March 1, 2017 (Prices are subject to change without notice.) COMPONENT PRICE LIST
March 1, 2017(Prices are subject to change without notice.)
COMPONENTPRICE LIST
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
Effective March 1, 2017
PPL_117_REV I
permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
Stock Code Description Unit List Price HCPCS Code
200602 COMP. HANGER TOP PIVOT .051,M EA $6 K0108
200603 1” FOOTREST CLAMP,M6-RAW EA $19
200933 FTREST TUBE EXPAN CLAMP-B,MTR EA $22 K0108
200940 SIDEGUARD BRACKET RIGID,M4 EA $50 K0108
201126 AERO Z CUSTOM T-NUT,M6 EA $5 K0108
201138 BACKPLUG SHORT,1.00 x .051,MTR EA $3 K0108
201146 COMP HANGER RELEASE PIN,METRIC EA $9 K0108
201147 COMP. HANGER TOP PIVOT,METRIC EA $6 K0108
201151 HANGER PLUG .083,METRIC EA $6 K0108
201228 CUSTOM T-NUT M6 EA $8 K0108
201251 COMP. HANGER MOUNT .051,METRIC EA $6 K0108
201260 COMP. HANGER MOUNT,METRIC EA $5 K0108
201262 Z2 BACK SADDLE,METRIC EA $15 K0108
201263 STRAIGHT 11-15 BACKREST TUBE EA $60 K0108
201266 STRAIGHT 16-20 BACKREST TUBE EA $60 K0108
201268 8° 11-15 BACKREST TUBE EA $65 K0108
201270 8° 16-20 BACKREST TUBE EA $65 K0108
201272 ANGLEADJ FOOTPLATE 6.0,METRIC EA $48 K0108
201273 ANGLE ADJ FOOTPLATE 7.0,METRIC EA $48 K0108
201274 HIMOUNT FTPLATE EXT, 2”,METRIC EA $37 K0108
201275 HIMOUNT FTPLATE EXT, 4”,METRIC EA $37 K0108
201276 PED, FOOTREST SPACER,METRIC EA $26
201279 D-ADJ FLIPBACK FTPLATE,M,8-10” EA $110
201280 D-ADJ FLIPBACK FTPLATE,M,9-11” EA $107
201281 D-ADJ FLPBACK FTPLATE,M,10-12” EA $110
201282 D-ADJ FLPBACK FTPLATE,M,11-13” EA $110
201283 D-ADJ FLPBACK FTPLATE,M,12-14” EA $110
201299 LOCKING BLOCK,6mm EA $26 K0108
201300 FLIPUP FTPLT BRKT,1” TUBE,R,M EA $29 K0108
201301 LT FTPLATE FOLDER 4.203,MTR EA $73 K0108
201305 FOOTPLATE DPTH ADJ,12-13”,MTR EA $62 K0108
201308 FOOTPLATE DPTH ADJ,14-15”,MTR EA $62 K0108
201310 FTPLATE RT OVRCNT 8.814,MTR EA $42 K0108
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
PPL_117_REV I
Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
201317 PIVOT TUBE,7.00”, 9.36” EA $20 K0108
201324 D-SHAPE EXT BENT,7.25,M EA $10 K0108
201327 FTREST EXT STR MED,METRIC EA $41 K0108
201392 STANDOFF HEX,SS,METRIC EA $8
201394 1” TUBE BACKREST SADDLE,METRIC EA $26
201396 FOLDDOWN BACK ADJ TUBE XS,MTR EA $7 K0108
201398 FOLDDOWN BACK ADJ TUBE STD,MTR EA $8 K0108
201401 BACKREST TUBE EXT. PLUG,METRIC EA $15 K0108
201402 UPHOLSTRY RETAINER,METRIC EA $16 K0108
201405 FLIP BACK ARMREST TUBE,METRIC EA $27 K0108
201408 CASTER AXLE, LONG,METRIC EA $7 K0108
201409 FLIPUP FTPLT BRKT,1” TUBE,L,M EA $29 K0108
201410 SLIDEIN SEAT TUBE EXT PLUG,MTR EA $8 K0108
201412 ANGLE ADJ FOOTPLATE 8.000,MTR EA $48 K0108
201413 ANGLE ADJ FOOTPLATE 9.0,METRIC EA $48 K0108
201414 ANGLEADJ FOOTPLATE 10.0,METRIC EA $48 K0108
201415 ANGLEADJ FOOTPLATE 11.0,METRIC EA $48 K0108
201417 CLAMP STOP,METRIC EA $25 K0108
201418 FLIP BACK SPACER,METRIC EA $8 K0108
201432 ENDPLUG,C-FIBER RELEASE BAR,M6 EA $21 K0108
201434 LT FTPLATE FOLDER 5.203,MTR EA $73 K0108
201436 RT FOOTPLATE FOLDER 5.203,MTR EA $73 K0108
201437 LT FTPLATE FOLDER 6.203,MTR EA $73 K0108
201438 RT FOOTPLATE FOLDER 6.203,MTR EA $73 K0108
201442 LT FTPLATE FOLDER 7.203,MTR EA $73 K0108
201443 RT FOOTPLATE FOLDER 7.203,MTR EA $73 K0108
201444 RT FOOTPLATE FOLDER 4.203,MTR EA $73 K0108
201445 PED, FTRST ANG ADJ BRACKET,MTR EA $48 K0108
201448 FTPLATE RT OVRCNT 5.814,METRIC EA $73 K0108
201449 FTPLATE RT OVRCNT 6.314,METRIC EA $73 K0108
201450 FTPLATE RT OVRCNT 6.814,METRIC EA $73 K0108
201451 FTPLATE RT OVRCNT 7.814,METRIC EA $73 K0108
201455 FTREST ANGLE ADJ. BTM EXT,RT,M EA $55 K0108
201457 FTPLATE RT OVRCNT 5.314,METRIC EA $73 K0108
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
Effective March 1, 2017
PPL_117_REV I
permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
201464 FOLDDOWN BACK ADJ TUBE LNG,MTR EA $11 K0108
201465 Z2 ARMREST ADJ RCVR,RT,METRIC EA $48 K0108
201466 Z2 ARMREST ADJ RCVR,LT,METRIC EA $48 K0108
201475 FTREST EXT,D-SHAPE BENT,MED,M6 EA $10 K0043
201476 FTREST EXT,D-SHAPE BENT,LNG,M6 EA $10 K0043
201502 ZRA SPORTARM TUBE-RIGHT,MTR EA $81 K0108
201513 2GX ARMREST RCVR,MTR EA $41 K0108
201515 Z2 ARMREST TUBE TALL-LT,MTR EA $81 K0108
201516 Z2 ARMREST TUBE TALL-RT,MTR EA $81 K0108
201521 OVR CTR FOOTPLATE HINGE,METRIC EA $23 K0108
201535 ARM TUBE,AA,SHORT 12-15”,L,M6 EA $79 K0108
201536 ARM TUBE,AA,SHORT 12-15”,R,M6 EA $79 K0108
201540 SEATRAIL 11”,M5 EA $6 K0108
201565 CAMBER CLAMP RT, METRIC EA $45 K0108
201566 CAMBER CLAMP LFT, METRIC EA $45 K0108
201567 CAMBER CLAMP,METRIC EA $15 K0108
201568 LOCKING ,METRIC EA $13 K0108
201583 6-9” FLIP BACK ARM UPRIGHT,MTR EA $34 K0108
201584 9-12” FLIPBACK ARM UPRIGHT,MTR EA $34 K0108
201610 AX/R,ARMREST TUBE,9-12” R,MTR EA $70 K0108
201611 AX/R,ARMREST TUBE,9-12” L,MTR EA $70 K0108
201617 AX/R,ARMREST TUBE,12-15” R,MTR EA $70 K0108
201618 AX/R,ARMREST TUBE,12-15” L,MTR EA $70 K0108
201651 Z2 BACK EXT TUBE, SHORT,MTR EA $32 K0108
201652 CAP, RIGID SIDEGUARD,M5 EA $11 K0108
201674 SEATRAIL 12”, M5 EA $6 K0108
201675 SEATRAIL 13”, M5 EA $6 K0108
201676 SEATRAIL 14”, M5 EA $6 K0108
201677 SEATRAIL 15”, M5 EA $6 K0108
201678 SEATRAIL 16”, M5 EA $6 K0108
201680 SEATRAIL 17”, M5 EA $6 K0108
201681 SEATRAIL 18”, M5 EA $6 K0108
201682 SEATRAIL 19”, M5 EA $6 K0108
201683 SEATRAIL 20”, M5 EA $6 K0108
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
PPL_117_REV I
Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
201684 SEATRAIL 10”, M5 EA $6 K0108
201685 SEATRAIL 9”, M5 EA $6 K0108
201686 COMPOSITE SEAT PAN RIB, M3 EA $24
201712 BEARING FORK STEM,STD,M10/M12 EA $11 K0108
201714 BEARINGFORK STEM,+0.5”,M10/M12 EA $19 K0108
201723 BACKREST LATCH SPACER,M6 EA $4 K0108
201728 FLIP BACK ARMREST STOP LT,M5 EA $62 K0108
201729 FLIP BACK ARMREST STOP RT,M5 EA $62 K0108
201733 P-HANDLE 11-15 TUBE,MTR EA $65 K0108
201734 P-HANDLE 8° 11-15 TUBE,MTR EA $70 K0108
201735 P-HANDLE 8° 16-20 TUBE,MTR EA $70 K0108
201736 FOLDDOWN BACK TOP PIVOT,M6 EA $53 K0108
201749 FTPLATE LT OVRCTR 5.814, MTR EA $73 K0108
201750 FTPLATE LT OVRCTR 6.814, MTR EA $73 K0108
201751 FTPLATE LT OVRCTR 7.814, MTR EA $73 K0108
201752 FTPLATE LT OVRCTR 5.314, MTR EA $73 K0108
201753 FTPLATE LT OVRCTR 6.314, MTR EA $73 K0108
201754 FTPLATE LT OVRCTR 7.314, MTR EA $73 K0108
201761 SNGLSIDE CASTER ENDCAP-CLR,M5 EA $15 K0108
201762 SNGLSIDE CASTER ENDCAP-BLK,M5 EA $15 K0108
201772 SPINERGY POWER/MAN SPACER,M4 EA $9 K0108
201773 COLLAR, QUAD QUICK RLS AXLE,M4 EA $9 K0108
201776 C-FIBER12K FLAT TOW PANEL,STD EA $106 K0108
201777 C-FIBER12K FLAT TOW PANEL,SML EA $106 K0108
201784 CAST, TOE CLAMP,RIGHT,M6 EA $24 K0108
201789 VERT AXLE PLATE/COMP SADDLE,M6 EA $13 K0108
201790 COMP. HANGER DEFLECTOR -LT,M5 EA $6 K0108
201848 LUGGAGE CARRIER CLAMP,1.25”,M6 EA $47 K0108
201855 ZR CAMBER CLAMP-BLK,M6 EA $34 K0108
201864 CAST, TOE CLAMP,LEFT,M6 EA $24 K0108
201874 ROTATION BRACKET,M6 EA $18 K0108
201890 COMP. HANGER DEFLECTOR -RT,M5 EA $6 K0108
201891 RIGID AXLE PLATE CLAMP,M6 EA $39 K0108
201892 SRTD ADJHT P-HNDL PLATE,M4/M6 EA $16 K0108
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
Effective March 1, 2017
PPL_117_REV I
permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
201893 FTPLATE RT OVRCNT 8.314,MTR EA $43 K0108
201895 FOOTPLATE DPTH ADJ,16-17”,M6 EA $62 K0041
201896 FOOTPLATE DPTH ADJ,18-19”,M6 EA $62 K0041
201899 ARM STOP,M6 EA $30 K0108
201900 PED, ARM STOP,M5 EA $19 K0108
201907 AX2, WHEEL LOCK EXT X-LONG,M6 EA $27 K0108
201912 1-PIECE FLIPUP FTRST SPACER,M6 EA $13 K0108
201913 FTPLATE LT OVRCNT 8.314,MTR EA $43 K0108
201947 P/P WHEEL LOCK MOUNT LONG,M6 EA $27 K0108
201948 CLAMP,WHLLOCK,THRD,1.25-.75,M6 EA $20 K0108
201949 CRUTCH HOLDER BENT TUBE,M5/M6 EA $40 K0108
201953 BAND CLAMP, THREADED,M6 EA $11 K0108
201965 SIDEGUARD SPACER,M6 EA $8 K0108
201984 AERO X AMPUTEE AXLE PLATE,M6 EA $106 E0959
201987 FOLDING BACKREST BAR PIVOT,M6 EA $38 K0108
201998 Z2 STD ANTI-TIP RCVR,RT,M6 EA $37 K0108
201999 Z2 STD ANTI-TIP RCVR,LT,M6 EA $37 K0108
202000 FENDERED SG TAB,M6 EA $30 K0108
202003 M6 FLAT HEAD SPACER EA $6 K0108
202004 CENTER MOUNT CLAMP EA $90 K0108
202035 WHLLOCK,CBORED,1.25-.75,M6 EA $20 K0108
202037 CRUTCH HOLDER STRAIGHT TUBE,M5 EA $40 K0108
202039 BAND CLAMP, THRU HOLE,M6 EA $11 K0108
202040 ADJHT P-HANDLE w/F-BAR RCVR,M EA $53 K0108
202083 CENTER MOUNT CLAMP,METRIC EA $90 K0108
202096 ADJ FENDER SG INNER CLAMP,M6 EA $39 K0108
202111 STROLLER HANDLE SPACER,M5 EA $4 K0108
202118 FOLDER HIMNT FTPLT PIVOT RH,M6 EA $64 K0108
202130 ADJ FENDER SG OUTER CLAMP,M6 EA $45 K0108
202132 FOLD-UP FTPLATE PIVOT TAPER,M6 EA $36 K0108
202140 SIDEGUARD RIGID PANEL,M4 EA $66 K0108
202150 LONG ARMREST PAD-M5 EA $23 K0019
202152 COMP. HANGER LOCK,M8 EA $6 K0108
202186 FOOTREST EXT STR SMALL,M6 EA $41 K0043
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
PPL_117_REV I
Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
202194 FOOTREST EXT,D-SHAPE 7.25”,M6 EA $12 K0043
202200 FOOTREST EXT,D-SHAPE 11.25”,M6 EA $12 K0043
202201 FOOTREST EXT,D-SHAPE 9.25”,M6 EA $12 K0043
202210 SINGLE SIDE FORK AXLE,M12/M5 EA $35 K0108
202211 C CLAMP CASTER,M6 EA $22 K0108
202212 FOOTREST EXT,D-SHAPE 6”,M6 EA $10 K0043
202232 ANG ADJ FOOTREST CLAMP LITE,M6 EA $24 K0108
202282 1.25” TOE CLAMP,M6 EA $5
202289 PED AA FOOTREST CLAMP LITE,M6 EA $31 K0108
202303 FOLDR HIMNT FTPLT PIVOT LH,MTR EA $64 K0108
202312 8x11.1x19-STOP BUSHING-SS EA $7 K0108
202756 18” x 1-3/8” PRIMO EXPRESS EA $67 E2220
202757 20” x 1-3/8” PRIMO EXPRESS EA $67 E2220
202758 22” x 1-3/8” PRIMO EXPRESS EA $67 E2220
202759 24 x 1-3/8” PRIMO EXPRESS EA $67 E2220
202760 25 x 1-3/8” PRIMO EXPRESS EA $67 E2220
202761 24” PRIMO ACTIVE TIRE,SOLID EA $77 E2220
202762 25” PRIMO ACTIVE TIRE,SOLID EA $77 E2220
202879 EXPAN.CLAMP(B),1.25 x .045-MTR EA $34 K0108
202932 FOOTREST ANG ADJ. SM 15-16.875,MTR EA $15 K0108
203062 SEAT POUCH EA $57 K0108
203063 BACK PACK EA $88 K0108
203230 TX2 SEAT RAIL 13” EA $6 K0108
203231 TX2 SEAT RAIL 14” EA $6 K0108
203232 TX2 SEAT RAIL 15” EA $6 K0108
203233 TX2 SEAT RAIL 16” EA $6 K0108
203234 TX2 SEAT RAIL 17” EA $6 K0108
203235 TX2 SEAT RAIL 18” EA $6 K0108
203238 ANG ADJ FOOTREST CLAMP,METRIC EA $25
203264 BEARING FORK STEM,+0.5” EA $19
203265 BEARING FORK STEM,+1.0” EA $19
203267 Z2 BEARING FORK STEM, STD, METRIC EA $20
203268 Z2 BEARING FORK STEM, 0.5” EXT,METRIC EA $20
203269 Z2 BEARING FORK STEM, 1.0” EXT,METRIC EA $20
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
Effective March 1, 2017
PPL_117_REV I
permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
203270 TITANIUM BEARING FORK STEM,METRIC EA $27
203271 ZRA2 Ti BEARING FORK STEM,METRIC EA $27
203273 BEARING FORK STEM,2004,STD EA $11
714908 EXT RETAIN RING-NA3-25-BZ EA $2
715611 M10x1.5x40-HHCS-BZ-10.9 EA $7 K0108
716393 M5x0.8x6 CONE PT SET SCREW,BZ EA $2
716545 M5x0.8x4 CUP PT SET SCREW,BZ EA $2
716699 M4x0.7x10 FLAT SET SCREW,BZ EA $3 K0108
716863 M4x0.7x5-BHCS-BZ-10.9-TL EA $2 K0108
716903 M5x0.8x10 BHCS,BZ EA $2
716913 M5x0.8x16 BHCS,CLEAR ZINC EA $2 K0108
716915 M5x0.8x20 BHCS, BZ EA $3 K0108
716917 M5x0.8x20 BHCS,ZC EA $3 K0108
716919 M5x0.8x25 BHCS,BZ EA $1 K0108
716923 M5x0.8x30 BHCS,BZ EA $4 K0108
716945 M6x1.0x16 BHCS,CLEAR ZINC EA $3 K0108
716946 M6x1.0x16 BHCS, 18-8 SS EA $3 K0108
716947 M6x1.0x20 BHCS,BZ EA $3
716953 M6x1.0x25 BHCS, CZ EA $3 K0108
716955 M6x1.0x30 BHCS,BZ EA $2 K0108
717183 M4x0.7x10-FHCS-BZ-10.9 EA $2 K0108
717190 M4x0.7x12 FHCS-SS EA $1 K0108
717283 M5x0.8x12 FHCS,BZ EA $1
717285 M5x0.8x12 FHCS,ZC EA $2 K0108
717391 M6x1.0x16 FHCS,BZ EA $2 K0108
717395 M6x1.0x20 FHCS, BZ EA $2
717399 M6x1.0x25 FHCS,BZ EA $2
717407 M6x1.0x35 FHCS-BZ EA $2 K0108
717423 M6x1.0x50 FHCS, BZ EA $3 K0108
717439 M6x1.0x60 FHCS, BZ EA $3 K0108
717447 M6x1.0x65 FHCS,BZ EA $3 K0108
718163 M4x0.7x10-SHCS-BZ-10.9 EA $1 K0108
718167 M4x0.7x12 SHCS-BZ EA $2 K0108
718271 M5x0.8x12 SHCS,BZ EA $2
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
PPL_117_REV I
Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
718279 M5x0.8x20 SHCS,BZ EA $2 K0108
718285 M5x0.8x25 SHCS,ZC EA $2 K0108
718303 M5x0.8x40 SHCS,BZ EA $2 K0108
718391 M6x1.0x16 SHCS-BZ EA $1 K0108
718395 M6x1.0x20 SHCS, BZ EA $1 K0108
718397 M6x1.0x20 SHCS,ZC EA $2 K0108
718399 M6x1.0x25 SHCS, BZ EA $2 K0108
718401 M6x1.0x20 SHCS,ZC EA $2 K0108
718407 M6x1.0x35 SHCS, BZ EA $2 K0108
718415 M6x1.0x40 SHCS, BZ EA $1
718433 M6x1.0x50 SHCS, CZ EA $3 K0108
718465 M6x1.0x70 SHCS, CZ EA $3 K0108
718519 M8x1.25x20 SHCS, BZ EA $1
718523 M8x1.25x25 SHCS, BZ EA $1
718593 M8x1.25x80 SHCS-ZC EA $3 K0108
719521 M5-ANSI NRRW WSR-BZ-10.9 EA $2 K0108
719522 M5-ANSI NRRW WSR-ZC-10.9 EA $1 K0108
719524 M6-ANSI NRRW WSR-BZ-10.9 EA $1 K0108
719525 M6-ANSI NRRW WSR-ZC-10.9 EA $2 K0108
719526 M6-ANSI NARRW WSR-NY,BLACK EA $2 K0108
719560 M6-ANSI REG WSR-BZ-10.9 EA $2 K0108
719665 M5-INT LOCK WSR-ZC-10.9 EA $2 K0108
719691 NYLON WASHER .500x.265x.031 EA $2 K0108
719695 NYLON WSHR .260IDx.750ODx.125T EA $2 K0108
719716 COVED WASHER,1”ODx1/4”IDx1/8” EA $3
719718 COVD WSHR .75ODx.25IDx.125 THK EA $3 K0108
719719 1”ODx5/16IDx1/8” COVED WHSHR EA $3 K0108
719751 STL WASHER 16x22x0.9-FLT WSR-ZC-10.9 EA $2 K0108
719841 M6x1.0x12 BHCS w/PATCH,BZ EA $3
719843 M6x1.0x16 BHCS,BZ w/PATCH EA $3
719845 M6x1.0x22 BHCS,BZ EA $2 K0108
719846 M6x1.0x25 BHCS, BZ w/PATCH EA $3
719850 M6x1.0x35 BHCS,BZ EA $2 K0108
719852 M6x1.0x40 BHCS,BZ EA $1 K0108
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
Effective March 1, 2017
PPL_117_REV I
permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
719854 M6x1x45-BHCS-ZC-10.9 EA $2 K0108
719855 M6x1.0x45 BHCS, BLACK ZINC EA $4 K0108
719861 M6x1.0x70 BHCS,BLACK ZINC EA $4 K0108
719868 M5x0.8x14 BHCS,ZC EA $2 K0108
719870 M5x0.8x22 BHCS,BZ EA $2
719874 M5x0.8x40 BHCS,BZ EA $2 K0108
719880 M5x0.8x22 SHCS,BZ EA $2
719884 M6x1.0x22 w15 THD SHCS,BZ EA $2 K0108
719892 M5x0.8x16 FHCS,ZC w/PATCH EA $2
719893 M5x0.8x16 FHCS,BZ w/PATCH EA $1 K0108
719894 M6x1.0x10 FLAT PNT,BZ w/PATCH EA $1 K0108
719897 M6x1.0x23 w/9.5THREAD LHCS,BZ EA $9 K0108
719898 M5x0.8x35 w/10THDSHCS,BZ,PATCH EA $7
719899 6x20 (M5x.8)THD SHCS,BZ,PATCH EA $7
719902 M8x1.25x90,HEX HEAD BOLT EA $3 K0108
719905 M4x0.7x5 NYLON TIP SET SCREW EA $2 K0108
719906 M4x0.7x5 SET SCREW,18-8 EA $1 K0108
719908 M5x0.8x25, LOW HEAD, SHCS,BZ EA $2
719909 M5x0.8x5 SET SCREW KNURLCUP PT EA $2 K0108
719911 M6x1x40x20THD HHCS-ZC EA $1 K0108
719918 M6x1x70 HHCS-ZC EA $4 K0108
719921 M8x1.25x85 HEX HEAD BOLT EA $6 K0108
719924 M6x1.0 CUSTOM PIVOT BOLT,BZ EA $15
719925 M8x1.25 CUSTOM STOP BOLT,BZ EA $15
719927 M6x1.0x30 w/20 THREAD SHCS,BZ EA $5
719930 M6x1.0x35 w/14 THREAD BHCS,BZ EA $4 K0108
719932 M6x1.0x45 w/16 THREAD BHCS,BZ EA $3 K0108
719933 M6x1.0x45 w/12 THREAD BHCS,BZ EA $2 K0108
719934 M6x1.0x50 BHCS, BZ EA $3 K0108
719935 M6x1.0x60 w/15 THREAD BHCS,BZ EA $4 K0108
719936 M6x1.0x60 w/15 THREAD BHCS,ZC EA $4 K0108
719937 M6x1x65 w/25 THD BHCS-BZ EA $7 K0108
719939 M8x1.25x50 w/15 THREAD BHCS,BZ EA $7 K0108
719940 M6x1.0x16 w/10THREAD LHCS,BZ EA $9 K0108
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
PPL_117_REV I
Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
719951 M5x0.8x10 PHMS-BZ-10.9-TL7985 EA $1 K0108
719952 M5x0.8x12-PHCS-ZC-10.9 EA $2 K0108
719963 6.5x15.8x3.2-CTM MOLD-WSR-NY EA $3 K0108
719964 M4-CTRSUNK WSR-NY EA $2 K0108
719967 M5-COUNTR SUNK WSR-NY,BLK EA $2 K0108
719968 M5-CTRSUNK WSR-SS-10.9 EA $2 K0108
719969 M5-DIN125A WSR-BZ-10.9 EA $2 K0108
719972 M5-HICOLLAR WSR-ZC-10.9 EA $1
719973 M5-SPLIT LOCK WSR-ZC-10.9 EA $1 K0108
719974 M6-CTR SUNK WSR-SS-10.9 EA $1 K0108
719975 M6-HICOLLAR WSR-BZ-10.9 EA $1 K0108
719976 M6-SPLIT LOCK WSR-BZ-10.9 EA $2 K0108
719977 M6-SPLIT LOCK WSR-ZC-10.9 EA $2 K0108
719978 M8-DIN125A WSR-ZC-10.9 EA $2 K0108
719979 M8-HICOLLAR WSR-BZ-10.9 EA $2 K0108
719981 9x12.7x0.8-FLT WSR-NY EA $2 K0108
719982 9x12.7x1.6-FLT WSR-NY EA $3 K0108
719983 M6-COVE WSR-BA-10.9 EA $7 K0108
719989 M5-NYLOCK NUT,ZC-10.9 EA $2 K0108
719990 M5-THIN NYLOCK NUT-ZC-10.9 EA $1 K0108
719993 M6-NYLOCK NUT-BZ-10.9 EA $1 K0108
719995 M6-THIN NYLOCK NUT-BZ-10.9 EA $1 K0108
719996 M6-THIN NYLOCK NUT-ZC-10.9 EA $2 K0108
719999 M8-THIN NYLOCK NUT-ZC-10.9 EA $2 K0108
720004 M8-THIN NYLOCK NUT-BZ-10.9 EA $1 K0108
720006 M5-RIVNUT-ZC-3.0mm-5.5mm GRIP EA $2 K0108
720007 M6-RIVNUT-ZC EA $3 K0108
720008 M5-RIVNUT-ZC-0.5mm-3.0mm GRIP EA $2 K0108
720010 M6-IGUS FLANGE BEARING EA $2 K0108
720012 M6-IGUS FLANGE BEARING EA $3 K0108
720013 M6-IGUS FLANGE BEARING EA $5 K0108
720017 M6x19.8 STUD ADJ BLACK HANDLE EA $48 K0108
720021 M6x45-QUICK RELEASE CAMLOCK EA $9 K0108
720022 6.4x9.5x15.875 BRONZE BUSHING SAE 841 EA $4 K0108
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
Effective March 1, 2017
PPL_117_REV I
permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
720023 M5x 1.8x10-THD FORMING SCREW-ZC EA $2 K0108
720024 6.4x15.8x4.8-SPACER-NY EA $4 K0108
720027 M6x1.0x35 w/17 THREAD,SHCS,BZ EA $5
720069 M6x1x12-BHCS TAMPERPROOF-BZ-10 EA $3
720073 M6x40-DOWEL PIN-SS EA $3 K0108
720076 M6x1.0x31.5x6THD-LHCS-BZ-10.9 EA $7 K0108
800006 Z2-Al.083 BKREST 10x 8-12,M6 EA $351 K0108
800041 Z2-.083 BACKREST 11x 8-12,M6 EA $341 K0108
800050 Z2-.083 BACKREST 12x 8-12,M6 EA $351 K0108
800054 Z2-.083 BACKREST 13x 8-12,M6 EA $351 K0108
800056 Z2-.083 BACKREST 14x 8-12,M6 EA $351 K0108
800059 Z2-.083 BACKREST 15x 8-12,M6 EA $351 K0108
800068 Z2-.083 BACKREST 16x 8-12,M6 EA $351 K0108
800079 Z2-.083 BACKREST 17x 8-12,M6 EA $351 K0108
800083 Z2-.083 BACKREST 18x 8-12,M6 EA $351 K0108
800084 Z2-.083 BACKREST 19x 8-12,M6 EA $351 K0108
800085 Z2-.083 BACKREST 20x 8-12,M6 EA $341 K0108
800086 Z2-.083 BACKREST 10x 12-16,M6 EA $341 K0108
800087 Z2-.083 BACKREST 11x 12-16,M6 EA $341 K0108
800088 Z2-.083 BACKREST 12x 12-16,M6 EA $351 K0108
800093 Z2-.083 BACKREST 13x 12-16,M6 EA $351 K0108
800101 Z2-.083 BACKREST 14x 12-16,M6 EA $351 K0108
800102 Z2-.083 BACKREST 15x 12-16,M6 EA $351 K0108
800103 Z2-.083 BACKREST 16x 12-16,M6 EA $351 K0108
800104 Z2-.083 BACKREST 17x 12-16,M6 EA $351 K0108
800105 Z2-.083 BACKREST 18x 12-16,M6 EA $351 K0108
800107 Z2-.083 BACKREST 19x 12-16,M6 EA $351 K0108
800108 Z2-.083 BACKREST 20x 12-16,M6 EA $351 K0108
800116 Z2-.083 BACKREST 11x 16-20,M6 EA $341 K0108
800118 Z2-.083 BACKREST 12x 16-20,M6 EA $341 K0108
800119 Z2-.083 BACKREST 13x 16-20,M6 EA $341 K0108
800122 Z2-.083 BACKREST 14x 16-20,M6 EA $351 K0108
800123 Z2-.083 BACKREST 15x 16-20,M6 EA $351 K0108
800124 Z2-.083 BACKREST 16x 16-20,M6 EA $351 K0108
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
PPL_117_REV I
Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
800172 LUGGAGE CARRIER TUBE,M6 EA $27 K0108
800280 Z2-.083 BACKREST 17x 16-20,M6 EA $351 K0108
800284 Z2-.083 BACKREST 18x 16-20,M6 EA $351 K0108
800286 Z2-.083 BACKREST 19x 16-20,M6 EA $351 K0108
800287 Z2-.083 BACKREST 20x 16-20,M6 EA $351 K0108
800493 PED, 8” WIDTH SPACER ASY,MTR EA $14 K0108
800494 PED, WIDTH SPACER ASY,MTR EA $14 K0108
800884 Z2-Al.083 4”BKREST 10x8-12,M6 EA $341 K0108
800885 Z2-Al.083 4”BKREST 11x8-12,M6 EA $341 K0108
800886 Z2-Al.083 4”BKREST 12x8-12,M6 EA $341 K0108
800887 Z2-Al.083 4”BKREST 13x8-12,M6 EA $351 K0108
800888 Z2-Al.083 4”BKREST 14x8-12,M6 EA $351 K0108
800889 Z2-Al.083 4”BKREST 15x8-12,M6 EA $351 K0108
800890 Z2-Al.083 4”BKREST 16x8-12,M6 EA $351 K0108
800891 Z2-Al.083 4”BKREST 17x8-12,M6 EA $351 K0108
800892 Z2-Al.083 4”BKREST 18x8-12,M6 EA $351 K0108
800893 Z2-Al.083 4”BKREST 19x8-12,M6 EA $351 K0108
800894 Z2-Al.083 4”BKREST 20x8-12,M6 EA $351 K0108
800895 Z2-Al.083 4”BKREST 10x12-16,M6 EA $351 K0108
800896 Z2-Al.083 4”BKREST 11x12-16,M6 EA $351 K0108
800897 Z2-Al.083 4”BKREST 12x12-16,M6 EA $351 K0108
800898 Z2-Al.083 4”BKREST 13x12-16,M6 EA $351 K0108
800899 Z2-Al.083 4”BKREST 14x12-16,M6 EA $351 K0108
800900 Z2-Al.083 4”BKREST 15x12-16,M6 EA $351 K0108
800901 Z2-Al.083 4”BKREST 16x12-16,M6 EA $351 K0108
800902 Z2-Al.083 4”BKREST 17x12-16,M6 EA $351 K0108
800903 Z2-Al.083 4”BKREST 18x12-16,M6 EA $351 K0108
800904 Z2-Al.083 4”BKREST 19x12-16,M6 EA $351 K0108
800905 Z2-Al.083 4”BKREST 20x12-16,M6 EA $351 K0108
800908 Z2-Al.083 4”BKREST 12x16-20,M6 EA $341 K0108
800909 Z2-Al.083 4”BKREST 13x16-20,M6 EA $351 K0108
800910 Z2-Al.083 4”BKREST 14x16-20,M6 EA $351 K0108
800911 Z2-Al.083 4”BKREST 15x16-20,M6 EA $351 K0108
800912 Z2-Al.083 4”BKREST 16x16-20,M6 EA $351 K0108
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
Effective March 1, 2017
PPL_117_REV I
permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
800913 Z2-Al.083 4”BKREST 17x16-20,M6 EA $351 K0108
800914 Z2-Al.083 4”BKREST 18x16-20,M6 EA $351 K0108
800915 Z2-Al.083 4”BKREST 19x16-20,M6 EA $351 K0108
800916 Z2-Al.083 4”BKREST 20x16-20,M6 EA $351 K0108
801381 1” ARMREST CLAMP,RT EA $61
801382 1” ARMREST CLAMP,LT EA $61
801383 1.25” ARMREST CLAMP,RT EA $61
801384 1.25” ARMREST CLAMP,LT EA $61
200603-CK01 1” FOOTREST CLAMP,M6-BLK EA $19
200603-CK03 1” FOOTREST CLAMP,M6-RED EA $19
200603-CK05 1” FOOTREST CLAMP,M6-SPH EA $19
200603-CK06 1” FOOTREST CLAMP,M6-ORG EA $19
200603-CK08 1” FOOTREST CLAMP,M6-PUR EA $19
200603-CK09 1” FOOTREST CLAMP,M6-PINK EA $19
201469-CK01 Z2 OUTSIDE CAMBER MOUNT-BLK,M EA $23 K0108
201469-CK03 Z2 OUTSIDE CAMBER MOUNT-RED,M EA $23 K0108
201469-CK05 Z2 OUTSIDE CAMBER MOUNT-SPHR,M EA $23 K0108
201469-CK06 Z2 OUTSIDE CAMBER MOUNT-ORG,M EA $23 K0108
201469-CK08 Z2 OUTSIDE CAMBER MOUNT-PUR,M EA $23 K0108
201469-CK09 Z2 OUTSIDE CAMBER MOUNT-PINK,M EA $23 K0108
201470-CK01 Z2 VERT STRUT SHORT-BLK,METRIC EA $21 K0108
201470-CK03 Z2 VERT STRUT SHORT-RED,METRIC EA $21 K0108
201470-CK05 Z2 VERT STRUT SHORT-SPH,METRIC EA $21 K0108
201470-CK06 Z2 VERT STRUT SHORT-ORG,METRIC EA $21 K0108
201470-CK08 Z2 VERT STRUT SHORT-PUR,METRIC EA $21 K0108
201470-CK09 Z2 VERT STRUT SHORT-PNK,METRIC EA $21 K0108
201472-CK01 Z2 VERT STRUT MED-BLK,METRIC EA $21 K0108
201472-CK03 Z2 VERT STRUT MED-RED,METRIC EA $21 K0108
201472-CK05 Z2 VERT STRUT MED-SPH,METRIC EA $21 K0108
201472-CK06 Z2 VERT STRUT MED-ORG,METRIC EA $21 K0108
201472-CK08 Z2 VERT STRUT MED-PUR,METRIC EA $21 K0108
201472-CK09 Z2 VERT STRUT MED-PNK,METRIC EA $21
201473-CK01 Z2 VERT STRUT LONG-BLK,METRIC EA $21 K0108
201473-CK03 Z2 VERT STRUT LONG-RED,METRIC EA $21 K0108
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
PPL_117_REV I
Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
201473-CK05 Z2 VERT STRUT LONG-SPH,METRIC EA $21 K0108
201473-CK06 Z2 VERT STRUT LONG-ORG,METRIC EA $21 K0108
201473-CK08 Z2 VERT STRUT LONG-PUR,METRIC EA $21 K0108
201473-CK09 Z2 VERT STRUT LONG-PNK,METRIC EA $21 K0108
201499-CK01 ZR2 CAMBER CLAMP,RT,MTR,BLK EA $52 K0108
201499-CK03 ZR2 CAMBER CLAMP,RT,MTR,RED EA $52 K0108
201499-CK05 ZR2 CAMBER CLAMP,RT,MTR,SPH EA $52 K0108
201499-CK06 ZR2 CAMBER CLAMP,RT,MTR,ORG EA $52 K0108
201499-CK08 ZR2 CAMBER CLAMP,RT,MTR,PUR EA $52 K0108
201499-CK09 ZR2 CAMBER CLAMP,RT,MTR,PINK EA $52 K0108
201585-CK01 Z2 CAMBER CLAMP RT- BLK, MTR EA $82 K0108
201585-CK03 Z2 CAMBER CLAMP RT- RED, MTR EA $82 K0108
201585-CK05 Z2 CAMBER CLAMP RT- SPH, MTR EA $82 K0108
201585-CK06 Z2 CAMBER CLAMP RT- ORG, MTR EA $82 K0108
201585-CK08 Z2 CAMBER CLAMP RT- PUR, MTR EA $82 K0108
201585-CK09 Z2 CAMBER CLAMP RT- PINK, MTR EA $82 K0108
201586-CK01 Z2 CAMBER CLAMP LT- BLK, MTR EA $82 K0108
201586-CK03 Z2 CAMBER CLAMP LT- RED, MTR EA $82 K0108
201586-CK05 Z2 CAMBER CLAMP LT- SPH, MTR EA $82 K0108
201586-CK06 Z2 CAMBER CLAMP LT- ORG, MTR EA $82 K0108
201586-CK08 Z2 CAMBER CLAMP LT- PUR, MTR EA $82 K0108
201586-CK09 Z2 CAMBER CLAMP LT- PINK, MTR EA $82 K0108
201587-CK01 ZR2 CAMBER CLAMP,LT,MTR,BLK EA $52 K0108
201587-CK03 ZR2 CAMBER CLAMP,LT,MTR,RED EA $52 K0108
201587-CK05 ZR2 CAMBER CLAMP,LT,MTR,SPH EA $52 K0108
201587-CK06 ZR2 CAMBER CLAMP,LT,MTR,ORG EA $52 K0108
201587-CK08 ZR2 CAMBER CLAMP,LT,MTR,PUR EA $52 K0108
201587-CK09 ZR2 CAMBER CLAMP,LT,MTR,PINK EA $52 K0108
201590-CK01 PED INSIDE CLAMP-BLK,MTR EA $26
201590-CK03 PED INSIDE CLAMP-RED,MTR EA $26
201590-CK05 PED INSIDE CLAMP-SPH,MTR EA $26
201590-CK06 PED INSIDE CLAMP-ORG,MTR EA $26
201590-CK08 PED INSIDE CLAMP-PUR,MTR EA $26
201590-CK09 PED INSIDE CLAMP-PINK,MTR EA $26
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
Effective March 1, 2017
PPL_117_REV I
permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
201606-CK01 TR3 CAMBER TOP BRKT-RT BLK,MTR EA $20 K0108
201606-CK03 TR3 CAMBER TOP BRKT-RT RED,MTR EA $20 K0108
201606-CK05 TR3 CAMBER TOP BRKT-RT SPH,MTR EA $20 K0108
201606-CK06 TR3 CAMBER TOP BRKT-RT ORG,MTR EA $20 K0108
201606-CK08 TR3 CAMBER TOP BRKT-RT PUR,MTR EA $20 K0108
201606-CK09 TR3 CAMBER TOP BRKT-RT PNK,MTR EA $20 K0108
201624-CK01 CAMBRTUBE CLAMP,EXTD,R-BLK,MTR EA $90 K0108
201624-CK03 CAMBRTUBE CLAMP,EXTD,R-RED,MTR EA $90 K0108
201624-CK05 CAMBRTUBE CLAMP,EXTD,R-SPH,MTR EA $90 K0108
201624-CK06 CAMBRTUBE CLAMP,EXTD,R-ORG,MTR EA $90 K0108
201624-CK08 CAMBRTUBE CLAMP,EXTD,R-PUR,MTR EA $90 K0108
201624-CK09 CAMBRTUBE CLAMP,EXTD,R-PNK,MTR EA $90 K0108
201626-CK01 CAMBRTUBE CLAMP,EXTD,L-BLK,MTR EA $90 K0108
201626-CK03 CAMBRTUBE CLAMP,EXTD,L-RED,MTR EA $90 K0108
201626-CK05 CAMBRTUBE CLAMP,EXTD,L-SPH,MTR EA $90 K0108
201626-CK06 CAMBRTUBE CLAMP,EXTD,L-ORG,MTR EA $90 K0108
201626-CK08 CAMBRTUBE CLAMP,EXTD,L-PUR,MTR EA $90 K0108
201626-CK09 CAMBRTUBE CLAMP,EXTD,L-PNK,MTR EA $90 K0108
201759-CK01 Z2 CASTER ENDCAP,RT-BLK,M6 EA $31 K0108
201759-CK03 Z2 CASTER ENDCAP,RT-RED,M6 EA $31 K0108
201759-CK05 Z2 CASTER ENDCAP,RT-SPH,M6 EA $31 K0108
201759-CK06 Z2 CASTER ENDCAP,RT-ORG,M6 EA $31 K0108
201759-CK08 Z2 CASTER ENDCAP,RT-PUR,M6 EA $31 K0108
201759-CK09 Z2 CASTER ENDCAP,RT-PINK,M6 EA $31 K0108
201760-CK01 Z2 CASTER ENDCAP,LT-BLK,M6 EA $31 K0108
201760-CK03 Z2 CASTER ENDCAP,LT-RED,M6 EA $31 K0108
201760-CK05 Z2 CASTER ENDCAP,LT-SPH,M6 EA $31 K0108
201760-CK06 Z2 CASTER ENDCAP,LT-ORG,M6 EA $31 K0108
201760-CK08 Z2 CASTER ENDCAP,LT-PUR,M6 EA $31 K0108
201760-CK09 Z2 CASTER ENDCAP,LT-PINK,M6 EA $31 K0108
201767-CK01 Z2 INSIDE CAMBER MOUNT-BLK,MTR EA $25 K0108
201767-CK03 Z2 INSIDE CAMBER MOUNT-RED,MTR EA $25 K0108
201767-CK05 Z2 INSIDE CAMBER MOUNT-SPH,MTR EA $25 K0108
201767-CK06 Z2 INSIDE CAMBER MOUNT-ORG,MTR EA $25 K0108
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
PPL_117_REV I
Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
201767-CK08 Z2 INSIDE CAMBER MOUNT-PUR,MTR EA $25 K0108
201767-CK09 Z2 INSIDE CAMBER MOUNT-PNK,MTR EA $25 K0108
201815-CK01 Z2 CASTER MOUNT,RT-BLK,M6 EA $30 K0108
201815-CK03 Z2 CASTER MOUNT,RT-RED,M6 EA $30 K0108
201815-CK05 Z2 CASTER MOUNT,RT-SPH,M6 EA $30 K0108
201815-CK06 Z2 CASTER MOUNT,RT-ORG,M6 EA $30 K0108
201815-CK08 Z2 CASTER MOUNT,RT-PUR,M6 EA $30 K0108
201815-CK09 Z2 CASTER MOUNT,RT-PINK,M6 EA $30 K0108
201817-CK01 Z2 CASTER MOUNT,LT-BLK,M6 EA $30 K0108
201817-CK03 Z2 CASTER MOUNT,LT-RED,M6 EA $30 K0108
201817-CK05 Z2 CASTER MOUNT,LT-SPH,M6 EA $30 K0108
201817-CK06 Z2 CASTER MOUNT,LT-ORG,M6 EA $30 K0108
201817-CK08 Z2 CASTER MOUNT,LT-PUR,M6 EA $30 K0108
201817-CK09 Z2 CASTER MOUNT,LT-PINK,M6 EA $30 K0108
201875-CK01 PED OUTSIDE CLAMP-BLK,M6 EA $21
201875-CK03 PED OUTSIDE CLAMP-RED,M6 EA $21
201875-CK05 PED OUTSIDE CLAMP-SPH,M6 EA $21
201875-CK06 PED OUTSIDE CLAMP-ORG,M6 EA $21
201875-CK08 PED OUTSIDE CLAMP-PUR,M6 EA $21
201875-CK09 PED OUTSIDE CLAMP-PINK,M6 EA $21
202019-CK01 TR3 CAMBER BRKT BLK-R,MTR EA $48 K0108
202019-CK03 TR3 CAMBER BRKT RED-R,MTR EA $48 K0108
202019-CK05 TR3 CAMBER BRKT SPH-R,MTR EA $48 K0108
202019-CK06 TR3 CAMBER BRKT ORG-R,MTR EA $48 K0108
202019-CK08 TR3 CAMBER BRKT PUR-R,MTR EA $48 K0108
202019-CK09 TR3 CAMBER BRKT PINK-R,MTR EA $48 K0108
202020-CK01 TR3 CAMBER BRKT BLK-L,MTR EA $48 K0108
202020-CK03 TR3 CAMBER BRKT RED-L,MTR EA $48 K0108
202020-CK05 TR3 CAMBER BRKT SPH-L,MTR EA $48 K0108
202020-CK06 TR3 CAMBER BRKT ORG-L,MTR EA $48 K0108
202020-CK08 TR3 CAMBER BRKT PUR-L,MTR EA $48 K0108
202020-CK09 TR3 CAMBER BRKT PINK-L,MTR EA $48 K0108
202119-CK01 TR3 CAMBER TOP BRKT BLK-LT,M8 EA $20 K0108
202119-CK03 TR3 CAMBER TOP BRKT RED-LT,M8 EA $20 K0108
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
Effective March 1, 2017
PPL_117_REV I
permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
202119-CK05 TR3 CAMBER TOP BRKT SPH-LT,M8 EA $20 K0108
202119-CK06 TR3 CAMBER TOP BRKT ORG-LT,M8 EA $20 K0108
202119-CK08 TR3 CAMBER TOP BRKT PUR-LT,M8 EA $20 K0108
202119-CK09 TR3 CAMBER TOP BRKT PINK-LT,M8 EA $20 K0108
202742-CK01 BEARING FORK,CASTER CAP-BLACK EA $8 K0108
202742-CK03 BEARING FORK,CASTER CAP-RED EA $8 K0108
202742-CK05 BEARING FORK,CASTER CAP-SPH EA $8 K0108
202745-CK01 Z2 CASTER CAP-BLACK EA $28 K0108
202745-CK03 Z2 CASTER CAP-RED EA $28 K0108
202745-CK05 Z2 CASTER CAP-SAPPHIRE EA $28 K0108
202745-CK06 Z2 CASTER CAP-ORANGE EA $28 K0108
202745-CK08 Z2 CASTER CAP-PURPLE EA $28 K0108
202745-CK09 Z2 CASTER CAP-PINK EA $28 K0108
202747-CK01 Z2 CASTER CAP 0.5”EXT-BLACK EA $30 K0108
202747-CK03 Z2 CASTER CAP 0.5”EXT-RED EA $30 K0108
202747-CK05 Z2 CASTER CAP 0.5”EXT-SAPPHIRE EA $30 K0108
202747-CK06 Z2 CASTER CAP 0.5”EXT-ORANGE EA $30 K0108
202747-CK08 Z2 CASTER CAP 0.5”EXT-PURPLE EA $30 K0108
202747-CK09 Z2 CASTER CAP 0.5”EXT-PINK EA $30 K0108
202748-CK01 Z2 CASTER CAP 1.0”EXT-BLACK EA $30 K0108
202748-CK03 Z2 CASTER CAP 1.0”EXT-RED EA $30 K0108
202748-CK05 Z2 CASTER CAP 1.0”EXT-SAPPHIRE EA $30 K0108
202748-CK06 Z2 CASTER CAP 1.0”EXT-ORANGE EA $30 K0108
202748-CK08 Z2 CASTER CAP 1.0”EXT-PURPLE EA $30 K0108
202748-CK09 Z2 CASTER CAP 1.0”EXT-PINK EA $30 K0108
202749-CK01 CASTER CAP, MONOFORK-BLACK EA $8 K0108
202749-CK03 CASTER CAP, MONOFORK-RED EA $8 K0108
202749-CK05 CASTER CAP, MONOFORK-SPH EA $8 K0108
202749-CK06 CASTER CAP, MONOFORK-ORANGE EA $8 K0108
202749-CK08 CASTER CAP, MONOFORK-PURPLE EA $8 K0108
202749-CK09 CASTER CAP, MONOFORK-PINK EA $8 K0108
202751-CK01 AERO Z2 CASTER CAP-BLACK EA $28 K0108
202751-CK03 AERO Z2 CASTER CAP-RED EA $28 K0108
202751-CK05 AERO Z2 CASTER CAP-SAPPHIRE EA $28 K0108
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
PPL_117_REV I
Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
202751-CK06 AERO Z2 CASTER CAP-ORANGE EA $28 K0108
202751-CK08 AERO Z2 CASTER CAP-PURPLE EA $28 K0108
202751-CK09 AERO Z2 CASTER CAP-PINK EA $28 K0108
202752-CK01 AERO Z2 CASTER CAP 0.5”EXT-BLK EA $30 K0108
202752-CK03 AERO Z2 CASTER CAP 0.5”EXT-RED EA $30 K0108
202752-CK05 AERO Z2 CASTER CAP 0.5”EXT-SPH EA $30 K0108
202752-CK06 AERO Z2 CASTER CAP 0.5”EXT-ORG EA $30 K0108
202752-CK08 AERO Z2 CASTER CAP 0.5”EXT-PUR EA $30 K0108
202752-CK09 AERO Z2 CASTER CAP 0.5”EXT-PNK EA $30 K0108
202753-CK01 AERO Z2 CASTER CAP 1.0”EXT-BLK EA $30 K0108
202753-CK03 AERO Z2 CASTER CAP 1.0”EXT-RED EA $30 K0108
202753-CK05 AERO Z2 CASTER CAP 1.0”EXT-SPH EA $30 K0108
202753-CK06 AERO Z2 CASTER CAP 1.0”EXT-ORG EA $30 K0108
202753-CK08 AERO Z2 CASTER CAP 1.0”EXT-PUR EA $30 K0108
202753-CK09 AERO Z2 CASTER CAP 1.0”EXT-PNK EA $30 K0108
202912-CK01 EXP.CLAMP A,1.25x.045,MTR-BLK EA $42 K0108
202912-CK03 EXP.CLAMP A,1.25x.045,MTR-RED EA $42 K0108
202912-CK05 EXP.CLAMP A,1.25x.045,MTR-SPH EA $42 K0108
202912-CK06 EXP.CLAMP A,1.25x.045,MTR-ORG EA $42 K0108
202912-CK08 EXP.CLAMP A,1.25x.045,MTR-PUR EA $42 K0108
202912-CK09 EXP.CLAMP A,1.25x.045,MTR-PNK EA $42 K0108
800555-Z AEROX2 DA REAR FRAME ASY,RT EA $237 K0108
800556-Z AEROX2 DA REAR FRAME ASY,LT EA $237 K0108
800557-Z 2GX2 REAR FRAME ASY,RIGHT EA $580 K0108
800558-Z 2GX2 REAR FRAME ASY,LEFT EA $580 K0108
801047-CK01 BEARING FORK,MTR SML,BLK ASY EA $70 E2226
801047-CK06 BEARING FORK,MTR SML,ORG ASY EA $70
801047-CK08 BEARING FORK,MTR SML,PUR ASY EA $70
801047-CK09 BEARING FORK,MTR SML,PNK ASY EA $70
801048-CK03 BEARING FORK,MTR STD,RED ASY EA $70 E2226
801048-CK05 BEARING FORK,MTR STD,SPH ASY EA $70 E2226
801048-CK06 BEARING FORK,MTR STD,ORG ASY EA $70
801048-CK08 BEARING FORK,MTR STD,PUR ASY EA $70
801048-CK09 BEARING FORK,MTR STD,PNK ASY EA $70
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
Effective March 1, 2017
PPL_117_REV I
permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
801088-CK03 MONO FORK w/BEARING,R,MTR,RED EA $103 K0108
801088-CK05 MONO FORK w/BEARING,R,MTR,SPH EA $103 K0108
801088-CK06 MONO FORK w/BEARING,R,MTR,ORG EA $103 K0108
801088-CK08 MONO FORK w/BEARING,R,MTR,PUR EA $103 K0108
801088-CK09 MONO FORK w/BEARING,R,MTR,PNK EA $103 K0108
801089-CK03 MONO FORK w/BEARING,L,MTR,RED EA $103 K0108
801089-CK05 MONO FORK w/BEARING,L,MTR,SPH EA $103 K0108
801089-CK06 MONO FORK w/BEARING,L,MTR,ORG EA $103 K0108
801089-CK08 MONO FORK w/BEARING,L,MTR,PUR EA $103 K0108
801089-CK09 MONO FORK w/BEARING,L,MTR,PNK EA $103 K0108
801172-Z 2GX2 DA REAR FRAME ASY,RT EA $587 K0108
801173-Z 2GX2 DA REAR FRAME ASY,LT EA $587 K0108
801429-CK03 AGILITY CLAMP KIT - RED EA $103
801429-CK05 AGILITY CLAMP KIT - SAPPHIRE EA $103
801429-CK06 AGILITY CLAMP KIT - ORANGE EA $103
801429-CK09 AGILITY CLAMP KIT - PINK EA $100
AS100027-Z FOLDING BACKREST HINGE ASSY PR PR $161 K0108
AS100029-Z FIXED CAMBER TUBE 0° CAMBER EA $135 K0108
AS100030-Z FIXED CAMBER TUBE 4° CAMBER EA $135 K0108
AS100031-Z FIXED CAMBER TUBE 8° CAMBER EA $135 K0108
AS100032-Z FIXED CAMBER TUBE 12° CAMBER EA $135 K0108
AS100035-Z BACKREST EXT TUBE ASSEMBLY EA $38 K0108
AS100036-Z BACKREST PUSH TUBE ASSY EA $63 K0108
AS100039-Z 22”(501)PRIMO SMOOTH TIRE ASSY EA $42 E2211 E2212
AS100040-Z 24”(540) PRIMO SMTH TIRE ASSY EA $42 E2211 E2212
AS100041-Z 24”(540) TREADED TIRE ASSY EA $42 E2211 E2212
AS100042-Z 25”(559) PRIMO SMITH TIRE ASSY EA $42 E2211 E2212
AS100043-Z 26” (590) PRIMO SMTH TIRE ASSY EA $42 E2211 E2212
AS100044-Z 26” (590) TREADED TIRE ASSY EA $42 E2211 E2212
AS100045-Z 22” 6TAB BLK ANO HNDRIM EA $126 E2205
AS100045S-Z 22”(501) 6TAB SLVR ANO HNDRM EA $81 E2205
AS100046-Z 22”(501)6 TAB VINYL HNDRM ASSY EA $173 E2205
AS100047-Z 24” 6TAB BLK ANO HNDRIM EA $126 E2205
AS100047S-Z 24”(540) 6 TAB SLVR ANO HNDRM EA $81 E2205
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
PPL_117_REV I
Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
AS100048-Z 24”(540)6 TAB VINYL HNDRM ASSY EA $173 E2205
AS100049-Z 25” 6TAB BLK ANO HNDRIM EA $126 E2205
AS100049S-Z 25”(559) 6 TAB SLVR ANO HNDRM EA $81 E2205
AS100050-Z 25”(559)6 TAB BLK VINYL HNDRIM EA $173 E2205
AS100051-Z 26” 6TAB BLK ANO HNDRIM EA $126 E2205
AS100051S-Z 26”(590) 6 TAB SLVR ANO HNDRM EA $81 E2205
AS100052-Z 26”(590)6 TAB BLK VINYL HNDRIM EA $173 E2205
AS100053-Z ADJ CAMBER TUBE 0° CAMBER EA $298 K0108
AS100054-Z ADJ CAMBER TUBE 4° CAMBER EA $298 K0108
AS100055-Z ADJ CAMBER TUBE 8° CAMBER EA $298 K0108
AS100056-Z ADJ CAMBER TUBE 12° CAMBER EA $298 K0108
AS100058-Z FIXED CAMBER TUBE 2° CAMBER EA $135 K0108
AS100059-Z ADJUSTABLE CAMBER TUBE, 2° EA $298 K0108
AS100060-Z PUSH/PULL WHEEL LOCK LEFT EA $125 E2206
AS100060B-Z PUSH/PULL WHEEL LOCK LEFT 1” EA $137 E2206
AS100060M-Z P/P WHEEL LOCK LT F/SOLID POLY EA $161 E2206
AS100061-Z PUSH/PULL WHEEL LOCK RIGHT EA $125 E2206
AS100061B-Z PUSH/PULL WHEEL LOCK RIGHT 1” EA $137 E2206
AS100061M-Z P/P WHEEL LOCK RT F/SOLID POLY EA $161 E2206
AS100064-Z 5” PLASTIC POLY CASTER EA $48 E2219 E2225
AS100066-Z 6” PLASTIC POLY CASTER EA $48 E2219 E2225
AS100068-Z 6” PLASTIC PNEUMATIC CASTER EA $55 E2214 E2215 E2225
AS100076-Z ADJ CAMBER TUBE 15° CAMBER EA $319 K0108
AS100077-Z ADJ CAMBER TUBE 18° CAMBER EA $319 K0108
AS100078-Z FIXED CAMBER TUBE 15° CAMBER EA $135 K0108
AS100079-Z FIXED CAMBER TUBE 18° CAMBER EA $135 K0108
AS100106-Z SIDEGUARD CLAMP 1” ASSEMBLY EA $82 K0108
AS100107-Z ALUM SIDEGUARD W/CLAMP LEFT EA $143 K0108
AS100108-Z ALUM SIDEGUARD W/CLAMP RIGHT EA $143 K0108
AS100109-Z ABS FOOTREST 10”-11” ASSEMBLY EA $78 K0041
AS100110-Z ABS FOOTREST 12”-13” ASSEMBLY EA $78 K0041
AS100111-Z ABS FOOTREST 14”-15” ASSEMBLY EA $78 K0041
AS100112-Z ABS FOOTREST 16”-19” ASSEMBLY EA $78 K0041
AS100113-Z ABS FOOTREST SIDED 10” ASSY EA $126 K0041
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
Effective March 1, 2017
PPL_117_REV I
permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
AS100114-Z ABS FOOTREST SIDED 11” ASSY EA $126 K0041
AS100115-Z ABS FOOTREST SIDED 12” ASSY EA $126 K0041
AS100116-Z ABS FOOTREST SIDED 13” ASSY EA $126 K0041
AS100117-Z ABS FOOTREST SIDED 14” ASSY EA $126 K0041
AS100118-Z ABS FOOTRES SIDED 15” ASSY EA $126 K0041
AS100119-Z ABS FOOTREST SIDED 16” ASSY EA $126 K0041
AS100120-Z ABS FOOTREST SIDED 17-19” ASSY EA $126 K0041
AS100122-Z 24”(540)6TAB TI HANDRIM ASSY EA $324 E2205
AS100123-Z 25”(559)6TAB TI HANDRIM ASSY EA $324 E2205
AS100124-Z 26”(590)6 TAB TI HANDRIM ASSY EA $324 E2205
AS100125-Z BACK UPH, RIGID V-12 MEDIUM EA $119 E2611
AS100126-Z BACK UPH, RIGID V-13 MEDIUM EA $119 E2611
AS100127-Z BACK UPH, RIGID V-14 MEDIUM EA $119 E2611
AS100128-Z BACK UPH, RIGID V-15 MEDIUM EA $119 E2611
AS100129-Z BACK UPH, RIGID V-16 MEDIUM EA $119 E2611
AS100130-Z BACK UPH, RIGID V-17 MEDIUM EA $119 E2611
AS100131-Z BACK UPH, RIGID V-18 MEDIUM EA $119 E2611
AS100132-Z BACK UPH, RIGID S-12 MEDIUM EA $341 E2611
AS100133-Z BACK UPH, RIGID S-13 MEDIUM EA $341 E2611
AS100134-Z BACK UPH, RIGID S-14 MEDIUM EA $341 E2611
AS100135-Z BACK UPH, RIGID S-15 MEDIUM EA $341 E2611
AS100136-Z BACK UPH, RIGID S-16 MEDIUM EA $341 E2611
AS100137-Z BACK UPH, RIGID S-17 MEDIUM EA $341 E2611
AS100138-Z BACK UPH, RIGID S-18 MEDIUM EA $341 E2611
AS100146-Z BACK UPH, RIGID S-12 TALL EA $341 E2611
AS100147-Z BACK UPH, RIGID S-13 TALL EA $341 E2611
AS100148-Z BACK UPH, RIGID S-14 TALL EA $341 E2611
AS100149-Z BACK UPH, RIGID S-15 TALL EA $341 E2611
AS100150-Z BACK UPH, RIGID S-16 TALL EA $341 E2611
AS100151-Z BACK UPH, RIGID S-17 TALL EA $341 E2611
AS100152-Z BACK UPH, RIGID S-18 TALL EA $341 E2611
AS100160-Z BACK UPH, RIGID PV-12 MEDIUM EA $119 E2611
AS100161-Z BACK UPH, RIGID PV-13 MEDIUM EA $119 E2611
AS100162-Z BACK UPH, RIGID PV-14 MEDIUM EA $119 E2611
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
PPL_117_REV I
Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
AS100163-Z BACK UPH, RIGID PV-15 MEDIUM EA $119 E2611
AS100164-Z BACK UPH, RIGID PV-16 MEDIUM EA $119 E2611
AS100165-Z BACK UPH, RIGID PV-17 MEDIUM EA $119 E2611
AS100166-Z BACK UPH, RIGID PV-18 MEDIUM EA $119 E2611
AS100167-Z BACK UPH, RIGID PS-12 MEDIUM EA $341 E2611
AS100168-Z BACK UPH, RIGID PS-13 MEDIUM EA $341 E2611
AS100169-Z BACK UPH, RIGID PS-14 MEDIUM EA $341 E2611
AS100170-Z BACK UPH, RIGID PS-15 MEDIUM EA $341 E2611
AS100171-Z BACK UPH, RIGID PS-16 MEDIUM EA $341 E2611
AS100172-Z BACK UPH, RIGID PS-17 MEDIUM EA $341 E2611
AS100173-Z BACK UPH, RIGID PS-18 MEDIUM EA $341 E2611
AS100183-Z BACK UPH, RIGID PS-14 TALL EA $341 E2611
AS100184-Z BACK UPH, RIGID PS-15 TALL EA $341 E2611
AS100185-Z BACK UPH, RIGID PS-16 TALL EA $341 E2611
AS100186-Z BACK UPH, RIGID PS-17 TALL EA $341 E2611
AS100187-Z BACK UPH, RIGID PS-18 TALL EA $341 E2611
AS100188-Z ADJ CAMBER TUBE MOUNTINGS EA $149 K0108
AS100200-Z BACKREST STRAIGHT 11-14” ASSY PR $107 K0108
AS100201-Z BACKREST STRAIGHT 15-18” ASSY PR $107 K0108
AS100202-Z BACKREST 8° BEND 11-14” ASSY PR $137 K0108
AS100203-Z BACKREST 8° BEND 15-18” ASSY PR $137 K0108
AS100204-Z BCKRST PUSH HANDLE 11-14” ASSY PR $137 K0108
AS100205-Z BCKRST PUSH HANDLE 15-18” ASSY PR $137 K0108
AS100206-Z BACKREST 8° PUSH 11-14” ASSY PR $155 K0108
AS100207-Z BACKREST 8° PUSH 15-18” ASSY PR $155 K0108
AS100208-Z FOLDER SEAT SADDLE ASSY EA $30 K0108
AS100219-Z FTREST FLDING OVR CNT 4.814 EA $209 K0108
AS100220-Z FTREST FLDING OVR CNT 5.314 EA $209 K0108
AS100221-Z FTREST FLDING OVR CNT 5.814 EA $209 K0108
AS100222-Z FTREST FLDING OVR CNT 6.314 EA $209 K0108
AS100223-Z FTREST FLDING OVR CNT 6.814 EA $209 K0108
AS100224-Z FTREST FLDING OVR CNT 7.314 EA $209 K0108
AS100225-Z FTREST FLDING OVR CNT 7.814 EA $209 K0108
AS100226-Z FLIP-UP FTREST ASSY 3.203 PR PR $173 K0042
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
Effective March 1, 2017
PPL_117_REV I
permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
AS100227-Z FLIP-UP FTREST ASSY 4.203 PR PR $173 K0045
AS100228-Z FLIP-UP FTREST ASSY 5.203 PR PR $173 K0045
AS100229-Z FLIP-UP FTREST ASSY 6.203 PR PR $173 K0045
AS100230-Z FLIP-UP FTREST ASSY 7.203 PR PR $173 K0045
AS100273-Z FOLDER AXLE PLATE ASSY PR $149 K0108
AS100274-Z CASTER HOUSING ASSEMBLY PR PR $209 K0108
AS100275-Z FLDR AXLE PLATE STD W/SPRT ARM EA $155 K0108
AS100276-Z AXLE PLATE ASSEMBLY PR $177 K0108
AS100279-Z BACK UPH, FOLDER PS-12 SHORT EA $341 E2611
AS100280-Z BACK UPH, FOLDER PS-13 SHORT EA $341 E2611
AS100281-Z BACK UPH, FOLDER PS-14 SHORT EA $341 E2611
AS100282-Z BACK UPH, FOLDER PS-15 SHORT EA $341 E2611
AS100283-Z BACK UPH, FOLDER PS-16 SHORT EA $341 E2611
AS100284-Z BACK UPH, FOLDER PS-17 SHORT EA $341 E2611
AS100285-Z BACK UPH, FOLDER PS-18 SHORT EA $341 E2611
AS100286-Z BACK UPH, FOLDER PS-12 MEDIUM EA $341 E2611
AS100287-Z BACK UPH, FOLDER PS-13 MEDIUM EA $341 E2611
AS100288-Z BACK UPH, FOLDER PS-14 MEDIUM EA $341 E2611
AS100289-Z BACK UPH, FOLDER PS-15 MEDIUM EA $341 E2611
AS100290-Z BACK UPH, FOLDER PS-16 MEDIUM EA $341 E2611
AS100291-Z BACK UPH, FOLDER PS-17 MEDIUM EA $341 E2611
AS100292-Z BACK UPH, FOLDER PS-18 MEDIUM EA $341 E2611
AS100298-Z AXLE SLEEVE ASSY EA $30 K0108
AS100301-Z FOLDER 0° CAMBER ASSY EA $55 K0108
AS100302-Z FOLDER 2° CAMBER ASSY EA $55 K0108
AS100303-Z FOLDER 4° CAMBER ASSY EA $55 K0108
AS100306-Z BACK UPH, PV-13, 13-16 ASSY EA $119 E2611
AS100307-Z BACK UPH, PV-14, 13-16 ASSY EA $119 E2611
AS100308-Z BACK UPH, PV-15, 13-16 ASSY EA $119 E2611
AS100309-Z BACK UPH, PV-16, 13-16 ASSY EA $119 E2611
AS100310-Z BACK UPH, PV-17, 13-16 ASSY EA $119 E0982
AS100311-Z BACK UPH, PV-18, 13-16 ASSY EA $119 E2611
AS100312-Z BACK UPH, PV-12, 15-18 ASSY EA $119 E0982
AS100313-Z BACK UPH, PV-13, 15-18 ASSY EA $119 E2611
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
PPL_117_REV I
Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
AS100314-Z BACK UPH, PV-14, 15-18 ASSY EA $119 E0982
AS100315-Z BACK UPH, PV-15, 15-18 ASSY EA $119 E0982
AS100316-Z BACK UPH, PV-16, 15-18 ASSY EA $119 E0982
AS100317-Z BACK UPH, PV-17, 15-18 ASSY EA $119 E2611
AS100318-Z BACK UPH, PV-18, 15-18 ASSY EA $119 E0982
AS100333-Z HEELSTRAP FOOTPLATE 11” ASY PR $42 E0951
AS100334-Z QUAD RELEASE AXLE EA $113 K0108
AS100335-Z HEELSTRAP FOOTPLATE 12” ASY PR $42 E0951
AS100336-Z HEELSTRAP FOOTPLATE 13” ASY PR $42 E0951
AS100356-Z 3” MICRO CASTER EA $60 E2222
AS100371-Z DESK ARM ADJUSTMENT LEVER EA $27 K0108
AS100379-Z QUAD ALUM SIDEGUARD W/CLAMP RT EA $151 K0108
AS100380-Z QUAD ALUM SIDEGUARD W/CLAMP LT EA $151 K0108
AS100381-Z QUAD ALUM SM SIDGRD W/CLAMP RT EA $151 K0108
AS100382-Z QUAD ALUM SM SIDGRD W/CLAMP LT EA $151 K0108
AS100383-Z SM ALUM SIDEGUARD W/CLAMP RT EA $143 K0108
AS100384-Z SM ALUM SIDEGUARD W/CLAMP LT EA $143 K0108
AS100385-Z QUAD ALUM SIDGRD ASSY RIGHT EA $81 K0108
AS100386-Z QUAD ALUM SIDGRD ASSY LEFT EA $81 K0108
AS100387-Z QUAD SM ALUM SIDGRD ASSY RIGHT EA $81 K0108
AS100388-Z QUAD SM ALUM SIDGRD ASSY LEFT EA $81 K0108
AS100389-Z SM ALUM SIDGRD ASSEMBLY RIGHT EA $70 K0108
AS100390-Z SM ALUM SIDGRD ASSEMBLY LEFT EA $70 K0108
AS100399-Z 8” PLASTIC POLY CASTER EA $48 E2219 E2225
AS100400-Z 8” PLASTIC PNEUMATIC CASTER EA $55 E2214 E2215 E2225
AS100422-Z BACK UPH, FOLDER S-12 SHORT EA $341 E2611
AS100423-Z BACK UPH, FOLDER S-13 SHORT EA $341 E2611
AS100424-Z BACK UPH, FOLDER S-14 SHORT EA $341 E2611
AS100425-Z BACK UPH, FOLDER S-15 SHORT EA $341 E2611
AS100426-Z BACK UPH, FOLDER S-16 SHORT EA $341 E2611
AS100427-Z BACK UPH, FOLDER S-17 SHORT EA $341 E2611
AS100428-Z BACK UPH, FOLDER S-18 SHORT EA $341 E2611
AS100429-Z BACK UPH, FOLDER S-12 MEDIUM EA $341 E2611
AS100431-Z BACK UPH, FOLDER S-14 MEDIUM EA $341 E2611
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
Effective March 1, 2017
PPL_117_REV I
permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
AS100432-Z BACK UPH, FOLDER S-15 MEDIUM EA $341 E2611
AS100433-Z BACK UPH, FOLDER S-16 MEDIUM EA $341 E2611
AS100434-Z BACK UPH, FOLDER S-17 MEDIUM EA $341 E2611
AS100435-Z BACK UPH, FOLDER S-18 MEDIUM EA $341 E2611
AS100451-Z ALUM SIDEGUARD ASSEMBLY LEFT EA $70 K0108
AS100452-Z ALUM SIDEGUARD ASSEMBLY RIGHT EA $70 K0108
AS100454-Z ANTI-TIP TUBE SHORT ASSY EA $66 K0108
AS100456-Z ANTI-TIP TUBE MEDIUM ASSY EA $66 K0108
AS100462-Z SWING AWAY ARMREST RIGHT ASSY EA $112 E0973
AS100463-Z SWING AWAY ARMREST LEFT ASSY EA $112 E0973
AS100495-Z FOOTREST EXT SHORT BENT PR PR $155 K0043
AS100496-Z FOOTREST EXT MEDIUM BENT PR PR $155 K0043
AS100497-Z FOOTREST EXT LONG BENT PR PR $155 K0043
AS100498-Z ANG ADJ FTREST EXT SHORT PR PR $321 K0043
AS100499-Z ANG ADJ FTREST EXT MEDIUM PR PR $321 K0043
AS100500-Z ANG ADJ FTREST EXT LONG PR PR $321 K0043
AS100501-Z ANTI-TIP ASSEMBLY SHORT PR PR $280 E0971
AS100502-Z ANTI-TIP ASSEMBLY MEDIUM PR PR $280 E0971
AS100507-Z ANTI-TIP MOUNT ASSEMBLY EA $78 K0108
AS100508-Z FOOTREST EXT SHORT STR8 PR PR $155 K0043
AS100509-Z FOOTREST EXT MEDIUM STR8 PR PR $155 K0043
AS100510-Z FOOTREST EXT LONG STR8 PR PR $155 K0043
AS100518-Z BACK UPH, V-12, 12-16 ASSY EA $119 E2611
AS100519-Z BACK UPH, V-13, 12-16 ASSY EA $119 E2611
AS100520-Z BACK UPH, V-14, 12-16 ASSY EA $119 E2611
AS100521-Z BACK UPH, V-15, 12-16 ASSY EA $119 E0982
AS100522-Z BACK UPH, V-16, 12-16 ASSY EA $119 E2611
AS100523-Z BACK UPH, V-17, 12-16 ASSY EA $119 E2611
AS100524-Z BACK UPH, V-18, 12-16 ASSY EA $119 E0982
AS100525-Z BACK UPH, V-12, 14-18 ASSY EA $119 E2611
AS100528-Z BACK UPH, V-15, 14-18 ASSY EA $119 E0982
AS100529-Z BACK UPH, V-16, 14-18 ASSY EA $119 E0982
AS100530-Z BACK UPH, V-17, 14-18 ASSY EA $119 E0982
AS100531-Z BACK UPH, V-18, 14-18 ASSY EA $119 E2611
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
PPL_117_REV I
Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
AS100533-Z BACK UPH, S-13, 12-16 ASSY EA $341 E2611
AS100534-Z BACK UPH, S-14, 12-16 ASSY EA $341 E2611
AS100535-Z BACK UPH, S-15, 12-16 ASSY EA $341 E2611
AS100536-Z BACK UPH, S-16, 12-16 ASSY EA $341 E2611
AS100537-Z BACK UPH, S-17, 12-16 ASSY EA $341 E2611
AS100538-Z BACK UPH, S-18, 12-16 ASSY EA $341 E2611
AS100541-Z BACK UPH, S-14, 14-18 ASSY EA $341 E2611
AS100542-Z BACK UPH, S-15, 14-18 ASSY EA $341 E2611
AS100543-Z BACK UPH, S-16, 14-18 ASSY EA $341 E2611
AS100544-Z BACK UPH, S-17, 14-18 ASSY EA $341 E2611
AS100545-Z BACK UPH, S-18, 14-18 ASSY EA $341 E2611
AS100546-Z ANG ADJ FOOTREST 10”-11” ASSY EA $173 K0040
AS100547-Z ANG ADJ FOOTREST 12” ASSY EA $173 K0040
AS100548-Z ANG ADJ FOOTREST 13” ASSY EA $173 K0040
AS100549-Z ANG ADJ FOOTREST 14-15” ASSY EA $173 K0040
AS100550-Z ANG ADJ FOOTREST 16-18” ASSY EA $173 K0040
AS100551-Z HI MNT ANG ADJ FTREST 10-11” EA $265 K0108
AS100552-Z HI MNT ANG ADJ FTREST 12” EA $265 K0108
AS100553-Z HI MNT ANG ADJ FTREST 13” EA $265 K0108
AS100554-Z HI MNT ANG ADJ FTREST 14-15” EA $265 K0108
AS100555-Z HI MNT ANG ADJ FTREST 16-18” EA $265 K0108
AS100560-Z FIFTH WHEEL ANTI-TIP (QWK REL) EA $445 K0108
AS100563-Z FRONT ROLLER EA $137 K0108
AS100564-Z BASKETBALL ROLLER ASSEMBLY EA $137 K0108
AS100565-Z CASTER HOUSING ASSEMBLY PR EA $137 K0108
AS100566-Z SHORT ANTTIP SHOR WHL F/ARM PR PR $268 E0971
AS100567-Z LONG ANTTIP SHORT WHL F/ARM PR PR $280 E0971
AS100568-Z SHORT ANTTIP LONG WHL F/ARM PR PR $268 E0971
AS100569-Z LONG ANTITIP LONG WHL F/ARM PR PR $280 E0971
AS100570-Z ANTI-TIP TUBE MEDIUM ASSEMBLY EA $43 K0108
AS100571-Z ANTI-TIP TUBE LONG ASSEMBLY EA $66 K0108
AS100572-Z SHORT ANTTIP W/ SHORT WHEEL PR PR $256 E0971
AS100573-Z LONG ANTI-TIP SHORT WHEEL PR PR $268 E0971
AS100574-Z SHORT ANTTIP W/ LONG WHEEL PR PR $256 E0971
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
Effective March 1, 2017
PPL_117_REV I
permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
AS100575-Z LONG ANTI-TIP LONG WHEEL PR PR $268 E0971
AS100576-Z SX 70° HANGER PAIR ASSY PR $447 K0044
AS100579-Z SX FRAME FRONT ASSY EA $321 K0108
AS100580-Z FOLDER 6° CAMBER ASSY EA $55 K0108
AS100583-Z HI MNT FLIP-UP FTREST 4.203 PR PR $309 K0037
AS100584-Z HI MNT FLIP-UP FTREST 5.203 PR PR $309 K0037
AS100585-Z HI MNT FLIP-UP FTREST 6.203 PR PR $309 K0037
AS100586-Z HI MNT FLIP-UP FTREST 7.203 PR PR $309 K0037
AS100588-Z HI MNT ANG ADJ FLIPUP 4.203 PR PR $579 K0037
AS100589-Z HI MNT ANG ADJ FLIPUP 5.203 PR PR $579 K0037
AS100590-Z HI MNT ANG ADJ FLIPUP 6.203 PR PR $579 K0037
AS100591-Z HI MNT ANG ADJ FLIPUP 7.203 PR PR $579 K0037
AS100592-Z ADJ CAMBER TUBE 6° CAMBER EA $298 K0108
AS100597-Z FIFTH WHEEL ANTI-TIP STD EA $427 K0108
AS100598-Z 27”(700) PRIMO SMOOTH TIRE ASY EA $52 E2211 E2212
AS100604-Z FIXED CAMBER TUBE 6° CAMBER EA $135 K0108
AS100607-POL 80° HANGER RIGHT ASSEMBLY EA $363 K0044
AS100608-POL 80° HANGER LEFT ASSEMBLY EA $363 K0044
AS100610-POL 80° TAPER HANGER LEFT ASSY EA $416 K0044
AS100612-Z HI MNT FLIPUP FT 3.203 LFT ASY EA $173 K0037
AS100615-Z HI MNT FLIP-UP FTREST 5.203 RT EA $178 K0037
AS100616-Z HI MNT FLIP-UP FTREST 5.203 LT EA $178 K0037
AS100617-Z HI MNT FLIP-UP FTREST 6.203 RT EA $178 K0037
AS100619-Z HI MNT FLIP-UP FTREST 7.203 RT EA $178 K0037
AS100620-Z HI MNT FLIP-UP FTREST 7.203 LT EA $178 K0037
AS100623-Z HI MNT ANG ADJ FLIPUP 4.203 RT EA $341 K0037
AS100624-Z HI MNT ANG ADJ FLIPUP 4.203 LT EA $341 K0037
AS100625-Z HI MNT ANG ADJ FLIPUP 5.203 RT EA $341 K0037
AS100626-Z HI MNT ANG ADJ FLIPUP 5.203 LT EA $341 K0037
AS100627-Z HI MNT ANG ADJ FLIPUP 6.203 RT EA $341 K0037
AS100628-Z HI MNT ANG ADJ FLIPUP 6.203 LT EA $341 K0037
AS100629-Z HI MNT ANG ADJ FLIPUP 7.203 RT EA $341 K0037
AS100630-Z HI MNT ANG ADJ FLIPUP 7.203 LT EA $341 K0037
AS100632-Z 20”(451)TREADED TIRE ASSY EA $42 E2211 E2212
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
PPL_117_REV I
Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
AS100633-Z 22”(501)TREADED TIRE ASSY EA $42 E2211 E2212
AS100635-Z 20”(451)6TAB BLK HANDRIM ASSY EA $126 E2205
AS100635S-Z 20”(451) 6 TAB SLVR ANO HNDRM EA $81 E2205
AS100636-Z 20”(451)6 TAB VINYL HNDRM ASSY EA $173 E2205
AS100638-Z 27”(700c)6TAB TI HANDRIM ASY EA $285 E2205
AS100639-Z HEELSTRAP FOOTPLATE 14” ASY EA $42 E0951
AS100640-Z AMPUTEE AXLE PLATE ASSEMBLY PR $186 E0959
AS100642-Z CASTER HOUSING RIGHT ASSEMBLY EA $70 K0108
AS100643-Z CASTER HOUSING LEFT ASSEMBLY EA $70 K0108
AS100647 SX 16” LEFT SIDE FRAME ASSY EA $1,011 K0108
AS100648 SX 16” RIGHT SIDE FRAME ASSY EA $1,011 K0108
AS100649 SX 18” LEFT SIDE FRAME ASSY EA $1,011 K0108
AS100649-POL SX 18” LEFT SIDEFRAME ASY-POL EA $1,281 K0108
AS100650 SX 18” RIGHT SIDE FRAME ASSY EA $1,011 K0108
AS100650-POL SX 18” RIGHT SIDEFRAME ASY-POL EA $1,281 K0108
AS100651-Z FLIP-UP FTREST ASSY 4.203 RT EA $98 K0045
AS100652-Z FLIP-UP FTREST ASSY 5.203 RT EA $98 K0045
AS100653-Z FLIP-UP FTREST ASSY 6.203 RT EA $98 K0045
AS100654-Z FLIP-UP FTREST ASSY 7.203 RT EA $98 K0045
AS100655-Z FLIP-UP FTREST ASSY 4.203 LT EA $98 K0045
AS100656-Z FLIP-UP FTREST ASSY 5.203 LT EA $98 K0045
AS100657-Z FLIP-UP FTREST ASSY 6.203 LT EA $98 K0045
AS100658-Z FLIP-UP FTREST ASSY 7.203 LT EA $98 K0045
AS100659-Z FOOTREST EXT SHORT BENT EA $78 K0043
AS100660-Z FOOTREST EXT MEDIUM BENT EA $78 K0043
AS100661-Z FOOTREST EXT LONG BENT EA $78 K0043
AS100662-Z FOOTREST EXT SHORT STRAIGHT EA $78 K0043
AS100663-Z FOOTREST EXT MEDIUM STRAIGHT EA $78 K0043
AS100664-Z FOOTREST EXT LONG STRAIGHT EA $78 K0043
AS100665-Z ANG ADJ FTREST EXT SHORT RT EA $161 K0043
AS100666-Z ANG ADJ FTREST EXT SHORT LT EA $161 K0043
AS100667-Z ANG ADJ FTREST EXT MEDIUM RT EA $161 K0043
AS100668-Z ANG ADJ FTREST EXT MEDIUM LT EA $161 K0043
AS100669-Z ANG ADJ FTREST EXT LONG RT EA $161 K0043
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
Effective March 1, 2017
PPL_117_REV I
permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
AS100670-Z ANG ADJ FTREST EXT LONG LT EA $161 K0043
AS100671 TR FRAME ASSY EA $2,704 K0108
AS100673 FRAME ASSY TR W/ADJ CG FXD BAC EA $2,866 K0108
AS100719-Z BOLT ON SEAT RAIL 12” ASSEMBLY PR $33 K0108
AS100720-Z BOLT ON SEAT RAIL 13” ASSEMBLY PR $33 K0108
AS100721-Z BOLT ON SEAT RAIL 14” ASSEMBLY PR $33 K0108
AS100722-Z BOLT ON SEAT RAIL 15” ASSEMBLY PR $33 K0108
AS100723-Z BOLT ON SEAT RAIL 16” ASSEMBLY PR $33 K0108
AS100724-Z BOLT ON SEAT RAIL 17” ASSEMBLY PR $33 K0108
AS100725-Z BOLT ON SEAT RAIL 18” ASSEMBLY PR $33 K0108
AS100726-Z QUAD NUT ASSY EA $58 K0108
AS100792 24” SPOX RED TREAD 6TB BLK ANO EA $512 K0070 E2205
AS100796 24” SPOX RED MAKO 6TB VINYL EA $578 K0069 E2205
AS100797 24” SPOX RED MAKO 6TB TI EA $661 K0069 E2205
AS100849 26” SPOX BLK TRAD 6TB BLK ANO EA $512 K0070 E2205
AS100850 26” SPOX BLK TREAD 6TB VINYL EA $559 K0070 E2205
AS100875-Z CUSTOM PROJECTION H-RIM ASSY EA $379 E0967
AS100876-Z FOAM COATED HANDRIM ASSY EA $202 E2205
AS100878-Z HI MNT FLDING OVR CNT 5.314 EA $387 K0108
AS100882-Z HI MNT FLDING OVR CNT 7.314 EA $387 K0108
AS100884-Z HI MNT ANG ADJ FLDING 4.814 EA $602 K0108
AS100886-Z HI MNT ANG ADJ FLDING 5.814 EA $602 K0108
AS100887-Z HI MNT ANG ADJ FLDING 6.314 EA $602 K0108
AS100888-Z HI MNT ANG ADJ FLDING 6.814 EA $602 K0108
AS100889-Z HI MNT ANG ADJ FLDING 7.314 EA $600 K0108
AS100890-Z HI MNT ANG ADJ FLDING 7.814 EA $602 K0108
AS100920-Z SHORT ANTI-TIP LONG WHEEL PR PR $220 E0971
AS100921-Z LONG ANTI-TIP SHORT WHEEL PR PR $233 E0971
AS100922-Z LONG ANTI-TIP LONG WHEEL PR PR $233 E0971
AS100925-Z AMPUTEE ASY w/ ANTIP SHRT-LONG EA $428 E0959 E0971
AS100928-Z STROLLER HANDLE ASSEMBLY RIGHT EA $296 K0108
AS100929-Z STROLLER HANDLE ASSEMBLY LEFT EA $296 K0108
AS100932-Z SWING AWAY ARMREST RIGHT ASSY EA $155 E0973
AS100933-Z SWING AWAY ARMREST LEFT ASSY EA $155 E0973
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
PPL_117_REV I
Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
AS100934-Z SWING AWAY ARMREST PAIR ASSY PR $309 E0973
AS100938-Z STROLLER HANDLE ASSEMBLY PAIR EA $536 K0108
AS100939-Z ALUM BACKREST EXT TUBE ASSY EA $38 K0108
AS100940-Z ALUM BACKREST PUSH TUBE ASSY EA $63 K0108
AS100941-Z SHORT ANTI-TIP SHORT WHEEL PR PR $220 E0971
AS100945-Z REAR WHEEL SPACING PACKAGE EA $26 K0108
AS100946-Z QUICK RELEASE PIN STROLLER EA $52 K0108
AS100947-Z STROLLER HANDLE EA $90 K0108
AS100952-Z SWING AWAY ARMREST RIGHT EA $95 E0973
AS100953-Z SWING AWAY ARMREST LEFT EA $95 E0973
AS100954-Z ARMREST RIGHT SHORT TRA EA $90 E0973
AS100958-Z BOLT PACKAGE EA $53 K0108
AS100959-Z AMPUTEE AXLE PLATE ASSEMBLY EA $270 E0959
AS100961-Z SHORT ANTI-TIP SHORT WHEEL PR PR $375 E0971
AS100962-Z SHORT ANTI-TIP LONG WHEEL PR PR $375 E0971
AS100963-Z EXTENSION HANDLE ASSY-LEFT EA $50 E0961
AS100964-Z EXTENSION HANDLE ASSY-RIGHT EA $50 E0961
AS100967-Z LONG ANTI-TIP SHORT WHEEL PR PR $375 E0971
AS100968-Z LONG ANTI-TIP LONG WHEEL PR PR $375 E0971
AS100969-Z ALUM BCKRST HINGE ASSEMBLY PR PR $161 K0108
AS100973-Z LUGGAGE CARRIER W/CLAMP PAIR PR $185 K0108
AS100974-Z SWING AWAY ARMREST ASSEMBLY PR PR $319 E0973
AS100975-Z SWING AWAY ARM RECEPTACLE RT EA $78 K0108
AS100976-Z SWING AWAY ARM RECEPTACLE LT EA $78 K0108
AS100977-Z SWING AWAY ARMREST RIGHT ASSY EA $123 E0973
AS100978-Z SWING AWAY ARMREST LEFT ASSY EA $123 E0973
AS100979-Z BACK UPH, RIGID V-12 SHORT EA $119 E2611
AS100980-Z BACK UPH, RIGID V-13 SHORT EA $119 E2611
AS100981-Z BACK UPH, RIGID V-14 SHORT EA $119 E2611
AS100982-Z BACK UPH, RIGID V-15 SHORT EA $119 E2611
AS100983-Z BACK UPH, RIGID V-16 SHORT EA $119 E2611
AS100984-Z BACK UPH, RIGID V-17 SHORT EA $119 E2611
AS100985-Z BACK UPH, RIGID V-18 SHORT EA $119 E2611
AS100986-Z BACK UPH, RIGID PV-12 SHORT EA $119 E2611
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
Effective March 1, 2017
PPL_117_REV I
permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
AS100987-Z BACK UPH, RIGID PV-13 SHORT EA $119 E2611
AS100988-Z BACK UPH, RIGID PV-14 SHORT EA $119 E2611
AS100989-Z BACK UPH, RIGID PV-15 SHORT EA $119 E2611
AS100990-Z BACK UPH, RIGID PV-16 SHORT EA $119 E2611
AS100991-Z BACK UPH, RIGID PV-17 SHORT EA $119 E2611
AS100992-Z BACK UPH, RIGID PV-18 SHORT EA $119 E2611
AS100993-Z BACK UPH, RIGID V-12 TALL EA $119 E2611
AS100994-Z BACK UPH, RIGID V-13 TALL EA $119 E2611
AS100995-Z BACK UPH, RIGID V-14 TALL EA $119 E2611
AS100996-Z BACK UPH, RIGID V-15 TALL EA $119 E2611
AS100997-Z BACK UPH, RIGID V-16 TALL EA $119 E2611
AS100998-Z BACK UPH, RIGID V-17 TALL EA $119 E2611
AS100999-Z BACK UPH, RIGID V-18 TALL EA $119 E2611
AS101000-Z BACK UPH, RIGID PV-12 TALL EA $119 E2611
AS101001-Z BACK UPH, RIGID PV-13 TALL EA $119 E2611
AS101002-Z BACK UPH, RIGID PV-14 TALL EA $119 E2611
AS101003-Z BACK UPH, RIGID PV-15 TALL EA $119 E2611
AS101004-Z BACK UPH, RIGID PV-16 TALL EA $119 E2611
AS101005-Z BACK UPH, RIGID PV-17 TALL EA $119 E2611
AS101006-Z BACK UPH, RIGID PV-18 TALL EA $119 E2611
AS101007-Z BACK UPH, RIGID S-12 SHORT EA $341 E2611
AS101008-Z BACK UPH, RIGID S-13 SHORT EA $341 E2611
AS101009-Z BACK UPH, RIGID S-14 SHORT EA $341 E2611
AS101010-Z BACK UPH, RIGID S-15 SHORT EA $341 E2611
AS101011-Z BACK UPH, RIGID S-16 SHORT EA $341 E2611
AS101012-Z BACK UPH, RIGID S-17 SHORT EA $341 E2611
AS101013-Z BACK UPH, RIGID S-18 SHORT EA $341 E2611
AS101014-Z BACK UPH, RIGID PS-12 SHORT EA $341 E2611
AS101016-Z BACK UPH, RIGID PS-14 SHORT EA $341 E2611
AS101017-Z BACK UPH, RIGID PS-15 SHORT EA $341 E2611
AS101018-Z BACK UPH, RIGID PS-16 SHORT EA $341 E2611
AS101019-Z BACK UPH, RIGID PS-17 SHORT EA $341 E2611
AS101020-Z BACK UPH, RIGID PS-18 SHORT EA $341 E2611
AS101045-Z EX-SHRT ANTITIP W/SHRT EXT-RGD PR $268 E0971
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
PPL_117_REV I
Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
AS101046-Z EX-SHRT ANTITIP W/LONG EXT-RGD PR $268 E0971
AS101047-Z ANTI-TIP TUBE SHORT ASSEMBLY EA $66 K0108
AS101048-Z AMPUTEE AXLE PLATE 0° CAMBER EA $331 E0959
AS101049-Z ADJ CAMBER TUBE,2° AMPUTEE EA $331 E0959
AS101056-Z AMPUTEE AXLE PLATE ASSEMBLY EA $331 E0959
AS101057-Z 12” SQUARE TUBE HINGE ASSY EA $98 K0108
AS101058-Z 13” SQUARE TUBE HINGE ASSY EA $98 K0108
AS101059-Z 14” SQUARE TUBE HINGE ASSY EA $98 K0108
AS101060-Z 15” SQUARE TUBE HINGE ASSY EA $98 K0108
AS101061-Z 16” SQUARE TUBE HINGE ASSY EA $98 K0108
AS101062-Z 17” SQUARE TUBE HINGE ASSY EA $98 K0108
AS101063-Z 18” SQUARE TUBE HINGE ASSY EA $98 K0108
AS101064-Z 19” SQUARE TUBE HINGE ASSY EA $98 K0108
AS101065-Z 20” SQUARE TUBE HINGE ASSY EA $98 K0108
AS101071-Z 20” SEATRAIL ASSY W/ SCREWS PR $33 K0108
AS101072-Z 11” SEATRAIL ASSY W/ SCREWS PR $33 K0108
AS101073-Z BOLT ON SEAT RAIL 19” ASSEMBLY PR $33 K0108
AS101074-Z BOLT ON SEAT RAIL 20” ASSEMBLY PR $33 K0108
AS101094-Z 5” SPECIAL FORK ASSEMBLY EA $95 K0108
AS101096-Z 5”&6” STANDARD EXT FORK ASSY EA $95 K0108
AS101097-Z 7”&8” STANDARD EXT FORK ASSY EA $95 K0108
AS101098-Z 5”&6” 1/2” EXT FORK ASSY EA $95 K0108
AS101099-Z 7”&8” 1/2” EXT FORK ASSY EA $95 K0108
AS101100-Z 5”&6” 1” EXT FORK ASSY EA $95 K0108
AS101101-Z 7”&8” 1” EXT FORK ASSY EA $95 K0108
AS101102-Z 5”&6” 1.5” EXT FORK ASSY EA $95 K0108
AS101103-Z 7”&8” 1.5” EXT FORK ASSY EA $95 K0108
AS101110-Z 7&8” STD EXT FORK FOR 3&4” EA $95 K0108
AS101111-Z 7&8” 1/2” EXT FORK FOR 3&4” EA $95 K0108
AS101112-Z 7&8” 1” EXT FORK FOR 3&4” EA $95 K0108
AS101113-Z 7&8” 1.5” EXT FORK FOR 3&4” EA $95 K0108
AS101114-Z 5&6” STD EXT FORK FOR 3&4” EA $95 K0108
AS101115-Z 5&6” 1/2” EXT FORK FOR 3&4” EA $95 K0108
AS101116-Z 5&6” 1” EXT FORK FOR 3&4” EA $95 K0108
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
Effective March 1, 2017
PPL_117_REV I
permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
AS101117-Z 5&6” 1.5” EXT FORK FOR 3&4” EA $95 K0108
AS101119-Z 3” CASTER FORK ASSY EA $113 E2222 E2226
AS101123-Z 5” POLY/PLASTIC TR/FORK ASSY EA $113 K0077 E2226
AS101128-Z 6” POLY/PLAST CASTER FORK ASSY EA $113 K0077 E2226
AS101131-Z 3” CASTER 5-6” STD FORK ASSY EA $113 E2222 E2226
AS101132-Z 3” CASTER 7-8” STD FORK ASSY EA $113 E2222 E2226
AS101135-Z 5” POLY/PLASTIC 5-6” STD FORK EA $113 K0077
AS101137-Z 5” POLY/PLASTIC 7-8” STD FORK EA $113 K0077
AS101140-Z 6” POLY/PLASTIC 7-8” STD FORK EA $113 K0077
AS101143-Z 8” POLY/PLASTIC 7-8” STD FORK EA $126 K0077
AS101150-Z 5”POLY/PLST 5-6” FORK 1/2” EXT EA $113 K0077
AS101174-Z 5” POLY/PL ON 7-8” FORK 1” EXT EA $113 K0077
AS101186-Z 5” POLY/PL 5-6”FORK 1-1/2” EXT EA $113 K0077
AS101192-Z 5” POLY/PL 7-8”FORK 1-1/2” EXT EA $113 K0077
AS101194-Z 6” POLY/PL 7-8”FORK 1-1/2” EXT EA $113 K0077
AS101240-Z DESKARM TRNSFR LP 9-12 RT ASSY EA $211 K0108
AS101241-Z DESKARM TRNSFR LP 9-12 LT ASSY EA $211 K0108
AS101309 26” SPOX BLU TREAD 6TB VINYL EA $509 K0108
AS101332-Z DESKARM TRNSFR LP 9-12 PR ASSY PR $422 K0108
AS101333-Z DESKARM TRNSFR LP12-15 PR ASSY PR $422 K0108
AS101334-Z DESKARM TRNSFR LP12-15 RT ASSY EA $211 K0108
AS101335-Z DESKARM TRNSFR LP12-15 LT ASSY EA $211 K0108
AS101336-Z TELESCOPING HANDLE CLAMP ASY EA $92 K0108
AS101337-Z TELESCOPING PUSH HANDLE ASSY PR $319 K0108
AS101472-Z 3” LITE WHEEL 3-4” FORK EA $137 K0077
AS101476-Z 3” LITE WHEEL 5-6” STD STEM EA $137 K0077
AS101533-Z BACK UPH, RIGID V-19 SHORT EA $119 E2611
AS101534-Z BACK UPH, RIGID V-20 SHORT EA $119 E2611
AS101535-Z BACK UPH, RIGID V-19 MEDIUM EA $119 E2611
AS101536-Z BACK UPH, RIGID V-20 MEDIUM EA $119 E0982
AS101537-Z RIGID SPORT ARMREST PAIR ASSY PR $284 E0973
AS101538-Z SWING AWAY ARMREST LEFT ASSY EA $155 E0973
AS101539-Z SWING AWAY ARMREST RIGHT ASSY EA $155 E0973
AS101541-Z STROLLER HANDLE LEFT ASSEMBLY EA $293 K0108
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
PPL_117_REV I
Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
AS101542-Z STROLLER HANDLE RIGHT ASSEMBLY EA $293 K0108
AS101544-Z ARMREST/STROLLER LEFT ASSY EA $422 K0108
AS101545-Z ARMREST/STROLLER RIGHT ASSY EA $422 K0108
AS101546-Z BACK UPH, RIGID V-19 TALL EA $119 E2611
AS101547-Z BACK UPH, RIGID V-20 TALL EA $119 E2611
AS101548-Z BACK UPH, RIGID PV-19 SHORT EA $119 E2611
AS101550-Z BACK UPH, RIGID PV-19 MEDIUM EA $119 E2611
AS101551-Z BACK UPH, RIGID PV-20 MEDIUM EA $119 E2611
AS101552-Z BACK UPH, RIGID PV-19 TALL EA $119 E2611
AS101553-Z BACK UPH, RIGID PV-20 TALL EA $119 E2611
AS101554-Z BACK UPH, RIGID S-19 SHORT EA $341 E2611
AS101556-Z BACK UPH, RIGID S-19 MEDIUM EA $341 E2611
AS101557-Z BACK UPH, RIGID S-20 MEDIUM EA $341 E2611
AS101560-Z BACK UPH, RIGID S-19 TALL EA $341 E2611
AS101561-Z BACK UPH, RIGID S-20 TALL EA $341 E2611
AS101562-Z BACK UPH, RIGID PS-19 SHORT EA $341 E2611
AS101563-Z BACK UPH, RIGID PS-20 SHORT EA $341 E2611
AS101564-Z BACK UPH, RIGID PS-19 MEDIUM EA $341 E2611
AS101565-Z BACK UPH, RIGID PS-20 MEDIUM EA $341 E2611
AS101566-Z BACK UPH, RIGID PS-19 TALL EA $341 E2611
AS101567-Z BACK UPH, RIGID PS-20 TALL EA $341 E2611
AS101568-Z CUSTOM SPORT ARMREST ASSY RT EA $209 E2611
AS101569-Z CUSTOM SPORT ARMREST ASSY LT EA $209 E2611
AS101570-Z BACK UPH, FOLDER S-19 SHORT EA $341 E2611
AS101571-Z BACK UPH, FOLDER S-20 SHORT EA $341 E2611
AS101572-Z BACK UPH, FOLDER S-19 MEDIUM EA $341 E2611
AS101573-Z BACK UPH, FOLDER S-20 MEDIUM EA $341 E2611
AS101574-Z BACK UPH, FOLDER PS-19 SHORT EA $341 E2611
AS101575-Z BACK UPH, FOLDER PS-20 SHORT EA $341 E2611
AS101576-Z BACK UPH, FOLDER PS-19 MEDIUM EA $341 E2611
AS101577-Z BACK UPH, FOLDER PS-20 MEDIUM EA $341 E2611
AS101590-Z HD 6”POLY/PLST 5-6”FORK STD EA $137 K0077
AS101639-Z BACK UPH, V-20, 12-16 ASSY EA $119 E2611
AS101643-Z BACK UPH, V-15, 8-12 ASSY EA $119 E0982
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
Effective March 1, 2017
PPL_117_REV I
permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
AS101644-Z BACK UPH, V-16, 8-12 ASSY EA $119 E0982
AS101649-Z BACK UPH, V-19, 14-18 ASSY EA $119 E0982
AS101650-Z BACK UPH, V-20, 14-18 ASSY EA $119 E0982
AS101651-Z BACK UPH, PV-19, 13-16 ASSY EA $119 E0982
AS101653-Z BACK UPH, PV-12, 9-12 ASSY EA $119 E0982
AS101657-Z BACK UPH, PV-16, 9-12 ASSY EA $119 E0982
AS101664-Z BACK UPH, S-19, 12-16 ASSY EA $341 E2611
AS101665-Z BACK UPH, S-20, 12-16 ASSY EA $341 E2611
AS101666-Z BACK UPH, S-19, 14-18 ASSY EA $341 E2611
AS101670-Z BACK UPH, S-14, 8-12 ASSY EA $341 E2611
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AS101672-Z BACK UPH, S-16, 8-12 ASSY EA $341 E2611
AS101673-Z BACK UPH, S-17, 8-12 ASSY EA $341 E2611
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AS101690-Z BACK UPH, PS-19, 15-18 ASSY EA $341 E2611
AS101691-Z BACK UPH, PS-20, 15-18 ASSY EA $341 E2611
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AS101693-POL HD FRAME TR,w/ADJCG FLDBAK-POL EA $3,732 K0108
AS101694 HD FRAME TR, w/FIX CG FLD BACK EA $3,191 K0108
AS101694-POL HD FRAME TR,w/FIXCG FLDBAK-POL EA $3,893 K0108
AS101701 HEAVY DUTY X, 14”/70/0 RT ASSY EA $1,130 K0108
AS101702 HEAVY DUTY X, 14”/70/0 LT ASSY EA $1,130 K0108
AS101703 HEAVY DUTY X, 16”/70/0 RT ASSY EA $1,130 K0108
AS101704 HEAVY DUTY X, 16”/70/0 LT ASSY EA $1,130 K0108
AS101711 HEAVY DUTY X, 16”/80/0 RT ASSY EA $1,130 K0108
AS101712 HEAVY DUTY X, 16”/80/0 LT ASSY EA $1,130 K0108
AS101713 HEAVY DUTY X, 18”/80/0 RT ASSY EA $1,130 K0108
AS101714 HEAVY DUTY X, 18”/80/0 LT ASSY EA $1,130 K0108
AS101719 HEAVY DUTY X, 16”/85/0 RT ASSY EA $1,130 K0108
AS101720 HEAVY DUTY X, 16”/85/0 LT ASSY EA $1,130 K0108
AS101721 HEAVY DUTY X, 18”/85/0 RT ASSY EA $1,130 K0108
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
PPL_117_REV I
Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
AS101722 HEAVY DUTY X, 18”/85/0 LT ASSY EA $1,130 K0108
AS101730 HEAVY DUTY X, 18”/70/1 LT ASSY EA $1,130 K0108
AS101733 HEAVY DUTY X, 14”/80/1 RT ASSY EA $1,130 K0108
AS101734 HEAVY DUTY X, 14”/80/1 LT ASSY EA $1,130 K0108
AS101735 HEAVY DUTY X, 16”/80/1 RT ASSY EA $1,130 K0108
AS101736 HEAVY DUTY X, 16”/80/1 LT ASSY EA $1,130 K0108
AS101737 HEAVY DUTY X, 18”/80/1 RT ASSY EA $1,130 K0108
AS101738 HEAVY DUTY X, 18”/80/1 LT ASSY EA $1,130 K0108
AS101741 HEAVY DUTY X, 14”/85/1 RT ASSY EA $1,130 K0108
AS101742 HEAVY DUTY X, 14”/85/1 LT ASSY EA $1,130 K0108
AS101749 HEAVY DUTY SX, 14 LT FRAME ASY EA $1,130 K0108
AS101750 HEAVY DUTY SX, 16 LT FRAME ASY EA $1,130 K0108
AS101751 HEAVY DUTY SX, 18 LT FRAME ASY EA $1,130 K0108
AS101752 HEAVY DUTY SX, 20 LT FRAME ASY EA $1,130 K0108
AS101754 HEAVY DUTY SX, 16 RT FRAME ASY EA $1,130 K0108
AS101755 HEAVY DUTY SX, 18 RT FRAME ASY EA $1,130 K0108
AS101756 HEAVY DUTY SX, 20 RT FRAME ASY EA $1,130 K0108
AS101763 HD XC, w/ ADJ HEIGHT BACK ASSY EA $2,320 K0108
AS101765-Z HVY DTY BCKRST EXT TUBE ASSY EA $46 K0108
AS101766-Z HVY DTY BCKRST PUSH TUBE ASSY EA $67 K0108
AS101768-Z DESK ARM CLAMP ASSY- 1.00” EA $92 K0108
AS101773 HD FRAME TR, w/ADJ CG FIX BACK EA $3,191 K0108
AS101775-Z HVY DTY FTREST EXT BENT S PR PR $137 K0043
AS101776-Z HVY DTY FTREST EXT BENT M PR PR $137 K0043
AS101777-Z HVY DTY FTREST EXT BENT L PR PR $137 K0043
AS101778-Z HVY DTY FTREST EXT STR8 S PR PR $126 K0043
AS101779-Z HVY DTY FTREST EXT STR8 M PR PR $126 K0043
AS101780-Z HVY DTY FTREST EXT STR8 L PR PR $126 K0043
AS101781-Z HVY DTY FTREST EXT BENT SHORT EA $78 K0043
AS101782-Z HVY DTY FTREST EXT BENT MEDIUM EA $78 K0043
AS101784-Z HVY DTY FTREST EXT STR8 SHORT EA $71 K0043
AS101789-Z HVY DTY ANG ADJ EXT SHORT PR PR $328 K0043
AS101790-Z HVY DTY ANG ADJ EXT MEDIUM PR PR $328 K0043
AS101791-Z HVY DTY ANG ADJ EXT LONG PR PR $328 K0043
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
Effective March 1, 2017
PPL_117_REV I
permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
AS101792-Z HVY DTY ANG ADJ EXT SHORT RT EA $173 K0043
AS101794-Z HVY DTY ANG ADJ EXT LONG RT EA $173 K0043
AS101795-Z HVY DTY ANG ADJ EXT SHORT LT EA $173 K0043
AS101796-Z HVY DTY ANG ADJ EXT MEDIUM LT EA $173 K0043
AS101797-Z HVY DTY ANG ADJ EXT LONG LT EA $173 K0043
AS101799-Z 6” SR 5-6” FORK STD STEM EA $293 K0077
AS101803-Z 6” SRW, 7-8” FORK, 0.5” EXT EA $293 K0077
AS101805-Z 6” SRW, 7-8” FORK, 1.0” EXT EA $293 K0077
AS101823-Z BACK UPH, PS-14, 13-16 ASSY EA $341 E2611
AS101824-Z BACK UPH, PS-15, 13-16 ASSY EA $341 E2611
AS101825-Z BACK UPH, PS-16, 13-16 ASSY EA $341 E2611
AS101826-Z BACK UPH, PS-17, 13-16 ASSY EA $341 E2611
AS101827-Z BACK UPH, PS-18, 13-16 ASSY EA $341 E2611
AS101829-Z BACK UPH, PS-13, 15-18 ASSY EA $341 E2611
AS101830-Z BACK UPH, PS-14, 15-18 ASSY EA $341 E2611
AS101831-Z BACK UPH, PS-15, 15-18 ASSY EA $341 E2611
AS101832-Z BACK UPH, PS-16, 15-18 ASSY EA $341 E2611
AS101833-Z BACK UPH, PS-17, 15-18 ASSY EA $341 E2611
AS101834-Z BACK UPH, PS-18, 15-18 ASSY EA $341 E2611
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AS101897-Z TALL RIGID SPORTARM LT ASSY EA $95
AS101916-Z FOLDING BACKREST 80° ASSY EA $161 K0108
AS101917-Z AXLE PLATE ASSEMBLY EA $244 K0108
AS101938-Z FOLDING BACKREST HINGE ASSY RT EA $80 K0108
AS101939-Z FOLDING BACKREST HINGE ASSY LT EA $80 K0108
AS101964-Z 25” (559) TREADED TIRE ASSY EA $42 E2211 E2212
AS101966-Z CASTER HOUSING STOCKED-RIGHT EA $72 K0108
AS101967-Z CASTER HOUSING STOCKED-LEFT EA $72 K0108
AS101968-Z HANGER LEVER-LEFT EA $108 K0108
AS101969-Z HANGER LEVER-RIGHT EA $108 K0108
AS102021-Z EXPANDABLE CAMBER TUBE 0° EA $197 K0108
AS102022-Z EXPANDABLE CAMBER TUBE 2° EA $197 K0108
AS102023-Z EXPANDABLE CAMBER TUBE 4° EA $197 K0108
AS102024-Z EXPANDABLE CAMBER TUBE 6° EA $197 K0108
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
PPL_117_REV I
Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
AS102025-Z EXPANDABLE CAMBER TUBE 8° EA $197 K0108
AS102027-Z ANG ADJ FOOTREST 19-20” ASSY EA $173 K0040
AS102028-Z FLIP BACK ARMREST RIGHT ASSY EA $123 E0973
AS102029-Z FLIP BACK ARMREST LEFT ASSY EA $123 E0973
AS102030-Z FLIP BACK ARMREST PAIR ASSY PR $214 E0973
AS102031-Z PEDIATRIC AXLE ASSEMBLY PR $102 K0108
AS102032-Z PEDIATRIC AXLE F/STROLLER ASSY PR $102 K0108
AS102033-Z PED BCKRST HINGE F/ARM ASSY PR PR $562 K0108
AS102034-Z PED BCKRST HINGE ASSEMBLY PR PR $345 K0108
AS102073-Z BACKREST EXP 8-12” H 12-14” W EA $113 K0108
AS102074-Z BACKREST EXP 8-12” H 14-16” W EA $113 K0108
AS102076-Z BACKREST EXP 12-16” H 12-14” W EA $113 K0108
AS102077-Z BACKREST EXP 12-16” H 14-16” W EA $113 K0108
AS102078-Z BACKREST EXP 12-16” H 16-18” W EA $113 K0108
AS102079-Z BACKREST EXP 16-20” H 12-14” W EA $113 K0108
AS102080-Z BACKREST EXP 16-20” H 14-16” W EA $113 K0108
AS102081-Z BACKREST EXP 16-20” H 16-18” W EA $113 K0108
AS102085-Z 90° HANGER w/FLIPUP 4.203 PAIR PR $181 K0045
AS102086-Z 90° HANGER w/FLIPUP 5.203 PAIR PR $181 K0045
AS102087-Z 90° HANGER w/FLIPUP 6.203 PAIR PR $181 K0045
AS102088-Z 90° HANGER w/FLIPUP 7.203 PAIR PR $181 K0045
AS102091-Z 90° HANGER w/FLIPUP 6.203 - RT EA $100 K0045
AS102095-Z 90° HANGER w/FLIPUP 6.203 - LT EA $100 K0045
AS102098-Z 90°HANGR DPTH/ANG ADJ 12-13 LT EA $127 K0042
AS102099-Z 90°HANGR DPTH/ANG ADJ 12-13 PR PR $253 K0042
AS102102-Z DEPTH ADJ FTREST ASSY 14-15 PR PR $193 K0042
AS102105-Z DEPTH ADJ FTREST ASSY 16-17 PR PR $193 K0042
AS102107-Z DEPTH ADJ FTREST ASSY 18-19 LT EA $96 K0042
AS102108-Z DEPTH ADJ FTREST ASSY 18-19 PR PR $193 K0042
AS102111-Z 90°HANGR DPTH/ANG ADJ 14-15 PR PR $253 K0042
AS102112-Z 90°HANGR DPTH/ANG ADJ 16-17 RT EA $127 K0042
AS102113-Z 90°HANGR DPTH/ANG ADJ 16-17 LT EA $127 K0042
AS102114-Z 90°HANGR DPTH/ANG ADJ 16-17 PR PR $253 K0042
AS102117-Z 90°HANGR DPTH/ANG ADJ 18-19 PR PR $253 K0042
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
Effective March 1, 2017
PPL_117_REV I
permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
AS102120-Z 90°HANGR DPTH/ANG ADJ 10-11 PR PR $253 K0042
AS102123-Z DEPTH ADJ FTREST ASSY 10-11 PR PR $193 K0042
AS102133-Z 8-12” BACKREST EXT TUBE ASSY EA $38 K0108
AS102134-Z 8-12” BACKREST PUSH TUBE ASSY EA $63 K0108
AS102135-Z 8-12” HVY DTY BCKRST EXT TUBE EA $46 K0108
AS102136-Z 8-12” HVY DTY BCKRST PUSH TUBE EA $67 K0108
AS102137-Z 8-12” ALUM BCKRST EXT TUBE EA $38 K0108
AS102138-Z 8-12” ALUM BCKRST PUSH TUBE EA $63 K0108
AS102151-Z TRAVEL AID UPRIGHT TUBE ASSY EA $94 K0108
AS102152-Z TRAVEL WHEEL ASSEMBLY PR $774 K0108
AS102157-Z ANG ADJ FOOTREST 14-15” ASSY EA $173 K0040
AS102158-Z ANG ADJ FOOTREST 16” ASSY EA $173 K0040
AS102159-Z ANG ADJ FOOTREST 17” ASSY EA $173 K0040
AS102160-Z ANG ADJ FOOTREST 18” ASSY EA $173 K0040
AS102161-Z ANG ADJ FOOTREST 19” ASSY EA $173 K0040
AS102164-Z AXLE ASSEMBLY PR $102 K0108
AS102174-Z ANG ADJ FOOTREST 20” ASSY EA $173 K0040 K0043
AS102175-Z ANG ADJ HI MNT FTREST 14” EA $197 K0040 K0037
AS102176-Z ANG ADJ HI MNT FTREST 15” EA $197 K0040 K0037
AS102177-Z ANG ADJ HI MNT FTREST 16” EA $197 K0040 K0037
AS102178-Z ANG ADJ HI MNT FTREST 17-18” EA $197 K0040 K0037
AS102179-Z ANG ADJ HI MNT FTREST 19-20” EA $197 K0040 K0037
AS102180-Z INV ANG ADJ HI MNT 14” ASSY EA $197 K0040 K0037
AS102185-Z SHORT ANTI-TIP SHORT WHEEL PR PR $244 E0971
AS102186-Z LONG ANTI-TIP SHORT WHEEL PR PR $244 E0971
AS102187-Z SHORT ANTI-TIP LONG WHEEL PR PR $244 E0971
AS102189-Z TRAVEL WHEEL ASSEMBLY PR $536 K0108
AS102190-Z SWING AWAY ARMREST LEFT ASSY EA $149 E0973
AS102191-Z SWING AWAY ARMREST RIGHT ASSY EA $149 E0973
AS102196-Z STROLLER HANDLE LEFT ASSEMBLY EA $137 K0108
AS102197-Z STROLLER HANDLE RIGHT ASSEMBLY EA $137 K0108
AS102216-Z DEPTH ADJ FOOTREST 10-11 PR PR $199 K0040 K0037
AS102217-Z DEPTH ADJ FOOTREST 12-13 PR PR $199 K0040 K0037
AS102218-Z DEPTH ADJ FOOTREST 14-15 PR PR $199 K0040 K0037
STOCK CODE DESCRIPTION UNIT RETAIL HCPCS
PPL_117_REV I
Effective March 1, 2017permobilus.com2701 West Court Street | Pasco, Washington 99301509.586.6117 Tel | 800.545.2266 Toll-Free509.586.2413 Fax | 866.586.2413 Toll-Free Fax
AS102219-Z DEPTH ADJ FOOTREST 16-17 PR PR $199 K0040 K0037
AS102220-Z DEPTH ADJ FOOTREST 18-20 PR PR $199 K0040 K0037
AS102223-Z DEPTH ADJ FOOTREST 14-15 RT EA $100 K0040 K0037
AS102224-Z DEPTH ADJ FOOTREST 16-17 RT EA $100 K0040 K0037
AS102225-Z DEPTH ADJ FOOTREST 18-20 RT EA $100 K0040 K0037
AS102227-Z DEPTH ADJ FOOTREST 12-13 LT EA $100 K0040 K0037
AS102228-Z DEPTH ADJ FOOTREST 14-15 LT EA $100 K0040 K0037
AS102229-Z DEPTH ADJ FOOTREST 16-17 LT EA $100 K0040 K0037
AS102230-Z DEPTH ADJ FOOTREST 18-20 LT EA $100 K0040 K0037
AS102231-Z HI MOUNT DEPTH ADJ 10-11” PR PR $309 K0040 K0037
AS102232-Z HI MOUNT DEPTH ADJ 12-13” PR PR $309 K0040 K0037
AS102233-Z HI MOUNT DEPTH ADJ 14-15” PR PR $309 K0040 K0037
AS102234-Z HI MOUNT DEPTH ADJ 16-17” PR PR $309 K0040 K0037
AS102235-Z HI MOUNT DEPTH ADJ 18-20” PR PR $309 K0040 K0037
AS102236-Z HI