Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p62
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 62/696)
Character Range: 1346679–1367625

12, 14, 16 - Clear and Radiopaque                                                                                                                                                                                                                                                                                                                                                                                         $248.00

     OLYMPUS AUSTRALIA PTY LTD
OL071                                                                                  Vocal Cord Medialisation Implant                                                                                             Vocom Larynx Medial Implant - Hydroxylapatite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    3 - 7mm Head                                                                                                                                                                                                                                                                                                                                                                                                              $248.00
OL072                                                                                  Vocal Cord Medialisation Implant                                                                                             Vocom Shim for Medial Implant - Hydroxylapatite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1mm - 3mm Offset                                                                                                                                                                                                                                                                                                                                                                                                          $248.00

02.03.03 - Tracheal Stents
  Nitinol
     INTERVENE MEDICAL PTY LTD
JI007                                                                                  Aerstent                                                                                                                     Nitinol Self Expanding Tracheal and Bronchial Stent. Nitinol Mesh, Silicone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Straight, J or Y Shaped, (10-24) mm diameter                                                                                                                                                                                                                                                                                                                                                                              $1,814.00

  Silicone
     INTERVENE MEDICAL PTY LTD
JI008                                                                                  GSS & Dumon                                                                                                                  Silicone tracheal and bronchial stents, Straight and Y Shape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     10 - 20mm diameter, 20 - 110mm length                                                                                                                                                                                                                                                                                                                                                                                     $903.00

02.03.04 - Thyroplasty
     MAIN MEDICAL PTY LTD
PT007                                                                                  Thyroplasty                                                                                                                  Montgomery Thyroplasty Implant System                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            male - 8,9,10,11,12,13  female - 6,7,8,9,10                                                                                                                                                                                                                                                                                                                                                                               $1,057.00

02.03.05 - Cannula
  Extra-tracheal
     MAIN MEDICAL PTY LTD
PT006                                                                                  Extra-tracheal Cannula                                                                                                       a) Montgomery Short-Term Cannula   b) Montgomery Long-Term Cannula                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               a) 4, 6, 8, 10 b) 4, 6, 8, 10 for Stoma Sizes 17-25, 25-33, 33-41, 41-49, 49-57, 57-65mm                                                                                                                                                                                                                                                                                                                                  $269.00

  Intra-tracheal
     MAIN MEDICAL PTY LTD
PT005                                                                                  Intra-tracheal Cannula                                                                                                       Montgomery Safe-T-Tubes Clear and Radiopaque except c)   a) Paediatric   b) Standard   c) Hebeler    d) Thoracic    e) Extra-Long    f) Tapered   g) Montgomery Salivary Bypass Tube   h) Har-el Pharyngeal Tube   i) Montgomery Esophageal Tube  j) Trachael Fenestrator  k) Moore Trache                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       a) 6, 7, 8, 9   b) 10, 11, 12, 13, 14. 15, 16  c) 12, 15, 18   d) 10, 11, 12, 13, 14, 15, 16   e) 10, 11, 12, 13, 14, 15, 16   f) 8/10, 10/13   g) 8, 10, 12, 14, 16, 18, 20   h) one size only   i) one size only  j) size 6, 8 and 10  k) size 6 and 8                                                                                                                                                                  $425.00

02.03.06 - Injectable Material for Vocal Fold Augmentation / Laryngeal Reconstruction
     ENDOTHERAPEUTICS PTY. LIMITED
ET040                                                                                  Vox Implants                                                                                                                 Vox Implants are solid, irregularly textured, medical grade Polydimethylsiloxane Elastomer implants suspended in a hydrogel carrier                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              One size only                                                                                                                                                                                                                                                                                                                                                                                                             $7,401.00

03 - General Miscellaneous
Billing Code                                                    Product Name                                                                                         Description                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Size                                                                                                                                                                                                                                                                                                                                                                                                                                                         Minimum Benefit  Condition
03.01 - BRACHYTHERAPY
03.01.01 - Hepatic, Yttrium 90, Standard Dose
     SIRTEX MEDICAL LIMITED
VX001                                                           SIR-Spheres including Delivery Apparatus                                                             Biocompatible microspheres 20-60mm (microns) in diameter containing yttrium-90. Delivery apparatus is PVC tubing, ABS stopcocks, acrylic holders and stainless steel needles with PE hubs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   One size only                                                                                                                                                                                                                                                                                                                                                                                                                                                $8,090.00

03.01.02 - Prostatic I-125
  03.01.02.01 - Standard Dose
     Alphaxrt Pty Ltd
CL001                                                           Advantage I-125 Pre-load                                                                             Advantage I-125 Pre-load consists of stranded Advantage I-125 seeds pre-loaded on prescription into brachytherapy needles specifically for treatment of an individual patient.  They arrive sterile and pre-packaged ready for use in theatre                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               Stranded seeds are pre-loaded in brachytherapy needles in a prescribed configuration; up to 120 seeds                                                                                                                                                                                                                                                                                                                                                        $5,766.00
CL002                                                           Advantage I-125 Seed                                                                                 Advantage I-125 seeds are sealed radioactive sources containing Iodine-125 for interstitial brachytherapy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   3mm x 0.5mm silver