Document ID: chunk:federal_register_of_legislation:F2025L00198:schedule:1:p364
Version: federal_register_of_legislation:F2025L00198
Segment Type: schedule
Provision Reference: sch 1 (pt 364/706)
Character Range: 1187404–1190685

stated in the claim) for a patient, the Prescribed List reimbursement is limited to 3 or less PL benefits for any billing codes for surgical guides or biomodels, or no more than 6 benefits if both surgical guides and biomodels (maximum 3 for each) have been used in an implantation procedure for a patient. This restriction is not impacted by a number of devices implanted during a procedure.

07.03 - DENTAL IMPLANTS
07.03.01 - Abutment
  07.03.01.01 - Permanent
     AUSTRALIAN CRANIOFACIAL IMPLANTS PTY LTD
GZ003  JD Permanent Abutments  Titanium Abutments  1.5mm to 6.0mm (height)  $171.00

     BioMeDent Pty Limited
HQ005  Rex PiezoImplants Permanent Abutments (No Screw included)   The PiezoImplant System permanent restorations may consist of single crowns or bridges as well as complete or partial dentures. The prosthetic components are connected to the implants by corresponding abutments. The PiezoImplant System is intended for delayed loading.   1.8mm & 2.9mm       $171.00

     DENTAL DEVICES PTY LTD
JN003  ARDS Abutments  Permanent - ball,  conical,  straight, angled, anatomic  (4.2 - 6)mm width x (2.5 - 1)mm height  $171.00

     DENTSPLY SIRONA PTY LIMITED
FV007  Ankylos / DS EV Permanent Abutments  Permanent Abutments  Diameter range: 3.3mm - 5.7mm, height range: 7.5mm - 11.1mm  $171.00

     EMERGO ASIA-PACIFIC PTY. LIMITED
ER415  Bicon Dental Implant System-Abutment, Permanent  Bicon Dental Implant System permanent abutment, universal, Ti, various profiles  diameter (4-7.5mm) (post (2-3mm), angle 0˚ and 15˚, height (1-12mm)  $171.00

     Henry Schein-Halas Pty Ltd
HD026  BioHorizons Multi-unit Abutments  Titanium abutments used for multiple-unit restorations. Includes straight, 17 and 30 degree abutments. Laser-lok technology optional. Comes with a cover cap.   Collar height: 1.0 - 5.0mm  Platforms: 3.0, 3.5, 4.5, 5.7mm  Angles: Straight,  17 and 30 degrees    $171.00

HD031  CAMLOG Conelog Progressive Line - Multi Unit Abutment   Titanium abutments used for multiple-unit restorations. Includes straight, 17 and 30 degree abutments. Comes with a cover cap  Collar height: 1.0 - 5.0mm.  Angles: Straight,17 and 30 degrees   $171.00

     MORE GROUP PTY LTD
MV014  MIS Abutments  Abutments  Height: 1mm - 5mm, Crown height: 4 - 11mm, Platform: Narrow or Standard  $171.00

MV017  MIS Abutments  Abutments  Height: 1mm - 5mm, Crown height: 4 - 11mm, Platform: Narrow, Standard or Wide  $171.00

MV005  MIS Abutments  Abutments  Height: 1mm - 5mm, Crown height: 4 - 11mm, Platform: Narrow, Standard or Wide  $171.00

     Neoss Australia Pty Ltd
NJ004  Neoss Gold Abutment  Neoss Abutment Gold   Universal  $171.00

NJ003  Neoss Titanium Abutment  Neoss Abutment Titanium  Universal  $171.00

     Nobel Biocare Australia Pty Ltd
NR001  Nobel Biocare Abutments  Final Abutments (Multi-Units)  NP, RP, WP  $171.00

     Southern Implants Australia Pty Ltd
IC003  Southern Implants Abutments  Final Abutments (multiple units)  3.0 - 6mm Diameter  $171.00
                                                                      1.0 - 5.5mm Height

     STRAUMANN PTY LTD
SB025  Straumann Zygomatic Screw-retained Abutment  Titanium screw-retained abutments, straight  4.6mm diameter, 1.5mm - 4.5mm height  $171.00

SB033