Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p148
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 148/696)
Character Range: 3682426–3726345

- CortiLoc                                                                                             UHMWPE pegged glenoid with CortiLoc central peg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Small - backside radius of 30mm, 35mm and 40mm  Medium - backside radius of 30mm, 35mm and 40mm  Large - backside radius of 40mm, 50mm and 60mm  Extra large - backside radius of 40mm, 50mm and 60mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  $1,895.00
JV014                                                                                               Tornier PerFORM +                                                                                                               Anatomic Keeled Glenoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Size Small - Medium - Large - Extra Large                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              $1,895.00
HW952                                                                                               Aequalis PerFORM Pegged Glenoid                                                                                                 UHMWPE pegged glenoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Small - backside radius: 30mm, 35mm, 40mm  Medium - backside radius: 30mm, 35mm, 40mm  Large - backside radius: 40mm, 50mm, 60mm  Extra large - backside radius: 40mm, 50mm, 60mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      $1,895.00
ST675                                                                                               Osteonics Solar Shoulder Prostheses                                                                                             Glenoid component polyethylene                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       5,7,9,11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               $1,895.00

     ZIMMER BIOMET PTY LTD
BH049                                                                                               Comprehensive shoulder - glenoid                                                                                                Modular hybrid glenoid base UHMWPE; Titanium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         small, medium, large                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   $1,895.00
BH050                                                                                               Comprehensive Shoulder - Glenoid Stem                                                                                           Glenoid Post, Ti Regenerx or Polyethylene                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1 size                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 $1,895.00

  06.02.05.02 - Glenoid component, Metal backed
     Lima Orthopaedics Australia Pty Ltd
LC038                                                                                               SMR Shoulder System                                                                                                             Metal Back Glenoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Small, Small R, Standard, Large                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $2,109.00

     Mathys Orthopaedics Pty Limited
QQ289                                                                                               Affinis Glenoid vitamys uncemented                                                                                              RM titanium coated vitamin-E glenoid component                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       Size 1 to 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            $2,109.00

     SIGNATURE ORTHOPAEDICS PTY LTD
SF176                                                                                               Signature PMGA Glenoid Insert                                                                                                   3D porous glenoid insert                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             5 Sizes, 15 - 30 degree inclination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    $2,109.00

  06.02.05.03 - Glenoid component & insert
     EXACTECH AUSTRALIA PTY LTD
FA029                                                                                               Equinoxe Glenoid, Cage Pegged                                                                                                   UHMWPE component with Ti Alloy peripheral pegs and a Ti Alloy & Ti plasma-coated central peg. It is used to replace the Glenoid during total shoulder arthroplasty. This component is to be used with the Equinoxe total shoulder replacement.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       small, medium, large, X-Large                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          $2,600.00

  06.02.05.04 - Glenoid insert
     Lima Orthopaedics Australia Pty Ltd
LC174                                                                                               SMR - Glenoid Component UHMWPE                                                                                                  Glenoid - MB Liner - UHMWPE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          3 to 6mm thick x small-R to Large                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      $1,862.00

     Surgical Specialties Pty Limited
SQ120                                                                                               Verso Shoulder System - Liner                                                                                                   Verso Shoulder Liner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 3-12mm Offsets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         $1,862.00

     ZIMMER BIOMET PTY LTD
ZI529                                                                                               Zimmer Trabecular Metal Reverse Shoulder System                                                                                 Polyethylene Liner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Standard 7 Deg. & Retentive 65 Deg; 36mm - Neutral, Plus 3mm, Plus 6mm; 40mm - Neutral, Plus 3mm, Plus 6mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             $1,862.00

  06.02.05.05 - Reverse glenoid component, Base plate, uncemented
     EXACTECH AUSTRALIA PTY LTD
EX049                                                                                               Equinoxe Glenoid Plate                                                                                                          The glenoid plate provides multiple options for screw insertion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      0 degree, 8 degree, 10 degree                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          $1,991.00

     JOHNSON & JOHNSON MEDICAL PTY LTD
JJ974                                                                                               Delta Shoulder System                                                                                                           Metaglene                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Standard, Revision, +10 to +15mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       $1,991.00

     Lima Orthopaedics Australia Pty Ltd
LC186                                                                                               SMR Reverse Glenoid Base Plate                                                                                                  Reverse Glenoid Base Plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Small-R or Small/Standard                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              $1,991.00

     Mathys Orthopaedics Pty Limited
MA535                                                                                               Affinis Inverse revision metaglene                                                                                              Revision Metaglene, Ti plasma plus CaP Coating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       one size only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          $1,991.00
QQ776                                                                                               Reverse Shoulder - Glenoid Baseplate                                                                                            Reverse Glenoid Component, Baseplate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 6.5mm