Document ID: chunk:federal_register_of_legislation:F2025L00198:schedule:1:p66
Version: federal_register_of_legislation:F2025L00198
Segment Type: schedule
Provision Reference: sch 1 (pt 66/706)
Character Range: 278899–282083

one size only  j) size 6, 8 and 10  k) size 6 and 8  $425.00

02.03.06 - Injectable Material for Vocal Fold Augmentation / Laryngeal Reconstruction
     ENDOTHERAPEUTICS PTY. LIMITED
ET040  Vox Implants  Vox Implants are solid, irregularly textured, medical grade Polydimethylsiloxane Elastomer implants suspended in a hydrogel carrier  One size only  $7,401.00

03 - General Miscellaneous
Billing Code  Product Name  Description  Size  Minimum Benefit  Condition

03.01 - BRACHYTHERAPY
03.01.01 - Hepatic, Yttrium 90, Standard Dose
     SIRTEX MEDICAL LIMITED
VX001  SIR-Spheres including Delivery Apparatus  Biocompatible microspheres 20-60mm (microns) in diameter containing yttrium-90. Delivery apparatus is PVC tubing, ABS stopcocks, acrylic holders and stainless steel needles with PE hubs  One size only  $8,090.00

03.01.02 - Prostatic I-125
  03.01.02.01 - Standard Dose
     Alphaxrt Pty Ltd
CL002  Advantage I-125 Seed  Advantage I-125 seeds are sealed radioactive sources containing Iodine-125 for interstitial brachytherapy  3mm x 0.5mm silver rod within 4.5 x 0.8mm sealed titanium capsule, up to 120 seeds  $5,766.00

CL001  Advantage I-125 Pre-load  Advantage I-125 Pre-load consists of stranded Advantage I-125 seeds pre-loaded on prescription into brachytherapy needles specifically for treatment of an individual patient.  They arrive sterile and pre-packaged ready for use in theatre  Stranded seeds are pre-loaded in brachytherapy needles in a prescribed configuration; up to 120 seeds  $5,766.00

     BARD AUSTRALIA PTY. LIMITED
BA252  BrachySource® I-125 Implant  BrachySource® Seeds supplied either loose, in Cartridges or needles or as a calibration source.  Up to 120 seeds per patient.  Seeds are a 4.5mm x 0.8mm welded titanium capsule.  $5,766.00

BA253  ReadyLink® Implant  BrachySource® Seed Implants in the ReadyLink® Delivery System.  Up to 120 seeds per patient.  Seeds are 4.5mm x 0.8mm welded titanium capsule preconnected in user defined trains.  $5,766.00

     RQSOLUTIONS MEDICAL DEVICES DISTRIBUTION SUPPORT PTY LTD
RQ079  I-Seed AgX100 Cartridge Brachytherapy Kit  The I-Seed AgX100 Cartridge brachytherapy kit comprises 8 or fewer cartridges (max. 20 seed) in a vertical seed magazine, VSM20. The kit is supplied sterile and is compatible with the Mick applicator.  The I-Seed AgX100 Cartridge Brachytherapy Kit generally contains 8 or fewer cartridges, each a max. 20 seeds, a total of 80-100 seeds. Each seed comprises a silver rod with the source within 4.5 x 0.8mm sealed titanium capsule.  $5,766.00

RQ078  TheraStrand Rx with AgX100 Brachytherapy Kit  The TheraStrand RX brachytherapy kit is prescription-loaded and supplied sterile.  The prescription generally comprises 25 needles containing the brachytherapy I-125 sources (80-100 seeds) sequenced per the physician's treatment plan.  All sources are of the same activity/strength.  The seed includes a silver rod with I 125 contained in a sealed titanium capsule of 4.5 mm length and 0.8 mm in diameter.  $5,766.00

  03.01.02.02 - Single Seed or Partial Dose
     Alphaxrt Pty Ltd
CL003  Advantage I-125 Seed  The Advantage I-125 seed is a sealed radioactive