Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p133
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 133/696)
Character Range: 3001270–3035824

to 25cm                                                                                                                                                                                                                                           $91.00

     Culpan Medical Pty Ltd
CB018                                                       Skater Nephrostomy Drainage Catheter                                                        A drainage catheter intended for use for Nephrostomy applications either by direct stick or modified seldinger technique.                                                                                                                                                                                                                                                                                                                                                                                                                       6 - 14 Fr                                                                                                                                                                                                                                                   $91.00

     GETZ HEALTHCARE PTY LTD
ME216                                                       NEPHRO-CATH Nephrostomy Drainage Catheter                                                   Nephrostomy Drainage Catheter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Diameters: 8fr to 14fr sizes; Lengths 27cm through to 29cm                                                                                                                                                                                                  $91.00

     WILLIAM A. COOK AUSTRALIA PTY. LTD.
WC291                                                       Dawson-Mueller Drainage Catheter                                                            A drainage catheter intended for use for Nephrostomy applications either by direct stick or modified seldinger technique.                                                                                                                                                                                                                                                                                                                                                                                                                       5-14 Fr, Length: 15-25cm                                                                                                                                                                                                                                    $91.00

05.10 - Vesicoureteral Reflux Prostheses
05.10.01 - Vesicoureteral Reflux Prostheses
     PALETTE LIFE SCIENCES AUSTRALIA PTY LTD
RW001                                                       Deflux                                                                                      Deflux is a sterile, highly viscous gel of dextranomer microspheres and non-animal stabilised hyaluronic acid constituting a biocompatible and biodegradable implant for the treatment of vesicoureteral reflux.  The stabilised hyaluronic acid acts mainly as                                                                                                                                                                                                                                                                                 1ml in syringe                                                                                                                                                                                                                                              $950.00

06 - Specialist Orthopaedic
Billing Code                                                                                        Product Name                                                                                                                    Description                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Size                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Minimum Benefit  Condition
06.01 - ANKLE AND FOOT
06.01.01 - Ankle joint component
  06.01.01.01 - Liner - fixed bearing
     STRYKER AUSTRALIA PTY LTD
HW996                                                                                               INBONE® Total Ankle System: Poly Insert                                                                                         Poly Insert, Standard or Plus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Sizes 1-6, 6-20mm thick                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                $627.00
HW995                                                                                               INFINITY Total Ankle System: Poly Insert                                                                                        UHMWPE poly insert, Standard or Plus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Sizes 1-5; 6-13mm thick                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                $627.00
HW894                                                                                               Salto Talaris Ankle Prosthesis - Tibial insert                                                                                  Tibial insert, fixed, UHMWPE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Sizes 0,1,2,3, Left and Right, each size available in the following thicknesses, 8mm, 9mm,10mm,11mm, 13mm,15mm, 17mm, 19mm, 21mm.  Sizes 00, Left and Right, available in the following thicknesses, 8mm,9mm,10mm,11mm.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                $627.00

     ZIMMER BIOMET PTY LTD
ZA022                                                                                               TM Ankle                                                                                                                        Tibial Polyethylene Insert                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           6 sizes of the polyethylene insert with standard, +2 mm and +4 mm offsets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              $627.00

  06.01.01.02 - Liner - mobile bearing
     ALLEGRA INNOVATIONS PTY LTD
QQ078                                                                                               Hintermann Series H3™ Total Ankle Prosthesis-Inlay                                                                              Hintermann Series H3™ Total Ankle Prosthesis-Inlay, UHMW Polyethylene                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                0-6, thickness 5-9 mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  $591.00

     DJO GLOBAL PTY LTD
DD077                                                                                                STAR Ankle Prosthesis                                                                                                          UHMWPE Sliding Core                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  6- 14mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                $591.00

     EXACTECH AUSTRALIA PTY LTD
FA031                                                                                               Vantage Total Ankle System - Tibial Insert                                                                                      Inlay, Mobile Bearing, UHMWPE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Left and Right, size 1-5, thickness 6mm - 12mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         $591.00

     STRYKER AUSTRALIA PTY LTD
HW884                                                                                               Cheville Salto Ankle Prostheses                                                                                                 Mobile insert UHMWPE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Sizes 0,1,2,3. Each size has thickness 4,5,6 & 7mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     $591.00

06.01.02 - Sinus Tarsi Implant
  06.01.02.01 - Metal
     ARTHREX AUSTRALIA PTY LTD
HU103                                                                                               Prostop                                                                                                                         Arthroereisis Subtalar implant                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       7x12mm 8x12mm 9x14mm 10x14mm 11x16mm 12x16mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           $1,321.00

     AUSTRALIAN PACIFIC MEDICAL PTY LTD
PB045                                                                                               Subtalar Implant                                                                                                                Conical tapered titanium implant to treat flat foot and stabilise subtalar joint                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     7 – 12mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               $1,321.00

     CONMED LINVATEC AUSTRALIA PTY LTD
QQ046                                                                                               Subtalar Implants                                                                                                               Subtalar Implants                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    All sizes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              $1,321.00

     INTEGRANT PTY LTD
IT035                                                                                               Fuse It Healing Screw                                                                                                           Fenestrated conical fusion cage - intended to be used