Document ID: chunk:federal_register_of_legislation:F2025L00198:schedule:1:p409
Version: federal_register_of_legislation:F2025L00198
Segment Type: schedule
Provision Reference: sch 1 (pt 409/706)
Character Range: 1356660–1360258

Uncovered  16,22,28,34,39,&45mm length  $1,199.00

  Balloon- in-Balloon
     INTERVENE MEDICAL PTY LTD
JI002  CP Stent  CP Stent Uncovered, mounted on BIB balloon  16,22,28,34,39,&45mm length  $2,124.00

08.15.02 - Covered
     INTERVENE MEDICAL PTY LTD
JI005  CP Stent  CP Stent Covered  16,22,28,34,39,&45mm length  $1,998.00

  Balloon-in-Balloon
     INTERVENE MEDICAL PTY LTD
JI004  CP Stent  CP Stent Covered, mounted on BIB balloon  16,22,28,34,39,&45mm length  $2,923.00

08.17 - Catheter Delivery
08.17.01 - Transcatheter Aortic Valve Implantation
     ABBOTT MEDICAL AUSTRALIA PTY LTD.
SJ394  Portico transcatheter aortic valve  Self-expanding transcatheter aortic tissue valve, nitinol stent, bovine valve  23-29  $22,932.00

SJ482  Navitor™ Transcatheter Aortic Valve  Self-expanding transcatheter aortic tissue valve, nitinol stent, bovine valve with delivery system  23-29  $22,932.00  The listed item [billing code] covers the Navitor System, containing Transcatheter Aortic Valve (cat. numbers NVTR-23, NVTR-25, NVTR-27, NVTR-29), FlexNav™ Delivery System (cat. numbers FNAV-DS-SM, FNAV-DS-LG) and Loading System (NVTR-LS-SM and NVTR-LS-LG), and the benefit is payable for the listed item if the Navitor System is used for the surgical procedure described in item 38495 in Group T8 of the Regulations.

QQ604  Navitor Vision  Self-expanding transcatheter aortic tissue valve, nitinol stent, bovine valve with delivery system and loading system  23-29  $22,932.00

     EDWARDS LIFESCIENCES PTY LIMITED
EL067  Edwards SAPIEN 3 Ultra Transcatheter Heart Valve System   The Edwards SAPIEN 3 Ultra Transcatheter Heart Valve (THV) system is an Aortic transcatheter heart valve bioprosthesis, with stent-like framework. It  consists of the Edwards SAPIEN 3 Ultra transcatheter heart valves and delivery systems. The Edwards SAPIEN 3 Ultra Valve is comprised of a balloon-expandable, radiopaque, cobalt-chromium frame, trileaflet bovine pericardial tissue valve, and polyethylene terephthalate inner and outer fabric skirts.    (mm) 20, 23, 26  $22,932.00

EL063  Edwards SAPIEN 3 Transcatheter Heart Valve  Transcatheter, balloon expanded aortic heart valve with Commander Delivery System  20mm, 23mm, 26mm and 29mm  $22,932.00

     MEDTRONIC AUSTRALASIA PTY LTD
MI259  Medtronic CoreValve™ Evolut™ R transcatheter aortic valve  Transcatheter aortic valve, self-expanding, re-sheath and/or complete recapture after partial deployment and redeployment  23mm-34mm  $22,932.00

QQ159  Medtronic Evolut FX transcatheter aortic valve  Transcatheter aortic valve, self-expanding, re-sheath and/or complete recapture after partial deployment and redeployment including a loading system (L-EVOLUTFX-2329, L-EVOLUTFX-34) and a delivery catheter system (D-EVOLUTFX-2329, D-EVOLUTFX-34)  23mm-34mm  $22,932.00

MI315  Medtronic CoreValve™ Evolut™ PRO transcatheter aortic valve  Transcatheter aortic valve, self-expanding, re-sheath and/or complete recapture after partial deployment and redeployment  23mm-29mm  $22,932.00

08.17.02 - Mitral Valve Repair
  08.17.02.01 - Leaflet
     ABBOTT MEDICAL AUSTRALIA PTY LTD.
SJ460  MitraClip G4 system  Transmitral valve repair clip, steerable guide catheter, clip delivery system  9 - 12 mm  $26,386.00

SJ453  MitraClip System  Steerable Guide Catheter, Clip Delivery System (Delivery Catheter, Steerable sleeve and the MitraClip Implant)   NTR MitraClip Implant: 15-17 mm  XTR MitraClip Implant: 18-22 mm  $26,386.00

  DMR only
     EDWARDS LIFESCIENCES PTY LIMITED
EL069  PASCAL Precision System (PASCAL Implant and PASCAL ACE