Document ID: chunk:federal_register_of_legislation:F2025L00198:schedule:1:p558
Version: federal_register_of_legislation:F2025L00198
Segment Type: schedule
Provision Reference: sch 1 (pt 558/706)
Character Range: 1838908–1841933

One plate with three screws )   The CARMEN plate and bone screw components are intended for anterior inter-body screw fixation from C2-TI. The plate and bone screw components are indicated for use together with the Carmen Anterior Cage in the temporary stabilization of the anterior spine during the development of spinal fusions in patients with: 1) degenerative disc disease (as defined by neck pain of discogenic origin with degeneration of the disc confirmed by patient history and radio-graphic studies), 2) trauma (including fractures), 3) tumors, 4) deformity (defined as kyphosis, lordosis, or scoliosis), 5) pseudoarthrosis, and/or 6) failed previous fusions.  Plate Size : Length : 18 mm - 20 mm;  Width : 13.6 mm - 14.2 mm     Bone Screw Size : Diameter : 3.5 mm ; 4.0 mm;  Length :  12 mm - 17 mm  $391.00

     MEDTRONIC AUSTRALASIA PTY LTD
MI514  Anteralign™ - Mini Plate  Standard and offset miniplate with titanium bolt to be used with the Anteralign™ TL cage  Width: 12 mm; Length: 20 mm, 23 mm; Offset: 0 mm, 2.5 mm  $391.00

     ZIMVIE AUSTRALIA PTY LTD
NW044  Timberline Lateral Fusion System  Cover Plate  2 and 4 hole  $391.00

13.02.04 - Cap/Cover Plate, Complex
     ALPHATEC AUSTRALIA PTY LTD
KN003  AMP Plate   Antmigration Plate for ATEC Cages,  Ti Alloy  Size 4 to 23  - (19.35 to 36.3)mm length, 1 or 2 screw hole.   $560.00

     AUSTRALIAN PACIFIC MEDICAL PTY LTD
PB039  DPS Spine System  Double Locking Cap and Nut  Locking Cap and Nut  One size only  $560.00

     EMERGO ASIA-PACIFIC PTY. LIMITED
ER340  Ulrich Pedicle Screw System-Locking cap  Ulrich Pedicle Screw System (uCentum/uBase)-Locking cap assembly (dual innie screw, nut, washer)  one size  $560.00

     Globus Medical Australia Pty Limited
LB088  CREO Stabilization System Locking Cap  The CREO Stabilization System implants are non-cervical spinal fixation devices intended for posterior pedicle screw fixation, posterior hook fixation or anterolateral fixation.  4.75 and 5.5  $560.00  The Prescribed List (PL) billing code does not cover the use of the device for vertebral body tethering (VBT) for the management of adolescent idiopathic scoliosis (AIS).

LB061  REVLOK Fenestrated Screw System Locking Cap  Locking Cap  One Size  $560.00

LB048  ELLIPSE Stabilization System, Locking Cap  Locking Cap  One Size  $560.00

LB019  REVOLVE Stabilization Locking Cap  Locking Cap  One Size  $560.00

     JOHNSON & JOHNSON MEDICAL PTY LTD
MN276  SYMPHONY OCT System  Multipoint System - Adapter Connector Plate and Screws  Standard, Angled, Left, Right, Long; 6-16mm  $560.00

SY448  Spinal Fixation System  Locking Cap  One Size  $560.00

JJ694  Mountaineer OCT Spinal System -Lateral washer plate  Titanium Occipital - Lateral Washer Plate  One size only  $560.00

13.02.05 - Block/Screw head
     ALPHATEC AUSTRALIA PTY LTD
QQ448  Invictus Modular Tulip   Polyaxial.  Ti Alloy  Std, std Reduction,  Extended tab reduction   $686.00

     DEVICE TECHNOLOGIES AUSTRALIA PTY. LTD.
DE665  Mariner Pedicle