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Model SC-3004 Sequential Circulator

Model SC-3004 Sequential Circulator is a dynamic compression device. INTENDED USES: intended for the primary or adjunctive treatment of primary or secondary Lymphedema. Intended for alternate treatment of chronic venous stasis ulcers and associated venous insufficiency, as well as general treatment of swelling of the extremities. CLAIMED FEATURES: It is a gradient, sequential, pneumatic compression device. The device is intended for home or hospital use.

Product Information

Compression is one of the main pillars in the treatment of venous leg ulcers. Dynamic compression, also known as Intermittent pneumatic compression or IPC, is one method of compression. The dynamic compression devices have chambers that inflate and deflate separately. The sequential inflation and deflation of the chambers creates pressure on different areas of the leg at different intervals of time, mimicking the effect and benefits of walking (calf muscle pump). It might be useful for patients with reduced mobility or weakness of the calf muscle

  1. World Union of Wound Healing Societies. Compression in venous leg ulcers: a WUWHS consensus document.
  2. Local Coverage Determination for Pneumatic Compression Devices (L33829) [Internet]. [cited 2017 Dec 27]



Pricing and Suppliers

Is it covered by Medicare Part B?

Pneumatic compression devices are covered by Medicare for treatment of persons with chronic venous insufficiency with venous leg ulcer (venous stasis ulcer) or primary and secondary chronic and severe lymphedema, when other forms of conservative treatment have been adequately used for specific periods of time as determined by Medicare and have failed to provide desired outcomes. Depending on the device or on the specific case, these devices may be rented or purchased. 

Local Coverage Determination for Pneumatic Compression Devices (L33829) . 



How can I purchase this product?

If you have coverage through Medicare Part B, you may be eligible to have this product covered by Medicare. You will need a written order prescribed by a provider enrolled in Medicare, so that you can purchase this product at a Durable Medical Equipment store that accepts Medicare. You will need to pay deductibles and co-payment. The actual co-payment amount varies according to your state. If you do not have Medicare Part B or your condition does not meet the requirements needed for coverage, you can find this product at pharmacies and medical supply stores. When available, please see pricing in "Other Stores" below.

The table below shows highest and lowest Medicare pricing across the country
DescriptionMedicare DME co-payment Min / Max
Pneum compres w/cal pressure $1,037.68 / $1,220.80

The Medicare website indicates that the 3 stores in below carry "" and accept Medicare. However, PRODUCT MAY NOT BE AVAILABLE IN STORE. If using private insurance, please check if your insurance works with these stores.

SAFEWAY INC
15 MARINA BLVD
SAN FRANCISCO , CA 94123
(415)563-8681
WALGREEN CO
2141 CHESTNUT ST
SAN FRANCISCO , CA 94123
(415)567-9320
WALGREEN CO
3201 DIVISADERO ST
SAN FRANCISCO , CA 94123
(415)931-6417
Recommended Suppliers
Estimated out-of-pocket cost:

If your insurance does not cover this product, you can purchase it directly from any store. A list of online stores and prices is provided below for your convenience. For updated prices, find it on the internet at https://woundreference.com/app/product?id=786

Other Stores

* Indicates whether store accepts Medicare or commercial insurance, but may not apply to this specific product. See coding, coverage and reimubursement for more information.
The information on this handout is for your convenience and educational purposes only. All product claims and specifications are those of the product suppliers. It does not constitute medical advice or a guarantee for reimbursement. Prices may have changed and suppliers may not have product in stock. Please confirm accuracy and appropriateness of information with insurance carrier and product supplier. Clinician and WoundReference assume no liability for inaccuracies or misstatements about products and insurance coverage.