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HEARING AID ACCESSORIES CATALOG

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HEARING AID

ACCESSORIES

CATALOG

The VA Denver Acquisition & Logistics Center provides this

catalog to help identify required Hearing Aid Accesories to better

serve America’s Veterans.

VA Denver

Acquisition &

Logistics Center

(VA DALC)

(2)

Miscellaneous Hearing Aid

Accessories

1

Adapters

3

Cables

4

Cap Snapon

4

Carrying Case

5

Chargers

6

Cleaning & Adjusting Tools

7

Tool Cleaner Multi Tool

8

Clips

9

Covers

9

Cords

10

Eargear

12

Housing

13

Keypad Surflink

14

Lanyards

14

Locks

15

Magnets

16

Microphones

16

Mic

rophone Covers

17

Mic Screens

21

Neckloops

22

O-Cap

23

Otoclip

23

Skin Streamer

24

Streamer Strap/Antenna

24

VC Caps

25

Vents

25

Wind Screens

26

T-Caps 27

Waxsprings

27

Waxguards

28

Bone Oscillator

32

Headbands

32

Table of Contents

Hearing Aid Accessories

Dri-Aid kit, pouch, dehumidifiers

Dry & Store (various)

33

Snaptips/Eartips

34

Eartips

34

Tubing Air blower

35

Receiver, External Air

36

Seals

36

Tubing - Shaped

37

Tubing - Straight

38

Audioshoes

40

RIC Receivers/Kits/Tubes/Domes

Bernafon

45

GN Resound

50

Oticon

56

Phonak

67

Siemens

71

Sonic Innovations

76

Starkey

79

Unitron

83

Widex

85

Temple Tips

89

Sweat Bands

90

Ear hooks

Oticon

91

Bernafon

91

GN Resound

92

Phonak

93

Siemens

94

Sonic Innovations

95

Starkey

95

Unitron

96

Widex

96

(3)

Cochlear Implant Accessories

Med-El Corporation

97

Batteries

100

Cochlear Americas

101

Batteries

114

Advanced Bionics

115

Batteries

120

Vendor Information

Bernafon

122

GN Resound

122

Oticon, Inc.

123

Phonak

123

Prairie Labs

124

Siemens Hearing

124

Sonic Innovations

125

Starkey Labs

125

Unitron Hearing

126

Advanced Bionics

126

Cochlear Americas

127

Med-El Corporation

127

General Information

128

How to Order

128

Returns

129

Vendor Informatioin

1

2

9

Shipping Methods

130

Table of Contents

Hearing Aid Accessories

(4)

1

Hearing Aid Accessories

Miscellaneous Accessories

HCPCS - V5267

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE

AQUAPAC-SIE 10668262 EA $35.26

AUTOCOIL ACC KIT-STA 51656-000 EA $6.95 BUTTON CVR 62 RIC LT BLOND 17918401 EA $0.00 BUTTON CVR 62 RIC MTL RD BL BK 17918408 EA $0.00 BUTTON CVR 62 RIC ANTH MTLC 17918409 EA $0.00 BUTTON CVR 62 RIC NTK MRBGRY 17918420 EA $0.00 BUTTON RIC 62 DARK BROWN 17918404 EA $0.00 BUTTON RIC 62 MED BLONDE 17918402 EA $0.00 CLIP-ON DOCKING STATION ROGER 052-0694 EA 21.50

COLLAR RCVR RIC 70 16939100 EA $0.00

COLOR EXCHANGE PURE SILVER 10603025 EA $17.63 CONNECTLINE BTD 500 USB 142667 EA $43.00 CONTROL MINI VIRTO NANO 054-0060 EA $10.77 COVER PROTECTION COMPILOT II 005-0369 EA $7.80

CRADLE MARKED BLACK 130608 EA $12.90

CRADLE STREAMER PRO WHITE 130609 EA $12.90 DAMPER BTE 13 AGIL PRO 689-30-210-00 EA $4.32 DAMPER SYSTEM-BERN 689-30-320-00 EA $4.05 DUAL MINI USB SPLITTER 075-0006 EA $4.84

FILTER MPS-GN 15247500 EA $0.00

HEADPHONE MYLINK 052-3394 EA 22.36

ICOM AUDIO CABLE-PHO 052-0359 EA $16.14 LID BTE 77-87 TRANSX LTBLOND 18100701 EA $0.00 MINI TEK ACCESSORY SET 10604232 EA $2.66 MINI TEK TRANSMITTER SET 10603245 EA $66.02 PEN ROGER DOCKING W/PWR SUP 052-0693 EA $21.50

PEN ROGER LAVALLIER 052-3198 EA $4.30

PIN BATTERY .7 X 7.8MM 10PK 002-0399-1 PG of 10 $5.18 PIN BATTERY DOOR 0.7MM X 5.4MM 002-0035-1 PG of 10 $5.18 PIN MICRO 106 10PCS 502-15-301-00 PG of 10 $0.00 PIN RECEIVER CORDA 3PCS 502-15-191-00 PG of 10 $1.35

(5)

Hearing Aid Accessories

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE

PLUG RCVR FACEPLATE 127908 EA $4.30

POWER SUPPLY MIC ROGER KIT 052-0695 EA $4.30 POWER SUPPLY T-DEX 7 550 0018 000 EA $43.00 POWER SUPPLY USC PHONE-DEX 7 550 0019 000 EA $16.13

SCREEN HOOD DRK BRN 17215-002 EA $0.97

SHELL REMOVAL KIT MOXI 3G 054-5435 EA $0.83 SKIN STREAM PRO ONE BUTTON BLK 130953 EA $4.30 SKIN STREAMER BLUE 890-52-242-00 EA $3.51 SKIN STREAMER DG 890-52-240-00 EA $3.51 SKIN STREAMER GREEN 890-52-244-00 EA $3.51 SKIN STREAMER ORANGE 890-52-243-00 EA $3.51 SKIN STREAMER WHITE 890-52-241-00 EA $3.51 SKIN STREAMER PRO BLACK 130562 EA $4.30 SKIN STREAMER PRO WHITE 130563 EA $4.30 SWITCH 77/87 TRANSX BTE ANTH 18100909 EA $0.00 SWITCH KNOB COATED CHILI 544-71-350-00 EA $0.86 SWITCH TOGGLE 77-88 MDBLOND 18100902 EA $0.00 TAMPER RESISTANT KIT BEIGE 054-5255-01 EA $5.37 TAMPER RESISTANT KIT CLEAR 054-5225-13 EA $5.37 TAMPER RESISTANT KIT QUANTUM 054-5390 EA $5.37 TOGGLE SWITCH STERLING GREY 18100920 EA $0.00 VC COVER PLATE BEIGE 004-6118-01 EA $2.60 VC COVER PLATE CLEAR 004-6118-13 EA $2.60 VC SWITCH KNOB COATED CHILI 544-71-350-00 EA $0.86 VC SWITCH KNOB CHAMPAGNE 544-71-440-00 EA $1.72

WINDHOOD 13517-000 EA $0.00

YUU/NEXT KIT BG BD/VC/PIN 054-5209-01 EA $5.16 YUU/NEXT KIT CLR BD/VC/PIN 054-5209-13 EA $5.16

Miscellaneous Accessories

HCPCS - V5267

(6)

3

Hearing Aid Accessories

Adapters

HCPCS - V5267

ITEM NAME VENDOR STOCK

# UNIT OF ISSUE PRICE

ADAPTER AC LEXIS 890-60-052-05 EA $14.36 ADAPTER CONNECTLINE 890-52-292-00 EA $1.08

ADAPTER CORDA2 TR 114565 EA $0.86

ADAPTER CORDA2-OTI 571-01-320-00 EA $0.86

ADAPTER CRT KIT 054-0538 EA $0.00

ADAPTER ERHK NANO-BERN 571-01-330-00 EA $2.15 ADAPTER EU PLUG MYPILOT/ICOM 075-0002-12 EA $5.38 ADAPTER MICRO USB 3.5MM SURFLI 52864-000 EA $1.93

ADAPTER POWER EASYTEK 10824346 EA $0.00

ADAPTER PULSE CRT RETENTION 004-0011-001 PG of 10 $0.00

ADAPTER RIC BTE 17598200 EA $0.00

ADAPTER RIC POWER FILTERED 654-01-570-00 EA $1.29 ADAPTER SNAP STD FEMALE SOFT 00A-3097040100 EA $0.14 ADAPTER SPEAKER BLUE 573-87-120-00 EA $0.28 ADAPTER SPEAKER RED 573-87-200-00 EA $0.28 ADAPTER SNAP STD MALE HARD 29A-1097039101 EA $0.14

ADAPTER THIN TUBE 17452100 EA $0.00

ADAPTER THIN TUBE MINI 15574500 PG of 10 $0.00 ADAPTER THIN TUBE SILHOUT BTE 15966500 EA $0.00 ADAPTER THIN TUBE SUREFIT 18927600 EA $0.00 ADAPTER TUBE SPIRA STEAM MICRO 571-01-302-00 EA $0.00

ADAPTER TV UNITE 17295200 EA $1.82

ADAPTER UNI-DEX MOBILE TELE 7 550 0025 000 EA $8.60 ADAPTER UNITE PHONE CLIP+ 18201700 EA $4.58 ADAPTER USB ACDC MICRO CABLE 18864000 EA $9.30

ADAPTER USB UNITE TV2 18221000 EA $3.62

(7)

Hearing Aid Accessories

Cables

HCPCS - V5267

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE CABLE AUDIO LEXIS/AMIGO-OTI 384-01-220-00 EA $14.36 CABLE AUDIO MICRO USB 043-3066 EA $0.00 CABLE AUDIO PC STREAMER PRO KT 123533 EA $7.31 CABLE AUDIO TEK & MINI TEK SET 10420199 EA $0.00 CABLE AUDIO TV LINK 052-0423 EA $5.39 CABLE COAXIAL SURFLINK 52643-000 EA $2.91 CABLE INTERFACE UNITE TV 17295100 EA $4.58 CABLE LINE IN MINI-MIC 17774800 EA $5.48 CABLE OPTICAL UNITE TV2 18201900 ea $2.85

CABLE POWER USB 52645-000 EA $12.58

CABLE RCA TO RCA SURFLINK 52642-000 EA $4.83

CABLE TOSLINK 52641-000 EA $1.92

CABLE USB & MICRO USB SURFLINK 52865-000 EA $1.92 CABLE USB STREAMER PRO 123815 EA $3.44

Cap Snapon

HCPCS - V5267

ITEM NAME VENDOR STOCK

# UNIT OF ISSUE PRICE

CAP SNAPON MB-BERN 544-72-395-01 EA $0.00 CAP 22 PJ87-88 BE/LB-BERN 544-72-340-05 EA $0.00

(8)

5

Hearing Aid Accessories

Carrying Case

HCPCS - V5267

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE CASE PILOTONE LEATHER 076-0119-06 EA $16.13 CASE PRESENTATION SOFT BLK 16344-004 EA $0.97 CASE PRESENTATION HARD-STA 15171-011 EA $2.25 CASE LARGE LEATHER 7 501 0191 001 EA $0.00 CASE LEATHER PILOT ONE 076-0119-06 EA $0.86 CASE MEDIUM LEATHER 7 501 0190 030 EA $0.00 CASE MYPILOT BLACK 076-0861-06 EA $16.13 CASE MYPILOT GREY 076-0861-12 EA $16.12

CASE PRESENTATION-OTI 124172 EA $0.00

CASE RC-DEX 7 501 4006 001 EA $8.07

CASE ITE SILVER 017-0054 EA $0.00

CASE SMALL LEATHER 7 501 0189 002 EA $0.00

CASE SMARTLINK TX6 052-0392 EA $12.11

CASE SURFLINK MOBILE 52868-000 EA $33.87 POUCH MINI TEK BLACK 10604181 EA $7.06

POUCH MINI TEK GREY 10604619 EA $7.06

POUCH NEOPRENE 18701600 EA $0.00

(9)

Hearing Aid Accessories

Chargers

HCPCS - V5267

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE

CHARGER BEETLE OP601956 EA $18.28

CHARGER CABLE CAR TX6 052-0396 EA $12.10 CHARGER CAR MINI USB ICOM 075-0003 EA $16.14 CHARGER CAR PH CLP PLS 18202100 EA $8.79 CHARGER CAR SURFLINK 52869-000 EA $12.58

CHARGER CAR TEK 10601544 EA $15.87

CHARGER CAR UDIRECT 075-0003 EA $13.89

CHARGER CONNECTLINE/PHONE BOX 890-52-333-00 EA $14.36 CHARGER CRADLE STREAMER-OTI 890-52-220-00 EA $3.50

CHARGER E CARAT 7BX 10827876 EA $92.56 CHARGER E MOTION 7BX/SX 10931430 EA $92.56 CHARGER E MOTION 5/7 MI SX 10295028 EA $92.56 CHARGER E MOTION DM/DMVC/DP 10295014 EA $92.56 CHARGER E MOTION S 10295015 EA $92.56 CHARGER E PURE 10295013 EA $92.56

CHARGER E PURE CARAT 701 10667370 EA $92.56 CHARGER E PURE 7MI/BX 10822081 EA $92.56 CHARGER INTERFACE DAI SMRTLINK 045-3298-1 EA $20.98 CHARGER-WALL USB ICOM/MYPILOT 075-0001-11 EA $16.14 CHARGER MIC ROGER KIT 052-0695 EA $4.30 CHARGER MOTION 5/7MI PX 10822071 EA $92.56

CHARGER STREAMER PRO 128085 EA $12.92

CHARGER STREAMER CONNECTLINE 890-60-073-00 EA $12.92

CHARGER T-DEX 7 550 0018 000 EA $43.00

CHARGER TEK 10417270 EA $8.83

CHARGER TX6 SMARTLINK 052-0170 EA $10.89 CHARGER UNI-DEX MULTI CONFIG 7 550 0024 000 EA $0.00 CHARGER USC PHONE DEX 7 550 0019 000 EA $16.13 CHARGER W/PLUG TV & M-DEX 7 550 0006 000 EA $15.05 CHARGER WALL SURFLINK 52824-000 EA $12.58

(10)

7

Hearing Aid Accessories

Cleaning and Adjusting Tools

HCPCS - V5267

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE

CLEANING CLOTH 17372000 EA $0.00

CLEANING CLOTH C-GUARD SIE 10174940 EA $0.66 CLEANING CLOTH-WIDEX 7 501 0060 000 EA $0.00 CLEANING KIT-BERN 890-21-553-00 EA $4.32 RCVR RIC MIC REMOVAL TOOL 90171-000 EA $0.28 SHELL REMOVAL KIT MOXI 3G 054-5435 EA $0.83 TOOL ASPECT WAX REEMER 10843-000 EA $1.45 TOOL ASSEMBY RIC PWR DOME 15989900 EA $0.00 TOOL BATTERY DRAWER REMOVE 101484 EA $1.72 TOOL BATTERY EXTRACTOR 19777-001 EA $0.00 TOOL BD SLIM TIP REMOVAL 026-0184 EA $0.00 TOOL BRUSH LOOP MAGNET 17435000 EA $0.28 TOOL BTE CLEANING 7 503 2012 012 EA $0.00 TOOL ITE CLEANING 7 503 2012 012 EA $0.00 TOOL CLEANING 4 N 1 90796-000 EA $0.51 TOOL CLEANING PIN 25PCS 054-0344 PG of 25 $0.00 TOOL CLEANING VENT CIC 90622-000 EA $0.50 TOOL CLEANING LIFE 30PCS 10054970 PG of 30 $0.00 TOOL CLEANING SPIRAFLEX 30PCS 890-21-241-00 PG of 30 $20.32 TOOL CLEANING SPIRA1.9 20PK 890-21-260-00 PG of 30 $17.20

TOOL CLEANING TUBE OP602687 EA $0.00

TOOL CLEANING WIRE 15168700 EA $0.00

TOOL CLICK MOLD 10597930 EA $0.00

TOOL VENT CLEANER SMALL 121563 EA $0.00 TOOL LOOP WAX DBL END 90611-000 EA $0.49 TOOL MIC PROTECT MICRO BTE 004-0401-001 EA $1.25 TOOL MINI BRUSH SET-BERN 890-22-212-00 EA $4.32

TOOL MPS FILTER-INT 15247600 EA $0.00

TOOL MULTI ALERA 17327600 EA $0.00

(11)

Hearing Aid Accessories

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE TOOL CLEANING TUBE-PHO 098-0064 EA $0.00

TOOL LIFETIP 118890 EA $0.00

TOOL MEASURE PAPER LEFT MK602923 EA $0.00 TOOL MEASURE PAPER RIGHT MK602922 EA $0.00 TOOL MULTI W/BRUSH EPOQ-OTI 890-60-230-00 EA $0.00 TOOL RECEIVER HANDLING 6 023 0004 030 EA $0.00 TOOL RECEIVER LOCK 003-0025-1 EA $0.00 TOOL REMOVAL CLICK DOME 10605850 EA $0.00 TOOL REMOVAL SPRING FOAM PICK 20028-000 EA $0.00 TOOL SERVICE VIGO 890-22-270-00 EA $0.00 TOOL VENT BRUSH MED 90794-002 EA $0.63 TOOL VENT BRUSH SMALL 90794-001 EA $0.63

TOOL VENT CLEANER 054-5164 EA $0.86

TOOL WAX REMOVING 7 527 0002 000 EA $0.00 TOOL WAXBUSTER MICRO 825-01-090 EA $0.00 TOOL WAXBUSTER MICRO OTI 825-01-086 EA $0.00

TOOL WIND/WEATHER 004-0231 EA $0.75

TOOL WAND DMS ARG 054-5079 EA $3.44

Cleaning and Adjusting Tools (cont’d)

HCPCS - V5267

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE TOOL CLEANER MULTI TOOL 400586 EA $3.44

(12)

9

Hearing Aid Accessories

Covers

HCPCS - V5267

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE COVER MOLD PWR RITE CLR-OTI 543-11-774-00 EA $1.72 COVER MOLD PWR RITE DRKBRN-OTI 543-11-773-00 EA $1.72 COVER MOLD PWR RITE MEDBRN-OTI 543-11-771-00 EA $1.72 COVER MOLD PWR RITE PINK-OTI 543-11-770-00 EA $1.72 COVER POWER SUPPLY 90 DAI RED 16429106 EA $0.00 COVER PROTECTIOIN COMPILOT II 005-0369 EA $7.80

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE CLIP BELT STREAMER PRO BLK 125137 EA $5.38 CLIP BELT STREAMER PRO WHT 129474 EA $5.38

CLIP BELT SURFLINK 52866-000 EA $0.97

CLIP BELT TEK-SIE 10425344 EA $6.19

CLIP CORD RETAINER-OTI 516-90-021-09 EA $4.79

CLIP MINI TEK 10604180 EA $6.19

CLIP RONDO CLOTHES 8795 EA $16.13

CLIP RONDO HAIR 30447 EA $16.13

CLIP SPORTS AQUARIS 10666837 EA $13.23

CLIP STREAMER SNDGATE BLK-BERN 543-11-571-00 EA $4.32 CLIP STREAMER SNDGATE WHT-BERN 543-11-570-00 EA $4.32

CLIP SURFLINK 91091-000 EA $1.45

Clips

HCPCS - V5267

(13)

Hearing Aid Accessories

Miscellaneous Cords

HCPCS - V5267

ITEM NAME

VENDOR

STOCK #

UNIT OF

ISSUE

PRICE

CORD 3.5MM TO RCA 52644-000 EA $11.60

CORD AUDIO 3.5MM TO 2.5MM 384-01-020-00 EA $2.88

CORD AUDIO 36IN 057-5012 EA $17.22

CORD AUDIO INPUT 3.5MM 10FT 052-0340 EA $16.24 CORD AUDIO MINI 30IN 00618-000 EA $28.82 CORD LAVA ANTENNA SMARTLINK+ 004-3495-001 EA $20.17 CORD POWER SUPPLY UNITE 15837500 EA $9.15

Cros Cords

HCPCS - V5267

ITEM NAME

VENDOR

STOCK #

UNIT OF

ISSUE

PRICE

CORD CROS 10IN 057-0101 EA $12.11

HEARING AID CORDS

ITEM NAME VENDOR STOCK UNIT OF ISSUE PRICE

CORD Y 7R 7 24 00613-000 EA $19.14

CORD Y BINAURAL 24IN 057-0109 EA $21.78

(14)

11

Hearing Aid Accessories

ITEM NAME LENGTHS PLUG TYPES USE WITH PRICE

CORD 179 179 13 CORD 179 179 13.5 CORD 179 179 14 CORD 179 179 14.5 13 inches (33cm) 13.5 inches (35cm) 14 inches (36cm) 14.5 inches (37cm) 179 (formerly known as 279)

Starkey Cros and

Starkey Bicros $19.02 CORD EF 9

CORD EF 12 9 inches (23cm)12 inches (30cm) EF Oticon 300 series & Oticon Multifocus aids with Boot & Cros microphone

$14.36

ITEM NAME LENGTH PLUG TYPES USE WITH PRICE

CORD 425 135 24 CORD 425 135 30 CORD 425 135 36 CORD 425 135 40 24 inches (61cm) 30 inches (76cm) 36 inches (91cm) 40 inches (102cm) 145, 135 Danavox 107-2PPAGCI Philips S1594, S1694 Widex S21 $18.77

Non-Polarized 3 Conductor

HCPCS - V5267

Bicros Cords

HCPCS - V5267

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE CORD BICROS 12IN BG 16292-041 EA $15.31 CORD BICROS 13.5IN BG 16292-047 EA $15.31 CORD BICROS 13IN BG 16292-045 EA $15.31 CORD BICROS 14.5IN BG 16292-051 EA $15.31 CORD BICROS 14IN BG 16292-049 EA $15.31 CORD BICROS 15IN BG 16292-053 EA $15.31 CORD BICROS 17.5IN BG 16292-063 EA $15.31 CORD BICROS 17IN BG 16292-061 EA $15.31 CORD BICROS 20IN BG 16292-073 EA $15.31

(15)

Hearing Aid Accessories

Eargear

HCPCS - V5267

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE EARGEAR BAHA BI NO CORD BG 57935 EA $23.12 EARGEAR COCH MONO W/CORD BG 55915 EA $23.12 EARGEAR COCH MONO W/CORD BLK 55904 EA $23.12 EARGEAR COCHLEAR BI NO CORD BG 55995 EA $23.12 EARGEAR FM BI W/CORD BEIGE 55795 EA $20.97 EARGEAR FM BINAURL NO CORD BG 55815 EA $19.89 EARGEAR MICRO BI NO CORD BG 56375 EA $19.89 EARGEAR MINI CUR BI NO CORD BG 56095 EA $19.89 EARGEAR MINI CUR BI NO CORD BK 56084 EA $20.97 EARGEAR MINI CUR BI NO CORD BN 56094 EA $20.97 EARGEAR MINI CUR BI NO CORD GY 56093 EA $20.97 EARGEAR MINI CUR BI W/CORD BG 56075 EA $20.97 EARGEAR MINI CUR BI W/CORD BK 56064 EA $20.97 EARGEAR MINI CUR BI W/CORD GY 56073 EA $20.97 EARGEAR ORIG BI NO CORD BEIGE 55755 EA $19.89 EARGEAR ORIG BI W/CORD BEIGE 55735 EA $20.97 EARGEAR ORIG BI W/CORD BLACK 55724 EA $20.97 EARGEAR ORIG BI W/CORD BROWN 55734 EA $20.97 EARGEAR ORIG BI W/CORD GREY 55733 EA $20.97 EARGEAR ORIG MONO W/CORD BLK 55704 EA $19.89 EARGEAR ORIG MONO W/CORD GRY 55713 EA $19.89

(16)

13

Hearing Aid Accessories

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE HOUSING PANEL L 61 RIC GLSBLK 18089425 EA $0.00 HOUSING PANEL R 61 RIC GLSBLK 18089525 EA $0.00 HOUSING RIC LINX ANTHRACITE 18994209 EA $0.00 HOUSING RIC LINX BLACK 18994208 EA $0.00 HOUSING RIC LINX DARK BROWN 18994204 EA $0.00 HOUSING RIC LINX LIGHT BLOND 18994201 EA $0.00 HOUSING RIC LINX MED BLOND 18994202 EA $0.00 HOUSING RIC LINX PEARL 18994211 EA $0.00 HOUSING RIC LINX PINK/BEIGE 18986705 EA $0.00 HOUSING RIC LINX PK/STRL GRY 18986720 EA $0.00 HOUSING RIC LINX STERLING GREY 18994220 EA $0.00

Housing

HCPCS - V5267

(17)

Hearing Aid Accessories

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE

LANYARD 054-5222 EA $0.86

LANYARD MIC LAPEL KIT-OTI 890-52-180-00 EA $3.83 LANYARD MOBILE SURFLINK 52867-000 EA $3.86 LANYARD MYPILOT-PHO 076-0858 EA $4.05

LANYARD PILOTONE 099-0304 EA $4.05

LANYARD RC-P SLIMLINE BERN 890-52-600-00 EA $0.00

LANYARD KEYRING 099-0304 EA $0.86

LANYARD SURFLINK 90974-000 EA $0.00

LANYARD SURFLINK MEDIA 91092-000 EA $4.29 LANYARD UNITE PHONE CLIP 17346200 EA $0.00

Lanyards

HCPCS - V5267

Keypad Surflink

HCPCS - V5267

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE KEYPAD SURFLINK REMOTE ADVAN 90919-002 EA $16.14 KEYPAD SURFLINK REMOTE BASIC 90919-000 EA $16.14 KEYPAD SURFLINK REMOTE INTER 90919-001 EA $16.14

(18)

15

Hearing Aid Accessories

ITEM NAME VENDOR STOCK

# UNIT OF ISSUE PRICE

LOCK MINI CONCHA M25 10PCS 10601876 EA $0.00 LOCK MINI CONCHA P3G 10PCS 10673516 EA $0.00 LOCK MINI CONCHA P65 10PCS 10601878 EA $0.00 LOCK MINI CONCHA S45 10PCS 10601877 EA $0.00

LOCK PLATE RIC 506-24-030-00 EA $0.65

LOCK RETENTION E-TIP 4 072 4900 000 PG of 20 $0.00 LOCK RETENTION TAILS 10PK 004-0628-001 EA $3.32 LOCK RETENTION TUBE BRASS 10PK 021-5278 PG of 10 $6.24 LOCK RETENTION X POWER 004-1032-001 PG of 10 $0.00 LOCK SPORTS EAR GRIP RIC-OTI 540-20-030-00 EA $0.86

LOCK SPORT HP SUREFIT

19428300 PG of 10 $0.00 LOCK SPORT LP SUREFIT 19428000 PG of 10 $0.00

LOCK SPORT MP SUREFIT 19428200 PG $0.00

LOCK SPORTS RETENTION 10PCS 004-0628-001 EA $0.00 LOCK SPORTS RETENTION RIC 10PC 16472000 PG of 10 $0.00 LOCK SPORTS RETENTION RIC-STA 13243-000 EA $0.00 LOCK SPORTS RETENTION S 10PCS 18964000 PG of 10 $0.00 LOCK SPORT SNAPFIT 3SER HALO 17390-000 EA $0.00

Locks

HCPCS - V5267

(19)

Hearing Aid Accessories

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE MAGNET AUTOPHONE-SIE 10147344 EA $1.51 MAGNET RC MICRO CIC 054-5781 EA $16.13 MAGNET TCOIL 2PK 054-5117 PG OF 2 $2.58 MAGNET TCOIL AUTO-GN 17101900 EA $0.00 MAGNET TCOIL LG-BERN 589-01-130-00 EA $0.00 MAGNET TCOIL SM-BERN 15500-2010 EA $0.00

Magnets

HCPCS - V5267

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE MICROPHONE CLIP-ON LAVAL ROGER 052-3234 EA $4.30 MICROPHONE COMPILOT 057-0115 EA $10.23 MICROPHONE SURFLINK 52640-000 EA $15.48 MICROPHONE TV BOX-OTI 890-52-290-00 EA $4.80

MIC MM8 LAPEL 052-0028 EA $68.80

POWER SUPPLY MIC ROGER KIT 052-0695 EA $5.38

Microphones

(20)

17

Hearing Aid Accessories

Microphone Covers

HCPCS - V5267

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE

MICROPHONE CVR AMBRA NANO 8PCS 054-0082-13 PG of 8 $4.66 MICROPHONE CVR AUD Q CHAMP 042-0046-P51 EA $0.92 MICROPHONE CVR DK BRN-STA 17508-002 EA $2.42 MICROPHONE CVR GLUE TAN 10PCS 004-6283-141 PG of 10 $3.40 MICROPHONE CVR M H20 BEIGE 042-0038-011 PG of 10 $4.66 MICROPHONE CVR M H20 BLACK 042-0038-061 PG of 10 $4.66 MICROPHONE CVR M H20 CHOCL 042-0038-E51 PG of 10 $4.66 MICROPHONE CVR M H20 CLEAR 042-0038-131 PG of 10 $4.66 MICROPHONE CVR M H20 CLIFF 042-0038-E61 PG of 10 $4.66 MICROPHONE CVR M H20 GLACIER 042-0038-E91 PG of 10 $4.66 MICROPHONE CVR M H20 GREY 042-0038-E81 PG of 10 $4.66 MICROPHONE CVR M H20 PINK 042-0038-331 PG of 10 $4.66 MICROPHONE CVR M H20 STERLING 042-0038-F31 PG of 10 $4.66 MICROPHONE CVR M H20 TAUPE 042-0038-351 PG of 10 $4.66 MICROPHONE CVR MICRO BTE 10PCS 004-1234-131 PG of 10 $4.79 MICROPHONE CVR MOXI 3G 10PCS 054-5436 PG of 10 $0.90 MICROPHONE CVR MPS 10PCS 15490800 PG of 10 $0.00 MICROPHONE CVR NANO BEIGE 112302 EA $0.00 MICROPHONE CVR NANO DKBRN 112303 EA $0.00 MICROPHONE CVR NO SWITCH BLK 004-8110-061 EA $1.08 MICROPHONE CVR NO SWITCH GREY 004-8110-E81 EA $1.08 MICROPHONE CVR W/SWITCH BLK 042-0023-061 PG of 10 $1.08 MICROPHONE CVR W/SWITCH GREY 042-0023-E81 PG of 1 $1.08 MICROPHONE CVR SNAP COBRN 4PCS 17552-006 PG of 4 $2.42 MICROPHONE CVR SNAP BRN 10PCS 004-6134-281 PG of 10 $3.40 MICROPHONE CVR SNAP COCO 10PCS 004-6134-221 PG of 10 $3.40 MICROPHONE CVR SNAP PINK 10PCS 004-6134-261 PG of 10 $3.40 MICROPHONE CVR SNAP TAN 10PCS 004-6134-141 PG of 10 $3.40 MICROPHONE CVR QUANT BEIGE 054-5391-01 PG of 2 $0.86 MICROPHONE CVR QUANT BROWN 054-5391-03 PG of 2 $0.86 MICROPHONE CVR QUANT BLACK 054-5391-06 PG of 2 $0.86 MICROPHONE CVR QUANT CHAR 054-5391-12 PG of 2 $0.86 MICROPHONE CVR QUANT TAUPE 054-5391-35 PG of 2 $0.86 MICROPHONE CVR QUANT CLR 054-5391-13 PG of 2 $0.86

(21)

Hearing Aid Accessories

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE

MIC COVER HC4+ SM CHE/DBRN 4PK 52963-002 Pkg of 4 $1.43 MIC COVER HC4+ SM MED/CBRN 4PK 52963-006 Pkg of 4 $1.43 MIC COVER HC4+ SM PNK/LBRN 4PK 52963-023 Pkg of 4 $1.43 MIC COVER OMC+ SM CHE/DBRN 4PK 52963-002 Pkg of 4 $1.43 MIC COVER OMC+ SM MED/CBRN 4PK 52963-006 Pkg of 4 $1.43 MIC COVER OMC+ SM PNK/LBRN 4PK 52963-023 Pkg of 4 $1.43 MICROPHONE CVR MIH W/FILT BG 17596800 EA $0.00 MICROPHONE CVE MIH W/FILT DK 17596804 EA $0.00 MICROPHONE CVR MIH W/FILT ES 17596802 EA $0.00 MICROPHONE CVR MIH W/FILT MD 17596805 EA $0.00 MICROPHONE CVR RIC 61 ANTH 17777309 EA $0.00 MICROPHONE CVR RIC DOT2 BLK 10731707 EA $0.00 MICROPHONE CVR RIC DOT2 CRM 17031703 EA $0.00 MICROPHONE CVR RIC DOT2 DBND 17031700 EA $0.00 MICROPHONE CVR RIC DOT2 GREY 17031701 EA $0.00 MICROPHONE CVR RIC DOT2 LBND 17031704 EA $0.00 MICROPHONE CVR VELOCITY 123807 EA $0.00 MICROPHONE CVR 98 SP LT BLOND 19227701 EA $0.00 MICROPHONE CVR 98 SP MD BLOND 19227702 EA $0.00 MICROPHONE CVR 98 SP DR BROWN 19227704 EA $0.00 MICROPHONE CVR 98 SP BEIGE 19227705 EA $0.00 MICROPHONE CVR 98 SP BLACK 19227708 EA $0.00 MICROPHONE CVR 98 SP ANTHRAC 19227709 EA $0.00 MICROPHONE CVR 98 SP PEARL 19227711 EA $0.00 MICROPHONE CVR 98 SP GREY 19227720 EA $0.00 MICROPHONE CVR 3/Z SER BLACK 53085C706 EA $2.41 MICROPHONE CVR 3/Z SER BRONZE 53085C702 EA $2.41 MICROPHONE CVR 3/Z SER BRSTER 53085C711 EA $2.41 MICROPHONE CVR 3/Z SER CHAMP 53085C710 EA $2.41 MICROPHONE CVR 3/Z SER ESPRE 53085C712 EA $2.41 MICROPHONE CVR 3/Z SER STERL 53085C721 EA $2.41 MICROPHONE CVR 61 RIC SPINE BK 17777308 EA $0.00

Microphone Covers (con’t)

(22)

19

Hearing Aid Accessories

Microphone Covers (con’t)

HCPCS - V5267

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE MICROPHONE CVR BTE SERIS3 BRON 13354C702 EA $2.51 MICROPHONE CVR BTE SERIS3 BLK 13354C706 EA $2.51 MICROPHONE CVR BTE SERIS3 CHAM 13354C710 EA $2.51 MICROPHONE CVR BTE SERIS3 ESPR 13354C712 EA $2.51 MICROPHONE CVR BTE SERIS3 STER 13354C711 EA $2.51 MICROPHONE CVR BTE SERIS3 STR 13354C721 EA $2.51 MICROPHONE CVR BTE SER3 BRON 13387C702 EA $0.00 MICROPHONE CVR BTE SER3 BLACK 13387C706 EA $0.00 MICROPHONE CVR BTE SER3 CHAMP 13387C710 EA $0.00 MICROPHONE CVR BTE SER3 ESPRE 13387C712 EA $0.00 MICROPHONE CVR BTE SER3 STER 13387C711 EA $0.00 MICROPHONE CVR BTE SER3 STRRSLT 13387C721 EA $0.00 MICROPHONE CVR BTE SER3 PWR BL 13503C706 EA $0.00 MICROPHONE CVR BTE SER3 PWR BR 13503C702 EA $0.00 MICROPHONE CVR BTE SER3 PWR CH 13503C710 EA $0.00 MICROPHONE CVR BTE SER3 PWR ES 13503C712 EA $0.00 MICROPHONE CVR BTE SER3 PWR SL 13503C721 EA $0.00 MICROPHONE CVR FS GOLD 3 065 0056 040 EA $0.00 MICROPHONE CVR FS TRANSPARENT 3 065 0056 058 EA $0.00 MICROPHONE CVR FS PLATINUM 3 065 0056 079 EA $0.00 MICROPHONE CVR HC4 BRN/PNK 52833-023 EA $3.23 MICROPHONE CVR HC4 MED BRN 52833-006 EA $3.24 MICROPHONE CVR HC4 DRK BRN 52833-002 EA $3.24 MICROPHONE CVR ITC BROWN 044-0162-28 EA $0.00 MICROPHONE CVR ITC COCO 044-0162-22 EA $0.00 MICROPHONE CVR ITC PINK 044-0162-26 EA $0.00 MICROPHONE CVR LG CHE/DBRN 48 52966-002 Pkg of 48 $7.65

(23)

Hearing Aid Accessories

Microphone Covers (con’t)

HCPCS - V5267

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE MICROPHONE CVR RIC HALO BLACK 13490C706 EA $0.00 MICROPHONE CVR RIC HALO BRONZE 13490C737 EA $0.00 MICROPHONE CVR RIC HALO CHAMP 13490C736 EA $0.00 MICROPHONE CVR RIC HALO SLATE 13490C721 EA $0.00 MICROPHONE CVR RIC HALO STERL 13490C711 EA $0.00 MICROPHONE CVR RIC SER3 BLK 13331C706 EA $2.42 MICROPHONE CVR RIC SER3 BRON 13331C702 EA $2.42 MICROPHONE CVR RIC SER3 BRSTER 13331C711 EA $2.42 MICROPHONE CVR RIC SER3 CHAMP 13331C710 EA $2.42 MICROPHONE CVR RIC SER3 ESPRE 13331C712 EA $2.42 MICROPHONE CVR RIC SER3 STER 13331C721 EA $2.42 MICROPHONE CVR RIC 13 CHROME 50762-000 EA $2.42 MICROPHONE CVR RIC 13 MAT GREY 50762-200 EA $2.42 MICROPHONE CVR RIC CHAMPANGE 13396C724 EA $2.42 MICROPHONE CVR RIC 10 BLACK 13247-806 EA $0.00 MICROPHONE CVR RIC 10 WHITE 13247-812 EA $0.00 MICROPHONE CVR RIC312 SERX CHR 52532-000 EA $2.42 MICROPHONE CVR SM CHE/DBRN 32 52964-002 Pkg of 32 $7.65 MICROPHONE CVR SM MED/CBRN 32 52964-006 Pkg of 32 $7.65 MICROPHONE CVR SM PNK/LBRN 32 52964-023 Pkg of 32 $7.65 MICROPHONE CVR VIRTO COCO 004-0085-22 EA $0.00 MICROPHONE CVR VIRTO PINK 004-0085-26 EA $0.00 MICROPHONE CVR 67/77/87 LTBLND 18099301 EA $0.00 MICROPHONE CVR 67/77/87 MDBLND 18099302 EA $0.00 MICROPHONE CVR 67/77/87 DR BRN 18099304 EA $0.00 MICROPHONE CVR 67/77/87 BEIGE 18099305 EA $0.00 MICROPHONE CVR 67/77/87 BL 18099308 EA $0.00 MICROPHONE CVR 67/77/87 ANTH 18099309 EA $0.00 MICROPHONE CVR 67/77/87 PEAR 18099311 EA $0.00 MICROPHONE CVR 67/77/87 MET 18099320 EA $0.00 MICROPHONE CVR 67/77/87 GBLK 18099325 EA $0.00

(24)

21

Hearing Aid Accessories

Mic Screens

HCPCS - V5267

ITEM NAME VENDOR

STOCK # UNIT OF IS-SUE PRICESELL SCREEN AUDEO YES 10PK 004-0058-131 PG of 10 $1.08 SCREEN HOOD DRK BRN 17215-002 PG OF 10 $0.97 SCREEN LONG ADHESIVE 10PCS 054-0310 PG of 10 $5.49 SCREEN LONG BTE 10PCS 004-0782-001 PG of 1 $1.08 SCREEN MIC 10 S SERIES 13247-811 EA $2.68 SCREEN MIC ADAPTIVE CBN-L 5PK 52328-006 PG of 5 $5.38 SCREEN MIC ADAPTIVE CBN-R 5PK 52329-006 PG of 5 $5.38 SCREEN MIC ADAPTIVE CHNT-L 5PK 52328-004 PG of 5 $5.38 SCREEN MIC ADAPTIVE CHNT-L 5PK 52329-004 PG of 5 $5.38 SCREEN MIC ADAPTIVE DKBRN-L 52328-002 PG of 5 $5.38 SCREEN MIC ADAPTIVE DKBRN-R 52329-002 PG of 5 $5.38 SCREEN MIC ADAPTIVE LB-L 5PK 52328-023 PG of 5 $5.38 SCREEN MIC ADAPTIVE LB-R 5PK 52329-023 PG of 5 $5.38 SCREEN MIC ADAPTIVE PINK-L 5PK 52328-001 PG of 5 $5.38 SCREEN MIC ADAPTIVE PINK-R 5PK 52329-001 PG of 5 $5.38 SCREEN MIC BTE 2PCS 054-5173 PG of 2 (1 tool) $0.86 SCREEN MIC UNIVER GREY 2PK 054-5234-05 PG of 2 $0.86 SCREEN MIC UNIVER BG 2PK 054-5234-01 PG of 2 $0.86 SCREEN MIC YUU MODA-II 2PK 004-6099-001 PG of 2 $0.86 SCREEN MINI DESTINY HC1200 15359-001 EA $0.96 SCREEN SHORT ADHESIVE 10PCS 054-0312 PG of 10 $5.38 SCREEN STANDARD BTE 5PCS 054-0069 PG of 5 $4.04

(25)

Hearing Aid Accessories

Neckloops

HCPCS - V5267

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE

NECKLOOP SONICBLU 3003293 EA $32.25 NECKLOOP-CS-QUATTRO CS-BT-CLA7V2 EA $100.31 NECKLOOP-NCI-PLS100B PLS100B EA $58.05 NECKLOOP WS-NKL001 NLK001 EA $37.63 NECKLOOP-F007009-COMFORT DUETT F007009 EA $60.20 NECKLOOP-6771-COMFORT DUETT 6771 EA $60.20

THESE NECKLOOPS MUST BE ORDERED THROUGH THE ASSISTIVE LISTENING DEVICE (ALD)

COMMODITY

THESE NECKLOOPS MUST BE ORDERED THROUGH THE ACCESSORY (ACC)

COMMODITY

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE NECKLOOP COMPILOT LONG 076-0013 EA $7.80 NECKLOOP COMPILOT SHORT 076-0012 EA $7.80 NECKLOOP COMPILOT II LONG GRAY 076-0035 EA $7.80 NECKLOOP COMPILOT II SHRT GRAY 076-0034 EA $7.80 NECKLOOP SMALL BLACK 890-52-433-00 EA $8.60 NECKLOOP LARGE BLACK 890-52-431-00 EA $8.60 NECKLOOP SOUNDGATE2 26IN BLK 129334 EA $0.00 NECKLOOP STREAMER PRO LONG BLK 125715 EA $5.16 NECKLOOP STREAMER PRO LONG WHT 121135 EA $5.16 NECKLOOP STREAMER PRO MED BLK 125714 EA $5.16 NECKLOOP STREAMER PRO MED WHT 121134 EA $5.16 NECKLOOP STREAMER PRO SM BLK 125713 EA $5.16 NECKLOOP STREAMER PRO SM WHT 121133 EA $5.16

(26)

23

Hearing Aid Accessories

Otoclip

HCPCS - V5267

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE

OTOCLIP BTE BINAURAL 54231 EA $5.00

OTOCLIP BTE BINAURAL-UNI 039-5595 EA $8.23 OTOCLIP BTE MONAURAL LEFT 54212 EA $3.01 OTOCLIP BTE MONAURAL RIGHT 54211 EA $3.01

OTOCLIP ITE BINAURAL 54271 EA $6.83

OTOCLIP ITE MONAURAL LEFT 54252 EA $3.82 OTOCLIP ITE MONAURAL RIGHT 54251 EA $3.82 OTOCLIP BINAURAL ITE-UNI 054-5159 EA $8.23

O-Cap

HCPCS - V5267

ITEM NAME VENDOR

STOCK #

UNIT OF

ISSUE PRICE

O-CAP BEIGE 8PC 128003 PG of 8 $4.79 O-CAP DARK BROWN 8PC 128006 PG of 8 $4.79 O-CAP LIGHT BROWN 8PC 128004 PG of 8 $4.79 O-CAP MEDIUM BROWN 8PC 128005 PG of 8 $4.79

(27)

Hearing Aid Accessories

Skin Streamer

HCPCS - V5267

ITEM NAME VENDOR STOCK

# UNIT OF ISSUE PRICE

STREAMER STRAP/ANTENNA LG BLK 890-52-411-00 EA $5.16 STREAMER STRAP/ANTENNA LG WHT 890-52-410-00 EA $5.16 STREAMER STRAP/ANTENNA SM BLK 890-52-413-00 EA $5.16 STREAMER STRAP/ANTENNA SM WHT 890-52-412-00 EA $5.16 STREAMER CABLE SET 384-01-050-00 EA $8.08

Streamer Strap/Antenna

HCPCS - V5267

ITEM NAME VENDOR STOCK

# UNIT OF ISSUE PRICE

SKIN STREAMER BLUE 890-52-242-00 EA $3.51 SKIN STREAMER DG 890-52-240-00 EA $3.51 SKIN STREAMER GREEN 890-42-244-00 EA $3.51 SKIN STREAMER ORANGE 890-52-243-00 EA $3.51 SKIN STREAMER WHITE 890-52-241-00 EA $3.51 SKIN STREAMER PRO BLACK 130562 EA $4.30 SKIN STREAMER PRO WHITE 130563 EA $4.30

(28)

25

Hearing Aid Accessories

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE

VENT PLUG 16472-000 EA $0.30

VENT PLUG CLOSED PASSION 7 503 0014 000 PG of 20 $0.00 VENT PLUG OPEN PASSION 7 503 0013 000 PG of 20 $0.00

Vents

HCPCS - V5267

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE VC CAP 4MM RAISED BRN 004-0850-28 EA $0.86 VC CAP 4MM RAISED COCOA 004-0850-22 EA $0.86 VC CAP 4MM RAISED PINK 004-0850-26 EA $0.86 VC CAP 4MM RAISED TAN 004-0850-14 EA $0.86 VC CAP 6MM RAISED BRN 004-0849-28 EA $0.86 VC CAP 6MM RAISED COCOA 004-0849-22 EA $0.86 VC CAP 6MM RAISED PINK 004-0849-26 EA $0.86 VC CAP 6MM RAISED TAN 004-0849-14 EA $0.86 VC CAP CANAL STACKABLE 19107-013 EA $0.97

VC CAP ITE LIGHT VCKSMP EA $0.00

VC CAP SPARX BEIGE OP601456 EA $0.00 VC CAP TAMPER RESISTANT 004-5173 EA $2.60

VC Caps

HCPCS - V5267

(29)

Hearing Aid Accessories

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PER PKGPRICE SCREEN WIND BTE BEIGE-OTI 654-02-010-02 PG of 1 $1.45 SCREEN WIND BTE DRK GREY-OTI 654-02-015-07 PG of 1 $1.45 SCREEN WIND BTE LT BRN-OTI 654-02-016-08 PG of 1 $1.45 SCREEN WIND BTE LT GREY-OTI 654-02-014-06 PG of 1 $1.45 SCREEN WIND CIC/DMIC SM CLR 12725-006 EA $0.00 SCREEN WIND DRK BRN-STA 17215-002 EA $0.97 SCREEN WIND LT BRN-STA 17215-013 EA $0.97 SCREEN WIND MED BRN-STA 17215-006 EA $0.97 SCREEN WIND PINK-STA 17215-001 EA $0.97 SCREEN WIND GLUE PINK 10PK 004-0161-26 PG of 10 $0.00 SCREEN WIND GLUE TAN 10PK 004-0161-14 PG of 10 $0.00 SCREEN WIND S 312 LEFT BG-SIE 7224889 EA $0.00 SCREEN WIND S 312 RIGHT BG-SIE 7224384 EA $0.00 SCREEN WIND S 312 RIGHT TAN 7224400 EA $0.00 SCREEN WIND SNAP BRN 10PK 004-1818-281 PG of 10 $0.00 SCREEN WIND SNAP COCOA 10PK 004-1818-221 PG of 10 $0.00 SCREEN WIND SNAP PINK 10PK 004-1818-261 PG of 10 $0.00 SCREEN WIND SNAP TAN 10PK 004-1818-141 PG of 10 $0.00 SCREEN WIND 312 BEIGE-OTI 543-12-100-00 EA $2.17 SCREEN WIND SHORT 10PCS 054-0313 PG of 10 $1.08 SCREEN WIND SHORT HARD 10PK 004-1868-051 PG of 10 $1.08

Wind Screens

(30)

27

Hearing Aid Accessories

T-Caps

HCPCS - V5267

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICESELL T-CAP BEIGE 8PCS 123328 PG of 10 $0.00 T-CAP BLACK 8PCS 123327 PG of 10 $0.00 T-CAP DARK BROWN 8PCS 123329 PG of 10 $0.00 T-CAP MEDIUM BROWN 8PCS 123331 PG of 10 $0.00 T-CAP TAN 8PCS 123330 PG of 10 $0.00

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICESELL WAXSPRING GUARD LARGE 1 930 4000 EA $0.00 WAXSPRING GUARD SMALL 1 930 3000 EA $0.00 WAXSPRING ITE 1.65MM 054-5166 PG of 10 $0.00 WAXSPRING INT 10PK 13281-000 PG of 10 $0.00 WAXSPRING KIT LARGE 25PK 6000580 EA $0.42 WAXSPRING KIT SMALL 25PK 6000581 EA $0.42 WAXSPRING RECEIVER-SMALL 7080208 PG of 10 $0.00 WAXSPRING STANDARD 19304-000 PG of 10 $3.50

Waxsprings

(31)

Hearing Aid Accessories

ITEM NAME VENDOR STOCK # UNIT OF ISSUE PRICE

WAXGUARD C-GRID 16PCS 10423507 PG of 4 $8.82 WAXGUARD CERUSTOP 8PCS 098-0983 PG of 8 $3.44 WAXGUARD CERUSTOP XL 8 PCS CERUSTOP XL PG of 8 $5.38 WAXGUARD CERUSTOP NANOCARE 8PC 3122 150 75051 PG of 8 $0.47 WAXGUARD CERUSTOP WAXTRAP2 8PC 098-0382 PG of 8 $3.99 WAXGUARD HEAR CLEAR 48PCS 52962-000 PG of 48 $7.65 WAXGUARD HF3 GREEN 14PCS 10120203 PG of 14 $3.28 WAXGUARD HF3 RED/BLUE 14PCS 18595900 PG of 14 $3.28 WAXGUARD HF4 BLUE 15PCS 10600906 PG of 15 $5.29 WAXGUARD HF4 PRO BLUE 10PCS 10601715 PG of 10 $3.53 WAXGUARD HF4 PRO RED 15PCS 10601714 PG of 10 $7.06 WAXGUARD HF4 RED 15CS 10600907 PG of 15 $7.06

WAXGUARD KIT 10PCS 7797082 PG of 10 $2.69

WAXGUARD NANOCARE 8 PCS 4 072 3400 000 PG of 8 $5.38 WAXGUARD NO WAX-BERN 8PCS 689-30-301-07 PG of 8 $4.32 WAXGUARD PROWAX MINIFIT 6PCS 128057 PG of 10 $3.83 WAXGUARD PROWAX TURTLE 6PCS 123367 PG of 6 $3.98 WAXGUARD RIC MINI 10PCS 10597971 PG of 10 $3.20

WAXGUARD SCREW ZWAXG/WAX SCREW EA $0.27

WAXGUARD SHIELD YUU 3PK 098-5110 PG of 3 $3.40 WAXGUARD SMARTGUARD 6PCS 044-0193 PG of 6 $4.84 WAXGUARD WAXSTOP RIC 8PCS 689-30-280-00 PG of 8 $3.83

Waxguards

(32)

29

Hearing Aid Accessories

Waxguards

HCPCS - V5267

18595900 689-30-301-07 689-30-280-00 3122150-75051 10120203 044-0193 098-0382
(33)

Hearing Aid Accessories

12130 098-0983 10600127 10600531

Waxguards

HCPCS - V5267

7797082 10597971
(34)

31

Hearing Aid Accessories

Wax Guard, continued

HCPCS - V5267

Microwaxbuster

Waxbuster

Tool

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE

WAXBUSTER LT 589-09-041-06 EA $3.83

WAXBUSTER RT 589-09-040-05 EA $3.83

WAXBUSTER MICRO-OTI 589-09-070-02 EA $3.83 WAXBUSTER MICRO 6PCS 589-09-080-04 KT $22.97 WAXBUSTER MICRO 10PCS 589-09-060-00 KT $38.27 TOOL WAXBUSTER MICRO OTI 825-01-086 EA $0.00 TOOL WAXBUSTER MICRO 825-01-090 EA $0.00

ITEM NAME VENDOR STOCK # SIZE UNIT OF ISSUE PRICE

WAXGUARD 4MM ADH 10PK 21-10131-00 4mm PG of 10 $6.62 WAXGUARD 5MM ADH 10PK 20-10131-00 5mm PG of 10 $6.62 WAXGUARD 6MM ADH 10PK 21-10111-00 6mm PG of 10 $6.62 WAXGUARD 7MM ADH 10PK 20-10111-00 7mm PG of 10 $6.62 WAXGUARD 8MM ADH 10PK 21-10121-00 8mm PG of 10 $6.62 WAXGUARD 9MM ADH 10PK 20-10121-00 9mm PG of 10 $6.62

Bandaid Type:

For use with all in-the-ear aids

Manufacturer

: Hearing Components

(35)

Hearing Aid Accessories

Bone Oscillators

HCPCS - V5267

Headbands

HCPCS - V5267

Color:

Beige (2 Prong or 3 Prong) - Brown (2 Prong Only)

Ohms:

100

Package:

ea

Material:

Spring steel, cotton or plastic covered

Use:

Hold bone oscillator in proper location

Package:

ea

3 Prong 2 Prong

ITEM NAME VENDOR STOCK # UNIT OF

ISSUE PRICE

OSC-2PRG-SB1-STA 14437-000 EA $49.76 OSC-BEIGE 100 OHM 3PRG-OTI 462-02-101-04 EA $52.64

ITEM NAME VENDOR STOCK # UNIT

OF IS-SUE

PRICE HDBD-AY COMP CROS BRN 16 020100-811 EA $28.72

HDBD-SB1 BRN 00435-000 EA $20.59

(36)

33

Hearing Aid Accessories

ITEM NAME VENDOR STOCK # UNIT

OF IS-SUE

PRICE HDBD-AY COMP CROS BRN 16 020100-811 EA $28.72

HDBD-SB1 BRN 00435-000 EA $20.59 HDBD-SB1 GRAY 00436-000 EA $20.59

HCPCS - V5267

#60050 #W70058 #400587

DRY & STORE GLOBAL II

DRY & STORE ZEPHYR Dry Go UV

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE

DESICCANT STA DRI POUCH W70058 EA $1.22 DESICCANT DRI AID KIT-STA 60050-000 EA $3.24

DESICCANT DRI EZE 400587 EA $2.36

DEHUMIDIFIER DRY GO UV 7 524 0017 000 EA $89.23 DRY & STORE ZEPHYR FUZ150 EA $68.49 DRY & STORE GLOBAL II DU-G2STD EA $71.97 DRY & STORE GLOBAL UV-BULB UV-LAMP EA $5.33 DESICCANT AUDIODRY-INT TS0200YA EA $20.57 DESICCANT BRICK DRI AID 3PCS DB2 EA $5.13

DESICCANT DRY CADDY DC-KIT EA $9.52

(37)

Hearing Aid Accessories

Snaptips/Eartips

HCPCS - V5267

ITEM NAME VENDOR

STOCK # PRICE PER PKG SNAPTIP 6MM MED UNVENTED 12-10002 $13.71 SNAPTIP 6MM ASST VENTED 12-10014-00 $13.71 SNAPTIP 9MM LG UNVENTED 12-30003 $13.71 SNAPTIP 9MM ASST UNVENTED 12-30004 $13.71

10 Per Package

Eartips

HCPCS - V5267

ITEM NAME VENDOR

STOCK # PRICE PER PKG EARTIP SHORT 0 12PK COMPLY 15030 $19.84 EARTIP SHORT 1 12PK COMPLY 15031 $19.84 EARTIP SHORT 2 12PK COMPLY 15032 $19.84 EARTIP SHORT 3 12PK COMPLY 15033 $19.84 EARTIP SHORT 4 12-COMPLY 15034 $19.84 EARTIP SLIM 0 12PK COMPLY 10-15020 $19.84 EARTIP SLIM 1 12PK COMPLY 10-15021 $19.84 EARTIP SLIM 3 12PK COMPLY 10-15023 $19.84 EARTIP STD 0 12PK COMPLY 10-15010 $19.84 EARTIP STD 1 12PK COMPLY 10-15011 $19.84 EARTIP STD 2 12PK COMPLY 40-15010-00 $19.52 EARTIP STD 3 12PK COMPLY 10-15013 $19.84

(38)

35

Hearing Aid Accessories

Snaptips (continued)

HCPCS - V5267

1 per package

ITEM NAME VENDOR

STOCK # PER PKGPRICE SNAPTIP TUBE LEFT EARPIECE 12-14009 $5.33 SNAPTIP TUBE RIGHT EARPIECE 12-14008 $5.33

ITEM NAME VENDOR STOCK # PRICE PER PKG

TUBE ADAP SOUND 10-19006 $1.90

ITEM NAME VENDOR STOCK # QTY PER PKG PRICE PER PKG

AIR BLOWER 400674 1 $1.65

Tubing Accessory

(39)

Hearing Aid Accessories

Seals

HCPCS - V5267

Receiver Seal

3 Prong Cord Seal

Package:

ea

ITEM NAME VENDOR

STOCK # USE WITH PRICE

RECEIVER CN100 (Normal Resistor) 442-08-101-05 Oticon P11P & Widex S22 $23.93 RECEIVER CP100 (Power Resistor) 442-00-101-08 Oticon P11P & Widex S22 $23.93 RECEIVER PPCT120-107-DAN 4725-019 Danavox 107 series body aid $13.71

External Air Receivers

HCPCS - V5267

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE SEAL RECEIVER STD HH213 PG of 100 $0.17 SEAL SOFT WRAP 11-10001-00 PG of 10 $8.71

(40)

37

Hearing Aid Accessories

Tubing - Shaped

HCPCS - V5267

Sound Adapter Tube

Bent Tubing

Package:

ea

Right Angle Tube

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE

TUBE ADAP SOUND 10-19006 EA $1.90

TUBE PRE BENT HEAVY 01601-250 EA $0.37

TUBE 13 MED 30102 EA $0.24

TUBE 13 THK 30103 EA $0.24

TUBE 13 SUPER THK 30104 EA $0.24

TUBE 13 BENT STAY DRY MED 30224 EA $1.06 TUBE 13 BEND STD WALL 2085-13STD EA $0.51 TUBE 13 BENT THK WALL 2085-13T EA $0.51 TUBE 3MM HORN LIBBY 095-0061 EA $2.52 TUBE 4MM HORN LIBBY 095-0060 EA $2.52 TUBE RT ANGLE 496 (STYLE B) EA $1.34

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE TUBE THK SNAPLOCK CLEAR W/MALE 00A-3097039300 EA $0.14 TUBE STD SNAPLOCK CLEAR W/MALE 00A-3097039200 EA $0.14

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE

TUBE QUICK REGULAR 01641-001 EA $0.70

(41)

Hearing Aid Accessories

Tubing - Straight

HCPCS - V5267

Package:

ea

ITEM NAME VENDOR

STOCK # DESCRIPTION PRICEPER

INCH TUBE 13 GAUGE 222A-13M Soft clear plastic. Sold in 3 inch

lengths. May be ordered uncut in any multiple of 3 inch lengths.

13 gauge standard

Inside diameter .076 (.193) Outside diameter .122 (.310cm)

$0.09

TUBE 12 GAUGE 22A-12S Soft clear plastic.

Sold in 3 inch lengths. May be ordered uncut in any multiple of 3 inch lengths. 13 gauge standard

Inside diameter .085 (.215) Outside diameter .125 (.318cm)

(42)

39

Hearing Aid Accessories

Tubing - Straight

HCPCS - V5267

TRS Tubes

CFA Tubes

Disappear Tubes

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE

TUBE 12 STD 30101 EA $0.24

TUBE 12 DISAPPEAR STD A/B 30111 EA $0.92 TUBE 12 DISAPPEAR STD C 30112 EA $0.92 TUBE 13 DISAPPEAR MED A/B 30121 EA $0.92 TUBE 13 DISAPPEAR MED C 30122 EA $0.92 TUBE 13 DISAPPEAR THK A/B 30131 EA $0.92 TUBE 13 DISAPPEAR THK C 30132 EA $0.92

TUBE 13 MED CFA 30201 EA $1.83

TUBE 13 THK CFA 30202 EA $1.83

TUBE 13 DISAPPEAR CFA MED A/B 30205 EA $2.37 TUBE 13 DISAPPEAR DFA MED C 30206 EA $2.37

TUBE 13 SUPER THK 30104 EA $0.24

TUBE 13 THK TRS 30263 EA $0.74

TUBE 13 DISAPPEAR TRS THK A/B 30265 EA $1.51 TUBE 13 DISAPPEAR TRS THK C 30266 EA $1.51

TUBE 15 PREFORMED 30105 EA $0.28

TUBE 16 PREFORMED 30106 EA $0.28

COLOR: A/B (pink)

COLOR: C (brown)

(43)

Hearing Aid Accessories

AUDIOSHOES - GN Resound

HCPCS -V5267

ITEM NAME

VENDOR

STOCK #

FOR USE

WITH

PRICE

AUDIOSHOE 61/71/81 BTE 18041200 61/71/81 $31.99 AUDIOSHOE DAI SPARX-INT MK601425 DAI Sparx $32.00 AUDIOSHOE DAI VEA 17631100 DAI VEA $31.99

AUDIOSHOES - Oticon

HCPCS -V5267

ITEM NAME

VENDOR

STOCK #

FOR USE

WITH

PRICE

AUDIOSHOE FM3-OTI 399-51-180-09 FM3 $21.52

(44)

41

Hearing Aid Accessories

ITEM NAME

VENDOR

STOCK #

FOR USE WITH

PRICE

AUDIOSHOE AS9 MLX BROWN 052-3363-00003 AS9MLX Brown $36.30 AUDIOSHOE AS9 MLX BEIGE 052-3363-00001 AS9MLX Beige $36.30 AUDIOSHOE AS9 MLX GREY 052-3363-00012 AS9 Savia Grey $36.30 AUDIOSHOE AS9 MLX PALLIDIUM 052-3363-00040 Savia Art/Savia BTE

MLX Palladium $36.30 AUDIOSHOE AS10 MLX BEIGE 054-0022-01 Naida (V UP) $37.64 AUDIOSHOE AS10 MLX BLACK 054-0022-06 AS10 Black $37.64 AUDIOSHOE AS10 MLX BROWN 054-0022-03 AS10 Brown $37.64 AUDIOSHOE AS10 MLX TAUPE 054-0022-35 AS19 Taupe $37.64 AUDIOSHOE AS11 MLX BEIGE 054-0115-01 AS11 Beige $37.64 AUDIOSHOE AS11 MLX BLACK 054-0115-06 AS11 Black $37.64 AUDIOSHOE AS11 MLX BROWN 054-0115-03 AS11 Brown $37.64 AUDIOSHOE AS11 MLX TAUPE 054-0115-35 AS11Taupe $37.64 AUDIOSHOE AS12 MLX BEIGE 054-0025-01 AS12 Beige $37.64 AUDIOSHOE AS12 MLX BLACK 054-0025-03 AS12 Black $37.64 AUDIOSHOE AS12 MLX BROWN 054-0025-40 AS12 Brown $37.64 AUDIOSHOE AS12 MLX TAUPE 054-0025-35 AS12 Taupe $37.64 AUDIOSHOE AS12 MLX PALLIDIUM 054-0025-40 AS12 Pall $37.64 AUDIOSHOE AS13 MLX BEIGE 054-0536-01 AS13 Beige $37.64 AUDIOSHOE AS13 MLX CHOCOLATE 054-0536-E5 AS13 Chocolate $37.64 AUDIOSHOE AS13 MLX PALLADIUM 054-0536-40 AS13 Palladium $37.64 AUDIOSHOE AS13 MLX TAUPE 054-0536-F7 AS13 Taupe $37.64 AUDIOSHOE AS15 BEIGE 054-0682-01 AS15 Beige $37.64 AUDIOSHOE AS16 BEIGE 054-0119-01 AS16 Beige $37.63

AUDIOSHOES - Phonak

(45)

Hearing Aid Accessories

AUDIOSHOES - Siemens

HCPCS -V5267

ITEM NAME

VENDOR

STOCK #

FOR USE WITH

PRICE

AUDIOSHOE ACURIS/TRIANO 7220424 Acuris S/P/Triano $21.41 AUDIOSHOE CENTRA HP 10054830 Centra HP $21.41 AUDIOSHOE CIELO DIR BG 10056135 Cielo $21.41 AUDIOSHOE INTUIS DIR 10147511 Intuis $21.41 AUDIOSHOE NITRO 301/701 SP 10054617 Nitro $21.41 AUDIOSHOE NITRO 7MI/3MI 10822111 Nitro $21.41

ITEM NAME

VENDOR

STOCK #

FOR USE WITH PRICE

AUDIOSHOE VELOCITY STD 2007318 Velocity $34.40

AUDIOSHOES - Sonic Innovations

HCPCS -V5267

AUDIOSHOES - Unitron

HCPCS -V5267

ITEM NAME

VENDOR

STOCK #

FOR USE WITH

PRICE

AUDIOSHOE 360+ BEIGE 054-5224-01 360+ $25.80 AUDIOSHOE QUANTUM HP2 BEIGE 054-0536-0100 Quantum $26.88 AUDIOSHOE YUU BEIGE 054-5201-01 Yuu $25.82 AUDIOSHOE YUU CLEAR 054-5201-13 Yuu $25.82

(46)

43

Hearing Aid Accessories

AUDIOSHOES - Starkey

HCPCS -V5267

ITEM NAME

VENDOR

STOCK #

FOR USE WITH

PRICE

AUDIOSHOE A13 BTE BEIGE 65074-010 A Series BTE $17.54 AUDIOSHOE A13 BTE BROWN 65074-002 A Series BTE $18.19 AUDIOSHOE A13 BTE LAVA 65074-012 A Series BTE $18.19 AUDIOSHOE A675 TSP BEIGE 65095-010 A Series BTE $17.54 AUDIOSHOE A675 TSP BROWN 65095-002 A Series BTE $17.54 AUDIOSHOE A675 TSP LAVA 65095-012 A Series BTE $17.54 AUDIOSHOE DAVINCI PXP 65513-018 Davinci BTE $23.39 AUDIOSHOE J13 BEIGE 65411-010 J Series BTE $23.39 AUDIOSHOE J13 BLACK 65411-006 J Series BTE $23.39 AUDIOSHOE J13 BROWN 65411-002 J Series BTE $23.39 AUDIOSHOE J13 GREY 65411-011 J Series BTE $23.39 AUDIOSHOE J675 BTE BEIGE 65513-010 J Series BTE $23.39 AUDIOSHOE J675 BTE BLACK 65513-006 J Series BTE $23.39 AUDIOSHOE J675 BTE BROWN 65513-002 J Series BTE $23.39 AUDIOSHOE J675 BTE CLEAR 65513-018 J Series BTE $23.39 AUDIOSHOE J675 BTE GREY 65513-011 J Series BTE $23.39 AUDIOSHOE RADIUS 16 BISQUE 65567-150 Radius BTE $23.39 AUDIOSHOE RADIUS 16 CAFE 65567-157 Radius BTE $23.39 AUDIOSHOE RADIUS 16 CHESTNUT 65567-158 Radius BTE $23.39 AUDIOSHOE RADIUS 16 PEBBLE 65567-153 Radius BTE $23.39 AUDIOSHOE RADIUS 16 TRUFF 65567-156 Radius BTE $23.39 AUDIOSHOE SERIES 3 CHAMPAGNE 65248-110 3 Series $21.04

(47)

Hearing Aid Accessories

(48)

45

Hearing Aid Accessories

ITEM NAME

VENDOR

STOCK #

DOME 6MM RIC 10PCS 120045 DOME 8MM RIC 10PCS 120046 DOME 10MM RIC 10PCS 120047 DOME 8MM POWER RIC 10PCS 120041 DOME 10MM POWER RIC 10PCS 120042 DOME 12MM POWER RIC 10PCS 120043 DOME PLUS RIC-BERN 10PCS 120044

` $1.31 each/$13.10 per pkg of 10

BERNAFON, LLC

HCPCS V5267

ITEM NAME

VENDOR

STOCK #

UNIT OF

ISSUE

PRICE

RCVR RIC-1-L PWR-BERN 632-02-430-00 EA $65.36 RCVR RIC-1-R PWR-BERN 632-02-420-00 EA $65.36 RCVR RIC-2-L PWR-BERN 632-02-431-00 EA $65.36 RCVR RIC-2-R PWR-BERN 632-02-421-00 EA $65.36 RCVR RIC-3-L PWR-BERN 632-02-432-00 EA $65.36 RCVR RIC-3-R PWR-BERN 632-02-422-00 EA $65.36 RCVR RIC-4-L PWR-BERN 632-02-433-00 EA $65.36 RCVR RIC-4-R PWR-BERN 632-02-423-00 EA $65.36 RCVR RIC 1-L M-BERN 632-02-530-00 EA $58.48 RCVR RIC 1-R M-BERN 632-02-520-00 EA $58.48 RCVR RIC 2-L M-BERN 632-02-531-00 EA $58.48 RCVR RIC 2-R M-BERN 632-02-521-00 EA $58.48 RCVR RIC 3-L M-BERN 632-02-532-00 EA $58.48 RCVR RIC 3-R M-BERN 632-02-522-00 EA $58.48 RCVR RIC 4-L M-BERN 632-02-533-00 EA $58.48 RCVR RIC 4-R M-BERN 632-02-523-00 EA $58.48

(49)

Hearing Aid Accessories

ITEM NAME

LEFT VENDOR STOCK #

TUBE 0.9SPIRA-0-R-BERN 589-25-060-00 TUBE 0.9SPIRA-1-R-BERN 589-25-061-00 TUBE 0.9SPIRA-2-R-BERN 589-25-062-00 TUBE 0.9SPIRA-3-R-BERN 589-25-063-00 TUBE 0.9SPIRA-0-L-BERN 589-25-070-00 TUBE 0.9SPIRA-1-L-BERN 589-25-071-00 TUBE 0.9SPIRA-2-L-BERN 589-25-072-00 TUBE 0.9SPIRA-3-L-BERN 589-25-073-00 TUBE 1.3SPIRA-0-L-BERN 589-25-090-00 TUBE 1.3SPIRA-1-L-BERN 589-25-091-00 TUBE 1.3SPIRA-2-L-BERN 589-25-092-00 TUBE 1.3SPIRA-3-L-BERN 589-25-093-00 TUBE 1.3SPIRA-0-R-BERN 589-25-080-00 TUBE 1.3SPIRA-1-R-BERN 589-25-081-00 TUBE 1.3SPIRA-2-R-BERN 589-25-082-00 TUBE 1.3SPIRA-3-R-BERN 589-25-083-00

$2.60 each/$13.00 per pkg of 5

BERNAFON, LLC

HCPCS V5267

SPIRA FLEX THIN TUBE 1.3MM SPIRA FLEX THIN TUBE 0.9MM SPIRA FLEX THIN TUBES

(50)

47

Hearing Aid Accessories

ITEM NAME VENDOR

STOCK # DOME SMALL-BERN 10PCS 570-07-410-00 DOME MEDIUM-BERN 10PCS 570-07-411-00 DOME LARGE-BERN 10PCS 570-07-412-00 DOME TULIP-BERN 10PCS 589-25-100-00

$13.10 pkg of 10

BERNAFON, LLC

HCPCS V5267

SPIRA FLEX DOMES

ITEM NAME VENDOR

STOCK # DOME 8MM SMALL VENTED SPIRA 10PCS 123307 DOME 10MM SMALL VENT SPRA 10PC 123308 DOME 12MM SMALL VENTED 10PCS 123309

ITEM NAME VENDOR

STOCK # DOME LARGE VENT 10MM SPIRA 123311 DOME LARGE VENT 12MM SPIRA 123312

$12.90 pkg of 10

$13.42 pkg of 10

ITEM NAME VENDOR

STOCK # DOME POWER 6MM SPIRA 10PCS 123293 DOME POWER 8MM SPIRA 10PCS 123305 DOME POWER 10MM SPIRA 10PCS 123306

(51)

Hearing Aid Accessories

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE FITTING KIT SPIRAFLEX-BERN 890-80-060-00 EA $150.52 RCVR RIC KIT CHRONOS NANO M 119979 EA $120.40 DOME FITTING KIT CHRONO NANO P 119978 EA $0.00

ITEM NAME VENDOR

STOCK #

DOME 6MM RIC 10PCS 120045

DOME 8MM RIC 10PCS 120046

DOME 10MM RIC 10PCS 120047

ITEM NAME VENDOR

STOCK # DOME PLUS RIC-BERN 10PCS 120044 DOME 8MM POWER RIC 10PCS 120041 DOME 6MM POWER RIC 10PCS 118063 DOME 10MM POWER RIC 10PCS 120042 DOME 12MM POWER RIC 10PCS 120043

BERNAFON, LLC

HCPCS V5267

$13.10 pkg of 10

(52)

49

Hearing Aid Accessories

BERNAFON, LLC

HCPCS V5267

ITEM NAME

LEFT

VENDOR

STOCK #

RCVR RIC CHRONOS 1-L-BERN 113645 RCVR RIC CHRONOS 2-L-BERN 113646 RCVR RIC CHRONOS 3-L-BERN 113647 RCVR RIC CHRONOS 4-L-BERN 113648 RCVR RIC CHRONOS-1-R-BERN 113611 RCVR RIC CHRONOS-2-R-BERN 113630 RCVR RIC CHRONOS-3-R-BERN 113631 RCVR RIC CHRONOS-4-R-BERN 113632

$73.12 each

ITEM NAME

LEFT VENDOR STOCK #

RCVR RIC CHRONOS 1-L PWR-BERN 118226 RCVR RIC CHRONOS 2-L PWR-BERN 118227 RCVR RIC CHRONOS 3-L PWR-BERN 118228 RCVR RIC CHRONOS 4-L PWR-BERN 118229 RCVR RIC CHRONOS-1-R-PWR-BERN 117975 RCVR RIC CHRONOS-2-R-PWR-BERN 118222 RCVR RIC CHRONOS-3-R-PWR-BERN 118223 RCVR RIC CHRONOS-4-R-PWR-BERN 118224

$81.72 each

(53)

Hearing Aid Accessories

ITEM NAME VENDOR

STOCK # ITEM NAME VENDOR STOCK #

RCVR RIC-0-L-S MID PWR 18520300 RCVR RIC-0-L-HI PWR-GN 18582300 RCVR RIC-0-R-S MID PWR 18520400 RCVR RIC-0-R-HI PWR-GN 18582400 RCVR RIC-1-L-S MID PWR 18520500 RCVR RIC-1-L-HI PWR-GN 18582500 RCVR RIC-1-R-S MID PWR 18520600 RCVR RIC-1-R-HI PWR-GN 18582600 RCVR RIC-2-L-S MID PWR 18520700 RCVR RIC-2-L-HI PWR-GN 18582700 RCVR RIC-2-R-S MID PWR 18520800 RCVR RIC-2-R-HI PWR-GN 18582800 RCVR RIC-3-L-S MID PWR 18520900 RCVR RIC-3-L-HI PWR-GN 18582900 RCVR RIC-3-R-S MID PWR 18521000 RCVR RIC-3-R-HI PWR-GN 18583000 RCVR RIC-4-L-S MID PWR 18521100 RCVR RIC-4-L-HI PWR-GN 18583100 RCVR RIC-4-R-S MID PWR 18521200 RCVR RIC-4-R-HI PWR-GN 18583200

Price: $50.27/each

ITEM NAME VENDOR

STOCK # ITEM NAME VENDOR STOCK #

RCVR RIC-0-L-HI PWR2-GN 18521500 RCVR RIC-0-L-LO PWR-GN 18580300 RCVR RIC-0-R-HI PWR2-GN 18521600 RCVR RIC-0-R-LO PWR-GN 18580400 RCVR RIC-1-L-HI PWR2-GN 18521700 RCVR RIC-1-L-LO PWR-GN 18580500 RCVR RIC-1-R-HI PWR2-GN 18521800 RCVR RIC-1-R-LO PWR-GN 18580600 RCVR RIC-2-L-HI PWR2-GN 18521900 RCVR RIC-2-L-LO PWR-GN 18580700 RCVR RIC-2-R-HI PWR2-GN 18522000 RCVR RIC-2-R-LO PWR-GN 18580800 RCVR RIC-3-L-HI PWR2-GN 18522100 RCVR RIC-3-L-LO PWR-GN 18580900 RCVR RIC-3-R-HI PWR2-GN 18522200 RCVR RIC-3-R-LO PWR-GN 18581000 RCVR RIC-4-L-HI PWR2-GN 18522300 RCVR RIC-4-L-LO PWR-GN 18581100 RCVR RIC-4-R-HI PWR2-GN 18522400 RCVR RIC-4-R-LO PWR-GN 18581200

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE SELL PRICE

RCVR RIC KIT MK603375 EA $822.39

TUBE THIN KIT 16543900 EA $114.22 RIC ACCESSORY KIT MK602557 EA $0.00

GN RESOUNDS

HCPCS V5267
(54)

51

Hearing Aid Accessories

ITEM NAME VENDOR

STOCK # DOME SMALL RIC-GN 10PCS 18501200 DOME MEDIUM RIC-GN 10PCS 18501300 DOME LARGE RIC-GN 10PCS 18501400 DOME TULIP RIC-GN 10PCS 18501800 DOME SMALL POWER RIC-GN 10PCS 18501900 DOME MEDIUM POWER RIC-GN 10PCS 18502000 DOME LARGE POWER RIC-GN 10PCS 18502100

$0.92 each/$4.60 pkg of 5 $.93 each/$9.30 pkg of 10

GN RESOUNDS

HCPCS V5267

ITEM NAME VENDOR

STOCK # ITEM NAME VENDOR STOCK #

RCVR RIC-0-L-MID PWR-GN 18581300 RCVR RIC-0-R-MID PWR-GN 18581400 RCVR RIC-1-L-MID PWR-GN 18581500 RCVR RIC-1-R-MID PWR-GN 18581600 RCVR RIC-2-L-MID PWR-GN 18581700 RCVR RIC-2-R-MID PWR-GN 18581800 RCVR RIC-3-L-MID PWR-GN 18581900 RCVR RIC-3-R-MID PWR-GN 18582000 RCVR RIC-4-L-MID PWR-GN 18582100 RCVR RIC-4-R-MID PWR-GN 18582200 $50.27 each

ITEM NAME VENDOR

STOCK # DOME 5MM RIC-S 10PCS 18500800 DOME 7MM RIC-S 10PCS 18500900 DOME 10MM RIC-S 10PCS 18501000 DOME TULIP RIC-S 10PCS 18501100

(55)

Hearing Aid Accessories

$1.37 each/$6.88 pkg of 5

Aspire/Performer Thin Tube 60 Mini

Left STOCK # Aspire/Performer Thin Tube 60 MiniRight STOCK #

TUBE SLIM 0A-L-THIN 18629500 TUBE SLIM 0A-R-THIN 18628600 TUBE SLIM 1A-L-THIN 186297 00 TUBE SLIM 1A-R-THIN 18628800 TUBE SLIM 2A-L-THIN 18629900 TUBE SLIM 2A-R-THIN 18629000 TUBE SLIM 3A-L-THIN 18630100 TUBE SLIM 3A-R-THIN 18629200 TUBE SLIM 0B-L-THIN 18629600 TUBE SLIM 0B-R-THIN 18628700 TUBE SLIM 1B-L-THIN 18629800 TUBE SLIM 1B-R-THIN 18628900 TUBE SLIM 2B-L-THIN 18630000 TUBE SLIM 2B-R-THIN 18629100 TUBE SLIM 3B-L-THIN 18630200 TUBE SLIM 3B-R-THIN 18629300

Aspire/Performer Flex Tube 70 Series

Left STOCK # Aspire/Performer Flex Tube 70 SeriesRight STOCK #

TUBE SLIM 0A-L-FLEX 15476100 TUBE SLIM 0A-R-FLEX 15476900 TUBE SLIM 1A-L-FLEX 15476300 TUBE SLIM 1A-R-FLEX 15477100 TUBE SLIM 2A-L-FLEX 15476500 TUBE SLIM 2A-R-FLEX 15477300 TUBE SLIM 3A-L-FLEX 15476700 TUBE SLIM 3A-R-FLEX 15477500 TUBE SLIM 0B-L-FLEX 15476200 TUBE SLIM 0B-R-FLEX 15477700 TUBE SLIM 1B-L-FLEX 15476400 TUBE SLIM 1B-R-FLEX 15477200 TUBE SLIM 2B-L-FLEX 15476600 TUBE SLIM 2B-R-FLEX 15477400 TUBE SLIM 3B-L-FLEX 15476800 TUBE SLIM 3B-R-FLEX 15477600 TUBE SLIM NEG 1B-L 18630300 TUBE SLIM NEG 1B-R 18629400

GN RESOUNDS

HCPCS V5267
(56)

53

Hearing Aid Accessories

Flex (70 Series) Sound Tubes Thin (60,61 & 70) Mini

$0.93 each/$4.65 pkg of 5

ITEM NAME VENDOR

STOCK # DOME 5MM RIC-S 10PCS 18500800 DOME 7MM RIC-S 10PCS 18500900 DOME 10MM RIC-S 10PCS 18501000 DOME TULIP-RIC-S 10PCS 18501100

GN RESOUNDS

HCPCS V5267

ITEM NAME

VENDOR

STOCK #

UNIT OF

ISSUE

PRICE

RIC MICRO 61 SPINE CREAM 17777305 EA $0.00 RIC MICRO 61 SPINE DK BROWN 17777304 EA $0.00 RIC MICRO 61 SPINE GREY 17777320 EA $0.00 RIC MICRO 61 SPINE LT BLOND 17777301 EA $0.00 RIC MICRO 61 SPINE MD BLOND 17777302 EA $0.00 RIC MICRO 61 SPINE PEARL 17777319 EA $0.00

EA

RIC REPLACE PACK ALERA 61 CRM 17354505 EA $0.00 RIC REPLACE PACK ALERA 61 DBRN 17354504 EA $0.00 RIC REPLACE PACK ALERA 61 GREY 17354512 EA $0.00 RIC REPLACE PACK ALERA 61 LBLD 17354501 EA $0.00 RIC REPLACE PACK ALERA 61 MBLD 17354502 EA $0.00 RIC REPLACEMENT LINX PK DBRN 18986704 EA $0.00

(57)

Hearing Aid Accessories

ITEM NAME VENDOR STOCK # ITEM NAME VENDOR STOCK #

RCVR RIC 0-L HP SUREFIT 19399600 RCVR RIC 0-L LOW SUREFIT 19401600 RCVR RIC 0-R HP SUREFIT 19399700 RCVR RIC 0-R LOW SUREFIT 19401700 RCVR RIC 1-L HP SUREFIT 19399800 RCVR RIC 1-L LOW SUREFIT 19401800 RCVR RIC 1-R HP SUREFIT 19399900 RCVR RIC 1-R LOW SUREFIT 19401900 RCVR RIC 2-L HP SUREFIT 19400000 RCVR RIC 2-L LOW SUREFIT 19402000 RCVR RIC 2-R HP SUREFIT 19400100 RCVR RIC 2-R LOW SUREFIT 10402100 RCVR RIC 3-L HP SUREFIT 19400200 RCVR RIC 3-L LOW SUREFIT 19402200 RCVR RIC 3-R HP SUREFIT 19400300 RCVR RIC 3-R LOW SUREFIT 19402300 RCVR RIC 4-L HP SUREFIT 19400400 RCVR RIC 4-L LOW SUREFIT 19402400 RCVR RIC 4-R HP SUREFIT 19400500 RCVR RIC 4-R LOW SUREFIT 19402500

GN RESOUNDS

HCPCS V5267

ITEM NAME VENDOR STOCK #

RCVR RIC 0-L MED SUREFIT 19400600 RCVR RIC 0-R MED SUREFIT 19400700 RCVR RIC 1-L MED SUREFIT 19400800 RCVR RIC 1-R MED SUREFIT 19400900 RCVR RIC 2-L MED SUREFIT 19401000 RCVR RIC 2-R MED SUREFIT 19401100 RCVR RIC 3-L MED SUREFIT 19401200 RCVR RIC 3-R MED SUREFIT 19401300 RCVR RIC 4-L MED SUREFIT 19401400 RCVR RIC 4-R MED SUREFIT 19401500 RCVR RIC KIT-SUREFIT OP04329 SELL PRICE: $50.51

(58)

55

Hearing Aid Accessories

GN RESOUNDS

HCPCS V5267

ITEM NAME VENDOR STOCK # ITEM NAME VENDOR STOCK #

TUBE THIN 0A-R SUREFIT 19402600 TUBE THIN 0A-L SUREFIT 19403500 TUBE THIN 0B-R SUREFIT 19402700 TUBE THIN 0B-L SUREFIT 19403600 TUBE THIN 1A-R SUREFIT 19402800 TUBE THIN 1A-L SUREFIT 19403700 TUBE THIN 1B-R SUREFIT 19402900 TUBE THIN 1B-L SUREFIT 19403800 TUBE THIN 2A-R SUREFIT 19403100 TUBE THIN 2A-L SUREFIT 19404000 TUBE THIN 2B-R SUREFIT 19403200 TUBE THIN 2B-L SUREFIT 19404100 TUBE THIN 3A-R SUREFIT 19403300 TUBE THIN 3A-L SUREFIT 19404200 TUBE THIN 3B-R SUREFIT 19403400 TUBE THIN 3B-L SUREFIT 19404300 TUBE THIN NEG 1B-R SUREFIT 19403000 TUBE THIN NEG 1B-L SUREFIT 19403900

Price: $6.90/Pkg

ITEM NAME VENDOR STOCK #

DOME 5MM PWR THIN/RIC SUREFIT 19398600 DOME 7MM PWR THIN/RIC SUREFIT 19398700 DOME 10MM PWR THIN/RIC SUREFIT 19398800 DOME 5MM LP THIN/RIC SUREFIT 19398200 DOME 7MM LP THIN/RIC SUREFIT 19398300 DOME 10MM LP THIN/RIC SUREFIT 19398400 DOME TULIP LP THIN/RIC SUREFIT 19398500

$9.19/pkg

ITEM NAME VENDOR STOCK # PRICE

(59)

Hearing Aid Accessories

ITEM NAME VENDOR STOCK #

RCVR RIC-1-L-STD-OTI 632-02-611-00 RCVR RIC-1-R-STD-OTI 632-02-601-00 RCVR RIC-2-L-STD-OTI 632-02-612-00 RCVR RIC-2-R-STD-OTI 632-02-602-00 RCVR RIC-3-L-STD-OTI 632-02-613-00 RCVR RIC-3-R-STD-OTI 632-02-603-00 RCVR RIC-4-L-STD-OTI 632-02-614-00 RCVR RIC-4-R-STD-OTI 632-02-604-00 RCVR RIC-1-L-PWR MOLD-OTI 632-02-650-00 RCVR RIC-1-R-PWR MOLD-OTI 632-02-640-00 RCVR RIC-2-L-PWR MOLD-OTI 632-02-651-00 RCVR RIC-2-R-PWR MOLD-OTI 632-02-641-00 RCVR RIC-3-L-PWR MOLD-OTI 632-02-652-00 RCVR RIC-3-R-PWR MOLD-OTI 632-02-642-00 RCVR RIC-4-L-PWR MOLD-OTI 632-02-653-00 RCVR RIC-4-R-PWR MOLD-OTI 632-02-643-00 RCVR RIC-5-L-PWR MOLD OTI 632-02-654-00 RCVR RIC-5-R-PWR MOLD OTI 632-02-644-00 RCVR RIC-1-L-DUAL TR-OTI 632-01-514-00 RCVR RIC-1-R-DUAL TR-OTI 632-01-504-00 RCVR RIC-2-L-DUAL TR-OTI 632-01-515-00 RCVR RIC-2-R-DUAL TR-OTI 632-01-505-00 RCVR RIC-3-L-DUAL TR-OTI 632-01-516-00 RCVR RIC-3-R-DUAL TR-OTI 632-01-506-00 RCVR RIC-4-L-DUAL TR-OTI 632-01-517-00 RCVR RIC-4-R-DUAL TR-OTI 632-01-507-00

Price: $58.87/EA

OTICON

HCPCS V5267
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57

Hearing Aid Accessories

ITEM NAME VENDOR STOCK #

RCVR RIC-1-L-PWR-OTI 632-02-670-00 RCVR RIC-1-R-PWR-OTI 632-02-660-00 RCVR RIC-2-L-PWR-OTI 632-02-671-00 RCVR RIC-2-R-PWR-OTI 632-02-661-00 RCVR RIC-3-L-PWR-OTI 632-02-672-00 RCVR RIC-3-R-PWR-OTI 632-02-662-00 RCVR RIC-4-L-PWR-OTI 632-02-673-00 RCVR RIC-4-R-PWR-OTI 632-02-663-00 RCVR RIC-5-L-PWR-OTI 632-02-674-00 RCVR RIC-5-R-PWR-OTI 632-02-664-00 RCVR RIC 0-L-MED-OTI 632-02-630-00 RCVR RIC 0-R-MED-OTI 632-02-620-00 RCVR RIC 1-R-MED-OTI 632-02-621-00 RCVR RIC 1-L-MED-OTI 632-02-631-00 RCVR RIC 2-L MED-OTI 632-02-632-00 RCVR RIC 2-R-MED-OTI 632-02-622-00 RCVR RIC 3-L-MED-OTI 632-02-633-00 RCVR RIC 3-R-MED-OTI 632-02-623-00 RCVR RIC 4-L-MED-OTI 632-02-634-00 RCVR RIC 4-R-MED-OTI 632-02-624-00 RCVR RIC-5-L-MED-OTI 632-02-635-00 RCVR RIC 5-R-MED-OTI 632-02-625-00

ITEM NAME VENDOR STOCK # PRICESELL RCVR RIC KIT MINIFIT 127817 $376.27

OTICON

HCPCS V5267

Price: $58.87/EA

(61)

Hearing Aid Accessories

ITEM NAME VENDOR STOCK #

RCVR RIC-1-L-PWR-OTI 632-02-670-00 RCVR RIC-1-R-PWR-OTI 632-02-660-00 RCVR RIC-2-L-PWR-OTI 632-02-671-00 RCVR RIC-2-R-PWR-OTI 632-02-661-00 RCVR RIC-3-L-PWR-OTI 632-02-672-00 RCVR RIC-3-R-PWR-OTI 632-02-662-00 RCVR RIC-4-L-PWR-OTI 632-02-673-00 RCVR RIC-4-R-PWR-OTI 632-02-663-00 RCVR RIC-5-L-PWR-OTI 632-02-674-00 RCVR RIC-5-R-PWR-OTI 632-02-664-00 RCVR RIC 0-L-MED-OTI 632-02-630-00 RCVR RIC 0-R-MED-OTI 632-02-620-00 RCVR RIC 1-R-MED-OTI 632-02-621-00 RCVR RIC 1-L-MED-OTI 632-02-631-00 RCVR RIC 2-L MED-OTI 632-02-632-00 RCVR RIC 2-R-MED-OTI 632-02-622-00 RCVR RIC 3-L-MED-OTI 632-02-633-00 RCVR RIC 3-R-MED-OTI 632-02-623-00 RCVR RIC 4-L-MED-OTI 632-02-634-00 RCVR RIC 4-R-MED-OTI 632-02-624-00 RCVR RIC-5-L-MED-OTI 632-02-635-00 RCVR RIC 5-R-MED-OTI 632-02-625-00

ITEM NAME VENDOR STOCK # PRICESELL RCVR RIC KIT MINIFIT 127817 $376.27

OTICON

HCPCS V5267
(62)

59

Hearing Aid Accessories

ITEM NAME VENDOR STOCK #

RCVR RIC MINI-1-R 100DB 124579 RCVR RIC MINI-2-R 100DB 124581 RCVR RIC MINI-3-R 100DB 124582 RCVR RIC MINI-4-R 100DB 124583 RCVR RIC MINI-5-R 100DB 124584 RCVR RIC MINI-1-L 100DB 124585 RCVR RIC MINI-2-L 100DB 124586 RCVR RIC MINI-3-L 100DB 124587 RCVR RIC MINI-4-L 100DB 124588 RCVR RIC MINI-5-L 100DB 124589 RCVR RIC MINI-1-R 60DB 124590 RCVR RIC MINI-2-R 60DB 124591 RCVR RIC MINI-3-R 60DB 124592 RCVR RIC MINI-4-R 60DB 124593 RCVR RIC MINI-5-R 60DB 124594 RCVR RIC MINI-1-L 60DB 124595 RCVR RIC MINI-2-L 60DB 124596 RCVR RIC MINI-3-L 60DB 124597 RCVR RIC MINI-4-L 60DB 124598 RCVR RIC MINI-5-L 60DB 124599 RCVR RIC MINI-1-R 85DB 124963 RCVR RIC MINI-2-R 85DB 124964 RCVR RIC MINI-3-R 85DB 124965 RCVR RIC MINI-4-R 85DB 124966 RCVR RIC MINI-5-R 85DB 124967 RCVR RIC MINI-1-L 85DB 124969 RCVR RIC MINI-2-L 85DB 124970 RCVR RIC MINI-3-L 85DB 124971 RCVR RIC MINI-4-L 85DB 124973 RCVR RIC MINI-5-L 85DB 124974

OTICON

HCPCS V5267

Price: $58.87/EACH

(63)

Hearing Aid Accessories

OTICON

HCPCS V5267

ITEM NAME VENDOR STOCK #

GRIPTIP LARGE LEFT NOVENT RIC 016004 GRIPTIP LARGE LEFT VENTED RIC 016304 GRIPTIP LARGE RGHT NOVENT RIC 015004 GRIPTIP LARGE RGHT VENTED RIC 015304 GRIPTIP SMALL LEFT NOVENT RIC 014004 GRIPTIP SMALL LEFT VENTED RIC 014304 GRIPTIP SMALL RGHT NOVENT RIC 013004 GRIPTIP SMALL RGHT VENTED RIC 013304

$11.83 per package of 5

ITEM NAME VENDOR STOCK #

GRIPTIP SM MINIFIT .9MM RT 013406 GRIPTIP SM MINIFIT .9MM LT 014406 GRIPTIP LG MINIFIT .9MM RT 015406 GRIPTIP LG MINIFIT .9MM LT 016406 GRIPTIP SM MINIFIT NO VENT LT 014506 GRIPTIP SM MINIFIT NO VENT RT 013506 GRIPTIP LG MINIFIT NO VENT LT 016606 GRIPTIP LG MINIFIT NO VENT RT 015606

ITEM NAME VENDOR STOCK # SELL PRICE

GRIPTIP MINFIT STARTUP KIT 15500-2610 $37.84

(64)

61

Hearing Aid Accessories

ITEM NAME VENDOR

STOCK # UNIT OF ISSUE PRICE LOCK AGIL EAR GRIP RIC-OTI 540-20-030-00 EA $0.86 LOCK EARGRIP MINIFIT 60DB 120066 EA $0.91 LOCK EARGRIP MINIFIT 85DB 135986 PG of 5 $1.81

OTICON

HCPCS V5267
(65)

Hearing Aid Accessories

ITEM NAME VENDOR STOCK #

RCVR RIC INTIGA-1-L 115021 RCVR RIC INTIGA-1-R 115016 RCVR RIC INTIGA-2-L 115022 RCVR RIC INTIGA-2-R 115017 RCVR RIC INTIGA-3-L 115023 RCVR RIC INTIGA-3-R 115018 RCVR RIC INTIGA-4-L 115024 RCVR RIC INTIGA-4-R 115019 RCVR RIC INTIGA-5-L 115025 RCVR RIC INTIGA-5-R 115020

OTICON

HCPCS V5267

Price: $58.87/EACH

ITEM NAME VENDOR STOCK #

RCVR RIC KIT INTIGA 117609

Price: $118.27/EACH

ITEM NAME VENDOR STOCK # UNIT OF ISSUE PRICE

FLEXCONNECT MINI-OTI 117468 EA $0.00 **CLICK HERE TO VIEW CONTENTS OF KIT**

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63

Hearing Aid Accessories

ITEM NAME VENDOR STOCK #

TUBE CORDA2-0-L-OTI 589-25-140-00 TUBE CORDA2-0-R-OTI 589-25-130-00 TUBE CORDA2-1-L-OTI 589-25-141-00 TUBE CORDA2-1-R-OTI 589-25-131-00 TUBE CORDA2-2-L-OTI 589-25-142-00 TUBE CORDA2-2-R-OTI 589-25-132-00 TUBE CORDA2-3-L-OTI 589-25-143-00 TUBE CORDA2-3-R-OTI 589-25-133-00 TUBE CORDA2-0-L PWR 127245 TUBE CORDA2-0-R PWR 127241 TUBE CORDA2-1-L PWR 127246 TUBE CORDA2-1-R PWR 127242 TUBE CORDA2-2-L PWR 127247 TUBE CORDA2-2-R PWR 127243 TUBE CORDA2-3-L PWR 127248 TUBE CORDA2-3-R PWR 127244

$0.97 ea/$4.85 pkg (5 per pkg)

ITEM NAME VENDOR STOCK # UNIT OF ISSUE PRICE

TUBE SLIM KIT FITTING CORDA2 890-80-070-00 EA $90.32 TUBE FLEX FIT REPAIR KIT 054-5389 EA $16.13

TUBE CORDA2 POWER KIT 127237 EA $90.32

**CLICK HERE TO VIEW CONTENTS OF KIT**

ITEM NAME

VENDOR

STOCK #

DOME CORDA2 SMALL 570-07-430-00 DOME CORDA2 MEDIUM 570-07-431-00 DOME CORDA2 LARGE 570-07-432-00 DOME CORDA2 PLUS 570-07-460-00

$0.97 ea/$9.60 pkg of 10

OTICON

HCPCS V5267
(67)

Hearing Aid Accessories

ITEM NAME

VENDOR

STOCK #

DOME 6MM RITE 570-07-320-00 DOME 8MM RITE 570-07-321-00 DOME 10MM RITE 570-07-322-00

$0.39 ea/$3.90 pkg of 10

ITEM NAME

VENDOR

STOCK #

DOME TULIP PLUS 570-07-323-00

ITEM NAME

VENDOR

STOCK #

DOME 6MM POWER RITE 113908 DOME 8MM POWER RITE 570-07-350-00 DOME 10MM POWER RITE 570-07-351-00 DOME 12MM POWER RITE 570-07-352-00

$0.30 ea/$3.00 pkg of 10

$0.39 ea/$3.90 pkg of 10

OTICON

HCPCS V5267
(68)

65

Hearing Aid Accessories

ITEM NAME

VENDOR

STOCK #

DOME 6MM POWER MINIFIT 125923 DOME 8MM POWER MINIFIT 125922 DOME 10MM POWER MINIFIT 125921 DOME 12MM POWER MINIFIT 125920

DOME 8MM MINIFIT 125925 DOME 6MM MINIFIT 125926 DOME 10MM MINIF 125924 ^

OTICON

HCPCS V5267

$0.30 ea/$3.00 pkg of 10

ITEM NAME VENDOR STOCK #

RCVR RIC MINI-1-L PWR WIRE 120212 RCVR RIC MINI-1-R PWR WIRE 120208 RCVR RIC MINI-2-L PWR WIRE 120213 RCVR RIC MINI-2-R PWR WIRE 120209 RCVR RIC MINI-3-L PWR WIRE 120214 RCVR RIC MINI-3-R PWR WIRE 117854 RCVR RIC MINI-4-L PWR WIRE 120215 RCVR RIC MINI-4-R PWR WIRE 120210 RCVR RIC MINI-5-L PWR WIRE 120216 RCVR RIC MINI-5-R PWR WIRE 120211

(69)

Hearing Aid Accessories

OTICON

HCPCS V5

References

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