o 25 o 26 o 27 o 28 Seat Depth Package: o 10 D-14 D o 14 D-18 D o 15 D-20 D o 20 D-24 D o 24 D-28 D Back Cane Height: o 22 o 23 o 24 o 25

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1 Discount: Terms: Freight: Synergy Seating System Taken By: Pride Mobility Products Corporation (866) (866) DME providers are responsible for determining appropriate billing codes when submitting for insurance reimbursement. HCPCS codes should not be considered as legal advice. All prices are MSRP. BASEs: 300lb Weight Capacity. Max Dimensions 20 W x 20 D o Jazzy Select 6 o Jazzy Select 14 o Jazzy Select Elite o Jazzy Select Elite 6 o J6 o Quantum lb Weight Capacity. Max Dimensions 22 W x 22 D o Jazzy 614 o Q6 Edge o Rival o Jazzy Elite lb Weight Capacity. Max Dimensions 24 W x 24 D o Q6000Z 450lb Weight Capacity. Max Dimensions 24 W x 24 D o Jazzy Select Elite HD o Jazzy 614HD o Quantum 6000Z HD o Quantum 6400Z HD 450lb Weight Capacity. Max Dimensions 28 W x 28 D o Q6 Edge HD seating specifications: Seat Width: o 10 o 11 o 12 o 13 o 14 o 15 o 16 o 17 o 18 o 19 o 20 o 21 o 22 o 23 o 24 o 25 o 26 o 27 o 28 o 29 o 30 o 31 o 32 Seat Width Package: o 10 W-14 W o 14 W-18 W o 16 W-20 W o 20 W-24 W o 24 W-28 W o 28 W-32 W Seat Depth: o 10 o 11 o 12 o 13 o 14 o 15 o 16 o 17 o 18 o 19 o 20 o 21 o 22 o 23 o 24 o 25 o 26 o 27 o 28 Seat Depth Package: o 10 D-14 D o 14 D-18 D o 15 D-20 D o 20 D-24 D o 24 D-28 D Back Cane Height: o 14 o 15 o 16 o 17 o 18 o 19 o 20 o 21 o 22 o 23 o 24 o 25 Synergy Back OPtions 600lb Weight Capacity. Max Dimensions 32 W x 28 D o Jazzy 1450 o Quantum 1450 For Discontinued Bases, Contact Inside Sales Specialist Synergy Seating Systems o Synergy Seating Frame $830 List base serial # for off chair seating S/N: o Standard Stem Mounts o 2 Extended Vertical Stem Mounts 1 o Synergy Manual Recline $700 E1226 Package 2 Max. Seat Size 14 W x 14 D, 75 lbs Weight Capacity o Synergy Manual Tilt Package 3 $550 K0108 Max. Seat Size 14 W x 14 D, 75 lbs Weight Capacity o Synergy Shape Back Positioning Back Various E2613/E2614 See Synergy Shape Back For Detailed Pricing, Sizes and Codes o Sling Back $98 o Heavy Duty Sling Back $150 Available in Widths 24 W and larger o Omit Back o Synergy Back with 1.5 Thick Back Cushion $275 Overall Back o 18 H o 19 H o 20 H o 21 H Height: o 22 H o 23 H o 24 H o 25 H Choose Lateral Extensions 1 : o 6 for H Back $25 o 10 for H Back $25 o 12 For H Back $25 o 16 For H Back $25 1. Lateral extensions are required to mount lateral thoracic supports. 1. Lowest seat-to-floor height not available. N o t a v a i l a b l e o n M a n u a l Ti l t o r M a n u a l R e c l i n e S y s t e m s, Power Elevating Seats, Jazzy Select Systems, 1450, Rival, 6000ZHD or Edge HD. 2. Not available with Flip Back Arms, Cantilever Arms, Shape Back or Power Elevate or Jazzy Select Systems. Requires 22 H canes. Pivot point 2.5 above seat pan. 3. In i-quantum this option is chosen under Width Package Type Revised: March 13, 2013 Page 1 of 5

2 Synergy Seating System Synergy Back OPtions (cont d) Synergy Armpads Description Price o TRU-Comfort Back 1 4-way Stretch Material Cover Width: o 16 W o 18 W o 20 W $595 E2620 Overall Back o 20 H o 21 H o 22 H o 23 H Height 2 : o 24 H o 25 H o 27 H o 28 H Width: o 17 W o 19 W $595 E2620 Overall Back o 22 H o 23 H o 24 H o 25 H Height 2 : o 27 H o 28 H Width: o 22 W o 24 W $695 E2621 Overall Back o 24 H o 25 H o 27 H o 28 H Height 2 : Tru Comfort Color Shroud Option: o Black (Standard color option) Metallic Colors:$100 o Candy Apple Red o Emerald Green o Viper Blue o Sapphire Blue o Sunburst Orange o Tru Blue 3 o Pearl Pink o Orion Yellow 3 o Silver Synergy Back Cane Options: o Standard Back Canes Standard o Omit Push Handles $125 o Flip Forward Back Canes 4 $150 o Omit Push Handles $125 o Offset (Meso) 5 $195 o 2 (1 Per Side) o 4 (2 Per Side) o Inset (Endo) 5 $195 o 2 (1 Per Side) o 4 (2 Per Side) 1. Not available on Specialty Seating Kit. 2. Overall Back height measurement is measured from the seat pan to the top of the back, +/- 1/2. 3. SOF required. 4. Not available with Vent Tray, O2 Holder, cane mounted or cantilever armrests. Also not available w/ a Synergy manual recline or manual tilt. May interfere with Lateral Supports and Waterfall Armpads. 5. Dual Post Flip-back Armrests interfere with offset canes. Not available w/ a manual tilt ot manal recline. Joystick Receiver Mount Description o Universal Joystick Receiver Mount o Left o Right o Omit Universal Joystick Receiver Mount Price Synergy Armrests o Flip-back, Cane Mounted 1 o 2-post, Flip-back, Height-adjustable, $150 ea. E0973 Removable 2,3 o Single-post, Height-adjustable, Removable 3,4 $75 ea. E0973 oquad Release Lever o Removable, Single-post, Height Adjustable, Heavy Duty $75 ea. E0973 o8 H - 12 H o10 H-14 H o Pediatric, Removable 5 $75 ea. E0973 oquad Release Lever o Bariatric, Removable, Height Adjustable 6 $75 ea. E0973 o8 H - 12 H o10 H-14 H o Height Adjustable Cantilever Armrests 7 $195 K0020 Angle-Adjustable: -30 o through +30 o 1. Interferes with swing-away laterals. Not available on flip forward canes or manual recline. 2. Interferes with swing-away laterals. Height adjustable from 9-13 in 1 increments. 3. Not available with a depth less than 16". 4. Height adjustable from in 1/2 increments 5. Height adjustable from in 1/2 increments. Full length armpads not available 6. Bariatric Armrests require Bariatric Armpads 7. Height adjustment from depends on cane height. Not available with Manual Recline, Flip Forward back canes & Shape Back. o Straight, Full Length (2 x14 ) o Left o Right o Straight, Desk Length (2 x10 ) o Left o Right o Waterfall, Full Length (2 x14 ) 1 o Left o Right o Waterfall, Desk Length (2 x10 ) 1 o Left o Right o Falcon Gel, Full Length, (3.5 x14 )* o Left o Right o Full Length Gel Armpad Mounting Plate (Required)* o Falcon Gel, Desk Length, (3.5 x10 )* o Left o Right o Desk Length Gel Armpad Mounting Plate (Required)* o Flat, Bariatric 2 o Left o Right Standard $160 pr. $56.69 ea. $125 pr. $53.52 ea. 1. Not available w/ Cane Mounted, Flip Back Armrests combined with a Synergy Back. 2. Bariatric Armrests require Bariatric Armpads led light package Description Price o Through Q-Logic EX w/ Lights $995 Lap belts Description Price o 38 Lap Belt 1 o 50 Lap Belt 1 o 60 Lap Belt o 60 Non-Retractable (Sure-Lok) 2 o 70 Lap Belt o 80 Lap Belt o 90 Lap Belt o Pelvic Positioning Belt, 2-Point Padded Med, $ Hip Width* o Pelvic Positioning Belt, 2-Point Padded, Lg, $ Hip Width* o Pelvic Positioning Belt, 4-Point Padded, Med, $ Hip Width* o Pelvic Positioning Belt, 4-Point Padded, Lg, $ Hip Width* 1. Includes mounting hardware. Not available with Manual Recliner. 2. Only needed with the occupied transit kit. Standard Standard Standard Standard Standard Standard Standard Laterals o Stealth Thoracic Laterals (pair) 1 * Bracket: o Swing-Away Rail Mounted $450 E1028 For Use on Synergy Back and Tru-Comfort Pad: o Flat Pad, 3 x5, Leather-Like Cover $200 E0956 o Flat Pad, 4 x6, Leather-Like Cover $200 E0956 o Curved Pad, 2 x3, 4-Way Stretch Cover $200 E0956 o Curved Pad, 3 x5, 4-Way Stretch Cover $200 E0956 o Curved Pad, 4 x6, 4-Way Stretch Cover $200 E Swing-away laterals interfere with flip-up armrests. Items marked with a (*) should be chosen in the Positioning Components screen in iquantum Revised: March 13, 2013 Page 2 of 5

3 Synergy Seating System Laterals (cont d) o Stealth Pelvic/Thigh Laterals* Side: o Left Side o Right Side Bracket: o Removable Bracket (ea.) $250 E1028 o Removable Bracket w/ 1 Offset (ea.) $325 E1028 o Flip Down Bracket (ea.) $225 E1028 Pad: o Short Pad, 4 x4 (ea.) $50 E0956 o Medium Pad, 4 x8 (ea.) $50 E0956 o Long Pad, 4 x12 (ea.) $50 E0956 Adapter: o 2 Depth/Height Adapter Plate (ea.) 1 $25 K Height adaper plate is needed w/ Tru Comfort seat cushion. Not available on the flip down bracket. Vent Tray Description Price o Compact Vent Tray $1,395 The addition of a compact vent tray may increase the length & weight of your power chair. Mounting Bracket: Bracket is pre-selected with TRU-Comfort Back o Flush o 3 Offset 1 o 6 Offset - Accomodates Pulmonetics LTV-style ventilators. - Max Vent Dim H x 10.5 W x 13.5 / 20 lbs. - Not Available with Shape Back or Sling Back. - Not available with rear mount Accessories. - Not available on Synergy manual recline, Synergy manual tilt or with flip-down back canes. 1. Not available with Cane Mounted Flip-up Arms. Miscellaneous positioning components Therafin Flip-down Knee Abductor Bracket* $172 E1028 Pad: o Small o Medium o Large $135 E0957 Stealth Foot Boxes (pair)* $475 K0108 m Small m Medium o Large Stealth Padded Shoe Holders (pair)* $166 K0108 o Small o Medium o X-Large Otto Bock Arm Channels (ea.)* $104 E2209 Side: o Left o Right Size: o Small o Medium o Large Otto Bock Flat Hand Pad(ea.)* $52 Side: o Left o Right Size: o Medium o Large Please see positioning components order form for additional types, sizes and details. headrests No Headrest Required TRU-Comfort Headrest 1 : 8 W Leatherette $205 E W TRU-Comfort Plus $205 E W Leatherette $205 E W TRU-Comfort Plus $205 E0955 Removable Headrest Bracket $210 E1028 Stealth: Small (9.75 W x 3 H) (STL-OTSM250) $205 E0955 Large (11 W x 6 H) (STL-OTLG150) $205 E0955 Pediatric Comfort Plus (6 W) (CPN350) $142 E0955 Small Comfort Plus (10 W) (CP250) $142 E0955 Large Comfort Plus (14 W) (CP150) $142 E0955 Removable Headrest Bracket 2 (HMO475P) $210 E1028 Swing-away (Flip-down) Headrest $210 Bracket (FDM350) Used in Addition to Removable Headrest Bracket Aftermarket Bracket: Stealth s World s Best Removable Headrest $210 E1028 Hardware (TWB485) 1. Measurement is taken from the inside of the headrest. Non-Power Legrests Description Price o Swing-away Legrests 1 $162 (Adjustable in 5 O increments) Standard Extruded Footplates Standard Extruded Extensions: o "-19.5" Standard Extruded Footplates: o 7.25 x x 6 Angle-Adjustable Footplates 2 $150 Angle Adjustable Extensions: o Angle-Adjustable Footplates: o 4 x 6 5 x 6 5 x 8 o 6 x x x 11 4 Multi-Axis Footplates $495 Multi-Axis Extensions: o Multi-Axis Footplates: o 4 x 6 5 x 6 5 x 8 o 6 x x x o Pediatric Swing-Away Legrests 5 $162 Angle Adjustable Footplates 2 Angle Adjustable Extension Length: o 7-10 Angle Adjustable Footplate Size: o 4 x 6 5 x 6 Heavy Duty Drop-In Legrests 5 $420 Angle Adjustable Footplates 2 $150 Angle Adjustable Extension Length: o Angle Adjustable Footplate Size: o 4 x 6 5 x 6 5 x 8 o 6 x x x Possible caster wheel interference when adjusted to less than 70 degrees. 2. Includes Heel Loops 3. Causes interference on seat widths less than Causes interference on seat widths less than Extensions are measured from the seatpan to footplate. Items marked with a (*) should be chosen in the Positioning Components screen in iquantum Revised: March 13, 2013 Page 3 of 5

4 Synergy Seating System Non-Power Legrests (cont d) Elevating Legrests 1 $325 K0195/E Standard Footplates Standard Extruded Extension Length: o Standard Extruded Footplate Size: o 7.25 x x 6 Angle Adjustable Footplates 3 $150 Angle Adjustable Extension Length: o Angle Adjustable Footplate Size: o 4 x 6 5 x 6 5 x 8 o 6 x x x 11 5 Calf Pad Adjustment o 1 Hole o 3 Hole o 6 Hole o High Mount, Clamp-On Footrest* Angle Adjustable o Small, 4 x 7.75 $356 o Large, 4.25 x 9.25 $356 Multi-Axis o Small, 4 x 7.75 $456 o Large, 4.25 x 9.25 $ Extensions are measured from the seatpan to footplate. 2. E0990 code used for purchase in CBA. K0195 code used for capped rental. 3. Includes Heel Loops. 4. Causes interference on seat widths less than Causes interference on seat widths less than 20. K0040 K0040 high mount foot platform o Highmount Foot Platform 1 $450 K0108 Extensions: o Ext. o Ext. 1. Extensions measured from top of seatpan to footplate. ADJUSTABLE Center Mount Foot Platform Description Price Adjustable Center Mount Foot Platform 1 $250 Includes 10 W x 11 D Split Foot Platform Extensions: Ext. Calf Supports 3 : Calf Pads (pair) $150 o Small (6 H x 6 W) o Large (8 H x 8 W, Tapered to 6 W) Optional Modular Footplate Extension Components/Kits 2,4 4 Width Extension Kit $50 2 Bell Shaped, Length $50 Extension Kit 4 Width Extension with 2 Bell $75 Shaped, Length Extension Kit electronics for power options o Single Actuator Through Joystick o NE+ $1,175 E2310 o Remote+ $1,175 E2310 o Q-Logic EX $1,175 E2310 o Q-Logic EX w/ Upgraded Module For $2,375 E2311 Future Actuator Expansion o Multiple Actuator Through Joystick $2,375 E2311 o NE+ (2 Actuators Maximum) o Remote+ o Q-Logic EX Power ElevATing legrests o 70 o Articulating Swing-Away Legrests, $2,395 E Articulation Range 1 o Quad Release Lever Calf Pads 2 : o 6 x 5.35 o 8 x 5.86 Angle Adjustable Extension Length 3 : o o Angle Adjustable Footplate Size: o 4 x 6 o 5 x 6 o 5 x 8 o 6 x 8 4 o 6 x 11 4 o 8 x 11 5 Operational Method: o Independent o Combined o 70 o Articulating Drop-In Legrests 1 $2,395 E1010 o 4 Range o 6 Range Calf Pads 2 : o 6 x 5.35 o 8 x 5.86 Angle Adjustable Extension Length 3 : o o Angle Adjustable Footplate Size: o 4 x 6 o 5 x 6 o 5 x 8 o 6 x 8 4 o 6 x 11 4 o 8 x 11 5 Operational Method: o Independent o Combined 1. Not available on J6, Q610 or Select Series 2. Choose in Rigging Accessory Section in iquantum. 3. Extensions are measured from top of seat pan to footplate. 4. Only available with seat width 18 or greater. 5. Only available with seat width 20 or greater. Center mount Articulating Foot Platform Center Mount Articulating Foot Platform 1 $2895 K0108 Includes 10 W x 11 D Split Foot Platform Extensions 2 : Ext. Calf Supports 3 : Calf Pads (pair) o Small (6 H x 6 W) o Large (8 H x 8 W, Tapered to 6 W) Optional Modular Footplate Extension Components/Kits 2,4 4 Width Extension Kit $50 2 Bell Shaped, Length $50 Extension Kit 6-Piece Extension Stock Kit $95 (Includes all above pieces) Additional Optional Accessories: Footplate Connector 5 $49 1. Not available on 614 or Select Series. 2. Extension length is measured from top of the seat pan to footplate. 3. Choose in Rigging Accessory Section in iquantum. 4. Assembly required. May require seating configuration adjustments to avoid front caster interference. 5. Choose in Rigging Accessory Section in iquantum. Items marked with a (*) should be chosen in the Positioning Components screen in iquantum 1. Only available on Q6Edge, Q610, Q6000Z, Q6400Z, Q1450 and J6. 2. Extension length is measured from top of the seat pan to footplate. 3. Choose in Rigging Accessory Section in iquantum. 4. Assembly required. May require seating configuration adjustments to avoid front caster interference. Revised: March 13, 2013 Page 4 of 5

5 Synergy Seating System Center mount Articulating Foot Platform (cont d) Description Price 4 Width Extension with 2 Bell $75 Shaped, Length Extension Kit 6-Piece Extension Stock Kit $95 (Includes all above pieces) Additional Optional Accessories 1 : Footplate Connector $49 1. Choose in Rigging Accessory Section in iquantum foot rigging accessories Wheel Bumpers $25 Heel Loops (pair) 1 $38 E0951 Gel Neoprene Footrest Sleeve (pair) 2 $65 K0108 ELR/ALR Adductor Buttons (pair) $125 K0108 POSAlinc Knee Adductor for Swing- $256 K0108 Away Legrests (pair)* POSAlinc Rail Mounted Knee Adductor (pair)* $287 K0108 Residual Limb Support $300 E1020 o Left o Right Bodypoint Ankle Huggers (pair)* $134 K0108 o Small o Medium accessories o Rear Basket 1 $103 o Cane/Crutch Holder 1 $98 E2207 o Weather Cover, Medium, Black $158 o Cup Holder Side: o Left o Right o Saddle Bag $28 o Flag Holder $17 o Quantum Backpack 2 $60 o Oxygen Holder, Synergy Seat 3 $150 E2208 o Walker Holder $92 K0108 o Tablet Holder $315 o Deluxe Cell Phone/Media Holder 5 $140 o Cell Phone/Media Holder 5 1. Includes mounting hardware. 2. Backpack may interfere w/ other rear accessories. 3. Not available with Synergy manual recline or manual tilt. Includes mounting hardware. 1. Standard with angle adjustable footplates. 2. Available only with swing-away legrests. synergy Seat cushions o No Cushion Required Please refer to Synergy order forms for detailed pricing, sizes and codes. Simplicity Cushion General Use o 16 x x 20 $98 E2601 o 22 x x 24 $98 E2602 Solution 1 Cushion Skin Protection: o 14 x x 18 $380 E2603 o 20 x x 24 $430 E2603 o 22 x x 24 $430 E2604 Solution Cushion Skin Protection & Positioning o 10 x x 18 $380 E2607 o 20 x x 24 $430 E2607 o 22 x x 24 $430 E2608 Spectrum Gel Cushion Positioning o 12 x x 19 $480 E2605 o 20 x x 24 $430 E2605 o 22 x x 24 $430 E2606 Spectrum Visco Cushion Skin Protection & Positioning o 10 x x 18 $480 E2607 o 20 x x 24 $530 E2607 o 22 x x 28 $530 E2608 Spectrum Air Adjustable Skin Protection o 14 x x 20 $480 E2622 o 22 x x 24 $530 E2623 Spectrum Air Contour Adjustable Skin Protection & Positioning o 14 x x 20 $499 E2624 o 22 x x 24 $549 E2625 TRU-Comfort Seat Cushion General Use Includes Allure leather-like cover o 16 x x 20 $380 E2601 o 20 x x 20 $380 E2601 o 22 x x 24 $480 E2602 TRU-Comfort Plus Seat Cushion Skin Protection Includes 4-way stretch material cover o 16 x x 20 $380 E2603 o 20 x x 20 $380 E2603 o 22 x x 24 $480 E2604 Items marked with a (*) should be chosen in the Positioning Components screen in iquantum Revised: March 13, 2013 Page 5 of 5

6 Synergy Shape Back All Inclusive / Price List Sales: (866) (866) lb Weight Capacity Synergy Shape Back 1,2 Available with the New 2-Point, Quick Release Hardware that Includes Tilt Rated Bolt -On Hardware Angle Adjustment from -33 O Through +57 O 2 of Depth Adjustment Available with 2-Point Hardware, 4 Depth Adjustment Available with 4-Point Hardware Low (16 H) Qty Size (Adj Range) 2-Point Hardware Part # 3,4 MSRP HCPCS Code 14 W (13.5 W W) SETASMB6286 $495 E W (15.5 W W) SETASMB6152 $495 E W (17.5 W W) SETASMB6153 $495 E2613 Shown with Quick Release 2-Point Hardware 20 W (19.5 W W) SETASMB6154 $495 E2613 Medium (19 H) 250lb Weight Capacity Qty Size (Adj Range) 2-Point Hardware Part # 3,4 4-Point Hardware Part # MSRP HCPCS Code Shown with Quick Release 2-Point Hardware 14 W (13.5 W W) SETASMB6147 SETASMB5522 $495 E W (15.5 W W) SETASMB6148 SETASMB5523 $495 E W (17.5 W W) SETASMB6149 SETASMB5524 $495 E W (19.5 W W) SETASMB6150 SETASMB5525 $495 E W (21.5 W W) SETASMB6151 SETASMB5526 $595 E2614 Tall (23 H) 250lb Weight Capacity Qty Size (Adj Range) 2-Point Hardware Part # 3,4 4-Point Hardware Part # MSRP HCPCS Code 16 W (15.5 W W) SETASMB $495 E W (17.5 W W) SETASMB6156 SETASMB5920 $495 E W (19.5 W W) SETASMB6157 SETASMB5921 $495 E W (21.5 W W) SETASMB6158 SETASMB5922 $595 E2614 FOOTNOTES Shown with Quick Release 4-Point Hardware 1. 14" and 22" Widths are not available on the Specialty Seat Kit. 2. Not available with Synergy manual recline Point hardware has a 250lb weight capacity and is not rated for tilt systems, although includes Tilt Rated, Bolt-On Hardware. 4. Tilt Rated, Bolt-On Hardware Requires a 1 Size Larger Back (Ex. 18"W Seat, Order a 20"W Back). Revised: March 11, 2013 Page 1 of 2

7 Synergy Shape Back All Inclusive Synergy Shape Deep Contour Back 1,2 Includes both 2-Point, Quick Release Hardware and Tilt Rated Bolt -On Hardware 3,4 Angle Adjustment from -33 O Through 57 O 2 of Depth Adjustment Includes 7 H x 6 D Lateral Thoracic Supports with Mounting Brackets Medium 250lb Weight Capacity Qty Size (Adj Range) Part # MSRP HCPCS Code 14 W x 15 H (13.5 W W) SETASMB6354 $595 E W x 19 H (16.5 W W) SETASMB6355 $595 E W x 19 H (17.5 W W) SETASMB6356 $595 E W x 19 H (19.5 W W) SETASMB6357 $595 E W x 19 H (21.5 W W) SETASMB6358 $695 E lb Weight Capacity Tall Qty Size (Adj Range) Part # MSRP HCPCS Code 14 W x 19 H (13.5 W W) SETASMB6359 $595 E W x 23 H (16.5 W W) SETASMB6360 $595 E W x 23 H (17.5 W W) SETASMB6361 $595 E W x 23 H (19.5 W W) SETASMB6362 $595 E W x 23 H (21.5 W W) SETASMB6363 $695 E2621 Synergy Shape GP Back 1,2 Includes 2-Point, Quick Release Hardware 5 Angle Adjustment from -10 O Through +10 O 2 of Depth Adjustment 300lb Weight Capacity Qty Size (Adj Range) Part # MSRP HCPCS Code 14 W x 19 H (13.5 W W) SETASMB6341 $465 E W x 19 H (15.5 W W) SETASMB6340 $465 E W x 19 H (17.5 W W) SETASMB6327 $465 E W x 19 H (19.5 W W) SETASMB6328 $465 E W x 19 H (21.5 W W) SETASMB6329 $485 E2612 Lateral Thoracic Support Qty Description Part # MSRP Lateral Support Pad w/ Mounting Bracket (7 H x 6 D) HCPCS Code FRMASMB8459 $ ea E0956 FOOTNOTES 1. 14" and 22" Widths are not available on the Specialty Seat Kit. 2. Not available with Synergy manual recline Point hardware has a 250lb weight capacity and is not rated for tilt systems, although includes Tilt Rated, Bolt-On Hardware. 4. Tilt-Rated Bolt-On Hardware Requires a 1 Size Larger Back (Ex. 18"W Seat, Order a 20"W Back) Point hardware is not rated for tilt systems. Revised: March 11, 2013 Page 2 of 2

8 Synergy Simplicity Cushion / Price List Sales: (800) (800) Synergy Simplicity Cushion Qty Size MSRP Part # HCPCS Code: E x16 $98 CUSASMB x18 $98 CUSASMB x17 $98 CUSASMB x19 $98 CUSASMB x16 $98 CUSASMB x18 $98 CUSASMB x20 $98 CUSASMB x17 $98 CUSASMB x19 $98 CUSASMB x16 $98 CUSASMB x18 $98 CUSASMB x20 $98 CUSASMB1800 HCPCS Code: E x16 $98 CUSASMB x18 $98 CUSASMB x20 $98 CUSASMB x22 $98 CUSASMB x18 $98 CUSASMB x20 $98 CUSASMB x22 $98 CUSASMB x24 $98 CUSASMB1937 All Synergy Cushions have a 2 year, limited warranty

9 Synergy Solution 1 Cushion / Price List Sales: (800) (800) Qty Size MSRP Part # 14x14 HCPCS Code: E2603 $380 CUSASMB x16 $380 CUSASMB x18 $380 CUSASMB x16 $380 CUSASMB x18 $380 CUSASMB x20 $380 CUSASMB x17 $380 CUSASMB x19 $380 CUSASMB x16 $380 CUSASMB x18 $380 CUSASMB x20 $380 CUSASMB x22 $380 CUSASMB x24 $380 CUSASMB x17 $380 CUSASMB x19 $380 CUSASMB x16 $380 CUSASMB x18 $380 CUSASMB x20 $430 CUSASMB x22 $430 CUSASMB x24 $430 CUSASMB1820 HCPCS Code: E x16 $430 CUSASMB x18 $430 CUSASMB x20 $430 CUSASMB x22 $430 CUSASMB x24 $430 CUSASMB x16 $430 CUSASMB x18 $430 CUSASMB x20 $430 CUSASMB x22 $430 CUSASMB x24 $430 CUSASMB1830 Synergy Solution 1 Cushion Top View Front View Side View Custom Synergy Solution 1 Cushion E2603/E2604 CUSCUST1002 $ Please detail your custom cushion request or contact Quantum Inside Sales or Custom Department All custom cushion requests must be approved by the Quantum Custom department. All Synergy Cushions have a 2 year, limited warranty

10 Synergy Solution Cushion / Price List Sales: (800) (800) Qty Size MSRP Part # HCPCS Code: E2607 All Synergy Cushions have a 2 year, limited warranty 10x10 $380 CUSASMB x12 $380 CUSASMB x10 $380 CUSASMB x12 $380 CUSASMB x14 $380 CUSASMB x12 $380 CUSASMB x14 $380 CUSASMB x16 $380 CUSASMB x18 $380 CUSASMB x16 $380 CUSASMB x17 $380 CUSASMB x18 $380 CUSASMB x19 $380 CUSASMB x20 $380 CUSASMB x16 $380 CUSASMB x17 $380 CUSASMB x18 $380 CUSASMB x19 $380 CUSASMB x20 $380 CUSASMB x16 $380 CUSASMB x18 $380 CUSASMB x19 $380 CUSASMB x20 $380 CUSASMB x22 $380 CUSASMB x24 $380 CUSASMB x17 $380 CUSASMB x18 $380 CUSASMB x19 $380 CUSASMB x20 $380 CUSASMB x16 $380 CUSASMB x18 $380 CUSASMB x19 $380 CUSASMB x20 $430 CUSASMB x22 $430 CUSASMB x24 $430 CUSASMB1253 HCPCS Code: E x16 $430 CUSASMB x18 $430 CUSASMB x19 $430 CUSASMB x20 $430 CUSASMB x22 $430 CUSASMB x24 $430 CUSASMB x16 $430 CUSASMB x18 $430 CUSASMB x20 $430 CUSASMB x22 $430 CUSASMB x24 $430 CUSASMB1026 Synergy Solution Cushion Top View Front View Side View Custom Synergy Solution Cushion E2607/E2608 CUSCUST1001 $ Please detail your custom cushion request or contact Quantum Inside Sales or Custom Department All custom cushion requests must be approved by the Quantum Custom department. Additional Covers and Liners: Outer Cover $120ea Inner Cover $90ea Single Cover $140ea

11 Synergy Spectrum Air Contour Cushion / Price List Sales: (866) (866) Synergy Spectrum Air Right Hand Cushion Synergy Spectrum Air Left Hand Cushion Qty Size MSRP Part # Qty Size MSRP Part # HCPCS Code: E x12 $499 CUSASMB x14 $499 CUSASMB x16 $499 CUSASMB x18 $499 CUSASMB x16 $499 CUSASMB x18 $499 CUSASMB x20 $499 CUSASMB x17 $499 CUSASMB x19 $499 CUSASMB x16 $499 CUSASMB x18 $499 CUSASMB x20 $499 CUSASMB x22 $499 CUSASMB x24 $499 CUSASMB x17 $499 CUSASMB x19 $499 CUSASMB x16 $499 CUSASMB x18 $499 CUSASMB x20 $499 CUSASMB x22 $499 CUSASMB x24 $499 CUSASMB2281 HCPCS Code: E x16 $549 CUSASMB x18 $549 CUSASMB x20 $549 CUSASMB x22 $549 CUSASMB x24 $549 CUSASMB x16 $549 CUSASMB x18 $549 CUSASMB x20 $549 CUSASMB x22 $549 CUSASMB x24 $549 CUSASMB2275 HCPCS Code: E x12 $499 CUSASMB x14 $499 CUSASMB x16 $499 CUSASMB x18 $499 CUSASMB x16 $499 CUSASMB x18 $499 CUSASMB x20 $499 CUSASMB x17 $499 CUSASMB x19 $499 CUSASMB x16 $499 CUSASMB x18 $499 CUSASMB x20 $499 CUSASMB x22 $499 CUSASMB x24 $499 CUSASMB x17 $499 CUSASMB x19 $499 CUSASMB x16 $499 CUSASMB x18 $499 CUSASMB x20 $499 CUSASMB x22 $499 CUSASMB x24 $499 CUSASMB2135 HCPCS Code: E x16 $549 CUSASMB x18 $549 CUSASMB x20 $549 CUSASMB x22 $549 CUSASMB x24 $549 CUSASMB x16 $549 CUSASMB x18 $549 CUSASMB x20 $549 CUSASMB x22 $549 CUSASMB x24 $549 CUSASMB2129 Custom Spectrum Air Cushion E2624/E2625 CUSCUST1009 $ Please detail your custom cushion request or contact Quantum Inside Sales or Custom Department All custom cushion requests must be approved by the Quantum Custom department. All Synergy Cushions have a 2 year, limited warranty

12 Synergy Spectrum Air Cushion / Price List Sales: (866) (866) Synergy Spectrum Air Right Hand Cushion Synergy Spectrum Air Left Hand Cushion Qty Size MSRP Part # Qty Size MSRP Part # HCPCS Code: E x12 $480 CUSASMB x14 $480 CUSASMB x16 $480 CUSASMB x18 $480 CUSASMB x16 $480 CUSASMB x18 $480 CUSASMB x20 $480 CUSASMB x17 $480 CUSASMB x19 $480 CUSASMB x16 $480 CUSASMB x18 $480 CUSASMB x20 $480 CUSASMB x22 $480 CUSASMB x24 $480 CUSASMB x17 $480 CUSASMB x19 $480 CUSASMB x16 $480 CUSASMB x18 $480 CUSASMB x20 $480 CUSASMB x22 $480 CUSASMB x24 $480 CUSASMB2228 HCPCS Code: E x16 $530 CUSASMB x18 $530 CUSASMB x20 $530 CUSASMB x22 $530 CUSASMB x24 $530 CUSASMB x16 $530 CUSASMB x18 $530 CUSASMB x20 $530 CUSASMB x22 $530 CUSASMB x24 $530 CUSASMB2222 HCPCS Code: E x12 $480 CUSASMB x14 $480 CUSASMB x16 $480 CUSASMB x18 $480 CUSASMB x16 $480 CUSASMB x18 $480 CUSASMB x20 $480 CUSASMB x17 $480 CUSASMB x19 $480 CUSASMB x16 $480 CUSASMB x18 $480 CUSASMB x20 $480 CUSASMB x22 $480 CUSASMB x24 $480 CUSASMB x17 $480 CUSASMB x19 $480 CUSASMB x16 $480 CUSASMB x18 $480 CUSASMB x20 $480 CUSASMB x22 $480 CUSASMB x24 $480 CUSASMB2048 HCPCS Code: E x16 $530 CUSASMB x18 $530 CUSASMB x20 $530 CUSASMB x22 $530 CUSASMB x24 $530 CUSASMB x16 $530 CUSASMB x18 $530 CUSASMB x20 $530 CUSASMB x22 $530 CUSASMB x24 $530 CUSASMB2042 Custom Spectrum Air Cushion E2622/E2623 CUSCUST1005 $ Please detail your custom cushion request or contact Quantum Inside Sales or Custom Department All custom cushion requests must be approved by the Quantum Custom department. All Synergy Cushions have a 2 year, limited warranty

13 Synergy Spectrum Cushion / Price List Sales: (866) (866) Gel Twin Cell Insert Qty Size MSRP Part # HCPCS Code: E x10 $480 CUSASMB x12 $480 CUSASMB x14 $480 CUSASMB x12 $480 CUSASMB x14 $480 CUSASMB x16 $480 CUSASMB x18 $480 CUSASMB x16 $480 CUSASMB x18 $480 CUSASMB x19 $480 CUSASMB x20 $480 CUSASMB x16 $480 CUSASMB x17 $480 CUSASMB x18 $480 CUSASMB x19 $480 CUSASMB x20 $480 CUSASMB x16 $480 CUSASMB x17 $480 CUSASMB x18 $480 CUSASMB x20 $480 CUSASMB x22 $480 CUSASMB x24 $480 CUSASMB x17 $480 CUSASMB x18 $480 CUSASMB x19 $480 CUSASMB x20 $480 CUSASMB x16 $480 CUSASMB x18 $480 CUSASMB x19 $480 CUSASMB x20 $530 CUSASMB x22 $530 CUSASMB x24 $530 CUSASMB1289 HCPCS Code: E x16 $530 CUSASMB x18 $530 CUSASMB x19 $530 CUSASMB x20 $530 CUSASMB x22 $530 CUSASMB x24 $530 CUSASMB x16 $530 CUSASMB x18 $530 CUSASMB x20 $530 CUSASMB x22 $530 CUSASMB x24 $530 CUSASMB1053 Weight Capacity: 650Lbs Viscoelastic Insert Qty Size MSRP Part # HCPCS Code: E x10 $480 CUSASMB x12 $480 CUSASMB x10 $480 CUSASMB x12 $480 CUSASMB x14 $480 CUSASMB x12 $480 CUSASMB x14 $480 CUSASMB x16 $480 CUSASMB x18 $480 CUSASMB x16 $480 CUSASMB x18 $480 CUSASMB x20 $480 CUSASMB x17 $480 CUSASMB x18 $480 CUSASMB x19 $480 CUSASMB x16 $480 CUSASMB x18 $480 CUSASMB x20 $480 CUSASMB x22 $480 CUSASMB x24 $480 CUSASMB x17 $480 CUSASMB x19 $480 CUSASMB x16 $480 CUSASMB x18 $480 CUSASMB x20 $530 CUSASMB x22 $530 CUSASMB x24 $530 CUSASMB1325 HCPCS Code: E x16 $530 CUSASMB x18 $530 CUSASMB x20 $530 CUSASMB x22 $530 CUSASMB x24 $530 CUSASMB x16 $530 CUSASMB x18 $530 CUSASMB x20 $530 CUSASMB x22 $530 CUSASMB x24 $530 CUSASMB x18 $580 CUSASMB x20 $580 CUSASMB x22 $580 CUSASMB x24 $580 CUSASMB x26 $580 CUSASMB x28 $580 CUSASMB x18 $580 CUSASMB x20 $580 CUSASMB x22 $580 CUSASMB x24 $580 CUSASMB x26 $580 CUSASMB x28 $580 CUSASMB x18 $580 CUSASMB x20 $580 CUSASMB x22 $580 CUSASMB x24 $580 CUSASMB x26 $580 CUSASMB x28 $580 CUSASMB x18 $580 CUSASMB x20 $580 CUSASMB x22 $580 CUSASMB x24 $580 CUSASMB x26 $580 CUSASMB x28 $580 CUSASMB1425 All Synergy Cushions have a 2 year, limited warranty

14 Synergy Spectrum Cushion / Price List Sales: (800) (800) Top View Custom Synergy Spectrum Gel Cushion E2605/E2606 CUSCUST1003 $ Custom Synergy Spectrum Foam Cushion E2607/E2608 CUSCUST1004 $ Please detail your custom cushion request or contact Quantum Inside Sales or Custom Department All custom cushion requests must be approved by the Quantum Custom department. Additional Covers and Liners: Outer Cover $120ea Inner Cover $90ea Front View Left SideView Right Side View All Synergy Cushions have a 2 year, limited warranty

15 Solid Seat Inserts / Price List Sales: (800) (800) Solid Seat Inserts Qty Size MSRP Part # 10x10 $80 DWR1010E187A 10x12 $80 DWR1010E187C 12x10 $80 DWR1010E188A 12x12 $80 DWR1010E188C 12x14 $80 DWR1010E188E 14x12 $80 DWR1010E189C 14x14 $80 DWR1010E189E 14x16 $80 DWR1010E189G 14x18 $80 DWR1010E189I 16x16 $80 DWR1010E190G 16x18 $80 DWR1010E190I 16x20 $80 DWR1010E190K 17x17 $80 DWR1010E232H 17x19 $80 DWR1010E232J 18x16 $80 DWR1010E191G 18x18 $80 DWR1010E191I 18x20 $80 DWR1010E191K 18x22 $80 DWR1010E191M 18x24 $80 DWR1010E191O 19x17 $80 DWR1010E234H 19x19 $80 DWR1010E234J 20x16 $100 DWR1010E192G 20x18 $100 DWR1010E192I 20x20 $100 DWR1010E192K 20x22 $100 DWR1010E192M 20x24 $100 DWR1010E192O 22x16 $100 DWR1010E193G 22x18 $100 DWR1010E193I 22x20 $100 DWR1010E193K 22x22 $100 DWR1010E193M 22x24 $100 DWR1010E193O 24x16 $100 DWR1010E194G 24x18 $100 DWR1010E194I 24x20 $100 DWR1010E194K 24x22 $100 DWR1010E194M 24x24 $100 DWR1010E194O 32x18 $100 DWR1010E341I 32x26 $100 DWR1010E341Q All Synergy Cushions have a 2 year, limited warranty

16 TRU-Comfort Back / Price List Sales: (866) (866) E2620 Tru Comfort Plus Back Assemblies/Cushions (With Black Shrouds) 1 Seat Back and Cushion are included in price E2620 E W x 20 H $595 SETASMB7082 CUSASMB W x 21 H $595 SETASMB7151 CUSASMB W x 22 H $595 SETASMB7085 CUSASMB W x 23 H $595 SETASMB7154 CUSASMB W x 24 H $595 SETASMB7090 CUSASMB W x 25 H $595 SETASMB7159 CUSASMB W x 27 H $595 SETASMB7097 CUSASMB W x 28 H $595 SETASMB7166 CUSASMB W x 22 H $595 SETASMB7086 CUSASMB W x 23 H $595 SETASMB7155 CUSASMB W x 24 H $595 SETASMB7091 CUSASMB W x 25 H $595 SETASMB7160 CUSASMB W x 27 H $595 SETASMB7098 CUSASMB W x 28 H $595 SETASMB7167 CUSASMB W x 20 H $595 SETASMB7083 CUSASMB W x 21 H $595 SETASMB7152 CUSASMB W x 22 H $595 SETASMB7087 CUSASMB W x 23 H $595 SETASMB7156 CUSASMB W x 24 H $595 SETASMB7092 CUSASMB W x 25 H $595 SETASMB7161 CUSASMB W x 27 H $595 SETASMB7099 CUSASMB W x 28 H $595 SETASMB7168 CUSASMB W x 22 H $595 SETASMB7088 CUSASMB W x 23 H $595 SETASMB7157 CUSASMB W x 24 H $595 SETASMB7093 CUSASMB W x 25 H $595 SETASMB7162 CUSASMB W x 27 H $595 SETASMB7100 CUSASMB W x 28 H $595 SETASMB7169 CUSASMB W x 20 H $595 SETASMB7084 CUSASMB W x 21 H $595 SETASMB7153 CUSASMB W x 22 H $595 SETASMB7089 CUSASMB W x 23 H $595 SETASMB7158 CUSASMB W x 24 H $595 SETASMB7094 CUSASMB W x 25 H $595 SETASMB7163 CUSASMB W x 27 H $595 SETASMB7101 CUSASMB W x 28 H $595 SETASMB7170 CUSASMB W x 24 H $695 SETASMB7095 CUSASMB W x 25 H $695 SETASMB7164 CUSASMB W x 27 H $695 SETASMB7102 CUSASMB W x 28 H $695 SETASMB7171 CUSASMB W x 24 H $695 SETASMB7096 CUSASMB W x 25 H $695 SETASMB7165 CUSASMB W x 27 H $695 SETASMB7103 CUSASMB W x 28 H $695 SETASMB7172 CUSASMB CUSASMB part # is a sub-component of the SETASMB part #. Please contact you Quantum sales specialist for colored shroud options and accessories. Revised: March 11, 2013 Page 1 of 2

17 TRU-Comfort Back Tru Comfort Plus Back Assemblies/Cushions (Without Shroud) 1 Seat Back and Cushion are included in price E2620 E W x H $595 SETASMB7123 CUSASMB W x H $595 SETASMB7126 CUSASMB W x H $595 SETASMB7131 CUSASMB W x H $595 SETASMB7138 CUSASMB W x H $695 SETASMB7136 CUSASMB W x H $695 SETASMB7143 CUSASMB W x H $695 SETASMB7137 CUSASMB W x H $695 SETASMB7144 CUSASMB W x H $595 SETASMB7127 CUSASMB W x H $595 SETASMB7132 CUSASMB W x H $595 SETASMB7139 CUSASMB W x H $595 SETASMB7124 CUSASMB W x H $595 SETASMB7128 CUSASMB W x H $595 SETASMB7133 CUSASMB W x H $595 SETASMB7140 CUSASMB W x H $595 SETASMB7129 CUSASMB W x H $595 SETASMB7134 CUSASMB W x H $595 SETASMB7141 CUSASMB W x H $595 SETASMB7125 CUSASMB W x H $595 SETASMB7130 CUSASMB W x H $595 SETASMB7135 CUSASMB W x H $595 SETASMB7142 CUSASMB CUSASMB part # is a sub-component of the SETASMB part #. Please contact you Quantum sales specialist for colored shroud options and accessories. Revised: March 11, 2013 Page 1 of 2

18 Tru Comfort Seat Cushion / Price List Sales: (866) (866) Weight Capacity: 650Lbs Tru Comfort Cushions (Leather-Like Cover) Qty Size MSRP Part # HCPCS Code: E x14 $380 CUSASMB x16 $380 CUSASMB x18 $380 CUSASMB x20 $380 CUSASMB x16 $380 CUSASMB x18 $380 CUSASMB x20 $380 CUSASMB x22 $380 CUSASMB x16 $380 CUSASMB x18 $380 CUSASMB x20 $380 CUSASMB x22 $380 CUSASMB x24 $380 CUSASMB1856 HCPCS Code: E x16 $480 CUSASMB x18 $480 CUSASMB x20 $480 CUSASMB x22 $480 CUSASMB x24 $480 CUSASMB1861 Tru Comfort Plus Cushions (Stretch Material Cover) Qty Size MSRP Part # HCPCS Code: E x14 $380 CUSASMB x16 $380 CUSASMB x18 $380 CUSASMB x20 $380 CUSASMB x16 $380 CUSASMB x18 $380 CUSASMB x20 $380 CUSASMB x22 $380 CUSASMB x16 $380 CUSASMB x18 $380 CUSASMB x20 $380 CUSASMB x22 $380 CUSASMB x24 $380 CUSASMB1959 HCPCS Code: E x16 $480 CUSASMB x18 $480 CUSASMB x20 $480 CUSASMB x22 $480 CUSASMB x24 $480 CUSASMB1963 Custom Tru-Comfort Cushion E2601/E2602 CUSCUST1007 $ Custom Tru-Comfort Plus Cushion E2603/E2604 CUSCUST1008 $ Please detail your custom cushion request or contact Quantum Inside Sales or Custom Department All custom cushion requests must be approved by the Quantum Custom department. All Synergy Cushions have a 2 year, limited warranty