Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p689
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 689/696)
Character Range: 23763502–23788424

reloads to be used with ReliaTack articulating tacking device                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               5.1mm, 5 tacks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  $162.00
MI304                                                            ReliaTack Articulating Reloadable Fixation Device with Deep Purchase Tacks (Reloads x 5)              5 x absorbable deep purchase reloads to be used with ReliaTack articulating tacking device                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 7.0 mm  5 Tacks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 $162.00

  8 Deep Purchase Tack, absorbable
     MEDTRONIC AUSTRALASIA PTY LTD
MI305                                                            ReliaTack Articulating Reloadable Fixation Device with Deep Purchase Tacks (Reloads x 8)              8 x absorbable deep purchase reloads to be used with ReliaTack articulating tacking device                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 7.0 mm  8 tacks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 $258.00

  03.08.04.08 - Adhesive Tackers
  Synthetic, Endoscopic
     B BRAUN AUSTRALIA PTY LTD
QQ751                                                            Histoacryl LapFix Procedure Pack (Delivery System with Adhesive)                                      Histoacryl LapFix Surgical Procedure Kit is a laproscopic, single-use, non-medicated Class III medical device. It contains the delivery system and the adhesive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Single Procedure Kit (Delivery System with Adhesive)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            $463.00

     DEVICE TECHNOLOGIES AUSTRALIA PTY. LTD.
DE726                                                            Glutack                                                                                               Catheter for controlled application of surgical adhesive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  25, 40, 50 drops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                $211.00

     The Trustee for CMJH FAMILY TRUST
WL001                                                            LiquiBand Fix8                                                                                        Hernia Mesh Fixation System, preloaded into applicator                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     33 tacks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        $463.00

04 - Neurosurgical
Billing Code                                   Product Name                        Description                                                                                                                                           Size                     Minimum Benefit  Condition
04.02 - DURA DEFECT REPAIR
04.02.05 - Repair, Liquid Sealant (0 to 3ml)
     INTEGRA NEUROSCIENCES PTY LTD
IG142                                          DuraSeal Xact Spinal Dural Sealant  Xact Dural Sealant for spine.  Packaged in sterile single use disposable tray.                                                                        3ml                      $629.00

04.02.06 - Repair, Liquid Sealant (>3 to 6ml)
     INTEGRA NEUROSCIENCES PTY LTD
IG141                                          Duraseal Dural Sealant              DuraSeal is a Synthetic, absorbable, Polyethylene Glycon, hydrogel sealant used as an adjunct to sutured dural repair to achieve watertight closure.  5ml of hydrogel sealant  $580.00

     STRYKER AUSTRALIA PTY LTD
HW659                                          ADHERUS Dural Sealant               Dural sealant                                                                                                                                         6ml                      $580.00
HW660                                          Adherus AutoSpray                   Hydrogel sealant with automatic applicator.                                                                                                           6mL                      $580.00

10 - Vascular
Billing Code                                                         Product Name                                                                                          Description                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Size                                                                                                                                                                                                                                                               Minimum Benefit  Condition
10.07 - Arterial Closure Devices
10.07.01 - Arterial Closure Devices
     ABBOTT MEDICAL AUSTRALIA PTY LTD.
SJ463                                                                Starclose                                                                                             6 Fr Exchange Sheath, Dilator, Guidewire, implantable nitinol clip pre-mounted on a Clip Applier                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               6 Fr                                                                                                                                                                                                                                                               $290.00
SJ452                                                                Proglide                                                                                              Suture Mediated Closure Device                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 5 - 8 French                                                                                                                                                                                                                                                       $290.00
SJ459                                                                Perclose ProStyle Suture Mediated Closure and Repair System                                           Suture-Mediated Closure and Repair System                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      One size                                                                                                                                                                                                                                                           $290.00

     CORDIS AUSTRALIA PTY LTD
JW008                                                                EXOSEAL (TM) Vascular Closure Device                                                                  Vascular Closure Device                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        5 - 7F                                                                                                                                                                                                                                                             $290.00
JW005                                                                Mynx Vascular Closure Device                                                                          Water-soluble synthetic sealant made of a polyethylene glycol (PEG) The sealant is resorbed by the body within 30 days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         5F, 6/7F                                                                                                                                                                                                                                                           $290.00
JW015                                                                MYNX Control Vascular Closure Device                                                                  The MYNX CONTROL Vascular Closure Device is designed to achieve femoral artery hemostasis via delivery of an extravascular, water-soluble synthetic  hydrogel sealant, using a balloon catheter in conjunction with a standard procedural sheath. The sealant is made of a