FSS-65-II-A - MMI Holdings, LLC - V797P4402B

Revised June 20, 2016

Mod PO-0011 effect May 31, 2016

DEPARTMENT OF VETERANS AFFAIRS

Federal Supply Service

Authorized Federal Supply Schedule Price List

On-line access to contract ordering information, terms and conditions, up-to-date pricing, and the option to create an electronic delivery order are available through GSA Advantage!™, a menu-driven database system. The INTERNET address for GSA Advantage!™ is GSAAdvantage.gov

Medical Equipment and Supplies

FSC Group 65, Part II, Section A

FSC Classes: 6510, 6515, 6530, 6532, 6540, 6545

Contract Number: V797D – 4402B

Contract Period: March 1, 2011 to July 31, 2016

( For more information on ordering from Federal Supply Schedules, enter the following address into your web browser:

http://gsa.gov/portal/category/100623 )

Medical Modalities

325 McGill Avenue, Suite 195

Concord, NC 28027

Phone #: 704-490-0691

Fax: 800-953-4487 www.medicalmodalities.com

Business Size: Small tel:/800-953-4487

Medical Modalities, 704-490-0691, www.medicalmodalities.com Page Revised June 2, 2016

Mod PO-0010 effect May 17, 2016

“Prices Shown Herein are Net (discount deducted)”

Customer Information:

1a. List of awarded special item number(s):

SIN: A-74 ……………………………….. Page 4

SIN: A-69 ……………………………….. Page 4 SIN: A-70 …………………………………. Page 4 SIN: A-72 …………………………………. Page 4

1b. Identification of the lowest priced model number and lowest unit price for that model for each special item number awarded in the contract. This price is the Government price based on a unit of one, exclusive of any quantity/dollar volume, prompt payment, or any other concession affecting price. Those contracts that have unit prices based on the geographic location of the customer, should show the range of the lowest price, and cite the areas to which the prices apply: See Below.

SIN Product Number Product Description FSS Price with IFF

A-69 Model 3000

HydroAire Air Fluidized

Therapy Bed

39,000

A-74

SV006302

Shoulder Wrap (works w/ all cold systems) Use w/ shoulder or univ. pad

17.59

A-70 Model 199594

Saunders Home Cervical Traction Unit-purchase

422.11

A-72

Model 05C4318

2" x 4" Reusable

Electrodes

6.43

1c. If the Contractor is proposing hourly rates, a description of all corresponding commercial job titles, experience, functional responsibility and education for those types of employees or subcontractors who will perform services shall be provided. If hourly rates are not applicable, indicate “Not applicable” for this item:

Not Applicable

2. Maximum order: All SINs $100,000

3. Minimum order: No minimum order for regular and direct orders

4. Geographic coverage (delivery area): 50 States, Washington DC and Puerto Rico

5. Point(s) of production (city, county, and State or foreign country):

See Product Listing

6. Prices shown herein are Net (discount deducted)

7. Quantity Discounts: 2% off FSS price for single orders exceeding $1,000

8. Prompt Payment Terms: Net 60 for direct orders only http://www.medicalmodalities.com/

Medical Modalities, 704-490-0691, www.medicalmodalities.com Page

Mod PO-0010 effect May 17, 2016

9a. Notification that Government purchase cards are accepted at or below the micro-purchase threshold:

Accepted at and below the micro-purchase threshold

9b. Notification whether Government purchase cards are accepted or not accepted above the micro-purchase threshold: Accepted above the micro-purchase threshold

10. Foreign items (list items by country of origin): See Price List

11a. Time of delivery: 3 Days ARO

11b. Expedited delivery: Overnight for SIN A-72. Medical Modalities will waive expedited delivery charges for national declared emergencies. Government will pay the difference between normal and expedited delivery charges for regular orders.

11c. Overnight and 2-day delivery: See Above

11d. Urgent requirements: See Above

12. FOB Point(s): Destination to 48 states which included DC. Point of exportation for AK, HI and PR.

13a. Ordering address(es): See below

13b. Ordering Procedures: For supplies and services, the ordering procedures, information on Blanket

Purchase Agreements (BPA’s) are found in Federal Acquisition Regulation (FAR) 8.405-3

14. Payment address(es):

Medical Modalitities

325 McGill Avenue, Suite 195

Concord NC 28027

Phone #: 704-932-8895

Fax: 800-953-4487

15. Warranty provision: Medical Modalities will comply with the Government limitation of liability and warranty terms as covered by clause 51.212-4(o) and (p).

16. Export packing charges, if applicable: Not Applicable

17. Terms and conditions of Government purchase card acceptance (any thresholds above the micro-purchase level): Accepted above the micro-purchase threshold

18. Terms and conditions of rental, maintenance, and repair (if applicable): Not Applicable

19. Terms and conditions of installation (if applicable): Not Applicable

20. Terms and conditions of repair parts indicating date of parts price lists and any discounts from list prices (if applicable): Not Applicable tel:/800-953-4487

Medical Modalities, 704-490-0691, www.medicalmodalities.com Page

Mod PO-0010 effect May 17, 2016

20a. Terms and conditions for any other services (if applicable): Not Applicable

21. List of service and distribution points (if applicable): Not Applicable

22. List of participating dealers (if applicable): Not Applicable

23. Preventive Maintenance (if applicable): Not Applicable

24a. Special attributes such as environmental attributes (e.g., recycled content, energy efficiency, and/or reduced pollutants): Not Applicable

24b. If applicable, indicate that Section 508 compliance information is available on Electronic and Informat ion

Technology (EIT) supplies and services and show where full details can be found (e.g., contractor’s website or other location). The EIT standards can be found at www.Section508.gov/ : Not Applicable

25. Data Universal Number System (DUNS) number: 62-3630464

26. Notification regarding registration in System for Award Management (SAM) database: Yes, registered http://www.section508.gov/

Medical Modalities, 704-490-0691, www.medicalmodalities.com Page

Mod PO-0010 effect May 17, 2016

Product and Pricing Information

SIN Catalog Number Product Description Product Long Description

UOM

As

Priced FSS Price

A-74 1

Standard VitalWrap (general purpose wrap)-accessory

Standard VitalWrap (general purpose wrap)-accessory EA 71.21

A-74 2

VitalWrap system (unit, w/ standard VitalWrap)

VitalWrap system (unit, w/ standard

VitalWrap) EA 361.66

A-74 13

VitalWrap System (unit w/o standard VitalWrap)

VitalWrap System (unit w/o standard

VitalWrap) EA 346.16

A-74 118

Large VitalWrap (wrap for leg & back)-accessory

Large VitalWrap (wrap for leg & back)-accessory EA 71.21

A-74 119

Medium Shoulder Wrap-accessory Medium Shoulder Wrap-accessory EA 71.21

A-74 122 Cervical VitalWrap-accessory Cervical VitalWrap-accessory EA 71.21

A-74 255 Medium VitalWrap (for elbow & calf)-accessory

Medium VitalWrap (for elbow & calf)-accessory EA 71.21

A-74 388 Vack VitalWrap (for use on the back)-accessory

Vack VitalWrap (for use on the back)-accessory EA 71.21

A-74 392 Full Knee VitalWrap-accessory Full Knee VitalWrap-accessory EA 71.21

A-74 394 Wrist VitalWrap (for hand and wrist)-accessory

Wrist VitalWrap (for hand and wrist)-accessory EA 71.21

A-74 395 Large Shoulder Wrap-accessory Large Shoulder Wrap-accessory EA 71.21

A-74 396 Hand VitalWrap-accessory Hand VitalWrap-accessory EA 71.21

A-74 397 Medium Knee VitalWrap-accessory Medium Knee VitalWrap-accessory EA 71.21

A-74 398 Ankle VitalWrap-accessory Ankle VitalWrap-accessory EA 71.21

A-74 648 Hip VitalWrap-accessory Hip VitalWrap-accessory EA 71.21

A-72 2407 PDC Restorer Stimulator PDC Restorer Stimulator EA 624.72

A-72 0-61-MZMMAN-0-2

Mini Z -Pulsed Galvanic

Stimulator-purchase Mini Z -Pulsed Galvanic Stimulator-purchase EA 650.75

A-72 01MK3

Mark III (NMS/TENS) Portable

Stimulator-purchase

Mark III (NMS/TENS) Portable Stimulator-purchase EA 780.90

A-72 07MW72130

Cable Y-Splitter for bilateral treatments Cable Y-Splitter for bilateral treatments EA 11.58

A-72 4PDC 4 oz. electrolyte conductive spray 4 oz. electrolyte conductive spray EA 9.01

A-74 5875LR-13

APM2 lateral and alternating pressure 75"L x 35"w (350 lbs-cap.)

APM2 lateral and alternating pressure 75"L x 35"w (350 lbs-cap.) EA 1,775.00

A-74 AB007002 PANEL,LOW,ANT/POST PANEL,LOW,ANT/POST EA 21.01

A-74 AB007004 PANEL,MID,ANT/POST PANEL,MID,ANT/POST EA 21.01

A-74 AB007006 PANEL,XT,POSTERIOR PANEL,XT,POSTERIOR EA 78.77

A-74 AB008005 CHAIRBACK FRAME CHAIRBACK FRAME EA 78.77

A-74 AB008007 CHAIRBACK FRAME CHAIRBACK FRAME EA 78.77

A-74 AB008009 CHAIRBACK FRAME CHAIRBACK FRAME EA 131.91

Medical Modalities, 704-490-0691, www.medicalmodalities.com Page

Mod PO-0010 effect May 17, 2016

A-74 AB008011 CHAIRBACK FRAME CHAIRBACK FRAME EA 89.28

A-74 AB012003 BRACE,VOLARE LITE BRACE,VOLARE LITE EA 36.76

A-74 AB012005 BRACE,VOLARE LITE BRACE,VOLARE LITE EA 36.76

A-74 AB012007 BRACE,VOLARE LITE BRACE,VOLARE LITE EA 36.76

A-74 AB012009 BRACE,VOLARE LITE BRACE,VOLARE LITE EA 36.76

A-74 AB012011 BRACE,VOLARE LITE BRACE,VOLARE LITE EA 47.26

A-74 AB013003 VOLARE (CORSET ONLY), 8 VOLARE (CORSET ONLY), 8 EA 120.78

A-74 AB013005 VOLARE (CORSET ONLY), 8 VOLARE (CORSET ONLY), 8 EA 120.78

A-74 AB013007 VOLARE (CORSET ONLY), 8 VOLARE (CORSET ONLY), 8 EA 120.78

A-74 AB013009 VOLARE (CORSET ONLY), 8 VOLARE (CORSET ONLY), 8 EA 120.78

A-74 AB013011 VOLARE (CORSET ONLY), 8 VOLARE (CORSET ONLY), 8 EA 131.29

A-74 AB013013 VOLARE (CORSET ONLY), 8 VOLARE (CORSET ONLY), 8 EA 131.29

A-74 AB014003 VOLARE (CORSET ONLY), 10 VOLARE (CORSET ONLY), 10 EA 131.29

A-74 AB014005 VOLARE (CORSET ONLY), 10 VOLARE (CORSET ONLY), 10 EA 131.29

A-74 AB014007 VOLARE (CORSET ONLY), 10 VOLARE (CORSET ONLY), 10 EA 131.29

A-74 AB014009 VOLARE (CORSET ONLY), 10 VOLARE (CORSET ONLY), 10 EA 131.29

A-74 AB014011 VOLARE (CORSET ONLY), 10 VOLARE (CORSET ONLY), 10 EA 141.78

A-74 AB017003 VOLARE LS,8 VOLARE LS,8 EA 129.18

A-74 AB017005 VOLARE LS,8 VOLARE LS,8 EA 129.18

A-74 AB017007 VOLARE LS,8 VOLARE LS,8 EA 129.18

A-74 AB017009 VOLARE LS,8 VOLARE LS,8 EA 129.18

A-74 AB017011 VOLARE LS,8 VOLARE LS,8 EA 139.68

A-74 AB017013 VOLARE LS,8 VOLARE LS,8 EA 139.68

A-74 AB018003 VOLARE LS,10 VOLARE LS,10 EA 139.68

A-74 AB018005 VOLARE LS,10 VOLARE LS,10 EA 139.68

A-74 AB018007 VOLARE LS,10 VOLARE LS,10 EA 139.68

A-74 AB018009 VOLARE LS,10 VOLARE LS,10 EA 139.68

A-74 AB018011 VOLARE LS,10 VOLARE LS,10 EA 150.18

A-74 AB022003 VOLARE LS--XT,8 VOLARE LS--XT,8 EA 210.05

A-74 AB022005 VOLARE LS--XT,8 VOLARE LS--XT,8 EA 210.05

A-74 AB022007 VOLARE LS--XT,8 VOLARE LS--XT,8 EA 210.05

A-74 AB022009 VOLARE LS--XT,8 VOLARE LS--XT,8 EA 210.05

A-74 AB022011 VOLARE LS--XT,8 VOLARE LS--XT,8 EA 220.55

A-74 AB022013 VOLARE LS--XT,8 VOLARE LS--XT,8 EA 220.55

A-74 AB023003 VOLARE LS--XT,10 VOLARE LS--XT,10 EA 220.55

A-74 AB023005 VOLARE LS--XT,10 VOLARE LS--XT,10 EA 220.55

A-74 AB023007 VOLARE LS--XT,10 VOLARE LS--XT,10 EA 220.55

A-74 AB023009 VOLARE LS--XT,10 VOLARE LS--XT,10 EA 220.55

A-74 AB023011 VOLARE LS--XT,10 VOLARE LS--XT,10 EA 231.06

A-74 AB027003 VOLARE W/CHAIRBACK,8 VOLARE W/CHAIRBACK,8 EA 225.81

A-74 AB027005 VOLARE W/CHAIRBACK,8 VOLARE W/CHAIRBACK,8 EA 225.81

A-74 AB027007 VOLARE W/CHAIRBACK,8 VOLARE W/CHAIRBACK,8 EA 225.81

A-74 AB027009 VOLARE W/CHAIRBACK,8 VOLARE W/CHAIRBACK,8 EA 225.81

A-74 AB027011 VOLARE W/CHAIRBACK,8 VOLARE W/CHAIRBACK,8 EA 236.30

A-74 AB027013 VOLARE W/CHAIRBACK,8 VOLARE W/CHAIRBACK,8 EA 236.30

A-74 AB028003 VOLARE W/CHAIRBACK,10 VOLARE W/CHAIRBACK,10 EA 236.30

A-74 AB028005 VOLARE W/CHAIRBACK,10 VOLARE W/CHAIRBACK,10 EA 236.30

Medical Modalities, 704-490-0691, www.medicalmodalities.com Page

Mod PO-0010 effect May 17, 2016

A-74 AB028007 VOLARE W/CHAIRBACK,10 VOLARE W/CHAIRBACK,10 EA 236.30

A-74 AB028009 VOLARE W/CHAIRBACK,10 VOLARE W/CHAIRBACK,10 EA 236.30

A-74 AB028011 VOLARE W/CHAIRBACK,10 VOLARE W/CHAIRBACK,10 EA 241.56

A-74 AE012111B--

NEUTRAL HAND POSITION

ATTACHMENT, LEFT

NEUTRAL HAND POSITION ATTACHMENT,

LEFT EA 31.50

A-74 AE012113B--

NEUTRAL HAND POSITION

ATTACHMENT, LEFT

NEUTRAL HAND POSITION ATTACHMENT,

LEFT EA 31.50

A-74 AE012123B--

SUPINATE/PRONATE HAND

ATTACHMENT, LEFT

SUPINATE/PRONATE HAND ATTACHMENT,

LEFT EA 31.50

A-74 AE012211B--

NEUTRAL HAND POSITION

ATTACHMENT, RIGHT

NEUTRAL HAND POSITION ATTACHMENT,

RIGHT EA 31.50

A-74 AE012213B--

NEUTRAL HAND POSITION

ATTACHMENT, RIGHT

NEUTRAL HAND POSITION ATTACHMENT,

RIGHT EA 31.50

A-74 AE012223B--

SUPINATE/PRONATE HAND

ATTACHMENT, RIGHT

SUPINATE/PRONATE HAND ATTACHMENT,

RIGHT EA 31.50

A-74 AE023100 TELESCOPING ELBOW, LEFT TELESCOPING ELBOW, LEFT EA 110.28

A-74 AE023200 TELESCOPING ELBOW, RIGHT TELESCOPING ELBOW, RIGHT EA 110.28

A-74 AE050100 ARC SHOULDER ARC SHOULDER EA 126.63

A-74 AE050200

ARC-XR SHOULDER (EXTERNAL

ROTATION) ARC-XR SHOULDER (EXTERNAL ROTATION) EA 153.02

A-74 AE050300 ARC WITH PILLOW ARC WITH PILLOW EA 86.18

A-74 AE055100 COOL ARC SHOULDER COOL ARC SHOULDER EA 126.63

A-74 AE055200

COOL ARC-XR SHOULDER

(EXTERNAL ROTATION)

COOL ARC-XR SHOULDER (EXTERNAL

ROTATION) EA 153.02

A-74 AE055300 COOL ARC WITH PILLOW COOL ARC WITH PILLOW EA 86.18

A-74 AK069000 EXTENDER W/ LEVER LOCK HINGE EXTENDER W/ LEVER LOCK HINGE EA 120.78

A-74 AL041104 CONFORMER, LEFT CONFORMER, LEFT EA 136.53

A-74 AL041106 CONFORMER, LEFT CONFORMER, LEFT EA 136.53

A-74 AL041108 CONFORMER, LEFT CONFORMER, LEFT EA 136.53

A-74 AL041110 CONFORMER, LEFT CONFORMER, LEFT EA 136.53

A-74 AL041112 CONFORMER, LEFT CONFORMER, LEFT EA 136.53

A-74 AL041114 CONFORMER, LEFT CONFORMER, LEFT EA 136.53

A-74 AL041204 CONFORMER, RIGHT CONFORMER, RIGHT EA 136.53

A-74 AL041206 CONFORMER, RIGHT CONFORMER, RIGHT EA 136.53

A-74 AL041208 CONFORMER, RIGHT CONFORMER, RIGHT EA 136.53

A-74 AL041210 CONFORMER, RIGHT CONFORMER, RIGHT EA 136.53

A-74 AL041212 CONFORMER, RIGHT CONFORMER, RIGHT EA 136.53

A-74 AL041214 CONFORMER, RIGHT CONFORMER, RIGHT EA 136.53

A-74 AL042104 CHARCOT CONFORMER, LEFT CHARCOT CONFORMER, LEFT EA 157.54

A-74 AL042106 CHARCOT CONFORMER, LEFT CHARCOT CONFORMER, LEFT EA 157.54

A-74 AL042108 CHARCOT CONFORMER, LEFT CHARCOT CONFORMER, LEFT EA 157.54

A-74 AL042110 CHARCOT CONFORMER, LEFT CHARCOT CONFORMER, LEFT EA 157.54

A-74 AL042112 CHARCOT CONFORMER, LEFT CHARCOT CONFORMER, LEFT EA 157.54

A-74 AL042114 CHARCOT CONFORMER, LEFT CHARCOT CONFORMER, LEFT EA 157.54

A-74 AL042204 CHARCOT CONFORMER, RIGHT CHARCOT CONFORMER, RIGHT EA 157.54

A-74 AL042206 CHARCOT CONFORMER, RIGHT CHARCOT CONFORMER, RIGHT EA 157.54

A-74 AL042208 CHARCOT CONFORMER, RIGHT CHARCOT CONFORMER, RIGHT EA 157.54

Medical Modalities, 704-490-0691, www.medicalmodalities.com Page

Mod PO-0010 effect May 17, 2016

A-74 AL042210 CHARCOT CONFORMER, RIGHT CHARCOT CONFORMER, RIGHT EA 157.54

A-74 AL042212 CHARCOT CONFORMER, RIGHT CHARCOT CONFORMER, RIGHT EA 157.54

A-74 AL042214 CHARCOT CONFORMER, RIGHT CHARCOT CONFORMER, RIGHT EA 157.54

A-74 AL241104 CONFORMER W/AIR, LEFT CONFORMER W/AIR, LEFT EA 147.04

A-74 AL241106 CONFORMER W/AIR, LEFT CONFORMER W/AIR, LEFT EA 147.04

A-74 AL241108 CONFORMER W/AIR, LEFT CONFORMER W/AIR, LEFT EA 147.04

A-74 AL241110 CONFORMER W/AIR, LEFT CONFORMER W/AIR, LEFT EA 147.04

A-74 AL241112 CONFORMER W/AIR, LEFT CONFORMER W/AIR, LEFT EA 147.04

A-74 AL241114 CONFORMER W/AIR, LEFT CONFORMER W/AIR, LEFT EA 147.04

A-74 AL241204 CONFORMER W/AIR, RIGHT CONFORMER W/AIR, RIGHT EA 147.04

A-74 AL241206 CONFORMER W/AIR, RIGHT CONFORMER W/AIR, RIGHT EA 147.04

A-74 AL241208 CONFORMER W/AIR, RIGHT CONFORMER W/AIR, RIGHT EA 147.04

A-74 AL241210 CONFORMER W/AIR, RIGHT CONFORMER W/AIR, RIGHT EA 147.04

A-74 AL241212 CONFORMER W/AIR, RIGHT CONFORMER W/AIR, RIGHT EA 147.04

A-74 AL241214 CONFORMER W/AIR, RIGHT CONFORMER W/AIR, RIGHT EA 147.04

A-74 AL242104

CHARCOT CONFORMER W/AIR

ANKLE PAD, LEFT

CHARCOT CONFORMER W/AIR ANKLE PAD,

LEFT EA 168.04

A-74 AL242106

CHARCOT CONFORMER W/AIR

ANKLE PAD, LEFT

CHARCOT CONFORMER W/AIR ANKLE PAD,

LEFT EA 168.04

A-74 AL242108

CHARCOT CONFORMER W/AIR

ANKLE PAD, LEFT

CHARCOT CONFORMER W/AIR ANKLE PAD,

LEFT EA 168.04

A-74 AL242110

CHARCOT CONFORMER W/AIR

ANKLE PAD, LEFT

CHARCOT CONFORMER W/AIR ANKLE PAD,

LEFT EA 168.04

A-74 AL242112

CHARCOT CONFORMER W/AIR

ANKLE PAD, LEFT

CHARCOT CONFORMER W/AIR ANKLE PAD,

LEFT EA 168.04

A-74 AL242114

CHARCOT CONFORMER W/AIR

ANKLE PAD, LEFT

CHARCOT CONFORMER W/AIR ANKLE PAD,

LEFT EA 168.04

A-74 AL242204

CHARCOT CONFORMER W/AIR

ANKLE PAD, RIGHT

CHARCOT CONFORMER W/AIR ANKLE PAD,

RIGHT EA 168.04

A-74 AL242206

CHARCOT CONFORMER W/AIR

ANKLE PAD, RIGHT

CHARCOT CONFORMER W/AIR ANKLE PAD,

RIGHT EA 168.04

A-74 AL242208

CHARCOT CONFORMER W/AIR

ANKLE PAD, RIGHT

CHARCOT CONFORMER W/AIR ANKLE PAD,

RIGHT EA 168.04

A-74 AL242210

CHARCOT CONFORMER W/AIR

ANKLE PAD, RIGHT

CHARCOT CONFORMER W/AIR ANKLE PAD,

RIGHT EA 168.04

A-74 AL242212

CHARCOT CONFORMER W/AIR

ANKLE PAD, RIGHT

CHARCOT CONFORMER W/AIR ANKLE PAD,

RIGHT EA 168.04

A-74 AL242214

CHARCOT CONFORMER W/AIR

ANKLE PAD, RIGHT

CHARCOT CONFORMER W/AIR ANKLE PAD,

RIGHT EA 168.04

A-74 AP8042-13

Pressure Guard APM 80"L x 42"w Bariatric (750 lbs.capacity)

Pressure Guard APM 80"L x 42"w Bariatric (750 lbs.capacity) EA 2,215.00

A-74 AP8048-13

Pressue Guard APM 80"L: x 48"w Bariatric (750 lbs.capacity)

Pressue Guard APM 80"L: x 48"w Bariatric (750 lbs.capacity) EA 2,350.00

A-74 AP8054-13

Pressure Guard APM 80"L x 54"w Bariatric (750 lbs.capacity)

Pressure Guard APM 80"L x 54"w Bariatric (750 lbs.capacity) EA 2,555.00

A-74 AR048

AlignAir Lateral - (L or R) Medial, (L or R), Lateral Athletic (L or R)

AlignAir Lateral - (L or R) Medial, (L or R), Lateral Athletic (L or R) EA 703.52

Medical Modalities, 704-490-0691, www.medicalmodalities.com Page

Mod PO-0010 effect May 17, 2016

A-74 AR078

Aligner ESE - Lateral (L or R), Medial (L or R) Aligner ESE - Lateral (L or R), Medial (L or R) EA 756.28

A-74 AXACustom Axiom Custom, Aluminium Axiom Custom, Aluminium EA 1,037.69

A-74 AXDCustom Axiom-D Custom Axiom-D Custom EA 1,064.07

A-74 AXMCustom Axiom Custom, Magnesium Axiom Custom, Magnesium EA 1,072.86

A-74 AXOACustom Axiom OTS - Custom Right or Left, w/patella guard (L or R)

Axiom OTS - Custom Right or Left, w/patella guard (L or R) EA 1,037.69

A-74 AZ114

Z-12 (R or L), Extenstion (L or R), Athletic (L or R), Ext. Athletic (L or

R)

Z-12 (R or L), Extenstion (L or R), Athletic (L or R), Ext. Athletic (L or R) EA 685.93

A-74 AZ29

Z-12 Osteoarthritis Medial - OTS Medial (L or R), OTS Lateral (L or R), Z-12 Osteoarthritis Medial - OTS Medial (L or R), OTS Lateral (L or R), EA 685.93

A-72 DP401-L

Dual polarity, Silver Fiber, reusable Sock (Large) QTY 1

Dual polarity, Silver Fiber, reusable Sock (Large) QTY 1 EA 150.75

A-72 DP401-M

Dual polarity, Silver Fiber, reusable Sock (medium) QTY- 1

Dual polarity, Silver Fiber, reusable Sock (medium) QTY- 1 EA 150.75

A-72 DP401-S

Dual polarity, Silver Fiber, reusable Sock (small) QTY-1

Dual polarity, Silver Fiber, reusable Sock (small) QTY-1 EA 150.75

A-72 DP401-U

Dual polarity, Silver Fiber, reusable sock (Universal) QTY1

Dual polarity, Silver Fiber, reusable sock (Universal) QTY1 EA 201.01

A-72 DP401-XL

Dual polarity, Silver Fiber, reusable sock (x-Large) QTY1

Dual polarity, Silver Fiber, reusable sock (x- Large) QTY1 EA 150.75

A-72 DP502-L

Dual polarity, Silver Fiber, reusable glove (large) QTY 1

Dual polarity, Silver Fiber, reusable glove (large) QTY 1 EA 150.75

A-72 DP502-M

Dual polarity, Silver Fiber, reusable glove (medium) QTY 1

Dual polarity, Silver Fiber, reusable glove (medium) QTY 1 EA 150.75

A-72 DP502-S

Dual polarity, Silver Fiber, reusable glove (small) QTY 1

Dual polarity, Silver Fiber, reusable glove (small) QTY 1 EA 150.75

A-72 DP502-XL

Dual polarity, Silver Fiber, reusable glove (x-large) QTY 1

Dual polarity, Silver Fiber, reusable glove (x-large) QTY 1 EA 150.75

A-72 DP704-U

Single polarity, Silver Fiber, reusable amputee sock

(Universal) QTY 1

Single polarity, Silver Fiber, reusable amputee sock (Universal) QTY 1 EA 201.01

A-74 EK007101 SHOE INSERT, LEFT SHOE INSERT, LEFT EA 73.51

A-74 EK007105 SHOE INSERT, LEFT SHOE INSERT, LEFT EA 73.51

A-74 EK007109 SHOE INSERT, LEFT SHOE INSERT, LEFT EA 73.51

A-74 EK007201 SHOE INSERT, RIGHT SHOE INSERT, RIGHT EA 73.51

A-74 EK007205 SHOE INSERT, RIGHT SHOE INSERT, RIGHT EA 73.51

A-74 EK007209 SHOE INSERT, RIGHT SHOE INSERT, RIGHT EA 73.51

A-74 EK087000 EXTENDER PLUS EXTENDER PLUS EA 136.53

A-74 EK088000 EXTENDER PLUS W/CUFFS EXTENDER PLUS W/CUFFS EA 136.53

A-74 EK089101

EXTENDER PLUS W/SHOE INSERT,

LEFT EXTENDER PLUS W/SHOE INSERT, LEFT EA 307.79

A-74 EK089105

EXTENDER PLUS W/SHOE INSERT,

LEFT EXTENDER PLUS W/SHOE INSERT, LEFT EA 307.79

A-74 EK089109

EXTENDER PLUS W/SHOE INSERT,

LEFT EXTENDER PLUS W/SHOE INSERT, LEFT EA 307.79

A-74 EK089201

EXTENDER PLUS W/SHOE INSERT,

RIGHT EXTENDER PLUS W/SHOE INSERT, RIGHT EA 307.79

Medical Modalities, 704-490-0691, www.medicalmodalities.com Page

Mod PO-0010 effect May 17, 2016

A-74 EK089205

EXTENDER PLUS W/SHOE INSERT,

RIGHT EXTENDER PLUS W/SHOE INSERT, RIGHT EA 307.79

A-74 EK089209

EXTENDER PLUS W/SHOE INSERT,

RIGHT EXTENDER PLUS W/SHOE INSERT, RIGHT EA 307.79

A-74 GK060

Ultimate Dynamic w/everyday pads Ultimate Dynamic w/everyday pads EA 677.14

A-74 GK070

Ultimate Sport - models Hi-

Impact w/everyday pads (R or L)

Ultimate Sport - models Hi-Impact w/everyday pads (R or L) EA 633.17

A-74 GKD401

Ultimate Sport - models Everyday pads (R or L)

Ultimate Sport - models Everyday pads (R or

L) EA 536.43

A-74 GS-3035

Bio Compression Gradient Sleeve-purchase Bio Compression Gradient Sleeve-purchase EA 376.13

A-74 JK020

Ultimate Sport w/ Hi-Activity pads (R or L) Ultimate Sport w/ Hi-Activity pads (R or L) EA 501.26

A-74 JK120

Ultimate Sport Hi-Impact w/Hi- Activity pads (R or L)

Ultimate Sport Hi-Impact w/Hi-Activity pads (R or L) EA 597.99

A-74 JK220

Ultimate Dynamic w/Hi-Activity pads Ultimate Dynamic w/Hi-Activity pads EA 641.96

A-74 LT0091 OA Air Medial, Left OA Air Medial, Left EA 615.58

A-74 LT0092 OA Air Medial, Right OA Air Medial, Right EA 615.58

A-74 M0B001COM2

Mobilty 1 - Intermittent Pneumatic Compression-Dual

Port

Mobilty 1 - Intermittent Pneumatic

Compression-Dual Port EA 1,126.88

A-74 MG114 Axiom - OTS, Magnesium Axiom - OTS, Magnesium EA 685.93

A-74 MG118

Axiom-D Athletic Version, Magesium and Magnesium Athletic (L or R)

Axiom-D Athletic Version, Magesium and Magnesium Athletic (L or R) EA 747.49

A-74 MG119

Axiom - OTS athletic Version -

Magnesium Axiom - OTS athletic Version - Magnesium EA 685.93

A-74 MOB001C

IPC Classic Boot -Medium, Large, X-Large sizes

IPC Classic Boot -Medium, Large, X-Large sizes EA 373.12

A-74 MOB001E

IPC Elastic Boot - Medium, Large, X-Large sizes

IPC Elastic Boot - Medium, Large, X-Large sizes EA 373.12

A-74 MOB001SO

Special Order Size Classic or Elastic Boot Special Order Size Classic or Elastic Boot EA 448.49

A-72 Model 05C4318 2" x 4" Reusable Electrodes 2" x 4" Reusable Electrodes EA 6.43

A-70 Model 199594 Saunders Home Cervical Traction Unit-purchase

Saunders Home Cervical Traction Unit-purchase EA 422.11

A-70 Model 199603 Saunders Home Lumbar Traction Unit-purchase

Saunders Home Lumbar Traction Unit-purchase EA 478.39

A-70 Model 2027 Chattanooga Optiflex Ankle CPM Chattanooga Optiflex Ankle CPM EA 4,801.51

A-70 Model 2038 Chattanooga Artromot Elbow E-2 Chattanooga Artromot Elbow E-2 EA 4,889.45

A-70 Model 2090 Chattanooga S Shoulder CPM Chattanooga S Shoulder CPM EA 4,889.45

A-70 Model 2090K Chattanooga Optiflex Knee CPM Device-purchase

Chattanooga Optiflex Knee CPM Device-purchase EA 2,325.75

A-69 Model 3000 HydroAire Air Fluidized Therapy Bed HydroAire Air Fluidized Therapy Bed EA 39,000.00

A-70 Model 4621-0008 Kinetec 6080 Elbow CPM Device Kinetec 6080 Elbow CPM Device EA 3,837.69

A-70 Model 4621-0031 Centura Shoulder CPM Device-purchase Centura Shoulder CPM Device-purchase EA 4,871.86

A-70 Model 4621-0065 Maestra Hand & Wrist CPM Maestra Hand & Wrist CPM Device- EA 4,499.00

Medical Modalities, 704-490-0691, www.medicalmodalities.com Page

Mod PO-0010 effect May 17, 2016

Device-purchase purchase

A-70 Model 55336

Breva Ankle CPM Device-purchase Breva Ankle CPM Device-purchase EA 3,160.55

A-74 Model SC-2004

Bio Compression Gradient

Intermittent Pump-purchase

Bio Compression Gradient Intermittent

Pump-purchase EA 1,503.77

A-74 OACustom OA Right or Left Custom OA Right or Left Custom EA 967.34

A-74 PF010 20.50 Patellofemoial OTS 20.50 Patellofemoial OTS EA 659.55

A-74 PFCustom 20.50 Patellofemoial Custom 20.50 Patellofemoial Custom EA 483.67

A-74 PK113

Axiom-D Athletic Version, OTS Left or Right, w/patella guard (R or L)

Axiom-D Athletic Version, OTS Left or Right, w/patella guard (R or L) EA 703.52

A-72 RAP-16 Lead wire for PDC Restorer Lead wire for PDC Restorer EA 6.43

A-74 SABARISYS39

Bari-Select 80"L x 39"w Bariatric (400lbs.capacity)

Bari-Select 80"L x 39"w Bariatric (400lbs.capacity) EA 3,200.00

A-74 SABARISYS42

Bari-Select 80"L x 42"w Bariatric (680 lbs.capacity)

Bari-Select 80"L x 42"w Bariatric (680 lbs.capacity) EA 3,200.00

A-74 SABARISYS48

Bari-Select 80"L x 48" w Bariatric (680 lbs. capacity)

Bari-Select 80"L x 48" w Bariatric (680 lbs.

capacity) EA 3,710.00

A-74 SASTDSYS

Air Select Low Air Loss Mattress (stand.) 80"L x 36"w (400 lbs.cap)

Air Select Low Air Loss Mattress (stand.)

80"L x 36"w (400 lbs.cap) EA 2,324.00

A-72 SE300

1.5" x 3" Rectangle Sterile electrodes 1.5" x 3" Rectangle Sterile electrodes EA 11.58

A-74 SK087000 EXTENDER EXTENDER EA 131.29

A-74 SK087010

EXTENDER W/SHEAR FORCE

STRAPS EXTENDER W/SHEAR FORCE STRAPS EA 126.03

A-74 SK587000 EXTENDER,W/QUICKLOCK EXTENDER,W/QUICKLOCK EA 133.39

A-74 SK587010

EXTENDER W/SHEAR FORCE

STRAPS AND QUICKLOCK

EXTENDER W/SHEAR FORCE STRAPS AND

QUICKLOCK EA 133.39

A-74 SM007101 SHOE INSERT, LEFT SHOE INSERT, LEFT EA 73.51

A-74 SM007105 SHOE INSERT, LEFT SHOE INSERT, LEFT EA 73.51

A-74 SM007109 SHOE INSERT, LEFT SHOE INSERT, LEFT EA 73.51

A-74 SM007201 SHOE INSERT, RIGHT SHOE INSERT, RIGHT EA 73.51

A-74 SM007205 SHOE INSERT, RIGHT SHOE INSERT, RIGHT EA 73.51

A-74 SM007209 SHOE INSERT, RIGHT SHOE INSERT, RIGHT EA 73.51

A-72 SP401-L

Single polarity, Silver Fiber, reusable Sock (Large) QTY 1

Single polarity, Silver Fiber, reusable Sock

(Large) QTY 1 EA 100.50

A-72 SP401-M

Single polarity, Silver Fiber, reusable Sock (medium)-QTY-1

Single polarity, Silver Fiber, reusable Sock

(medium)-QTY-1 EA 100.50

A-72 SP401-S

Single polarity, Silver Fiber, reusable Sock (small) QTY -1

Single polarity, Si lver Fiber, reusable Sock

(small) QTY -1 EA 100.50

A-72 SP401-XL

Single polarity, Silver Fiber, reusable sock (x-Large) QTY 1

Single polarity, Silver Fiber, reusable sock

(x-Large) QTY 1 EA 100.50

A-72 SP502-L

Single polarity, Silver Fiber, reusable glove (large) QTY 1

Single polarity, Silver Fiber, reusable glove

(large) QTY 1 EA 100.50

A-72 SP502-M

Single polarity, Silver Fiber, reusable glove (medium) QTY 1

Single polarity, Silver Fiber, reusable glove

(medium) QTY 1 EA 100.50

A-72 SP502-S

Single polarity, Silver Fiber, reusable glove (small) QTY 1

Single polarity, Silver Fiber, reusable glove

(small) QTY 1 EA 100.50

Medical Modalities, 704-490-0691, www.medicalmodalities.com Page

Mod PO-0010 effect May 17, 2016

A-72 SP502-XL

Single polarity, Silver Fiber, reusable glove (x-large) QTY 1

Single polarity, Silver Fiber, reusable glove (x-large) QTY 1 EA 100.50

A-72 SP603-L

Single polarity, Silver Fiber, reusable sleeve (large) QTY 1

Single polarity, Silver Fiber, reusable sleeve (large) QTY 1 EA 150.75

A-72 SP603-M

Single polarity, Silver Fiber, reusable sleeve (medium) QTY 1

Single polarity, Silver Fiber, reusable sleeve (medium) QTY 1 EA 150.75

A-72 SP603-S

Single polarity, Silver Fiber, reusable sleeve (small) QTY 1

Single polarity, Silver Fiber, reusable sleeve (small) QTY 1 EA 201.01

A-72 SP603-XL

Single polarity, Silver Fiber, reusable sleeve (x-large) QTY 1

Single polarity, Silver Fiber, reusable sleeve (x-large) QTY 1 EA 150.75

A-72 STP 5013

Electrotherapy Garment works w/ Mini Z-purchase

Electrotherapy Garment works w/ Mini Z-purchase EA 241.21

A-74 SV003002

Universal Pad (works w/ all cold systems) non-sterile- accessory

Universal Pad (works w/ all cold systems) non-sterile- accessory EA 36.76

A-74 SV003003

Ankle Pade (works w/ all cold systems) non-sterile

Ankle Pade (works w/ all cold systems) non-sterile EA 65.08

A-74 SV003004

5 x 10 Rectangle (works w/ all cold systems) variety aps - non-sterile

5 x 10 Rectangle (works w/ all cold systems) variety aps - non-sterile EA 34.66

A-74 SV003006

Shoulder Pad (works w/ all cold systems) non-sterile - accessory

Shoulder Pad (works w/ all cold systems) non-sterile - accessory EA 68.07

A-74 SV003007

Hand Pad (works w/ all cold systems) (left or right) - non-sterile

Hand Pad (works w/ all cold systems) (left or right) - non-sterile EA 36.76

A-74 SV005160

bMINI Cold Therapy system (8" x 10", hard cooler) bMINI Cold Therapy system (8" x 10", hard cooler) EA 110.28

A-74 SV005170

bPRO Cold Therapy system (9" x 13", LCD screen, hard cooler) bPRO Cold Therapy system (9" x 13", LCD screen, hard cooler) EA 136.53

A-74 SV006302

Shoulder Wrap (works w/ all cold systems) Use w/ shoulder or univ.

pad

Shoulder Wrap (works w/ all cold systems)

Use w/ shoulder or univ. pad EA 17.59

A-74 SV007062

bMINI Cold Therapy system

(above) w/ Universal Pad (non-sterile) bMINI Cold Therapy system (above) w/ Universal Pad (non-sterile) EA 147.04

A-74 SV007072

bPRO Cold Therapy system (above) w/ Universal Pad (non-sterile) bPRO Cold Therapy system (above) w/

Universal Pad (non-sterile) EA 168.04

A-74 SV013006S

Shoulder Pad (works w/ all cold systems) sterile - accessory

Shoulder Pad (works w/ all cold systems) sterile - accessory EA 71.24

A-74 SV013007S

Hand Pad (works w/ all cold systems) (left or right) - sterile

Hand Pad (works w/ all cold systems) (left or right) - sterile EA 60.15

A-74 SV0133002S

Universal Pad (works w/ all cold systems) sterile - accessory

Universal Pad (works w/ all cold systems) sterile - accessory EA 60.15

A-74 SV017062

bMINI Cold Therapy system

(above) w/ Universal Pad (sterile) bMINI Cold Therapy system (above) w/

Universal Pad (sterile) EA 150.18

A-74 SV017072

bPRO Cold Therapy system

(above) w/ Universal Pad (sterile) bPRO Cold Therapy system (above) w/

Universal Pad (sterile) EA 171.19

A-74 TA008

Thruster - Lateral (L or R), Medial

(L or R), Lateral Short (L or R)

Thruster - Lateral (L or R), Medial (L or R), Lateral Short (L or R) EA 853.02

Medical Modalities, 704-490-0691, www.medicalmodalities.com Page

Mod PO-0010 effect May 17, 2016

A-74 TACustom Thruster Right or Left Custom Thruster Right or Left Custom EA 1,064.07

A-74 UDCustom

Ultimate Dynamic w/Hi-Activity pads custom

Ultimate Dynamic w/Hi-Activity pads custom EA 853.02

A-74 USCustom Ultimate Sport Custom Ultimate Sport Custom EA 756.28

A-72 Wrap-8

Dual polarity, Silver Fiber, reusable Wrap (for over sized legs) QTY1

Dual polarity, Silver Fiber, reusable Wrap (for over sized legs) QTY1 EA 201.01

A-74 Z-12Custom Z-12 Left or Right Custom Z-12 Left or Right Custom EA 1,037.69

A-74 Z-12Custom Z-12 Custom Z-12 Custom EA 1,037.69