Table 11:
KAFOa | ||||
---|---|---|---|---|
Type of Assessment/Materials/Device Component | Quantity | Unit Price | Total Price | ADP Funding (75%) |
Tracing/cast/fit—thermoplastic AFO (CNLCF1002) | 1 | 498.00 | 498.00 | 373.50 |
KAFO—thermoplastic (CNLCF2002) | 1 | 619.00 | 619.00 | 464.25 |
Thermoplastic hinged AFO (CNLCF1250)b | 1 | 395.00 | 395.00 | 296.25 |
Thermoplastic thigh cuff (CNLCF2070) | 1 | 236.00 | 236.00 | 177.00 |
Pad (each) (CNLCF0010) | 8 | 16.00 | 128.00 | 96.00 |
Pad cover (CNLCF0040) | 8 | 34.00 | 272.00 | 204.00 |
Installation of uniplanar ankle joints (CNLCF1070) | 2 | 93.00 | 186.00 | 139.50 |
Reinforced strap (CNLCF0100) | 5 | 42.00 | 210.00 | 157.50 |
Joint head bending upright (CNLCF1100) | 6 | 82.00 | 492.00 | 369.00 |
Molded patella cap (CNLCF2190) | 1 | 177.00 | 177.00 | 132.75 |
Align and install knee joints (CNLCF2010) | 2 | 147.00 | 294.00 | 220.50 |
External posting to AFO (CNLCF1820) | 1 | 42.00 | 42.00 | 31.50 |
Multi-layer custom foot bed (CNLCF1730) | 1 | 142.00 | 142.00 | 106.50 |
Installation of bale lock (CNLCF2040) | 2 | 69.00 | 138.00 | 103.50 |
Installation of NYU stirrups (CNLCF1071)c | 2 | 152.00 | 304.00 | 228.00 |
Component Costs | ||||
Ankle joints (CNLCF3300) | 2 | 137.00 | 274.00 | 205.50 |
Knee-joint locking (CNLCF3323) | 2 | 393.00 | 786.00 | 589.50 |
Uprights (lower extremity) (CNLCF3310) | 6 | 142.00 | 852.00 | 639.00 |
Stirrups (stirrups thermoplastic) (CNLCF3405)c | 2 | 53.00 | 106.00 | 79.50 |
Total cost of device and time required | 6,151.00d | 4,613.25 |
Abbreviations: ADP, assisted devices program; AFO, ankle–foot–orthoses; KAFO, knee AFO.
Source: Ontario Association of Prosthetics and Orthotics, September 2020, Assistive Devices Product Manual.
All costs in 2020 CAD.
Hinged AFO controls and limits subtalar joint motion and allows for free ankle motion.
Stirrups are metal connecting thermoplastic foot shell to ankle joints.
Cost of device for people who have 100% funding by ADP.