Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p519
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 519/696)
Character Range: 16731741–16775607

LIMITED
NW013                                                                            Vitality Spine System - Monoaxial Pedicle Screws                                                      Monoaxial pedicle Screws Titanium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Diameter = 4.0mm-7.5mm  Length= 20mm-55mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 $728.00

     DEVICE TECHNOLOGIES AUSTRALIA PTY. LTD.
DE801                                                                            Mariner Uniaxial Screw                                                                                Uniaxial Screw                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        4.5-7.5mm Diameter, 20-110mm Lengths                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      $728.00

     EMERGO ASIA-PACIFIC PTY. LIMITED
ER445                                                                            LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System-Pedicle Screw, monoaxial                  LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System-Pedicle Screw, monoaxial;self tapping and non self tapping; standard and reduction; accommodates rods 5.0, 5.5, 6.0 and 6.35 mm dia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      dia (4.0-8.5mm) x length (20-150mm)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $728.00
ER222                                                                            SIGNUS Diplomat Pedicle Screw System - Monoaxial Screw                                                SIGNUS Diplomat Pedicle Screw System - Monoaxial Screw                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                dia (5.5-9.5 mm) x length (30-100 mm)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     $728.00
ER658                                                                            LnK AccelFix Spinal Fixation System-Monoaxial screw                                                    AccelFix S/AccelFix DS/AccelFix SS Monoaxial screws, reduction or non-reduction, Ti, sterile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Diameter: 4-8.5 mm  Length:    34.5-176.5 mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              $728.00
ER615                                                                            Firebird mono axial screws                                                                            Firebird mono axial pedicle screws in various diameters and lengths. Titanium.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        4.0, 4.5, 5.5, 6.5, 7.5. 8.5; 25mm-100mm in 5mm increments                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                $728.00
ER331                                                                            Ulrich Pedicle Screw System-Pedicle Screw, monoaxial                                                  Ulrich Pedicle Screw System (uCentum)-Pedicle Screw, monoaxial, standard or long arm, sterile and non-sterile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         dia (4.5-10 mm) x length (25-60 mm)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $728.00

     EQUINOX MEDICAL PTY LTD
GW020                                                                            WEGO Spinal Systems                                                                                   Monoaxial screws                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      All sizes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 $728.00

     EVOLUTION SURGICAL PTY LTD
IY003                                                                            Katana Monoaxial Screw                                                                                Monoaxial Pedicle Screw                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               4.5 - 7.5mm diameter   25 - 55mm length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   $728.00
IY075                                                                            Life Spine Pedicle Screw System - Pedicle Screw, Monoaxial                                            Life Spine Pedicle Screw System - Pedicle Screw, Monoaxial, Standard/Reduction                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        dia (4.5-8.5)mm x length (30-125)mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $728.00
IY097                                                                            VENTOTENE Fixed Screw                                                                                 Standard Solid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        4.5/5.5/6.5/7.5mm Diameter  25-110mm Length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               $728.00

     Globus Medical Australia Pty Limited
LB213                                                                            CREO® Side Loading Monoxial Screw                                                                     Monoaxial screw                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       Diameter: 4-10.5mm  Length: 20-120mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      $728.00
LB089                                                                            CREO Stabilization System Preassembled Monoaxial Screw                                                The CREO Stabilization System implants are non-cervical spinal fixation devices intended for posterior pedicle screw fixation, posterior hook fixation or anterolateral fixation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     4.75 and 5.5  4.0mm diameter to 8.5mm diameter  20mm to 90mm length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $728.00          The Prostheses List (PL) billing code does not cover the use of the device for vertebral body tethering (VBT) for the management of adolescent idiopathic scoliosis (AIS).
LB084                                                                            REVERE TRANSITION HA Coated Monoaxial Screw                                                           Monoaxial Screw HA Coated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             6.5mm - 8.5mm x 35mm - 65mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               $728.00
LB083                                                                            REVERE Monoaxial Screw                                                                                Monoaxial Screw                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       4.0mm x 20-35mm in 5mm increments                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         $728.00
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             4.5mm x 20-45mm in 5mm increments
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             5.0mm x 25-55mm in 5mm increments
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             5.5mm x 20 -50mm in 5mm increments
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             5.5 x 27mm in 5mm increments and 25mm-6mm increments in 5mm increments
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             6.5mm x 25-65mm in 5mm increments
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             6.5mm x 27mm -55mm in 5mm increments and 25mm - 65mm in 5mm increments
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             8.5mm x 25mm-65mm in 5mm increments
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             9.0mm x 25- 25mm-120mm in 5mm increments
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             10.0mm x 25mm-120mm in 5mm increments

     JOHNSON & JOHNSON MEDICAL