WHEELCHAIR ACCESSORY POWER SEAT ELEVATION SYSTEM POWER WHEELCHAIR ACCESSORY POWER STANDING SYSTEM POWER WHEELCHAIR ACCESSORY ATTENDANT CONTROL PROPORTIONAL INCLUDING ALL RELATED POWER WHEELCHAIR ACCESSORY NONSTANDARD SEAT FRAME WIDTH INCHES POWER WHEELCHAIR ACCESSORY NONSTANDARD SEAT FRAME WIDTH INCHES POWER WHEELCHAIR ACCESSORY NONSTANDARD SEAT FRAME DEPTH 20 OR 21 INCHES POWER WHEELCHAIR ACCESSORY NONSTANDARD SEAT FRAME DEPTH INCHES POWER WHEELCHAIR ACCESSORY BATTERY CHARGER SINGLE MODE FOR USE WITH ONLY ONE BAT POWER WHEELCHAIR ACCESSORY NON-EXPANDABLE CONTROLLER INCLUDING ALL RELATED ELECT POWER WHEELCHAIR ACCESSORY EXPANDABLE CONTROLLER INCLUDING ALL RELATED ELECTRONI POWER WHEELCHAIR ACCESSORY EXPANDABLE CONTROLLER INCLUDING ALL RELATED ELECTRONI POWER WHEELCHAIR COMPONENT ACTUATOR REPLACEMENT ONLY STANDARD WHEELCHAIR STANDARD HEMI (LOW SEAT) WHEELCHAIR LIGHTWEIGHT WHEELCHAIR HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR ULTRALIGHTWEIGHT WHEELCHAIR HEAVY DUTY WHEELCHAIR EXTRA HEAVY DUTY WHEELCHAIR STANDARD - WEIGHT FRAME MOTORIZED/POWER WHEELCHAIR
5 K0011 STANDARD - WEIGHT FRAME MOTORIZED/POWER WHEELCHAIR WITH PROGRAMMABLE CONTROL PAR K0012 LIGHTWEIGHT PORTABLE MOTORIZED/POWER WHEELCHAIR K0108 WHEELCHAIR COMPONENT OR ACCESSORY NOT OTHERWISE SPECIFIED K0800 POWER OPERATED VEHICLE GROUP 1 STANDARD PATIENT WEIGHT CAPACITY UP TO AND INCLUD K0801 POWER OPERATED VEHICLE GROUP 1 HEAVY DUTY PATIENT WEIGHT CAPACITY 301 TO 450 P K0802 POWER OPERATED VEHICLE GROUP 1 VERY HEAVY DUTY PATIENT WEIGHT CAPACITY 451 TO 60 K0806 POWER OPERATED VEHICLE GROUP 2 STANDARD PATIENT WEIGHT CAPACITY UP TO AND INCLUD K0807 POWER OPERATED VEHICLE GROUP 2 HEAVY DUTY PATIENT WEIGHT CAPACITY 301 TO 450 P K0808 POWER OPERATED VEHICLE GROUP 2 VERY HEAVY DUTY PATIENT WEIGHT CAPACITY 451 TO 60 K0812 POWER OPERATED VEHICLE NOT OTHERWISE CLASSIFIED K0813 POWER WHEELCHAIR GROUP 1 STANDARD PORTABLE SLING/SOLID SEAT AND BACK PATIENT WEI K0814 POWER WHEELCHAIR GROUP 1 STANDARD PORTABLE CAPTAINS CHAIR PATIENT WEIGHT CAPACIT K0815 POWER WHEELCHAIR GROUP 1 STANDARD SLING/SOLID SEAT AND BACK PATIENT WEIGHT CAPAC K0816 POWER WHEELCHAIR GROUP 1 STANDARD CAPTAINS CHAIR PATIENT WEIGHT CAPACITY UP TO K0820 POWER WHEELCHAIR GROUP 2 STANDARD PORTABLE SLING/SOLID SEAT/BACK PATIENT WEIGHT K0821 POWER WHEELCHAIR GROUP 2 STANDARD PORTABLE CAPTAINS CHAIR PATIENT WEIGHT CAPACIT K0822 POWER WHEELCHAIR GROUP 2 STANDARD SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY K0823 POWER WHEELCHAIR GROUP 2 STANDARD CAPTAINS CHAIR PATIENT WEIGHT CAPACITY UP TO K0824 POWER WHEELCHAIR GROUP 2 HEAVY DUTY SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACIT K0825 POWER WHEELCHAIR GROUP 2 HEAVY DUTY CAPTAINS CHAIR PATIENT WEIGHT CAPACITY 301 T K0826 POWER WHEELCHAIR GROUP 2 VERY HEAVY DUTY SLING/SOLID SEAT/BACK PATIENT WEIGHT CA K0827 POWER WHEELCHAIR GROUP 2 VERY HEAVY DUTY CAPTAINS CHAIR PATIENT WEIGHT CAPACITY K0828 POWER WHEELCHAIR GROUP 2 EXTRA HEAVY DUTY SLING/SOLID SEAT/BACK PATIENT WEIGHT C K0829 POWER WHEELCHAIR GROUP 2 EXTRA HEAVY DUTY CAPTAINS CHAIR PATIENT WEIGHT 601 PO K0830 POWER WHEELCHAIR GROUP 2 STANDARD SEAT ELEVATOR SLING/SOLID SEAT/BACK PATIENT WE K0831 POWER WHEELCHAIR GROUP 2 STANDARD SEAT ELEVATOR CAPTAINS CHAIR PATIENT WEIGHT CA K0835 POWER WHEELCHAIR GROUP 2 STANDARD SINGLE POWER OPTION SLING/SOLID SEAT/BACK PATI K0836 POWER WHEELCHAIR GROUP 2 STANDARD SINGLE POWER OPTION CAPTAINS CHAIR PATIENT WEI K0837 POWER WHEELCHAIR GROUP 2 HEAVY DUTY SINGLE POWER OPTION SLING/SOLID SEAT/BACK PA K0838 POWER WHEELCHAIR GROUP 2 HEAVY DUTY SINGLE POWER OPTION CAPTAINS CHAIR PATIENT W K0839 POWER WHEELCHAIR GROUP 2 VERY HEAVY DUTY SINGLE POWER OPTION SLING/SOLID SEAT/BA K0840 POWER WHEELCHAIR GROUP 2 EXTRA HEAVY DUTY SINGLE POWER OPTION SLING/SOLID SEAT/B
6 K0841 K0842 K0843 K0848 K0849 K0850 K0851 K0852 K0853 K0854 K0855 K0856 K0857 K0858 K0859 K0860 K0861 K0862 K0863 K0864 K0868 K0869 K0870 K0871 K0877 K0878 K0879 K0880 K0884 K0885 K0886 K0890 POWER WHEELCHAIR GROUP 2 STANDARD MULTIPLE POWER OPTION SLING/SOLID SEAT/BACK PA POWER WHEELCHAIR GROUP 2 STANDARD MULTIPLE POWER OPTION CAPTAINS CHAIR PATIENT W POWER WHEELCHAIR GROUP 2 HEAVY DUTY MULTIPLE POWER OPTION SLING/SOLID SEAT/BACK POWER WHEELCHAIR GROUP 3 STANDARD SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY POWER WHEELCHAIR GROUP 3 STANDARD CAPTAINS CHAIR PATIENT WEIGHT CAPACITY UP TO POWER WHEELCHAIR GROUP 3 HEAVY DUTY SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACIT POWER WHEELCHAIR GROUP 3 HEAVY DUTY CAPTAINS CHAIR PATIENT WEIGHT CAPACITY 301 T POWER WHEELCHAIR GROUP 3 VERY HEAVY DUTY SLING/SOLID SEAT/BACK PATIENT WEIGHT CA POWER WHEELCHAIR GROUP 3 VERY HEAVY DUTY CAPTAINS CHAIR PATIENT WEIGHT CAPACITY POWER WHEELCHAIR GROUP 3 EXTRA HEAVY DUTY SLING/SOLID SEAT/BACK PATIENT WEIGHT C POWER WHEELCHAIR GROUP 3 EXTRA HEAVY DUTY CAPTAINS CHAIR PATIENT WEIGHT CAPACITY POWER WHEELCHAIR GROUP 3 STANDARD SINGLE POWER OPTION SLING/SOLID SEAT/BACK PATI POWER WHEELCHAIR GROUP 3 STANDARD SINGLE POWER OPTION CAPTAINS CHAIR PATIENT WEI POWER WHEELCHAIR GROUP 3 HEAVY DUTY SINGLE POWER OPTION SLING/SOLID SEAT/BACK PA POWER WHEELCHAIR GROUP 3 HEAVY DUTY SINGLE POWER OPTION CAPTAINS CHAIR PATIENT W POWER WHEELCHAIR GROUP 3 VERY HEAVY DUTY SINGLE POWER OPTION SLING/SOLID SEAT/BA POWER WHEELCHAIR GROUP 3 STANDARD MULTIPLE POWER OPTION SLING/SOLID SEAT/BACK PA POWER WHEELCHAIR GROUP 3 HEAVY DUTY MULTIPLE POWER OPTION SLING/SOLID SEAT/BACK POWER WHEELCHAIR GROUP 3 VERY HEAVY DUTY MULTIPLE POWER OPTION SLING/SOLID SEAT/ POWER WHEELCHAIR GROUP 3 EXTRA HEAVY DUTY MULTIPLE POWER OPTION SLING/SOLID SE POWER WHEELCHAIR GROUP 4 STANDARD SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY POWER WHEELCHAIR GROUP 4 STANDARD CAPTAINS CHAIR PATIENT WEIGHT CAPACITY UP TO POWER WHEELCHAIR GROUP 4 HEAVY DUTY SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACIT POWER WHEELCHAIR GROUP 4 VERY HEAVY DUTY SLING/SOLID SEAT/BACK PATIENT WEIGHT CA POWER WHEELCHAIR GROUP 4 STANDARD SINGLE POWER OPTION SLING/SOLID SEAT/BACK PATI POWER WHEELCHAIR GROUP 4 STANDARD SINGLE POWER OPTION CAPTAINS CHAIR PATIENT WEI POWER WHEELCHAIR GROUP 4 HEAVY DUTY SINGLE POWER OPTION SLING/SOLID SEAT/BACK PA POWER WHEELCHAIR GROUP 4 VERY HEAVY DUTY SINGLE POWER OPTION SLING/SOLID SEAT/BA POWER WHEELCHAIR GROUP 4 STANDARD MULTIPLE POWER OPTION SLING/SOLID SEAT/BACK PA POWER WHEELCHAIR GROUP 4 STANDARD MULTIPLE POWER OPTION CAPTAINS CHAIR PATIENT W POWER WHEELCHAIR GROUP 4 HEAVY DUTY MULTIPLE POWER OPTION SLING/SOLID SEAT/BACK POWER WHEELCHAIR GROUP 5 PEDIATRIC SINGLE POWER OPTION SLING/SOLID SEAT/BACK PAT
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