Document ID: chunk:federal_register_of_legislation:F2024L01386:schedule:1:p518
Version: federal_register_of_legislation:F2024L01386
Segment Type: schedule
Provision Reference: sch 1 (pt 518/696)
Character Range: 16716472–16736221

PTY LIMITED
SL073                                                                                       Legion Tibial Cone                                                                                                                Tibial cone augment intended to fill cavitary bone defects in the proximal tibial metaphyseal bone.                                                                                                                            Short-long, 18-30 mm                                                                                                                                                                                                             $2,356.00
SL074                                                                                       Legion Femoral Cone                                                                                                               Femoral cone augment intended to fill cavitary bone defects in the femoral metaphyseal bone                                                                                                                                    left/right, 18-30mm                                                                                                                                                                                                              $2,356.00

     STRYKER AUSTRALIA PTY LTD
HW574                                                                                       Triathlon Tritanium Femoral Cone Augments                                                                                         3D printed Tritanium Cone Augments intended for filling bone voids in metaphyseal region of bone. CPTi porous foam for biological fixation or cement interdigitation, for use with Triathlon TS cemented or uncemented stems   Femoral Cone Augments, 6 sizes, L & R (Size 1-2, Size 3, 4, 5, 6 and Size 7-8)                                                                                                                                                   $2,356.00
HW575                                                                                       Triathlon Tritanium Symmetric Tibial Cone Augments                                                                                3D printed Tritanium Cone Augments intended for filling bone voids in metaphyseal region of bone. CPTi porous foam for biological fixation or cement interdigitation, for use with Triathlon TS cemented or uncemented stems   Symmetric Tibial Cone Augments, 5 sizes (A – E)                                                                                                                                                                                  $2,356.00
HW576                                                                                       Triathlon Tritanium Asymmetric Tibial Cone Augments                                                                               3D printed Tritanium Cone Augments intended for filling bone voids in metaphyseal region of bone. CPTi porous foam for biological fixation or cement interdigitation, for use with Triathlon TS cemented or uncemented stems.  Asymmetric Tibial Cone Augments, 4 sizes, LM/RL & RM/LL, (B-E).                                                                                                                                                                  $2,356.00

     ZIMMER BIOMET PTY LTD
BH063                                                                                       Regenerex Sleeve Augment                                                                                                          Augment, cone or finned sleeve, SSK/OSS Systems, Ti                                                                                                                                                                            (25mm to 40mm, Type A or B) x Extra small to Large                                                                                                                                                                               $2,356.00
ZI516                                                                                       Trabecular Metal Femoral Cone                                                                                                     Trabecular Metal femoral void filling cone for distal metaphyseal bone surrounding stem                                                                                                                                        SMALL/MED/LARGE/XL                                                                                                                                                                                                               $2,356.00
ZI485                                                                                       Trabecular Metal Tibial Cone                                                                                                      Trabecular Metal Tibial void filling cone for proximal metaphyseal bone surrounding stem, full or stepped                                                                                                                      XSMALL/SMALL/MED/LARGE/XL                                                                                                                                                                                                        $2,356.00

12.11.12 - Temporary Spacers
     The Trustee for Giorgios and Katarina Loizou Family Trust
UK005                                                                                       Spacer-K                                                                                                                          Temporary implantable device for the treatment of infected total knee replacement, Composition - stainless steel core surrounded by PMMA impregnated with Gentamicin                                                           Small, Medium, Large                                                                                                                                                                                                             $1,814.00

13 - Spinal
Billing Code                                                                     Product Name                                                                                          Description                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Size                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Minimum Benefit  Condition
13.01 - Bone Screws
13.01.01 - Pedicle, Monoaxial
     ALPHATEC AUSTRALIA PTY LTD
QQ296                                                                            Invictus Spinal Fixation System                                                                       Monoaxial Pedicle Screw, Ti Alloy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     (4.5 - 12.5) mm diam x (20 - 130) mm length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               $728.00

     AUSTRALIAN PACIFIC MEDICAL PTY LTD
PB008                                                                            DPS Spine System - Monoaxial Pedicle Screw                                                            Mono-axial pedicle screws                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Diameter 4/5/6/7mm; Length 25 - 55mm.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     $728.00

     B BRAUN AUSTRALIA PTY LTD
BB373                                                                            Aesculap Spinal System                                                                                Monoaxial Screw - titanium alloy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      All Sizes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 $728.00

     BIOMET 3I AUSTRALIA PTY 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