Document ID: chunk:federal_register_of_legislation:F2025L00198:schedule:1:p594
Version: federal_register_of_legislation:F2025L00198
Segment Type: schedule
Provision Reference: sch 1 (pt 594/706)
Character Range: 1949960–1953060

integral part of the DSS construct. The DSS construct can  not be used without the washer nor can the washer be used as a separate implant.  One size only  $218.00

LH757  Silex Washer  Silex Washer  13mm  $218.00

     MEDTRONIC AUSTRALASIA PTY LTD
MI463  PASS LP System - Plates  Sacral Plate, Sacroilac Plate, Sacral Cap Plate Cover  one size  $218.00

     Orthotech Pty Ltd
OH584  Venus - Spinal Fixation System - Washers  Venus Washers  STD, SP  $218.00

     Prism Surgical Designs Pty Ltd
PZ034  Centaur Screw System, Centaur Washer  Washer  1 size  $218.00

     STRYKER AUSTRALIA PTY LTD
HW739  ARI Anterior Staple System - Washer  The ARI Anterior Staple System - washer  One size only  $218.00

13.08.02 - Staple
     EQUINOX MEDICAL PTY LTD
GW029  WEGO Spinal Systems  Staple  Various  $380.00

     EVOLUTION SURGICAL PTY LTD
IY027  Katana Staple  The Katana Pedicle Screw System is intended to provide immobilization and stabilisation of spinal segments in skeletally mature patients, as an adjunct to fusion in the thoracic, lumbar and sacral spine.  13-25mm, Caudal, Rostral, Single  $380.00

     Globus Medical Australia Pty Limited
LB166  REVERE Anterior Dual Staple  Dual Anterior Staple constructed of Titanium Alloy  small, medium, large, x-large  $380.00

LB167  REVERE Anterior Single Staple  Single anterior staple constructed of Titanium Alloy  small, medium, large  $380.00

LB181  REFLECT Staple  Three prong threaded staple  5.0 mm - 7.5 mm  $380.00  The Prescribed 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).

LB031  REVERE Integrated Staple Head Plate  Integrated Staple Head Plate  small, medium, large, x-large  $380.00

     JOHNSON & JOHNSON MEDICAL PTY LTD
JJ657  Single Hole Staple - Expedium Anterior Spine System  Single Hole Staple - Titanium  One Size Only  $380.00

JJ771  Expedium Spine System  Staple  Various  $380.00

JJ643  Dual Hole Staple - Expendium Anterior Spine System  Dual Hole Staple - Titanium  Small to Xlarge - 4 sizes  $380.00

     MEDTRONIC AUSTRALASIA PTY LTD
MC614  Vantage  Vantage Plates and Screws; Staple (rostral/caudal)  One Size Only  $380.00

MC437  CD-Horizon  Staples  10 - 30mm  $380.00

     Prism Surgical Designs Pty Ltd
PZ044  Centaur Screw System, Centaur Staple  Staple  small - extra large  $380.00

     STRYKER AUSTRALIA PTY LTD
HW738  ARI Anterior Staple System - Staple  A non-cervical anterolateral thoracolumbar screw stabilization as an adjunct to fusion.  Single Hole Design and Dual Hole Design: 13mm, Left & Right; 16mm, Left & Right; 18mm, Left & Right.  $380.00

HW774  KEYS Anterior Staple  Staple  13-18mm  $380.00

SK242  Xia Spinal System  Titanium or Stainless Steel  Single Hole Staple; Dual Hole Staples (Caudal/Rostral) - Small, Medium, Large  $380.00

13.09 - C-Ring
13.09.01 - C-Ring
     JOHNSON & JOHNSON MEDICAL PTY LTD
SY145  Universal Spine System (USS)  Half Ring  SS, Standard, Self-Holding  $306.00

     MEDTRONIC AUSTRALASIA PTY LTD
MC436