PB NDIS Support Catalogue 2022-23

Support Item Number
01_002_0107_1_1
01_002_0107_1_1_T
01_003_0107_1_1
01_004_0107_1_1
01_010_0107_1_1
01_011_0107_1_1
01_011_0107_1_1_T
01_012_0107_1_1
01_012_0107_1_1_T
01_013_0107_1_1
01_013_0107_1_1_T
01_014_0107_1_1
01_014_0107_1_1_T
01_015_0107_1_1
01_015_0107_1_1_T
01_016_0104_1_1
01_017_0107_1_1
01_019_0120_1_1
01_020_0120_1_1
01_021_0120_1_1
01_022_0120_1_1
01_023_0120_1_1
01_026_0115_1_1
01_027_0115_1_1
01_045_0115_1_1
01_046_0115_1_1
01_049_0104_1_1
01_049_0107_1_1
01_049_0115_1_1
01_050_0115_1_1
01_051_0115_1_1
01_052_0115_1_1
01_053_0115_1_1
01_054_0115_1_1
01_055_0115_1_1
01_056_0115_1_1
01_057_0115_1_1
01_058_0115_1_1
01_059_0115_1_1
01_060_0115_1_1
01_061_0115_1_1
01_062_0115_1_1
01_063_0115_1_1
01_064_0115_1_1
01_065_0115_1_1
01_066_0115_1_1
01_082_0115_1_1
01_134_0117_8_1
01_200_0115_1_1
01_201_0115_1_1
01_202_0115_1_1
01_203_0115_1_1
01_204_0115_1_1
01_205_0115_1_1
01_400_0104_1_1
01_400_0104_1_1_T
01_401_0104_1_1
01_401_0104_1_1_T
01_402_0104_1_1
01_402_0104_1_1_T
01_403_0104_1_1
01_403_0104_1_1_T
01_404_0104_1_1
01_404_0104_1_1_T
01_405_0104_1_1
01_405_0104_1_1_T
01_600_0114_1_1
01_601_0114_1_1
01_602_0114_1_1
01_603_0114_1_1
01_604_0114_1_1
01_605_0114_1_1
01_606_0114_1_1
01_606_0118_1_3
01_607_0114_1_1
01_608_0114_1_1
01_609_0114_1_1
01_609_0118_1_3
01_610_0114_1_1
01_611_0114_1_1
01_612_0114_1_1
01_613_0114_1_1
01_614_0114_1_1
01_615_0114_1_1
01_616_0114_1_1
01_617_0114_1_1
01_618_0114_1_1
01_619_0114_1_1
01_620_0114_1_1
01_621_0114_1_1
01_622_0114_1_1
01_623_0114_1_1
01_624_0114_1_1
01_625_0114_1_1
01_626_0114_1_1
01_627_0114_1_1
01_628_0114_1_1
01_629_0114_1_1
01_650_0118_1_3
01_653_0118_1_3
01_661_0128_1_3
01_663_0128_1_3
01_665_0128_1_3
01_700_0118_1_3
01_701_0128_1_3
01_720_0118_1_3
01_721_0128_1_3
01_740_0118_1_3
01_741_0128_1_3
01_760_0118_1_3
01_760_0128_3_3
01_799_0104_1_1
01_799_0106_1_1
01_799_0107_1_1
01_799_0114_1_1
01_799_0115_1_1
01_799_0117_8_1
01_799_0118_1_1
01_799_0120_1_1
01_799_0128_1_1
01_799_0132_1_1
01_801_0115_1_1
01_802_0115_1_1
01_803_0115_1_1
01_804_0115_1_1
01_805_0115_1_1
01_806_0115_1_1
01_811_0115_1_1
01_812_0115_1_1
01_813_0115_1_1
01_814_0115_1_1
01_815_0115_1_1
01_816_0115_1_1
01_821_0115_1_1
01_822_0115_1_1
01_825_0115_1_1
01_832_0115_1_1
01_850_0106_1_1
01_851_0115_1_1
02_050_0108_1_1
02_051_0108_1_1
03_040000111_0103_1_
03_040000919_0103_1_
03_050903053_0103_1_
03_060000911_0135_1_
03_089_0121_1_1
03_090_0121_1_1
03_090000911_0103_1_
03_091_0121_1_1
03_092403054_0103_1_
03_092403055_0103_1_
03_092406057_0103_1_
03_092406058_0103_1_
03_092406059_0103_1_
03_092406061_0103_1_
03_092406062_0103_1_
03_092406063_0103_1_
03_092488056_0103_1_
03_092489060_0103_1_
03_092718064_0103_1_
03_093012065_0103_1_
03_093012066_0103_1_
03_093012067_0103_1_
03_093012068_0103_1_
03_093015069_0103_1_
03_093018070_0103_1_
03_093018071_0103_1_
03_093018072_0103_1_
03_093018073_0103_1_
03_093021074_0103_1_
03_093021075_0103_1_
03_093021076_0103_1_
03_093021077_0103_1_
03_093036132_0103_1_
03_093045133_0103_1_
03_120000911_0105_1_
03_150930078_0103_1_
03_150930079_0103_1_
03_150930080_0103_1_
03_150930081_0103_1_
03_150930082_0103_1_
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03_150930086_0103_1_
03_150930087_0103_1_
03_150930088_0103_1_
03_220300911_0113_1_
03_220600911_0122_1_
03_222100911_0124_1_
03_501509092_0103_1_
03_710400002_0103_1_
03_710930080_0103_1_
03_900100155_0130_1_
04_049_0104_1_1
04_049_0125_1_1
04_049_0133_5_1
04_049_0136_1_1
04_102_0125_6_1
04_102_0125_6_1_T
04_102_0136_6_1
04_102_0136_6_1_T
04_103_0125_6_1
04_103_0125_6_1_T
04_103_0136_6_1
04_103_0136_6_1_T
04_104_0125_6_1
04_104_0125_6_1_T
04_104_0136_6_1
04_104_0136_6_1_T
04_105_0125_6_1
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04_105_0136_6_1
04_105_0136_6_1_T
04_106_0125_6_1
04_106_0125_6_1_T
04_106_0136_6_1
04_106_0136_6_1_T
04_111_0136_6_1
04_111_0136_6_1_T
04_112_0136_6_1
04_112_0136_6_1_T
04_113_0136_6_1
04_113_0136_6_1_T
04_114_0136_6_1
04_114_0136_6_1_T
04_116_0104_6_1
04_116_0104_6_1_T
04_117_0104_6_1
04_117_0104_6_1_T
04_118_0104_6_1
04_118_0104_6_1_T
04_119_0104_6_1
04_119_0104_6_1_T
04_120_0136_6_1
04_120_0136_6_1_T
04_121_0136_6_1
04_121_0136_6_1_T
04_122_0136_6_1
04_122_0136_6_1_T
04_123_0136_6_1
04_123_0136_6_1_T
04_124_0104_6_1
04_124_0104_6_1_T
04_125_0104_6_1
04_125_0104_6_1_T
04_126_0104_6_1
04_126_0104_6_1_T
04_127_0104_6_1
04_127_0104_6_1_T
04_128_0136_6_1
04_128_0136_6_1_T
04_129_0136_6_1
04_129_0136_6_1_T
04_130_0104_6_1
04_130_0104_6_1_T
04_131_0104_6_1
04_131_0104_6_1_T
04_136_0136_6_1
04_136_0136_6_1_T
04_137_0136_6_1
04_137_0136_6_1_T
04_138_0136_6_1
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04_139_0136_6_1
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04_147_0104_6_1_T
04_148_0104_6_1
04_148_0104_6_1_T
04_149_0104_6_1
04_149_0104_6_1_T
04_150_0104_6_1
04_150_0104_6_1_T
04_151_0104_6_1
04_151_0104_6_1_T
04_152_0104_6_1
04_152_0104_6_1_T
04_153_0104_6_1
04_153_0104_6_1_T
04_154_0104_6_1
04_154_0104_6_1_T
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04_155_0104_6_1_T
04_160_0136_6_1
04_160_0136_6_1_T
04_161_0136_6_1
04_161_0136_6_1_T
04_162_0136_6_1
04_162_0136_6_1_T
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04_590_0125_6_1
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Bereavement
Support Item Name
Assistance With Self-Care Activities - Standard - Weekday Night
Assistance With Self-Care Activities - Standard - Weekday Night - TTP
Assistance From Live-In Carer
Assistance with Personal Domestic Activities
Assistance With Self-Care Activities - Night-Time Sleepover
Assistance With Self-Care Activities - Standard - Weekday Daytime
Assistance With Self-Care Activities - Standard - Weekday Daytime - TTP
Assistance With Self-Care Activities - Standard - Public Holiday
Assistance With Self-Care Activities - Standard - Public Holiday - TTP
Assistance With Self-Care Activities - Standard - Saturday
Assistance With Self-Care Activities - Standard - Saturday - TTP
Assistance With Self-Care Activities - Standard - Sunday
Assistance With Self-Care Activities - Standard - Sunday - TTP
Assistance With Self-Care Activities - Standard - Weekday Evening
Assistance With Self-Care Activities - Standard - Weekday Evening - TTP
Specialised Home Based Assistance For A Child
On-Call Overnight Monitoring-Off Site or Onsite (Includes 1 hour of assistance)
House or Yard Maintenance
House Cleaning And Other Household Activities
Linen Service
Assistance With The Cost Of Preparation And Delivery Of Meals
Assistance with the cost of the preparation and delivery of meals
Assistance In Living Arrangements (Host Family/Alternative Family Situation)
Assistance In A Shared Living Arrangement
STA And Assistance (Inc. Respite) - 1:4 - Weekday
Assistance In Individual Living Arrangement For Person With Complex Needs
Establishment Fee For Personal Care/Participation
Cross Billing Payments For Residential Aged Care Subsidies And Supplements
Assistance With Daily Life Tasks Provided In Residential Aged Care Facility
STA And Assistance (Inc. Respite) - 1:4 - Saturday
STA And Assistance (Inc. Respite) - 1:4 - Sunday
STA And Assistance (Inc. Respite) - 1:4 - Public Holiday
Unplanned onsite shared supports in Specialist Disability Accommodation
Medium Term Accommodation
Capacity Building and Training in Self-Management and Plan Management
Assistance With Self-Care Activities in a STA - Weekday Daytime
Assistance With Self-Care Activities in a STA - Weekday Evening
Assistance With Self-Care Activities in a STA - Saturday
Assistance With Self-Care Activities in a STA - Sunday
Assistance With Self-Care Activities in a STA - Public Holiday
Assistance With Self-Care Activities in a STA - Weekday Night
Assistance With Self-Care Activities - High Intensity - Weekday Daytime
Assistance With Self-Care Activities - High Intensity - Weekday Daytime - TTP
Assistance With Self-Care Activities - High Intensity - Weekday Evening
Assistance With Self-Care Activities - High Intensity - Weekday Evening - TTP
Assistance With Self-Care Activities - High Intensity - Saturday
Assistance With Self-Care Activities - High Intensity - Saturday - TTP
Assistance With Self-Care Activities - High Intensity - Sunday
Assistance With Self-Care Activities - High Intensity - Sunday - TTP
Assistance With Self-Care Activities - High Intensity - Public Holiday
Assistance With Self-Care Activities - High Intensity - Public Holiday - TTP
Assistance With Self-Care Activities - High Intensity - Weekday Night
Assistance With Self-Care Activities - High Intensity - Weekday Night - TTP
Delivery of Health Supports by an Enrolled Nurse - Weekday Daytime
Delivery of Health Supports by an Enrolled Nurse - Weekday Evening
Delivery of Health Supports by an Enrolled Nurse - Saturday
Delivery of Health Supports by an Enrolled Nurse - Sunday
Delivery of Health Supports by an Enrolled Nurse - Public Holiday
Delivery of Health Supports by an Enrolled Nurse - Weekday Night
Delivery of Health Supports by a Registered Nurse - Weekday Daytime
Capacity Building for Early Childhood Interventions - Counsellor
Delivery of Health Supports by a Registered Nurse - Weekday Evening
Delivery of Health Supports by a Registered Nurse - Saturday
Delivery of Health Supports by a Registered Nurse - Sunday
Capacity Building for Early Childhood Interventions - Exercise Physiologist
Delivery of Health Supports by a Registered Nurse - Public Holiday
Delivery of Health Supports by a Registered Nurse - Weekday Night
Delivery of Health Supports by a Clinical Nurse - Weekday Daytime
Delivery of Health Supports by a Clinical Nurse - Weekday Evening
Delivery of Health Supports by a Clinical Nurse - Saturday
Delivery of Health Supports by a Clinical Nurse - Sunday
Delivery of Health Supports by a Clinical Nurse - Public Holiday
Delivery of Health Supports by a Clinical Nurse - Weekday Night
Delivery of Health Supports by a Clinical Nurse Consultant - Weekday Daytime
Delivery of Health Supports by a Clinical Nurse Consultant - Weekday Evening
Delivery of Health Supports by a Clinical Nurse Consultant - Saturday
Delivery of Health Supports by a Clinical Nurse Consultant - Sunday
Delivery of Health Supports by a Clinical Nurse Consultant - Public Holiday
Delivery of Health Supports by a Clinical Nurse Consultant - Weekday Night
Delivery of Health Supports by a Nurse Practitioner - Weekday Daytime
Delivery of Health Supports by a Nurse Practitioner - Weekday Evening
Delivery of Health Supports by a Nurse Practitioner - Saturday
Delivery of Health Supports by a Nurse Practitioner - Sunday
Delivery of Health Supports by a Nurse Practitioner - Public Holiday
Delivery of Health Supports by a Nurse Practitioner - Weekday Night
Assessment Recommendation Therapy or Training - EC - Occupational Therapist
Assessment Recommendation Therapy or Training - EC - Speech Pathologist
Assessment Recommendation Therapy or Training Supports - Occupational Therapist
Assessment Recommendation Therapy or Training - EC - Podiatrist
Assessment Recommendation Therapy or Training Supports - Speech Pathologist
Assessment Recommendation Therapy or Training - EC - Psychologist
Assessment Recommendation Therapy or Training Supports - Psychologist
Assessment Recommendation Therapy or Training - EC - Physiotherapist
Assessment Recommendation Therapy or Training Supports - Physiotherapist
Assessment Recommendation Therapy or Training - EC - Other Professional
Assessment Recommendation Therapy or Training Supports - Other Professional
Assessment Recommendation Therapy or Training - EC - Dietitian
Assessment Recommendation Therapy or Training Supports - Dietitian
Provider travel - non-labour costs
Assistance in Supported Independent Living - Standard - Weekday Daytime
Assistance in Supported Independent Living - Standard - Weekday Evening
Assistance in Supported Independent Living - Standard - Weekday Night
Assistance in Supported Independent Living - Standard - Saturday
Assistance in Supported Independent Living - Standard - Sunday
Assistance in Supported Independent Living - Standard - Public Holiday
Assistance in Supported Independent Living - High Intensity - Weekday Daytime
Assistance in Supported Independent Living - High Intensity - Weekday Evening
Assistance in Supported Independent Living - High Intensity - Weekday Night
Assistance in Supported Independent Living - High Intensity - Saturday
Assistance in Supported Independent Living - High Intensity - Sunday
Assistance in Supported Independent Living - High Intensity - Public Holiday
Assistance in Supported Independent Living - Weekly
Assistance in Supported Independent Living - Exit Accommodation Permanently
Assistance in Supported Independent Living
Assistance in Supported Independent Living - Night-Time Sleepover
Individualised Living Options - Exploration and Design
Individualised Living Options - Support Model
Specialised Transport To School/Educational Facility/Employment/Community
Transport
Disability-Related Health Consumables - High Cost
Disability-Related Health Consumables - Low Cost
Incontinence Alarms
Low Cost AT - Prosthetics And Orthotics
Auslan Or Signed English Training
Interpreting And Translating
Low Cost AT - Personal Care And Safety
Telephone Or Video Interpreting
Continence Package A - Child - Annual Amount
Continence Package A - Adult - Annual Amount
Continence Package B - Intermittent Mild - Annual Amount
Continence Package C - Intermittent Moderate - Annual Amount
Continence Package D - Intermittent Higher Needs - Annual Amount
Adult Intermittent Catheters Standard 3/Day - Annual Amount
Continence Products Urinary - Other For Child
Continence Products Urinary - Other For Adult
Continence Package E - External
Child Nappy Single-Use 3/Day - Annual Supply
Washable Incontinence Products For Children
Single-Use Inserts/Pads - Adult 3/Day - Annual Supply
Adult Absorbent Pull Up Or Brief 3/Day - Annual Supply
Washable Incontinence Pants For Adults
Non-Body-Worn Washable Products For Absorbing Urine And Faeces
Low Cost AT - Personal Mobility
HEN - pump plus accessory - syringe feed
HEN - pump plus accessory - non-syringe feed
HEN - bolus syringes
HEN - gastrostomy devices
Additional Extension Sets For Bolus Feeding - 10/Annual
Additional Extension Sets For Pump Feeding - 10/Annual
HEN - giving sets
HEN - containers
Additional Bolus Syringes - 100/Annual
HEN - water flush syringes
HEN - Other equipment
Low Cost AT - Vision Related AT
Low Cost AT - Hearing Related AT
Low Cost AT - Communication Or Cognitive Support
Repairs and Maintenance - HEN AT
Disability-Related Health Equipment and Consumables - Set Up/Training
Delivery - Personal care Safety and Disability-related HealthConsumables
Assistance Dog (Including Guide Dog) Ongoing Costs
Access Community Social and Rec Activ - Standard - Public Holiday
Access Community Social and Rec Activ - Standard - Public Holiday - TTP
Group Activities - Standard - Weekday Daytime
Group Activities - Standard - Weekday Daytime - TTP
Access Community Social and Rec Activ - Standard - Weekday Evening
Access Community Social and Rec Activ - Standard - Weekday Evening - TTP
Group Activities - Standard - Weekday Evening
Group Activities - Standard - Weekday Evening - TTP
Access Community Social and Rec Activ - Standard - Weekday Daytime
Access Community Social and Rec Activ - Standard - Weekday Daytime - TTP
Group Activities - Standard - Saturday
Group Activities - Standard - Saturday - TTP
Access Community Social and Rec Activ - Standard - Saturday
Access Community Social and Rec Activ - Standard - Saturday - TTP
Group Activities - Standard - Sunday
Group Activities - Standard - Sunday - TTP
Access Community Social and Rec Activ - Standard - Sunday
Access Community Social and Rec Activ - Standard - Sunday - TTP
Group Activities - Standard - Public Holiday
Group Activities - Standard - Public Holiday - TTP
Group Activities In The Community - 1:2 - Standard - Weekday Daytime
Group Activities In The Community - 1:2 - Standard - Weekday Daytime-TTP
Group Activities In The Community - 1:2 - Standard - Saturday
Group Activities In The Community - 1:2 - Standard - Saturday - TTP
Group Activities In The Community - 1:2 - Standard - Sunday
Group Activities In The Community - 1:2 - Standard - Sunday - TTP
Group Activities In The Community - 1:2 - Standard - Weekday Evening
Group Activities In The Community - 1:2 - Standard - Weekday Evening - TTP
Group Activities In The Community - 1:2 - High Intensity - Weekday Daytime
Group Activities In The Community - 1:2 - High Intensity - Weekday Daytime - TTP
Group Activities In The Community - 1:2 - High Intensity - Saturday
Group Activities In The Community - 1:2 - High Intensity - Saturday - TTP
Group Activities In The Community - 1:2 - High Intensity - Sunday
Group Activities In The Community - 1:2 - High Intensity - Sunday - TTP
Group Activities In The Community - 1:2 - High Intensity - Weekday Evening
Group Activities In The Community - 1:2 - High Intensity - Weekday Evening - TTP
Group Activities In The Community - 1:3 - Standard - Weekday Daytime - TTP
Group Activities In The Community - 1:2 - Standard - Public Holiday
Group Activities In The Community - 1:2 - Standard - Public Holiday - TTP
Group Activities In The Community - 1:2 - High Intensity - Public Holiday
Group Activities In The Community - 1:2 - High Intensity - Public Holiday - TTP
Group Activities In The Community - 1:4 - Standard - Public Holiday -TTP
Group Activities In The Community - 1:5 - High Intensity - Weekday Evening-TTP
Group Activities In A Centre - 1:1 - Standard - Weekday Daytime
Group Activities In A Centre - 1:1 - Standard - Weekday Daytime - TTP
Group Activities In A Centre - 1:1 - Standard - Weekday Evening
Group Activities In A Centre - 1:1 - Standard - Weekday Evening - TTP
Group Activities In A Centre - 1:1 - Standard - Saturday
Group Activities In A Centre - 1:1 - Standard - Saturday - TTP
Group Activities In A Centre - 1:1 - Standard - Sunday
Group Activities In A Centre - 1:1 - Standard - Sunday - TTP
Group Activities In A Centre - 1:1 - Standard - Public Holiday
Group Activities In A Centre - 1:1 - Standard - Public Holiday - TTP
Group Activities In A Centre - 1:1 - High Intensity - Weekday Daytime
Group Activities In A Centre - 1:1 - High Intensity - Weekday Daytime - TTP
Group Activities In A Centre - 1:1 - High Intensity - Weekday Evening
Group Activities In A Centre - 1:1 - High Intensity - Weekday Evening - TTP
Group Activities In A Centre - 1:1 - High Intensity - Saturday
Group Activities In A Centre - 1:1 - High Intensity - Saturday - TTP
Group Activities In A Centre - 1:1 - High Intensity - Sunday
Group Activities In A Centre - 1:1 - High Intensity - Sunday - TTP
Group Activities In A Centre - 1:1 - High Intensity - Public Holiday
Group Activities In A Centre - 1:1 - High Intensity - Public Holiday - TTP
Community Social And Recreational Activities
Access Community Social and Rec Activ - High Intensity - Weekday Daytime
Access Community Social and Rec Activ - High Intensity - Weekday Daytime - TTP
Access Community Social and Rec Activ - High Intensity - Weekday Evening
Access Community Social and Rec Activ - High Intensity - Weekday Evening - TTP
Access Community Social and Rec Activ - High Intensity - Saturday
Access Community Social and Rec Activ - High Intensity - Saturday - TTP
Access Community Social and Rec Activ - High Intensity - Sunday
Access Community Social and Rec Activ - High Intensity - Sunday - TTP
Access Community Social and Rec Activ - High Intensity - Public Holiday
Access Community Social and Rec Activ - High Intensity - Public Holiday - TTP
Activity Based Transport
Centre Capital Cost
Centre Capital Cost
Centre Capital Cost
Group Activities - High Intensity - Weekday Daytime
Group Activities - High Intensity - Weekday Daytime - TTP
Group Activities - High Intensity - Weekday Evening
Group Activities - High Intensity - Weekday Evening - TTP
Group Activities - High Intensity - Saturday
Group Activities - High Intensity - Saturday - TTP
Group Activities - High Intensity - Sunday
Group Activities - High Intensity - Sunday - TTP
Group Activities - High Intensity - Public Holiday
Group Activities - High Intensity - Public Holiday - TTP
Supports in Employment - Weekday Daytime
Supports in Employment - Weekday Daytime - TTP
Supports in Employment - Weekday Evening
Supports in Employment - Weekday Evening - TTP
Supports in Employment - Saturday
Supports in Employment - Saturday - TTP
Supports in Employment - Sunday
Supports in Employment - Sunday - TTP
Supports in Employment - Public Holiday
Supports in Employment - Public Holiday - TTP
AT Supplementary Charge - AT Personal Care/Safety
AT Supplementary Charge - Personal Mobility or Transfer
AT Supplementary Charge - Vehicle modifications
AT Supplementary Charge - Recreation including sport
AT Supplementary Charge - Vision
AT Supplementary Charge - Hearing products
AT Supplementary Charge - Household Tasks and Control
AT Supplementary Charge - Communication and Information support
AT Supplementary Charge - Prosthesis or Orthosis
AT Rental - Assistive Products for Respiration Support
Ventilators - Supplemental Ventilation Support (including CPAP and BPAP)
Ventilators - Invasive Ventilation for Continuous Use
Ventilators - Filters and/or Humidifiers
Aspirators
Cough Assist Machine
Replacement Garments And Compression Sleeves For Cyclic Pressure Units
Air-Filled Garments and Compression Units for Managing Circulation Problems
Cooling Vest - All Sizes
Postural Support - Pressure Management Seat
Postural Support - Using Foam and/or Gel (Seat Back and Other Supports Included)
Pressure Mattress Air Filled Section
Pressure reduction mattress/overlay
Pressure reduction mattress/overlay - high High Intensityity need
Standing Frames and Supports for Standing
Powered Component (including Myoelectric) for Standing or Walking Frames
AT Rental - Prosthesis and Orthosis
Orthosis - Cervical and Cranial
Orthosis - Cervico-Thoraco-Lumbo-Sacral
Orthosis - Upper Limb - Prefabricated
Orthosis - Upper Limb - Custom Made
Orthosis - Dynamic or Lycra - Limb
Orthotic - Foot (all types) and Prefabricated Orthotic Footwear
Orthopaedic Footwear/Shoes - Other Custom Made
Orthosis - Ankle Foot (AFO) - Prefabricated
Orthosis - Ankle Foot (AFO) - Custom Made
Orthosis - Ankle Foot with Ankle Joints - Custom Made
Orthosis - Knee - Prefabricated
Orthosis - Knee - Custom Made
Orthosis - Thigh Knee Ankle - Custom Made
Orthosis - Knee Ankle Foot - Custom Made
Orthosis - Hip - Prefabricated
Orthosis - Bilateral Hip Knee Ankle Foot Orthosis (incl RGO) - Prefabricated
Orthosis - Hip Thigh Knee Ankle - Custom Made
Orthosis - Bilateral Thoraco-lumbar/Lumbo-Sacral Hip Knee AnkleFoot-Custom
Orthosis - Dynamic or Lycra - Full Body
Orthosis - Trunk/Lower Body - FES or Powered - to supportstanding/walking
Prosthesis - Upper Limb (Including Powered)
Prosthesis - Accessory - Arm and Hand for Sport and Leisure
Prosthesis - Accessory - Osseo-Integration Mount - Extra Cost (Upper or Lower)
Prosthesis - Transtibial or Lower
Prosthesis - Transfemoral or Higher
Prosthesis - Lower Limb - Not Defined
Prosthesis - Lower Limb for Sports
Prosthesis - for use in wet environment (i.e. waterproofing)
Prosthesis - Not Limb Related
AT Rental - Assistive Products for Personal Care and Safety
Toilet Attachments and Accessories
Shower Commode or Chair - Basic
Shower Commode - Wheeled
Shower Commode - Wheeled - High High Intensityity need
Shower Commode - Wheeled - Tilt In Space
Bathing Support - Special Design
Change Table/Shower Trolley - Manual
Change Table/Shower Trolley - Powered
AT Rental - Personal Mobility and Transfer
Walking Supports - Sticks Canes And Crutches
Standing and/or Walking Frame - Child
Wheeled Walker - Standard
Rollator - Standard
Walking Frame or Walker
Rollator - Standard - Child
Walking Tables
Vehicles - Accessories/Adaptions for driver control
Vehicles - Accessories/Adaptions for ancillary functions
Vehicles - Car Seating and/or Seat Belts - Modifier Installed
Specialised Child Car Seats - no Vehicle Modification Required
Vehicles - Passenger loading (without wheelchair)
Vehicles - Hoist for Occupied Wheelchair Loading
Vehicles - Hoist/Ramp for Unoccupied Wheelchair Loading
Vehicles - Modification for Wheelchair Passengers
AT Rental - Vehicle modified for Access
Vehicles - Modification for Wheelchair Seated Driver
Vehicles -Trailer for wheeled mobility device
Vehicles - Professional Engineer Modification Certification
Bicycle - Tricycle and/or Carts
Bicycle - Adapted FOR Hand Propulsion
Bicycle - Adaptation for Pedals/Seat/Handle Bars
Wheelchair - Manual - Folding
Wheelchair - Manual - Folding - Custom
Wheelchair - Manual - Tilt In Space
Wheelchair - Manual - Rigid
MWC Attendant Propel + Custom Folding/Rigid Frame
Wheelchair - Manual - Sport and Recreation Use
Scooter: Indoor/Outdoor use
Scooter: Heavy Duty/Robust Activity specific
Scooter (Electrically Powered) - Portable
Scooter: Small Folding/Travel Light-Weight
Wheelchair - Powered With Powered Standing Mechanism
Wheelchair - Powered Base with Tilt - All Terrain/Heavy Duty Base
Wheelchair - Powered Base with or without Tilt - Indoor/Outdoor use
Wheelchair - Powered Base - Portable/Folding
Wheelchair Accessory - Powered Alternate Operator Control System
Wheelchair Accessory - Power-Assist Drive Technology
Wheelchair Accessory - Health-Related AT/Ventilator Carrier
Wheelchair Accessory - Powered Adjustment for Limbs or Recline orElevate
Postural Support - Seating System - custom made
Postural Support - Positioning - Back
Postural Support - Positioning - Seat
Postural Support - Wheelchair Accessory
Postural Support - Seating Componentry and Accessories
Stroller/Pram/Buggy with Specialised Seating system
Stroller/Pram/Buggy/Push Chair with Supportive Seating
Wheeled base - paediatric - height adaptable for seating
Crawlers/Mobility Boards/Trolley
Transfer AT - Mobile Hoist including Slings (x2)
Transfer AT - Mobile Hoist Seat or Table
Transfer AT - Pool Environment Hoist
Transfer AT - Ceiling Hoist
Transfer AT - Sling Standard
Transfer AT - Sling Non-Standard
AT Rental - Assistive Products for Household Tasks
Hearing Services Program - Adults With High Intensity Needs (AH Only)
Hearing Services Program - Child Under 4 Yrs (AH Only)
Bed - Ancillary Furniture
Specialised Seating with Sit-Stand Assistance
Specialised Lounge Chair - Mobile with Pressure Management/PositioningSystems
Specialised Static Seating with Pressure Management and/or PosturalSupport
Postural Support - Modular Seating Systems
Bed Access/Transfer Pole/Blocks/Rails/Rail-Covers
Bed - Manually adjusted
Bed - Electrically adjusted
Sleep Positioning System and Accessories - Custom Made
Safety: Slip Resistance Coating/Grab and/or Guide Rails
Portable ramp for access
AT Rental - Vision support or alternate access
Vision - Electronic Video Magnifier
Vision - Image Enlargement Software
AT Rental - Hearing Devices and Accessories
Hearing device - Standard level
Hearing device - Intermediate level
Hearing device - Advanced level
Hearing device - Non-Standard
Hearing device - External speech processor and accessories
Hearing accessory - Induction Loop
Hearing accessory - Remote Control
Hearing accessory - TV function
Hearing accessory - Music device
Hearing device - Personal Amplifiers/Binaural Listener
Voice Amplifiers For Personal Use
Communication and Information - Computer interfaces
Static - Single Button Device which Provides Audible Message Output
Communication - Face to Face - Electronic
Personal Reader - Speech and Visual Output
Personal Reader - Speech Output
Vision - Braille device
Communication - Face to Face - Non-Electronic
AT Rental - Communication and Computer access
Software and Related Items for Advanced CommsFunctions-Computer/Tablet/Phone
Adapted Computer Tablet or Smartphone for Sensory or Cognitive need
Communication - Amplifiers
Hearing accessory - Remote Microphone System
Hearing device - Specialised Landline Telephone
Vision - Mobile Phone with special functionality
HM - Home Adaptions or Changes - Other
Adapted Devices for Phone Access/Alarms/Clocks/Programmable Memory Devices
Hearing device - Baby Alert Systems
Seizure Mat/Location Alert Type Alarm Systems
Safety Devices: Flashing - Vibrating Doorbell/Smoke Alert/PersonalAlarms
Safety Devices: Adapted Smoke Detector/Doorbells
Vision - Alternate format Printer
Vision - Portable Audible Player for Read Content
Vision - Print Disability Software
Vision - Visual Navigation AT
Environmental Control (Ecu)/ Safety-Related Products
High Intensity Electronic Access Method Using Eye or EMG/neural Control
Technology and other device positioning and mounting systems
Assistive Products Relating to Recreation - Sport
AT Rental - Modified for accessible recreation
Recreation AT - Game Interface
Repairs and Maintenance - Other AT
Repairs and Maintenance - Disability-Related Health Machines
Repairs and Maintenance - Personal Care/Safety - After Hours
Repairs and Maintenance - Orthosis
Repairs and Maintenance - Prosthesis - Minor
Repairs and Maintenance - Prosthesis - Major
Repairs and Maintenance - Bathing And Toileting AT
Repairs and Maintenance - Wheeled Mobility Minor
Repairs and Maintenance - Wheeled Mobility Major
Repairs and Maintenance - Vehicle Modification
Tyres
Wheelchair or Scooter - Battery or Charger
Repairs and Maintenance - Transfer AT
Repairs and Maintenance - After Hours
Repairs and Maintenance - Electric Bed
Repairs and Maintenance - Communication Cognitive or ECU AT
Repairs and Maintenance - Hearing AT
Repairs and Maintenance - Vision AT
Repairs and Maintenance - Specialised Recreation AT
Programming/Customisation Of Electronic Equipment
Delivery - Personal care and safety AT
Delivery - Personal Mobility and Transfer AT
Delivery - Vehicle modifications AT
Delivery - Recreation AT
Delivery - Vision AT
Delivery - Specialised Hearing AT
Delivery - Hearing AT
Delivery - Household tasks or control AT
Delivery - Communication and Information AT
Delivery - Prosthesis or Orthosis
Early Childhood Flexible AT Package 1
Flexible Equipment Package (For Changing Need)
Assistance Dog (Including Dog Guide)
HM - Ceiling Hoist
HM Rental - Bathroom Toilet Ramp
HM - Rails - Internal Supply and Install
HM - Rails - External Supply and Install
MHM - Electrical and Door Automation
HM - Access - Minor Door or Step Modification
HM - Kitchen or Laundry - No Structural Work
HM - Bathroom/Toilet - No structural work
MHM - External Door
MHM - Internal Door
MHM - Flooring
HM - Bathroom/Toilet - Structural work
HM - Kitchen or Laundry - Structural Work
HM - Building Works Project Management
CHM - Deposit
CHM - Progress Stage
CHM - Practical Completion
MHM - Practical Completion
MHM - Bathroom
MHM - Kitchen
MHM - Laundry
MHM - Other works including Bedroom
HM - Certification and Compliance Approval
HM - Design Consultation with Builder
HM - Elevator
HM - Stair Climber or Stair / Platform Lift
HM - Ramp - Portable Fibreglass
HM - Ramp - Timber with Galvanised Rails
HM - Ramp - Concrete with Galvanised Rails
HM - Ramp - Aluminium Modular/Removable
HM - Ramp - Aluminium Modular/Removable with Landing
HM - Access - Entrance/Ramp
MHM - Ramp
HM - Ramp - Structural
MHM - Pathway - External
MHM - Airconditioning
Specialist Disability Accommodation (SDA) - Quotable Amount
SDA Vacancy - Person-Specific Adjustment
Specialist Disability Accommodation (SDA) - Monthly Amount
Support Coordination Level 1: Support Connection
Support Coordination Level 2: Coordination of Supports
Support Coordination Level 3: Specialist Support Coordination
Psychosocial Recovery Coaching - Weekday Daytime
Psychosocial Recovery Coaching - Weekday Evening
Psychosocial Recovery Coaching - Weekday Night
Psychosocial Recovery Coaching - Saturday
Psychosocial Recovery Coaching - Sunday
Psychosocial Recovery Coaching - Public Holiday
Assistance With Accommodation And Tenancy Obligations
Life Transition Planning Incl. Mentoring Peer-Support And Indiv Skill Develop
Innovative Community Participation
Skills Development And Training
Community Participation Activities
Employment Related Assessment And Counselling
School Leaver Employment Supports
Centre Capital Cost
Specialist Behavioural Intervention Support
Behaviour Management Plan Including Training in Behaviour Management Strategies
Individual Social Skills Development
Advice provided by a Dietitian on managing diet for health and well-being
Advice provided by an Exercise Physiologist regarding exercise required
Advice provided by an Exercise Physiologist regarding exercise required
Personal training provided by a Personal Trainer to a participant
Transition Through School And To Further Education
Plan Management - Set Up Costs
Plan Management - Monthly Fee
Early Childhood Supports - Psychologist
Early Childhood Supports - Physiotherapist
Early Childhood Supports - Early Childhood Professional
Early Childhood Supports - Therapy Assistant - Level 1
Early Childhood Supports - Therapy Assistant - Level 2
Assistance With Decision Making Daily Planning and Budgeting
Skill Development And Training including Public Transport Training
Training For Carers/Parents
Assessment Recommendation Therapy or Training - Counsellor
Community Engagement Assistance
Specialised Driver Training
Selection And/or Manufacture Of Customised Or Wearable Technology
Multidisciplinary Team
Therapy Assistant - Level 1
Therapy Assistant - Level 2
Assessment Recommendation Therapy or Training - Psychologist
Assessment Recommendation Therapy or Training - Physiotherapist
Assessment Recommendation Therapy or Training - Other Professional
Assessment Recommendation Therapy or Training - Dietitian
Assessment Recommendation Therapy or Training - Exercise Physiologist
Assessment Recommendation Therapy or Training - Exercise Physiologist
Low Cost AT - Support Capacity Building
Delivery of Health Supports by an Enrolled Nurse - Weekday Daytime
Delivery of Health Supports by an Enrolled Nurse - Weekday Evening
Delivery of Health Supports by an Enrolled Nurse - Saturday
Delivery of Health Supports by an Enrolled Nurse - Sunday
Delivery of Health Supports by an Enrolled Nurse - Public Holiday
Delivery of Health Supports by an Enrolled Nurse - Weekday Night
Delivery of Health Supports by a Registered Nurse - Weekday Daytime
Delivery of Health Supports by a Registered Nurse - Weekday Evening
Delivery of Health Supports by a Registered Nurse - Saturday
Delivery of Health Supports by a Registered Nurse - Sunday
Delivery of Health Supports by a Registered Nurse - Public Holiday
Delivery of Health Supports by a Registered Nurse - Weekday Night
Delivery of Health Supports by a Clinical Nurse - Weekday Daytime
Delivery of Health Supports by a Clinical Nurse - Weekday Evening
Delivery of Health Supports by a Clinical Nurse - Saturday
Delivery of Health Supports by a Clinical Nurse - Sunday
Delivery of Health Supports by a Clinical Nurse - Public Holiday
Delivery of Health Supports by a Clinical Nurse - Weekday Night
Delivery of Health Supports by a Clinical Nurse Consultant - Weekday Daytime
Delivery of Health Supports by a Clinical Nurse Consultant - Weekday Evening
Delivery of Health Supports by a Clinical Nurse Consultant - Saturday
Delivery of Health Supports by a Clinical Nurse Consultant - Sunday
Delivery of Health Supports by a Clinical Nurse Consultant - Public Holiday
Delivery of Health Supports by a Clinical Nurse Consultant - Weekday Night
Delivery of Health Supports by a Nurse Practitioner - Weekday Daytime
Delivery of Health Supports by a Nurse Practitioner - Weekday Evening
Delivery of Health Supports by a Nurse Practitioner - Saturday
Delivery of Health Supports by a Nurse Practitioner - Sunday
Delivery of Health Supports by a Nurse Practitioner - Public Holiday
Delivery of Health Supports by a Nurse Practitioner - Weekday Night
Provision of Hearing Services by an Audiologist
Provision of Hearing Services by an Audiologist
Provision of Hearing Services by an Audiometrist
Early Childhood Supports - Counsellor
Early Childhood Supports - Exercise Physiologist
Assessment Recommendation Therapy or Training - Art Therapist
Assessment Recommendation Therapy or Training - Audiologist
Assessment Recommendation Therapy or Training - Developmental Educator
Assessment Recommendation Therapy or Training - Music Therapist
Assessment Recommendation Therapy or Training - Occupational Therapist
Assessment Recommendation Therapy or Training - Orthoptist
Assessment Recommendation Therapy or Training - Podiatrist
Assessment Recommendation Therapy or Training - Rehabilitation Counsellor
Assessment Recommendation Therapy or Training - Social Worker
Assessment Recommendation Therapy or Training - Speech Pathologist
Plan Management - Bereavement Payment
Registra Registration Group NamSupport Support Unit Quote Start date
0107 Daily Personal Activities 1 AssistancH No 20220701
0107 Daily Personal Activities 1 AssistancH Yes 20220701
0107 Daily Personal Activities 1 AssistancE No 20220701
0104 High Intensity Daily Pers 1 AssistancH No 20220701
0107 Daily Personal Activities 1 AssistancE Yes 20220701
0120 Household Tasks 1 AssistancH No 20220701
0120 Household Tasks 1 AssistancH No 20220701
0120 Household Tasks 1 AssistancE Yes 20220701
0120 Household Tasks 1 AssistancE Yes 20220701
0120 Household Tasks 1 AssistancE No 20220701
0115 Assistance With Daily L 1 AssistancD Yes 20220701
0115 Assistance With Daily L 1 AssistancE Yes 20220701
0115 Assistance With Daily L 1 AssistancD No 20220701
0115 Assistance With Daily L 1 AssistancE Yes 20220701
0104 High Intensity Daily Pers 1 AssistancE No 20220701
0115 Assistance With Daily L 1 AssistancWK No 20220701
0115 Assistance With Daily L 1 AssistancE No 20220701
0117 Development Of Daily Liv 1 AssistancH No 20220701
0115 Assistance With Daily L 1 AssistancH No 20220701
0114 Community Nursing Car 1 AssistancH No 20220701
0118 Early Intervention Suppo 1 AssistancH No 20220701
0128 Therapeutic Supports 1 AssistancH No 20220701
0106 Assistance In Coordinati 1 AssistancE No 20220701
0114 Community Nursing Car 1 AssistancE No 20220701
0117 Development Of Daily Liv 1 AssistancE No 20220701
0118 Early Intervention Suppo 1 AssistancE No 20220701
0120 Household Tasks 1 AssistancE No 20220701
0128 Therapeutic Supports 1 AssistancE No 20220701
0132 Support Coordination 1 AssistancE No 20220701
0106 Assistance In Coordinati 1 AssistancH No 20220701
0115 Assistance With Daily L 1 AssistancWK Yes 20220701
0108 Assistance With Travel/ 2 TransportD Yes 20220701
0108 Assistance With Travel/ 2 TransportYR No 20220701
0103 Assistive Products For 3 ConsumaE Yes 20220701
0103 Assistive Products For 3 ConsumaE No 20220701
0135 Customised Prosthetics ( 3 ConsumaE No 20220701
0121 Interpreting And Translat 3 ConsumaH No 20220701
0103 Assistive Products For 3 ConsumaYR No 20220701
0105 Personal Mobility Equip 3 ConsumaE No 20220701
0113 Vision Equipment 3 ConsumaE No 20220701
0122 Hearing Equipment 3 ConsumaE No 20220701
0124 Communication And Info 3 ConsumaE No 20220701
0130 Assistance Animals 3 ConsumaMON No 20220701
0125 Participation In Communit 4 AssistancE No 20220701
0133 Specialised Supported 4 AssistancE No 20220701
0136 Group And Centre Based 4 AssistancE No 20220701
0125 Participation In Communit 4 AssistancH No 20220701
0136 Group And Centre Based 4 AssistancH No 20220701
0133 Specialised Supported 4 AssistancH No 20220701
0103 Assistive Products For 5 Assistive E No 20220701
0105 Personal Mobility Equip 5 Assistive E No 20220701
0109 Vehicle Modifications 5 Assistive E No 20220701
0112 Assistive Equipment For 5 Assistive E No 20220701
0113 Vision Equipment 5 Assistive E No 20220701
0122 Hearing Equipment 5 Assistive E No 20220701
0124 Communication And Info 5 Assistive E No 20220701
0135 Customised Prosthetics ( 5 Assistive E No 20220701
0135 Customised Prosthetics ( 5 Assistive E Yes 20220701
0109 Vehicle Modifications 5 Assistive E Yes 20220701
0108 Assistance With Travel/ 5 Assistive E No 20220701
0109 Vehicle Modifications 5 Assistive E Yes 20220701
0112 Assistive Equipment For 5 Assistive E Yes 20220701
0105 Personal Mobility Equip 5 Assistive E Yes 20220701
0119 Specialised Hearing Ser 5 Assistive E No 20220701
0111 Home Modification Desig 5 Assistive E No 20220701
0123 Assistive Products For 5 Assistive E Yes 20220701
0124 Communication And Info 5 Assistive H No 20220701
0130 Assistance Animals 5 Assistive E Yes 20220701
0111 Home Modification Desig 6 Home Modi E Yes 20220927
0111 Home Modification Desig 6 Home Modi E No 20220701
0111 Home Modification Desig 6 Home ModiE No 20220927
0111 Home Modification Desig 6 Home ModiE Yes 20220701
0103 Assistive Products For 6 Home ModiE No 20220701
0131 Specialised Disability 6 Home ModiE Yes 20210702
0131 Specialised Disability 6 Home ModiE Yes 20220701
0131 Specialised Disability 6 Home ModiE No 20220701
0106 Assistance In Coordinati 7 Support CH No 20220701
0132 Support Coordination 7 Support CH No 20220701
0106 Assistance In Coordinati 7 Support CE No 20220701
0106 Assistance In Coordinati 7 Support CE No 20220701
0117 Development Of Daily Liv 7 Support CE No 20220701
0132 Support Coordination 7 Support CE No 20220701
0106 Assistance In Coordinati 8 ImprovedH No 20220701
0106 Assistance In Coordinati 8 ImprovedE No 20220701
0106 Assistance In Coordinati 9 IncreasedH No 20220701
0116 Innovative Community Par 9 IncreasedE No 20220701
0117 Development Of Daily Liv 9 IncreasedH No 20220701
0125 Participation In Communit 9 IncreasedE No 20220701
0106 Assistance In Coordinati 9 IncreasedE No 20220701
0117 Development Of Daily Liv 9 IncreasedE No 20220701
0106 Assistance In Coordinati 9 IncreasedE No 20220701
0117 Development Of Daily Liv 9 IncreasedE No 20220701
0128 Therapeutic Supports 10 Finding aH No 20220701
0102 Assistance to Access an 10 Finding aE No 20220701
0133 Specialised Supported 10 Finding aE No 20220701
0133 Specialised Supported 10 Finding aH No 20220701
0128 Therapeutic Supports 10 Finding aE No 20220701
0133 Specialised Supported 10 Finding aE No 20220701
0110 Specialist Positive Beha 11 ImprovedH No 20220701
0110 Specialist Positive Beha 11 ImprovedH No 20220701
0117 Development Of Daily Liv 11 ImprovedH No 20220701
0117 Development Of Daily Liv 11 ImprovedE No 20220701
0110 Specialist Positive Beha 11 ImprovedE No 20220701
0128 Therapeutic Supports 12 ImprovedH No 20220701
0126 Exercise Physiology & Pe 12 ImprovedH No 20220701
0126 Exercise Physiology & Pe 12 ImprovedE No 20220701
0128 Therapeutic Supports 12 ImprovedE No 20220701
0102 Assistance to Access an 13 ImprovedH No 20220701
0102 Assistance to Access an 13 ImprovedE No 20220701
0102 Assistance to Access an 13 ImprovedE No 20220701
0127 Management of Funding 14 ImprovedE No 20220701
0127 Management of Funding 14 ImprovedMON No 20220701
0127 Management of Funding 14 ImprovedE No 20220701
0118 Early Intervention Suppo 15 ImprovedH No 20220701
0106 Assistance In Coordinati 15 ImprovedH No 20220701
0129 Specialised Driver Train 15 ImprovedE Yes 20220701
0135 Customised Prosthetics ( 15 ImprovedH No 20220701
0124 Communication And Info 15 ImprovedE No 20220701
0114 Community Nursing Car 15 ImprovedH No 20220701
0119 Specialised Hearing Ser 15 ImprovedH No 20220701
0134 Hearing Services 15 ImprovedH No 20220701
0134 Hearing Services 15 ImprovedH No 20220701
0114 Community Nursing Car 15 ImprovedE No 20220701
0118 Early Intervention Suppo 15 ImprovedE No 20220701
0119 Specialised Hearing Ser 15 ImprovedE No 20220701
0126 Exercise Physiology & Pe 15 ImprovedE No 20220701
0134 Hearing Services 15 ImprovedE No 20220701
0135 Customised Prosthetics ( 15 ImprovedE No 20220701
0127 Management of Funding 14 ImprovedMON No 20220701
End DateACT NSW NT QLD SA TAS VIC
9999123 $69.77 $69.77 $69.77 $69.77 $69.77 $69.77 $69.77
9999123 $71.86 $71.86 $71.86 $71.86 $71.86 $71.86 $71.86
99991231
9999123 $52.73 $52.73 $52.73 $52.73 $52.73 $52.73 $52.73
9999123 $262.16 $262.16 $262.16 $262.16 $262.16 $262.16 $262.16
9999123 $62.17 $62.17 $62.17 $62.17 $62.17 $62.17 $62.17
9999123 $64.04 $64.04 $64.04 $64.04 $64.04 $64.04 $64.04
9999123 $138.20 $138.20 $138.20 $138.20 $138.20 $138.20 $138.20
9999123 $142.35 $142.35 $142.35 $142.35 $142.35 $142.35 $142.35
9999123 $87.51 $87.51 $87.51 $87.51 $87.51 $87.51 $87.51
9999123 $90.14 $90.14 $90.14 $90.14 $90.14 $90.14 $90.14
9999123 $112.85 $112.85 $112.85 $112.85 $112.85 $112.85 $112.85
9999123 $116.24 $116.24 $116.24 $116.24 $116.24 $116.24 $116.24
9999123 $68.50 $68.50 $68.50 $68.50 $68.50 $68.50 $68.50
9999123 $70.56 $70.56 $70.56 $70.56 $70.56 $70.56 $70.56
9999123 $52.73 $52.73 $52.73 $52.73 $52.73 $52.73 $52.73
99991231
9999123 $50.87 $50.87 $50.87 $50.87 $50.87 $50.87 $50.87
9999123 $51.81 $51.81 $51.81 $51.81 $51.81 $51.81 $51.81
99991231
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
99991231
9999123 $626.62 $626.62 $626.62 $626.62 $626.62 $626.62 $626.62
99991231
9999123 $621.70 $621.70 $621.70 $621.70 $621.70 $621.70 $621.70
9999123 $621.70 $621.70 $621.70 $621.70 $621.70 $621.70 $621.70
99991231
99991231
9999123 $761.02 $761.02 $761.02 $761.02 $761.02 $761.02 $761.02
9999123 $925.60 $925.60 $925.60 $925.60 $925.60 $925.60 $925.60
9999123 $1,090.18 $1,090.18 $1,090.18 $1,090.18 $1,090.18 $1,090.18 $1,090.18
9999123 $1,060.48 $1,060.48 $1,060.48 $1,060.48 $1,060.48 $1,060.48 $1,060.48
9999123 $1,329.28 $1,329.28 $1,329.28 $1,329.28 $1,329.28 $1,329.28 $1,329.28
9999123 $1,658.44 $1,658.44 $1,658.44 $1,658.44 $1,658.44 $1,658.44 $1,658.44
9999123 $1,987.60 $1,987.60 $1,987.60 $1,987.60 $1,987.60 $1,987.60 $1,987.60
9999123 $1,928.20 $1,928.20 $1,928.20 $1,928.20 $1,928.20 $1,928.20 $1,928.20
9999123 $2,465.80 $2,465.80 $2,465.80 $2,465.80 $2,465.80 $2,465.80 $2,465.80
9999123 $3,124.12 $3,124.12 $3,124.12 $3,124.12 $3,124.12 $3,124.12 $3,124.12
9999123 $3,782.44 $3,782.44 $3,782.44 $3,782.44 $3,782.44 $3,782.44 $3,782.44
9999123 $771.24 $771.24 $771.24 $771.24 $771.24 $771.24 $771.24
9999123 $950.44 $950.44 $950.44 $950.44 $950.44 $950.44 $950.44
9999123 $1,169.88 $1,169.88 $1,169.88 $1,169.88 $1,169.88 $1,169.88 $1,169.88
9999123 $1,389.32 $1,389.32 $1,389.32 $1,389.32 $1,389.32 $1,389.32 $1,389.32
9999123 $1,365.88 $1,365.88 $1,365.88 $1,365.88 $1,365.88 $1,365.88 $1,365.88
9999123 $137.15 $137.15 $137.15 $137.15 $137.15 $137.15 $137.15
9999123 $70.87 $70.87 $70.87 $70.87 $70.87 $70.87 $70.87
9999123 $62.17 $62.17 $62.17 $62.17 $62.17 $62.17 $62.17
9999123 $68.50 $68.50 $68.50 $68.50 $68.50 $68.50 $68.50
9999123 $87.51 $87.51 $87.51 $87.51 $87.51 $87.51 $87.51
9999123 $112.85 $112.85 $112.85 $112.85 $112.85 $112.85 $112.85
9999123 $138.20 $138.20 $138.20 $138.20 $138.20 $138.20 $138.20
9999123 $69.77 $69.77 $69.77 $69.77 $69.77 $69.77 $69.77
9999123 $67.28 $67.28 $67.28 $67.28 $67.28 $67.28 $67.28
9999123 $69.15 $69.15 $69.15 $69.15 $69.15 $69.15 $69.15
9999123 $74.14 $74.14 $74.14 $74.14 $74.14 $74.14 $74.14
9999123 $76.20 $76.20 $76.20 $76.20 $76.20 $76.20 $76.20
9999123 $94.71 $94.71 $94.71 $94.71 $94.71 $94.71 $94.71
9999123 $97.34 $97.34 $97.34 $97.34 $97.34 $97.34 $97.34
9999123 $122.14 $122.14 $122.14 $122.14 $122.14 $122.14 $122.14
9999123 $125.53 $125.53 $125.53 $125.53 $125.53 $125.53 $125.53
9999123 $149.57 $149.57 $149.57 $149.57 $149.57 $149.57 $149.57
9999123 $153.72 $153.72 $153.72 $153.72 $153.72 $153.72 $153.72
9999123 $75.51 $75.51 $75.51 $75.51 $75.51 $75.51 $75.51
9999123 $77.60 $77.60 $77.60 $77.60 $77.60 $77.60 $77.60
9999123 $89.17 $89.17 $89.17 $89.17 $89.17 $89.17 $89.17
9999123 $98.36 $98.36 $98.36 $98.36 $98.36 $98.36 $98.36
9999123 $127.20 $127.20 $127.20 $127.20 $127.20 $127.20 $127.20
9999123 $146.23 $146.23 $146.23 $146.23 $146.23 $146.23 $146.23
9999123 $165.24 $165.24 $165.24 $165.24 $165.24 $165.24 $165.24
9999123 $100.19 $100.19 $100.19 $100.19 $100.19 $100.19 $100.19
9999123 $110.40 $110.40 $110.40 $110.40 $110.40 $110.40 $110.40
9999123 $156.16 $156.16 $156.16 $156.16 $156.16 $156.16 $156.16
9999123 $121.79 $121.79 $121.79 $121.79 $121.79 $121.79 $121.79
9999123 $157.55 $157.55 $157.55 $157.55 $157.55 $157.55 $157.55
9999123 $181.12 $181.12 $181.12 $181.12 $181.12 $181.12 $181.12
9999123 $166.99 $166.99 $166.99 $166.99 $166.99 $166.99 $166.99
9999123 $204.70 $204.70 $204.70 $204.70 $204.70 $204.70 $204.70
9999123 $124.05 $124.05 $124.05 $124.05 $124.05 $124.05 $124.05
9999123 $127.70 $127.70 $127.70 $127.70 $127.70 $127.70 $127.70
9999123 $140.86 $140.86 $140.86 $140.86 $140.86 $140.86 $140.86
9999123 $182.23 $182.23 $182.23 $182.23 $182.23 $182.23 $182.23
9999123 $209.51 $209.51 $209.51 $209.51 $209.51 $209.51 $209.51
9999123 $236.78 $236.78 $236.78 $236.78 $236.78 $236.78 $236.78
9999123 $143.50 $143.50 $143.50 $143.50 $143.50 $143.50 $143.50
9999123 $151.03 $151.03 $151.03 $151.03 $151.03 $151.03 $151.03
9999123 $166.62 $166.62 $166.62 $166.62 $166.62 $166.62 $166.62
9999123 $215.63 $215.63 $215.63 $215.63 $215.63 $215.63 $215.63
9999123 $247.92 $247.92 $247.92 $247.92 $247.92 $247.92 $247.92
9999123 $280.21 $280.21 $280.21 $280.21 $280.21 $280.21 $280.21
9999123 $169.73 $169.73 $169.73 $169.73 $169.73 $169.73 $169.73
9999123 $157.90 $157.90 $157.90 $157.90 $157.90 $157.90 $157.90
9999123 $174.18 $174.18 $174.18 $174.18 $174.18 $174.18 $174.18
9999123 $225.44 $225.44 $225.44 $225.44 $225.44 $225.44 $225.44
9999123 $259.21 $259.21 $259.21 $259.21 $259.21 $259.21 $259.21
9999123 $292.98 $292.98 $292.98 $292.98 $292.98 $292.98 $292.98
9999123 $177.44 $177.44 $177.44 $177.44 $177.44 $177.44 $177.44
9999123 $193.99 $193.99 $224.62 $193.99 $224.62 $224.62 $193.99
9999123 $193.99 $193.99 $224.62 $193.99 $224.62 $224.62 $193.99
9999123 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99
9999123 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99
9999123 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99
9999123 $214.41 $214.41 $234.83 $214.41 $234.83 $234.83 $214.41
9999123 $214.41 $214.41 $234.83 $214.41 $234.83 $234.83 $214.41
9999123 $193.99 $193.99 $224.62 $193.99 $224.62 $224.62 $193.99
9999123 $193.99 $193.99 $224.62 $193.99 $224.62 $224.62 $193.99
9999123 $193.99 $193.99 $224.62 $193.99 $224.62 $224.62 $193.99
9991231 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99
9999123 $193.99 $193.99 $224.62 $193.99 $224.62 $224.62 $193.99
9999123 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $62.17 $62.17 $62.17 $62.17 $62.17 $62.17 $62.17
9999123 $68.50 $68.50 $68.50 $68.50 $68.50 $68.50 $68.50
9999123 $69.77 $69.77 $69.77 $69.77 $69.77 $69.77 $69.77
9999123 $87.51 $87.51 $87.51 $87.51 $87.51 $87.51 $87.51
9999123 $112.85 $112.85 $112.85 $112.85 $112.85 $112.85 $112.85
9999123 $138.20 $138.20 $138.20 $138.20 $138.20 $138.20 $138.20
9999123 $67.28 $67.28 $67.28 $67.28 $67.28 $67.28 $67.28
9999123 $74.14 $74.14 $74.14 $74.14 $74.14 $74.14 $74.14
9999123 $75.51 $75.51 $75.51 $75.51 $75.51 $75.51 $75.51
9999123 $94.71 $94.71 $94.71 $94.71 $94.71 $94.71 $94.71
9999123 $122.14 $122.14 $122.14 $122.14 $122.14 $122.14 $122.14
9999123 $149.57 $149.57 $149.57 $149.57 $149.57 $149.57 $149.57
99991231
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $262.16 $262.16 $262.16 $262.16 $262.16 $262.16 $262.16
9999123 $100.14 $100.14 $100.14 $100.14 $100.14 $100.14 $100.14
99991231
99991231
9999123 $3,456.00 $3,456.00 $3,456.00 $3,456.00 $3,456.00 $3,456.00 $3,456.00
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $238.45 $238.45 $238.45 $238.45 $238.45 $238.45 $238.45
9999123 $621.70 $621.70 $621.70 $621.70 $621.70 $621.70 $621.70
9999123 $621.70 $621.70 $621.70 $621.70 $621.70 $621.70 $621.70
9999123 $621.70 $621.70 $621.70 $621.70 $621.70 $621.70 $621.70
9999123 $621.70 $621.70 $621.70 $621.70 $621.70 $621.70 $621.70
9999123 $138.20 $138.20 $138.20 $138.20 $138.20 $138.20 $138.20
9999123 $142.35 $142.35 $142.35 $142.35 $142.35 $142.35 $142.35
9999123 $62.17 $62.17 $62.17 $62.17 $62.17 $62.17 $62.17
9999123 $64.04 $64.04 $64.04 $64.04 $64.04 $64.04 $64.04
9999123 $68.50 $68.50 $68.50 $68.50 $68.50 $68.50 $68.50
9999123 $70.56 $70.56 $70.56 $70.56 $70.56 $70.56 $70.56
9999123 $68.50 $68.50 $68.50 $68.50 $68.50 $68.50 $68.50
9999123 $70.56 $70.56 $70.56 $70.56 $70.56 $70.56 $70.56
9999123 $62.17 $62.17 $62.17 $62.17 $62.17 $62.17 $62.17
9999123 $64.04 $64.04 $64.04 $64.04 $64.04 $64.04 $64.04
9999123 $87.51 $87.51 $87.51 $87.51 $87.51 $87.51 $87.51
9999123 $90.14 $90.14 $90.14 $90.14 $90.14 $90.14 $90.14
9999123 $87.51 $87.51 $87.51 $87.51 $87.51 $87.51 $87.51
9999123 $90.14 $90.14 $90.14 $90.14 $90.14 $90.14 $90.14
9999123 $112.85 $112.85 $112.85 $112.85 $112.85 $112.85 $112.85
9999123 $116.24 $116.24 $116.24 $116.24 $116.24 $116.24 $116.24
9999123 $112.85 $112.85 $112.85 $112.85 $112.85 $112.85 $112.85
9999123 $116.24 $116.24 $116.24 $116.24 $116.24 $116.24 $116.24
9999123 $138.20 $138.20 $138.20 $138.20 $138.20 $138.20 $138.20
9999123 $142.35 $142.35 $142.35 $142.35 $142.35 $142.35 $142.35
9999123 $34.82 $34.82 $34.82 $34.82 $34.82 $34.82 $34.82
9999123 $35.86 $35.86 $35.86 $35.86 $35.86 $35.86 $35.86
9999123 $49.01 $49.01 $49.01 $49.01 $49.01 $49.01 $49.01
9999123 $50.48 $50.48 $50.48 $50.48 $50.48 $50.48 $50.48
9999123 $63.20 $63.20 $63.20 $63.20 $63.20 $63.20 $63.20
9999123 $65.09 $65.09 $65.09 $65.09 $65.09 $65.09 $65.09
9999123 $38.36 $38.36 $38.36 $38.36 $38.36 $38.36 $38.36
9999123 $39.51 $39.51 $39.51 $39.51 $39.51 $39.51 $39.51
9999123 $37.68 $37.68 $37.68 $37.68 $37.68 $37.68 $37.68
9999123 $38.72 $38.72 $38.72 $38.72 $38.72 $38.72 $38.72
9999123 $53.04 $53.04 $53.04 $53.04 $53.04 $53.04 $53.04
9999123 $54.51 $54.51 $54.51 $54.51 $54.51 $54.51 $54.51
9999123 $68.40 $68.40 $68.40 $68.40 $68.40 $68.40 $68.40
9999123 $70.30 $70.30 $70.30 $70.30 $70.30 $70.30 $70.30
9999123 $41.52 $41.52 $41.52 $41.52 $41.52 $41.52 $41.52
9999123 $42.67 $42.67 $42.67 $42.67 $42.67 $42.67 $42.67
9999123 $25.70 $25.70 $25.70 $25.70 $25.70 $25.70 $25.70
9999123 $26.47 $26.47 $26.47 $26.47 $26.47 $26.47 $26.47
9999123 $36.17 $36.17 $36.17 $36.17 $36.17 $36.17 $36.17
9999123 $37.26 $37.26 $37.26 $37.26 $37.26 $37.26 $37.26
9999123 $46.64 $46.64 $46.64 $46.64 $46.64 $46.64 $46.64
9999123 $48.05 $48.05 $48.05 $48.05 $48.05 $48.05 $48.05
9999123 $28.31 $28.31 $28.31 $28.31 $28.31 $28.31 $28.31
9999123 $29.16 $29.16 $29.16 $29.16 $29.16 $29.16 $29.16
9999123 $27.81 $27.81 $27.81 $27.81 $27.81 $27.81 $27.81
9999123 $28.58 $28.58 $28.58 $28.58 $28.58 $28.58 $28.58
9999123 $39.15 $39.15 $39.15 $39.15 $39.15 $39.15 $39.15
9999123 $40.23 $40.23 $40.23 $40.23 $40.23 $40.23 $40.23
9999123 $50.48 $50.48 $50.48 $50.48 $50.48 $50.48 $50.48
9999123 $51.89 $51.89 $51.89 $51.89 $51.89 $51.89 $51.89
9999123 $30.64 $30.64 $30.64 $30.64 $30.64 $30.64 $30.64
9999123 $31.50 $31.50 $31.50 $31.50 $31.50 $31.50 $31.50
9999123 $77.39 $77.39 $77.39 $77.39 $77.39 $77.39 $77.39
9999123 $79.72 $79.72 $79.72 $79.72 $79.72 $79.72 $79.72
9999123 $57.12 $57.12 $57.12 $57.12 $57.12 $57.12 $57.12
9999123 $58.84 $58.84 $58.84 $58.84 $58.84 $58.84 $58.84
9999123 $83.76 $83.76 $83.76 $83.76 $83.76 $83.76 $83.76
9999123 $86.08 $86.08 $86.08 $86.08 $86.08 $86.08 $86.08
9999123 $61.82 $61.82 $61.82 $61.82 $61.82 $61.82 $61.82
9999123 $63.54 $63.54 $63.54 $63.54 $63.54 $63.54 $63.54
9999123 $21.14 $21.14 $21.14 $21.14 $21.14 $21.14 $21.14
9999123 $21.77 $21.77 $21.77 $21.77 $21.77 $21.77 $21.77
9999123 $23.29 $23.29 $23.29 $23.29 $23.29 $23.29 $23.29
9999123 $23.99 $23.99 $23.99 $23.99 $23.99 $23.99 $23.99
9999123 $29.75 $29.75 $29.75 $29.75 $29.75 $29.75 $29.75
9999123 $30.65 $30.65 $30.65 $30.65 $30.65 $30.65 $30.65
9999123 $38.37 $38.37 $38.37 $38.37 $38.37 $38.37 $38.37
9999123 $39.52 $39.52 $39.52 $39.52 $39.52 $39.52 $39.52
9999123 $46.99 $46.99 $46.99 $46.99 $46.99 $46.99 $46.99
9999123 $48.40 $48.40 $48.40 $48.40 $48.40 $48.40 $48.40
9999123 $18.40 $18.40 $18.40 $18.40 $18.40 $18.40 $18.40
9999123 $18.96 $18.96 $18.96 $18.96 $18.96 $18.96 $18.96
9999123 $20.28 $20.28 $20.28 $20.28 $20.28 $20.28 $20.28
9999123 $20.89 $20.89 $20.89 $20.89 $20.89 $20.89 $20.89
9999123 $25.90 $25.90 $25.90 $25.90 $25.90 $25.90 $25.90
9999123 $26.68 $26.68 $26.68 $26.68 $26.68 $26.68 $26.68
9999123 $33.40 $33.40 $33.40 $33.40 $33.40 $33.40 $33.40
9999123 $34.41 $34.41 $34.41 $34.41 $34.41 $34.41 $34.41
9999123 $40.91 $40.91 $40.91 $40.91 $40.91 $40.91 $40.91
9999123 $42.14 $42.14 $42.14 $42.14 $42.14 $42.14 $42.14
9999123 $22.88 $22.88 $22.88 $22.88 $22.88 $22.88 $22.88
9999123 $23.51 $23.51 $23.51 $23.51 $23.51 $23.51 $23.51
9999123 $25.21 $25.21 $25.21 $25.21 $25.21 $25.21 $25.21
9999123 $25.91 $25.91 $25.91 $25.91 $25.91 $25.91 $25.91
9999123 $32.20 $32.20 $32.20 $32.20 $32.20 $32.20 $32.20
9999123 $33.10 $33.10 $33.10 $33.10 $33.10 $33.10 $33.10
9999123 $41.53 $41.53 $41.53 $41.53 $41.53 $41.53 $41.53
9999123 $42.68 $42.68 $42.68 $42.68 $42.68 $42.68 $42.68
9999123 $50.85 $50.85 $50.85 $50.85 $50.85 $50.85 $50.85
9999123 $52.26 $52.26 $52.26 $52.26 $52.26 $52.26 $52.26
9999123 $19.91 $19.91 $19.91 $19.91 $19.91 $19.91 $19.91
9999123 $20.47 $20.47 $20.47 $20.47 $20.47 $20.47 $20.47
9999123 $21.95 $21.95 $21.95 $21.95 $21.95 $21.95 $21.95
9999123 $22.56 $22.56 $22.56 $22.56 $22.56 $22.56 $22.56
9999123 $28.03 $28.03 $28.03 $28.03 $28.03 $28.03 $28.03
9999123 $28.81 $28.81 $28.81 $28.81 $28.81 $28.81 $28.81
9999123 $36.15 $36.15 $36.15 $36.15 $36.15 $36.15 $36.15
9999123 $37.16 $37.16 $37.16 $37.16 $37.16 $37.16 $37.16
9999123 $44.27 $44.27 $44.27 $44.27 $44.27 $44.27 $44.27
9999123 $45.50 $45.50 $45.50 $45.50 $45.50 $45.50 $45.50
9999123 $64.45 $64.45 $64.45 $64.45 $64.45 $64.45 $64.45
9999123 $66.32 $66.32 $66.32 $66.32 $66.32 $66.32 $66.32
9999123 $70.78 $70.78 $70.78 $70.78 $70.78 $70.78 $70.78
9999123 $72.84 $72.84 $72.84 $72.84 $72.84 $72.84 $72.84
9999123 $89.79 $89.79 $89.79 $89.79 $89.79 $89.79 $89.79
9999123 $92.42 $92.42 $92.42 $92.42 $92.42 $92.42 $92.42
9999123 $115.13 $115.13 $115.13 $115.13 $115.13 $115.13 $115.13
9999123 $118.52 $118.52 $118.52 $118.52 $118.52 $118.52 $118.52
9999123 $140.48 $140.48 $140.48 $140.48 $140.48 $140.48 $140.48
9999123 $144.63 $144.63 $144.63 $144.63 $144.63 $144.63 $144.63
9999123 $37.10 $37.10 $37.10 $37.10 $37.10 $37.10 $37.10
9999123 $38.14 $38.14 $38.14 $38.14 $38.14 $38.14 $38.14
9999123 $40.64 $40.64 $40.64 $40.64 $40.64 $40.64 $40.64
9999123 $41.79 $41.79 $41.79 $41.79 $41.79 $41.79 $41.79
9999123 $51.29 $51.29 $51.29 $51.29 $51.29 $51.29 $51.29
9999123 $52.76 $52.76 $52.76 $52.76 $52.76 $52.76 $52.76
9999123 $65.48 $65.48 $65.48 $65.48 $65.48 $65.48 $65.48
9999123 $67.37 $67.37 $67.37 $67.37 $67.37 $67.37 $67.37
9999123 $79.67 $79.67 $79.67 $79.67 $79.67 $79.67 $79.67
9999123 $82.00 $82.00 $82.00 $82.00 $82.00 $82.00 $82.00
9999123 $27.98 $27.98 $27.98 $27.98 $27.98 $27.98 $27.98
9999123 $28.75 $28.75 $28.75 $28.75 $28.75 $28.75 $28.75
9999123 $30.59 $30.59 $30.59 $30.59 $30.59 $30.59 $30.59
9999123 $31.44 $31.44 $31.44 $31.44 $31.44 $31.44 $31.44
9999123 $38.45 $38.45 $38.45 $38.45 $38.45 $38.45 $38.45
9999123 $39.54 $39.54 $39.54 $39.54 $39.54 $39.54 $39.54
9999123 $48.92 $48.92 $48.92 $48.92 $48.92 $48.92 $48.92
9999123 $50.33 $50.33 $50.33 $50.33 $50.33 $50.33 $50.33
9999123 $59.40 $59.40 $59.40 $59.40 $59.40 $59.40 $59.40
9999123 $61.12 $61.12 $61.12 $61.12 $61.12 $61.12 $61.12
9999123 $23.42 $23.42 $23.42 $23.42 $23.42 $23.42 $23.42
9999123 $24.05 $24.05 $24.05 $24.05 $24.05 $24.05 $24.05
9999123 $25.57 $25.57 $25.57 $25.57 $25.57 $25.57 $25.57
9999123 $26.27 $26.27 $26.27 $26.27 $26.27 $26.27 $26.27
9999123 $32.03 $32.03 $32.03 $32.03 $32.03 $32.03 $32.03
9999123 $32.93 $32.93 $32.93 $32.93 $32.93 $32.93 $32.93
9999123 $40.65 $40.65 $40.65 $40.65 $40.65 $40.65 $40.65
9999123 $41.80 $41.80 $41.80 $41.80 $41.80 $41.80 $41.80
9999123 $49.27 $49.27 $49.27 $49.27 $49.27 $49.27 $49.27
9999123 $50.68 $50.68 $50.68 $50.68 $50.68 $50.68 $50.68
9999123 $20.68 $20.68 $20.68 $20.68 $20.68 $20.68 $20.68
9999123 $21.24 $21.24 $21.24 $21.24 $21.24 $21.24 $21.24
9999123 $22.56 $22.56 $22.56 $22.56 $22.56 $22.56 $22.56
9999123 $23.17 $23.17 $23.17 $23.17 $23.17 $23.17 $23.17
9999123 $28.18 $28.18 $28.18 $28.18 $28.18 $28.18 $28.18
9999123 $28.96 $28.96 $28.96 $28.96 $28.96 $28.96 $28.96
9999123 $35.68 $35.68 $35.68 $35.68 $35.68 $35.68 $35.68
9999123 $36.69 $36.69 $36.69 $36.69 $36.69 $36.69 $36.69
9999123 $43.19 $43.19 $43.19 $43.19 $43.19 $43.19 $43.19
9999123 $44.42 $44.42 $44.42 $44.42 $44.42 $44.42 $44.42
9999123 $69.56 $69.56 $69.56 $69.56 $69.56 $69.56 $69.56
9999123 $71.43 $71.43 $71.43 $71.43 $71.43 $71.43 $71.43
9999123 $76.42 $76.42 $76.42 $76.42 $76.42 $76.42 $76.42
9999123 $78.48 $78.48 $78.48 $78.48 $78.48 $78.48 $78.48
9999123 $96.99 $96.99 $96.99 $96.99 $96.99 $96.99 $96.99
9999123 $99.62 $99.62 $99.62 $99.62 $99.62 $99.62 $99.62
9999123 $124.42 $124.42 $124.42 $124.42 $124.42 $124.42 $124.42
9999123 $127.81 $127.81 $127.81 $127.81 $127.81 $127.81 $127.81
9999123 $151.85 $151.85 $151.85 $151.85 $151.85 $151.85 $151.85
9999123 $156.00 $156.00 $156.00 $156.00 $156.00 $156.00 $156.00
9999123 $39.96 $39.96 $39.96 $39.96 $39.96 $39.96 $39.96
9999123 $41.00 $41.00 $41.00 $41.00 $41.00 $41.00 $41.00
9999123 $43.80 $43.80 $43.80 $43.80 $43.80 $43.80 $43.80
9999123 $44.95 $44.95 $44.95 $44.95 $44.95 $44.95 $44.95
9999123 $55.32 $55.32 $55.32 $55.32 $55.32 $55.32 $55.32
9999123 $56.79 $56.79 $56.79 $56.79 $56.79 $56.79 $56.79
9999123 $70.68 $70.68 $70.68 $70.68 $70.68 $70.68 $70.68
9999123 $72.58 $72.58 $72.58 $72.58 $72.58 $72.58 $72.58
9999123 $86.04 $86.04 $86.04 $86.04 $86.04 $86.04 $86.04
9999123 $88.36 $88.36 $88.36 $88.36 $88.36 $88.36 $88.36
9999123 $30.09 $30.09 $30.09 $30.09 $30.09 $30.09 $30.09
9999123 $30.86 $30.86 $30.86 $30.86 $30.86 $30.86 $30.86
9999123 $32.92 $32.92 $32.92 $32.92 $32.92 $32.92 $32.92
9999123 $33.78 $33.78 $33.78 $33.78 $33.78 $33.78 $33.78
9999123 $41.43 $41.43 $41.43 $41.43 $41.43 $41.43 $41.43
9999123 $42.51 $42.51 $42.51 $42.51 $42.51 $42.51 $42.51
9999123 $52.76 $52.76 $52.76 $52.76 $52.76 $52.76 $52.76
9999123 $54.17 $54.17 $54.17 $54.17 $54.17 $54.17 $54.17
9999123 $64.10 $64.10 $64.10 $64.10 $64.10 $64.10 $64.10
9999123 $65.82 $65.82 $65.82 $65.82 $65.82 $65.82 $65.82
9999123 $25.16 $25.16 $25.16 $25.16 $25.16 $25.16 $25.16
9999123 $25.79 $25.79 $25.79 $25.79 $25.79 $25.79 $25.79
9999123 $27.49 $27.49 $27.49 $27.49 $27.49 $27.49 $27.49
9999123 $28.19 $28.19 $28.19 $28.19 $28.19 $28.19 $28.19
9999123 $34.48 $34.48 $34.48 $34.48 $34.48 $34.48 $34.48
9999123 $35.38 $35.38 $35.38 $35.38 $35.38 $35.38 $35.38
9999123 $43.81 $43.81 $43.81 $43.81 $43.81 $43.81 $43.81
9999123 $44.96 $44.96 $44.96 $44.96 $44.96 $44.96 $44.96
9999123 $53.13 $53.13 $53.13 $53.13 $53.13 $53.13 $53.13
9999123 $54.54 $54.54 $54.54 $54.54 $54.54 $54.54 $54.54
9999123 $22.19 $22.19 $22.19 $22.19 $22.19 $22.19 $22.19
9999123 $22.75 $22.75 $22.75 $22.75 $22.75 $22.75 $22.75
9999123 $24.23 $24.23 $24.23 $24.23 $24.23 $24.23 $24.23
9999123 $24.84 $24.84 $24.84 $24.84 $24.84 $24.84 $24.84
9999123 $30.31 $30.31 $30.31 $30.31 $30.31 $30.31 $30.31
9999123 $31.09 $31.09 $31.09 $31.09 $31.09 $31.09 $31.09
9999123 $38.43 $38.43 $38.43 $38.43 $38.43 $38.43 $38.43
9999123 $39.44 $39.44 $39.44 $39.44 $39.44 $39.44 $39.44
9999123 $46.55 $46.55 $46.55 $46.55 $46.55 $46.55 $46.55
9999123 $47.78 $47.78 $47.78 $47.78 $47.78 $47.78 $47.78
99991231
9999123 $67.28 $67.28 $67.28 $67.28 $67.28 $67.28 $67.28
9999123 $69.15 $69.15 $69.15 $69.15 $69.15 $69.15 $69.15
9999123 $74.14 $74.14 $74.14 $74.14 $74.14 $74.14 $74.14
9999123 $76.20 $76.20 $76.20 $76.20 $76.20 $76.20 $76.20
9999123 $94.71 $94.71 $94.71 $94.71 $94.71 $94.71 $94.71
9999123 $97.34 $97.34 $97.34 $97.34 $97.34 $97.34 $97.34
9999123 $122.14 $122.14 $122.14 $122.14 $122.14 $122.14 $122.14
9999123 $125.53 $125.53 $125.53 $125.53 $125.53 $125.53 $125.53
9999123 $149.57 $149.57 $149.57 $149.57 $149.57 $149.57 $149.57
9999123 $153.72 $153.72 $153.72 $153.72 $153.72 $153.72 $153.72
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $2.28 $2.28 $2.28 $2.28 $2.28 $2.28 $2.28
9999123 $2.28 $2.28 $2.28 $2.28 $2.28 $2.28 $2.28
9999123 $2.28 $2.28 $2.28 $2.28 $2.28 $2.28 $2.28
9999123 $67.28 $67.28 $67.28 $67.28 $67.28 $67.28 $67.28
9999123 $69.15 $69.15 $69.15 $69.15 $69.15 $69.15 $69.15
9999123 $74.14 $74.14 $74.14 $74.14 $74.14 $74.14 $74.14
9999123 $76.20 $76.20 $76.20 $76.20 $76.20 $76.20 $76.20
9999123 $94.71 $94.71 $94.71 $94.71 $94.71 $94.71 $94.71
9999123 $97.34 $97.34 $97.34 $97.34 $97.34 $97.34 $97.34
9999123 $122.14 $122.14 $122.14 $122.14 $122.14 $122.14 $122.14
9999123 $125.53 $125.53 $125.53 $125.53 $125.53 $125.53 $125.53
9999123 $149.57 $149.57 $149.57 $149.57 $149.57 $149.57 $149.57
9999123 $153.72 $153.72 $153.72 $153.72 $153.72 $153.72 $153.72
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $62.17 $62.17 $62.17 $62.17 $62.17 $62.17 $62.17
9999123 $64.04 $64.04 $64.04 $64.04 $64.04 $64.04 $64.04
9999123 $68.50 $68.50 $68.50 $68.50 $68.50 $68.50 $68.50
9999123 $70.56 $70.56 $70.56 $70.56 $70.56 $70.56 $70.56
9999123 $87.51 $87.51 $87.51 $87.51 $87.51 $87.51 $87.51
9999123 $90.14 $90.14 $90.14 $90.14 $90.14 $90.14 $90.14
9999123 $112.85 $112.85 $112.85 $112.85 $112.85 $112.85 $112.85
9999123 $116.24 $116.24 $116.24 $116.24 $116.24 $116.24 $116.24
9999123 $138.20 $138.20 $138.20 $138.20 $138.20 $138.20 $138.20
9999123 $142.35 $142.35 $142.35 $142.35 $142.35 $142.35 $142.35
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $505.58 $505.58 $505.58 $505.58 $505.58 $505.58 $505.58
9999123 $1,127.20 $1,127.20 $1,127.20 $1,127.20 $1,127.20 $1,127.20 $1,127.20
9999123 $4,161.96 $4,161.96 $4,161.96 $4,161.96 $4,161.96 $4,161.96 $4,161.96
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
99991231
99991231
99991231
99991231
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
99991231
99991231
99991231
99991231
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
99991231
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
99991231
99991231
99991231
99991231
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
99991231
99991231
9999123 $70.87 $70.87 $70.87 $70.87 $70.87 $70.87 $70.87
9999123 $100.14 $100.14 $100.14 $100.14 $100.14 $100.14 $100.14
9999123 $190.54 $190.54 $190.54 $190.54 $190.54 $190.54 $190.54
9999123 $93.34 $93.34 $93.34 $93.34 $93.34 $93.34 $93.34
9999123 $102.86 $102.86 $102.86 $102.86 $102.86 $102.86 $102.86
9999123 $104.76 $104.76 $104.76 $104.76 $104.76 $104.76 $104.76
9999123 $131.40 $131.40 $131.40 $131.40 $131.40 $131.40 $131.40
9999123 $169.45 $169.45 $169.45 $169.45 $169.45 $169.45 $169.45
9999123 $207.50 $207.50 $207.50 $207.50 $207.50 $207.50 $207.50
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $70.87 $70.87 $70.87 $70.87 $70.87 $70.87 $70.87
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $70.87 $70.87 $70.87 $70.87 $70.87 $70.87 $70.87
99991231
9999123 $70.87 $70.87 $70.87 $70.87 $70.87 $70.87 $70.87
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99
99991231
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $2.28 $2.28 $2.28 $2.28 $2.28 $2.28 $2.28
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $214.41 $214.41 $234.83 $214.41 $234.83 $234.83 $214.41
9999123 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99
9999123 $70.87 $70.87 $70.87 $70.87 $70.87 $70.87 $70.87
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99
9999123 $166.99 $166.99 $166.99 $166.99 $166.99 $166.99 $166.99
9999123 $166.99 $166.99 $166.99 $166.99 $166.99 $166.99 $166.99
9999123 $59.81 $59.81 $59.81 $59.81 $59.81 $59.81 $59.81
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $70.87 $70.87 $70.87 $70.87 $70.87 $70.87 $70.87
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $232.35 $232.35 $232.35 $232.35 $232.35 $232.35 $232.35
9999123 $104.45 $104.45 $104.45 $104.45 $104.45 $104.45 $104.45
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $214.41 $214.41 $234.83 $214.41 $234.83 $234.83 $214.41
9999123 $193.99 $193.99 $224.62 $193.99 $224.62 $224.62 $193.99
9991231 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99
9999123 $56.16 $56.16 $56.16 $56.16 $56.16 $56.16 $56.16
9999123 $86.79 $86.79 $86.79 $86.79 $86.79 $86.79 $86.79
9999123 $62.17 $62.17 $62.17 $62.17 $62.17 $62.17 $62.17
9999123 $62.17 $62.17 $62.17 $62.17 $62.17 $62.17 $62.17
9999123 $70.87 $70.87 $70.87 $70.87 $70.87 $70.87 $70.87
9999123 $156.16 $156.16 $156.16 $156.16 $156.16 $156.16 $156.16
9999123 $45.71 $45.71 $45.71 $45.71 $45.71 $45.71 $45.71
99991231
9999123 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99
99991231
9999123 $56.16 $56.16 $56.16 $56.16 $56.16 $56.16 $56.16
9999123 $86.79 $86.79 $86.79 $86.79 $86.79 $86.79 $86.79
9999123 $214.41 $214.41 $234.83 $214.41 $234.83 $234.83 $214.41
9999123 $193.99 $193.99 $224.62 $193.99 $224.62 $224.62 $193.99
9991231 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99
9999123 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99
9999123 $166.99 $166.99 $166.99 $166.99 $166.99 $166.99 $166.99
9999123 $166.99 $166.99 $166.99 $166.99 $166.99 $166.99 $166.99
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $89.17 $89.17 $89.17 $89.17 $89.17 $89.17 $89.17
9999123 $98.36 $98.36 $98.36 $98.36 $98.36 $98.36 $98.36
9999123 $127.20 $127.20 $127.20 $127.20 $127.20 $127.20 $127.20
9999123 $146.23 $146.23 $146.23 $146.23 $146.23 $146.23 $146.23
9999123 $165.24 $165.24 $165.24 $165.24 $165.24 $165.24 $165.24
9999123 $100.19 $100.19 $100.19 $100.19 $100.19 $100.19 $100.19
9999123 $110.40 $110.40 $110.40 $110.40 $110.40 $110.40 $110.40
9999123 $121.79 $121.79 $121.79 $121.79 $121.79 $121.79 $121.79
9999123 $157.55 $157.55 $157.55 $157.55 $157.55 $157.55 $157.55
9999123 $181.12 $181.12 $181.12 $181.12 $181.12 $181.12 $181.12
9999123 $204.70 $204.70 $204.70 $204.70 $204.70 $204.70 $204.70
9999123 $124.05 $124.05 $124.05 $124.05 $124.05 $124.05 $124.05
9999123 $127.70 $127.70 $127.70 $127.70 $127.70 $127.70 $127.70
9999123 $140.86 $140.86 $140.86 $140.86 $140.86 $140.86 $140.86
9999123 $182.23 $182.23 $182.23 $182.23 $182.23 $182.23 $182.23
9999123 $209.51 $209.51 $209.51 $209.51 $209.51 $209.51 $209.51
9999123 $236.78 $236.78 $236.78 $236.78 $236.78 $236.78 $236.78
9999123 $143.50 $143.50 $143.50 $143.50 $143.50 $143.50 $143.50
9999123 $151.03 $151.03 $151.03 $151.03 $151.03 $151.03 $151.03
9999123 $166.62 $166.62 $166.62 $166.62 $166.62 $166.62 $166.62
9999123 $215.63 $215.63 $215.63 $215.63 $215.63 $215.63 $215.63
9999123 $247.92 $247.92 $247.92 $247.92 $247.92 $247.92 $247.92
9999123 $280.21 $280.21 $280.21 $280.21 $280.21 $280.21 $280.21
9999123 $169.73 $169.73 $169.73 $169.73 $169.73 $169.73 $169.73
9999123 $157.90 $157.90 $157.90 $157.90 $157.90 $157.90 $157.90
9999123 $174.18 $174.18 $174.18 $174.18 $174.18 $174.18 $174.18
9999123 $225.44 $225.44 $225.44 $225.44 $225.44 $225.44 $225.44
9999123 $259.21 $259.21 $259.21 $259.21 $259.21 $259.21 $259.21
9999123 $292.98 $292.98 $292.98 $292.98 $292.98 $292.98 $292.98
9999123 $177.44 $177.44 $177.44 $177.44 $177.44 $177.44 $177.44
9999123 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99
9999123 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99
9999123 $166.83 $166.83 $166.83 $166.83 $166.83 $166.83 $166.83
9999123 $156.16 $156.16 $156.16 $156.16 $156.16 $156.16 $156.16
9999123 $166.99 $166.99 $166.99 $166.99 $166.99 $166.99 $166.99
9999123 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99
9999123 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99
9999123 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99
9999123 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99
9999123 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99
9999123 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99
9999123 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99
9999123 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99
9999123 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99
9999123 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99 $193.99
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
9999123 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00
99991231
WA P01 P02 Non-Face-
Provider TraveShort NotNDIA ReqIrregular
$69.77 $97.68 $104.66 Y Y Y N N
$71.86 $100.60 $107.79 Y Y Y N N
NA NA NA NA NA
$52.73 $73.82 $79.09 Y Y Y N N
$262.16 $367.02 $393.24 Y Y Y N N
$62.17 $87.04 $93.26 Y Y Y N N
$64.04 $89.66 $96.06 Y Y Y N N
$138.20 $193.48 $207.30 Y Y Y N N
$142.35 $199.29 $213.53 Y Y Y N N
$87.51 $122.51 $131.27 Y Y Y N N
$90.14 $126.20 $135.21 Y Y Y N N
$112.85 $157.99 $169.28 Y Y Y N N
$116.24 $162.74 $174.36 Y Y Y N N
$68.50 $95.90 $102.75 Y Y Y N N
$70.56 $98.78 $105.84 Y Y Y N N
$52.73 $73.82 $79.09 Y Y Y N N
NA NA NA NA NA
$50.87 $71.22 $76.31 Y Y Y N N
$51.81 $72.53 $77.71 Y Y Y N N
NA NA NA NA NA
NA NA NA NA NA
$1.00 $1.00 $1.00 NA NA NA NA NA
NA NA NA NA NA
NA NA NA NA NA
$626.62 $877.27 $939.93 N N Y N N
NA NA NA NA NA
$621.70 $870.38 $932.55 N N N N N
$621.70 $870.38 $932.55 N N N N N
N N N N N
N N N N N
$761.02 $1,065.43 $1,141.53 N N Y N N
$925.60 $1,295.84 $1,388.40 N N Y N N
$1,090.18 $1,526.25 $1,635.27 N N Y N N
$1,060.48 $1,484.67 $1,590.72 N N Y N N
$1,329.28 $1,860.99 $1,993.92 N N Y N N
$1,658.44 $2,321.82 $2,487.66 N N Y N N
$1,987.60 $2,782.64 $2,981.40 N N Y N N
$1,928.20 $2,699.48 $2,892.30 N N Y N N
$2,465.80 $3,452.12 $3,698.70 N N Y N N
$3,124.12 $4,373.77 $4,686.18 N N Y N N
$3,782.44 $5,295.42 $5,673.66 N N Y N N
$771.24 $1,079.74 $1,156.86 N N Y N N
$950.44 $1,330.62 $1,425.66 N N Y N N
$1,169.88 $1,637.83 $1,754.82 N N Y N N
$1,389.32 $1,945.05 $2,083.98 N N Y N N
$1,365.88 $1,912.23 $2,048.82 N N N N N
$137.15 $192.01 $205.73 N N Y N N
$70.87 $99.22 $106.31 Y Y Y N N
$62.17 $87.04 $93.26 N N Y N N
$68.50 $95.90 $102.75 N N Y N N
$87.51 $122.51 $131.27 N N Y N N
$112.85 $157.99 $169.28 N N Y N N
$138.20 $193.48 $207.30 N N Y N N
$69.77 $97.68 $104.66 N N Y N N
$67.28 $94.19 $100.92 Y Y Y N N
$69.15 $96.81 $103.73 Y Y Y N N
$74.14 $103.80 $111.21 Y Y Y N N
$76.20 $106.68 $114.30 Y Y Y N N
$94.71 $132.59 $142.07 Y Y Y N N
$97.34 $136.28 $146.01 Y Y Y N N
$122.14 $171.00 $183.21 Y Y Y N N
$125.53 $175.74 $188.30 Y Y Y N N
$149.57 $209.40 $224.36 Y Y Y N N
$153.72 $215.21 $230.58 Y Y Y N N
$75.51 $105.71 $113.27 Y Y Y N N
$77.60 $108.64 $116.40 Y Y Y N N
$89.17 $124.84 $133.75 Y Y Y Y N
$98.36 $137.70 $147.54 Y Y Y Y N
$127.20 $178.09 $190.81 Y Y Y Y N
$146.23 $204.72 $219.34 Y Y Y Y N
$165.24 $231.34 $247.86 Y Y Y Y N
$100.19 $140.27 $150.29 Y Y Y Y N
$110.40 $154.56 $165.61 Y Y Y Y N
$156.16 $218.62 $234.24 Y Y Y Y N
$121.79 $170.50 $182.69 Y Y Y Y N
$157.55 $220.57 $236.33 Y Y Y Y N
$181.12 $253.57 $271.69 Y Y Y Y N
$166.99 $233.79 $250.49 Y Y Y Y N
$204.70 $286.57 $307.05 Y Y Y Y N
$124.05 $173.67 $186.08 Y Y Y Y N
$127.70 $178.78 $191.55 Y Y Y Y N
$140.86 $197.21 $211.29 Y Y Y Y N
$182.23 $255.13 $273.36 Y Y Y Y N
$209.51 $293.32 $314.28 Y Y Y Y N
$236.78 $331.50 $355.17 Y Y Y Y N
$143.50 $200.90 $215.25 Y Y Y Y N
$151.03 $211.45 $226.55 Y Y Y Y N
$166.62 $233.26 $249.93 Y Y Y Y N
$215.63 $301.88 $323.45 Y Y Y Y N
$247.92 $347.09 $371.88 Y Y Y Y N
$280.21 $392.29 $420.32 Y Y Y Y N
$169.73 $237.62 $254.59 Y Y Y Y N
$157.90 $221.06 $236.85 Y Y Y Y N
$174.18 $243.85 $261.28 Y Y Y Y N
$225.44 $315.61 $338.16 Y Y Y Y N
$259.21 $362.89 $388.82 Y Y Y Y N
$292.98 $410.16 $439.47 Y Y Y Y N
$177.44 $248.41 $266.16 Y Y Y Y N
$224.62 $314.47 $336.93 Y Y Y Y N
$224.62 $314.47 $336.93 Y Y Y Y N
$193.99 $271.59 $290.99 Y Y Y Y N
$193.99 $271.59 $290.99 Y Y Y Y N
$193.99 $271.59 $290.99 Y Y Y Y N
$234.83 $328.76 $352.25 Y Y Y Y N
$234.83 $328.76 $352.25 Y Y Y Y N
$224.62 $314.47 $336.93 Y Y Y Y N
$224.62 $314.47 $336.93 Y Y Y Y N
$224.62 $314.47 $336.93 Y Y Y Y N
$193.99 $271.59 $290.99 Y Y Y Y N
$224.62 $314.47 $336.93 Y Y Y Y N
$193.99 $271.59 $290.99 Y Y Y Y N
$1.00 $1.00 $1.00 N N N N N
$1.00 $1.00 $1.00 N N N N N
$1.00 $1.00 $1.00 N N N N N
$1.00 $1.00 $1.00 N N N N N
$1.00 $1.00 $1.00 N N N N N
$1.00 $1.00 $1.00 N N N N N
$1.00 $1.00 $1.00 N N N N N
$1.00 $1.00 $1.00 N N N N N
$1.00 $1.00 $1.00 N N N N N
$1.00 $1.00 $1.00 N N N N N
$62.17 $87.04 $93.26 Y Y Y N Y
$68.50 $95.90 $102.75 Y Y Y N Y
$69.77 $97.68 $104.66 Y Y Y N Y
$87.51 $122.51 $131.27 Y Y Y N Y
$112.85 $157.99 $169.28 Y Y Y N Y
$138.20 $193.48 $207.30 Y Y Y N Y
$67.28 $94.19 $100.92 Y Y Y N Y
$74.14 $103.80 $111.21 Y Y Y N Y
$75.51 $105.71 $113.27 Y Y Y N Y
$94.71 $132.59 $142.07 Y Y Y N Y
$122.14 $171.00 $183.21 Y Y Y N Y
$149.57 $209.40 $224.36 Y Y Y N Y
N N Y N Y
N N N N N
$1.00 $1.00 $1.00 N N Y N N
$262.16 $367.02 $393.24 Y Y Y N Y
$100.14 $140.19 $150.21 Y Y Y Y N
NA NA NA NA NA
NA NA NA NA NA
$3,456.00 $4,078.08 $4,250.88 N N N N N
NA NA NA NA NA
$1.00 $1.00 $1.00 N N N N N
N N N N N
$1.00 $1.00 $1.00 N N N N N
NA NA NA NA NA
NA NA NA NA NA
$1.00 $1.00 $1.00 N N N N N
NA NA NA NA NA
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
$1.00 $1.00 $1.00 N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
N N N N N
$1.00 $1.00 $1.00 N N N N N
$1.00 $1.00 $1.00 N N N N N
$1.00 $1.00 $1.00 N N N N N
$1.00 $1.00 $1.00 N N N N N
N N N N N
$1.00 $1.00 $1.00 N N N N N
$238.45 $238.45 $238.45 N N N N N
$621.70 $870.38 $932.55 N N N N N
$621.70 $870.38 $932.55 N N N N N
$621.70 $870.38 $932.55 N N N N N
$621.70 $870.38 $932.55 N N N N N
$138.20 $193.48 $207.30 Y Y Y N N
$142.35 $199.29 $213.53 Y Y Y N N
$62.17 $87.04 $93.26 Y Y Y N N
$64.04 $89.66 $96.06 Y Y Y N N
$68.50 $95.90 $102.75 Y Y Y N N
$70.56 $98.78 $105.84 Y Y Y N N
$68.50 $95.90 $102.75 Y Y Y N N
$70.56 $98.78 $105.84 Y Y Y N N
$62.17 $87.04 $93.26 Y Y Y N N
$64.04 $89.66 $96.06 Y Y Y N N
$87.51 $122.51 $131.27 Y Y Y N N
$90.14 $126.20 $135.21 Y Y Y N N
$87.51 $122.51 $131.27 Y Y Y N N
$90.14 $126.20 $135.21 Y Y Y N N
$112.85 $157.99 $169.28 Y Y Y N N
$116.24 $162.74 $174.36 Y Y Y N N
$112.85 $157.99 $169.28 Y Y Y N N
$116.24 $162.74 $174.36 Y Y Y N N
$138.20 $193.48 $207.30 Y Y Y N N
$142.35 $199.29 $213.53 Y Y Y N N
$34.82 $48.75 $52.23 N Y Y N N
$35.86 $50.20 $53.79 N Y Y N N
$49.01 $68.61 $73.52 N Y Y N N
$50.48 $70.67 $75.72 N Y Y N N
$63.20 $88.48 $94.80 N Y Y N N
$65.09 $91.13 $97.64 N Y Y N N
$38.36 $53.70 $57.54 N Y Y N N
$39.51 $55.31 $59.27 N Y Y N N
$37.68 $52.75 $56.52 N Y Y N N
$38.72 $54.21 $58.08 N Y Y N N
$53.04 $74.26 $79.56 N Y Y N N
$54.51 $76.31 $81.77 N Y Y N N
$68.40 $95.76 $102.60 N Y Y N N
$70.30 $98.42 $105.45 N Y Y N N
$41.52 $58.13 $62.28 N Y Y N N
$42.67 $59.74 $64.01 N Y Y N N
$25.70 $35.98 $38.55 N Y Y N N
$26.47 $37.06 $39.71 N Y Y N N
$36.17 $50.64 $54.26 N Y Y N N
$37.26 $52.16 $55.89 N Y Y N N
$46.64 $65.30 $69.96 N Y Y N N
$48.05 $67.27 $72.08 N Y Y N N
$28.31 $39.63 $42.47 N Y Y N N
$29.16 $40.82 $43.74 N Y Y N N
$27.81 $38.93 $41.72 N Y Y N N
$28.58 $40.01 $42.87 N Y Y N N
$39.15 $54.81 $58.73 N Y Y N N
$40.23 $56.32 $60.35 N Y Y N N
$50.48 $70.67 $75.72 N Y Y N N
$51.89 $72.65 $77.84 N Y Y N N
$30.64 $42.90 $45.96 N Y Y N N
$31.50 $44.10 $47.25 N Y Y N N
$77.39 $108.35 $116.09 N Y Y N N
$79.72 $111.61 $119.58 N Y Y N N
$57.12 $79.97 $85.68 N Y Y N N
$58.84 $82.38 $88.26 N Y Y N N
$83.76 $117.26 $125.64 N Y Y N N
$86.08 $120.51 $129.12 N Y Y N N
$61.82 $86.55 $92.73 N Y Y N N
$63.54 $88.96 $95.31 N Y Y N N
$21.14 $29.60 $31.71 N Y Y N N
$21.77 $30.48 $32.66 N Y Y N N
$23.29 $32.61 $34.94 N Y Y N N
$23.99 $33.59 $35.99 N Y Y N N
$29.75 $41.65 $44.63 N Y Y N N
$30.65 $42.91 $45.98 N Y Y N N
$38.37 $53.72 $57.56 N Y Y N N
$39.52 $55.33 $59.28 N Y Y N N
$46.99 $65.79 $70.49 N Y Y N N
$48.40 $67.76 $72.60 N Y Y N N
$18.40 $25.76 $27.60 N Y Y N N
$18.96 $26.54 $28.44 N Y Y N N
$20.28 $28.39 $30.42 N Y Y N N
$20.89 $29.25 $31.34 N Y Y N N
$25.90 $36.26 $38.85 N Y Y N N
$26.68 $37.35 $40.02 N Y Y N N
$33.40 $46.76 $50.10 N Y Y N N
$34.41 $48.17 $51.62 N Y Y N N
$40.91 $57.27 $61.37 N Y Y N N
$42.14 $59.00 $63.21 N Y Y N N
$22.88 $32.03 $34.32 N Y Y N N
$23.51 $32.91 $35.27 N Y Y N N
$25.21 $35.29 $37.82 N Y Y N N
$25.91 $36.27 $38.87 N Y Y N N
$32.20 $45.08 $48.30 N Y Y N N
$33.10 $46.34 $49.65 N Y Y N N
$41.53 $58.14 $62.30 N Y Y N N
$42.68 $59.75 $64.02 N Y Y N N
$50.85 $71.19 $76.28 N Y Y N N
$52.26 $73.16 $78.39 N Y Y N N
$19.91 $27.87 $29.87 N Y Y N N
$20.47 $28.66 $30.71 N Y Y N N
$21.95 $30.73 $32.93 N Y Y N N
$22.56 $31.58 $33.84 N Y Y N N
$28.03 $39.24 $42.05 N Y Y N N
$28.81 $40.33 $43.22 N Y Y N N
$36.15 $50.61 $54.23 N Y Y N N
$37.16 $52.02 $55.74 N Y Y N N
$44.27 $61.98 $66.41 N Y Y N N
$45.50 $63.70 $68.25 N Y Y N N
$64.45 $90.23 $96.68 N Y Y N N
$66.32 $92.85 $99.48 N Y Y N N
$70.78 $99.09 $106.17 N Y Y N N
$72.84 $101.98 $109.26 N Y Y N N
$89.79 $125.71 $134.69 N Y Y N N
$92.42 $129.39 $138.63 N Y Y N N
$115.13 $161.18 $172.70 N Y Y N N
$118.52 $165.93 $177.78 N Y Y N N
$140.48 $196.67 $210.72 N Y Y N N
$144.63 $202.48 $216.95 N Y Y N N
$37.10 $51.94 $55.65 N Y Y N N
$38.14 $53.40 $57.21 N Y Y N N
$40.64 $56.90 $60.96 N Y Y N N
$41.79 $58.51 $62.69 N Y Y N N
$51.29 $71.81 $76.94 N Y Y N N
$52.76 $73.86 $79.14 N Y Y N N
$65.48 $91.67 $98.22 N Y Y N N
$67.37 $94.32 $101.06 N Y Y N N
$79.67 $111.54 $119.51 N Y Y N N
$82.00 $114.80 $123.00 N Y Y N N
$27.98 $39.17 $41.97 N Y Y N N
$28.75 $40.25 $43.13 N Y Y N N
$30.59 $42.83 $45.89 N Y Y N N
$31.44 $44.02 $47.16 N Y Y N N
$38.45 $53.83 $57.68 N Y Y N N
$39.54 $55.36 $59.31 N Y Y N N
$48.92 $68.49 $73.38 N Y Y N N
$50.33 $70.46 $75.50 N Y Y N N
$59.40 $83.16 $89.10 N Y Y N N
$61.12 $85.57 $91.68 N Y Y N N
$23.42 $32.79 $35.13 N Y Y N N
$24.05 $33.67 $36.08 N Y Y N N
$25.57 $35.80 $38.36 N Y Y N N
$26.27 $36.78 $39.41 N Y Y N N
$32.03 $44.84 $48.05 N Y Y N N
$32.93 $46.10 $49.40 N Y Y N N
$40.65 $56.91 $60.98 N Y Y N N
$41.80 $58.52 $62.70 N Y Y N N
$49.27 $68.98 $73.91 N Y Y N N
$50.68 $70.95 $76.02 N Y Y N N
$20.68 $28.95 $31.02 N Y Y N N
$21.24 $29.74 $31.86 N Y Y N N
$22.56 $31.58 $33.84 N Y Y N N
$23.17 $32.44 $34.76 N Y Y N N
$28.18 $39.45 $42.27 N Y Y N N
$28.96 $40.54 $43.44 N Y Y N N
$35.68 $49.95 $53.52 N Y Y N N
$36.69 $51.37 $55.04 N Y Y N N
$43.19 $60.47 $64.79 N Y Y N N
$44.42 $62.19 $66.63 N Y Y N N
$69.56 $97.38 $104.34 N Y Y N N
$71.43 $100.00 $107.15 N Y Y N N
$76.42 $106.99 $114.63 N Y Y N N
$78.48 $109.87 $117.72 N Y Y N N
$96.99 $135.79 $145.49 N Y Y N N
$99.62 $139.47 $149.43 N Y Y N N
$124.42 $174.19 $186.63 N Y Y N N
$127.81 $178.93 $191.72 N Y Y N N
$151.85 $212.59 $227.78 N Y Y N N
$156.00 $218.40 $234.00 N Y Y N N
$39.96 $55.94 $59.94 N Y Y N N
$41.00 $57.40 $61.50 N Y Y N N
$43.80 $61.32 $65.70 N Y Y N N
$44.95 $62.93 $67.43 N Y Y N N
$55.32 $77.45 $82.98 N Y Y N N
$56.79 $79.51 $85.19 N Y Y N N
$70.68 $98.95 $106.02 N Y Y N N
$72.58 $101.61 $108.87 N Y Y N N
$86.04 $120.46 $129.06 N Y Y N N
$88.36 $123.70 $132.54 N Y Y N N
$30.09 $42.13 $45.14 N Y Y N N
$30.86 $43.20 $46.29 N Y Y N N
$32.92 $46.09 $49.38 N Y Y N N
$33.78 $47.29 $50.67 N Y Y N N
$41.43 $58.00 $62.15 N Y Y N N
$42.51 $59.51 $63.77 N Y Y N N
$52.76 $73.86 $79.14 N Y Y N N
$54.17 $75.84 $81.26 N Y Y N N
$64.10 $89.74 $96.15 N Y Y N N
$65.82 $92.15 $98.73 N Y Y N N
$25.16 $35.22 $37.74 N Y Y N N
$25.79 $36.11 $38.69 N Y Y N N
$27.49 $38.49 $41.24 N Y Y N N
$28.19 $39.47 $42.29 N Y Y N N
$34.48 $48.27 $51.72 N Y Y N N
$35.38 $49.53 $53.07 N Y Y N N
$43.81 $61.33 $65.72 N Y Y N N
$44.96 $62.94 $67.44 N Y Y N N
$53.13 $74.38 $79.70 N Y Y N N
$54.54 $76.36 $81.81 N Y Y N N
$22.19 $31.07 $33.29 N Y Y N N
$22.75 $31.85 $34.13 N Y Y N N
$24.23 $33.92 $36.35 N Y Y N N
$24.84 $34.78 $37.26 N Y Y N N
$30.31 $42.43 $45.47 N Y Y N N
$31.09 $43.53 $46.64 N Y Y N N
$38.43 $53.80 $57.65 N Y Y N N
$39.44 $55.22 $59.16 N Y Y N N
$46.55 $65.17 $69.83 N Y Y N N
$47.78 $66.89 $71.67 N Y Y N N
N N N N N
$67.28 $94.19 $100.92 Y Y Y N N
$69.15 $96.81 $103.73 Y Y Y N N
$74.14 $103.80 $111.21 Y Y Y N N
$76.20 $106.68 $114.30 Y Y Y N N
$94.71 $132.59 $142.07 Y Y Y N N
$97.34 $136.28 $146.01 Y Y Y N N
$122.14 $171.00 $183.21 Y Y Y N N
$125.53 $175.74 $188.30 Y Y Y N N
$149.57 $209.40 $224.36 Y Y Y N N
$153.72 $215.21 $230.58 Y Y Y N N
$1.00 $1.00 $1.00 N N N N N
$1.00 $1.00 $1.00 N N N N N
$1.00 $1.00 $1.00 N N N N N
$2.28 $3.19 $3.42 N N Y N N
$2.28 $3.19 $3.42 N N Y N N
$2.28 $3.19 $3.42 N N Y N N
$67.28 $94.19 $100.92 Y Y Y N N
$69.15 $96.81 $103.73 Y Y Y N N
$74.14 $103.80 $111.21 Y Y Y N N
$76.20 $106.68 $114.30 Y Y Y N N
$94.71 $132.59 $142.07 Y Y Y N N
$97.34 $136.28 $146.01 Y Y Y N N
$122.14 $171.00 $183.21 Y Y Y N N
$125.53 $175.74 $188.30 Y Y Y N N
$149.57 $209.40 $224.36 Y Y Y N N
$153.72 $215.21 $230.58 Y Y Y N N
$1.00 $1.00 $1.00 N N N N N
$1.00 $1.00 $1.00 N N N N N
$1.00 $1.00 $1.00 N N N N N
$1.00 $1.00 $1.00 N N N N N
$62.17 $87.04 $93.26 Y Y Y N N
$64.04 $89.66 $96.06 Y Y Y N N
$68.50 $95.90 $102.75 Y Y Y N N
$70.56 $98.78 $105.84 Y Y Y N N
$87.51 $122.51 $131.27 Y Y Y N N
$90.14 $126.20 $135.21 Y Y Y N N
$112.85 $157.99 $169.28 Y Y Y N N
$116.24 $162.74 $174.36 Y Y Y N N
$138.20 $193.48 $207.30 Y Y Y N N
$142.35 $199.29 $213.53 Y Y Y N N
$1.00 $1.00 $1.00 N N N N N
$1.00 $1.00 $1.00 NA NA NA NA NA
$1.00 $1.00 $1.00 NA NA NA NA NA
$1.00 $1.00 $1.00 NA NA NA NA NA
$1.00 $1.00 $1.00 NA NA NA NA NA
$1.00 $1.00 $1.00 NA NA NA NA NA
$1.00 $1.00 $1.00 NA NA NA NA NA
$1.00 $1.00 $1.00 NA NA NA NA NA
$1.00 $1.00 $1.00 NA NA NA NA NA
$1.00 $1.00 $1.00 NA NA NA NA NA
$1.00 $1.00 $1.00 N N N N N
NA NA NA NA NA
NA NA NA NA NA
N N N N N
NA NA NA NA NA
NA NA NA NA NA
N N N N N
NA NA NA NA NA
N N N N N
N N N N N
NA NA NA NA NA
N N N N N
NA NA NA NA NA
NA NA NA NA NA
NA NA NA NA NA
N N N N N
$1.00 $1.00 $1.00 N N N N N
N N N N N
NA NA NA NA NA
N N N N N
NA NA NA NA NA
N N N N N
N N N N N
NA NA NA NA NA
N N N N N
NA NA NA NA NA
NA NA NA NA NA
N N N N N
N N N N N
NA NA NA NA NA
NA NA NA NA NA
N N N N N
NA NA NA NA NA
NA NA NA NA NA
NA NA NA NA NA
NA NA NA NA NA
NA NA NA NA NA
NA NA NA NA NA
N N N N N
NA NA NA NA NA
NA NA NA NA NA
NA NA NA NA NA
NA NA NA NA NA
NA NA NA NA NA
NA NA NA NA NA
N N N N N
$1.00 $1.00 $1.00 N N N N N
N N N N N
N N N N N
NA NA NA NA NA
NA NA NA NA NA
NA NA NA NA NA
N N N N N
NA NA NA NA NA
NA NA NA NA NA
$1.00 $1.00 $1.00 N N N N N
N N N N N
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Support Item Name Registrati Registrati
Assistance With Self-Care Activities - Level 3 - Weekday Daytime 0104 High Intens
Knee-Ankle-Foot Orthoses 0135 Customised
Wrist Disarticulation Prostheses 0135 Customised
Assistive Products And Accessories For Personal Care Hygiene Beds 0103 Assistive P
Helmets 0103 Assistive P
Specialised Shower Trolley 0103 Assistive P
Hoist Mobile 0105 Personal M
Seat Cushion - Air - Other 0105 Personal M
Seat Cushion - Gel Foam And Air Combination 0105 Personal M
Referral To Australian Hearing Community Service Obligation Program 0119 Specialised
Vision Equipment Delivery - Set Up/Training 0113 Vision Equ
Assistance With Self-Care Activities - Level 3 - Weekday Evening 0104 High Intens
Assistance With Self-Care Activities - Level 3 - Saturday 0104 High Intens
Assistance With Self-Care Activities - Level 3 - Sunday 0104 High Intens
Assistance With Self-Care Activities - Level 3 - Public Holiday 0104 High Intens
HEN Equipment Delivery 0103 Assistive P
Postural Support - Single surface 0103 Assistive P
Specialised Child Car Seats - Requiring Vehicle Modification 0109 Vehicle Mod
Vehicle Hoists Person Only 0109 Vehicle Mod
Transfer Equipment Rental 0105 Personal M
Seating/Standing Frame Equipment Rental 0103 Assistive P
Beds - Power Adjust - Child 0103 Assistive P
Assistive Products Relating To Vision 0113 Vision Equ
Hearing Aid (One) Higher Needs - Amount In Addition To OHS Subsidy 0134 Hearing Ser
Hearing Aid Maintenance OHS Voucher Client Contribution 0134 Hearing Ser
Group Therapy - Group Of 3 - Psychology 0128 Therapeuti
Transitional Support 0101 Accommoda
Supported Independent Living - For 3 - Complex 0115 Assistance
Supported Independent Living - For 2 - Standard 0115 Assistance
Supported Independent Living - For 7 - Lower Need 0115 Assistance
Individual Living Option - Host Arrangement 0115 Assistance
Individual Living Option - Rostered Supports 0115 Assistance
Assistance With Self-Care Activities - Level 3 - Weekday Night 0104 High Intens
Daily Adaptive Equipment 0103 Assistive P
Access Community Social And Rec Activities - Level 3 - Weekday Daytime 0104 High Intens
Aspirators 0103 Assistive P
Pressure Reduction Overlay 0103 Assistive P
Pressure Mattress - Low Air Loss Alternating Pressure 0103 Assistive P
Standing Frame - Child Over 5 Or Teen 0103 Assistive P
Standing Frame - Adult 0103 Assistive P
Body Orthotic - Dynamic or Lycra 0135 Customised
Cervico-Thoraco-Lumbo-Sacral Orthoses 0135 Customised
Hand Orthotic 0135 Customised
Orthopaedic Shoes - To Compensate For Muscle Weakness/Activity 0135 Customised
Orthopaedic Shoes To Add To The Length Of The Leg And Foot I.E. ShoeRaise 0135 Customised
Ankle-Foot Orthoses (AFO) Static Custom Made 0135 Customised
Leg Orthoses 0135 Customised
Lower Limb Orthotic - Dynamic or Lycra 0135 Customised
Orthosis - Bilateral Hip Knee Ankle Foot Orthosis (Rgo) - Prefabricated 0135 Customised
Partial Hand Prostheses 0135 Customised
Trans-Radial Prostheses 0135 Customised
Partial Foot Prostheses 0135 Customised
Trans-Tibial Prostheses 0135 Customised
Trans-Femoral Prostheses 0135 Customised
Prosthetic Lower Limb Suitable For Wet Environments 0135 Customised
Prosthetic - Not Limb Related 0135 Customised
Mobile Shower Commode - Self Propel Folding 0103 Assistive P
Mobile Shower Commode - Bari Transporter - 550W 0103 Assistive P
Mobile Shower Commode - Specialised Child With Supports 0103 Assistive P
Chair Shower Swivel Type Or Bariatric 0103 Assistive P
Change Table - Electronic 0103 Assistive P
Bidets - Detachable 0103 Assistive P
Insert For Reducing Length Or Depth Of A Bathtub 0103 Assistive P
Specialised Seating For Bathroom Equipment 0103 Assistive P
Wheeled Walker - Non-Standard 0105 Personal M
Wheeled Walker - Walker Posterior 0105 Personal M
Rollator - Standard - Child 0105 Personal M
Walking Chairs For Children Aka Gait Trainers 0105 Personal M
Adaptions To Control Speed Of Car 0109 Vehicle Mod
Adapted Steering System For Car 0109 Vehicle Mod
Adapted Mirrors Door Locks For Car 0109 Vehicle Mod
Seat Belts/Harnesses For Vehicles 0109 Vehicle Mod
Adapted Seating In Vehicles 0109 Vehicle Mod
Adapt Vehicle Self Driver + Wheelchair 0109 Vehicle Mod
Car Modifications - Self Drive From Driver Seat 0109 Vehicle Mod
Ramps Vehicle - Unoccupied Wheelchair Loading 0109 Vehicle Mod
Trailer To Carry Wheelchairs 0109 Vehicle Mod
Hand-Propelled Bicycles 0112 Assistive E
Specialist Tricycles Or Quadricycle - Hand Propelled 0112 Assistive E
Wheelchair - Manual Transit - Adult 0105 Personal M
Wheelchair - Manual Custom Folding 0105 Personal M
Wheelchair - Manual Custom Made Steel Frame 0105 Personal M
Wheelchair - Manual Custom Made Lightweight Frame 0105 Personal M
Wheelchair - Manual Custom Rigid Frame - Child 0105 Personal M
Wheelchair - Manual Tilt In Space 0105 Personal M
MWC Lightweight/Ultra-Light Weight (WITHOUT Seating) 0105 Personal M
Wheelchair - Recreational And Sport Use 0112 Assistive E
Wheelchair - Manual + Power Assisted Wheels 0105 Personal M
Scooters - 3 Wheels 0105 Personal M
Wheelchair - Powered With Powered Seat Elevation 0105 Personal M
Wheelchair - Alternate Controls 0105 Personal M
Pram Or Stroller Accessories - Extra Supports For Oversized Pram 0105 Personal M
Pram Or Stroller - Specialised With Adjustable Seating 0105 Personal M
Crawlers/Mobility Boards/Trolley 0105 Personal M
Hoist - Mobile Standing Position 0105 Personal M
Hoist - Fixed To Wall Floor Or Ceiling 0105 Personal M
Assistive Products For Acoustic Navigation 0113 Vision Equ
one or more assistive products for eating and drinking 0103 Assistive P
Hearing Services Program - Adults With Complex Needs (AH Only) - Remote 0119 Specialised
Lounge Chairs With Moulded Seating 0103 Assistive P
Postural Support - Modular Seating Systems 0105 Personal M
Adult Postural Chair With Pressure Relief - Air Type 0103 Assistive P
Child Postural Chair With Pressure Relief - Air Type 0103 Assistive P
Child Postural Chair 0103 Assistive P
Back Support - Customised 0105 Personal M
Back Support - Custom Made 0105 Personal M
Wheelchair Tray 0105 Personal M
Custom Made Postural Seating System 0105 Personal M
Customised Postural Seating System 0105 Personal M
Beds - Power Adjust 0103 Assistive P
Bed Positioning System 0103 Assistive P
Bed Rails 0103 Assistive P
Communication Equipment Rental 0124 Communicat
Image-Enlarging Video Systems - Desk Top Magnifier 0113 Vision Equ
Other Vision Equipment Not Listed 0113 Vision Equ
Hearing Aid (One) Non-CSO Complex Adult - AH Only - in addition to OHS subsidy 0119 Specialised
Hearing Aid (Two) Higher Needs - Amount in addition to Ohs subsidy 0134 Hearing Ser
Cochlear Implant Speech Processor And Coil - Non-CSO 0119 Specialised
Portable Note-Taking Devices For Braille 0113 Vision Equ
Word Processing Software For Alternate Access - Vision 0113 Vision Equ
CCTV Electronic Magnification Unit 0113 Vision Equ
CCTV Electronic Magnification Unit - Portable 0113 Vision Equ
Radio Frequency Transmission Systems For Hearing 0119 Specialised
Face-To-Face Communication Assistive Products 0124 Communicat
Communication Software For Computer Or Tablet 0124 Communicat
Customised Commercial Tablet 0124 Communicat
Letter And Symbol Sets And Boards 0124 Communicat
Dynamic Display Dialogue Units 0124 Communicat
Text To Speech Device 0124 Communicat
Vision - Mobile Phone with special functionality 0113 Vision Equ
Other Alarms And Door Bells 0123 Assistive P
Personal Emergency Alarm Systems 0103 Assistive P
Seizure Mat And Alarm 0103 Assistive P
Smoke Alarm Adapted For Hearing Impairment 0122 Hearing Eq
Braille Printers 0113 Vision Equ
Braille Embosser - Note-Taker With Voice Output 0113 Vision Equ
Environmental Control Systems 0123 Assistive P
Environmental Control Software 0123 Assistive P
Fixed Position Systems - Mounting For Communication Device 0124 Communicat
Assistive Products Relating To Recreation And Sport 0112 Assistive E
Sport Adaptions To Wheelchair (Power Or Manual) 0112 Assistive E
Rental Of Adapted Vehicle 0108 Assistance
Walking Equipment Delivery - Set Up/Training 0105 Personal M
Transfer Equipment Delivery - Set Up/Training 0105 Personal M
Seating/Standing Frame Equipment Delivery - Set Up/Training 0103 Assistive P
Mobility Equipment Delivery - Set Up/Training 0105 Personal M
Orthotic Or Prosthetic Componentry Rental 0135 Customised
Walking Equipment Rental 0105 Personal M
Transfer Equipment Rental 0105 Personal M
Seating/Standing Frame Equipment Rental 0103 Assistive P
Bed And Mattress Rental 0103 Assistive P
Communication Equipment Rental 0124 Communicat
Vision Equipment Rental 0113 Vision Equ
ECU Rental 0123 Assistive P
Mobility Equipment Rental 0105 Personal M
Assistance Dog (Including Guide Dog) 0130 Assistance
HM - Stair Climber for Wheelchair - Attendant directed 0111 Home Modif
Home Modifications - Kitchen Adaption - No Structural Work 0111 Home Modif
Home Modifications - Minor Miscellaneous Adjustments 0111 Home Modif
Project Management Of Home Modifications 0111 Home Modif
Fixed Vertical Lifting Platform - Home 0111 Home Modif
Stair Lift With Platform 0111 Home Modif
Ramp Portable Fibre Glass - 2000mm 0103 Assistive P
Ramp Portable Fibre Glass - 2000mm With Edge 0103 Assistive P
Ramp Portable Fibre Glass - 875mm 0103 Assistive P
Home Mods-Minor Step Ramp- Supply And Fit Landings And Risers 0111 Home Modif
Certification Or Approval Of Home Modifications 0111 Home Modif
Home Modifications Project Manager Or Building Certifier 0111 Home Modif
Community Participation Activities 0125 Participati
Employment Preparation And Support In A Group - Group Of 3 0102 Assistance
Support In Employment (ADE) 0133 Specialise
Capacity Building Supports For Early Childhood 0118 Early Inter
Assessment Recommendation Therapy And/Or Training (Incl. AT) 0128 Therapeuti
Group Therapy - Group Of 3 - Other Therapy 0128 Therapeuti
Selection And/Or Manufacture Of Customised Or Wearable Technology 0135 Customised
Continence Aids Delivery - Non Metropolitan 0103 Assistive P
Upper Limb Orthotic - Dynamic or Lycra 0135 Customised
Toilet And Bathroom Equipment Rental 0103 Assistive P
Specialist Tricycles Or Quadricycle - Foot Propelled 0112 Assistive E
Supports in Employment - Weekday Daytime 0133 Specialise
Foot Orthosis 0135 Customised
Ankle-Foot Orthoses Prefabricated - Average Price 0135 Customised
Electric Lift Chairs - Sit To Stand 0103 Assistive P
Hearing Aid (One) Higher Needs -Amount In Addition To Ohs Subsidy 0134 Hearing Ser
Equipment Alterations And Adjustments 0103 Assistive P
Recreation Equipment Delivery - Set Up/Training 0112 Assistive E
Toilet And Bathroom Equipment Rental 0103 Assistive P
Certification Or Approval Of Home Modifications 0111 Home Modif
Supported Employment Start-Up Fee (ADE) 0133 Specialise
Orthotic Or Prosthetic Componentry Rental 0135 Customised
Orthosis - Hip Thigh Knee Ankle - Custom Made 0135 Customised
Communication and Information - Computer interfaces 0103 Assistive P
Head Pointer 0124 Communicat
Cochlear And Other Implantable Processor Repairs 0119 Specialised
Skills Development In A Group 0117 Development
Ventilators - Invasive Ventilation For Continuous Use 0103 Assistive P
Standing Frame - Child Under 5 0103 Assistive P
Orthopaedic Shoes - Other Custom Made 0135 Customised
Change Table/Shower Trolley - Powered 0103 Assistive P
Vehicles - Passenger loading 0109 Vehicle Mod
PWC Basic Frame + Factory Control (ADD Specialised Seating) 0105 Personal M
PWC Customised Base + Manual Postural Adjustment (WITHOUT Seating) 0105 Personal M
PWC Accessory - Powered Adjustment FOR Limbs OR Recline 0105 Personal M
Vision - Visual Navigation AT 0113 Vision Equ
Assistive Products and Accessories relating to Personal Mobility or Transfer 0105 Personal M
Postural Support - Positioning - Back 0105 Personal M
Bed And Mattress Rental 0103 Assistive P
Vision - Image Enlargement Software 0113 Vision Equ
Hearing Aid Maintenance Ohs Voucher Client Contribution 0134 Hearing Ser
Seizure Mat Location Alert Type Alarm Systems 0103 Assistive P
Vision - Alternate format Printer 0113 Vision Equ
Vision - Print Disability Software 0113 Vision Equ
Technology AND Other Device Positioning Systems 0103 Assistive P
Recreation AT - Game Interface 0112 Assistive E
Bed/Mattress Equipment Delivery - Set Up/Training 0103 Assistive P
Home Modifications - Bathroom Mod - Minimal Structural Work 0111 Home Modif
HM - Ramp - Portable Fibreglass 0103 Assistive P
Repairs and Maintenance - Disability-Related Health Machines 0103 Assistive P
Air-Filled Garments And Compression Units For Managing CirculationProblems 0103 Assistive P
Postural Support - Multiple surfaces 0103 Assistive P
Assistive Products FOR Tissue Integrity WHEN Lying DOWN - Non Powered 0103 Assistive P
Water Chairs 0103 Assistive P
Standing AND/OR Walking Frame - Child 0103 Assistive P
Assistive Products And Accessories Relating To Prosthetics And Orthotics 0135 Customised
Ankle-Foot Orthoses Ankle Joint 0135 Customised
Trunk/Lower Body Orthoses - FES Or Powered - To Support Standing And/OrWalking 0135 Customised
Mobile Shower Commode - Child Transporter 0103 Assistive P
Shower Commode - Wheeled - Custom 0103 Assistive P
Specialised Child Car Seats - NO Vehicle Modification Required 0103 Assistive P
Wheelchair - Manual Folding - Child 0105 Personal M
Stroller/Pram/Buggy WITH Specialised Seating SYSTEM 0105 Personal M
Paediatric Stroller/Wheelchair Height AdaptableBase-Specialised Seating System 0105 Personal M
Hearing Services Program - OHS Voucher 0134 Hearing Ser
Postural Support - tissue integrity management 0105 Personal M
Adapted Commercial Comp Tablet or Smartphone for Sensory or Cognitive Disability 0124 Communicat
Safety Devices: Adapted Smoke Detector/Doorbells 0123 Assistive P
Adapted Devices For Phone Access/Alarms/Clocks/ProgrammableMemoryDevices 0123 Assistive P
Personal Reader - Speech AND Visual Output 0124 Communicat
Specialised Computer Input Device Using EyeOrNeural/NeuromuscularControl 0124 Communicat
Consultation About Home Modification Designs With Builder 0111 Home Modif
Financial And Service Intermediary - Set Up Costs 0127 Management
HM - Ramp - Aluminium Modular/Removable 0111 Home Modif
HM - Ramp - Aluminium Modular/Removable with Landing 0111 Home Modif
Continence Aids Delivery - Metropolitan 0103 Assistive P
Cough Assist Machine 0103 Assistive P
Standing Frames AND Supports FOR Standing 0103 Assistive P
Orthosis - Upper Limb - Custom Made 0135 Customised
Change Table/Shower Trolley - Manual 0103 Assistive P
Car Seating AND/OR Seat Belts - Modifier Installed 0109 Vehicle Mod
Scooter: Small Folding/Travel Light-Weight Scooter 0105 Personal M
PWC Basic + Factory Seating 0105 Personal M
Stroller/Pram/Buggy/Push Chair WITH Supportive Seating 0105 Personal M
Assistive Products And Accessories Relating To Home Modification AndAccess 0111 Home Modif
Hearing Aid (Two) Higher Needs - Amount In Addition To OHS Subsidy 0134 Hearing Ser
COVID-19 SIL Cleaning Services 0115 Assistance
COVID-19 SIL Additional Supports 0115 Assistance
Pressure Mattress - Low Air Loss Alternating Pressure 0103 Assistive P
Orthosis - Thigh Knee Ankle - Custom Made 0135 Customised
Orthosis - Bilateral Thoracolumbar/Lumbo-Sacral Hip Knee Ankle Foot-Custom 0135 Customised
Vehicles - Hoist/Ramp for Wheelchair Loading 0109 Vehicle Mod
Mobility Equipment Rental 0105 Personal M
Scooter (Electrically Powered) - Portable 0105 Personal M
PWC Accessory - Alternate Operator Control SYSTEM 0105 Personal M
Transfer AT - Adverse Environment Hoist 0105 Personal M
Postural Support - Wheelchair Accessory 0105 Personal M
Custom Sleep Positioning System and Accessories 0103 Assistive P
Assistive Products for communication or information support 0124 Communicat
Hearing Aid (Two) Non-CSO Complex Adult - AH Only - in addition to OHS subsidy 0119 Specialised
Cochlear Implant Speech Processor And Coil - Non Cso 0119 Specialised
Vision - Braille device 0113 Vision Equ
Safety Devices: Flashing - Vibrating Doorbell/Smoke Alert/Personal Alarms 0103 Assistive P
Recreation - Other 0112 Assistive E
Bed/Mattress Equipment Delivery To A Participant 0103 Assistive P
HM - Rails - External Supply and Install 0111 Home Modif
HM - Ramp - Concrete with Galvanised Rails 0111 Home Modif
Ventilators - Supplemental Ventilation Support (Including CPAP and BPAP) 0103 Assistive P
Body Orthotic - DYNAMIC OR Lycra 0135 Customised
Assistive Products and Accessories for Personal Care Hygiene Beds 0103 Assistive P
Shower Commode - Wheeled 0103 Assistive P
Personal Care AND Safety Equipment - Other 0103 Assistive P
Vehicles - Assistive products for vehicles and transport safety 0109 Vehicle Mod
Vehicles - Hoist for Occupied Wheelchair Loading 0109 Vehicle Mod
Bicycle - Tricycle and/or Carts 0112 Assistive E
MWC SELF-Propel + Custom Folding/Rigid Frame (ADD Specialised Seating) 0105 Personal M
MWC Basic Folding/Light Weight/Transit 0105 Personal M
MWC - Sport AND Recreation USE 0105 Personal M
Transfer AT - Ceiling Hoist 0105 Personal M
Specialised Static Seating with Pressure Management and/or Postural Support 0103 Assistive P
Postural Support - Seating Componentry - non-Standard 0105 Personal M
Postural Support - Positioning - Seat 0105 Personal M
Postural Support - Head Support 0105 Personal M
Vision - Electronic Video Magnifier 0113 Vision Equ
Hearing device - Advanced level 0122 Hearing Eq
Flexible Equipment Package (For Changing Need) - Annual Amount 0103 Assistive P
HM - Rails - Internal Supply and Install 0111 Home Modif
Pressure Reduction Mattress 0103 Assistive P
Assistive Products and Accessories Relating to Prosthetics and orthotics 0135 Customised
Orthopaedic Shoes - Other Custom Made 0135 Customised
Orthosis - Ankle Foot (AFO) - Custom Made 0135 Customised
Orthosis - Ankle Foot WITH Ankle Joints - Custom Made 0135 Customised
Orthosis - Knee Ankle Foot - Custom Made 0135 Customised
Prosthesis - Additional Cost for use in wet environment (E.G.Waterproofing) 0135 Customised
Walking Frame OR Walker 0105 Personal M
Vehicles - Accessories/Adaptions for driver control 0109 Vehicle Mod
Vehicles -Trailer for wheeled mobility device 0109 Vehicle Mod
Scooter: Indoor/Outdoor USE 0105 Personal M
Scooter: Heavy Duty/Robust Activity SPECIFIC 0105 Personal M
PWC Customised Base + Power Assist Height/Tilt-In-Space (WithoutSeating) 0105 Personal M
MWC - Accessory - Power-Assist Drive Technology 0105 Personal M
Wheelchair Accessory - Health-Related AT/Ventilator Carrier 0105 Personal M
Transfer AT - Mobile Hoist plus Slings 0105 Personal M
Transfer AT -Mobile Hoist Seat or Table 0105 Personal M
Assistive Products and Accessories Relating to Personal Mobility orTransfer 0105 Personal M
Assistive Products And Accessories Relating To Participating InHousehold Tasks 0123 Assistive P
Specialised Seating WITH Sit-Stand Assistance 0103 Assistive P
Postural Support - Seating - non-Standard 0105 Personal M
Bed - Manual 0103 Assistive P
Bed - Electric 0103 Assistive P
Assistive Products Relating to Vision 0113 Vision Equ
Hearing device - Non-Standard 0122 Hearing Eq
Hearing device - External speech processor and accessories 0122 Hearing Eq
Hearing device - Personal Amplifiers/Binaural Listener 0122 Hearing Eq
Safety: Slip Resistance Coating/Grab And/or Guide Rails 0111 Home Modif
Hearing accessory - Remote Microphone System 0122 Hearing Eq
Communication - Face to Face - Electronic 0124 Communicat
Personal Reader - Speech Output 0124 Communicat
HM - Assistive Products and Accessories Relating to HM and Access 0111 Home Modif
CB and Training in Plan and Financial Management by a SupportCoordinator 0117 Development
CB and Training in Plan and Financial Management by a Plan Manager 0127 Management
Individual Assessment And Support By A Nurse 0114 Community
Community Nursing Care For Continence Aid 0114 Community
HM - Access - Entrance/Ramp 0111 Home Modif
HM - Ramp - Timber with Galvanised Rails 0111 Home Modif
HM - Bathroom/Toilet - No structural work 0111 Home Modif
HM - Kitchen or Laundry - No Structural Work 0111 Home Modif
Assistance With Self-Care Activities - Standard - Weekday Daytime 0104 High Intens
Assistance With Self-Care Activities - Standard - Weekday Daytime - TTP 0104 High Intens
Assistance With Self-Care Activities - Standard - Weekday Evening 0104 High Intens
Assistance With Self-Care Activities - Standard - Weekday Evening - TTP 0104 High Intens
Assistance With Self-Care Activities - Standard - Saturday 0104 High Intens
Assistance With Self-Care Activities - Standard - Saturday - TTP 0104 High Intens
Assistance With Self-Care Activities - Standard - Sunday 0104 High Intens
Assistance With Self-Care Activities - Standard - Sunday - TTP 0104 High Intens
Assistance With Self-Care Activities - Standard - Public Holiday 0104 High Intens
Assistance With Self-Care Activities - Standard - Public Holiday - TTP 0104 High Intens
Assistance With Self-Care Activities - Standard - Weekday Night 0104 High Intens
Assistance With Self-Care Activities - Standard - Weekday Night - TTP 0104 High Intens
Access Community Social And Rec Activities - Standard - Weekday Daytime-TTP 0104 High Intens
Access Community Social And Rec Activities - Standard - Weekday Evening 0104 High Intens
Access Community Social And Rec Activities - Standard - Weekday Evening-TTP 0104 High Intens
Access Community Social And Rec Activities - Standard - Saturday 0104 High Intens
Access Community Social And Rec Activities - Standard - Saturday - TTP 0104 High Intens
Access Community Social And Rec Activities - Standard - Sunday 0104 High Intens
Access Community Social And Rec Activities - Standard - Sunday - TTP 0104 High Intens
Access Community Social And Rec Activities - Standard - Public Holiday 0104 High Intens
Access Community Social And Rec Activities - Standard - Public Holiday-TTP 0104 High Intens
Prosthesis- Accessory - Arm and Hand for Sport and Leisure 0135 Customised
Wheeled Stretcher - Self Propelled 0105 Personal M
Postural Support - Positioning - tissue integrity 0105 Personal M
Hearing accessory - Induction Loop 0122 Hearing Eq
Static - Single Button Device which Provides Audible Message Output 0124 Communicat
Hearing device - Landline Telephone 0122 Hearing Eq
Hearing device - Baby Alert Systems 0122 Hearing Eq
Assistance With Self-Care Activities - Level 3 - Weekday Daytime - TTP 0104 High Intens
Access Community Social And Rec Activities - Level 3 - Weekday Evening 0104 High Intens
Access Community Social And Rec Activities - Level 3 - Weekday Evening -TTP 0104 High Intens
Access Community Social And Rec Activities - Level 3 - Saturday - TTP 0104 High Intens
Access Community Social And Rec Activities - Level 3 - Sunday - TTP 0104 High Intens
Access Community Social And Rec Activities - Level 3 - Public Holiday -TTP 0104 High Intens
Assistance With Self-Care Activities - Level 3 - Weekday Evening - TTP 0104 High Intens
Assistance With Self-Care Activities - Level 3 - Saturday - TTP 0104 High Intens
Assistance With Self-Care Activities - Level 3 - Sunday - TTP 0104 High Intens
Assistance With Self-Care Activities - Level 3 - Public Holiday - TTP 0104 High Intens
Assistance With Self-Care Activities - Level 3 - Weekday Night - TTP 0104 High Intens
Access Community Social And Rec Activities - Level 3 - Weekday Daytime -TTP 0104 High Intens
Access Community Social And Rec Activities - Level 3 - Saturday 0104 High Intens
Access Community Social And Rec Activities - Level 3 - Sunday 0104 High Intens
Access Community Social And Rec Activities - Level 3 - Public Holiday 0104 High Intens
Access Community Social And Rec Activities - Standard - Weekday Daytime 0104 High Intens
Support CaSupport CaUnit Quote Start date(*) End Date ACT NSW NT
1 Assistance Hw No 20220701 20221231 $65.23 $65.23 $65.23
5 Assistive T E Yes 20220701 20221231
5 Assistive T E Yes 20220701 20221231
5 Assistive T E Yes 20220701 20221231
5 Assistive T E No 20220701 20221231
5 Assistive T E Yes 20220701 20221231
5 Assistive T E Yes 20220701 20221231
5 Assistive T E Yes 20220701 20221231
5 Assistive T E Yes 20220701 20221231
5 Assistive T E No 20220701 20221231
5 Assistive T E No 20220701 20221231
1 Assistance Hw No 20220701 20230331 $71.80 $71.80 $71.80
1 Assistance Hw No 20220701 20230331 $91.52 $91.52 $91.52
1 Assistance Hw No 20220701 20230331 $117.80 $117.80 $117.80
1 Assistance Hw No 20220701 20230331 $144.09 $144.09 $144.09
3 ConsumablE No 20220701 20230331
5 Assistive T E No 20220701 20230331
5 Assistive T E Yes 20220701 20230331
5 Assistive T E Yes 20220701 20230331
5 Assistive T WK No 20220701 20230331
5 Assistive T WK No 20220701 20230331
5 Assistive T E Yes 20220701 20230331
5 Assistive T E Yes 20220701 20230331
5 Assistive T E Yes 20220701 20230331
5 Assistive T E No 20220701 20230331
15 Improved Da H No 20220701 20230331 $71.47 $71.47 $78.28
1 Assistance Ew Yes 20220701 20230630
1 Assistance WwK Yes 20220701 20230630
1 Assistance Dw Yes 20220701 20230630
1 Assistance Ew Yes 20220701 20230630
1 Assistance Hw No 20220701 20230630 $73.12 $73.12 $73.12
3 ConsumablE No 20220701 20230630
4 Assistance H No 20220701 20230630 $65.23 $65.23 $65.23
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T WK No 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E Yes 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E No 20220701 20230630
5 Assistive T E Yes 20220701 20230630
6 Home Modif E Yes 20220701 20230630
6 Home Modif E Yes 20220701 20230630
6 Home Modif E No 20220701 20230630
6 Home Modif E No 20220701 20230630
6 Home Modif E Yes 20220701 20230630
6 Home Modif E Yes 20220701 20230630
6 Home Modif E Yes 20220701 20230630
6 Home Modif E Yes 20220701 20230630
6 Home Modif E No 20220701 20230630
6 Home Modif E No 20220701 20230630
6 Home Modif E Yes 20220701 20230630
6 Home Modif E Yes 20220701 20230630
9 Increased SYR No 20220701 20230630
10 Finding andH No 20220701 20230630 $20.10 $20.10 $20.10
10 Finding andE No 20220701 20230630
15 Improved Da H No 20220701 20230630 $193.99 $193.99 $193.99
15 Improved Da H No 20220701 20230630 $193.99 $193.99 $193.99
15 Improved Da H No 20220701 20230630 $64.66 $64.66 $64.66
15 Improved Da E No 20220701 20230630 $193.99 $193.99 $193.99
3 ConsumablE No 20220701 20230930
5 Assistive T E No 20220701 20230930
5 Assistive T WK No 20220701 20230930
5 Assistive T E Yes 20220701 20230930
10 Finding andH No 20220701 20230930 $57.30 $57.30 $57.30
5 Assistive T E No 20220701 20230930
5 Assistive T E No 20220701 20230930
5 Assistive T E Yes 20220701 20230930
5 Assistive T E Yes 20220701 20230930
5 Assistive T E No 20220701 20230930
5 Assistive T E No 20220701 20230930
5 Assistive T E No 20220701 20230930
6 Home Modif E No 20220701 20230930
10 Finding andE No 20220701 20230930
5 Assistive T WK No 20220701 20231231
5 Assistive T E Yes 20220701 20231231
5 Assistive T E No 20220701 20231231
5 Assistive T E Yes 20220701 20231231
5 Assistive T E No 20220701 20231231
9 Increased SH No 20220701 20231231 $29.26 $29.26 $29.26
5 Assistive T E Yes 20220701 20240331
5 Assistive T E Yes 20220701 20240331
5 Assistive T E Yes 20220701 20240331
5 Assistive T E Yes 20220701 20240331
5 Assistive T E Yes 20220701 20240331
5 Assistive T E Yes 20220701 20240331
5 Assistive T E Yes 20220701 20240331
5 Assistive T E Yes 20220701 20240331
5 Assistive T E Yes 20220701 20240331
5 Assistive T E Yes 20220701 20240331
5 Assistive T E No 20220701 20240331
5 Assistive T WK No 20220701 20240331
5 Assistive T E No 20220701 20240331
5 Assistive T YR No 20220701 20240331
5 Assistive T E No 20220701 20240331
5 Assistive T E Yes 20220701 20240331
5 Assistive T E Yes 20220701 20240331
5 Assistive T E Yes 20220701 20240331
5 Assistive T E Yes 20220701 20240331
5 Assistive T E No 20220701 20240331
6 Home Modif E Yes 20220701 20240331
6 Home Modif E Yes 20220701 20240331
6 Home Modif E No 20220701 20240331
5 Assistive T E No 20220701 20240630 $1.00 $1.00 $1.00
5 Assistive T E Yes 20220701 20240630
5 Assistive T E Yes 20220701 20240630
5 Assistive T E Yes 20220701 20240630
5 Assistive T E Yes 20220701 20240630
5 Assistive T E Yes 20220701 20240630
5 Assistive T E Yes 20220701 20240630
5 Assistive T E Yes 20220701 20240630
5 Assistive T E Yes 20220701 20240630
5 Assistive T E Yes 20220701 20240630
5 Assistive T E Yes 20220701 20240630
5 Assistive T E Yes 20220701 20240630
5 Assistive T E Yes 20220701 20240630
5 Assistive T E Yes 20220701 20240630
5 Assistive T E Yes 20220701 20240630
5 Assistive T E No 20220701 20240630
5 Assistive T E No 20220701 20240630
5 Assistive T E Yes 20220701 20240630
5 Assistive T E No 20220701 20240630
5 Assistive T E No 20220701 20240630
5 Assistive T E Yes 20220701 20240630
5 Assistive T E Yes 20220701 20240630
6 Home Modif E No 20220701 20240630
14 Improved LE No 20220701 20240630 $334.29 $334.29 $334.29
6 Home Modif E Yes 20220701 20240630
6 Home Modif E Yes 20220701 20240630
3 ConsumablE No 20220701 20240930
5 Assistive T E Yes 20220701 20240930
5 Assistive T E Yes 20220701 20240930
5 Assistive T E Yes 20220701 20240930
5 Assistive T E Yes 20220701 20240930
5 Assistive T E Yes 20220701 20240930
5 Assistive T E Yes 20220701 20240930
5 Assistive T E Yes 20220701 20240930
5 Assistive T E Yes 20220701 20240930
5 Assistive T E No 20220701 20240930
5 Assistive T E Yes 20220701 20240930
6 Home Modif E Yes 20220701 20240930
1 Assistance Ew No 20220701 20241231 $300.00 $300.00 $300.00
1 Assistance Dw No 20220701 20241231 $1,200.00 $1,200.00 $1,200.00
5 Assistive T E Yes 20220701 20241231
5 Assistive T E Yes 20220701 20241231
5 Assistive T E Yes 20220701 20241231
5 Assistive T E Yes 20220701 20241231
5 Assistive T WK No 20220701 20241231
5 Assistive T E Yes 20220701 20241231
5 Assistive T E Yes 20220701 20241231
5 Assistive T E Yes 20220701 20241231
5 Assistive T E No 20220701 20241231
5 Assistive T E Yes 20220701 20241231
5 Assistive T E No 20220701 20241231
5 Assistive T E Yes 20220701 20241231
5 Assistive T E Yes 20220701 20241231
5 Assistive T E Yes 20220701 20241231
5 Assistive T E No 20220701 20241231
5 Assistive T E Yes 20220701 20241231
5 Assistive T E No 20220701 20241231
6 Home Modif E No 20220701 20241231
6 Home Modif E Yes 20220701 20241231
5 Assistive T E Yes 20220701 20250331
5 Assistive T E Yes 20220701 20250331
5 Assistive T E No 20220701 20250331
5 Assistive T E Yes 20220701 20250331
5 Assistive T E Yes 20220701 20250331
5 Assistive T E No 20220701 20250331
5 Assistive T E Yes 20220701 20250331
5 Assistive T E Yes 20220701 20250331
5 Assistive T E Yes 20220701 20250331
5 Assistive T E Yes 20220701 20250331
5 Assistive T E Yes 20220701 20250331
5 Assistive T E Yes 20220701 20250331
5 Assistive T E Yes 20220701 20250331
5 Assistive T E Yes 20220701 20250331
5 Assistive T E No 20220701 20250331
5 Assistive T E Yes 20220701 20250331
5 Assistive T E Yes 20220701 20250331
5 Assistive T E No 20220701 20250331 $2,530.00 $2,530.00 $2,530.00
5 Assistive T E Yes 20220701 20250331
6 Home Modif E No 20220701 20250331
5 Assistive T E Yes 20220701 20250630
5 Assistive T E No 20220701 20250630
5 Assistive T E Yes 20220701 20250630
5 Assistive T E Yes 20220701 20250630
5 Assistive T E Yes 20220701 20250630
5 Assistive T E Yes 20220701 20250630
5 Assistive T E Yes 20220701 20250630
5 Assistive T E Yes 20220701 20250630
5 Assistive T E Yes 20220701 20250630
5 Assistive T E Yes 20220701 20250630
5 Assistive T E Yes 20220701 20250630
5 Assistive T E Yes 20220701 20250630
5 Assistive T E Yes 20220701 20250630
5 Assistive T E Yes 20220701 20250630
5 Assistive T E Yes 20220701 20250630
5 Assistive T E Yes 20220701 20250630
5 Assistive T E Yes 20220701 20250630
5 Assistive T E No 20220701 20250630
5 Assistive T E No 20220701 20250630
5 Assistive T E Yes 20220701 20250630
5 Assistive T E Yes 20220701 20250630
5 Assistive T E Yes 20220701 20250630
5 Assistive T E Yes 20220701 20250630
5 Assistive T E No 20220701 20250630
5 Assistive T E Yes 20220701 20250630
5 Assistive T E Yes 20220701 20250630
5 Assistive T E Yes 20220701 20250630
5 Assistive T E No 20220701 20250630
5 Assistive T E Yes 20220701 20250630
5 Assistive T E Yes 20220701 20250630
5 Assistive T E Yes 20220701 20250630
6 Home Modif E No 20220701 20250630
7 Support CoH No 20220701 20250630 $65.09 $65.09 $65.09
14 Improved LH No 20220701 20250630 $65.09 $65.09 $65.09
15 Improved Da H No 20220701 20250630 $124.05 $124.05 $124.05
15 Improved Da H No 20220701 20250630 $124.05 $124.05 $124.05
6 Home Modif E No 20220701 20250630
6 Home Modif E Yes 20220701 20250630
6 Home Modif E Yes 20220701 20250930
6 Home Modif E Yes 20220701 20250930
1 Assistance Hw No 20220701 20220930 $62.17 $62.17 $62.17
1 Assistance Hw No 20220701 20220930 $64.04 $64.04 $64.04
1 Assistance Hw No 20220701 20220930 $68.50 $68.50 $68.50
1 Assistance Hw No 20220701 20220930 $70.56 $70.56 $70.56
1 Assistance Hw No 20220701 20220930 $87.51 $87.51 $87.51
1 Assistance Hw No 20220701 20220930 $90.14 $90.14 $90.14
1 Assistance Hw No 20220701 20220930 $112.85 $112.85 $112.85
1 Assistance Hw No 20220701 20220930 $116.24 $116.24 $116.24
1 Assistance Hw No 20220701 20220930 $138.20 $138.20 $138.20
1 Assistance Hw No 20220701 20220930 $142.35 $142.35 $142.35
1 Assistance Hw No 20220701 20220930 $69.77 $69.77 $69.77
1 Assistance Hw No 20220701 20220930 $71.86 $71.86 $71.86
4 Assistance H No 20220701 20220930 $64.04 $64.04 $64.04
4 Assistance H No 20220701 20220930 $68.50 $68.50 $68.50
4 Assistance H No 20220701 20220930 $70.56 $70.56 $70.56
4 Assistance H No 20220701 20220930 $87.51 $87.51 $87.51
4 Assistance H No 20220701 20220930 $90.14 $90.14 $90.14
4 Assistance H No 20220701 20220930 $112.85 $112.85 $112.85
4 Assistance H No 20220701 20220930 $116.24 $116.24 $116.24
4 Assistance H No 20220701 20220930 $138.20 $138.20 $138.20
4 Assistance H No 20220701 20220930 $142.35 $142.35 $142.35
5 Assistive T E No 20220701 20220930
5 Assistive T E Yes 20220701 20220930
5 Assistive T E No 20220701 20220930
5 Assistive T E No 20220701 20220930
5 Assistive T E No 20220701 20220930
5 Assistive T E No 20220701 20220930
5 Assistive T E No 20220701 20220930
1 Assistance Hw No 20220701 20221231 $72.74 $72.74 $72.74
4 Assistance H No 20220701 20221231 $78.09 $78.09 $78.09
4 Assistance H No 20220701 20221231 $80.15 $80.15 $80.15
4 Assistance H No 20220701 20221231 $102.39 $102.39 $102.39
4 Assistance H No 20220701 20221231 $132.05 $132.05 $132.05
4 Assistance H No 20220701 20221231 $161.70 $161.70 $161.70
1 Assistance Hw No 20220701 20230331 $80.15 $80.15 $80.15
1 Assistance Hw No 20220701 20230331 $102.39 $102.39 $102.39
1 Assistance Hw No 20220701 20230331 $132.05 $132.05 $132.05
1 Assistance Hw No 20220701 20230331 $161.70 $161.70 $161.70
1 Assistance Hw No 20220701 20230630 $81.63 $81.63 $81.63
4 Assistance H No 20220701 20230630 $72.74 $72.74 $72.74
4 Assistance H No 20220701 20230630 $99.76 $99.76 $99.76
4 Assistance H No 20220701 20230630 $128.66 $128.66 $128.66
4 Assistance H No 20220701 20230630 $157.55 $157.55 $157.55
4 Assistance H No 20220701 20240331 $62.17 $62.17 $62.17
QLD SA TAS VIC WA Remote Very RemoNon-Face-tProvider TrShort Notic
$65.23 $65.23 $65.23 $65.23 $65.23 $91.32 $97.85 Y Y Y
NA NA NA
NA NA NA
NA NA NA
N N N
NA NA NA
NA NA NA
NA NA NA
NA NA NA
N N N
N N N
$71.80 $71.80 $71.80 $71.80 $71.80 $100.52 $107.70 Y Y Y
$91.52 $91.52 $91.52 $91.52 $91.52 $128.13 $137.28 Y Y Y
$117.80 $117.80 $117.80 $117.80 $117.80 $164.92 $176.70 Y Y Y
$144.09 $144.09 $144.09 $144.09 $144.09 $201.73 $216.14 Y Y Y
N N N
N N N
NA NA NA
NA NA NA
N N N
N N N
NA NA NA
NA NA NA
NA NA NA
N N N
$71.47 $78.28 $78.28 $71.47 $78.28 $109.59 $117.42 N N N
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
$73.12 $73.12 $73.12 $73.12 $73.12 $102.37 $109.68 Y Y Y
N N N
$65.23 $65.23 $65.23 $65.23 $65.23 $91.32 $97.85 Y Y Y
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
N N N
N N N
N N N
N N N
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
N N N
NA NA NA
NA NA NA
NA NA NA
N N N
NA NA NA
N N N
NA NA NA
N N N
N N N
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
N N N
NA NA NA
NA NA NA
NA NA NA
N N N
NA NA NA
NA NA NA
NA NA NA
N N N
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
N N N
N N N
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
N N N
NA NA NA
NA NA NA
NA NA NA
NA NA NA
N N N
N N N
NA NA NA
NA NA NA
NA NA NA
NA NA NA
N N N
NA NA NA
NA NA NA
NA NA NA
N N N
NA NA NA
N N N
N N N
N N N
N N N
NA NA NA
NA NA NA
N N N
N N N
N N N
N N N
N N N
NA NA NA
NA NA NA
NA NA NA
NA NA NA
N N N
NA NA NA
N N N
NA NA NA
N N N
N N N
N N N
N N N
N N N
N N N
NA NA NA
N N N
N N N
N N N
N N N
N N N
N N N
NA NA NA
NA NA NA
NA NA NA
N N N
N N N
NA NA NA
NA NA NA
NA NA NA
NA NA NA
N N N
N N N
NA NA NA
NA NA NA
N N N
$20.10 $20.10 $20.10 $20.10 $20.10 $28.13 $30.15 N N N
N N N
$193.99 $193.99 $193.99 $193.99 $193.99 $271.59 $290.99 N N N
$193.99 $193.99 $193.99 $193.99 $193.99 $271.59 $290.99 N N N
$64.66 $64.66 $64.66 $64.66 $64.66 $90.52 $96.99 N N N
$193.99 $193.99 $193.99 $193.99 $193.99 $271.59 $290.99 N N N
N N N
N N N
N N N
NA NA NA
$57.30 $57.30 $57.30 $57.30 $57.30 $80.22 $85.95 Y Y Y
N N N
N N N
NA NA NA
NA NA NA
N N N
N N N
N N N
N N N
N N N
NA NA NA
NA NA NA
N N N
NA NA NA
N N N
NA NA NA
N N N
$29.26 $29.26 $29.26 $29.26 $29.26 $40.96 $43.89 N N N
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
N N N
N N N
N N N
N N N
N N N
NA NA NA
NA NA NA
NA NA NA
NA NA NA
N N N
NA NA NA
NA NA NA
N N N
NA NA NA
NA NA NA
$1.00 $1.00 $1.00 $1.00 $1.00 $1.00 $1.00 N N N
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
N N N
N N N
NA NA NA
N N N
N N N
NA NA NA
NA NA NA
N N N
$334.29 $334.29 $334.29 $334.29 $334.29 $401.14 $417.86 N N N
NA NA NA
NA NA NA
N N N
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
N N N
NA NA NA
NA NA NA
$300.00 $300.00 $300.00 $300.00 $300.00 $420.00 $450.00 N N N
$1,200.00 $1,200.00 $1,200.00 $1,200.00 $1,200.00 $1,680.00 $1,800.00 N N N
NA NA NA
NA NA NA
NA NA NA
NA NA NA
N N N
NA NA NA
NA NA NA
NA NA NA
N N N
NA NA NA
N N N
NA NA NA
NA NA NA
NA NA NA
N N N
NA NA NA
N N N
N N N
NA NA NA
NA NA NA
NA NA NA
N N N
NA NA NA
NA NA NA
N N N
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
N N N
NA NA NA
NA NA NA
$2,530.00 $2,530.00 $2,530.00 $2,530.00 $2,530.00 $2,530.00 $2,530.00 N N N
NA NA NA
N N N
NA NA NA
N N N
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
NA NA NA
N N N
N N N
NA NA NA
NA NA NA
NA NA NA
NA NA NA
N N N
NA NA NA
NA NA NA
NA NA NA
N N N
NA NA NA
NA NA NA
NA NA NA
N N N
$65.09 $65.09 $65.09 $65.09 $65.09 $91.13 $97.64 Y Y Y
$65.09 $65.09 $65.09 $65.09 $65.09 $91.13 $97.64 Y Y Y
$124.05 $124.05 $124.05 $124.05 $124.05 $173.67 $186.08 Y Y Y
$124.05 $124.05 $124.05 $124.05 $124.05 $173.67 $186.08 Y Y Y
N N N
NA NA NA
NA NA NA
NA NA NA
$62.17 $62.17 $62.17 $62.17 $62.17 $87.04 $93.26 Y Y Y
$64.04 $64.04 $64.04 $64.04 $64.04 $89.66 $96.06 Y Y Y
$68.50 $68.50 $68.50 $68.50 $68.50 $95.90 $102.75 Y Y Y
$70.56 $70.56 $70.56 $70.56 $70.56 $98.78 $105.84 Y Y Y
$87.51 $87.51 $87.51 $87.51 $87.51 $122.51 $131.27 Y Y Y
$90.14 $90.14 $90.14 $90.14 $90.14 $126.20 $135.21 Y Y Y
$112.85 $112.85 $112.85 $112.85 $112.85 $157.99 $169.28 Y Y Y
$116.24 $116.24 $116.24 $116.24 $116.24 $162.74 $174.36 Y Y Y
$138.20 $138.20 $138.20 $138.20 $138.20 $193.48 $207.30 Y Y Y
$142.35 $142.35 $142.35 $142.35 $142.35 $199.29 $213.53 Y Y Y
$69.77 $69.77 $69.77 $69.77 $69.77 $97.68 $104.66 Y Y Y
$71.86 $71.86 $71.86 $71.86 $71.86 $100.60 $107.79 Y Y Y
$64.04 $64.04 $64.04 $64.04 $64.04 $89.66 $96.06 Y Y Y
$68.50 $68.50 $68.50 $68.50 $68.50 $95.90 $102.75 Y Y Y
$70.56 $70.56 $70.56 $70.56 $70.56 $98.78 $105.84 Y Y Y
$87.51 $87.51 $87.51 $87.51 $87.51 $122.51 $131.27 Y Y Y
$90.14 $90.14 $90.14 $90.14 $90.14 $126.20 $135.21 Y Y Y
$112.85 $112.85 $112.85 $112.85 $112.85 $157.99 $169.28 Y Y Y
$116.24 $116.24 $116.24 $116.24 $116.24 $162.74 $174.36 Y Y Y
$138.20 $138.20 $138.20 $138.20 $138.20 $193.48 $207.30 Y Y Y
$142.35 $142.35 $142.35 $142.35 $142.35 $199.29 $213.53 Y Y Y
N N N
NA NA NA
N N N
N N N
N N N
N N N
N N N
$72.74 $72.74 $72.74 $72.74 $72.74 $101.84 $109.11
$78.09 $78.09 $78.09 $78.09 $78.09 $109.33 $117.14
$80.15 $80.15 $80.15 $80.15 $80.15 $112.21 $120.23
$102.39 $102.39 $102.39 $102.39 $102.39 $143.35 $153.59
$132.05 $132.05 $132.05 $132.05 $132.05 $184.87 $198.08
$161.70 $161.70 $161.70 $161.70 $161.70 $226.38 $242.55
$80.15 $80.15 $80.15 $80.15 $80.15 $112.21 $120.23
$102.39 $102.39 $102.39 $102.39 $102.39 $143.35 $153.59
$132.05 $132.05 $132.05 $132.05 $132.05 $184.87 $198.08
$161.70 $161.70 $161.70 $161.70 $161.70 $226.38 $242.55
$81.63 $81.63 $81.63 $81.63 $81.63 $114.28 $122.45
$72.74 $72.74 $72.74 $72.74 $72.74 $101.84 $109.11
$99.76 $99.76 $99.76 $99.76 $99.76 $139.66 $149.64
$128.66 $128.66 $128.66 $128.66 $128.66 $180.12 $192.99
$157.55 $157.55 $157.55 $157.55 $157.55 $220.57 $236.33
$62.17 $62.17 $62.17 $62.17 $62.17 $87.04 $93.26 Y Y Y
NDIA RequeIrregular S Type
N N Price Limited Supports
NA NA Quotable Supports
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N Unit Price = $1
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
N N
Y N Price Limited Supports
Y N Price Limited Supports
N N
N N
N N
N N
N N
N N
N N

PB NDIS Support Catalogue 2022-23

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PB NDIS Support Catalogue 2022-23

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Price Limited Supports

Price Limited Supports

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Price Limited Supports

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