Document ID: chunk:federal_register_of_legislation:F2025L00198:schedule:1:p629
Version: federal_register_of_legislation:F2025L00198
Segment Type: schedule
Provision Reference: sch 1 (pt 629/706)
Character Range: 2057972–2061462

25-70 mm  $1,853.00

ER345  Signus Diana SI Joint Fusion Device  The DIANA® sacroiliac fusion device is a titanium alloy, tapered hollow cylindrical implant with radial fenestrations to encourage bony in-growth and a threaded outer surface for fixation and stabilisation of the sacroiliac joint.  Tapered design: dia at wide point (13-21 mm) x dia at narrow point (12-20mm) x length 30mm  $1,853.00

     Globus Medical Australia Pty Limited
LB062  SI-LOK Stabilization System  Fusion Screw  8.0-12.0mm diameter x 25-60mm length  $1,853.00

     LIFEHEALTHCARE PTY LIMITED
QQ531  iFuse Implant System-Implant  iFuse Implant System-Implant  4-10.75 mm; length 30-90 mm  $1,853.00

LH759  Silex Joint Fixation Device  Single-Thread Sacroiliac Anchor Implant or Dual-Thread Sacroiliac Anchor Implant  12.5mm x 30-70mm  $1,853.00

     MEDACTA AUSTRALIA PTY. LTD.
MU164  M.U.S.T. Sacro-Iliac Joint Screws and Washers  Headless and Standard Sacro-Iliac Joint Screws and Washers  Headless SI screws: Ø 7.5-11 mm, Lenght 30-100 mm.   Standard SI screws: Ø 8-10 mm, Lenght 25-80 mm.   Washers: Standard version Ø 13-20 mm; Favored angle version Ø 15-20 mm  $1,853.00

     MEDTRONIC AUSTRALASIA PTY LTD
MI197  Rialto  SI Fusion System  12mm Dia. 40mm to 60mm Length  $1,853.00

13.15 - Annular closure/reconstruction
13.15.01 - Annular closure/reconstruction device
     EMERGO ASIA-PACIFIC PTY. LIMITED
ER305  Barricaid  Annular replacement prosthesis  Height: 14mm; Width 8mm, 10mm, 12mm  $4,954.00

Prescribed List -Part B

03 - Orthopaedic
Billing Code  Product Name  Description  Size  Minimum Benefit  Condition

     Australian Biotechnologies
AUB04  Bone – Cortico-Cancellous Crunch <30g        $2,070.00

AUB05  Cortical Strut        $2,451.00

AUB08  Bone – Cortico-Cancellous Crunch <20g Sterile        $2,215.00

AUB06  Tibia – Proximal third        $2,562.00

AUB03  Femoral Head        $2,354.00

AUB10  Tendon        $2,184.00

AUB07  Spinal Ring        $1,854.00

AUB09  Tendon - Achilles with bone plug        $2,228.00

AUB02  Bone - Milled Femoral Head        $2,457.00

     AUSTRALIAN TISSUE DONATION NETWORK LIMITED
ABB28  Cervical Spacers – Lordotic Super Critical Fluid CO2Treated 5mm-9mm        $2,065.00

ABB18  Humerus – Strut Super Critical Fluid CO2 Treated (Freeze Dried)        $2,504.00

AAA24  Unicortical Cancellous Block Super Critical Fluid CO2 Treated (Freeze Dried)        $1,553.00

ADD34  Acellular Dermal Matrix <25cm² Thickness <2.5mm  ADM is derived from full thickness human skin, that has been processed to remove cells and cellular components while preserving the extracellular matrix (ECM). The extracellular matrix is the structural framework that provides support and organization to tissues. It consists of various proteins, such as collagen, elastin, and other growth factors, that contribute to tissue strength and regeneration. The resulting acellular dermal matrix serves as a scaffold for tissue repair and regeneration. It can be used in procedures like breast reconstruction, hernia repair, wound healing, and other soft tissue reconstructions.      <25cm² Thickness <2.5mm  $2,036.00

ABB87  Hemipelvis – Segment Super Critical Fluid CO2 Treated        $1,708.00

ABB97  Achilles Tendon with Bone Block Super Critical Fluid CO2 Treated        $4,001.00

ADD27  Demineralized Bone Matrix/Cortico-Cancellous Granules 5-9cc        $3,800.00

ABB96  Hemipelvis – Whole        $9,452.00

AAA66  Morsellised Bone