Page 1 of 2INFINFB3717/RevD/03FEB2020

This form is interactive when viewed with Adobe Acrobat Reader and may not function correctly if opened with applications other than Acrobat. HCPCS codes provided should not be considered as legal advice and do not guarantee reimbursement. DME providers are responsible for determining the appropriate billing codes when submitting for insurance reimbursement. Payer coding, coverage, and bundling guidelines may apply. All prices are MSRP. Prices, specifications, part numbers, and availability are subject to change without notice. Prices and part numbers as shown are only available when configured as a complete power lift recliner. Pride Providers may contact Technical Services for accurate parts ordering. Options noted with XRef have multiple possible part numbers based on system configuration. Please see cross-reference spreadsheet for the XRef part numbers.

Thank you for choosing Pride® Mobility Products!

Introduction

Infinity CollectionTrue-infinite position* chaise lounger with footrest extension. Weight capacity: 375 lbs.

LC-525iS .......................................................................... $1,749Part: LC525ISMODELHeight Range: 5′3″ and below. Seat Width: 19″. HCPCS: E0627 — seat lift mechanism, electric, any type

LC-525iM .........................................................................$1,789Part: LC525IMMODELHeight Range: 5′4″ to 6′. Seat Width: 20″.HCPCS: E0627 — seat lift mechanism, electric, any type.

LC-525iL ..........................................................................$1,819Part: LC525ILMODELHeight Range: 5′9″ to 6′2″. Seat Width: 22″. HCPCS: E0627 — seat lift mechanism, electric, any type.

LC-525iPW ......................................................................$1,819Part: LC525IPWMODELHeight Range: 5′2″ and below. Seat Width: 24″.HCPCS: E0627 — seat lift mechanism, electric, any type.

Infinity Collection Quick Ship Order Form

Pride Mobility Products Corporation182 Susquehanna Ave., Exeter, PA 18643Phone: 1-800-800-8586 | Fax: 1-800-800-1636 | Email: prideorders@pridemobility.com

LC-525iM Shown in Lexis Sta-Kleen Mushroom

Deep Sky .................................................StandardPart: FABPDSK

Ember ......................................................StandardPart: FABPEMB

Oat ............................................................StandardPart: FABPOAT

Timber .....................................................StandardPart: FABPTIM

Select a Fabric ColorSee Page 2 for more fabrics.

DuraSoft FabricsQuick Ship fabrics.

Account Number: ___________ Date: ________________

Provider Name: __________________________________

Contact: ________________________________________

Phone: ___________________ Fax: _________________

Email: __________________________________________

PO Number: _____________________________________

Marked for: _____________________________________

Ship to Address: _________________________________

City: _____________________ State: ______ Zip: ______

* See Power Lift Recliner Position Reference on Page 2.

Black ................................................................ $150Part: FABSKB

Mushroom ....................................................... $150Part: FABSKM

Burgundy ........................................................ $150Part: FABSKG

Chestnut .......................................................... $150Part: FABSKC

Lexis Sta-Kleen® FabricsNot a Quick Ship fabric. May increase lead time.

Page 2 of 2INFINFB3717/RevD/03FEB2020

Account Number: __________ Date: ___________________ Marked for: __________________________________________

Espresso .........................................................$250Part: FABXESP

Cool Grey ........................................................$250Part: FABCCG

Red ...................................................................$250Part: FABXPRD

Sand .................................................................$250Part: FABXSAN

Crypton® Aria FabricsNot a Quick Ship fabric. May increase lead time.

Buff ...................................................................$630Part: FABUBUF

Fudge ...............................................................$630Part: FABUFUD

Garnet ..............................................................$630Part: FABUGAR

Charcoal ..........................................................$630Part: FABUCL

Pecan ...............................................................$630Part: FABUPEC

Ultraleather™ FabricsNot a Quick Ship fabric. May increase lead time.

Select Upgrades and AccessoriesHead Pillow ........................................................................... $50Part: See XRef

Bolster Pillow ....................................................................... $50Part: See XRef

Lumbar Pillow ....................................................................... $50Part: See XRef

Deluxe Heat and Massage ................................................ $330Part: ELE1609954

Residential Cleaning Kits.........................................$39.90 Part: ACCASMB2479

Select a Fabric Color (continued)

Power Lift Recliner Position ReferenceThe Infinity Collection is a true-infinite position power lift recliner. The true-infinite position allows the backrest and footrest to move independently from one another so that a variety of positions can be reached — including TV recline, full recline, zero gravity, and Trendelenburg.

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LIFT

Pride Mobility Products Corporation182 Susquehanna Ave., Exeter, PA 18643Phone: 1-800-800-8586 | Fax: 1-800-800-1636 | Email: prideorders@pridemobility.com

2-Position (TV Recline)TV recline can be achieved on all Pride Power Lift Recliners. This features a partially elevated footrest and a slightly reclined backrest.

3-Position (Full Recline)Full recline can be achieved on 3-position Pride Power Lift Recliners when the footrest is fully elevated.

Zero Gravity PositionThe zero gravity position can be achieved with infinite-position Pride Power Lift Recliners. This places the thighs and lower legs higher than the torso.

Trendelenburg PositionThe Trendelenburg position elevates the feet higher than the head for increased comfort and relaxation.

True-Infinite PositionTrue-infinite position Pride Power Lift Recliners enable the backrest and footrest to operate independently to achieve various positions — including TV recline, full recline, zero gravity, and Trendelenburg.

On-chair Price Part Number Manufacturer Extended Description$50 UPSHDPL1413 DuraSoft, Deep Sky, Head Pillow$50 UPSHDPL1410 DuraSoft, Ember, Head Pillow$50 UPSHDPL1412 DuraSoft, Oat, Head Pillow$50 UPSHDPL1414 DuraSoft, Timber, Head Pillow$50 UPSHDPL1451 Lexis Sta-Kleen, Black Vinyl, Head Pillow$50 UPSHDPL1453 Lexis Sta-Kleen, Chestnut, Head Pillow$50 UPSHDPL1454 Lexis Sta-Kleen, Mushroom, Head Pillow$50 UPSHDPL1452 Lexis Sta-Kleen, Burgundy, Head Pillow$50 UPSHDPL1450 Crypton Aria, Cool Grey, Head Pillow$50 UPSHDPL1445 Crypton Aria, Espresso, Head Pillow$50 UPSHDPL1448 Crypton Aria, Red, Head Pillow$50 UPSHDPL1449 Crypton Aria, Sand, Head Pillow$50 UPSHDPL1215 Ultraleather, Buff, Head Pillow$50 UPSHDPL1455 Ultraleather, Charcoal, Head Pillow$50 UPSHDPL1214 Ultraleather, Fudge, Head Pillow$50 UPSHDPL1216 Ultraleather, Garnet, Head Pillow$50 UPSHDPL1220 Ultraleather, Pecan, Head Pillow$50 UPSHDPL8110001 Cloud 9, Black Cherry, Head Pillow$50 UPSHDPL8110002 Cloud 9, Pacific, Head Pillow$50 UPSHDPL8110004 Cloud 9, Stone, Head Pillow$50 UPSHDPL8110005 Cloud 9, Walnut, Bolster Pillow

Infinity Collection Cross-Reference Spreadsheet ̶ Upgrades and Accessories

Head Pillow

On-chair Price Part Number Manufacturer Extended Description$50 UPSBOLT1467 DuraSoft, Deep Sky, Bolster Pillow$50 UPSBOLT1464 DuraSoft, Ember, Bolster Pillow$50 UPSBOLT1466 DuraSoft, Oat, Bolster Pillow$50 UPSBOLT1468 DuraSoft, Timber, Bolster Pillow$50 UPSBOLT1243 Lexis Sta-Kleen, Black Vinyl, Bolster Pillow$50 UPSBOLT1584 Lexis Sta-Kleen, Chestnut, Bolster Pillow$50 UPSBOLT1585 Lexis Sta-Kleen, Mushroom, Bolster Pillow$50 UPSBOLT1583 Lexis Sta-Kleen, Burgundy, Bolster Pillow$50 UPSBOLT1581 Crypton Aria, Cool Grey, Bolster Pillow$50 UPSBOLT1576 Crypton Aria, Espresso, Bolster Pillow$50 UPSBOLT1579 Crypton Aria, Red, Bolster Pillow$50 UPSBOLT1580 Crypton Aria, Sand, Bolster Pillow$50 UPSBOLT1198 Ultraleather, Buff, Bolster Pillow$50 UPSBOLT1586 Ultraleather, Charcoal, Bolster Pillow$50 UPSBOLT1197 Ultraleather, Fudge, Bolster Pillow$50 UPSBOLT1199 Ultraleather, Garnet, Bolster Pillow$50 UPSBOLT1206 Ultraleather, Pecan, Bolster Pillow$50 UPSBOLT8110001 Cloud 9, Black Cherry, Bolster Pillow$50 UPSBOLT8110002 Cloud 9, Pacific, Bolster Pillow$50 UPSBOLT8110004 Cloud 9, Stone, Bolster Pillow$50 UPSBOLT8110005 Cloud 9, Walnut, Lumbar Pillow

Bolster Pillow

On-chair Price Part Number Manufacturer Extended Description$50 UPSLUMB00166 DuraSoft, Deep Sky, Lumbar Pillow, 19″W$50 UPSLUMB00185 DuraSoft, Deep Sky, Lumbar Pillow, 20″W$50 UPSLUMB00077 DuraSoft, Deep Sky, Lumbar Pillow, 22″W$50 UPSLUMB00091 DuraSoft, Deep Sky, Lumbar Pillow, 24″W$50 UPSLUMB00167 DuraSoft, Ember, Lumbar Pillow, 19″W$50 UPSLUMB00186 DuraSoft, Ember, Lumbar Pillow, 20″W$50 UPSLUMB00078 DuraSoft, Ember, Lumbar Pillow, 22″W$50 UPSLUMB00092 DuraSoft, Ember, Lumbar Pillow, 24″W$50 UPSLUMB00168 DuraSoft, Oat, Lumbar Pillow, 19″W$50 UPSLUMB00187 DuraSoft, Oat, Lumbar Pillow, 20″W$50 UPSLUMB00079 DuraSoft, Oat, Lumbar Pillow, 22″W$50 UPSLUMB00093 DuraSoft, Oat, Lumbar Pillow, 24″W$50 UPSLUMB00169 DuraSoft, Timber, Lumbar Pillow, 19″W$50 UPSLUMB00188 DuraSoft, Timber, Lumbar Pillow, 20″W$50 UPSLUMB00080 DuraSoft, Timber, Lumbar Pillow, 22″W$50 UPSLUMB00094 DuraSoft, Timber, Lumbar Pillow, 24″W$50 UPSLUMB00144 Lexis Sta-Kleen, Black Vinyl, Lumbar Pillow, 19″W$50 UPSLUMB00194 Lexis Sta-Kleen, Black Vinyl, Lumbar Pillow, 20″W$50 UPSLUMB00020 Lexis Sta-Kleen, Black Vinyl, Lumbar Pillow, 22″W$50 UPSLUMB00095 Lexis Sta-Kleen, Black Vinyl, Lumbar Pillow, 24″W$50 UPSLUMB00145 Lexis Sta-Kleen, Chestnut, Lumbar Pillow, 19″W$50 UPSLUMB00195 Lexis Sta-Kleen, Chestnut, Lumbar Pillow, 20″W$50 UPSLUMB00013 Lexis Sta-Kleen, Chestnut, Lumbar Pillow, 22″W$50 UPSLUMB00097 Lexis Sta-Kleen, Chestnut, Lumbar Pillow, 24″W$50 UPSLUMB00147 Lexis Sta-Kleen, Mushroom, Lumbar Pillow, 19″W$50 UPSLUMB00197 Lexis Sta-Kleen, Mushroom, Lumbar Pillow, 20″W$50 UPSLUMB00014 Lexis Sta-Kleen, Mushroom, Lumbar Pillow, 22″W$50 UPSLUMB00098 Lexis Sta-Kleen, Mushroom, Lumbar Pillow, 24″W$50 UPSLUMB00146 Lexis Sta-Kleen, Burgundy, Lumbar Pillow, 19″W$50 UPSLUMB00196 Lexis Sta-Kleen, Burgundy, Lumbar Pillow, 20″W$50 UPSLUMB00012 Lexis Sta-Kleen, Burgundy, Lumbar Pillow, 22″W$50 UPSLUMB00096 Lexis Sta-Kleen, Burgundy, Lumbar Pillow, 24″W$50 UPSLUMB00133 Crypton Aria, Cool Grey, Lumbar Pillow, 19″W$50 UPSLUMB00198 Crypton Aria, Cool Grey, Lumbar Pillow, 20″W$50 UPSLUMB00019 Crypton Aria, Cool Grey, Lumbar Pillow, 22″W$50 UPSLUMB00099 Crypton Aria, Cool Grey, Lumbar Pillow, 24″W$50 UPSLUMB00128 Crypton Aria, Espresso, Lumbar Pillow, 19″W$50 UPSLUMB00199 Crypton Aria, Espresso, Lumbar Pillow, 20″W$50 UPSLUMB00015 Crypton Aria, Espresso, Lumbar Pillow, 22″W$50 UPSLUMB00100 Crypton Aria, Espresso, Lumbar Pillow, 24″W$50 UPSLUMB00130 Crypton Aria, Red, Lumbar Pillow, 19″W$50 UPSLUMB00201 Crypton Aria, Red, Lumbar Pillow, 20″W$50 UPSLUMB00018 Crypton Aria, Red, Lumbar Pillow, 22″W$50 UPSLUMB00102 Crypton Aria, Red, Lumbar Pillow, 24″W

Lumbar Pillow

(Continued on next page)

On-chair Price Part Number Manufacturer Extended Description$50 UPSLUMB00132 Crypton Aria, Sand, Lumbar Pillow, 19″W$50 UPSLUMB00202 Crypton Aria, Sand, Lumbar Pillow, 20″W$50 UPSLUMB00005 Crypton Aria, Sand, Lumbar Pillow, 22″W$50 UPSLUMB00103 Crypton Aria, Sand, Lumbar Pillow, 24″W$50 UPSLUMB00170 Ultraleather, Buff, Lumbar Pillow, 19″W$50 UPSLUMB00189 Ultraleather, Buff, Lumbar Pillow, 20″W$50 UPSLUMB00081 Ultraleather, Buff, Lumbar Pillow, 22″W$50 UPSLUMB00104 Ultraleather, Buff, Lumbar Pillow, 24″W$50 UPSLUMB00174 Ultraleather, Charcoal, Lumbar Pillow, 19″W$50 UPSLUMB00193 Ultraleather, Charcoal, Lumbar Pillow, 20″W$50 UPSLUMB00082 Ultraleather, Charcoal, Lumbar Pillow, 22″W$50 UPSLUMB00105 Ultraleather, Charcoal, Lumbar Pillow, 24″W$50 UPSLUMB00171 Ultraleather, Fudge, Lumbar Pillow, 19″W$50 UPSLUMB00190 Ultraleather, Fudge, Lumbar Pillow, 20″W$50 UPSLUMB00083 Ultraleather, Fudge, Lumbar Pillow, 22″W$50 UPSLUMB00106 Ultraleather, Fudge, Lumbar Pillow, 24″W$50 UPSLUMB00172 Ultraleather, Garnet, Lumbar Pillow, 19″W$50 UPSLUMB00191 Ultraleather, Garnet, Lumbar Pillow, 20″W$50 UPSLUMB00084 Ultraleather, Garnet, Lumbar Pillow, 22″W$50 UPSLUMB00107 Ultraleather, Garnet, Lumbar Pillow, 24″W$50 UPSLUMB00173 Ultraleather, Pecan, Lumbar Pillow, 19″W$50 UPSLUMB00192 Ultraleather, Pecan, Lumbar Pillow, 20″W$50 UPSLUMB00085 Ultraleather, Pecan, Lumbar Pillow, 22″W$50 UPSLUMB00108 Ultraleather, Pecan, Lumbar Pillow, 24″W$50 UPSLUMB00271 Cloud 9, Black Cherry, Lumbar Pillow, 19″W$50 UPSLUMB00279 Cloud 9, Black Cherry, Lumbar Pillow, 20″W$50 UPSLUMB00049 Cloud 9, Black Cherry, Lumbar Pillow, 21″W$50 UPSLUMB00259 Cloud 9, Pacific, Lumbar Pillow, 19″W$50 UPSLUMB00276 Cloud 9, Pacific, Lumbar Pillow, 20″W$50 UPSLUMB00050 Cloud 9, Pacific, Lumbar Pillow, 21″W$50 UPSLUMB00260 Cloud 9, Stone, Lumbar Pillow, 19″W$50 UPSLUMB00277 Cloud 9, Stone, Lumbar Pillow, 20″W$50 UPSLUMB00051 Cloud 9, Stone, Lumbar Pillow, 21″W$50 UPSLUMB00261 Cloud 9, Walnut, Lumbar Pillow, 19″W$50 UPSLUMB00278 Cloud 9, Walnut, Lumbar Pillow, 20″W$50 UPSLUMB00052 Cloud 9, Walnut, Lumbar Pillow, 21″W

Lumbar Pillow (continued)