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“OPTIFLEX ANKLE CPM” has been added to your cart.
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Product
Price
Quantity
Subtotal
OMRON Series 7 Blood Pressure Unit
$
110.80
OMRON Series 7 Blood Pressure Unit quantity
$
110.80
HurryCane Freedom Edition Folding Cane
$
44.99
HurryCane Freedom Edition Folding Cane quantity
$
44.99
OMRON 5 Series Upper Arm Blood Pressure Unit
$
81.27
OMRON 5 Series Upper Arm Blood Pressure Unit quantity
$
81.27
Stander EZ Fold N Go Walker
$
139.50
Stander EZ Fold N Go Walker quantity
$
139.50
ADVANCED ORTHOPAEDICS SHOULDER ABDUCTION PILLOW
$
0.00
ADVANCED ORTHOPAEDICS SHOULDER ABDUCTION PILLOW quantity
$
0.00
Darco HeelWedge Healing Shoe
$
40.00
Darco HeelWedge Healing Shoe quantity
$
40.00
AFO (Ankle-Foot Orthosis) Brace
$
39.99
AFO (Ankle-Foot Orthosis) Brace quantity
$
39.99
OPTIFLEX ANKLE CPM
$
0.00
OPTIFLEX ANKLE CPM quantity
$
0.00
Update Cart
Order Summery
Subtotal
$
456.55
Total
$
456.55
Proceed to checkout
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Medicare Claim Insurance Purchase Request
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Medicaid Claim Insurance Purchase Request
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I agree to allow CapsuleAID and its authorized representatives to contact me about my medical supplies, orders, and related subject.
(Required)
Agree
No Fault Claim Insurance Purchase Request
To complete this order we need some information, please fill out below to the best of your ability and our team will contact you if there are any additional requirements.
Name
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(Required)
DD dash MM dash YYYY
Insurance Type
Medicare
Mediciad
No Fault
Workers Comp
Other
Insurance Provider
(Required)
Insurance ID
(Required)
Documents Section Upload (i.e. prescriptions)
Max. file size: 2 GB.
I agree to allow CapsuleAID and its authorized representatives to contact me about my medical supplies, orders, and related subject.
(Required)
Agree
Workers Comp Claim Insurance Purchase Request
To complete this order we need some information, please fill out below to the best of your ability and our team will contact you if there are any additional requirements.
Name
(Required)
First Name
Last Name
Phone Number
(Required)
Email
(Required)
Date of Birth
(Required)
DD dash MM dash YYYY
Insurance Type
Medicare
Mediciad
No Fault
Workers Comp
Other
Insurance Provider
(Required)
Insurance ID
(Required)
Documents Section Upload (i.e. prescriptions)
Max. file size: 2 GB.
I agree to allow CapsuleAID and its authorized representatives to contact me about my medical supplies, orders, and related subject.
(Required)
Agree
Other Claim Insurance Purchase Request
To complete this order we need some information, please fill out below to the best of your ability and our team will contact you if there are any additional requirements.
Name
(Required)
First Name
Last Name
Phone Number
(Required)
Email
(Required)
Date of Birth
(Required)
DD dash MM dash YYYY
Insurance Type
Medicare
Mediciad
No Fault
Workers Comp
Other
Insurance Provider
(Required)
Insurance ID
(Required)
Documents Section Upload (i.e. prescriptions)
Max. file size: 2 GB.
I agree to allow CapsuleAID and its authorized representatives to contact me about my medical supplies, orders, and related subject.
(Required)
Agree
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