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

31080.68

PH030

A30030

Partial opposition post

ea

21682.05

Partial Hand Repairs

PH050

A30050

Partial new silicone socket

ea

9929.04

PH060

A30060

Partial hand - cosmetic glove replaced

ea

7475.52

Wrist Disarticulation Prosthesis

WD020

A30520

Wrist disarticulation - functional (cosmetic/functional)

ea

79837.15

WD021

A30521

Refit Wrist Disarticulation

ea

79837.15

Below Elbow Prosthesis

BE020

A31020

Below elbow prosthesis (cosmetic/functional)

ea

79837.15

BE040

A31040

BE test socket - diagnostic

ea

3393.67

AA150

A33150

Refit Below Elbow

ea

79837.15

Elbow Disarticulation Prosthesis

ED020

A31520

Elbow disarticulation prosthesis (cosmetic/functional)

ea

117476.66

ED030

A31530

ED test socket - diagnostic

ea

3393.67

ED031

A31531

Refit Elbow disarticulation

ea

117476.66

Above Elbow Prosthesis

AE020

A32020

Above elbow prosthesis (cosmetic/functional)

ea

93725.40

AE040

A32040

AE test socket - diagnostic

ea

3393.67

AA140

A33140

Refit Above elbow

ea

93725.40

Shoulder disarticulation Prosthesis

A32510/2

Shoulder disarticulation prosthesis (cosmetic/functional)

ea

119180.60

A33155

Refit Shoulder disarticulatlon

ea

119180.60

SD012

A33156

Flexible inner socket for upper limb prosthesis

5194.22

Upper Limb suspension

A25004

Upper limb liner

ea

13977.66

UP102

A25005

Pull in tube for suction suspension

ea

430.78

UP103

A25006

Donning sheath for suction suspension

ea

1457.85

A25042

Upper limb Shuttle lock (inclusive of pin)

ea

12220.95

Prosthetic Hands

Functional

AA060

A33060

Mechanical cable operated hand (open/closing)

ea

18290.72

AA130

A33130

Prosthetic hook - steel

ea

27217.99

Passive

AA040

A33040

Passive cosmetic hand

ea

14569.47

Cosmetic Gloves

AA100

A33100

Prosthetic glove - cosmetic

ea

7416.67

AA110

A33110

Prosthetic glove - leather

ea

1550.84

Elbows

AE060

A32060

Automatic locking elbow

ea

33008.62

AE062

A32062

AE modular kit

ea

10304.23

AE063

A32063

Replacement forearm

ea

30997.70

AE064

A32064

Replacement elbow cable

ea

1312.57

AE065

A32065

Manual locking elbow

ea

23159.83

AE067

A32067

Step-up joints for short BE or TE

ea

26053.80

Shoulders

AS100

A32066

Standard

ea

10440.96

AS102

A32068

Modular

ea

9024.01

Harness

AA071

A33071

AE Figure 8 harness kit

ea

3747.76

AA808

A33080

Harness - BE

ea

3106.11

Accessories

AA010

A33010

Cable - AE

ea

3398.32

AA030

A33030

Corset -BE

ea

3096.81

AA070

A33070

Harness - AE

ea

3106.13

AA090

A33090

Hook elastics

ea

83.58

AA185

A33185

Axilla Loop

1017.34

AA186

A33186

Axilla pad

1000.45

AA190

A33190

Cable Hanger

ea

268.84

AA160

A33160

Wrist Insert-Only with repairs

ea

2000.79

AA165

A33165

Wrist Unit inclusive of wrist insert

ea

7781.92

AA170

A33170

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

ea

12014.75

AA180

A33180

C708 Base Plate

ea

132.61

AA195

A33195

C711 Standard Hanger

ea

216.10

AA196

A33196

Harness Ball Receiver

ea

406.81

AA198

A33198

Harness Ball Terminal

ea

138.53

AA200

A33200

C701HD Triple Swivel

ea

400.52

AA201

A33201

C703 Standard Triple Swivel

400.52

AA202

A33202

C709HD Retainer

ea

227.18

AA203

A33203

C709 Standard Retainer

ea

194.63

AA204

A33204

C710HD Cross Bar

ea

360.17

AA205

A33205

C710 Standard Cross Bar

ea

348.06

AA206

A33206

Ball shaft adapter

561.04

AA208

A33208

BE harness strap

157.43

AA209

A33209

BE strap connector

775.46

AA210

A33210

Cable housing

488.66

AA211

A33211

Harness anchor plate

84.37

Prosthetic Socks

SS010

A35010

Stump sock - BK 3ply

ea

556.26

SS020

A35020

Stump sock - AK 3ply

ea

622.12

SS030

A35030

Stump sock - Arm 3ply

ea

400.62

SS040

A35040

Stump sock - Symes 3ply

ea

1032.26

SS090

A35090

Prosthetic sheath - imported

ea

624.44

SS100

A35100

Protective sheath - American

3087.27

SS105

A35105

Protective sheath - European (Derma seal)

5206.01

SS106

A35106

Dermaseal residual limb sock 453D7

ea

2799.38

SS110

A35110

Fix Prosthesis - European (Daw)

ea

1482.45

SS120

A35120

Fix Prosthesis - American (silicone suspension liner)

ea

730.53

SS121

A35121

Fix  prosthesis local 601 knee brace

ea

570.65

SS130

A35130

Stump shrinker BK

ea

1177.93

SS140

A35140

Stump shrinker AK

ea

1565.52

Suspension Systems

AK150

A21650

AK - hip-joint and pelvic band to prosthesis

ea

13423.92

AK700

A21700

AK - shoulder belt

ea

1359.78

AK701

A21701

AK - silesion belt

ea

1245.40

AK704

A21704

AK - silesion strap

ea

377.58

AK708

A21708

AK - waist belt

ea

1309.51

AK712

A21712

AK - neoprene suspension belt

ea

3443.57

BK132

A20632

BK joints including thigh corset

ea

24124.62

BK133

A20633

Bk joints including weightbearing corset

ea

27076.77

BK192

A20692

BK back check strap

ea

755.28

BK193

A20693

BK backlift

ea

782.98

BK194

A20694

BK crutch strap

ea

845.25

BK197

A20697

BK ptb strap

ea

1463.72

BK198

A20698

Front Control strap

ea

933.80

BK200

A20700

BK thigh corset

ea

4058.63

BK201

A20701

BK waistbelt leather

ea

1571.13

BK202

A20702

BK waistbelt webbing

ea

1028.90

Ocular Prosthesis

OCU

A53015

Prosthesis Consultation (Not payable with A56000)

908.34

OCU

A53115

Impression for Ocular Prosthesis

3666.98

OCU

A53215

Iris Colour

1515.87

OCU

A53315

Model Fitting

7456.80

OCU

A53415

Prosthetic manufacture and moulding

8614.08

OCU

A53515

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

502.65

OCU

A53715

Glass eye complete with consultation and fitting (attached motivation)

6807.57

OCU

A53815

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

1470.36

OCU

A53915

Trimming and Reshaping

736.17

OCU

A54015

Build up

2178.82

OCU

A54115

Veining

1027.07

OCU

A54215

Polishing

455.16

OCU

A54315

Materials for custom eye

2861.55

OCU

A54415

Stock eye (every 5 years)

2044.25

OCU

A54515

Haptic Lens (every 5 years)

4502.10

OCU

A56000

Complete eye (includes consultation A53015)

28558.15