Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p309
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 309/696)
Character Range: 12051076–12086971

bone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Lengths 38-143mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $3,081.00

  06.03.17.31 - Humeral Intergral Shaft & Stem Coated
     STRYKER AUSTRALIA PTY LTD
HW625                                                                                               METS Humeral Integral Shaft & Stem Coated                                                                                       Titanium, combined shaft, stem & collar with HA coated stipples                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      20mm shaft plateau with 8mm diameter stem, 24mm shaft plateau with 10mm diameter stem                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  $7,548.00
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         7945

  06.03.17.33 - Humeral Component with Liner
     STRYKER AUSTRALIA PTY LTD
HW626                                                                                               METS Humeral Component with Liner                                                                                               Titanium component, UHMWPE liner with encased metal ring for use with constrained glenoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Mono-size, left and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              $6,729.00

  06.03.17.34 - Humeral Component with Reattachment for use with Hemi Head
     STRYKER AUSTRALIA PTY LTD
HW627                                                                                               METS Humeral Component with Reattachment for use with Hemi Head                                                                 Titanium humeral component with HA coated rails for tissue reattachment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Small and standard                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     $8,875.00

  06.03.17.35 - Glenoid / Glensophere component
     LIFEHEALTHCARE PTY LIMITED
LH665                                                                                               MUTARS Glenosphere                                                                                                              MUTARS glenosphere                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   40mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   $7,111.00
LH674                                                                                               MUTARS Glenoid                                                                                                                  MUTARS Glenoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       1 size                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 $7,111.00

     STRYKER AUSTRALIA PTY LTD
HW628                                                                                               METS Bayley Walker Glenoid Component                                                                                            Titanium HAP coated tapered screw with 22.2mm CoCr-Molybdenum head, for Glenoid fixation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Extra small, small and standard                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        $7,111.00

  06.03.17.36 - Humeral Hemi-Head
     STRYKER AUSTRALIA PTY LTD
HW644                                                                                               METS Humeral Hemi-head                                                                                                          Titanium humeral hemi-head forming part of a modular system to replace diseased or damaged bone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Diameters 43mm, 46mm, 52mm, 55mm, 58mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 $3,218.00

  06.03.17.37 - Femoral Stem - Uncemented
     LIFEHEALTHCARE PTY LIMITED
LH634                                                                                               MUTARS - Arthrodesis stems                                                                                                      Arthrodesis tibial and femoral stems, cvd, straight, cemented/cementless                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             11-20mm x 100 - 250mm length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           $3,724.00

  06.03.17.39 - Tibial Stem - Uncemented
     LIFEHEALTHCARE PTY LIMITED
LH659                                                                                               MUTARS - Arthrodesis Tibial component                                                                                           MUTARS - Arthrodesis Tibial component                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                45mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   $6,242.00

  06.03.17.41 - Valgus Sleeve
     LIFEHEALTHCARE PTY LIMITED
LH660                                                                                               MUTARS - Arthrodesis femoral component                                                                                          MUTARS - Arthrodesis femoral component                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               45mm left and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    $6,242.00

07 - Plastic and Reconstructive
Billing Code                                                    Product Name                                                                                           Description                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Size                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Minimum Benefit  Condition
07.01 - CRANIOMAXILLOFACIAL RECONSTRUCTION & FIXATION
07.01.01 - Mesh - Metal
  07.01.01.01 - <0.2mm thick, 1-50cm²
     BioMeDent Pty Limited
HQ003                                                           SURGITIME Titanium Mesh                                                                                Titanium Surgitime is a non absorbable titanium mesh made of pure titanium (ASTM F-67). It comes in many different lengths, widths, thicknesses and hole diameters. It assist bone neoformation, acting as a barrier hindering the migration of epithelial cells and of the conjunctive tissues, thus avoiding competition with the bone graft.                                                                                                                                                                                                                                                                                                                                                                                              34x25mm- Thickness 0.04mm/Round hole 0,15mm  34x25mm- Thickness 0.04mm/Round hole 0,85mm  34x25mm- Thickness 0,08mm/Round hole 0,85mm                                                                                                                                                                                                                                                                                                                                                                                            $161.00

     KLS MARTIN AUSTRALIA PTY LIMITED
KT027                                                           Martin Level One Fixation                                                                              Mesh, Titanium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               <0.2mm thick, 1 to 10cm² area                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    $161.00

  07.01.01.02 - <0.2mm thick, 51-100cm²
     KLS MARTIN AUSTRALIA PTY LIMITED
KT026                                                           Martin Level One Fixation                                                                              Mesh, Titanium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               <0.2mm, 51 to 100cm² area                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        $371.00

  07.01.01.03 - 0.2-0.49mm thick, 1-10cm²
     B BRAUN AUSTRALIA PTY LTD
BB407                                                           Aesculap Neuro Plating System                                                                          Cranial Fixation Mesh Plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  28.8