Private Health Insurance (Prostheses) Rules 2007 (No. 4) (Cth)
I, VERONICA HANCOCK, delegate of the Minister for Health and Ageing, make these Rules under item 4 of the table in section 333-20 of the
Dated 27 November2007
V Hancock
____________________________________
Veronica Hancock
Assistant Secretary
Private Health Insurance Branch,
Acute Care Division
Department of Health and Ageing
1. Name of Rules These Rules are the
Private Health Insurance (Prostheses) Rules 2007 (No.4) .
These Rules commence on 15 December 2007.
These Rules revoke the
Private Health Insurance (Prostheses) Rules (No.2) 2007 (as amended) and thePrivate Health Insurance (Prostheses) Rules (No.3) 2007.
4. Definitions Note: Terms used in these Rules have the same meaning as in the Act―see section 13 of the
Legislative Instruments Act 2003 . These terms include:complying health insurance policy
hospital-substitute treatment
hospital treatment
medicare benefit
In these rules:
accredited podiatrist has the same meaning as in subsection 3 (1) of theHealth Insurance Act 1973 .
Act means thePrivate Health Insurance Act 2007 .
gap permitted prosthesis means a prosthesis listed in the Schedule where an amount is specified for that prosthesis in the column under the heading 'Minimum Benefit' and a different amount is specified in the column under the heading 'Maximum Benefit'.
no gap prosthesis means a prosthesis listed in the Schedule where an amount is specified for that prosthesis in the column under the heading 'Minimum Benefit' and no amount is specified in the column under the heading 'Maximum Benefit'.
private hospital means a hospital in respect of which there is in force a statement under subsection 121-5 (8) of the Act that the hospital is a private hospital.Note: Section 15 of the
Private Health Insurance (Transitional Provisions and Consequential Amendments) Act 2007 deals withthe status ofcertainhospitals for which a declaration had been made before the commencement of the Act.
professional service has the same meaning as in subsection 3 (1) of theHealth Insurance Act 1973 .
public hospital means a hospital in respect of which there is in force a statement under subsection 121-5 (8) of the Act that the hospital is a public hospital.Note: Section 15 of the
Private Health Insurance (Transitional Provisions and Consequential Amendments) Act 2007 deals withthe status ofcertainhospitals for which a declaration had been made before the commencement of the Act.
Schedule means the Schedule in these Rules.
5. Listing of, and benefits, for prostheses For item 4 of the table in subsection 72-1 (2) of the Act:
(a) the Schedule lists the prostheses (
listed prostheses ) the Minister has listed under subsection 72-10 (5) of the Act and section 12 of thePrivate Health Insurance (Transitional Provisions and Consequential Amendments) Act 2007 ; andNote: Section 12 of the
Private Health Insurance (Transitional Provisions and Consequential Amendments) Act 2007 deals with the listing of a prosthesis that was a no gap prosthesis or a gap permitted prosthesis for the purposes of theNational Health Act 1953 immediately before the commencement of the Act.(b) rule 6 sets out the method for working out the minimum benefit and maximum benefit for hospital treatment, covered under a complying private health insurance policy, that is the provision of a listed prosthesis in circumstances where:
(i) a medicare benefit is payable in respect of the professional service associated with the provision of the prosthesis; or
(ii) the provision of the prosthesis is associated with podiatric treatment by an accredited podiatrist; and
(c) rule 7 sets out the method for working out the minimum benefit and maximum benefit for hospital-substitute treatment, covered under a complying private health insurance policy, that is the provision of a listed prosthesis in circumstances where a medicare benefit is payable in respect of the professional service associated with the provision of the prosthesis.
(1) For a no gap prosthesis provided as part of an episode of hospital treatment by a private hospital in the circumstances mentioned in paragraph 5 (b), the minimum benefit and the maximum benefit are each the amount for that prosthesis listed in the column in the Schedule under the heading ‘Minimum Benefit’.
(2) For a gap permitted prosthesis provided as part of an episode of hospital treatment by a private hospital in the circumstances mentioned in paragraph 5 (b):
(a) the minimum benefit is the amount for that prosthesis in the column in the Schedule under the heading ‘Minimum Benefit’; and
(b) the maximum benefit is the amount for that prosthesis in the column in the Schedule under the heading ‘Maximum Benefit’.
(3) For a no gap prosthesis provided as part of an episode of hospital treatment by a public hospital in the circumstances mentioned in paragraph 5 (b):
(a) the minimum benefit is the lesser of the following amounts:
(i) the amount for that prosthesis listed in the column under the heading ‘Minimum Benefit’ in the Schedule; or
(ii) the amount of the insured person’s liability to the public hospital for that prosthesis; and
(b) the maximum benefit is the amount for that prosthesis listed in the column under the heading 'Minimum Benefit'.
(4) For a gap permitted prosthesis provided as part of an episode of hospital treatment by a public hospital in the circumstances mentioned in paragraph 5 (b):
(a) the minimum benefit is the lesser of the following amounts:
(i) the amount for that prosthesis listed in the column under the heading ‘Minimum Benefit’ in the Schedule; or
(ii) the amount of the insured person’s liability to the public hospital for that prosthesis; and
(b) the maximum benefit is the amount for that prosthesis listed in the column under the heading ‘Maximum Benefit’ in the Schedule.
(1) For a no gap prosthesis provided as part of an episode of hospital-substitute treatment in the circumstances mentioned in paragraph 5 (c) the minimum benefit and the maximum benefit are each the amount for that prosthesis listed in the column in the Schedule under the heading ‘Minimum Benefit’.
(2) For a gap permitted prosthesis provided as part of an episode of hospital-substitute treatment in the circumstances mentioned in paragraph 5 (c):
(a) the minimum benefit is the amount for that prosthesis in the column in the Schedule under the heading ‘Minimum Benefit’; and
(b) the maximum benefit is the amount for that prosthesis in the column in the Schedule under the heading ‘Maximum Benefit’.
Note: Private health insurers cannot cover, as part of hospital-substitute treatment, a service for which medicare benefit is payable unless the service is specified in the
Private Health Insurance (Health Insurance Business) Rules 2007― see paragraph 121-10 (3) (a) of the Act.
As a matter of normal administrative practice, applications made under subsection 72-10 (2) of the Act will be considered after they have been received and, if the Minister decides to grant the application, the prosthesis will be listed in the Schedule the next time the Minister makes or varies the Rules.
Note 1: Under subsection 72-10 (5) of the Act the Minister must list the kind of prosthesis, set out the minimum benefit and, if the Minister considers it appropriate, the maximum benefit for the prosthesis in these Rules on the next occasion that the Minister makes or varies the Rules after he or she grants an application and the applicant has paid to the Commonwealth any initial listing fee within 14 days of being informed of the Minister's decision to grant the application.
Note 2: Under subsection 72-15 (3) of the Act, the Minister may remove a prosthesis from the list in the Rules if the applicant fails to pay an ongoing listing fee.
(1) In making the decision under subsection 72-10 of the Act, the Minister may have regard to a recommendation from the Prostheses and Devices Committee.
(2) In setting the minimum and the maximum (if any) amounts for a prosthesis, the Minister may have regard to the amounts as negotiated between the Prostheses and Devices Negotiating Group and the applicant.
1. All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the
Legislative Instruments Act 2003 .SeeA - Prostheses
CARDIO-THORACIC
Minimum Maximum
Billing Code Product Name Description Size Benefit Benefit Notations
Catheters, Angioplasty, Laser
Pacing Importers Pty Ltd - Life Systems PI001 Excimer Laser Stent Polyester Fibre optic catheter 2.5 and 2.2mm $6,800.00
PI002 Excimer Laser Stent Polyester Fibre optic fibre catheter 0.457mm, 0.9mm, 1.4mm, $6,800.00
1.7mm and 2.0mm
Coronary Stents
Drug Eluting Stents
Abbott Australasia Pty Ltd AY023 Xience V Everolimus Eluting Coronary Everolimus Eluting Coronary Stent 2.50mm to 4.0mm diameter, $3,450.00
Stent System 8mm to 28mm length
Boston Scientific Australia Pty Ltd BS074 Taxus on Express2 Coronary Stent balloon expandable stent with conformal Length 8 - 32mm; Diameter $3,450.00
System Models 38001-0822 to 0840; polymer/drug matrix coating, pre- 2.25 - 5.0mm
38001-1222 to 1250; 38001-1622 to mounted on high pressure monorail
1650;
38001-2022 to 2050; 38001-2422 to
2450; 38001-2827 to 2850; 38001-3227
BS099 Taxus Liberte Paclitaxel-Eluting 316L Stainless Steel Stent with Translute 2.0mm-5.0mm & 8.0mm-38mm $3,450.00
Coronary Stent System Polymer and Paclitaxel
BS125 Promus Everolimus Coronary Stent Cobalt chromium alloy stent coated with Diameter 2.5, 3.0, 3.5 4.0mm. $3,450.00
a blended polymer mixed with Everolimus. Lengths 8, 12, 15, 18, 23,
Prostheses List by Category, Groups and Sponsor Page 1 of 725
CARDIO-THORACIC
Minimum Maximum
Billing Code Product Name Description Size Benefit Benefit Notations
Johnson & Johnson Medical Pty Ltd JJ302 CYPHER Sirolimus-Eluting Stent & Stainless steel coronary stent with Diameter 2.25 - 5.0mm, length $3,450.00
Delivery System Model CRS - 23300, Rapamycin (an immunosuppressive and 8-33mm
08225, 08250, 08275, 08300, 28225, antiproliferative drug) bound to the stent
28250, 28275, 28300, 33225, 33250,
33275, 33300, 13225, 13250, 13275,
18225, 18250, 18275, 18300, 23225,
23250, 23275, 23350, 23400, 08350,
08400, 28350, 28400, 33350, 33400,
13300, 13350, 13400, 18350, 18400,
23450, 23500, 28450, 28500, 33450,
33500, 08450, 13450, 18450, 18500
JJ481 CYPHER SELECT Sirolimus-Eluting Stainless steel coronary stent with Diameter 2.25 - 5.0mm, length 8 $3,450.00
Stent & Delivery System Sirolimus (an immunosuppressive and - 33mm
anti-proliferative drug) bound to the stent
by a polymer. Model CRA-23300, 08225,
08250, 08275, 08300, 28225, 28250,
28275, 28300, 33225, 33250, 33275,
33300, 13225, 13250, 13275, 18225,
18250, 18275, 18300, 23225, 23250,
23275, 23350, 23400, 08350, 08400,
28350, 238400, 33350, 33400, 13300,
13350, 13400, 18350, 18400, 23450,
23500, 28450, 28500, 33450, 33500,
JJ587 CYPHER Select Plus Sirolimus Eluting Stainless steel coronary stent with Diameter 2.25 - 5.00mm, $3,450.00
Coronary Stent Sirolimus bound to the stent by a polymer Length 8 - 33mm
Medtronic Australasia Pty Ltd MC732 Endeavour Drug Eluting Coronary Stent Cobalt Alloy, ABT - 578 Diameter: 2.25mm-4.5mm; $3,450.00
System Length: 8.00mm-38.0mm
General Purpose Bare Metal Stents
Abbott Australasia Pty Ltd AY025 Stents ACS Multilink Coronary Stent; ACS 1.5mm - 8.0mm $1,248.00
Megalink Peripheral Stent; ACS RX
Herculink Peripheral Stent. Stainless steel
AY026 Multilink Coronary Stent System Stainless Steel Length 1.5mm - 8.0mm $1,248.00
AY027 Multilink Coronary Stent System - 316L Stainless steel stent Length 1.5 - 8.0mm $2,496.00
AY028 Multilink Coronary Stent System - Cobalt chrome stent Length 1.5 - 8.0mm $1,248.00
Prostheses List by Category, Groups and Sponsor Page 2 of 725
CARDIO-THORACIC
Minimum Maximum
Billing Code Product Name Description Size Benefit Benefit Notations
Atrium Australia - Pacific Rim Pty Limited AC022 Flyer RX Coronary Stent System Stainless Steel Coronary Stent Dia 2-5mm, Length 6-40mm $780.00
Biotronik Australia Pty Ltd BT058 Lekton Motion Coated flexible stent, Balloon mounted Diameter 2.5mm to 4mm, $1,248.00
Length 8 - 30mm
BT065 Lekton Motion Mega Amorphous silicon carbide coated Diameter 4.5 and 5 mm; Length $1,248.00
13 - 40 mm
BT069 Lekton Motion Petite Amorphous silicon carbide coated Diameter 2, 2.25, 2.5mm; $1,248.00
Length 8-20mm
BT082 PRO-Kinetic Cobalth Chromium coronary stent system 8-40mm length 2-5mm diameter $1,200.00
Boston Scientific Australia Pty Ltd BS069 Express 2/Liberte Coronary Stent Consists of a balloon expandable stent, Stent lengths: 8,12,16,20,24,28 $1,248.00
pre-mounted on a Maverick 2 Monorail & 32 mm Stent diameters: 2.25,
delivery catheter. 2.5, 2.75, 3.0, 3.5, 4.0, 4.5 &
Daralan Pty Ltd DA001 S-Stent SRX1 316L Stainless Steel SRX1 - 2510 2.5 x 8.5mm; $600.00
SRX1 - 3010 3.0 x 8.5mm;
SRX1 - 3510L 3.5 x 8.5mm;
SRX1 - 4010L 4.0 x 8.5mm;
SRX1- 2512 2.5 x 11mm; SRX1
23012 3.0 x 11mm; SRX1 -
3512L 3.5 x 11mm; SRX1 -
4012L 4.0 x 11mm; SRX1 -
2515 2.5 x 14.4mm; SRX1 -
3015 3.0 x 14.4mm; SRX1 -
Johnson & Johnson Medical Pty Ltd JJ026 BX Velocity with Hepacoat System Balloon expandable, stainless steel, $1,220.00
heparin coated
JJ200 BX Velocity Stent and Delivery System Stainless steel stent Diameter: 2.25-5.0 mm; Length $1,220.00
8 - 33 mm
JJ239 BX Sonic Stainless steel coronary stent mounted on Dia 2.25 - 4.0mm, lengths 8 - $1,220.00
a balloon delivery system
Prostheses List by Category, Groups and Sponsor Page 3 of 725
CARDIO-THORACIC
Minimum Maximum
Billing Code Product Name Description Size Benefit Benefit Notations
Medtronic Australasia Pty Ltd MC197 Medtronic AVE S660 Coronary Stents, Stainless Steel S660 Coronary Stent - Diameter $1,144.00
S670 Coronary Stents, S7 Coronary (2.5mm-2.75mm), Length
Stents, BeStent2, (9mm-24mm); S670 & S7
Coronary Stent - Diameter
(3mm-4mm), Length (9mm-
30mm); BeStent2 - Diameter
(2.5mm-4mm), Length (9mm-
MC329 Medtronic Driver, Micro Driver Cobalt Alloy Driver Stent: diameter (2.25 - $1,248.00
Coronary Stent System 4.5mm), length (8-30mm);
Micro-Driver Stent: diameter
(2.25 - 2.75mm), length (8 -
Neich Medical Pty Ltd NM003 R Stent Evolution 2 Coronary Delivery 316LVM Stainless Steel Balloon Lengths - 9-33mm; Diameters - $1,144.00
System Expandable Stent (Tubular) 2.5-4.0mm
Pacing Importers Pty Ltd - Life Systems PI003 Med-X-Flexy Stent Tubular Stent, Stainless steel 316L, Gold Dia 5 - 9mm length: 20 - $780.00
markers
Terumo Corporation Australia TU001 Tsunami Gold Coronary Stent Stainless Steel mounted on balloon Diameter 2.0mm - 4.0mm, $1,248.00
Length 10mm - 30mm length
Special Purpose Stents
Abbott Australasia Pty Ltd AY012 JoStent Coronary Stent Graft Stainless Steel/PTFE 9 - 26 mm x 2.5 - 5 mm $3,222.00
CRT Pacemakers
Generation 1
Guidant Australia Pty Ltd GU143 Contak Renewal TR CRT -P Model Implantable cardiac pacemaker 45x54x8.5mm, 14cc, 26gm $9,360.00
H120, Model H125
Medtronic Australasia Pty Ltd MC006 InSync model 8040 Stimulator Titanium 14.4cc $9,360.00
Prostheses List by Category, Groups and Sponsor Page 4 of 725
CARDIO-THORACIC
Minimum Maximum
Billing Code Product Name Description Size Benefit Benefit Notations
Generation 2
Biotronik Australia Pty Ltd BT056 Stratos LV Multiprogrammable, Biventricular, DDDRV One size only $12,480.00
BT085 Stratos LV-T Multiprogrammable Biventricular DDDRV One size only $12,480.00
with Home Monitoring
Guidant Australia Pty Ltd GU142 Contak Renewal TR2 CRT - P Model Implantable Cardiac pacemaker 45x54x8.5mm, 14cc, 26gm $12,480.00
H140, Model H145
Medtronic Australasia Pty Ltd MC226 Medtronic Insync III Triple Chamber Titanium One size only $12,480.00
Pacemaker Model 8042
St. Jude Medical Australia Pty Ltd SJ072 Frontier II - Model 5596 Biventricular Cardiac Resynchronisation 49mm(h) x 52(1) x 6(t), 25g $12,480.00
Device with AF suppression algorithm -
Titanum
Dual Chamber ICDs
Generation 2
Progressive Medical PG004 Alto II DR Dual Chamber Implantable One size only $38,480.00
Cardioverter Defibrillator
Generation 3
Biotronik Australia Pty Ltd BT053 Lexos DR Dual chamber ICD, rate responsive One size only. $43,680.00
BT076 Lumos DR-T Dual Chamber ICD with home monitoring one size only $43,680.00
BT091 Lumax 300 DR-T ICD-DR with bidirectional Home One size only $43,680.00
Guidant Australia Pty Ltd GU111 Ventak Prizm II DR Model 1861, titanium, dual chamber, One size only $43,680.00
adaptive rate
Prostheses List by Category, Groups and Sponsor Page 5 of 725
CARDIO-THORACIC
Minimum Maximum
Billing Code Product Name Description Size Benefit Benefit Notations GU132 Vitality DR Model 1871 This device acts to defibrillate the heart Model 1871 Vitality DR Dual $43,680.00
chambers when the patient enters into an Chamber Rate Responsive
arrhythmia or uses shocks or anti tachy Pacemaker/Defibrillator
pacing to revert Ventricular Tachycardia
(VT) or Ventricular Fibrillation (VF).
While also acting as a dual chamber
GU149 Vitality 2 DR - Model T165 Implantable Cardiac Defibrillator 30cc; 82g $43,680.00
GU150 Vitality 2 EL DR - Model T167 Implantable cardiac Defibrillator 35cc; 90g $43,680.00
Medtronic Australasia Pty Ltd MC363 EnTrust Model D153DRG, Dual chamber, VT 33cc, 63g $43,680.00
Therapies, 30J 33cc, 63g
Progressive Medical PG009 OVATIO DR 6550 Titanium dual chamber ICD, 29 cc 29cc $43,680.00
St. Jude Medical Australia Pty Ltd SJ049 Epic Plus DR Model V-236 Implantable Dual Chamber sensing, bradycardia 33cc $43,680.00
Cardioverter Defibrillator pacing with atrial fibrillation suppression
SJ070 Epic + DR Model V-233 ICD Dual Chamber Implantable Cardio-verter 33cc 70g $43,680.00
Defibrillator
SJ071 Epic + DR Model V-239 ICD Dual chamber implantable cardio-verter 33cc 70g $43,680.00
defibrillator
SJ092 Epic II + DR V-258 Epic II + DR V-258 Implantable 35cc, 72g $43,680.00
Cardioverter Defibrillator
SJ101 Epic II DR V-255 Epic II DR V-255 Implantable 34cc, 72g $43,680.00
Cardioverter Defibrillator
Dual Chamber ICDs with CRT
Generation 1
Biotronik Australia Pty Ltd BT081 Kronos LV -T CRT ICD with home monitoring one size $40,560.00
Generation 2
Biotronik Australia Pty Ltd BT088 Lumax 300 HF-T CRT-D with bidirectional Home One size only $45,760.00
Prostheses List by Category, Groups and Sponsor Page 6 of 725
CARDIO-THORACIC
Minimum Maximum
Billing Code Product Name Description Size Benefit Benefit Notations
Boston Scientific Australia Pty Ltd BS112 Contak Renewal 4 RF CRT-D CRT-D with RF telemetry, IS-1 39cc, 82g $47,840.00
connector H230
BS113 Contak Renewal 4 RF CRT-D CRT-D with RF telemetry, IS-1 39cc, 82g $47,840.00
connector H235
Guidant Australia Pty Ltd GU134 Contak Renewal 2 This device acts to defibrillate the heart One Size Only $45,760.00
chambers when the patient enters into an
arrhythmia or uses shocks or anti tachy
pacing to revert Ventricular Tachycardia
(VT) or Ventricular Fibrillation (VF).
While also acting as a biventricular
GU147 Contak Renewal 4 CRT-D Model H190, Implantable dual-chamber defibrillator One size only $45,760.00
Model H195
Progressive Medical PG007 OVATIO CRT-D 6750 Titanium, dual chamber ICD with CRT 30cc $45,760.00
St. Jude Medical Australia Pty Ltd SJ062 Epic HF Model V-339 Implantable Cardioverter/defibrillator with dual One size only $45,760.00
Cardiac Defibrillator chamber (atrial and RV) sensing and
bradycardia pacing with ventricular
SJ067 Epic + HF Model V-350 ICD Epic + HF V-350 ICD is a cardioverter 36cc / 73g $45,760.00
defibrillator with dual chamber (atrial and
RV) sensing and bradycardia pacing with
ventricular resynchronisation therapy.
SJ098 Epic II+ HF V-357 Epic II + HF V-357 Cardiac 36cc, 74g $45,760.00
Resynchronisation Therapy Defibrillator
with V-V Timing programmability
SJ100 Epic II HF V-355 Epic II HF V-355 Cardiac 36cc,73g $45,760.00
resynchronisation Therapy Defibrillator
with V-V Timing programmability
BS123 Insignia AVT 882 VDD Pacemaker 10.0cc, 23.5g $5,200.00
Prostheses List by Category, Groups and Sponsor Page 7 of 725
GU079 Pulsar Model VDD 870 Titanium 3.2mm/IS-1 $5,200.00
MC727 Adapta Pacemaker DDD Pacemaker 12.1cc $5,200.00 $6,500.00
Models ADD01 27.1g
SJ050 Verity ADx Model XL DC 5256 Dual - Dual Chamber multi-programmable rate- 11cc, 23.5g $5,200.00
Chamber pacemaker adaptive pacing devices with extended
longevity
SJ061 Identity Adx Model XL DC 5286 Dual Identity ADx Model XL DC Model 5286 11cc, 23.5g $5,200.00
Chamber Pacemaker is an implantable, multi-programmable
rate-adaptive pacing device with AF
MC713 Adapta Pacemaker VDDR Pacemaker 11.1cc $6,760.00
Models ADVDD01 23.6g
SJ054 Identity ADx Model VDR 5480 Single Chamber multi-programmable rate- 8cc, 18g $6,760.00
implantable pacemaker adaptive pacing device with extended
longevity
SJ057 Verity ADx Model XL VDR 5456 Single Chamber multi-programmable rate- 11cc, 23.5g $6,760.00
implantable pacemaker adaptive pacing device with extended
longevity
BT029 Philos DR-A Model 122600 Implantable Multiprogrammable, rate responsive, 5mm ports, One size only $9,360.00
Pacemaker
BT047 Protos DR/CLS Dual chamber, rate responsive, closed One size only. $9,360.00
loop system.
BT060 Philos II DR Multiprogrammable, rate responsive, One size only $9,360.00
BT071 Philos II DR-T Dual Chamber Rate Responsive with One size only $9,360.00
Home Monitoring
Prostheses List by Category, Groups and Sponsor Page 8 of 725
BT079 Cylos DR-T Dual chamber dual sensor rate responsive one size $9,360.00
with home monitoring system option
BS126 Insignia AVT 1292 Dual chamber pacemaker 10.8cc, 25.4g $9,360.00
GU120 Insignia Plus DR Model 1297, Insignia Dual Chamber Rate Responsive One size only $9,360.00
Plus DR Model 1298 Permanent Pacemaker
GU121 Insignia Entra DR Models Dual Chamber Rate Responsive One size only $9,360.00
Permanent Pacemaker
GU140 Insignia Ultra DR Model 1291 Implantable Cardiac Pacemaker One size only $9,360.00
GU141 Insignia Ultra DR Model 1290 Implantable Cardiac Pacemaker One size only $9,360.00
PG002 Talent II DR Pacemaker Model 233 Dula Chamber Pacemaker. 99% titanium 57.5 x 37.2 x 8mm $9,360.00
PG005 Symphony DR 2550 Active Implantable pacemaker 1 size only $9,360.00
SJ051 Verity Adx Implantable Pacemaker, Dual - Chamber, multi-programmable, 45x52x6mm,11cc, 23g, 5mm or $9,360.00
Models XL DR 5356 and XL DR rate-responsive pacemaker withAF 6mm M/S
SJ056 Integrity ADx Model DR 5360 and XL Dual-Chamber, multi-programmable, rate- Model DR 5360 - 8cc, 18g, $9,360.00
DR 5366 responsive pacemaker with AF Model XL DR 5366 - 11cc, 23.5g
SJ059 Identity ADx Models DR 5380 and XL Dual-Chamber, multi-programmable, rate- ADx DR 5380: 43x44x6mm, $9,360.00
DR 5386 adaptive pacing devices with AF 18g and 8cc
ADx XL DR 5386: 44x52x6mm,
23.5g and 11cc
SJ089 Victory XL DR 5816 and DR 5810 Dual Chamber Rate Responsive 44x52x6mm; 23.5g; 11cc $9,360.00
MC726 Adapta Pacemaker DR Pacemaker 11.1-14.2cc $11,440.00
Models ADDR01, ADDRS1, ADDRL1, 23.6g-31.3g
ADDR06, ADDR03
SJ103 Zephyr XL DR 5826 and DR 5820 Dual Chamber Rate-Responsive 5826 - 23.5g, 11cc and 5820 - $11,440.00
18g, 8.5cc
Prostheses List by Category, Groups and Sponsor Page 9 of 725
BI930 Sternalock Plates - xyphoid, "L" & square 4 hole $195.00
BI931 Sternalock Plates - "X" & "T" 5-8 hole $300.00
BI929 Sternalock Screws Ti 2.4-2.7mm x 8-12mm $44.00
EL029 SE SIL Ball Valve Aortic Models Starr Edwards - Silastic Ball Valve. 16mm-34mm $3,930.00
1200/1260, SE SIL Ball Valve Mitral Composition: Stellite Alloy No. 21;
Model 6120 Polytetrafluroethelyne; polypropylene
cloth; Silicone rubber (contains 2% by
weight barium sulphate for radiopacity)
AB002 ATS medical open pivot heart valve Pyrolythic Carbon, Double Velour 16-33mm $6,000.00 $6,200.00
model 500FA standard flexi-cuff aortic Polyester, Titanium
valve series, ATS medical open pivot
heart valve model 500DM standard
flexi-cuff mitral valve series
AB064 ATS medical open pivot heart valve Pyrolythic Carbon, Double Velour 16-33mm $6,000.00 $6,200.00
model 501DA advanced performance Polyester, Titanium
(AP) aortic valve series, ATS medical
open pivot heart valve model 501DM
advanced performance (AP) mitral valve
Prostheses List by Category, Groups and Sponsor Page 10 of 725
MC292 Advantage Heart Valve - Aortic Model A7760 - Pyrolytic carbon, PET Diameter 19-31 mm $6,000.00
A7760
MC324 Advantage Supra Aortic Heart Valve Mechanical Heart Valve Pyrolite Carbon Diameter (mm): 19 - 25 $6,000.00
leaflets Pyrolite carbon ring
MC681 Advantage Mitral Mechanical Heart Valve 23mm-33mm $6,000.00
RH001 Aortic On-X Prosthetic Heart Valve 27-29mm, 19mm, 21mm, $5,500.00
Models ONXA-19; ONXA-21; ONXA- 23mm, 25mm, 25-33mm, 27-
23; ONXA-25; ONXA-27/29; ONXM- 29mm, 31-33mm, 23mm,
23; ONXM-25; ONXM-27/29;
ONXM31/33; ONXMC25/33
SJ037 St Jude Medical Aortic Expanded Cuff Aortic Expanded Cuff, Aortic Aortic Expanded 19 -31mm, $6,000.00
Heart Valve; St Jude Medical Aortic Hemodynamic Plus Cuff, Mitral Aortic Hemodynamic 17 -
Hemodynamic Plus Cuff Heart Valve; St Hemodynamic Cuff, Aortic & Mitral 27mm, Mitral Hemodynamic 17
Jude Medical Mitral Hemodynamic Plus -27mm, Rotatable 17 - 33mm
Cuff Heart Valve; St Jude Medical
Mechanical Heart Valve Masters Series
SJ039 Regent Prosthestic Heart Valves Standard Cuff - Model 17AGFN-751 - Standard cuff - 17-23mm, Flex $6,500.00
23AGFN-751, Flex Cuff - Mode cuff - 17-23mm
17AGFN-756 - 23AGFN-756
SJ116 Regent Prosthestic Heart Valves Standard Cuff - Model 25AGFN-751 - Standard cuff - 25-29mm, Flex $6,000.00
29AGFN-751, Flex Cuff - Mode cuff - 25-29mm
25AGFN-756 - 29AGFN-756
TM003 Optiform Mechanical Valve 19mm to 33mm $5,500.00
MC013 Medtronic Hall Heart Valve Aortic Model A7700/M7700 Titanium. Pyrolite. A7700 - Diameter 20-31mm, $5,100.00 $5,625.00
A7700, Medtronic Hall Heart Valve Dacron, A7700EZ/M7700EZ Titanium. M7700 - Diameter 23-33mm,
Mitral Model M7700, Hall Easy Fit A7700EZ - Diameter 19-29mm,
Aortic Heart Valve Model A7700, Hall M7700EZ - Diameter 23-31mm
Easy Fit Mitral Heart Valve Model M7700
Prostheses List by Category, Groups and Sponsor Page 11 of 725
EL030 CE Supra Annular Aortic Valve Model Carpentier-Edwards SAV Bioprosthesis. 19mm-33mm $4,445.00
2650 Carpentier-Edwards S.A.V Composition: Porcine Valve; Elgiloy
Bioprosthesis Model 6650 Mitral Valve Alloy; Silicone Rubber,
MC701 Mosaic Cinch, Aortic, Mitral Models 305cxx, 310cxx 19mm - 35mm $4,445.00 $5,345.00
SJ069 St Jude Medical Biocor Porcine St Jude Medical Biocor Porcine Aortic Valves - Tissue Annulus $4,445.00
Prosthetic Heart Valve Prosthetic Heart Valve is manufactured Diameter - 21-29mm, Implant
from selected procine aortic valve cusps Height - 11-15c; Mitral Valves -
that have been cross-linked with a Tissue Annulus Diameter - 25-
35mm, Implant Height - 8-
EL031 Carpentier-Edwards Perimount Carpentier-Edwards Pericardial Models 2900/6900 19-33mm, $5,000.00
Pericardial Bioprosthesis - Models Bioprosthesis. Composition: Bovine Model 6900P 25, 27, 29, 31,
Carpentier-Edwards Pericardium; Elgiloy Alloy; Silicone
Perimount Plus Pericardial Bioprosthesis Rubber, Polytetrafluoroethylene
Mitral - Model 6900P
EL039 Edwards Perimount Magna Model 3000 Carpentier-Edwards Perimount Magna 19MM Aortic Pericardial Tissue $5,000.00 $5,690.00
composition: Glutaraldehyde treated Valve; 21MM Aortic Pericardial
bovine pericardium/elgiloy wireform Tissue Valve; 23MM Aortic
stent/polyester band/silicone rubber Pericardial Tissue Valve; 25MM
suture ring/polytetrafluoroethylene Aortic Pericardial Tissue Valve;
cloth/polyester cloth. 27MM Aortic Pericardial Tissue
Valve; 29MM Aortic Pericardial
Tissue Valve
TM039 Mitroflow Pericardial Bioprosthesis 19-27mm $4,700.00
Prostheses List by Category, Groups and Sponsor Page 12 of 725
EL032 Baxter Edwards Prima Plus Stentless Edwards Prima Plus. Porcine Valve; 19mm-29mm for pack of 7 items $4,841.00
Bioprosthesis Model 2500P Prosthetic Woven Polyester Cloth.
Heart Valve
MC015 Freestyle bioprosthesis Models 995xx, 995MSxx 19 - 35mm $5,110.00 $5,350.00
SJ038 St Jude Medical Toronto SPV Valve Tissue Heart Valves, Bioimplant TSPV: 21 - 29mm, Bioimplant $4,900.00
Model SPA-101, St Jude Medical Aortic: 21-27mm, Bioimplant
Bioimplant Heart Valve Mitral: 27-32mm
AB001 ATS Medical open pivot aortic valved Pyrolythic Carbon, Double Velour 21- 33mm $6,950.00 $7,100.00
graft model 502AG Polyester, Titanium
MC198 Medtronic Hall rotatable aortic valved Titanium, pyrolite, dacron 20 - 33mm $6,950.00
collagen impregnated conduit Model
SJ036 St Jude Medical Coated Aortic Valved Coated Aortic Valved Graft 21mm - 33mm $6,950.00
SJ104 SJM Masters Series Aortic Valved St Jude Medical Mechanical Heart Valve Annulus Diameter 19-29mm $6,950.00
Prosthesis - VAVGJ sewn into the base of a woven polyester
fibre graft which has been impregnated
with bovine-derived gelatin
TM002 CarboSeal Ascending Aortic Prosthesis, Mechanical Conduit AP 21-33mm, CP 21 - 33mm $6,950.00
sterile, CarboSeal Ascending Aortic
Prosthesis with Handle Model AP21,
Model AP23, Model AP25, Model AP27,
Model AP29, Model AP31, Model
AP33, Carboseal Valsalva
Prostheses List by Category, Groups and Sponsor Page 13 of 725
MC012 Medtronic Hancock Valved Conduit Porcine bioprosthesis, dacron 12, 14, 16, 18, 20, 22, 25, $5,900.00 $6,800.00
Model 100/150
EL028 Baxter Sterile Grafts, Implants & Carpentier-Edwards Classic Annuloplasty 24mm-40mm $2,200.00
Prostheses, Non-Animal Origin Ring. Composition: Titanium Alloy;
Annuloplasty: Ring-Mitral Ring with Silicone Rubber; Polyester Fabric
Holder; Mitral Cosgrove-Edwards Carpentier-Edwards Physio Annuloplasty
Annuloplasty System Model 4600; Ring. Composition: Elgiloy Bands;
Classic Annuloplasty Ring-Tricuspid Polyester Film Strips; Silicone Rubber;
Polyester Cloth, Cosgrove-Edwards
Annuloplasty Band. Composition: Silicone
Rubber; Polyester Cloth. Carpentier-
Edwards Tricuspid Ring. Composition:
Titanium Alloy; Silicone Rubber;
MC005 Medtronic Duran Annuloplasty Ring; Annuloplasty Devices - Models 610R & Model 610R 25-35mm & Model $2,200.00
Duran Ancore Ring 620R; Duran 620R Silicone / Barium Sulphate, Dacron. 620R 23-35mm
Ancore Chordal Model 620RG
SJ035 SJM Tailor Annuloplasty Ring Fully Flexible 25mm - 35mm $2,200.00
TM001 AnnuloFlo Annuloplasty System Annuloflex Ring or AnnuloFlo Ring 26-36mm $2,000.00
EL049 Edwards Etlogix Annuloplasty Ring Titanium/silicon/dacron polyester 24mm/26mm/28mm/30mm/32m $2,400.00
cloth/plastic template Mitral valve annular m/34mmd
repair device designed specifically for
patients with Ischemic Mitral regurgitation
Prostheses List by Category, Groups and Sponsor Page 14 of 725
MC745 CG Future Composite Ring Semi-rigid mitral annuloplasty ring, with 24, 26, 28, 30, 32, 34, 36 & $2,400.00
anterior flexibility
SJ087 St Jude Medical Rigid Saddle Ring Rigid Annuloplasty Ring 24 - 34mm $2,400.00
EL050 Edwards MC3 Tricuspid Annuloplasty Annuloplasty Ring, 26mm to 36mm in 2mm $2,400.00
System titanium/silicone/polyester velour
cloth/plastic template
MC709 Posterior Annuloplasty Band; Colvin - Annuloplasty - Model 610B & 620B Model 610B: 25-35mm; Models $2,200.00
Galloway Future Band Model 638B; Silicone / Barium Sulphate, Dacron. 620B & 620BG: 23-35mm,
Duran Ancore Band 620B; Duran Models 638B semi-regid metal alloy core, Model 638B - 26-38mm
Ancore Chordal Model 620BG silicone coating, polyester knit fabric, kit
includes-band, malleable handle, template
with suture markers, sizers
SJ088 SJM Tailor Annuloplasty Band Flexible double-velour, polyester fabric 25 - 35mm $2,200.00
EL033 Baxter Augmentation / Substitution Edwards Pericardial Patch. Bovine 10cm x 16cm $760.00
Material, Human or Animal Origin, Pericardium.
Sterile Pericardial Patch.
GT117 Gore-Tex - Cardiovascular Patch ePTFE 0.4mm Thickness 2 x 9cm $240.00
Prostheses List by Category, Groups and Sponsor Page 15 of 725
GT118 Gore-Tex - Cardiovascular Patch ePTFE 0.4mm - 3 x 6cm $280.00
0.6mm - 2.5cm x 15cm & 5cm
x 7.5cm
GT120 Gore-Tex Cardiovascular Patch ePTFE 0.6mm Thickness 5 x 15cm $521.00
GT121 Gore-Tex Cardiovascular Patch ePTFE 0.6mm Thickness 10 x 15cm $945.00
GT126 Acuseal Cardiovascular Patch Vascular ePTFE 0.5mm Thickness 1 x 9cm; 0.8 $223.00
x 7.5cm
GT127 Acuseal Cardiovascular Patch Cardiac ePTFE 0.5mm Thickness 3 x 6cm & 5 $270.00
x 7.5cm
GT122 Preclude Pericardial Membrane ePTFE 0.1mm Thickness 6 x 12cm $360.00
GT123 Preclude Pericardial Membrane ePTFE 0.1mm Thickness 8 x 16cm $643.00
GT124 Preclude Pericardial Membrane ePTFE 0.1mm Thickness 12 x 12cm $748.00
GT125 Preclude Pericardial Membrane ePTFE 0.1mm Thickness 15 x 20cm $1,455.00
MC680 Spyder Proximal Anastomotic Device 6-clip assembly $590.00
MC714 U-Clips (Valve Repair) Double Arm, Mitral Valve Repair 2-packs $510.00
Prostheses List by Category, Groups and Sponsor Page 16 of 725
TU036 Gelweave Valsalva Graft Woven vascular prosthesis, polyester, Diameter 24 - 34 mm, Overall $3,320.00
gelatin sealed length 18.4 - 19.6cm
TU038 Gelweave Graft Straight Thoracic Graft, with antiflo side 20 -34 mm x 20-40 cm $1,715.00
branch, Polyester, woven, gelatin sealed
TU037 Gelweave Plexus Graft Multi Branched, for Aortic Arch 20 - 34 mm x 40 cm $2,150.00
reconstruction, Polyester, Woven, gelatin
sealed
MC026 Medtronic Transvene SVC Lead Model Model 6937-35, Model 6937-52, Model 35 - 110cm x 660mm $2,340.00
6937; 6937-58, Model 6937-110; Silicone;
PG003 Swift 4040 1CT lead length 58 cm - 69 cm $7,280.00
BT077 Kentrox SL steriod Dual shock coil fractal steroid eluting 65, 75cm lengths $9,000.00
passive fixation electrode
Prostheses List by Category, Groups and Sponsor Page 17 of 725
BT078 Kentrox RV Steroid single shock coil fractal steroid eluting 65, 75 cm lenghts $9,000.00
passive fixation electrode
BT092 Linox TD Fractal and steroid coated passive fixation 65, 74 or 100cm length and 16 $9,360.00
quadripolar ICD lead or 18mm electrode spacing
BT093 Linox T Passive fix RV bipolar fractal coated 65, 75cm length $9,360.00
steroid ICD lead
GU112 Endotak Reliance S Lead Model 0127 & Model 0128, defibrillation 59cm, 64cm $7,500.00
lead, 9fr introducer (silicone coated),
steroid eluting, high impedence
GU115 Endotak Reliance Lead Model 0147, Model 0148 & Model 0149, 59cm, 64cm, 90cm $7,500.00
defibrillation lead, 9fr introducer (silicone
coated), steroid eluting, high impedence
GU158 Endotak Reliance SG Passive Fixation Endotak Reliance SG Passive Fixation 54cm - 90cm $7,200.00
Lead: Models 0170, 0171, 0172, and
0173 Implantable cardioverter defibrillator
lead with GORE ™ ePTFE covered
GU159 Endotak Reliance G Passive Fixation Lead Endotak Reliance G Passive Fixation 54cm -90cm $7,200.00
Lead: Models 0174, 0175, 0176 and
0177. Implantable Cardioverter
defibrillator lead with GORE ™ ePTFE
MC002 Medtronic Sprint Quattro Lead Model Silicone and polyurethane 65-100cm $9,360.00
6944RV/SVC 65cm; Model
6944RV/SVC 75cm; or Model
6944RV/SVC 100cm; Medtronic Sprint
Quattro Lead Model 6944RV/SVC 58cm
MC696 Sprint Fidelis Lead Model 6948, dual-coil, tined 58-100cm $9,360.00 $10,000.00
MC698 Sprint Fidelis Lead Model 6930, single-coil, tined 58-100cm $9,360.00 $10,000.00
SJ016 Riata Transvenous Tachyarrhythmia Quadripolar, dual-coil, steroid eluting, One size only $9,360.00
Lead Model 1570, Model 1571 active fixation tachyarrhythmia leads
SJ083 Riata Transvenous Tachyarrhythmia Tri-polar Passive-Fixation, Steroid 60cm, 65cm, 8F introducer $9,360.00
Lead Model 1572 Eluting, Single Shock Coil
SJ085 Riata iTransvenous Tachyarrhythmia Passive Fixation, Steroid-Eluting, Dual 60cm, 65cm, 70cm, 8F $9,360.00
Leads Models 1560 and 1561 Shock Coil Defibrillation Lead
Prostheses List by Category, Groups and Sponsor Page 18 of 725
SJ086 Riata i Transvenous Tachyarrhythmia Passive Fixation, Steroid Eluting, Single 60cm, 65cm, 70cm, 8F $9,360.00
Lead Model 1562 Shock Coil Defibrillation Lead
SJ110 Riata ST Transvenous Tachyarrhythmia Riata ST 7040/41 Passive-Fixation True- 60 - 75cm, 6.3 Fr, 7 Fr $9,360.00
Leads 7040/41/42 and 7050/51/52 Bipolar, Dual-Coil, Steroid-eluting,
Endocardial Defibrillation Leads, 7042 -
Single Coil, 7050/51 - Integrated Bipolar,
Dual Coil, 7052 - Integrated Bipolar,
Single Coil
SJ113 Riata i TransvenousTachyarrhythmia Riata i 1950/51 - Passive-Fixation 60 - 75cm $9,360.00
1950/51 Integrated-Bipolar, Dual-Coil, Steroid-
Eluting, Endocardial Defibrillation Leads
BT064 Kentrox SL-S steroid Fractal coated steroid electrode, dual 16 and 18 cms tip to second $7,488.00
shock coil shock coil
BT068 Kentrox RV-S steroid Fractal coated steroid electrode, single 65cm lengths $7,488.00
shock coil
BT084 Linox SD Fractal coated and steroid electrode, 65, 75cm length, 16, 18mm elec $9,360.00
active fixation quadrapolar
BT096 Linox S Active fix RV bipolar fractal coated 65, 75cm length $9,360.00
steroid IC lead
GU118 Endotak Endurance EZ Leads Model Defibrillation lead, steroid eluting, 64, 70, 100cm $7,500.00
0154, Model 0155, Model 0156 trilumen lead body contains one
conductor for pacing/sensing and two
The helix is
composed of platinum iridium.
GU145 Endotak Reliance G Lead Model 0164, Implantable defibrillator/pacemaker lead Lead Lengths: 59 - 90cm $9,000.00
Model 0165, Model 0166, Model 0167
GU146 Endotak Reliance SG Lead Model 0160, Implantable defibrillator/pacemaker lead Lead Lengths: 59 - 90cm $9,000.00
Model 0161, Model 0162, Model 0163
GU160 Endotak Reliance Active Fixation Lead Endotak Reliance Active Fixation Lead: 54cm - 90cm $7,200.00
Models 0157, 0158 and 0159 Implantable
cardioverter defibrillator lead
GU161 Endotak Reliance S Active Fixation Lead Endotak Reliance S Active Fixation Lead: 54cm - 90cm $7,200.00
Models 0137, 0138 and 0139
Prostheses List by Category, Groups and Sponsor Page 19 of 725
GU163 ENDOTAK RELIANCE G Lead 018 Endotak Reliance G Lead: Models 0184 to 59-90cm $7,200.00
Implantable cardioverter
Active fixation.
GU164 ENDOTAK RELIANCE SG Lead 018 Endotak Reliance SG Lead: Models 0180 59-90cm $7,200.00
Series to 0183. Implantable cardioverter
Active fixation.
MC208 Medtronic Sprint Quattro Secure Lead Leads, Defibrillator, Implantable, Silicone, 58-100cm $9,360.00
Model 6947 58cm; Model 6947 65cm; polyurethane, platinized tantalum coils,
Model 6947 75cm; Model 6947 100cm steroid eluting tip
MC695 Sprint Fidelis Lead Model 6949, dual-coil, screw-in 58-100cm $9,360.00 $10,000.00
MC697 Sprint Fidelis Lead Model 6931, single-coil, screw-in 58-100cm $9,360.00 $10,000.00
SJ074 Riata Transvenous tachyarrhythmia Tri-polar Active - Fixation, Steroid- 60cm, 65cm, 8F introducer $9,360.00
Leads Model 1582 Eluting, Single shock Coil
SJ075 Riata Transvenous Tachyarrhythmia Quadripolar, dual-coil, steroid eluting, One size only $9,360.00
Lead Model 1580, Model 1581 active fixation tachyarrhythmia leads
SJ081 Riata i Transvenous Tachyarrhythmia Active fixation leads, Steroid Eluting, 60cm, 65cm, 75cm, 8F $9,360.00
Leads Model 1590/1591 Dual Shock Coil Defibrillation Lead
SJ084 Riata i Transvenous Tachyarrhythmia Active Fixation, Steroid Eluting, Single 60cm, 65cm, 75cm, 8F $9,360.00
Lead Model 1592 Shock Coil Defibrillation Lead
SJ096 Riata ST 7000/7001/7002 Active-Fixation True-Bipolar, Dual-Coil, 60, 65cm 7F introducer $9,360.00
(7002 - Single-Coil) Steroid-Eluting
Steroid Eluting, Endocardial Defibrillation
SJ102 Riata ST Transvenous Tachyarrhythmia Riata ST 7010/7011 Active-Fixation 60 - 75cm 6.3Fr, 7 Fr Introducer $9,360.00
Leads 7010/7011/7012 Integrated-Biopolar, Dual-Coil, Steroid-
eluting, Endocardial Defibrillation Leads,
7012 - Single Coil
SJ106 Riata Transvenous Tachyarrhythmia Riata 1940/41 Active-Fixation True- 60-75cm $9,360.00
Leads 1940/41/42 bipolar, Dual-Coil, Steroid-eluting,
Endocardial Defibrillation Leads, 1942 -
SJ108 Riata i Transvenous Tachyarrhythmia Riata i 1962 - Active Fixation Integrated- 60 - 75cm $9,360.00
Leads 1962 Bipolar, Single-Coil, Steroid-Eluting,
Endocardial Defibrillation Leads
Prostheses List by Category, Groups and Sponsor Page 20 of 725
BT052 Cardiac Airbag Single chamber ICD rate responsive One size only. $15,600.00
GT128 Helex Septal Occluder ePTFE 15-35mm $10,200.00
ME068 Amplatzer PFO Occluder Nitinol Wire Mesh 25mm & 35mm $10,200.00
SJ091 Premere PFO Closure System Percutaneous, transcatheter, self- Left Atrial Anchor diameter $10,036.00
expanding, dual anchor, occlusion device 20mm and 25mm
ME065 Amplatzer Duct Occluder Nitinol Wire Mesh 5 - 24mm $10,200.00
ME066 Amplatzer Septal Occluder Nitinol Wire Mesh 4mm - 40mm $10,200.00
ME067 Amplatzer Muscular VSD Occluder Nitinol Wire Mesh 4 - 24mm $10,200.00
ME074 Amplatzer Membranous VSD Occluder Nitinol wire mesh, double disc occluder 4-24mm, Length 7-10mm $10,200.00
and delivery system
Prostheses List by Category, Groups and Sponsor Page 21 of 725
GU129 LV-1 Lead Adaptor to IS-1 Connects Left ventricular leads to IS-1 One size only $500.00
ports in pacemakers and defibrillators to
replace abnormal cardiac excitation
GU130 Y Adaptor Connects multiple defibrillator electrodes One size only $500.00
to a common port, enabling the use of
shocks to revert Ventricular Tachycardia
and normal cardiac function to return
MC035 Medtronic lead Extender Kit Model: Silicone 14 - 50cm $530.00
6984M, 6981M, 6985M, 5866-24M,
5866-38M, 5866-40M, 6986M, 5866-
37M; Bipolar Lead Adaptor Kit Model
MC036 Medtronic Lead End Cap Kit Model: Silicone or Polyurethane; Plug to Seal IS- 10 - 25mm, IS-1 Pin Plug - One $80.00
5867-3M; Medtronic Adaptor Kit Line 1 connector in a pacemaker or Size only
defibrillator, Silicone
Metronic lead sleeve kit model: 5866-46;
Medtronic Pinplug kit. Model 6719 (DF
- 1), 6725 (IS-1) Pin Plug
MC246 DF-I Y-Adaptor/Extender Model 6726 Silicone Lengths 25cm, 37cm $537.00
25cm & 37cm
MC011 Capsure EPI steroid eluting bipolar Silicone 25 - 60cm $1,716.00
epicardial lead Model 4968 - ventricle
BT095 Corox OTW BP Coronary Sinus bipolar steroid 77, 87 cm length $6,240.00
Prostheses List by Category, Groups and Sponsor Page 22 of 725
GU138 Easytrak 2, Model 4514,4515, 4516, The Easytrak 2 lead is a dual electrode $6,240.00
4517, 4518, 4519, 4520 version of the Easytrak lead. The
Easytrak 2 lead is a coronary sinus lead,
steroid eluting, dual electrode, pace/sense
The lead provides chronic pacing
and sensing of the left ventricle by
placement in the coronary venous
GU153 Easytrak 2 Is-1 Lead - Models 4542, Implantable left ventricular pacemaker lead 80 to 100cm $6,240.00
4543 & 4544
GU156 Easytrak 3 Lead - Models 4521, 4522, Implantable left ventricular pacemaker lead 80 to 100cm $6,240.00
4523, 4524, 4525, 4526 and 4527
GU162 Easytrak 3 IS-1 Lead Models 4548, 4549 and 4550. Silicone Sizes 80 to 100cm $6,240.00
and polyurethane insulation and
polyurethane protective sleeve
GU165 Acuity Steerable Lead Steerable IS-1 bipolar CS LV Lead 80cm, 90 cm, 100cm $6,240.00
Models 4554, 4555, 4556
MC699 Attain OTW Model 4194 Lead Model 4194 78cm, 88cm $6,240.00
SJ099 QuickSite 1056T Bipolar Steroid-Eluting, Titanium Nitride 75cm, 6F and 86cm, 6F $6,240.00
Coated Electrodes Guidewire/Stylet-
Placed Keft Heart Lead with Fast-Pass
MC053 Capsure EPI steroid eluting unipolar Silicone 25 - 50cm $1,544.00
epicardial lead Model 4965 ventricle
GU037 Myocardial Pacing Lead Model 4312 and 4316 54cm and 35cm $1,144.00
MC009 Medtronic Epicardial Pacing Leads IS-1 Silicone 35 - 53cm $1,144.00
Model 5071
Prostheses List by Category, Groups and Sponsor Page 23 of 725
MC254 CapSure Sense pacemaker lead Models Titanium Nitride 30 - 85cm $1,248.00 Also grouped in Pacemaker Lead
Group 8
SJ078 IsoFlex S, Models 1645K, 1643K, Endocardial, Steroid Eluting, Silicone, 34cm, 40cm, 46cm, 52cm, $1,248.00
Passive Fixation Leads with Fast-Pass 58cm, 85cm, 7F
SJ033 Aescula LV Model 1055K Left Ventricular Pacing Lead 75cm $2,735.00
BT070 Corox OTW UP Steroid Coronary Sinus Lead 77, 87cm $3,000.00
GU056 Easytrak Lead Model 4510, Model 4511, Model 4512 65cm, 72cm, 80cm $3,120.00
Transvenous Coronary Sinus Lead
GU152 Easytrak IS-1 Lead, Models 4535 to 4538 Implantable left ventricular pacemaker lead 80 - 90cm $3,120.00
MC225 Attain Over the Wire Model 4193 Titanium, polyurethane 78-88cm $3,120.00
MC730 Attain StarFix LV Lead Over the wire left Ventrucular Lead 78, 88, 103cm $5,000.00 $6,240.00
SJ079 QuickSite Model 1056K Unipolar, Steroid Eluting, Titanium Nitride 75cm, 6F and 86cm, 6F $3,120.00
Electrode, Guidewire/Stylet-placed Left
Heart Lead with Fast-Pass Coating
BT066 Selox ST Transvenous Bipolar Passive Steroid 53 and 60cm lengths $1,248.00
Ventricular Pacing Lead, fractal coated
Prostheses List by Category, Groups and Sponsor Page 24 of 725
BT067 Selox JT Fractal coated steroid electrode 45 and 53cm lengths $1,248.00
GU009 Fineline II Sterox IROX Lead Model 4458, Model 4459 52cm, 58cm $1,248.00
GU011 Fineline II Sterox IROX Lead Model 4456, Model 4457 52cm, 58cm $1,248.00
GU012 Fineline II Sterox IROX Lead Model 4479, Model 4480 45cm, 52cm $1,248.00
GU023 Guidant Aust Selute Picotip Steroid Model 4033, Model 4034, Model 4035, 45cm, 52cm, 59cm $1,248.00
Eluting Bipolar Lead Model 4063, Model 4064
MC010 Medtronic Capsure SP Novus Model Silicone Polyurethane 45 -110cm $1,144.00
5092; Capsure SP Novus Lead Model
5592; Medtronic Capsure Model 4023
Lead; Medtronic Capsure Model 4024
Lead (med.dexamethasone) Medtronic
Capsure Model 4523(MED) Medtronic
Capsure Model 4524 Lead; Medtronic
Capsure Model 5023M Lead; Medtronic
Model 5024M Capsure Lead; Medtronic
Model 5024M Capsure Lead; Medtronic
Capsure Model 5524M SP Bipolar Lead
MC229 Medtronic Capsure SP Novus Model Silicone, platinum 30-100cm $1,144.00
5594 Lead 30cm
MC336 Medtronic Capsure Z Novus Model Silicone; Contents: 1 x lead with 45-58cm $1,248.00
5054 Pacing Lead anchoring sleeve, stylet & guide, 1 x vein
lifter, 2 x fixation tools, extra stylets
MC337 Medtronic Capsure Z Novus Model Silicone; Contents: 1 x lead with 45-58cm $1,248.00
5554 Pacing Lead anchoring sleeve, stylet & guide, 1 x vein
lifter, 2 x fixation tools, extra stylets
MC371 Medtronic Capsurefix Model 6940 Silicone Polyurethane 30 - 85cm $1,144.00
Medtronic Tined IS-1
Model 4557M; Medtronic Capsurefix
Medtronic Capsurefix Model 5067
Pacing Leads; Medtronic Capsurefix
Model 5068 Pacing Leads; Capsure SP
Novus Pacing Lead Model 4092;
MC372 CapSure Sense pacemaker lead Models Titanium Nitride CapSure Sense Lead Model $1,248.00
4074 & 4574 4074 - 30cm to 85cm; CapSure
Sense Lead Model 4574 - 30cm
Prostheses List by Category, Groups and Sponsor Page 25 of 725
SJ024 PASSIVE PLUS DX 1342T, 1343K, Single, passive fixation, steroid eluting, 46-58cm $1,248.00
1345K, 1346T low polarisation lead; Models: Bipolar
Atrial Lead, IS-1 Unipolar Atrial Lead, IS-
1 Unipolar Ventricular Lead, IS-1 or
Bipolar Ventricular Lead, IS-1
SJ082 Isoflex S, Models 1646T, 1642T and endocardial, Steroid Eluting, Silicone, 34cm, 40cm, 46cm, 52cm, $1,248.00
Passive Fixation Pacing Leads with Fast- 58cm, 85cm, 7F, 120cm 8F
Pass Coating
SJ097 Isoflex P 1644T and 1648T Endocardial, Steroid Eluting, 1648T - 34-85cm 1644T - 34- $1,248.00
Polyurethane, Passive-Fixation Bipolar
Pacing Leads with Fast-Pass Coating
BT063 Selox SR Lead, pacemaker, implantable, 45, 53, 60cm length $1,248.00
BT083 Setrox S Bipolar active fixation lead with fractal length 45, 53, 60cm $1,248.00
coated and steroid eluting electrode
BT097 Dextrus (marketed by Boston Scientific) Bipolar, silicone, active fixation, steroid 7Fr, with 45cm, 53cm and $1,248.00
eluting, pacing lead 60cm length options
GU013 Fineline II EZ Sterox IROX Lead Model 4472, Model 4473 & Model 4474 45cm, 52cm, 58cm $1,248.00
GU016 Fineline II EZ Sterox IROX Lead Model 4469, Model 4470 & Model 4471 45cm, 52cm, 58cm $1,248.00
GU122 Flextend Lead Models 4086, 4087 & Bipolar, steroid eluting, transvenous 45,52,59cm $1,248.00
silicon pace/sense leads with an
extendable/retractable active fixation for
implantation into the atrium or ventricle
MC008 Medtronic Capsurefix Model 5568 Silicone Polyurethane 30 - 85cm $1,144.00
Pacing Leads
MC338 Medtronic Capsurefix Novus Model Silicone; Contents: 1 x lead with 45-85cm $1,248.00
5076 Pacing Lead anchoring sleeve, stylet & guide, 1 x vein
lifter, 2 x fixation tools, extra stylets
SJ023 TENDRIL SDX 1488T, 1388T Single, Active Fixation, Steroid Eluting, 46cm-58cm $1,248.00
Low Polarisation Lead, IS-1
Prostheses List by Category, Groups and Sponsor Page 26 of 725
SJ073 Tendril SDX Models 1688T and Endocardial Steroid-Eluting Active 100cm, 25cm, 34cm, 40cm, $1,248.00
Fixation Pacing Lead 46cm, 52cm, 58cm, 85cm, 7F
MC028 Medtronic Reveal ILR Model 9525, Titanium 8cc $3,635.00
Reveal Plus Implantable Loop Recorder
Model 9526
BT054 Lexos VR Single chamber ICD, Rate responsive One size only. $36,400.00
PG001 Alto II VR Single Chamber ICD Debrillator, implantable, automatic $36,400.00
BT075 Lumos VR-T Single Chamber ICD with home one size only $40,560.00
monitoring and IEGM online
BT087 Lumax 300 VR-T ICD-VR with bidirectional Home One Size Only $40,560.00
Monitoring. Single chamber
GU110 Ventak Prizm II VR Model 1860, titanium, single chamber, One size only $40,560.00
adaptive rate
GU133 Vitality VR Model 1870 This device acts to defibrillate the heart Model 1870 Vitality VR Single $40,560.00
chambers when the patient enters into an Chamber Rate Responsive
arrhythmia or uses shocks or anti tachy Pacemaker/Defibrillator
pacing to revert Ventricular Tachycardia
(VT) or Ventricular Fibrillation (VF).
While also acting as a single chamber
GU148 Vitality 2 EL VR - Model T177 Implantable Cardiac Defibrillator 35cc 90g $40,560.00
Prostheses List by Category, Groups and Sponsor Page 27 of 725
GU151 Vitality 2 VR - Model T 175 Implantable cardiac defibrillator 30cc; 82g $40,560.00
MC365 EnTrust Model D153VRC, Single chamber, 30J 33cc, 63g $40,560.00
PG008 OVATIO VR 6250 Titanium, single chamber, sterile, VR 29cc $40,560.00
6250, 34J
SJ048 Epic Plus VR Model V-196 Implantable Single Chamber sensing and bradycardia 32cc $40,560.00
Cardioverter Defibrillator pacing
SJ093 Epic II VR V-158 Implantable Cardiac Single Chamber Cardioverter Defibrillator 34cc, 70g $40,560.00
Defibrillator
SJ053 Verity Adx Model XL SC 5056 Single Chamber multi-programmable rate- 10.5cc, 23g $4,264.00
implantable pacemaker adaptive pacing device with extended
longevity
SJ076 Verity Adx Model XL SR 5157 M/S Single Chamber multi-programmable 11cc, 23g $5,928.00
implantable pacemaker rate-adaptive pacing devices with
extended longevity
BT046 Protos VR/CLS Single chamber rate responsive, closed One size only $5,928.00
loop system.
BT062 Philos II SR Multiprogrammable, Rate Responsive, One size only $5,928.00
SSIR pacemaker
BT080 Cylos VR single chamber dual sensor rate responsive one size only $5,700.00
Prostheses List by Category, Groups and Sponsor Page 28 of 725
BS124 Insignia AVT 1192 Single chamber pacemaker 10cc, 23.4g $6,000.00
GU124 Insignia Entra SR Models 1195 & 1198 Single Chamber Rate Responsive One size only $5,928.00
Permanent Pacemaker
GU126 Insignia Plus SR Model 1194 Single Chamber Rate Responsive One size only $5,928.00
Permanent Pacemaker
GU139 Insignia Ultra SR Lodel 1190 Implantable Cardiac Pacemaker One size only $5,928.00
MC321 EnPulse SR Series: Model E2SR01, EnPulse SR - Pacemakers - with IS1 One size only $6,000.00
Model E2SR03, Model E2SR06 connector; with 3.2mm low profile
connector; with 5mm connector.
MC728 Adapta Pacemaker SR Pacemaker 9.7 - 11.0cc $5,928.00 $6,188.00
Models ADSR01, ADSR06, ADSR03 21.5 - 22.5g
PG006 Symphony SR Titanium one size only $5,928.00
SJ055 Integrity ADx Model SR 5160 Single Chamber multi-programmable rate- 8cc, 17g $5,928.00
implantable pacemaker adaptive pacing device
SJ060 Identity ADx Model SR 5180 Single Chamber multi-programmable rate- 8cc, 18g $5,928.00
implantable pacemaker adaptive pacing device
SJ077 Verity Adx Models XL SR 5156 Single Chamber multi-programmable 11cc, 23g $5,928.00
implantable pacemaker rate-adaptive pacing devices with
extended longevity
SJ090 Victory SR 5610 single chamber rate responsive 41x44x46mm 17g 8cc $5,928.00
SJ105 Zephyr SR 5620 Single Chamber Rate-Responsive 8cc, 17g $5,928.00
GU123 Endotak SQ Array XP Lead Model 0085 Endotak SQ Array XP Lead Model 0085 70 cm $4,680.00
is used in addition to an Endotak
endocardial leads for patients with a high
DFT (Defibrillation Threshold)
Prostheses List by Category, Groups and Sponsor Page 29 of 725
MC251 Implantable Subcutaneous Defibrillator Silicone and Platinum Alloy Lengths 41-85cm inclusive $4,680.00
Lead Model 6996SQ 41cm, 58cm,
MC027 Model 6721 Unipolar Epicardial Patch Model 6721S-50, Model 6721M-50, 370, 660, 840mm $2,340.00
Leads S/M/L Model 6721L-50; Silicone
MC241 Medtronic Kappa Pacemaker Model Cardiac Pacemaker, Titanium 13.9cc $9,048.00
KDR 933
MC332 Medtronic Kappa Pacemaker KDR 903 Cardiac Pacemaker, Titanium 13cc, 14.2cc $9,048.00
and KDR 906
MC340 Medtronic Kappa 400 pacemaker Model Titanium 13.9cc $9,048.00
KDR403
GU107 Ventak Prizm HE DR Model 1853 & Model 1858, titanium, dual One size only $40,560.00
chamber, adaptive rate
BT074 Xelos DR-T High energy ICD with home monitoring. Packed in one small size $45,760.00
Dual chamber
BT086 Lumax 340 DR-T ICD-DR 34 J with bidirectional Home One Size Only $45,760.00
Monitoring. Dual chamber
BT090 Lumax 340 VR-T ICD-VR 34 J with bidirectional Home One size only $42,640.00
Monitoring. Single chamber
Prostheses List by Category, Groups and Sponsor Page 30 of 725
MC362 EnTrust Model D154DRG, dual chamber, VT 35cc, 68g $45,760.00
Therapies, 35J
MC366 EnTrust Model D154VRC, Single chamber, 35J 35cc, 68g $42,640.00
MC722 Virtuoso VR Model 37cc, 68g $42,640.00
Implantable Cardioverter Defibrillator,
Single Chamber
SJ011 Atlas DR Model V-240 Dual chamber implantable cardioverter 37cc $45,760.00
defibrillator with rate response
SJ012 Atlas VR Model V-199 Single chamber implantable cardioverter 36cc $42,588.00
defibrillator with rate response
SJ063 Atlas DR Model V-242 ICD Implantable Dual Chamber Cardio-verter 38cc/78g $45,760.00
Defibrillator
SJ065 Atlas + VR Model V-193 ICD Single chamber implantable cardio-verter 38cc, 77g $42,640.00
defibrillator
SJ066 Atlas + VR - C Model V-193C ICD Single chamber implantable cardio-verter 38cc, 77g $42,640.00
defibrillator
SJ068 Atlas + DR Model V-243 ICD Implantable Dual Chamber Cardio-verter 38cc, 78g $45,760.00
Defibrillator
SJ114 Atlas II VR-168 Single chamber cardioverter defibrillator 38cc, 77g $42,640.00
SJ115 Atlas II+ DR V-268 Dual Chamber Cardioverter Defibrillator 39cc, 78g $45,760.00
GU137 Vitality AVT Dual chamber defibrillator, with atrial and One size only $45,760.00
ventricular therapy
GU157 Vitality AVT - Model A155 Implantable cardiac defibrillator with both 30cc $45,760.00
Atrial and Ventricular tachyarrhythmia
therapy
MC349 Entrust Model D 153ATG, Dual chamber, AT 33cc, 63g $45,760.00
Therapies, 30J
Prostheses List by Category, Groups and Sponsor Page 31 of 725
MC364 EnTrust Model D154ATG, Dual chamber, AT 35cc, 68g $45,760.00
Therapies, 35J
MC721 Virtuoso DR Model 37cc, 68g $45,760.00
Implantable Cardioverter Defibrillator,
Dual Chamber
BS114 Contak Renewal 4 RF CRT-D CRT-D with RF telemetry, IS-1 43cc, 90g $47,840.00
connector H239 High Energy
BT089 Lumax 340 HF-T CRT-D 34 J with bidirectional Home One Size Only $47,840.00
Monitoring
GU144 Contak Renewal 4 HE CRT-D Model Implantable dual-chamber defibrillator one size only $47,840.00
H197, Model H199
MC325 InSync Sentry Model 7298 Defibrillator, Titanium 40cc $50,000.00
MC720 Concerto CRT-D Implantable Cardioverter Defibrillator 38cc $50,000.00
with Cardiac Resynchronisation Therapy
SJ064 Atlas + HF Model V - 341 ICD - Atlas + HF ICD is a cardioverter 40cc/81g $47,840.00
Defibrillator, Implantable, automatic, defibrillator with dual chamber (atrial and
dual-chamber RV) sensing and bradycardia Pacing with
ventricular resynchronisation therapy.
SJ109 Atlas II+ HF V-367 Cardiac Resynchronisation Therapy 41cc, 79g $47,840.00
Defibrillator with V-V Timing
Programmability
Prostheses List by Category, Groups and Sponsor Page 32 of 725
GU154 Contak Renewal 4 AVT CRT -D - Implantable Cardioverter Defibrillator 37cc; 89g $50,960.00
Model M170 and M175 with Cardiac Resynchronisation Therapy
GU155 Contak Renewal 4 AVT HE CRT - D - Implantable Cardioverter Defibrillator 40cc; 89g $52,000.00
Model M177, M179 with cardiac resynchronisation Therapy
SJ027 St Jude Medical Microny II SR+ Model Single Chamber Rate Responsive Volume 5.9cc, Weight 12.8gm $5,928.00
2525T Pacemaker
MC200 Medtronic A/Asia AT500 DDDRP Titanium, silicone One size only, 14.9cc $11,440.00
Pacing System Model AT501
MC360 EnRhythm Model P150 1DR, Rate Responsive dual 21g, 13cc $11,440.00
chamber pacemaker with Anti-
Tachycardia functions: DDDRP
MC301 Model 3830 PACING LEADS Active fixation pacemaker lead 59 - 75 cm $2,600.00
Composition: Insulation is polyurethane,
Electrodes are Titanium Nitride coated
Platinum, the screw is steriod-coated
Prostheses List by Category, Groups and Sponsor Page 33 of 725
GU028 Guidant Aust Selute Picotip VDD Lead Model 4340, Model 4341, Model 4342 & $1,544.00
Model 4343
MC052 Medtronic Capsure VDD2 Model 5038 Silicone; Contents: 1 x lead with 11.5cm, 13.5cm, 15.5cm $1,544.00
AV Pacing Lead anchoring sleeve, stylet & guide, 1 x vein
lifter, 2 x fixation tools, extra stylets
MC030 Medtronic Kappa 400 Pacemaker Model Titanium 11.6cc, 11.7cc $5,616.00
KSR401
MC242 Medtronic Kappa KSR 900 Model KSR Cardiac Pacemaker, Titanium 9.7,10.5,11.0 cc $5,928.00
901,903, 906
MC330 Medtronic Kappa 400 Pacemaker Model Titanium 11.6cc, 11.7cc $5,616.00
KSR 403
Prostheses List by Category, Groups and Sponsor Page 34 of 725
DE191 Canaliculus Intubation Sets Silicone, SS & Nylon 17.7 x .064 x 29cm, 15.5 x .051 $165.00
x 33cm
CO028 BAHA - Bone Anchored Hearing Aids Cover screw unigrip One size only $364.00
ET031 Serenocem Cement Reaction bonded polymer composite One size only - box of 2 $1,560.00
formed by the neutralisation gelletation of
a basic inorganic ionomer
ET032 Serenocem Granules Reaction bonded polymer composite 0.5 - 1mm granules, 1gm or $1,070.00
formed by the neutralisation gelletation of 5gm; 2 - 3mm granules, 1gm or
a basic inorganic ionomer 5gm - 3 pouches
CO017 SPrint Speech Processor Consists of: SPrint Speech Processor - Processor: One Size Only, $4,282.25
body worn speech processor to suit Transmit Cable, 8-28cm,
Nucleus 24 cochlear implant system; Headset Cable 45-100cm,
transmit cable; headset cable; headset; Headset: 0.5-4.0 magnet
battery case - double; batteries - AA;
microphone cover; belt clip; and hook
Prostheses List by Category, Groups and Sponsor Page 35 of 725
CO019 ESPrit 3G Speech Processor - Includes speech processor with titanium Cable lengths: 6, 8, 10, 20, 28cm $6,790.00
ear hook, 6 high powered zinc air
batteries, cleaning brush, microphone
puffer, earmould compatible earhook,
soft earhook cover, magnet, drying
capsules, accessory adaptor and socket
covers, signal check, coil/cable (x2),
CO024 Nucleus Freedom Implant with Straight Cochlear implant with straight electrode One size only $12,570.00
Electrode in a titanium casing, with a removable
magnet, banded platinum electrodes
moulded in a silicone seal.
PI005 Combi C40+ Implantable Auditory One Size Only $11,450.00
Stimulator
PM065 Tympo Vent Otological ventilation tubes, short medium Length 2.2 $12.59
term, Donaldson fluoroplastic/blue
PM066 Tympo Vent Otological ventilation tubes, straight tube Length 7.0 - 7.2mm $7.50
PM068 Tympo Vent Otological ventilation tubes, short medium Length 2.8 $20.00 $20.77
term, star tube, silicone
PM072 Tympo Vent Otological ventilation tubes, short medium Length 12.4 $13.32
term, shepard with tail, silicone/blue
PM074 Tympo Vent Otological ventilation tubes, paparella Length 2.2mm $17.83
with tab
PM075 Tympo Vent Otological ventilation tubes, collar button, Length 1.5mm $29.92
tubingen type gold, gilded silver
PM079 Tympo Vent Otological ventilation tubes, t-tube Length 6 - 12mm $19.08
PM083 Tympo Vent Otological ventilation tubes, long term, Length 1.5 $26.78
collar button - tubingen type, titanium
PM086 Tympo Vent Otological ventilation tubes, short medium Length 1.6 $50.10
term, reuter bobbin without holes, titanium
PM088 Tympo Vent Otological ventilation tubes, donaldson, Length 1.5mm - 9.8mm $9.00
reuter bobbin, shepard
Prostheses List by Category, Groups and Sponsor Page 36 of 725
PM089 Tympo Vent Otological ventilation tubes, short medium Length 1.8 $10.55
term, bevel bobbin, fluoroplastic/blue
PM090 Tympo Vent Otological ventilation tubes, armstrong Length 3.8 - 10.0mm $13.10
PM091 Tympo Vent Otological ventilation tubes, short medium Length 2.0 $8.62
term, collar button, fluoroplastic/blue
PM107 Laryngeal Keel 12-16mm Keel $251.00
CO041 Baha Intenso™ Head-worn Baha sound processor One size $6,000.00
CO033 BAHA - Bone Anchored Hearing Aid - The BAHA Hearing Aids (Compact & $6,000.00 To be claimed only for patients
Various Models Cordelle II in various colours) are the with deafness who have
external hearing processors which are problems using air conduction or
attached to the implanted titanium fixture conventional hearing aids which
This allows the is made worse when a hearing
sound transmission using bone
conduction for patients where
conventional hearing devices are not
CO040 Baha Divino Digital sound processor for Baha hearing One Size But Left/Right Ear $6,000.00
system Orientations
Prostheses List by Category, Groups and Sponsor Page 37 of 725
PM057 Provox Voice Prosthesis Long term indwelling; Silicone 4.5,6,8,10,12.5mm $335.00 $356.00 Only able to be claimed once for
the initial implant
MC256 Pressure Pulse Generator Meniett 20 Composition - Polycarbonate One size only $5,060.00 To be claimed only where
medical therapy such as lifestyle
(general health assessment and
stress reduction) and oral
medications (diuretics, anti-
emetics, anti-vertigo and
GY018 Septal Button Plastipore One size only $149.00
MC264 Septal Button Silicone 3cm $149.00
CO025 BAHA - Bone Anchored Hearing Aids Abutment Snap Coupling 5.5mm - 9035, 8.5mm - 90410 $895.00
Prostheses List by Category, Groups and Sponsor Page 38 of 725
GY001 Canal Wall Prosthesis Grote, HA Small - Large $543.00
PM028 Stapes Bell/Aerial/Angular Prosthesis/Piston - 1.75 - 7.00mm $330.00 $444.00
Gold/Titanium
PM032 K-Piston Gold/Titanium ID 0.4,0.6mm $221.75 $249.00
ET040 Vox Implants Vox Implants are solid, irregularly One size only $8,200.00
textured, medical grade
Polydimethylsiloxane Elastomer implants
suspended in a hydrogel carrier
GY072 Vocal Cord Medialisation Implant Vocom Larynx Medial Implant - 3 - 7mm Head $675.00
Hydroxylapatite
GY073 Vocal Cord Medialisation Implant Vocom Shim for Medial Implant - 1mm - 3mm Offset $345.00
Hydroxylapatite
PM033 Montgomery Thyroplasty Implant System Silicone 6,7,8,9,10,11,12 $1,172.00 $1,928.00
OS008 Ossicular Prosthese - PORP Dense HA Footplate Shoe Width 2.0mm; Height 1.32mm $150.00
OS011 Ossicular Prostheses - PORP Gator Stapes Shaft Diameter 0.6mm; Length $450.00
3.5mm - 5.5mm
Prostheses List by Category, Groups and Sponsor Page 39 of 725
OS012 Ossicular Prostheses - PORP Titanium Bucket Shaft Diameter 0.4mm - 0.8mm; $490.00
Length 4.0mm - 5.0mm
OS013 Ossicular Prostheses - PORP Causse Type Fluoroplastic Stapes Shaft Diameter 0.4mm - 0.8mm; $90.00
Length 3.5mm - 6.0mm; Loop
Diameter 0.6mm
GY002 Ossicular Prosthesis Malleus, Incus and Goldenberg Footplate - HA One size only $126.00 $915.00
Stapes
GY003 Ossicular Prosthesis Attic Defect Plate, HA 7-14mm $335.00
GY004 Ossicular Prosthesis Incus a) Applebaum HA, b) Goldenberg HA, a) small - large, b) one size only, $580.00
c) Kartusch HA, d) Grote HA, e) Wehrs c) short, medium, long, d) 7-
(single & double notched) HA 10mm, e) short, average,
GY005 Ossicular Prosthesis - PORP Sheehy plastipore, Drum to stapes, Grote One size only $190.00 $360.00
Malleus to stapes, modified, centered or
offcentered
GY006 Ossicular Prosthesis - PORP/TORP Goldenberg Malleable/HA One Size Only $360.00 $580.00
GY007 Ossicular Prosthesis Incus a) Grote HA, b) Wehrs (single & double a) one size only, b) Short, $625.00
notched) HA medium, long
GY008 Piston: Stapes Prosthesis a) Schuknecht Malleus att Piston. a) 0.6x5.5mm-0.8x6.5, b) $90.00
Stainless steel, b) Cawthorne. 0.3x0.8x3.5-0.3x0.8x6mm, c)
Fluoroplastic, c) Fluoroplastic, d) 0.6x0.6x3.5-0.8x0.6x6mm,
d) 0.4x3.5-0.5x5mm, e) one size
only
GY012 Piston: Stapes Prosthesis a) Armstrong. Platinum, b) McGee. a) 0.6x3.5-0.8x5mm, b) $104.00
Teflon & 0.6x3.25-0.8x5.5mm,
c) 0.4x4-0.4x5mm
GY013 Piston: Stapes Prosthesis Fisch-Type Platinum or Stainless Steel 0.4mm x 6mm $104.00
GY014 Piston: Stapes Prosthesis Bucket Handle Fluoroplastic and stainless 0.4 x 1 x 3.5mm - 0.6 x 1 x 5mm $104.00
steel
GY015 Piston: Stapes Prosthesis Platinum Fluoroplastic 0.6x3.5mm - 0.8x5mm $104.00
GY016 Piston: Stapes Prosthesis Platinum Fluoroplastic 0.6x3mm - 0.8x5.75mm $104.00
GY017 Piston: Stapes Prosthesis McGee Shepherd's Crook - Stainless 0.6x3.5mm - 0.6x5.5mm $104.00
Prostheses List by Category, Groups and Sponsor Page 40 of 725
GY074 Wehrs II Stapes Prostheses Wehrs HAPEX Incus Prostheses, Single 0.6 - 1.57mm Shaft Dia $675.00
& Double Notch
GY078 Dornhoffer Prostheses Hydroxyapetite head/HAPEX shaft PORP 0.8mm Shaft Dia TORP, 1.3mm $360.00
and TORP Shaft Diameter PORP
GY080 Ossicular Chain Prosthesis Micron adjustable TORP/PORP. Titanium 2-10mm, 2-5mm $360.00 $500.00
GY081 Piston: Stapes Prosthesis Smart: Nitinol/Flouroplastic 0.5, 0.6, 0.8 x 3.75-4.75mm $255.00 $535.00
MC258 Ossicular, Incus and Stapes Flex H/A, Dense H/A, Titanium, SS, 0.4 - 1.17mm x 0.9 - 4.0mm x $330.00
Fluroplastic, Polycel; Roberson Stapes 4.0 x 10.2mm; 4.0 - 4.75mm
Prostheses & Big Easy Piston. Middle Ear
Prostheses
MC259 Ossicular, Incus and Stapes Flex H/A, Polycel, SS Small, Medium, Large, 0.6 x 2.2 $190.00
x 8.0mm
MC260 Ossicular, Incus and Stapes H/A, Polycel, SS 0.6 - 0.8mm x 3.0 - 4.0mm x $236.00
7.0 - 8.0mm
MC261 Ossicular, Incus and Stapes Polycel, SS, Fluroplastic 0.6 - 1.17mm x 0.3 - 4.0mm x $106.00
4.75 - 8.0mm
MC262 Ossicular, Incus and Stapes Platinum, Fluroplastic, SS, Polycel 0.4 - 1.17mm x 2.2 - 8.8mm x $104.00
3.5 - 10.0mm
MC263 Ossicular, Incus and Stapes SS, Fluroplastic, Polycel 0.5 - 0.6mm x 3.5 - 6.0mm and $104.00
One Size Only
MC266 Prostheses Ossicular Incus and Stapes H/A, Polycel, SS 0.6 - 4.0mm x 2.7 - 5.0mm x $179.00
1.5 - 10.0mm
GY009 Ossicular Prosthesis -TORP a) black spanner strut HA, b) black oval a) one size only, b) 7-10mm, c) $360.00 $675.00
top TORP HA, c) black oval top PORP, 0.5-0.7mm
universal, HA/fluoroplastic
GY010 Ossicular Prosthesis -TORP Fisch plastipore, Causse modified One size only $360.00
plastipore, Shea modified plastipore/
fluoroplastic, Austin modified plastipore,
GY011 Ossicular Prosthesis -TORP a) Shea malleable, HA/plastipore, b) Shea a) one size only, b) 4-8mm $360.00
plastipore
Prostheses List by Category, Groups and Sponsor Page 41 of 725
MC267 Ossicular, Incus and Stapes Universal Middle Ear Prosthesis, titanium 2.5 - 4.0mm x 10.0mm $360.00
round and cam head design
OS001 Ossicular Prosthesis ALTO Head Size 2.5mm x 3.5mm; $675.00
Length 2.0mm - 8.0mm; Distal
Diameter 0.8mm - 1.2mm
OS003 Ossicular Prosthesis Otosil Head Size 3.0mm - 4.0mm; $450.00
Length 6.0mm -8.0mm; Shaft
2.0 mm
OS006 Ossicular Prosthesis Dense HA Head Size 3.0mm - 4.0mm; $360.00
Shaft
Diameter 0.8mm - 2.0mm
ST795 Titanium Middle Ear Prostheses Fisch Incus Prostheses: short, medium, All Sizes $238.00
large, Titanium
ST796 Titanium Middle Ear Prostheses Fisch Neomalleus Prostheses, Titanium 1.1x5mm $190.00
ST798 Titanium Middle Ear Prostheses Fisch Total Prostheses: with foot, Titanium 0.6x10mm $360.00
GH001 NeoZoline Otological Ventilation Tubes Armstrong, Collar Button, Shepard, 1.10mm, 1.14mm, 1.27mm, $13.00
Reuter, Donaldson, Paparella, Shah 1.40mm, 0.76mm
PM117 Passy-Muir Speaking Valve Tracheostomy and Ventilator 15mm I.D./ 22 & 23mm O.D. $102.00
Prostheses List by Category, Groups and Sponsor Page 42 of 725
MC255 Medtronic Xomed Australia Material ePTFE - expanded polytetrafluroethyelene 0.75cm x 40cm x 0.6mm; $1,110.00
Implantable Sterile - Gore Thyroplasty 0.4cm x 20cm x 0.6mm; 0.6cm
review of catheters
BA170 Poly RadPICC Catheters Double Lumen open-ended Polyurethane 5, 6Fr with 135cm guide wire $149.00 $153.47 Temporary approval pending
review of catheters
WC205 Cook Central Venous Catheterisation Turbo-Flo Over-The Wire Peripherally 5Fr - 60cm $159.00
Inserted Central Venous Catheter Set,
Dual Lumen Polyurethane with
Micropuncture Peel-Away Sheath
TT001 Paragon Ambulatory Drug Infusion The top of the Paragon infuser is made of Infuser - 100mL Administration $988.00
acetyl with stainless steel parts; the Sets - 0.50mL, 1mL, 2mL,
bottom is made of clear polycarbonate. 4mL, 10mL, 50mL, 100mL, or
Administration Sets - made from PVC
TT003 Sidekick Ambulatory Disposable Spring infusor made from high impact Infuser - 50mL or 100mL, $467.00
Delivery System plastics. Administration Sets - made Administration Sets - 50mL,
from PVC and acrylic components. 100mL or 200mL/hr
BB170 Celsite Access Port for pain relief Composition - polysulphone. Kit includes Diameter of septum:11.7mm. $495.00
tunnelling rod, filter, connectors, Height: 11.5mm. Dimension:
needles, syringe, tuohy needle 25.8 x 37.8mm
BA056 Subcutaneous Ports Hickman open-ended catheter, single 8 - 9.6 French Catheter $500.00 $715.00
BA057 Groshong Subcutaneous Ports Single or dual lumen catheter 8 - 9.6 French Catheter $521.00 $727.00
BA060 Hickman Subcutaneous Ports Low-Profile 6 - 6.6 French Catheter $653.00 $672.59
BA177 SlimPort Ultra Low Profile Implanted Ultra SlimPort Low Profile Port: 16.9 x 22.7mm (W) x $541.00 $615.00
Plastic/Titanium port with attachable 9.2mm (H); 2.9g Wt 6 Fr
Chronoflex® single lumen catheter
WC093 Cook Implantable Injection/Infusion Petite or Standard, single or multiple 3 - 12 Fr pre-attached or $500.00
chamber Polysulfone Port which may detached catheter or valve system
include micropuncture or standard
Prostheses List by Category, Groups and Sponsor Page 722 of 725
WC094 Cook Implantable Injection/Infusion Mini or Petite or Standard, single or 3 - 12 Fr pre-attached or $534.00
multiple chamber titanium Port which detached catheter or valve system
may include micropuncture or standard
WC115 Cook Implantable Injection/Infusion Mini, single or multiple chamber titanium 3 - 12 Fr pre-attached or $652.00
Port which may include micropuncture detached catheter or valve system
introducer set
BA059 Dual Lumen Subcutaneous Ports Silicone, Polyurethane or ChronoFlex 7 - 10 French Catheter $805.00 $829.15
Open-ended Catheter
WC164 Cook Implantable Injection/Infusion Dual or Multiple Chamber Titanium Port 3 - 12 Fr pre-attached or $762.00
which may include micropuncture or detached catheter or valve system
standard introducer set
AK001 Haemostatic Ligating Clips Titanium Ligating Clips small - large $7.80
DE275 DC Bead Drug delivery embolisation system 100-300, 300-500, 500-700, $1,650.00 $1,950.00 Product only to be used for
700-900 (microns) embolic procedures.
BS100 Matrix Detachable Coils Platinum/Tungsten alloy coils covered Length: 2cm to 40cm, Diameter: $1,850.00
with an absorbable PGLA copolymer 2mm to 24mm
(90% Polyglycolic acid/ 10% Polylactic
Prostheses List by Category, Groups and Sponsor Page 723 of 725
ME183 Micrus Presidio Microcoil Sterile, single use, embolic coil used for 11.5-50cm (length) $1,850.00 $2,700.00
the treatment of cerebral aneurysms
EE007 Nexus Detachable Coils Nexus Tetris Diam 3-19mm, Length 4-29cm $1,850.00
EE008 Nexus Detachable Coils Multi Diameter Diam 4-10mm / Length 10- $1,250.00
EE017 Nexus Detachable Coil Helix Diameter 2-10mm / Length 1 - $1,250.00
30cm
BS080 Matrix SR Detachable Coils Matrix SR Detachable Coils are Length: 2cm to 30cm, Diameter: $1,850.00
Platinum/Tungsten alloy coils covered 2mm to 10mm
with an absorbable PGLA copolymer
(90% Poly-glycolic acid/ 10% Poly-lactic
BS079 Neuroform 2 Microdelivery Stent Self-expanding nitinol stent, 3fr delivery Diameter: 2.5-4.5mm, Length: $7,500.00
catheter, peelable sheath, 2fr stabilising 10mm-30mm
catheter, rotating haemostasis valve (x2)
Prostheses List by Category, Groups and Sponsor Page 724 of 725
JJ485 Trufill DCS Orbit detachable coil Helical Fill 2mm - 12mm, 2cm - 30cm $1,400.00
JJ486 Trufill DCS Orbit detachable coil Complex Standard 6mm - 20mm, 15cm - 30cm $1,505.00
Prostheses List by Category, Groups and Sponsor Page 725 of 725
PART B - Human Tissue List December 2007
QHV09 The Prince Charles Hospital - Queensland Heart Valve Bank $4,706.00
SHV03 Sydney Heart Valve Bank, St. Vincent's Hospital $987.00
QHV01 The Prince Charles Hospital - Queensland Heart Valve Bank $4,706.00
RPH01 Royal Perth Hospital T/A Heart Valve Bank $3,833.00
SHV01 Sydney Heart Valve Bank, St. Vincent's Hospital $5,350.00
TBV01 Donor Tissue Bank of Victoria $5,923.00
QHV02 The Prince Charles Hospital - Queensland Heart Valve Bank $4,706.00
RPH02 Royal Perth Hospital T/A Heart Valve Bank $3,833.00
SHV02 Sydney Heart Valve Bank, St. Vincent's Hospital $5,350.00
TBV02 Donor Tissue Bank of Victoria $5,923.00
QHV03 The Prince Charles Hospital - Queensland Heart Valve Bank $985.00
TBV50 Donor Tissue Bank of Victoria $440.00
QHV05 The Prince Charles Hospital - Queensland Heart Valve Bank $985.00
TBV03 Donor Tissue Bank of Victoria $909.00
QHV07 The Prince Charles Hospital - Queensland Heart Valve Bank $985.00
QHV06 The Prince Charles Hospital - Queensland Heart Valve Bank $985.00
QHV08 The Prince Charles Hospital - Queensland Heart Valve Bank $4,706.00
Page 1 of 15
QHV04 The Prince Charles Hospital - Queensland Heart Valve Bank $985.00
AUB01 Australian Biotechnologies $800.00
LEM01 Lions Eye Donation Service $1,747.00
LEN01 Lions Eye Bank of NSW, Sydney Hospital $1,000.00
LEW01 Lions Eye Bank of Western Australia $2,000.00
QEB01 Queensland Eye Bank $1,345.00
SAE01 The Eye Bank of South Australia $840.00
TBV04 Donor Tissue Bank of Victoria $800.00
LEN03 Lions Eye Bank of NSW, Sydney Hospital $600.00
LEM02 Lions Eye Donation Service $150.00
LEN02 Lions Eye Bank of NSW, Sydney Hospital $150.00
SAE02 The Eye Bank of South Australia $60.00
LEM03 Lions Eye Donation Service $770.00
LEW02 Lions Eye Bank of Western Australia $200.00
QEB02 Queensland Eye Bank $230.00
NBB01 New South Wales Bone Bank $1,560.00
PBT01 Perth Bone and Tissue Bank $2,000.00
QBB01 The Queensland Bone Bank $1,745.00
TBV05 Donor Tissue Bank of Victoria $904.00
NBB69 New South Wales Bone Bank $2,425.00
NBB02 New South Wales Bone Bank $1,995.00
Page 2 of 15
TBV06 Donor Tissue Bank of Victoria $1,841.00
PBT02 Perth Bone and Tissue Bank $1,700.00
NBB67 New South Wales Bone Bank $2,000.00
MTE01 Mercy Tissue Engineering Pty Ltd $9,996.00
MTE03 Mercy Tissue Engineering Pty Ltd $11,349.00
MVS22 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank $9,538.00
VAP01 Verigen Australia Pty Ltd $9,556.00
MTE02 Mercy Tissue Engineering Pty Ltd $2,509.00
VAP03 Verigen Australia Pty Ltd $2,593.00
ORT01 Orthogen Australia Pty Ltd $11,400.00
MVS23 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank $1,396.00
TBV09 Donor Tissue Bank of Victoria $874.00
TBV10 Donor Tissue Bank of Victoria $1,663.00
PBT03 Perth Bone and Tissue Bank $500.00
TBV07 Donor Tissue Bank of Victoria $610.00
TBV08 Donor Tissue Bank of Victoria $673.00
TBV52 Victorian Institute of Forensic Medicine $556.00
TBV53 Victorian Institute of Forensic Medicine $1,110.00
Page 3 of 15
NBB62 New South Wales Bone Bank $835.00
NBB61 New South Wales Bone Bank $1,523.00
NBB60 New South Wales Bone Bank $2,310.00
PBT11 Perth Bone and Tissue Bank $300.00
QBB12 The Queensland Bone Bank $200.00
TBV17 Donor Tissue Bank of Victoria $350.00
QBB02 The Queensland Bone Bank $600.00
TBV14 Donor Tissue Bank of Victoria $685.00
TBV13 Donor Tissue Bank of Victoria $1,370.00
PBT06 Perth Bone and Tissue Bank $1,550.00
PBT07 Perth Bone and Tissue Bank $1,950.00
PBT48 Perth Bone and Tissue Bank $2,200.00
QBB03 The Queensland Bone Bank $1,925.00
NBB65 New South Wales Bone Bank $835.00
NBB64 New South Wales Bone Bank $1,523.00
NBB63 New South Wales Bone Bank $2,310.00
Page 4 of 15
TBV55 Donor Tissue Bank of Victoria $960.00
TBV54 Donor Tissue Bank of Victoria $480.00
QBB04 The Queensland Bone Bank $650.00
NBB05 New South Wales Bone Bank $1,080.00
QBB13 The Queensland Bone Bank $1,188.00
QBB14 The Queensland Bone Bank $2,100.00
TBV18 Donor Tissue Bank of Victoria $4,710.00
TBV21 Donor Tissue Bank of Victoria $724.00
PBT15 Perth Bone and Tissue Bank $1,400.00
NBB09 New South Wales Bone Bank $840.00
PBT16 Perth Bone and Tissue Bank $800.00
NBB08 New South Wales Bone Bank $4.00
QBB11 The Queensland Bone Bank $5.00
PBT21 Perth Bone and Tissue Bank $1,900.00
ACT01 ACT Bone Bank $1,638.00
APH01 The Avenue Private Hospital Bone Bank $1,131.00
CSA01 Rachel Forster Bone Bank $802.00
DHR01 Barwon Health $1,060.00
HBB01 The Hobart Private Hospital Bone Bank $1,400.00
LPH01 Lingard Private Hospital Bone Bank $1,103.00
Page 5 of 15
MMH01 Mater Misericordiae Hospital Bone Bank Theatres $400.00
MVS05 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank $1,595.00
NBB16 New South Wales Bone Bank $1,750.00
PBT22 Perth Bone and Tissue Bank $1,900.00
QBB27 The Queensland Bone Bank $1,960.00
RNB01 Hunter New England Bone Bank $1,780.00
SVN01 Mater Hospital $731.00
TBV26 Donor Tissue Bank of Victoria $2,113.00
QBB29 The Queensland Bone Bank $500.00
QBB28 The Queensland Bone Bank $800.00
NBB17 New South Wales Bone Bank $1,470.00
PBT24 Perth Bone and Tissue Bank $1,400.00
QBB30 The Queensland Bone Bank $1,445.00
QBB31 The Queensland Bone Bank $650.00
QBB17 The Queensland Bone Bank $1,716.00
QBB19 The Queensland Bone Bank $1,606.00
MVS02 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank $2,290.00
PBT17 Perth Bone and Tissue Bank $2,900.00
TBV22 Donor Tissue Bank of Victoria $3,460.00
NBB10 New South Wales Bone Bank $2,555.00
QBB20 The Queensland Bone Bank $2,555.00
Page 6 of 15
NBB11 New South Wales Bone Bank $2,270.00
QBB21 The Queensland Bone Bank $2,456.00
MVS03 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank $2,290.00
NBB12 New South Wales Bone Bank $5,816.00
PBT18 Perth Bone and Tissue Bank $4,900.00
QBB22 The Queensland Bone Bank $3,870.00
TBV23 Donor Tissue Bank of Victoria $5,794.00
NBB59 New South Wales Bone Bank $2,100.00
NBB13 New South Wales Bone Bank $2,250.00
QBB23 The Queensland Bone Bank $2,050.00
TBV24 Donor Tissue Bank of Victoria $1,887.00
MVS04 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank $2,290.00
PBT20 Perth Bone and Tissue Bank $2,900.00
NBB15 New South Wales Bone Bank $2,755.00
QBB25 The Queensland Bone Bank $2,755.00
NBB14 New South Wales Bone Bank $1,196.00
QBB24 The Queensland Bone Bank $2,305.00
TBV51 Donor Tissue Bank of Victoria $3,332.00
TBV25 Donor Tissue Bank of Victoria $3,434.00
Page 7 of 15
NBB56 New South Wales Bone Bank $1,500.00
NBB57 New South Wales Bone Bank $2,310.00
NBB55 New South Wales Bone Bank $1,500.00
QBB26 The Queensland Bone Bank $800.00
TBV46 Donor Tissue Bank of Victoria $1,065.00
MVS07 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank $2,290.00
NBB18 New South Wales Bone Bank $3,200.00
PBT25 Perth Bone and Tissue Bank $2,100.00
QBB32 The Queensland Bone Bank $2,405.00
TBV27 Donor Tissue Bank of Victoria $6,041.00
NBB54 New South Wales Bone Bank $1,925.00
MVS14 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank $2,290.00
NBB20 New South Wales Bone Bank $1,881.00
TBV29 Donor Tissue Bank of Victoria $932.00
MVS13 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank $2,290.00
NBB19 New South Wales Bone Bank $1,300.00
TBV28 Donor Tissue Bank of Victoria $610.00
TBV30 Donor Tissue Bank of Victoria $1,968.00
PBT28 Perth Bone and Tissue Bank $1,200.00
QBB06 The Queensland Bone Bank $1,331.00
Page 8 of 15
QBB07 The Queensland Bone Bank $1,469.00
PBT37 Perth Bone and Tissue Bank $750.00
PBT38 Perth Bone and Tissue Bank $900.00
QBB09 The Queensland Bone Bank $1,469.00
QBB10 The Queensland Bone Bank $650.00
NBB21 New South Wales Bone Bank $2,696.00
PBT29 Perth Bone and Tissue Bank $2,400.00
QBB33 The Queensland Bone Bank $2,505.00
TBV31 Donor Tissue Bank of Victoria $2,686.00
MVS08 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank $2,290.00
NBB24 New South Wales Bone Bank $6,116.00
PBT30 Perth Bone and Tissue Bank $4,500.00
QBB37 The Queensland Bone Bank $3,870.00
TBV32 Donor Tissue Bank of Victoria $6,093.00
NBB22 New South Wales Bone Bank $2,321.00
PBT31 Perth Bone and Tissue Bank $1,100.00
QBB34 The Queensland Bone Bank $2,245.00
TBV33 Donor Tissue Bank of Victoria $2,428.00
QBB35 The Queensland Bone Bank $1,106.00
QBB36 The Queensland Bone Bank $700.00
Page 9 of 15
NBB23 New South Wales Bone Bank $1,005.00
PBT32 Perth Bone and Tissue Bank $600.00
TBV34 Donor Tissue Bank of Victoria $920.00
QBB44 The Queensland Bone Bank $1,485.00
TBV37 Donor Tissue Bank of Victoria $1,484.00
NBB26 New South Wales Bone Bank $1,419.00
QBB38 The Queensland Bone Bank $1,221.00
QBB39 The Queensland Bone Bank $1,463.00
MVS19 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank $2,290.00
TBV49 Donor Tissue Bank of Victoria $1,979.00
NBB25 New South Wales Bone Bank $1,200.00
MVS20 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank $2,290.00
NBB29 New South Wales Bone Bank $2,828.00
QBB43 The Queensland Bone Bank $2,755.00
NBB27 New South Wales Bone Bank $1,658.00
QBB40 The Queensland Bone Bank $1,445.00
NBB28 New South Wales Bone Bank $2,500.00
QBB41 The Queensland Bone Bank $2,430.00
MVS09 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank $2,290.00
PBT34 Perth Bone and Tissue Bank $2,500.00
TBV35 Donor Tissue Bank of Victoria $2,336.00
Page 10 of 15
PBT35 Perth Bone and Tissue Bank $1,100.00
QBB42 The Queensland Bone Bank $1,445.00
TBV36 Donor Tissue Bank of Victoria $2,485.00
NBB53 New South Wales Bone Bank $1,300.00
NBB52 New South Wales Bone Bank $1,400.00
NBB51 New South Wales Bone Bank $1,500.00
NBB50 New South Wales Bone Bank $2,750.00
PBT33 Perth Bone and Tissue Bank $3,000.00
NBB30 New South Wales Bone Bank $2,941.00
NBB31 New South Wales Bone Bank $1,529.00
TBV38 Donor Tissue Bank of Victoria $1,599.00
PBT47 Perth Bone and Tissue Bank $1,800.00
QBB05 The Queensland Bone Bank $1,276.00
TBV39 Donor Tissue Bank of Victoria $1,927.00
TBV40 Donor Tissue Bank of Victoria $1,046.00
NBB58 New South Wales Bone Bank $756.00
Page 11 of 15
NBB03 New South Wales Bone Bank $1,103.00
TBV11 Donor Tissue Bank of Victoria $1,046.00
QBB45 The Queensland Bone Bank $1,843.00
NBB04 New South Wales Bone Bank $1,759.00
QBB46 The Queensland Bone Bank $1,200.00
TBV12 Donor Tissue Bank of Victoria $1,870.00
PBT08 Perth Bone and Tissue Bank $1,600.00
PBT10 Perth Bone and Tissue Bank $2,350.00
PBT09 Perth Bone and Tissue Bank $2,050.00
NBB32 New South Wales Bone Bank $875.00
QBB47 The Queensland Bone Bank $750.00
TBV41 Donor Tissue Bank of Victoria $915.00
QBB48 The Queensland Bone Bank $1,900.00
NBB68 New South Wales Bone Bank $1,925.00
TBV42 Donor Tissue Bank of Victoria $1,927.00
NBB33 New South Wales Bone Bank $1,425.00
Page 12 of 15
PBT40 Perth Bone and Tissue Bank $2,100.00
VAP02 Verigen Australia Pty Ltd $10,891.00
MVS18 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank $2,290.00
NBB06 New South Wales Bone Bank $2,673.00
PBT13 Perth Bone and Tissue Bank $1,800.00
QBB15 The Queensland Bone Bank $2,050.00
TBV19 Donor Tissue Bank of Victoria $2,796.00
NBB49 New South Wales Bone Bank $1,680.00
NBB48 New South Wales Bone Bank $1,925.00
NBB47 New South Wales Bone Bank $2,750.00
MVS21 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank $382.00
PBT41 Perth Bone and Tissue Bank $300.00
TBV43 Donor Tissue Bank of Victoria $437.00
QBB49 The Queensland Bone Bank $900.00
NBB70 New South Wales Bone Bank $2,000.00
PBT19 Perth Bone and Tissue Bank $2,500.00
TBV47 Donor Tissue Bank of Victoria $1,491.00
QBB50 The Queensland Bone Bank $1,405.00
QBB51 The Queensland Bone Bank $1,716.00
Page 13 of 15
MVS17 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank $2,290.00
TBV48 Donor Tissue Bank of Victoria $1,922.00
NBB34 New South Wales Bone Bank $1,400.00
QBB53 The Queensland Bone Bank $900.00
NBB35 New South Wales Bone Bank $2,065.00
QBB54 The Queensland Bone Bank $2,250.00
QBB08 The Queensland Bone Bank $2,555.00
NBB46 New South Wales Bone Bank $3,647.00
PBT45 Perth Bone and Tissue Bank $2,300.00
TBV45 Donor Tissue Bank of Victoria $2,215.00
TBV44 Donor Tissue Bank of Victoria $2,299.00
MVS11 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank $2,290.00
NBB36 New South Wales Bone Bank $2,290.00
PBT44 Perth Bone and Tissue Bank $2,900.00
NBB45 New South Wales Bone Bank $1,300.00
NBB43 New South Wales Bone Bank $2,200.00
Page 14 of 15
NBB42 New South Wales Bone Bank $2,168.00
NBB41 New South Wales Bone Bank $3,163.00
QBB52 The Queensland Bone Bank $400.00
MVS16 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank $2,290.00
NBB37 New South Wales Bone Bank $3,685.00
QBB55 The Queensland Bone Bank $3,870.00
NBB44 New South Wales Bone Bank $5,042.00
PBT46 Perth Bone and Tissue Bank $1,450.00
NBB66 New South Wales Bone Bank $1,106.00
MVS15 Institute of Medical & Veterinary Science T/A South Australian Tissue Bank $2,290.00
NBB07 New South Wales Bone Bank $2,464.00
PBT14 Perth Bone and Tissue Bank $1,500.00
QBB16 The Queensland Bone Bank $2,050.00
TBV20 Donor Tissue Bank of Victoria $2,577.00
NBB40 New South Wales Bone Bank $1,680.00
NBB39 New South Wales Bone Bank $1,925.00
NBB38 New South Wales Bone Bank $2,200.00
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