Document ID: chunk:federal_register_of_legislation:F2025L00198:schedule:1:p377
Version: federal_register_of_legislation:F2025L00198
Segment Type: schedule
Provision Reference: sch 1 (pt 377/706)
Character Range: 1226904–1230369

PTY LIMITED
LH727  Motiva Ergonomix Implant Matrix, SilkSurface with QID  Sterile Silicone Breast Implants, Motiva Ergonomix Matrix, SilkSurface PLUS with QID  - prostheses, Internal, Mammary, gel filled  500cc TO 775cc  $1,170.00

LH730  MOTIVA IMPLANTS ANATOMICAL TRUEFIXATION  Sterile Silicone Breast Implants. Gel filled, pre-shaped.   500-600 cc  $1,170.00

08 - Cardiac
Billing Code  Product Name  Description  Size  Minimum Benefit  Condition

08.01 - Single Chamber ICDs
08.01.02 - Features of 8.1.1 plus auto test sensing parameters, auto capture threshold test, lead impedance test, wireless remote analysis
  a, d
     ABBOTT MEDICAL AUSTRALIA PTY LTD.
SJ326  Ellipse VR CD1377-36/CD1377-36C  Single Chamber Cardioverter Defribrillator  31cc, 66g  $23,920.00

SJ333  Fortify Assura VR CD1359-40/CD1359-40C  Single Chamber Cardioverter Defibrillator with 40J delivered energy  76g , 35cc  $23,920.00

     BIOTRONIK AUSTRALIA PTY LIMITED
BT229  Intica Neo 7 VR-T  Single Chamber ICD, ventricular capture control, physiological rate adaption, automatic event (IEGM) & trend triggered transmission. Wandless telemetry, Home Monitoring w/ QuickCheck, MRI conditional and AutoDetect, DF-1, IS-1 connector  W x H x D (mm) 65 x 55 x 11, Volume: 33cc, Mass: 82g  $23,920.00

BT230  Intica Neo 7 VR-T DX  Single Chamber ICD, ventricular capture control, physiological rate adaption, additional atrial detection (DX),automatic event (IEGM) & trend triggered transmission. Wandless telemetry, Home Monitoring w/ QuickCheck, MRI conditional and AutoDetect, DF-1, IS-1 connector  65mm x 55mm x 11mm, 33cm3, 82grams  $23,920.00

     BOSTON SCIENTIFIC PTY LTD
BS340  MOMENTUM EL VR DF-1  Single Chamber implantable cardioverter defibrillation, 4IJ, DF-1 RV connector. ENDURALIFE Battery Technology  29.5cc, 68.9g, 5.37 x 7.79 x 0.99 cm  $23,920.00

BS278  AUTOGEN ICD VR DF-1  Single Chamber implantable cardioverter defibrillation, 4IJ, DF-1 RV connector  28.5cc -31.5cc, 61.9g - 70.7g, 9.9mm  $23,920.00

     MEDTRONIC AUSTRALASIA PTY LTD
MI112  Evera XT VR DF1/ Evera MRI XT VR SureScan DF1  Single Chamber Implantable Cardioverter Defibrillator with PhysionCurve Design, Optimised Battery Chemistry, SmartShock Technology 2.0, Optivol 2.0 Fluid Status Monitoring, Complete Capture Management. DF1  33cm³ 77g  $23,920.00

MI394  Cobalt™ XT VR ICD MRI SureScan™  Single Chamber Implantable Cardioverter Defibrillator with PhysionCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0+ Technology, Optivol 2.0 Fluid Status Monitoring, Complete Capture Management, BlueSync technology, DF1  33.2 cm3, 79 g  $23,920.00

MI255  VISIA AF XT ICDs/ VISIA AF MRI XT SureScan ICDs  Digital single chamber implantable cardioverter defibrillator. PhysioCurve™ Design, SmartShock™ Technology, OptiVol™ 2.0 Fluid Status Monitoring, Complete Capture Management™ Diagnostic (RVCM), AF Diagnostics including SureScan/ MRI models  33cm³ 77g  $23,920.00

MI386  Cobalt™ VR ICD MRI SureScan™  Single Chamber Implantable Cardioverter Defibrillator with PhysionCurve Design, MRI compatible, Optimised Battery Chemistry, SmartShock 2.0 Technology, Complete Capture Management, BlueSync technology, DF1  33.2 cm3, 79 g  $23,920.00

MI256  VISIA AF S ICDs/ VISIA AF MRI S SureScan ICDs  Digital single chamber implantable cardioverter defibrillator. PhysioCurve™ Design, SmartShock™ Technology, OptiVol™ 2.0 Fluid Status Monitoring, Complete Capture