Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p466
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 466/696)
Character Range: 15892910–15912350

Total Hip Replacement.                                                                                                                                                                                                                                                                   A - 34 /for Logical Shell 44-46mm  B - 38 /for Logical Shell 48-50mm  C - 41 /for Logical Shell 52-54mm  D - 45 /for Logical Shell 56-58mm  E - 48 /for Logical Shell 60-70mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        $1,762.00

     STRYKER AUSTRALIA PTY LTD
HW485                                                                                                                  MDM CoCr Liner                                                                       Modular Dual Mobility (MDM) CoCr Liner                                                                                                                                                                                                                                                                                                                                                                                                                                                                              The MDM CoCr Liner comes in a range of inner diameters of 36mm - 58mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                $1,762.00

     The Trustee for Giorgios and Katarina Loizou Family Trust
UK029                                                                                                                  Novae Double Mobility Cup Insert                                                     A cementless metal acetabular dual mobility cup designed to be used with a polyethylene liner.                                                                                                                                                                                                                                                                                                                                                                                                                      22mm x 43 - 69mm diameter in 2mm increments  28mm x 47 - 69mm diameter in 2mm increments                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             $1,762.00

     ZIMMER BIOMET PTY LTD
ZA077                                                                                                                  G7 Dual Mobility CoCr Liner                                                          CoCr Liner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          32-60mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              $1,762.00

  Revision/Tumour
     LIFEHEALTHCARE PTY LIMITED
LH682                                                                                                                  ACCIS Insert (15 degrees)                                                            ACCIS liner (15 degrees) for use with MUTARS RS and LUMIC Cup                                                                                                                                                                                                                                                                                                                                                                                                                                                       38/39, 42/44, 46/48, 50/52mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         $2,140.00

  11.03.04.05 - Constrained
     AMPLITUDE AUSTRALIA PTY LTD
LI045                                                                                                                  Saturne acetabular liner                                                             Polyethylene liner for double mobility cup                                                                                                                                                                                                                                                                                                                                                                                                                                                                          42/22- 66/22 (13 sizes)  48/28- 66/28 (10 sizes)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     $1,540.00

     LIFEHEALTHCARE PTY LIMITED
LH623                                                                                                                  IC Polaric head                                                                      IC Polaric head                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     38, 40, 42, 44, 46, 48, 50, 52, 54, 56, 58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           $1,540.00

     MEDACTA AUSTRALIA PTY. LTD.
MU024                                                                                                                  Versafitcup UHMWPE  Constrained Liner                                                UHMWPE Constrained Liner for Versafitcup Dual Mobility Acetabular Shell                                                                                                                                                                                                                                                                                                                                                                                                                                             For head diameter 22mm sizes 42 - 64mm. For head diameter 28mm sizes 48 - 64mm.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      $1,540.00
MU098                                                                                                                  Versafitcup HX UHMWPE Constrained Liner                                              HighCross UHMWPE Constrained Liner for Versafitcup Dual Mobility Acetabular Shell                                                                                                                                                                                                                                                                                                                                                                                                                                   From Ø 42 to Ø 64mm for head Ø 22mm. From Ø 48 to Ø 64mm for head Ø 28mm.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            $1,540.00

     SIGNATURE ORTHOPAEDICS PTY LTD
SF187                                                                                                                  SignaSure Dual Mobility Poly                                                         The SignaSure DM Poly is a modified cross linked UHMWPE (XLPE) constrained dual mobility liner  used with SignaSure Cemented/Cementless Cups as well as the other cementless shells (i.e., Logical G-Series) when used in conjunction with the SignaSure Dual Mobility Metal Inserts.                                                                                                                                                                                                                               Available in size range of 37 - 41 mm (outer diameter) for use with 22 mm Femoral Heads and 39 - 59 mm (outer diameter) for use with 28 mm Femoral Heads                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             $1,540.00
SF037                                                                                                                  Logical™ Constrained Acetabular Liner                                                highly cross linked and annealed constrained liner                                                                                                                                                                                                                                                                                                                                                                                                                                                                  28mm, 32mm  36mm Diameter Neutral, 10 degree and 20 degree size range 44mm to 72mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   $1,540.00

     SMITH & NEPHEW PTY LIMITED
SN689                                                                                                                  Reflection                                                                           Constrained Acetabular Liner unmodified UHMWPE                                                                                                                                                                                                                                                                                                                                                                                                                                                                      22 - 32mm, 42 - 76mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 $1,540.00
SM135                                                                                                                  POLAR Dual Mobility Constrained Highly Cross Linked Liner                            Modified UHMWPE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     FOR '22.2-28MM Head sizes and 43-72MM diameter shells                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                $1,540.00
SN856                                                                                                                  R3 Acetabular System                                                                 XLPE Constrained Acetabular liner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   40-78mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              $1,540.00

     STRYKER AUSTRALIA PTY LTD
SK501                                                                                                                  Restoration Anatomic Dual Mobility Polyethylene Insert                               The