
$212.70
5.0 mph High Torque Motors (Required when
using 400 lbs. seating.)
105PF84
Power CG Tilt - 53°
105PF93
Powered Seating Thru-drive Control Method.
"Assignable Button" feature listed below (available on Rnet Systems) allows for direct "short-
cut" access to various seating functions via joystick buttons. Functions accessed by
depressing the button for more than 1 second. By selecting the thru-drive w/assignable button
the chair will be pre-programmed with seating functions assigned to buttons on the joystick.
Assignments can be changed via PC Dongle.
$3,973.06
105PC85
105PF86
Performance Packages
$2,197.16
$2,632.87
105LI04
$2,374.75
$2,142.00
Quickie S636 MPC Multi-Power
105PC84
N/C
LED Light Package (Requires Rne t)
N/C
251 to 300 lb Weight Capacity 105SV10
N/C
105SV11 301 to 400 lb Weight Capacity
(Not available with solid casters)
105LB5
105LB6
251 to 300 lbs N/C
$204.43
301 to 400 lbs. (NA with Recline)
LED Light Package
(NA w/recline or Base only)
Power Seating System Options
$1,468.53
176 to 250 lb Weight Capacity N/C
Up to 175 lb Weight Capacity
Quickie S636 BC No Power
105PC93 K0848 Quickie S636 BC $2,374.75
Transit
105TO25 4 Point Transit Pkg (NA over 300lbs)
$2,374.75
105PC82 $2,374.75
$128.03
105PC97 K0848 Quickie S636 BC Base only
Quickie S636 SC
50° Tilt Recline w/Pwr Shear Reduction (MPC
Only)
E1002
E1008
Power Recline System / Pwr Shear
105PT1
Quickie S636 SC Single Power
105PC83 K0856 Quickie S636 SC Base only
K0856
6.5 mph / 300 LB Capacity
K0861
Quickie S636 MPC
Quickie S636 MPC Base only
E1005
$425.39
(select switch on Section 10)
MPC base can be ordered with any of the above power seating options at initial issue.
Expandable controls are required with all MPC Bases
105PT4
8.5 mph / 300 LB Capacity
(Requires PM120 Rnet electronics)
105TN2
Powered Seat Option Electronics
-
105PT3
$826.00
N/C
-105EO1
Toggle Mount Right
Toggle Mount Left
-
Standard Toggle Switch Activation
105TN1
N/C
N/C
105SV01
E2311
See electronic section for control options
Power Seating System Type
The HCPCS CODES provided are based on code verification through PDAC or our interpretation of the code definitions.
The use of HCPCS CODES does not ensure coverage or payment. For coverage information, verify the appropriate payer's coverage policy.
Price
DefinitionHCPCSOption #
N/C0 to 250 lbs105LB1
Option # HCPCS
Price
Definition
1. QUICKIE S636 BC/SC/MPC POWER CHAIR
Name:
City,State,Zip:
Address:PO#:
Buyer:
Marked For:
QUICKIE S636 BC/SC/MPC FSS Net Order Form/Price List (SIN F-2)
No Power, Single Power & Multi Power Seating Option
Effective 12/18/2014 FSS #V797P-3220M - TID 272381917
Includes Modification P00092
K0861
N/C
105SV02
Account: Ship To:
Phone:
Date:
Thru Drive 1 Actuator w/out assignable
buttons. For use with VR2 or R-net
(For operating Tilt thru Joystick.)
E2311
Thru Drive 2+ Actuators w/out assignable
buttons (For operating Tilt, Recline or Power
Legs thru Joystick requires expandable Rnet)
105EO13
105EO15
105EO16
Thru-Drive 2+ Actuator options.
E2310
Thru Drive 1 Actuator with assignable
buttons. (For operating Tilt thru Joystick
and/or buttons on the remote. Requires R-
net.)
$1,201.83
Suspension
Thru-Drive 1 Actuator options.
$586.46E2310
$1,201.83
105EO14
Thru Drive 2+ Actuators with assignable
buttons. (For operating Tilt, Recline or Power
Legs thru Joystick and/or buttons on the
remote. Requires expandable Rnet)
$586.46
ORDERING INFORMATION: PHONE: (800) 333-4000 FAX: (800) 300-7502 WEBSITE: www.sunrisemedical.com
Specifications are subject to change without notice. Copyright © 2014
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