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All prices subject to change without notice. NOTE: All specifications and dimensions are approximate.

For the most current pricing information, go to www.invacare.com/homecare.

Customer Service: 800-333-6900 Fax: 800-678-4682 To order literature: 800-828-6282

Price List and Order Form www.invacare.com

Date

Phone #Company Name

Address City Zip Code

Account # P.O. #

State Country

Contact Name Comments

Order Quote

TRANSACTION TYPE:

Invacare® IVC™ 9000 XDT Wheelchair

Special NoteHCPCS codes are not intended to be, nor should be considered billing or legal advice. Providers are responsible for determining the appropriate billing codes when submitting claims to the Medicare Program and should consult an attorney or other advisor to discuss specific situations in further detail.

FRAME AND SEAT SELECTIONS

NOTE: All specifications and dimensions are approximate. For the most current pricing information, go to www.invacare.com/homecare.

Form No. 96-091

PRECONFIGURED STOCK CHAIR PTO_38489/WD06/ADULT/28/ADJ/34P/AT903/ 9XDT U2222/COM/U24 (9153638489) ............... $1,300.00

FRAME TYPE

9XDT 9000 XDT Heavy-Duty (K0007) .................... $1,400.00 K0007

See seat-to-floor height selections.

FRAME WIDTH AND DEPTH WD66 16" x 16" ........................................................ No Charge WD67 16" x 17" ........................................................ No ChargeWD68 16" x 18" ........................................................ No ChargeWD60 16" x 20" ............................................................ $118.00 WD76 17" x 16" ........................................................ No ChargeWD77 17" x 17" ........................................................ No Charge WD78 17" x 18" ........................................................ No ChargeWD70 17" x 20" ............................................................ $118.00 WD86 18" x 16" ........................................................ No Charge WD87 18" x 17" ........................................................ No ChargeWD88 18" x 18" ........................................................ No ChargeWD89 18" x 19"............................................................. $118.00WD80 18" x 20" ............................................................ $118.00 WD96 19" x 16" ........................................................ No Charge WD97 19" x 17" ........................................................ No Charge WD98 19" x 18" ........................................................ No Charge WD99 19" x 19" ............................................................ $118.00WD90 19" x 20" ............................................................ $118.00WD06 20" x 16" .........................................................No Charge WD07 20" x 17" ........................................................ No ChargeWD08 20" x 18" ........................................................ No ChargeWD09 20" x 19" ............................................................. $118.00WD202 20" x 20" ............................................................. $118.00WD26 22" x 16" ........................................................ No ChargeWD27 22" x 17" ........................................................ No Charge WD28 22" x 18" ........................................................ No ChargeWD29 22" x 19" ............................................................. $118.00WD222 22" x 20" ............................................................. $118.00

E2201E2203

E2201E2203

E2201

E2201

E2201

E2201

E2201

A9900

A9900

A9900

A9900

A9900

A9900

A9900

A9900

A9900

A9900

E2203

E2203

E2203

E2203

E2201

E2201

E2201

Revised July 13, 2017

CASTERS

WHEELS

WHEEL OPTIONS (ONE ARM DRIVE)

E09589456L One Arm Drive with U2222C LH ..................... $606.009456R One Arm Drive with U2222C RH ..................... $606.009455L One Arm Drive with 5244BK HD LH ............... $697.009455R One Arm Drive with 5244BK HD RH .............. $697.00

E0958

E0958

E0958

These selections are not available with amputee attachment.

NOTE: All specifications and dimensions are approximate. For the most current pricing information, go to www.invacare.com/homecare.

POSITIONING STRAP OPTIONSSEAT POSITIONING STRAPS

E09781311BK Airline Buckle Seat Positioning Strap ................. $50.00

1515 Push Button Style Seat Positioning Strap ............ $50.00

1321BK Hook and Loop Seat Positioning strap ................. $50.00E0978

E0978

A9900

FRONT RIGGING OPTIONS

FOOTPLATE OPTIONS 1350 Extra Large Aluminum Footplates ...................... $79.00AT5543 Adjustable Angle Flip-Up Footplates .................. $67.00

K0041

K0040

Form No. 96-091

ADJ Adjustable Back with 10° Bend 15"-19" ..... No Charge S1418 Straight Back with Push Handles (14"-18"). No Charge

BACK TYPE

K0108

ARM TYPE

18 Full Length Fixed Ht Conv (10") .................. No Charge19 Full Length Adj Ht Conv (10"-14") ................... $126.0028 Desk Length Fixed Ht Conv (10") .................No Charge29 Desk Length Adj Ht Conv (10"-14") ................. $126.0019JY Full Length Adj Ht Conv (8"-10") ..................... $130.00 29JY Desk Length Adj Ht Conv (8"-10") ................... $130.00 78 Full Length Fixed Ht SS (10") .......................No Charge79 Full Length Adj Ht SS (10"-14") ....................... $126.0088 Desk Length Fixed Ht SS (10") ......................No Charge89 Desk Length Adj Ht SS (10"-14") ..................... $126.00

E0973

E0973

E0973

E0973

A9900

A9900

E0973

E0973

These selections come standard with removable flipback arm styles.

ARM AND BACK OPTIONS

A Adult (19 1/2" STF) ........................................... Standard H Hemi (17 1/2" STF) ........................................ No Charge T Tall (21 1/2" STF) ........................................... No Charge

SEAT-TO-FLOOR HEIGHT These selections are based on 24" wheels and 8" casters.

K0056

FRAME AND SEAT SELECTIONS continued

Invacare® IVC™ 9000 XDT Wheelchair

9690B Pull-To-Lock Pivot Link Whl Locks (Std Hemi) .. No Charge 9691B Push-To-Lock Pivot Link Whl Locks (Std Adult) . No Charge

WHEEL LOCKS

1228 8" x 1.75" Semi Pneu Casters Light Grey ........... $56.00AT903 8" x 1.25" Comp Urethane ............................... Standard1299 8" x 1" Solid Rubber Casters ........................ No Charge

CASTER OPTIONS A9900

WHEEL OPTIONS5244BK 24" HD Comp Pneu W/FF Inserts ..................... $298.00U2244BK 24" Comp Urethane Treaded Tires .................... $120.00U2222C 24" Comp Urethane Corded Tires .................... Standard

E2213

1820 Non-Removable Device ..................................... $12.00

FOOTREST/LEGREST ACCESSORIES

K00381337 Calf Strap............................................................. $36.00

1346 Heel Loops .......................................................... $39.00Standard on Swingaway footrests.

A9900

E0951

FRONT RIGGING E0951T93HA Hemi S/A Ftrst Alum Ftplt with Heel Loops ....... $93.00

T93HC Hemi S/A Ftrst Comp Ftplt with Heel Loops ...... $93.00T94HA Hemi Elev Legrests Aluminum Ftplt ................. $180.00T94HC Hemi S/A Elev Legrests Comp Ftplt ................. $180.00

AHL4A Hemi Smartleg® Art Legrests 16" and Above ... $320.00

AHL4C Hemi Smartleg® Art Legrests 16" and Above .... $320.00T93HAB Hemi Bolt-Thru Footrests, Aluminum Footplates ........ $90.00T93HCB Hemi Bolt-Thru Footrests, Comp Footplates .............. $90.00T94HAB Hemi Bolt-Thru Legrests, Aluminum Footplates ..... $175.00

E0951K0195 E0990K0195 E0990K0053

K0053

A9900

A9900

A9900

Revised July 13, 2017

HANDRIM OPTIONSAHDRM Aluminum Hndrms ........................................ No Charge

1512 Plastic Coated Aluminum Hndrms ...................... $85.00

BHDRM Black Hndrms .................................................Standard 1224-8 8 Alum Oblique Proj Hndrms, Plst Coated ........ $252.001225-8 8 Alum Vert Proj Hndrms, Plst Coated .............. $252.00

E0967

Not available with standard U2222C rear wheels.

Not available with 5244BK or U2244BK wheel options.A9900

A9900A9900

Invacare Corporation www.invacare.com USA One Invacare Way Elyria, OH USA 44035-4190 800-333-6900

©2017 Invacare Corporation All rights reserved. Trademarks are identified by the symbols™ and ®. All trademarks are owned by or licensed to Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification.

All prices subject to change without notice. NOTE: All specifications and dimensions are approximate.

For the most current pricing information, go to www.invacare.com/homecare.

Invacare® IVC™ 9000 XDT Wheelchair

ACCESSORIES

Form No. 96-091

9357L Amputee Attachment ......................................... $95.00

1305L Crutch and Cane Carrier ..................................... $43.00

2218 IV Rod, Telescopic ........................................... $148.00

2226 Front Anti-Tipper ............................................... $83.00

MISCELLANEOUS ACCESSORIES

Not available with one arm drive.

Not available with one arm drive.

Not available with one arm drive.

Only available with H93M front riggings.

E0959

K0105

1100 Tool Kit ........................................................ No Charge

STOCK OPTIONS

E22081497 Oxygen Holder Package Assembly .................. $151.00

K01081496 IV/Oxygen Holder Package Assembly ............. $158.00

E09711360A Adjustable Rear Anti-Tipper .............................. $82.00E0961A1576 Wheel Lock Extensions ...................................... $39.00

Only available on Adult or Hemi seat-to-floor.

Only available on Adult or Hemi seat-to-floor.

Elastic cord wheel lock extension. Seat-to-floors come standard with non-cord wheel lock extension.

Weight Limitation 350 lbs. Invacare recommends all wheelchairs to be fitted to the consumer under

the guidance of a healthcare professional knowledgeable of the particular limitations of the product.

COLOR OPTIONS

U240 Black Nylon Upholstery ........................................... Standard U245 Black Sail Cloth Adj Tension Seat ......................... No Charge

U67 Black Vinyl ............................................................ No Charge

UPHOLSTERY COLORS

U245 sail cloth adjustable tension seat upholstery available with U240 black nylon back upholstery only.

Vinyl Upholstery must choose WRAP or SOUPH.

WRAP Wrap Around Vinyl Upholstery ........................... $77.00SOUPH Screwed On Back Upholstery .............................. $89.00

NAUGAHYDE A9900

A9900

Comments

17P Cobalt Blue ............................................................. No Charge61P Electric Red ............................................................ No Charge24P Wet Black ............................................................... No Charge34P Satin (flat) Black ........................................................Standard71P Silver Vein .............................................................. No Charge

FRAME FINISHL8601 Omit Back Upholstery ................................ Less 10.001160 Carrying Pocket ................................................. $54.00STC Stencil Back Upholstery .................................... $29.00

RB Dual Back Liner ................................................ $49.00

BACK ACCESSORIES

Only available with vinyl upholstery. 3/4" block letters.A9270

A9270

A9270

L8651 Omit Seat Upholstery ................................... Less 10.00

SEAT ACCESSORIES

9120 Solid Seat Insert .................................................. $98.00RS Dual Seat Liner ................................................... $49.00

A9900

A9270

ARM ACCESSORIES A9900NRAS Non-Removable Arm with Screws ..................... $10.00E09501300 Utility Tray ........................................................ $157.00

Not available with 24" rear wheel set in Hemi position.

Revised July 13, 2017