Document ID: chunk:federal_register_of_legislation:F2025L00198:schedule:1:p42
Version: federal_register_of_legislation:F2025L00198
Segment Type: schedule
Provision Reference: sch 1 (pt 42/706)
Character Range: 167072–170295

Silicon Oil  D.O.R.C. Silicon Oil 1000/2000/5000-S  10ml  $176.00

     Emagin Pty Ltd
EG023  RS-OIL  Highly purified Silicone Oil  10ml  $176.00

     IQ MEDICAL PTY LTD
IQ006  Siluron 1000 & Siluron 5000  Silicone Oils  10 ml, Sterile  $176.00

     KEVIN GRUNDY (IBD) PTY. LIMITED
KG030  LSO Silicone Oil  Highly purified, sterile, transparent, silicone oil available in both a 1,000 cP and a 5,000 cP viscosity.  10mL vial, 10mL syringe  $176.00

     Spectrum Surgical
SO022  FCI Purified Silicone Oil (Solvent Free)  Viscosity: 1000 cst/5000 cst: solvent free purified silicone oil  10ml  $176.00

     The Trustee for The Ophthalmopro Unit Trust
WP006  AJL SIOBAL Silicon Oil  High-purity silicone oil used as tamponade agent for retinal detachment.  1000/2000/5000 cSt  10ml prefilled syringe  $176.00

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     IQ MEDICAL PTY LTD
IQ005  Densiron  Heavy Tamponade Liquid Medium, Postoperative  10 ml, Sterile  $217.00

01.10 - Artificial Iris
01.10.01 - Foldable
     Spectrum Surgical
SO076  HumanOptics Artificial Iris  One sterile, foldable Artificial Iris made of silicone, with or without fibre and custom made specific to the patient.  Custom made  $5,607.00

02 - Ear, Nose & Throat
Billing Code  Product Name  Description  Size  Minimum Benefit  Condition

02.01 - EAR
02.01.01 - Cochlear Implants
     Advanced Bionics Australia Pty Ltd
BD029  HiRes Ultra Cochlear Implant  The HiRes Ultra Cochlear Implant  with HiFocus is the implanted component of the HiResolution Bionic Ear System. It receives information through an RF transmission coil, processes the information and then sends the resulting signal to an electrode array implanted in the cochlear. It consists of receiving/transmitting coil, Stimulator electrodes and either HiFocus Mid-Scala Electrode array or HiFocus SlimJ electrode array  Implant Size: 56.2mm (L) x 28.5mm (w) x 4.5mm (thickness).     HiFocus Mid-Scala Electrode: Active length 15mm, Tip diameter 0.5mm, Basal diameter 0.7mm. Total length of electrode array 23.7mm.  HiFocus SlimJ Electrode: Electrode size: Active length 20mm, Tip diameter 0.26mm, Basal electrode diameter 0.56mm. Total length of electrode array 23.7mm  $12,892.00

BD020  HiRes90K Advantage Cochlear Implant with HiFocus 1j Electrode  The HiRes90K Advantage Cochlear Implant  with HiFocus 1j Electrode is the implanted component of the HiResolution Bionic Ear System. It receives information through an RF transmission coil, processes the information and then sends the resulting signal to an electrode array implanted in the cochlear. It consists of receiving/transmitting coil, Stimulator electrodes and HiFocus 1j Electrode array  Implant Size: 56mm (L) x 28mm (w x5.7mm (thickness). Electrode size: Active length 17mm, Tip diameter 0.4mm, Basal diameter 0.8mm. Total length of electrode array 25mm  $12,892.00

BD022  HiRes90K Advantage Cochlear Implant with the HiFocus Mid-Scala Electrode  The HiRES90K Advantage Cochlear Implant with HiFocus Mid-Scala electrode is the implanted component of the HiResolution Bionic Ear System. It receives information through an RF transmission coil, processes the information and then sends the resulting signal to an electrode array implanted