Information is available for DOS before September 1, 2022.
The following modifiers are allowable for contracted hearing aid models.
Modifier | Description |
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LT | Left side |
RR* | Rental |
RT | Right side |
*The maximum allowable fee for all rentals is $27.34 per 30-day period. All rented hearing instruments require PA. Wisconsin Medicaid and BadgerCare Plus do not reimburse providers for dispensing fees for rental hearing instruments. |
Wisconsin Medicaid and BadgerCare Plus will approve only medically necessary hearing aid models available through a volume purchase contract. The following procedure codes are allowable for the corresponding hearing aid models. Many of the manufacturers and models listed in this table are registered or trademarked by the manufacturer. All new hearing aid orders have a minimum 24-month manufacturer equipment warranty.
Note: There is a five-year product life expectancy on hearing aids for adults and a three-year product life expectancy on hearing aids for children ages 20 and younger.
The vendor must continue to honor the repair pricing of the contract under which the hearing aid was sold for the life of the hearing aid, whether the hearing aid has been discontinued from the contract, the vendor has terminated their participation in the contract, or the contract has been cancelled or expired. An invoice must accompany the repaired hearing aid when returned to the audiologist or hearing instrument specialist from the vendor.
V5171 — Hearing aid, contralateral routing device, monaural, ITE (Applicable modifiers: LT, RR, RT) (For binaural ITE, use V5211 [Applicable modifier: LT, RR, RT]) |
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Manufacturer and Style | Model(s) | Purchase Rate for Monaural | Purchase Rate for Binaural | Repair Rate Per Unit | Repair Warranty |
Phonak | CROS B Custom 13 -30 level Virto Belong | $664.00 | $664.00 | $110.00 | 36 months |
CROS B Custom 13 -50 level Virto Belong | $764.00 | $764.00 | |||
CROS B Custom 13 -70 level Virto Belong | $829.00 | $829.00 | |||
Signia | Wireless CROS Transmitter + Insio 3 Nx | $683.00 | $683.00 | $95.00 | 36 months |
V5181 — Hearing aid, contralateral routing device, monaural, BTE (Applicable modifiers: LT, RR, RT) (For binaural BTE, use V5221 [Applicable modifier: LT, RR, RT]) |
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Manufacturer and Style | Model(s) | Purchase Rate for Monaural | Purchase Rate for Binaural | Repair Rate Per Unit | Repair Warranty |
Oticon, Inc. | Oticon CROS/BiCROS PX with Opn Play1 | $675.00 | $675.00 | $100.00 | 60 months |
Oticon CROS/BiCROS with Xceed 3 | $650.00 | $650.00 | $100.00 | 36 months | |
Oticon CROS/BiCROS with Xceed Play 2 | $650.00 | $650.00 | |||
Oticon CROS/BiCROS with Xceed 2 | $700.00 | $700.00 | |||
Oticon CROS/BiCROS with Xceed Play 1 | $675.00 | $675.00 | |||
Oticon CROS/BiCROS with Opn S 2 | $675.00 | $675.00 | |||
Oticon CROS/BiCROS with Opn Play 1 | $675.00 | $675.00 | |||
Oticon CROS/BiCROS with Ruby 1 | $600.00 | $600.00 | |||
Oticon CROS/BiCROS with Ruby 2 | $550.00 | $550.00 | |||
Oticon CROS/BiCROS PX with Ruby 1 | $650.00 | $650.00 | |||
Oticon CROS/BiCROS PX with Ruby 2 | $600.00 | $600.00 | |||
Oticon CROS/BiCROS PX with More 3 | $700.00 | $700.00 | |||
Oticon BICROS with Play PX 1 | $750.00 | $750.00 | |||
Oticon BICROS with Play PX 2 | $700.00 | $700.00 | |||
Oticon CROS/BiCROS with More 2 | $750.00 | $750.00 | |||
Oticon CROS/BiCROS with More 3 | $700.00 | $700.00 | |||
Oticon CROS PX with Opn S 2 | $675.00 | $675.00 | |||
Oticon BiCROS PX with Opn S 2 | $675.00 | $675.00 | |||
Oticon BiCROS PX with Play PX 1 | $750.00 | $750.00 | |||
Oticon BiCROS PX with Play PX 2 | $700.00 | $700.00 | |||
Oticon BICROS with Zircon 1 | $650.00 | $650.00 | |||
Oticon BICROS with Zircon 2 | $600.00 | $600.00 | |||
Oticon BICROS PX with Zircon 1 | $700.00 | $700.00 | |||
Oticon BICROS PX with Zircon 2 | $650.00 | $650.00 | |||
Phonak | CROS B 13 - 30 level | $664.00 | $664.00 | $110.00 | 36 months |
CROS B 13 - 50 level | $764.00 | $764.00 | |||
CROS B 13 - 70 level | $829.00 | $829.00 | |||
CROS P-R (w/Audeo P-R 70) | $900.00 | $900.00 | $75.00 | 36 months | |
CROS P-R (w/Audeo P-R 50) | $898.00 | $898.00 | |||
CROS P-R (w/Audeo P-R 30) | $849.00 | $849.00 | |||
CROS P-R (w/Audeo P-RT 70) | $900.00 | $900.00 | |||
CROS P-R (w/Audeo P-RT 50) | $898.00 | $898.00 | |||
CROS P-R (w/Audeo P-RT 30) | $849.00 | $849.00 | |||
CROS P-13 (w/ Audeo P-13T 70) | $900.00 | $900.00 | |||
CROS P-13 (w/ Audeo P-13T 50) | $898.00 | $898.00 | |||
CROS P-13 (w/ Audeo P-13T 30) | $849.00 | $849.00 | |||
Rexton | Wireless CROS Transmitter + Mosaic M 80 BTE Package | $683.00 | $683.00 | $95.00 | 36 months |
Wireless CROS Transmitter + Mosaic M 60 BTE Package | $624.00 | $624.00 | |||
M-CORE CROS R Li + M-CORE RIC Li 80 Package | $683.00 | $683.00 | |||
M-CORE CROS R Transmitter + M-CORE RIC 312 80 Package | $683.00 | $683.00 | |||
M-CORE CROS R Li + M-CORE RIC Li 60 Package | $624.00 | $624.00 | |||
M-CORE CROS R Transmitter + M-CORE RIC 312 60 Package | $624.00 | $624.00 | |||
Wireless CROS Transmitter + M-CORE B Li 80 Package | $683.00 | $683.00 | |||
Wireless CROS Transmitter + M-CORE B Li 60 Package | $624.00 | $624.00 | |||
Signia | CROS + Motion 13 3Nx | $683.00 | $683.00 | $95.00 | 36 months |
CROS + Motion 13P 3Nx | $683.00 | $683.00 | |||
Wireless CROS Transmitter + Pure 312 3X (RIC) | $683.00 | $683.00 | |||
Wireless CROS Charge&Go X Transmitter +Motion Charge&Go 3X Package | $796.00 | $796.00 | |||
Wireless CROS Charge&Go X Transmitter +Motion Charge&Go 3X P Package | $796.00 | $796.00 | |||
Wireless CROS Charge&Go X Transmitter +Motion Charge&Go 3X SP Package | $796.00 | $796.00 | |||
Wireless CROS AX Transmitter + Charge&Go 5AX RIC package | $848.00 | $848.00 | |||
Wireless CROS AX Transmitter + Charge&Go 5TAX RIC package | $848.00 | $848.00 | |||
Wireless CROS AX Transmitter + Charge&Go 3AX RIC package | $796.00 | $796.00 | |||
Wireless CROS AX Transmitter + Charge&Go 3TAX RIC package | $796.00 | $796.00 | |||
Wireless CROS C&G X Transmitter + Motion Charge&Go 5X Package | $848.00 | $848.00 | |||
Wireless CROS C&G X Transmitter + Motion Charge&Go 5X P package | $848.00 | $848.00 | |||
Wireless CROS 312 AX Transmitter + 312 5AX RIC package | $848.00 | $848.00 | |||
Wireless CROS 312 AX Transmitter + 312 3AX RIC package | $796.00 | $796.00 | |||
Wireless Styletto CROS AX Transmitter + Styletto 5 AX RIC package | $848.00 | $848.00 | |||
Wireless Styletto CROS AX Transmitter + Styletto 3 AX RIC package | $796.00 | $796.00 |
V5211 — Refer to V5171. |
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V5221 — Refer to V5181. |
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V5256 — Hearing aid, digital, monaural, ITE (Applicable modifiers: LT, RR, RT) (For binaural, use V5260 [Applicable modifier: RR].) |
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Manufacturer and Style | Model(s) | Purchase Rate for Monaural | Purchase Rate for Binaural | Repair Rate Per Unit | Non-Warranty Repair Period |
Beltone — Full Shell | Amaze 9 ITE FS | $440.00 | $880.00 | $95.00 | 24 months |
Amaze 6 ITE FS | $390.00 | $780.00 | |||
Rely 4 ITE FS | $275.00 | $550.00 | |||
Rely 3 ITE FS | $225.00 | $450.00 | |||
Rely 2 ITE FS | $175.00 | $350.00 | |||
Beltone — Half Shell | Amaze 9 ITE HS | $440.00 | $880.00 | $95.00 | 24 months |
Amaze 6 ITE HS | $390.00 | $780.00 | |||
Rely 4 ITE HS | $275.00 | $550.00 | |||
Rely 3 ITE HS | $225.00 | $450.00 | |||
Rely 2 ITE HS | $175.00 | $350.00 | |||
Oticon — Full Shell | Opn 1 FS | $300.00 | $600.00 | $100.00 | 36 months |
Siya 1 FS | $250.00 | $500.00 | |||
Oticon — Half Shell | Opn 1 HS | $300.00 | $600.00 | $100.00 | 36 months |
Siya 1 HS | $250.00 | $500.00 | |||
Phonak — Full Shell | Virto B70-13 | $450.00 | 900.00 | $75.00 | 24 months |
Virto B50-13 | $385.00 | $770.00 | |||
Virto B30-13 | $285.00 | $570.00 | |||
Virto M70 312 | $450.00 | $900.00 | |||
Virto M50 312 | $399.00 | $798.00 | |||
Virto M30 312 | $285.00 | $570.00 | |||
Virto P70 312 | $450.00 | $900.00 | $75.00 | 36 months | |
Virto P50 312 | $448.00 | $896.00 | |||
Virto P30 312 | $399.00 | $798.00 | |||
Phonak — Half Shell | Virto M70 312 | $450.00 | 900.00 | $75.00 | 24 months |
Virto M50 312 | $399.00 | $798.00 | |||
Virto M30 312 | $285.00 | $570.00 | |||
Virto P70 312 | $450.00 | $900.00 | $75.00 | 36 months | |
Virto P50 312 | $448.00 | $896.00 | |||
Virto P30 312 | $399.00 | $798.00 | |||
Phonak — Low Profile | Virto M70 10 Low Profile MC | $450.00 | 900.00 | $75.00 | 24 months |
Virto M50 10 Low Profile MC | $385.00 | $770.00 | |||
Virto M30 10 Low Profile MC | $285.00 | $570.00 | |||
Virto P70 10 Low Profile MC | $450.00 | $900.00 | $75.00 | 36 months | |
Virto P50 10 Low Profile MC | $448.00 | $896.00 | |||
Virto P30 10 Low Profile MC | $399.00 | $798.00 | |||
ReSound — Full Shell | Customs by Resound 7 Full Shell MP | $440.00 | $880.00 | $95.00 | 36 months |
Customs by Resound 7 Full Shell HP | $440.00 | $880.00 | |||
Customs by Resound 5 Full Shell MP | $390.00 | $780.00 | |||
Customs by Resound 5 Full Shell HP | $390.00 | $780.00 | |||
LiNX Quattro 5 Full Shell | $390.00 | $780.00 | |||
LiNX Quattro 5 Full Shell-T | $390.00 | $780.00 | |||
LiNX Quattro 7 Full Shell | $440.00 | $880.00 | |||
LiNX Quattro 7 Full Shell-T | $440.00 | $880.00 | |||
Resound Key 4 Full Shell | $275.00 | $550.00 | |||
Resound Key 3 Full Shell | $225.00 | $450.00 | |||
Resound Key 2 Full Shell | $175.00 | $350.00 | |||
ReSound — Half Shell | Customs by Resound 7 Half Shell MP | $440.00 | $880.00 | $95.00 | 36 months |
Customs by Resound 7 Half Shell HP | $440.00 | $880.00 | |||
Customs by Resound 5 Half Shell MP | $390.00 | $780.00 | |||
Customs by Resound 5 Half Shell HP | $390.00 | $780.00 | |||
LiNX Quattro 5 Half Shell | $390.00 | $780.00 | |||
LiNX Quattro 5 Half Shell-T | $390.00 | $780.00 | |||
LiNX Quattro 7 Half Shell | $440.00 | $880.00 | |||
LiNX Quattro 7 Half Shell-T | $440.00 | $880.00 | |||
Resound Key 4 Half Shell | $275.00 | $550.00 | |||
Resound Key 3 Half Shell | $225.00 | $450.00 | |||
Resound Key 2 Half Shell | $175.00 | $350.00 | |||
Rexton — Full Shell | Sterling 60 8C | $339.00 | $678.00 | $95.00 | 36 months |
Sterling 80 8C | $398.00 | $796.00 | |||
Signia — Full Shell | Insio 3 Nx | $398.00 | $796.00 | $95.00 | 36 months |
Insio 2 Nx | $339.00 | $678.00 | |||
Insio 1 Nx | $283.00 | $566.00 | |||
Active X | $339.00 | $678.00 | |||
Insio Full Shell Charge & Go 5 AX FS | $450.00 | $900.00 | |||
Insio Full Shell Charge & Go 3 AX FS | $398.00 | $796.00 | |||
Signia — Half Shell | Insio Half Shell Charge & Go 5 AX HS | $450.00 | $900.00 | $95.00 | 36 months |
Insio Half Shell Charge & Go 3 AX HS | $398.00 | $796.00 | |||
Insio 3 NX | $398.00 | $796.00 | |||
Insio 2 NX | $339.00 | $678.00 | |||
Insio 1 NX | $283.00 | $566.00 | |||
Starkey — Full Shell | Livio 2400 ITE | $439.00 | $878.00 | $84.99 | 36 months |
Livio 2000 ITE | $419.00 | $838.00 | $84.99 | 24 months | |
Livio 1600 ITE | $399.00 | $798.00 | |||
Livio 1200 ITE | $329.00 | $658.00 | |||
Livio 1000 ITE | $279.00 | $558.00 | |||
Starkey Evolv AI 2400 ITE R | $439.00 | $878.00 | $84.99 | 36 months | |
Starkey Evolv AI 2000 ITE R | $419.00 | $838.00 | $84.99 | 24 months | |
Starkey Evolv AI 1600 ITE R | $399.00 | $798.00 | |||
Starkey Evolv AI 1200 ITE R | $329.00 | $658.00 | |||
Starkey — Half Shell | Livio 2400 HS | $439.00 | $878.00 | $84.99 | 36 months |
Livio 2000 HS | $419.00 | $838.00 | $84.99 | 24 months | |
Livio 1600 HS | $399.00 | $798.00 | |||
Livio 1200 HS | $329.00 | $658.00 | |||
Livio 1000 HS | $279.00 | $558.00 | |||
Starkey Evolv AI 2400 HS R | $439.00 | $878.00 | $84.99 | 36 months | |
Starkey Evolv AI 2000 HS R | $419.00 | $838.00 | $84.99 | 24 months | |
Starkey Evolv AI 1600 HS R | $399.00 | $798.00 | |||
Starkey Evolv AI 1200 HS R | $329.00 | $658.00 | |||
Unitron Hearing — Full Shell, Half Shell, and Low Profile | Insera DX Full Shell Dir 7 | $430.00 | $860.00 | $75.00 | 36 months |
Insera DX Full Shell Dir 5 | $299.00 | $598.00 | |||
Insera DX Full Shell Dir 3 | $229.00 | $458.00 | |||
Insera DX Full Omni 7 | $430.00 | $860.00 | |||
Insera DX Full Omni 5 | $299.00 | $598.00 | |||
Insera DX Full Omni 3 | $229.00 | $458.00 | |||
Widex — Full Shell | Evoke-XP 220 ITE FS | $269.00 | $538.00 | $100.00 | 36 months |
Evoke-IM 220 ITE FS | $269.00 | $538.00 | |||
Evoke-IP 220 ITE FS | $269.00 | $538.00 | |||
Evoke-XP 110 ITE FS | $199.00 | $398.00 | |||
Evoke-IM 110 ITE FS | $199.00 | $398.00 | |||
Evoke-IP 110 ITE FS | $199.00 | $398.00 | |||
Evoke-XP 330 ITE FS | $399.00 | $798.00 | |||
Evoke-IM 330 ITE FS | $399.00 | $798.00 | |||
Evoke-IP 330 ITE FS | $399.00 | $798.00 | |||
Moment-XP 330 ITE FS | $440.00 | $880.00 | |||
Moment-IM 330 ITE FS | $440.00 | $880.00 | |||
Moment-IP 330 ITE FS | $440.00 | $880.00 | |||
Moment-XP 220 ITE FS | $399.00 | $798.00 | |||
Moment-IM 220 ITE FS | $399.00 | $798.00 | |||
Moment-IP 220 ITE FS | $399.00 | $798.00 | |||
Moment-XP 110 ITE FS | $269.00 | $538.00 | |||
Moment-IM 110 ITE FS | $269.00 | $538.00 | |||
Moment-IP 110 ITE FS | $269.00 | $538.00 | |||
Magnify-XP 330 ITE FS | $399.00 | $798.00 | |||
Magnify-IM 330 ITE FS | $399.00 | $798.00 | |||
Magnify-IP 330 ITE FS | $399.00 | $798.00 | |||
Magnify-XP 220 ITE FS | $269.00 | $538.00 | |||
Magnify-IM 220 ITE FS | $269.00 | $538.00 | |||
Magnify-IP 220 ITE FS | $269.00 | $538.00 | |||
Magnify-XP 110 ITE FS | $225.00 | $450.00 | |||
Magnify-IM 110 ITE FS | $225.00 | $450.00 | |||
Magnify-IP 110 ITE FS | $225.00 | $450.00 | |||
Widex — Half Shell | Evoke-XP 330 ITE-HS | $399.00 | $798.00 | $100.00 | 36 months |
Evoke-IM 330 ITE-HS | $399.00 | $798.00 | |||
Evoke-IP 330 ITE-HS | $399.00 | $798.00 | |||
Evoke-XP 220 ITE HS | $269.00 | $538.00 | |||
Evoke-IM 220 ITE HS | $269.00 | $538.00 | |||
Evoke-IP 220 ITE HS | $269.00 | $538.00 | |||
Evoke-XP 110 ITE HS | $199.00 | $398.00 | |||
Evoke-IM ITE HS | $199.00 | $398.00 | |||
Evoke-IP 110 ITE HS | $199.00 | $398.00 | |||
Moment-XP 330 ITE HS | $440.00 | $880.00 | |||
Moment-IM 330 ITE HS | $440.00 | $880.00 | |||
Moment-IP 330 ITE HS | $440.00 | $880.00 | |||
Moment-XP 220 ITE HS | $399.00 | $798.00 | |||
Moment-IM 220 ITE HS | $399.00 | $798.00 | |||
Moment-IP 220 ITE HS | $399.00 | $798.00 | |||
Moment-XP 110 ITE HS | $269.00 | $538.00 | |||
Moment-IM 110 ITE HS | $269.00 | $538.00 | |||
Moment-IP 110 ITE HS | $269.00 | $538.00 | |||
Magnify-XP 330 ITE HS | $399.00 | $798.00 | |||
Magnify-IM 330 ITE HS | $399.00 | $798.00 | |||
Magnify-IP 330 ITE HS | $399.00 | $798.00 | |||
Magnify-XP 220 ITE HS | $269.00 | $538.00 | |||
Magnify-IM 220 ITE HS | $269.00 | $538.00 | |||
Magnify-IP 220 ITE HS | $269.00 | $538.00 | |||
Magnify-XP 110 ITE HS | $225.00 | $450.00 | |||
Magnify-IM 110 ITE HS | $225.00 | $450.00 | |||
Magnify-IP 110 ITE HS | $225.00 | $450.00 |
V5257 — Hearing aid, digital, monaural, BTE (Applicable modifiers: LT, RR, RT) (For binaural, use V5261 [Applicable modifier: RR].) |
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Manufacturer and Style | Model(s) | Purchase Rate for Monaural | Purchase Rate for Binaural | Repair Rate Per Unit | Non-Warranty Repair Period |
Beltone | Amaze 6 64 DW | $390.00 | $780.00 | $95.00 | 36 months |
Amaze 6 63 - DRW | $390.00 | $780.00 | |||
Amaze 6 63 Rechargeable - DRWC | $390.00 | $780.00 | |||
Amaze 6 66 - DWT | $390.00 | $780.00 | |||
Amaze 6 76 - DWT | $390.00 | $780.00 | |||
Amaze 6 86 - DWT | $390.00 | $780.00 | |||
Amaze 9 63 - DRW | $440.00 | $880.00 | |||
Amaze 9 64 - DRWT | $440.00 | $880.00 | |||
Amaze 9 63 Rechargeable - DRWC | $440.00 | $880.00 | |||
Amaze 9 66 - DWT | $440.00 | $880.00 | |||
Amaze 9 76 - DWT | $440.00 | $880.00 | |||
Amaze 9 86 - DWT | $440.00 | $880.00 | |||
Boost Ultra 6 86 - DW | $390.00 | $780.00 | |||
Boost Ultra 6 95 - DW | $390.00 | $780.00 | |||
Boost Ultra 9 86 - DWT | $440.00 | $880.00 | |||
Boost Ultra 9 95 - DWT | $440.00 | $880.00 | |||
Imagine 9 63 - DRW | $440.00 | $880.00 | |||
Imagine 9 64 - DRWT | $440.00 | $880.00 | |||
Imagine 9 63 - Rechargeable DRWC | $440.00 | $880.00 | |||
Imagine 6 63 - DRW | $390.00 | $780.00 | |||
Imagine 6 64 - DRWT | $390.00 | $780.00 | |||
Imagine 6 63 - Rechargeable DRWC | $390.00 | $780.00 | |||
Rely 4 66 - DW Mini BTE | $275.00 | $550.00 | |||
Rely 4 76 - DW BTE | $275.00 | $550.00 | |||
Rely 4 86 - DW High Power BTE | $275.00 | $550.00 | |||
Rely 4 95 - DW Super Power BTE | $275.00 | $550.00 | |||
Rely 4 63 - DRWC Rechargeable RIE BTE | $275.00 | $550.00 | |||
Rely 4 63 - DRW Mini RIE BTE | $275.00 | $550.00 | |||
Rely 4 64 - DRW RIE BTE | $275.00 | $550.00 | |||
Rely 3 66 - DW Mini BTE | $225.00 | $450.00 | |||
Rely 3 76 - DW Standard BTE | $225.00 | $450.00 | |||
Rely 3 86 - DW High Power BTE | $225.00 | $450.00 | |||
Rely 3 95 - DW Super Power BTE | $225.00 | $450.00 | |||
Rely 3 63 - DRW Mini RIE BTE | $225.00 | $450.00 | |||
Rely 3 64 - DRW RIE BTE | $225.00 | $450.00 | |||
Rely 2 66 - DW Mini BTE | $175.00 | $350.00 | |||
Rely 2 76 - DW Standard BTE | $175.00 | $350.00 | |||
Rely 2 86 - DW High Power BTE | $175.00 | $350.00 | |||
Rely 2 95 - DW Super Power BTE | $175.00 | $350.00 | |||
Rely 2 63 - DWR Mini RIE BTE | $175.00 | $350.00 | |||
Oticon | More 2 miniRITE-R | $400.00 | $800.00 | $100.00 | 36 months |
More 2 miniRITE-T | $400.00 | $800.00 | |||
More 2 miniBTE-R | $400.00 | $800.00 | |||
More 2 miniBTE-T | $400.00 | $800.00 | |||
More 3 miniBTE-R | $350.00 | $700.00 | |||
More 3 miniBTE-T | $350.00 | $700.00 | |||
Opn Play 1 Power Plus | $325.00 | $650.00 | $100.00 | 60 months | |
Opn Play 1 MiniRITE-R | $325.00 | $650.00 | |||
Opn Play 1 miniRITE | $325.00 | $650.00 | |||
Opn Play 1 miniRITE-T | $325.00 | $650.00 | |||
Opn Play 2 Power Plus | $300.00 | $600.00 | |||
Opn Play 2 miniRITE | $300.00 | $600.00 | |||
Opn Play 2 miniRITE-R | $300.00 | $600.00 | |||
Opn Play 2 miniRITE-T | $300.00 | $600.00 | |||
Opn S 3 BTE PP | $275.00 | $550.00 | $100.00 | 36 months | |
Opn S 3 miniRITE | $275.00 | $550.00 | |||
Opn S 3 miniRITE-R | $275.00 | $550.00 | |||
Opn S 3 miniRITE-T | $275.00 | $550.00 | |||
Opn S 2 BTE PP | $325.00 | $650.00 | |||
Opn S 2 miniRITE | $325.00 | $650.00 | |||
Opn S 2 miniRITE-R | $325.00 | $650.00 | |||
Opn S 2 miniRITE-T | $325.00 | $650.00 | |||
Play PX 1 miniBTE R | $400.00 | $800.00 | $100.00 | 60 months | |
Play PX 1 miniBTE T | $400.00 | $800.00 | |||
Play PX 1 miniRITE T | $400.00 | $800.00 | |||
Play PX 1 minRITE R | $400.00 | $800.00 | |||
Play PX 2 miniBTE R | $350.00 | $700.00 | |||
Play PX 2 miniBTE T | $350.00 | $700.00 | |||
Play PX 2 miniRITE T | $350.00 | $700.00 | |||
Play PX 2 minRITE R | $350.00 | $700.00 | |||
Ruby 1 BTE | $250.00 | $500.00 | $100.00 | 36 months | |
Ruby 1 Power Plus | $250.00 | $500.00 | |||
Ruby 1 miniRITE | $250.00 | $500.00 | |||
Ruby 1 miniRITE T | $250.00 | $500.00 | |||
Ruby 1 miniRITE R | $300.00 | $600.00 | |||
Ruby 2 BTE | $200.00 | $400.00 | |||
Ruby 2 Power Plus | $200.00 | $400.00 | |||
Ruby 2 miniRITE | $200.00 | $400.00 | |||
Ruby 2 miniRITE T | $200.00 | $400.00 | |||
Ruby 2 miniRITE R | $250.00 | $500.00 | |||
Xceed 2 BTE SP | $350.00 | $700.00 | |||
Xceed 2 BTE UP | $350.00 | $700.00 | |||
Xceed 3 BTE SP | $300.00 | $600.00 | |||
Xceed 3 BTE UP | $300.00 | $600.00 | |||
Xceed Play 1 BTE SP | $350.00 | $700.00 | $100.00 | 60 months | |
Xceed Play 1 BTE UP | $350.00 | $700.00 | |||
Xceed Play 2 BTE SP | $300.00 | $600.00 | |||
Xceed Play 2 BTE UP | $300.00 | $600.00 | |||
Zircon 1 miniBTE R | $300.00 | $600.00 | $100.00 | 36 months | |
Zircon 1 miniBTE T | $300.00 | $600.00 | |||
Zircon 1 miniRITE-R | $300.00 | $600.00 | |||
Zircon 1 miniRITE-T | $300.00 | $600.00 | |||
Zircon 2 miniBTE R | $250.00 | $500.00 | |||
Zircon 2 miniBTE T | $250.00 | $500.00 | |||
Zircon 2 miniRITE-R | $250.00 | $500.00 | |||
Zircon 2 miniRITE-T | $250.00 | $500.00 | |||
Phonak | Audeo M70-312 (RIC) | $450.00 | $900.00 | $75.00 | 24 months |
Audeo M50-312 (RIC) | $399.00 | $798.00 | |||
Audeo M30-312 (RIC) | $285.00 | $570.00 | |||
Audeo M70-312T (RIC) | $450.00 | $900.00 | |||
Audeo M50-312T (RIC) | $399.00 | $798.00 | |||
Audeo M30-312T (RIC) | $285.00 | $570.00 | |||
Audeo M70-13T (RIC) | $450.00 | $900.00 | |||
Audeo M50-13T (RIC) | $399.00 | $798.00 | |||
Audeo M30-13T (RIC) | $285.00 | $570.00 | |||
Audeo P50-RL Rechargeable, RIC | $450.00 | $900.00 | $75.00 | 36 months | |
Audeo P30-RL Rechargeable, RIC | $448.00 | $896.00 | |||
Audeo M70-R Rechargeable | $450.00 | $900.00 | $75.00 | 24 months | |
Audeo M50-R Rechargeable (RIC) | $399.00 | $798.00 | |||
Audeo M30-R Rechargeable (RIC) | $299.00 | $598.00 | |||
Audeo M70-RT Rechargeable (RIC) | $450.00 | $900.00 | |||
Audeo M50-RT Rechargeable (RIC) | $399.00 | $798.00 | |||
Audeo M30-RT Rechargeable (RIC) | $299.00 | $598.00 | |||
Audeo P70-RT Rechargeable RIC | $450.00 | $900.00 | $75.00 | 36 months | |
Audeo P50-RT Rechargeable RIC | $448.00 | $896.00 | |||
Audeo P30-RT Rechargeable RIC | $399.00 | $798.00 | |||
Audeo P70-R Rechargeable RIC | $450.00 | $900.00 | |||
Audeo P50-R Rechargeable RIC | $448.00 | $896.00 | |||
Audeo P30-R Rechargeable RIC | $399.00 | $798.00 | |||
Audeo P70-13T RIC | $450.00 | $900.00 | |||
Audeo P50-13T RIC | $448.00 | $896.00 | |||
Audeo P30-13T RIC | $399.00 | $798.00 | |||
Audeo P70-312 RIC | $450.00 | $900.00 | |||
Audeo P50-312 RIC | $448.00 | $896.00 | |||
Audeo P30-312 RIC | $399.00 | $798.00 | |||
Bolero M70-M (BTE) | $450.00 | $900.00 | $75.00 | 24 months | |
Bolero M50-M (BTE) | $399.00 | $798.00 | |||
Bolero M30-M (BTE) | $285.00 | $570.00 | |||
Bolero M70-PR (BTE) | $450.00 | $900.00 | |||
Bolero M50-PR (BTE) | $399.00 | $798.00 | |||
Bolero M30-PR (BTE) | $299.00 | $598.00 | |||
Naida M70-SP (Power BTE) | $450.00 | $900.00 | $75.00 | 36 months | |
Naida M50-SP (Power BTE) | $399.00 | $798.00 | |||
Naida M30-SP (Power BTE) | $285.00 | $570.00 | |||
Naida M Link (Power BTE, link to CI) | $450.00 | $900.00 | |||
Naida P70-PR Rechargeable BTE | $450.00 | $900.00 | |||
Naida P50-PR Rechargeable BTE | $448.00 | $896.00 | |||
Naida P30-PR Rechargeable BTE | $399.00 | $798.00 | |||
Naida P70 SP (Ultra Power BTE) | $450.00 | $900.00 | |||
Naida P50 SP (Ultra Power BTE) | $448.00 | $896.00 | |||
Naida P30 SP (Ultra Power BTE) | $399.00 | $798.00 | |||
Sky M70-M (Pediatric BTE) | $450.00 | $900.00 | $75.00 | 60 months | |
Sky M50-M (Pediatric BTE) | $399.00 | $798.00 | |||
Sky B70-M (Pediatric BTE) | $450.00 | $900.00 | |||
Sky B50-M (Pediatric BTE) | $385.00 | $770.00 | |||
Sky B70-P (Pediatric BTE) | $450.00 | $900.00 | |||
Sky B50-P ( Pediatric BTE) | $385.00 | $770.00 | |||
Sky M 70 PR (Pediatric Power BTE) | $450.00 | $900.00 | |||
Sky M 50 PR (Pediatric Power BTE) | $399.00 | $798.00 | |||
Sky M 70 SP (Pediatric Power BTE) | $450.00 | $900.00 | |||
Sky M 50 SP (Pediatric Power BTE) | $399.00 | $798.00 | |||
Sky M Link (Pediatric BTE, link to CI) | $450.00 | $900.00 | |||
Sky B70-SP (Pediatric Super Power BTE) | $450.00 | $900.00 | |||
Sky B50-SP (Pediatric Super Power BTE) | $385.00 | $770.00 | |||
Sky B70-UP (Pediatric Ultra Power) | $450.00 | $900.00 | |||
Sky B50-UP (Pediatric Ultra Power) | $385.00 | $770.00 | |||
Sky B70-RIC (Pediatric RIC) | $450.00 | $900.00 | |||
Sky B50-RIC (Pediatric RIC) | $385.00 | $770.00 | |||
Sky B50-PR Rechargeable (Pediatric BTE) | $410.00 | $820.00 | |||
Sky B70-PR Rechargeable Pediatric BTE | $450.00 | $900.00 | |||
ReSound | Enzo Q 5 High Power BTE | $390.00 | $780.00 | $95.00 | 36 months |
Enzo Q 5 Super Power BTE | $390.00 | $780.00 | |||
Enzo Q 7 High Power BTE | $440.00 | $880.00 | |||
Enzo Q 7 Super Power BTE | $440.00 | $880.00 | |||
LiNX Quattro 5 RIE BTE | $390.00 | $780.00 | |||
LiNX Quattro 5 Mini BTE | $390.00 | $780.00 | |||
LiNX Quattro 5 Mini RIE BTE | $390.00 | $780.00 | |||
LiNX Quattro 5 Mini Rechargeable RIE BTE | $390.00 | $780.00 | |||
LiNX Quattro 5 Standard BTE | $390.00 | $780.00 | |||
LiNX Quattro 5 Power BTE | $390.00 | $780.00 | |||
LiNX Quattro 7 Mini RIE BTE | $440.00 | $880.00 | |||
LiNX Quattro 7 RIE BTE | $440.00 | $880.00 | |||
LiNX Quattro 7 Mini Rechargeable RIE BTE | $440.00 | $880.00 | |||
LiNX Quattro 7 Mini BTE | $440.00 | $880.00 | |||
LiNX Quattro 7 Standard BTE | $440.00 | $880.00 | |||
LiNX Quattro 7 Power BTE | $440.00 | $880.00 | |||
Resound OMNIA 7 Mini RIE BTE | $440.00 | $880.00 | |||
Resound OMNIA 7 Rechargeable RIE BTE | $440.00 | $880.00 | |||
Resound OMNIA 7 RIE BTE | $440.00 | $880.00 | |||
Resound OMNIA 5 Mini RIE BTE | $390.00 | $780.00 | |||
Resound OMNIA Rechargeable RIE BTE | $390.00 | $780.00 | |||
Resound OMNIA 5 RIE BTE | $390.00 | $780.00 | |||
Resound ONE 7 Mini RIE BTE | $400.00 | $880.00 | |||
Resound ONE 7 RIE BTE | $400.00 | $880.00 | |||
Resound ONE 7 Mini Rechargeable RIE BTE | $400.00 | $880.00 | |||
Resound ONE 5 Mini RIE BTE | $390.00 | $780.00 | |||
Resound ONE 5 RIE BTE | $390.00 | $780.00 | |||
Resound ONE 5 Mini Rechargeable RIE BTE | $390.00 | $780.00 | |||
Resound Key 4 Mini BTE | $275.00 | $550.00 | |||
Resound Key 4 Standard BTE | $275.00 | $550.00 | |||
Resound Key 4 High Power BTE | $275.00 | $550.00 | |||
Resound Key 4 Super Power BTE | $275.00 | $550.00 | |||
Resound Key 4 Mini Rechargeable RIE BTE | $275.00 | $550.00 | |||
Resound Key 4 Mini RIE BTE | $275.00 | $550.00 | |||
Resound Key 4 RIE BTE | $275.00 | $550.00 | |||
Resound Key 3 Mini BTE | $225.00 | $450.00 | |||
Resound Key 3 Standard BTE | $225.00 | $450.00 | |||
Resound Key 3 High Power BTE | $225.00 | $450.00 | |||
Resound Key 3 Super Power BTE | $225.00 | $450.00 | |||
Resound Key 3 Mini RIE BTE | $225.00 | $450.00 | |||
Resound Key 3 RIE BTE | $225.00 | $450.00 | |||
Resound Key 2 Mini BTE | $175.00 | $350.00 | |||
Resound Key 2 Standard BTE | $175.00 | $350.00 | |||
Resound Key 2 High Power BTE | $175.00 | $350.00 | |||
Resound Key 2 Super Power BTE | $175.00 | $350.00 | |||
Resound Key 2 Mini RIE BTE | $175.00 | $350.00 | |||
Resound Key 2 RIE BTE | $175.00 | $350.00 | |||
Rexton | Mosaic M 80 8c | $398.00 | $796.00 | $95.00 | 36 months |
Mosaic M 60 8c | $339.00 | $678.00 | |||
Mosaic P 80 8c | $398.00 | $796.00 | |||
Mosaic P 60 8c | $339.00 | $678.00 | |||
Mosaic P 80 8c | $398.00 | $796.00 | |||
Mosaic P 60 8c | $339.00 | $678.00 | |||
Mosaic HP 80 6c | $398.00 | $796.00 | |||
Mosaic HP 60 6c | $339.00 | $678.00 | |||
M-CORE SR 80 (Slim RIC) | $398.00 | $796.00 | |||
M-CORE SR 60 (Slim RIC) | $339.00 | $678.00 | |||
M-CORE RIC-Li 80 | $398.00 | $796.00 | |||
M-CORE RIC-Li 60 | $339.00 | $678.00 | |||
M-CORE RIC 312 80 | $398.00 | $796.00 | |||
M-CORE RIC 312 60 | $339.00 | $678.00 | |||
M-CORE B Li M 80 | $398.00 | $796.00 | |||
M-CORE B Li M 60 | $339.00 | $678.00 | |||
M-CORE B Li P 80 | $398.00 | $796.00 | |||
M-CORE B Li P 60 | $339.00 | $678.00 | |||
M-CORE B Li HP 80 | $398.00 | $796.00 | |||
M-CORE B Li HP 60 | $339.00 | $678.00 | |||
Signia | Charge & Go 5 AX | $450.00 | $900.00 | $95.00 | 36 months |
Charge & Go 5 TAX | $450.00 | $900.00 | |||
Charge & Go 3 AX | $398.00 | $796.00 | |||
Charge & Go 3 TAX | $398.00 | $796.00 | |||
Pure 312 3 X (RIC) | $398.00 | $796.00 | |||
Pure 312 2 X (RIC) | $339.00 | $678.00 | |||
Pure 312 1 X (RIC) | $283.00 | $566.00 | |||
Styletto 5AX | $450.00 | $900.00 | |||
Styletto 3AX | $398.00 | $796.00 | |||
Styletto 3 X (RIC) | $398.00 | $796.00 | |||
Styletto 2 X (RIC) | $339.00 | $678.00 | |||
Styletto 1 X (RIC) | $283.00 | $566.00 | |||
Pure Charge & Go 2 X (RIC/ Rechargeable) | $339.00 | $678.00 | |||
Pure Charge & Go 1 X (RIC/ Rechargeable) | $283.00 | $566.00 | |||
Motion 13 NX 3 | $398.00 | $796.00 | |||
Motion 13P NX 3 | $398.00 | $796.00 | |||
Motion Charge & Go 5X Super Power | $450.00 | $900.00 | |||
Motion Charge & Go 5X Power | $450.00 | $900.00 | |||
Motion Charge & Go 5X | $450.00 | $900.00 | |||
Motion Charge & Go 3X Super Power | $398.00 | $796.00 | |||
Motion Charge & Go 3X Power | $398.00 | $796.00 | |||
Motion Charge & Go 3X | $398.00 | $796.00 | |||
Motion Charge & Go 2X Super Power | $339.00 | $768.00 | |||
Motion Charge & Go 2X | $339.00 | $768.00 | |||
Motion Charge & Go 1X Super Power | $283.00 | $566.00 | |||
Motion Charge & Go 1X | $283.00 | $566.00 | |||
Starkey | Muse i2400 BTE 13 PWRPLS | $439.00 | $878.00 | $84.99 | 24 months |
Livio 2400 BTE 13 | $439.00 | $878.00 | $84.99 | 36 months | |
Livio 2400 mRIC 312 | $439.00 | $878.00 | |||
Livio 2400 RIC 312 | $439.00 | $878.00 | |||
Livio 2400 RIC R | $439.00 | $878.00 | |||
Livio 2000 BTE 13 | $419.00 | $838.00 | $84.99 | 24 months | |
Livio 2000 mRIC 312 | $419.00 | $838.00 | |||
Livio 2000 RIC 312 | $419.00 | $838.00 | |||
Livio 2000 RIC R | $419.00 | $838.00 | |||
Livio 1600 BTE 13 | $399.00 | $798.00 | |||
Livio 1600 mRIC 312 | $399.00 | $798.00 | |||
Livio 1600 RIC 312 | $399.00 | $798.00 | |||
Livio 1600 RIC R | $399.00 | $798.00 | |||
Livio 1200 BTE 13 | $329.00 | $658.00 | |||
Livio 1200 mRIC 312 | $329.00 | $658.00 | |||
Livio 1200 RIC 312 | $329.00 | $658.00 | |||
Livio 1200 RIC R | $329.00 | $658.00 | |||
Livio 1000 BTE 13 | $279.00 | $558.00 | |||
Livio 1000 mRIC 312 | $279.00 | $558.00 | |||
Livio 1000 RIC 312 | $279.00 | $558.00 | |||
Livio 1000 RIC R | $279.00 | $558.00 | |||
Starkey Evolv AI 1200 Power Plus BTE 13 | $439.00 | $878.00 | |||
Starkey Evolv AI 2400 BTE 13 | $419.00 | $838.00 | $84.99 | 36 months | |
Starkey Evolv AI 2000 BTE 13 | $399.00 | $798.00 | $84.99 | 24 months | |
Starkey Evolv AI 1600 BTE 13 | $329.00 | $658.00 | |||
Starkey Evolv AI 1200 BTE 13 | $439.00 | $878.00 | |||
Starkey Evolv AI 2400 BTE R | $379.00 | $758.00 | |||
Starkey Evolv AI 2000 BTE R | $369.00 | $738.00 | |||
Starkey Evolv AI 1600 BTE R | $334.00 | $668.00 | |||
Starkey Evolv AI 1200 BTE R | $439.00 | $878.00 | |||
Starkey Evolv AI 2400 MRIC 312 | $392.50 | $785.00 | $84.99 | 36 months | |
Starkey Evolv AI 2000 MRIC 312 | $369.00 | $738.00 | $84.99 | 24 months | |
Starkey Evolv AI 1600 MRIC 312 | $334.00 | $668.00 | |||
Starkey Evolv AI 1200 MRIC 312 | $439.00 | $878.00 | |||
Starkey Evolv AI 2400 RIC 312 | $419.00 | $838.00 | $84.99 | 36 months | |
Starkey Evolv AI 2000 RIC 312 | $399.00 | $798.00 | $84.99 | 24 months | |
Starkey Evolv AI 1600 RIC 312 | $329.00 | $658.00 | |||
Starkey Evolv AI 1200 RIC 312 | $439.00 | $878.00 | |||
Unitron Hearing | Discover Next Moxi Fit 7 CRT | $430.00 | $860.00 | $75.00 | 12 months |
Discover Next Moxi Fit 5 CRT | $299.00 | $598.00 | |||
Discover Next Moxi Fit 3 CRT | $229.00 | $458.00 | |||
Discover Next Moxi Jump R T 7 CRT | $430.00 | $860.00 | |||
Discover Next Moxi Jump R T 5 CRT | $299.00 | $598.00 | |||
Discover Next Moxi Jump R T 3 CRT | $229.00 | $458.00 | |||
Discover Next Moxi Move R 7 CRT Rechargeable | $430.00 | $860.00 | |||
Discover Next Moxi Move R 5 CRT Rechargeable | $299.00 | $598.00 | |||
Discover Next Moxi Move R 3 CRT Rechargeable | $229.00 | $458.00 | |||
Discover Next Stride P R 7 Rechargeable | $430.00 | $860.00 | |||
Discover Next Stride P R 5 Rechargeable | $299.00 | $598.00 | |||
Discover Next Stride P R 3 Rechargeable | $229.00 | $458.00 | |||
DX Stride M 7 | $430.00 | $860.00 | |||
DX Stride M 5 | $299.00 | $598.00 | |||
DX Stride M 3 | $229.00 | $458.00 | |||
Moxi B-R 7 Rechargeable | $440.00 | $880.00 | |||
Moxi B-R 5 Rechargeable | $399.00 | $798.00 | |||
Moxi B-R 3 Rechargeable | $299.00 | $598.00 | |||
Moxi B-R 1 Rechargeable | $175.00 | $350.00 | $75.00 | 24 months | |
Moxi B 312 7 | $440.00 | $880.00 | $75.00 | 36 months | |
Moxi B 312 5 | $399.00 | $798.00 | |||
Moxi B 312 3 | $299.00 | $598.00 | |||
Moxi B 312 1 | $175.00 | $350.00 | $75.00 | 24 months | |
Moxi B-RT 7 Rechargeable | $440.00 | $880.00 | $75.00 | 36 months | |
Moxi B-RT 5 Rechargeable | $399.00 | $798.00 | |||
Moxi B-RT 3 Rechargeable | $299.00 | $598.00 | |||
Moxi B-RT 1 | $175.00 | $350.00 | $75.00 | 24 months | |
Stride B-PR 7 | $440.00 | $880.00 | $75.00 | 24 months | |
Stride B-PR 5 | $399.00 | $798.00 | |||
Stride B-PR 3 | $299.00 | $598.00 | |||
Stride B-PR 1 | $175.00 | $350.00 | $75.00 | 24 months | |
Stride B-UP 7 | $440.00 | $880.00 | $75.00 | 36 months | |
Stride B-UP 5 | $399.00 | $798.00 | |||
Stride B-UP 3 | $299.00 | $598.00 | |||
Stride B-UP 1 | $175.00 | $350.00 | $75.00 | 24 months | |
Widex | Evoke 330 Fashion BTE | $399.00 | $798.00 | $100.00 | 36 months |
Evoke 330 Fusion RIC | $399.00 | $798.00 | |||
Evoke 330 Fashion Mini BTE | $399.00 | $798.00 | |||
Evoke 330 Fashion Power BTE | $269.00 | $538.00 | |||
Evoke 220 Fashion BTE | $269.00 | $538.00 | |||
Evoke 220 Fusion RIC | $269.00 | $538.00 | |||
Evoke 220 Fashion Mini BTE | $269.00 | $538.00 | |||
Evoke 220 Fashion Power BTE | $269.00 | $538.00 | |||
Evoke 110 Fashion BTE | $199.00 | $398.00 | |||
Evoke 110 Fusion RIC | $199.00 | $398.00 | |||
Evoke 110 Fashion Mini BTE | $199.00 | $398.00 | |||
Evoke 330 RIC 312 | $399.00 | $798.00 | |||
Evoke 330 RIC 312D | $399.00 | $798.00 | |||
Evoke 330 RIC 10 | $399.00 | $798.00 | |||
Evoke 330 BTE 13D | $399.00 | $798.00 | |||
Evoke 220 RIC 312D | $269.00 | $538.00 | |||
Evoke 220 RIC 10 | $269.00 | $538.00 | |||
Evoke 220 BTE 13D | $269.00 | $538.00 | |||
Evoke 110 312D | $199.00 | $398.00 | |||
Evoke110 RIC 10 | $199.00 | $398.00 | |||
Evoke110 BTE 13D | $199.00 | $398.00 | |||
Evoke 110 Fashion Power BTE | $199.00 | $398.00 | |||
Magnify RIC 10 330 | $399.00 | $798.00 | |||
Magnify mRIC R 312 D 330 | $399.00 | $798.00 | |||
Magnify BTE 13 D 330 | $399.00 | $798.00 | |||
Magnify RIC 312 D 330 | $399.00 | $798.00 | |||
Magnify mRIC R D 220 | $269.00 | $538.00 | |||
Magnify BTED 220 | $269.00 | $538.00 | |||
Magnify BTE R D 220 | $269.00 | $538.00 | |||
Magnify RIC 10 220 | $269.00 | $538.00 | |||
Magnify RIC 312 D 220 | $269.00 | $538.00 | |||
Magnify mRIC R D 110 | $225.00 | $450.00 | |||
Magnify RIC 10 110 | $225.00 | $450.00 | |||
Magnify RIC 312 D 110 | $225.00 | $450.00 | |||
Magnify BTE 13 D 110 | $225.00 | $450.00 | |||
Magnify BTE R 13 D 110 | $225.00 | $450.00 | |||
Moment BTE 13 D 330 | $440.00 | $880.00 | |||
Moment BTE 13 D 220 | $399.00 | $798.00 | |||
Moment BTE 13 D 110 | $269.00 | $538.00 | |||
Moment BTE 13 D 330 | $440.00 | $880.00 | |||
Moment BTE RD 220 | $399.00 | $798.00 | |||
Moment BTE R D 110 | $269.00 | $538.00 | |||
Moment RIC 10 330 | $440.00 | $880.00 | |||
Moment RIC 312 D 330 | $440.00 | $880.00 | |||
Moment RIC 10 220 | $399.00 | $798.00 | |||
Moment RIC 312 D 220 | $399.00 | $798.00 | |||
Moment RIC 10 110 | $269.00 | $538.00 | |||
Moment RIC 312 D 110 | $269.00 | $538.00 | |||
Moment sRIC R D 330 | $440.00 | $880.00 | |||
Moment sRIC RD220 | $399.00 | $798.00 | |||
Moment sRIC R D 110 | $269.00 | $538.00 |
V5260 — Refer to V5256. |
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V5261 — Refer to V5257. |
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