Pricing

Widex USA Inc.
Amendment 2
Effective 9/1/14
Price Schedule Behind the Ear Type Hearing Aid (Corrected)
BEHIND THE EAR TYPES - The total price shall be for a single hearing aid and
appropriate case. List model numbers/name and full range of the instrument has a T-coil
or T-coil capability. For analog, programmable and digital aids, indicate whether a
remote control is required. For conventional aids, indicate whether it is a linear or
compression circuit L = Linear, C = Compression.
BEHIND THE EAR
db
RANGE
Dream 110 9 BTE with volume control
26-45 dB
14 band sensogram, 3 channel processing, C-ISP, Wireless, 2 Programs and Zen+
and
audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB
Dream 110 9 BTE without volume control
26-45 dB
14 band sensogram, 3 channel processing, C-ISP, Wireless, 2 Programs and Zen+
and
audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB
Dream 110 D1-FS receiver in the ear with push button
26-45 dB
14 band sensogram, 3 channel processing, C-ISP, Wireless, 2 Programs and Zen+
and
audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB
and
66-85 dB
86 dB +
Dream 110 m-CB micro ClearBand BTE
26-45 dB
14 band sensogram, 3 channel processing, C-ISP, Wireless, 2 Programs and Zen+
and
audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB
Dream 110 Fashion BTE with volume control and program button
26-45 dB
14 band sensogram, 3 channel processing, C-ISP, Wireless, 2 Programs and Zen+
and
audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB
and
66-85 dB
Dream 110 9 BTE with volume control & Widex Wireless Cros System
26-45 dB
14 band sensogram, 3 channel processing, C-ISP, Wireless, 2 Programs and Zen+
and
audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB
Dream 110 9 BTE without volume control & Widex Wireless Cros System
26-45 dB
14 band sensogram, 3 channel processing, C-ISP, Wireless, 2 Programs and Zen+
and
audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB
Dream 110 D1-FS receiver in the ear with push button & Widex Wireless Cros System26-45 dB
14 band sensogram, 3 channel processing, C-ISP, Wireless, 2 Programs and Zen+
and
audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB
and
66-85 dB
86 dB +
Dream 110 m-CB micro ClearBand BTE & Widex Wireless Cros System
26-45 dB
14 band sensogram, 3 channel processing, C-ISP, Wireless, 2 Programs and Zen+
and
audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB
Dream 110 Fashion BTE with volume control and program button & Widex Wireless 26-45 dB
14 band sensogram, 3 channel processing, C-ISP, Wireless, 2 Programs and Zen+
and
audibility extender, adaptive directional, noise manager, Feedback Canceller, Zen program 46-65 dB
and
66-85 dB
Clear 220 C2-9 std BTE without VC
26-45 dB
14 band sensogram, 5 channel processing, C-ISP, Wireless, 3 Programs
and
Audibility extender, T-Coil, DAI,
46-65 dB
DESCRIPTION & FEATURES (See below)
5 channel adaptive directional, noise manager, IE Feedback Canceller, Zen Program
MODEL
NUMBER
(19 Characters
or less)
HCPC
CODE(S)
PUBLISHED PERCENT (%)
LIST
DISCOUNT
PRICE
OFF LIST
TOTAL
PRICE
NON WARRANTY
REPAIR
PRICE
NON-WARRANTY
REPAIR
PERIOD
(MONTHS)
D1-9-VC
5261 Binaural
5257 Monaural
$1,198.00
$599.00
37.062%
37.062%
$754.00
$377.00
$200.00
$100.00
12
12
D1-9
5261 Binaural
5257 Monaural
$1,198.00
$599.00
37.062%
37.062%
$754.00
$377.00
$200.00
$100.00
12
12
D1-FS
5261 Binaural
5257 Monaural
$1,398.00
$699.00
46.066%
46.066%
$754.00
$377.00
$200.00
$100.00
12
12
D1-MR CB
5261 Binaural
5257 Monaural
$1,198.00
$599.00
37.062%
37.062%
$754.00
$377.00
$200.00
$100.00
12
12
D1FA-VC
5261 Binaural
5257 Monaural
$1,198.00
$599.00
37.062%
37.062%
$754.00
$377.00
$200.00
$100.00
12
12
V5180 Hearing Aid, Cros, BTE
$1,348.00
37.062%
$848.40
$100.00
12
V5180 Hearing Aid, Cros, BTE
$1,348.00
37.062%
$848.40
$100.00
12
V5180 Hearing Aid, Cros, BTE
$1,448.00
46.066%
$780.96
$100.00
12
V5180 Hearing Aid, Cros, BTE
$1,348.00
37.062%
$848.40
$100.00
12
V5180 Hearing Aid, Cros, BTE
$1,348.00
37.062%
$848.40
$100.00
12
5261 Binaural
5257 Monaural
$1,498.00
$749.00
46.596%
46.596%
$800.00
$400.00
$200.00
$100.00
12
12
D1-9-VC
D1-9
D1-FS
D1-MR CB
D1FA-VC
C29
Widex USA Inc.
Amendment 2
Effective 9/1/14
Price Schedule Behind the Ear Type Hearing Aid (Corrected)
BEHIND THE EAR
DESCRIPTION & FEATURES (See below)
Clear 220 C2-9 std BTE with VC
14 band sensogram, 5 channel processing, C-ISP, Wireless, 3 Programs
Audibility extender, T-Coil, DAI,
5 channel adaptive directional, noise manager, IE Feedback Canceller, Zen Program
Clear 220 C2 MR micro BTE with Clearband without VC
14 band sensogram, 5 channel processing, C-ISP, Wireless, 3 Prog
Audibility extender, T-Coil, DAI,
5 channel adaptive directional, noise manager, IE Feedback Canceller, Zen Program
Clear 220 C2-MR micro BTE without VC
14 band sensogram, 5 channel processing, C-ISP, Wireless, 3 Prog
Audibility extender, T-Coil, DAI,
5 channel adaptive directional, noise manager, IE Feedback Canceller, Zen Program
Clear 220 C2-PA micro receiver in the ear without VC
14 band sensogram, 5 channel processing, C-ISP, Wireless, 3 Prog
Audibility extender, T-Coil, DAI,
5 channel adaptive directional, noise manager, IE Feedback Canceller, Zen Program
Clear 220 C2-FS receiver in the ear with push button
14 band sensogram, 5 channel processing, C-ISP, Wireless, 3 Prog
Audibility extender, T-Coil, DAI,
5 channel adaptive directional, noise manager, IE Feedback Canceller, Zen Program
Super 220 receiver in the ear power BTE, 675 battery, SP Receiver
14 band sensogram, 5 channel processing, C-ISP, Wireless, 3 Prog
Audibility extender, T-Coil,
5 channel adaptive directional, noise manager, IE Feedback Canceller, Zen Program
Super 220 receiver in the ear power BTE, 675 battery, SP Receiver
14 band sensogram, 5 channel processing, C-ISP, Wireless, 3 Prog
Audibility extender, T-Coil, DAI,
5 channel adaptive directional, noise manager, IE Feedback Canceller, Zen Program
Super 220 receiver in the ear power BTE, 675 battery, P Receiver
14 band sensogram, 5 channel processing, C-ISP, Wireless, 3 Prog
Audibility extender, T-Coil,
5 channel adaptive directional, noise manager, IE Feedback Canceller, Zen Program
Super 220 receiver in the ear power BTE, 675 battery, P Receiver
14 band sensogram, 5 channel processing, C-ISP, Wireless, 3 Prog
Audibility extender, T-Coil, DAI,
5 channel adaptive directional, noise manager, IE Feedback Canceller, Zen Program
Mind 220 m2-9 std power digital without VC
13 band sensogram, 5 channel processing,
5 channel adaptive directionality, noise manager
with SIS, Audibility Extender, multidirectional active feedback
canceling, DAI, T-Coil, 3 programs
Smart Speak, EDRC (Enhanced Dynamic Range
Compression), Servicetracker, Sound Diary, Zen program
Mind 220 m2-9 std power digital with VC
13 band sensogram, 5 channel processing,
5 channel adaptive directionality, noise manager
with SIS, Audibility Extender, multidirectional active feedback
canceling, DAI, T-Coil, 3 programs
Smart Speak, EDRC (Enhanced Dynamic Range
Compression), Servicetracker, Sound Diary, Zen program
db
RANGE
26-45 dB
and
46-65 dB
MODEL
NUMBER
(19 Characters
or less)
HCPC
CODE(S)
PUBLISHED PERCENT (%)
LIST
DISCOUNT
PRICE
OFF LIST
TOTAL
PRICE
NON WARRANTY
REPAIR
PRICE
NON-WARRANTY
REPAIR
PERIOD
(MONTHS)
C29-VC
5261 Binaural
5257 Monaural
$1,498.00
$749.00
46.596%
46.596%
$800.00
$400.00
$200.00
$100.00
12
12
26-45 dB
and
46-65 dB
C2-MR CB
5261 Binaural
5257 Monaural
$1,498.00
$749.00
46.596%
46.596%
$800.00
$400.00
$200.00
$100.00
12
12
26-45 dB
and
46-65 dB
C2-MR
5261 Binaural
5257 Monaural
$1,498.00
$749.00
46.596%
46.596%
$800.00
$400.00
$200.00
$100.00
12
12
26-45 dB
and
46-65 dB
C2-PA
5261 Binaural
5257 Monaural
$1,698.00
$849.00
52.886%
52.886%
$800.00
$400.00
$200.00
$100.00
12
12
C2-FS
5261 Binaural
5257 Monaural
$1,698.00
$849.00
52.886%
52.886%
$800.00
$400.00
$200.00
$100.00
12
12
S2-VS-SP
5261 Binaural
5257 Monaural
$1,698.00
$849.00
52.886%
52.886%
$800.00
$400.00
$200.00
$100.00
12
12
46-65 dB
66-85 dB
86 dB +
S2-VSD-SP
5261 Binaural
5257 Monaural
$1,698.00
$849.00
52.886%
52.886%
$800.00
$400.00
$200.00
$100.00
12
12
46-65 dB
66-85 dB
86 dB +
S2-VS-P
5261 Binaural
5257 Monaural
$1,698.00
$849.00
52.886%
52.886%
$800.00
$400.00
$200.00
$100.00
12
12
46-65 dB
66-85 dB
86 dB +
S2-VSD-P
5261 Binaural
5257 Monaural
$1,698.00
$849.00
52.886%
52.886%
$800.00
$400.00
$200.00
$100.00
12
12
26-45 dB
and
46-65 dB
m2-9
5261 Binaural
5257 Monaural
$1,298.00
$649.00
46.071%
46.071%
$700.00
$350.00
$200.00
$100.00
12
12
26-45 dB
and
46-65 dB
m2-9VC
5261 Binaural
5257 Monaural
$1,298.00
$649.00
46.071%
46.071%
$700.00
$350.00
$200.00
$100.00
12
12
26-45 dB
and
46-65 dB
and
66-85 dB
86 dB +
46-65 dB
66-85 dB
86 dB +
Widex USA Inc.
BEHIND THE EAR
DESCRIPTION & FEATURES (See below)
Mind 220 m2-19 power digital without VC
13 band sensogram, 5 channel processing,
5 channel adaptive directionality, noise manager
with SIS, Audibility Extender, multidirectional active feedback
canceling, DAI, T-Coil, 3 programs
Smart Speak, EDRC (Enhanced Dynamic Range
Compression), Servicetracker, Sound Diary, Zen program
Mind 220 m2-19 power digital with VC
13 band sensogram, 5 channel processing,
5 channel adaptive directionality, noise manager
with SIS, Audibility Extender, multidirectional active feedback
canceling, DAI, T-Coil, 3 programs
Smart Speak, EDRC (Enhanced Dynamic Range
Compression), Servicetracker, Sound Diary, Zen program
Mind 220 m2-m micro with program button
13 band sensogram, 5 channel processing,
5 channel adaptive directionality, noise manager
with SIS, Audibility Extender, multidirectional active feedback
canceling, std prgram button (up to 3 listening
programs), Smart Speak, EDRC (Enhanced Dynamic Range
Compression), Servicetracker, Sound Diary, Zen program
Menu 3 ME3-m (micro BTE)
14 band sensogram, 3 channel processing, multi-directional active feedback
cancellation, noise reduction
Menu 3 ME3-9 BTE
14 band sensogram, 3 channel processing, 2 programs, T-Coil, DAI, active feedback
cancellation, noise reduction
Menu 3 ME3-19 BTE
14 band sensogram, 3 channel processing, 2 programs, T-Coil, DAI, active feedback
cancellation, noise reduction
WIDEX USA
Amendment 2
Effective 9/1/14
Price Schedule Behind the Ear Type Hearing Aid (Corrected)
db
RANGE
MODEL
NUMBER
(19 Characters
or less)
HCPC
CODE(S)
PUBLISHED PERCENT (%)
LIST
DISCOUNT
PRICE
OFF LIST
TOTAL
PRICE
NON WARRANTY
REPAIR
PRICE
NON-WARRANTY
REPAIR
PERIOD
(MONTHS)
26-45 dB
and
46-65 dB
m2-19
5261 Binaural
5257 Monaural
$1,298.00
$649.00
46.071%
46.071%
$700.00
$350.00
$200.00
$100.00
12
12
26-45 dB
and
46-65 dB
m2-19VC
5261 Binaural
5257 Monaural
$1,298.00
$649.00
46.071%
46.071%
$700.00
$350.00
$200.00
$100.00
12
12
m2-m
5261 Binaural
5257 Monaural
$1,298.00
$649.00
46.071%
46.071%
$700.00
$350.00
$200.00
$100.00
12
12
ME3-m
5261 Binaural
5257 Monaural
$798.00
$399.00
50.125%
50.125%
$398.00
$199.00
$200.00
$100.00
12
12
ME3-9
5261 Binaural
5257 Monaural
$798.00
$399.00
50.125%
50.125%
$398.00
$199.00
$200.00
$100.00
12
12
ME3-19
5261 Binaural
5257 Monaural
$798.00
$399.00
50.125%
50.125%
$398.00
$199.00
$200.00
$100.00
12
12
26-45 dB
and
46-65 dB
26-45 dB
and
46-65 dB
26-45 dB
and
46-65 dB
46-65 dB
and
66-85 dB
Widex USA Inc.
Amendment 2
Effective 9/1/14
Price Schedule In the Ear (Full Shell) Hearing Aid (Corrected)
IN THE EAR TYPES – Prices shall be for a single hearing aid and case.
List model number for the full range of instruments. Include all features.
Indicate Class D power or Class B power.
MODEL
FULL CONCHA MODEL
IN THE EAR - FULL SHELL
DESCRIPTION & FEATURES (See below)
NUMBER
db
RANGE
(19 Characters
or less)
HCPC
CODE(S)
PUBLISHED
PERCENT (%)
LIST
PRICE
DISCOUNT
OFF LIST
NON -
NON-WARRANTY
WARRANTY
REPAIR
TOTAL
PRICE
REPAIR
PRICE
PERIOD
(MONTHS)
Dream 110 In the Ear-Full Shell
26-45 dB
14 band sensogram, 3 channel processing, C-ISP, Wireless, 2 Prog and Ze and
adaptive directional, noise manager, Feedback Canceller, Zen program
46-65 dB
D1-XPF
5260 Binaural
5256 Monaural
$1,198.00
$599.00
37.062%
37.062%
$754.00
$377.00
$200.00
$100.00
12
12
Clear 220 In the Ear-Full Shell
26-45 dB
14 band sensogram, 5 channel processing, C-ISP, Wireless, 3 Prog
and
5 channel adaptive directional, noise manager, IE Feedback Canceller, Zen 46-65 dB
C2-XF
5260 Binaural
5256 Monaural
$1,498.00
$749.00
46.596%
46.596%
$800.00
$400.00
$200.00
$100.00
12
12
Mind 220 m2-X In the Ear-Full Shell
14 band sensogram, 5 channel processing, 3 program
5 channel adaptive directionality, noise manager, Zen program
m2-XF
5260 Binaural
5256 Monaural
$1,298.00
$649.00
46.071%
46.071%
$700.00
$350.00
$200.00
$100.00
12
12
ME3-XF
5260 Binaural
5256 Monaural
$798.00
$399.00
50.125%
50.125%
$398.00
$199.00
$200.00
$100.00
12
12
26-45 dB
and
46-65 dB
Menu 3 ME3-XF In the Ear-Full Shell
26-45 dB
Digital, 5 channel processing, sensogram, multi-directional active feedback
and
cancellation, multi-channel noise cancellation, occlusion manager
46-65 dB
WIDEX USA
Widex USA Inc.
Amendment 2
Effective 9/1/14
Price Schedule In the Ear (Half Shell) Hearing Aid (Corrected)
IN THE EAR TYPES – Prices shall be for a single hearing aid and case. List model
number for the full range of instruments. Include all features. Indicate Class D power or
Class B power.
HALF SHELL CONCHA MODEL
DESCRIPTION & FEATURES (See below)
MODEL
NUMBER
db
(19 Characters
RANGE
or less)
Dream 110 In the Ear-Half Shell
26-45 dB
14 band sensogram, 3 channel processing, C-ISP, Wireless, 2 Prog and Zen +
T-Coil, adaptive directional, noise manager, Feedback Canceller, Zen program
and
46-65 dB
Clear 220 Digital In the Ear-Half Shell
26-45 dB
14 band sensogram, 5 channel processing, C-ISP, Wireless, 3 Prog, T-Coil
5 channel adaptive directional, noise manager, IE Feedback Canceller, Zen program
and
46-65 dB
Mind 220 m2-X In the Ear-Half Shell
26-45 dB
14 band sensogram, 5 channel processing, 3 program, T-Coil
5 channel adaptive directionality, noise manager, Zen program
and
46-65 dB
Menu 3 ME3-XH In the Ear-Half Shell
26-45 dB
3 channel processing, 14 band sensogram, 2 program, T-Coil, active feedback
cancellation, noise manager
and
46-65 dB
WIDEX USA
D1-XPH
HCPC
CODE(S)
NON NON-WARRANTY
PUBLISHED PERCENT (%)
WARRANTY
REPAIR
LIST
DISCOUNT
TOTAL
REPAIR
PERIOD
PRICE
OFF LIST
PRICE*
PRICE **
(MONTHS)
5260 Binaural
5256 Monaural
$1,198.00
$599.00
37.062%
37.062%
$754.00
$377.00
$200.00
$100.00
12
12
C2-XH
5260 Binaural
5256 Monaural
$1,498.00
$749.00
46.596%
46.596%
$800.00
$400.00
$200.00
$100.00
12
12
m2-XH
5260 Binaural
5256 Monaural
$1,298.00
$649.00
46.071%
46.071%
$700.00
$350.00
$200.00
$100.00
12
12
ME3-XH
5260 Binaural
5256 Monaural
$798.00
$399.00
50.125%
50.125%
$398.00
$199.00
$200.00
$100.00
12
12