EXPLANATORY STATEMENT
Issued by Authority of the Minister for Health and Ageing
National Health Act 1953
Determination under subsections 73AAG (6) and (7)
(HIB 30/2006)
Subsection 73AAG(6) of the National Health Act 1953 (the Act) provides that the Minister may determine in writing the prostheses that are no gap prostheses and the benefit amount for each no gap prosthesis.
Subsection 73AAG(7) provides that the Minister may determine in writing the prostheses that are gap permitted prostheses, and the minimum and maximum benefit amounts for each gap permitted prosthesis.
This determination amends the determination signed by the delegate of the Minister on 12 September 2006 (HIB 22/2006).
This determination commences on 13 October 2006.
The Schedule to this determination has two parts:
- Part A – Prostheses; and
- Part B – Human Tissue List.
This determination updates the previous Prostheses List by:
- amending the minimum and maximum benefit amounts of 316 prostheses in Part A, as detailed at Attachment A;
- amending the product descriptions of 47 prostheses in Part A, as detailed at Attachment B;
- deleting 14 prostheses from Part A, as detailed at Attachment C;
- adding 40 prostheses to Part A, as detailed at Attachment D; and
- adding seven items to Part B, as detailed at Attachment E.
The determination is consistent with the recommendations of the Prostheses and Devices Committee.
CONSULTATION
This Determination has been made having regard to advice provided by the Prostheses and Devices Committee (PDC), a ministerially appointed committee comprised of nominees from health funds, hospitals, clinicians, prostheses and devices suppliers, the Commonwealth, and consumer representatives.
This determination and this Explanatory Statement have been registered on the Federal Register of Legislative Instruments.
PRIVATE HEALTH INSURANCE BRANCH
DEPARTMENT OF HEALTH AND AGEING
OCTOBER 2006
Benefit(s) Updated Items for Prostheses List August 2006 Attachment A
Billing Product Name Description Size MinBenefit MaxBenefit
Advanced Surgical Technologies
Orthopaedic
AD227 Osteoset MIIG X3 Injectable Calcium Sulphate Bone Void Filler, 5cc $1,795.00
Includes Syringe
American Medical Systems
Urogenital
AM005 Penile Implant - Malleable AMS 600M, AMS 650 Cylinders range: 12 -20cm $3,305.40
AM019 MONARC Sling System Product includes - mesh and two needles with One Size Only $850.00 $990.00
handles attached
AM031 AMS 800 Artificial Urinary Sphincter Deactivation Implantable plugs x 3 & straight connector One Size $132.00
Package
Auto Suture Company, Australia T/A Tyco Healthcare Pty
Mechanical Internal Wound Closure Products
AS025 TA* Reloading Units; DST Series* Linear Stapler Premium Multifire TA* Disposable Surgical 30mm (2.5, 3.5, 4.8mm); DST TA90-3.5 $243.49
Disposable Loading Units Stapler and Loading Unit; Titanium staples DLU; DST TA90-4.8 DLU; DST TA45-
used for hemostatic closure of specific organs 3.5 DLU; DST TA45-4.8 DLU; DST
and blood vessels (ex bowel, stomach and lung) TA60-3.5 DLU; DST TA60-4.8 DLU;
DST TA30-3.5 DLU; DST TA30-4.8
DLU; DST TA30V3 DLU.
AS115 DST Series* GIA* Linear Cutter Stapler and single Single use, reloadable stapler 80mm length; Sizes 3.8 and 4.8mm $470.00
use loading units
AS117 DST Series* GIA* Linear Cutter Stapler and single Single use, reloadable stapler 100mm length: Sizes 3.8 and 4.8mm $460.00
use loading units
B Braun Australia Pty Ltd
Neurosurgical
BB007 Spine System Evolution Clamp for Cross Plate For 5.2 and 6mm rods $480.00
BB108 Aneurysm Clip Yasargil 4.5mm x 150g to 25.0mm x 200g $215.00 $230.00
BB159 Bone Screw MACS Polyaxial & Stabilisation, Titanium Dia 6.5 - 7mm, length 30 - 50mm $541.82
BB160 Bone Screw HMA Polyaxial, Titanium Dia 12mm, length 26 - 38mm $1,800.00
BB161 Bone Screw HMA Monoaxial, Titanium Dia 12mm, length 26 - 38mm $1,150.00
Benefit(s) Updated Items for Prostheses List Report Page 1 of 21
Billing Product Name Description Size MinBenefit MaxBenefit
BB174 MACS TL Bone Screws Polyaxial screw - XL 30mm and 40mm $1,800.00
BB211 KLA Anterior Lumbar Cage System Anterior Lumbar Cage - PEEK 9mm x 5 degrees, 11mm x 5 degrees, $4,250.00
13mm x 5 degrees, 11mm x 9 degrees,
13mm x 9 degrees, 15mm x 9 degrees,
13mm X 13 degrees, 15mm X 13 degrees
BB219 S4 Spinal System S4 Straight Rod - Titanium 35mm - 60mm $600.00
BB220 S4 Spinal System S4 Straight Rod - Titanium 70mm - 180mm $600.00
BB224 S4 Spinal System Polyaxial Screw - titanium various sizes Diameter 4.5mm & 5mm - all lengths 25 - $1,550.00
60mm
BB225 S4 Spinal System Polyaxial Screw - Titanium various sizes Diameter 6.0mm, 7.0mm & 8.0mm - all $1,550.00
lengths 25 - 60mm
BB226 S4 Spinal System Monoaxial Screw - titanium various sizes Diameter 4.5mm & 5mm - all lengths 25 $1,200.00
- 60mm
BB227 S4 Spinal System Monoaxial Screw - titanium various sizes Diameter 6.0mm, 7.0mm & 8.0mm - all $1,200.00
lengths 25 - 60mm
BB228 S4 Spinal System S4 Cross Connector - titanium Rigid 22mm - 41mm $1,250.00
BB229 S4 Spinal System S4 Cross Connector - titanium Variable 43mm - 75mm $1,500.00
BB230 S4 Spinal System Set Screw - titanium one size $225.00
Vascular
BB027 Vascular Uni - Graft - Bifurcated Vascular graft 12x7 to 12x12 $375.00
Bard Australia Pty Ltd
Vascular
BA090 Impra PTFE Vascular Grafts ePTFE Cardiovascular, Patch 0.6mm, Circular 100 x 150mm $748.00
Biomet Australia Pty Ltd
Orthopaedic
BI937 GPS Bone Biologics TCP Granules/GPS, TCP 20ml $2,150.00
BI942 Peritrochanteric Nail System Trochanteric Nail Ti 24cm - 48cm $2,060.00
Plastic and Reconstructive
BI397 Lactosorb Resorbable Craniomaxillofacial Fixation Bone Screw, Lactosorb 1.5mm, 2mm system; (1.5, 2.0, 2.5, 2.8) x (3 - 17mm) $360.00
System pkt 2, PGA/PLA
BI415 Lactosorb Resorbable Craniomaxillofacial Fixation Bone Screw, 2 Pack, Endobrow, Lactosorb. 2 x 5mm $160.00
System PGA/PLA
Benefit(s) Updated Items for Prostheses List Report Page 2 of 21
Billing Product Name Description Size MinBenefit MaxBenefit
BI602 Lactosorb Resorbable Craniomaxillofacial Fixation Bone Screw, Lactosorb, 4 pack. PGA/PLA (1.5, 2.0mm) x (3, 4, 5 ,7mm) $444.00
System
BI791 Lactosorb Resorbable Craniomaxillofacial Fixation Screw, 1.5mm System, PLLA/PGA Length 3-5mm (pack 10) $910.00
System
Biotronik Australia Pty Ltd
Vascular
BT035 PEIRON Flexible coated stent with delivery system Dia 5-8mm, length 18-38mm $2,500.00
Boston Scientific Pty Ltd
General/Miscellaneous
BS101 Polyflex Airway Stent Poylester braided material encapsulated with Stent inner diameters up to 22mm, stent $2,040.00
silicone, self expanding stent lengths up to 80mm
BS102 Polyflex Oesophageal Stent Poylester braided material encapsulated with Stent inner diameters up to 22mm, stent $2,040.00
silicone, self expanding stent lengths up to 80mm
Urogenital
BS086 Polaris Ultra Ureteral Stent This ureteral stent is made from Percuflex Sizes up to 7Fr, lengths up to 30cm $315.00
material with a Hydro Plus Coating
Vascular
BS035 Expandable Endovascular Wallstent Wallstent - Easy Wallstent, Iliac Wallstent (A Stent Diameter x Stent Length: 6-16mm x $1,800.00
self-expanding stent that has a cylindrical 18-70mm
braided structure composed of 24 wires with
core of either tantalum or platinum).
BS056 Carotid Wall Stent Model SCH64371, SCH64377, SCH64378, Fully open diameter 6.0 - 10.0mm, Fully $1,800.00
SCH64379, SCH64382, SCH64383, open length 22 - 37mm
SCH64384, Elgiloy (cobalt chromium), flexible
low profile, self expanding
Corin Australia Pty Ltd
Orthopaedic
CR057 AMC Uni Condylar Tibial Component - Bonit Coat Tibial Base Plate, Cobalt Chrome, Titanium 1-8 $2,524.00
Nitrate Ceramic Coated, Bonit (Calcium
Phosphate) Ingrowth Surface
CR061 AMC Uni Condylar, Cemented Tibial Base Plate AMC Uni Condylar Tibial Component (CoCr) Sizes 1 - 8 inclusive $1,732.00
Cemented with Titanium Nitrite Ceramic
De Puy Australia
Neurosurgical
DP299 Moss Miami (Stainless Steel) Hooks - Pedicle One size only $820.00
Benefit(s) Updated Items for Prostheses List Report Page 3 of 21
Billing Product Name Description Size MinBenefit MaxBenefit
DP300 Moss Miami (Stainless Steel) Hooks - Laminar as Wide or Narrow or Angled One size only $820.00
or Reduced Distance Supra-laminar or Offset or
Extended Body
DP410 Moss Miami (Titanium) Hooks - Pedicle 3-5 mm $820.00
DP411 Moss Miami (Titanium) Hooks - Laminar as Wide or Narrow or Angled One size only $820.00
or Reduced Distance Supra-laminar or Offset or
Extended Body
DP464 Isola System (Titanium) Closed Hooks 1/4" x 3/16" x 5-11mm $820.00 $901.00
DP472 Isola System (Stainless Steel) Open Hook Cap or Open 1/4" & 3/16" x 5-11mm $820.00
DP567 Peak Polyaxial Anterior Cervical Plate System Graft Screw or Safety Locking Screw 4mm x 9 -15mm $944.00
DP843 Moss Miami (Titanium) Sacral Extender 5mm x 5 - 20mm length $710.00
DP845 Moss Miami 4mm Anterior System (SS) Hooks 4mm $820.00
DY317 Isola System (Stainless Steel) Band Clamp Connector or Tandem Connector 1/4" & 3/16" $1,268.00
DY333 Summit Cervical Rod System Occipital Bone Screw 4.5 - 5.25 Dia x 6 -16mm length $198.00
DY356 SB Charite Disc Prosthesis End Plates Parallel & Oblique 1 - 5 $4,200.00
Orthopaedic
DP040 Bone Screw Screw Cancellous Titanium Dia 3.5 or 5 or 6.5 or 7mm length 15 - $91.00
110mm
DP766 Small / Large Fragment Set S/S Cancellous Screw 32 Thread - Stainless Steel Dia 6.5mm x 130-140mm $54.27
DP859 Songer Cable System - Stainless Steel Isola Single Cable & Crimp (Pkt 6) One size only $2,005.00
DY164 Small / Large Fragment Set Low Profile Cannulated Cancellous Screw, 4mm x 10 - 50mm Length $182.85
Fully Thread
DY165 Fragment Set Small/Large Low Profile Cannulated Cancellous Screw, 4mm x 55 - 75mm $225.00
Fully Thread
DY361 Conduit TCP Conduit Blocks Size 1. 15x15x20mm to 25x25x20mm $1,882.00
DY403 Modular Cathcart Unipolar Spacers -3 to +10mm $1,035.00
Device Technologies Australia Pty Ltd
Ophthalmic
DE263 MicroCryl Acrylic Introcular lenses Foldable Monobloc Micrincision Posterior 6.D-40.0D $310.00
Chamber Lens
MC611M1
DE264 MicroCryl Acrylic Introcular lenses Foldable Monobloc Posterior Chamber Lens 6.0D-40.0D $350.00 $390.00
MCX11ASP
Benefit(s) Updated Items for Prostheses List Report Page 4 of 21
Billing Product Name Description Size MinBenefit MaxBenefit
Plastic and Reconstructive
DE100 McGhan Style 150 Biodimensional Biocell Textured Full height, Short Height 9.5 - 16cm width x 8 - 17cm height x 4.2 - $2,294.00
Expand Gel/Saline Filled Mammary Implant, Low 7.1cm projection
Vascular
DE006 Onyx System DSMO/Liquid Embolic Material 18, 20, 34 (formulations) $2,300.00
Edwards Lifesciences Pty Ltd
Cardio-thoracic
EL031 Carpentier-Edwards Perimount Pericardial Carpentier-Edwards Pericardial Bioprosthesis. Models 2900/6900 19-33mm, Model $4,900.00 $5,144.00
Bioprosthesis - Models 2900/6900 Carpentier- Composition: Bovine Pericardium; Elgiloy 6900P 25, 27, 29, 31, 33mm
Edwards Perimount Plus Pericardial Bioprosthesis Alloy; Silicone Rubber, Polytetrafluoroethylene
Mitral - Model 6900P
EL039 Edwards Perimount Magna Model 3000 Carpentier-Edwards Perimount Magna 19MM Aortic Pericardial Tissue Valve; $4,900.00 $5,690.00
composition: Glutaraldehyde treated bovine 21MM Aortic Pericardial Tissue Valve;
pericardium/elgiloy wireform stent/polyester 23MM Aortic Pericardial Tissue Valve;
band/silicone rubber suture 25MM Aortic Pericardial Tissue Valve;
ring/polytetrafluoroethylene cloth/polyester 27MM Aortic Pericardial Tissue Valve;
29MM Aortic Pericardial Tissue Valve
Vascular
EL045 Lifestent - Peripheral Stent Stent: Stainless Steel composition. Items Stent Length 19mm - 27mm, 0.018 $2,533.33
included in delivery system: nylon balloon, compatible
stent and deployment system
EL048 Lifestent Peripheral Stent Stent: Nitinol composition with tanilum 6-8mm Diameter, length 20-90mm $2,250.00
markers, Items included in the delivery system:
Stent, deployment system
Endotec Australia Pty Ltd
Orthopaedic
EA036 BPU Revision Total Ankle Prostheses Tibial componenet ceramic coated titanium 1-6 $3,850.00
EA037 Buechel-Pappas Total Ankle Prosthesis - Primary Polyethylene mobile bearing 3mm - 11mm $925.00
Endotherapeutics Pty Ltd
Ear, Nose & Throat
ET031 Serenocem Cement Reaction bonded polymer composite formed by One size only - box of 2 $1,560.00
the neutralisation gelletation of a basic
inorganic ionomer
General/Miscellaneous
ET001 Ferx Ella Esophageal Stent Kit includes esophageal stent, introducer, Diam 20mm, Length 80 - 160mm $3,500.00
balloon catheter
Benefit(s) Updated Items for Prostheses List Report Page 5 of 21
Billing Product Name Description Size MinBenefit MaxBenefit
ET042 Soft Gastric Banding System Sterile long term implant for the treatment of One size only $3,264.00
obesity. Supplied in kit format with catheter,
port and huber needles
Urogenital
ET011 Macroplastique Sterile, textured, highly cross linked 1.3 ml & 2.5 ml $988.00
polydimethylsiloxane elastomer implants
suspended in a bio-excretable carrier gel.
Vascular
ET006 Embospheres - 2ml per implant $610.00
ESKA Australia
Orthopaedic
EK028 ESKA Modular Shoulder System Humeral Stem Universal $2,295.00
ev3 Australia Pty Ltd
Vascular
EE007 Nexus Detachable Coils Nexus Tetris Diam 3-19mm, Length 4-29cm $1,850.00
EE008 Nexus Detachable Coils Nexus Multi Diameter Diam 2-10mm, Length 1-30cm $1,850.00
Femcare Australia Pty Ltd
General/Miscellaneous
FE003 Filshie Clips - Sterishot With Disposable Applicator One Size $155.00 $440.00
Gyrus Australasia Pty Ltd
General/Miscellaneous
GY083 SprayGel Adhesion Barrier Polymer Kit PK-A-6010 SprayGel Polymer Kit; PK-A- One size only; PK-A-4210 - 5 Kits/Box $300.00
4210 SprayGel Open Surgery Polymer Kit
Howmedica
Neurosurgical
HW385 Xia Spine System Monoaxial Screw Dia 4.5 - 8.5mm Length 25 - 60mm $1,225.00
HW393 Xia Spine System Bone Screw One size only $577.00
Incision Pty Ltd
Vascular
IP011 Jotec Flowline Bipore Vascular Graft Thin Wall with Spiral Reinforcement 40 & 50cm $1,700.00
Benefit(s) Updated Items for Prostheses List Report Page 6 of 21
Billing Product Name Description Size MinBenefit MaxBenefit
IP012 Jotec Flowline Bipore Vascular Graft Thin Wall 40 & 50cm $1,100.00
IP013 Jotec Flowline Bipore Vascular Graft Standard Wall with Spiral Reinforcement 70 & 80cm $1,300.00
IP014 Jotec Flowline Bipore Vascular Graft Standard Wall 80cm $850.00
IP015 Jotec Flow Weave Vascular Graft Flow Weave 30cm $550.00
IP016 Jotec Flow Weave Vascular Graft Flow Weave 60cm $700.00
IP017 Jotec Flow Weave Vascular Graft Flow Weave BioSeal 15cm $600.00
IP018 Jotec Flow Weave Vascular Graft Flow Weave BioSeal 30cm $750.00
IP019 Jotec Flow Weave Vascular Graft Flow Weave BioSeal 60cm $1,000.00
IP020 Jotec Flowline Bipore Heparin ePTFE Vascular ePTFE Vascular Graft with microporous All sizes up to 50cm in length $950.00
Graft Straight, Standard Wall structure. Standard Wall with Heparin
IP021 Jotec Flowline Bipore Heparin ePTFE Vascular ePTFE Vascular Graft with microporous All sizes at over 50cm in length $1,300.00
Graft Straight, Standard Wall structure. Standard Wall with Heparin
IP022 Jotec Flowline Bipore Heparin ePTFE Vascular ePTFE Vascular Graft with microporous All sizes up to 50cm Length $1,100.00
Graft Straight, Standard Wall with Reinforcement structure. Standard Wall with Heparin and
Reinforcement
IP023 Jotec Flowline Bipore Heparin ePTFE Vascular ePTFE Vascular Graft with microporous All sizes at over 50cm in Length $1,500.00
Graft Straight, Standard Wall with Reinforcement structure. Standard Wall with Heparin and
Reinforcement
IP024 Jotec Flowline Bipore ePTFE Vascular Graft, ePTFE Vascular Graft with microporous All sizes up to 50cm in Length $870.00
Straight, Thin Wall structure. Thin Wall
IP025 Jotec Flowline Bipore ePTFE Vascular Graft, ePTFE Vascular Graft with microporous All sizes at over 50cm in length $1,100.00
Straight, Thin Wall structure. Thin Wall
IP026 Jotec Flow Nit Bioseal Polyester Vascular Grafts, Flow Nit Bioseal Straight grafts are texturised For all diameters in 30cm lengths $430.00
Straight Grafts exterior yarns for superior tissue incorporation
and healing characteristics, with the new
Bioseal impregnation to make the grafts blood
IP027 Jotec Flow Nit Bioseal Polyester Vascular Grafts, Flow Nit Bioseal Straight grafts are texturised For all diameters in 15cm lengths $540.00
Straight Grafts exterior yarns for superior tissue incorporation
and healing characteristics, with the new
Bioseal impregnation to make the grafts blood
Johnson & Johnson Medical Pty Ltd
Neurosurgical
JJ252 BIOPLATE Bone screw Titanium alloy long screw, 1 per pack, Dia 1.5mm, length 3, 4, 5, 6, 8, 10mm $44.00
packaged non-sterile
JJ253 BIOPLATE Bone screw Titanium alloy emergency screws, 5 per pack, Dia 1.8, length 6mm; Dia 2.3mm, length $66.00
packaged non-sterile 5mm
Benefit(s) Updated Items for Prostheses List Report Page 7 of 21
Billing Product Name Description Size MinBenefit MaxBenefit
Orthopaedic
JJ532 LCS Complete Revision System LCS Complete Revision VVC insert small-large+, 10 - 25mm $1,900.00
Urogenital
JJ070 TVT (Tension-Free Vaginal Tape) Single use device Undyed Prolene (polypropylene) 11 x 450mm $850.00
nonabsorbable tape
JJ478 Gynecare Prolift Pelvic Floor Repair System Pre-cut gynemesh PS and single use PFRP01 $1,295.00
instruments for mesh placement
Mathys Orthopaedics Pty Ltd
Orthopaedic
MA422 Articula Shoulder Prosthesis Articula Humeral Head Bionit Ceramic (A1203) 44mm, 46mm, 48mm $5,650.00
Medical & Optical Instruments Australia Pty Ltd
Orthopaedic
MO272 Acumed Tap-Loc Variable angle locking plate system medial; left and right, lateral Olecranon $1,550.00
Left and right 6-20 holes
Medical Device Alliance Pty Ltd
Plastic and Reconstructive
MP043 Silimed Tissue Expanders Double Chamber Model # 730, 20739 140/180-400/450ml $1,244.00 $1,800.00
Medimen Australia Pty Ltd T/A Alpha Medical Services
Orthopaedic
MM001 MOJE Toe and Finger Implants Includes distal and proximal implants $1,500.00
Medtel Australia Pty Ltd
Vascular
ME133 Micrus ACT Platinum Microcoil Delivery System Cerecyte Helical Cerecyte - 2mm x 2cm - 10mm x $1,850.00 $1,950.00
30cm
ME134 Micrus ACT Platinum Microcoil Delivery System Cerecyte Helical Soft Stretch Resistant Cerecyte - $1,850.00 $1,950.00
2mm x 1cm - 4mm x 8cm
ME135 Micrus ACT Platinum Microcoil Delivery System Cerecyte Spherical Cerecyte - 2mm x 2.5cm - $1,850.00 $1,950.00
19mm x 30cm
ME136 Micrus ACT Platinum Microcoil Delivery System Cerecyte Straight Cerecyte - 4mm x 10cm - 6mm x $1,850.00 $1,950.00
30cm
Medtronic Australasia Pty Ltd
Benefit(s) Updated Items for Prostheses List Report Page 8 of 21
Billing Product Name Description Size MinBenefit MaxBenefit
Cardio-thoracic
MC013 Medtronic Hall Heart Valve Aortic Model A7700, A7700/M7700 Titanium. Pyrolite. Dacron, A7700 - Diameter 20-31mm, M7700 - $5,000.00
Medtronic Hall Heart Valve Mitral Model M7700, A7700EZ/M7700EZ Titanium. Pyrolite. PET Diameter 23-33mm, A7700EZ - Diameter
Hall Easy Fit Aortic Heart Valve Model A7700, 19-29mm, M7700EZ - Diameter 23-31mm
Hall Easy Fit Mitral Heart Valve Model M7700
MC198 Medtronic Hall rotatable aortic valved collagen Titanium, pyrolite, dacron 20 - 33mm $6,800.00
impregnated conduit Model R7700
MC292 Advantage Heart Valve - Aortic Model A7760 A7760 - Pyrolytic carbon, PET Diameter 19-31 mm $5,909.00
MC324 Advantage Supra Aortic Heart Valve Mechanical Heart Valve Pyrolite Carbon Diameter (mm): 19 - 25 $5,909.00
leaflets Pyrolite carbon ring
MC681 Advantage Mitral Mechanical Heart Valve 23mm-33mm $5,909.00
MC701 Mosaic Cinch, Aortic, Mitral Models 305cxx, 310cxx 19mm - 35mm $4,350.00
Ear, Nose & Throat
MC275 Vent Tube Fluroplastic, Silicone 1.14 - 1.27mm x 0.9 - 3.0mm $14.00
Neurosurgical
MC382 Colorado Spinal System Colorado 2 Rod 5.0mm and 5.5mm, length range 50 - $444.00
600mm
MC402 CD Horizon Pedicle Screws Diameter 5.5 - 7.5 Lengths 25 - 80mm $1,037.00
MC421 Atlantis Anterior Cervical Plate Plate 80.0 - 95.0mm $1,550.00
MC449 Pyramesh Angled 25 - 150mm $3,605.00
MC450 Pyramesh Curved 130mm $3,605.00
MC451 Pyramesh Ovoid 8 - 70mm $3,605.00
MC490 Orion Anterior Cervical System Locking screw One size only $126.36
MC503 CD Horizon Fixed Angle Screw (Titanium) 25 - 90mm $1,037.00
MC504 CD Horizon Breakoff Set Screw 25 - 55mm $155.00
MC542 Vertex Spinal System Connector Length 10 - 13mm; diameter 3.2 - $1,385.00
MC544 Vertex Spinal System Rod 80 - 240mm $491.00
MC546 Vertex Spinal System Set screw One size only $155.00
MC579 CD Horizon Spondylolisthesis Screw Diameter: 4.5 - 7.5, Length: 25mm - $1,500.00 $1,600.00
MC586 CD Horizon Sextant Percutaneous Cannulated Cannulated titanium percutaneous multi axial Dia 3.5 to 9.5mm, Length 15 to 65mm $1,530.00
Multi Axial Screw screw
Benefit(s) Updated Items for Prostheses List Report Page 9 of 21
Billing Product Name Description Size MinBenefit MaxBenefit
MC589 Affinity Anterior cervical cage System The Affinity Cage is constructed of titanium 6 x 12mm; 6 x 14mm; 7 x 12mm; 7 x $1,949.00
alloy - kit includes trials, reamers and inserters. 14mm; 8 x 12mm; 8 x 14mm; 9 x 12mm; 9
x 14mm; 10 x 12mm; 10 x 14mm; 11 x
12mm; 11 x 14mm; 12 x 12mm; 12 x 14mm
MC590 Vertex Reconstruction System Crosslink Bar Composition - titanium alloy. The system One size only $990.00
allows for the adaptation of components from
other Sofamor Danek systems to provide for
constructs tailor made for individual cases.
MC591 Vertex Reconstructive System Laminar Hook Composition - titanium alloy 4.5mm / 5.5mm $820.00
MC598 Equation Spinal System Screw Length 25-55mm $1,037.00
MC608 TSRH 3D Connector Small, Medium, Large $1,020.00
MC616 Atlantis System Element Express Kit Includes Plate, 4 Screws, Plate 23 - 45mm $2,968.00
Screwdriver Shaft, Screwdriver Handle
MC635 CD Horizon Legacy In-Line Connector Length 40-110mm $1,600.00
MC636 CD Horizon Eclipse Dual Head Screws 20-60mm $1,037.00
MC637 CD Horizon Spire Plate One size $1,398.00
MC667 SiLo Set Screw One Size only $155.00
MC690 Neurostimulation System - Octad Leads Octad Standard Lead Kit without Percutaneous 45, 60 & 75cm $4,230.00
Extension Model 3777,
Urogenital
MC180 Sacral Nerve Stimulation Unilateral Interstim stimulation lead Models 3080 & 28 cm $3,330.00
3886. Platinum / Iridium, polyurethane.
MC719 InterStim Neurostimulator Model 3023 Titanium 42g $9,350.00
Vascular
MC715 Interceptor Plus Filter System Braided Nitol Filter: 3.5 - 6.5mm; Length: 180cm; $2,022.00
Profile: 0.032 - 0.036"
Morton Surgical Pty Ltd
Orthopaedic
MG022 Surgimesh WN / Surgimesh WN non-adherent Sugimesh WN non-adherent Tintra L 30x30x20cm $1,300.00
Nobel Biocare
Plastic and Reconstructive
NR001 Branemark Abutments Abutment, complete 3.5, 4.5, 5.0, 6.0, 7.0mm Diameter $96.00 $260.00
Benefit(s) Updated Items for Prostheses List Report Page 10 of 21
Billing Product Name Description Size MinBenefit MaxBenefit
NR009 NobelDirect Implant Dental Implant Endosseous incorporating 10mm, 13mm, 16mm $617.00 $625.00
abutment, Titanium
Orthocare Pty Limited
General/Miscellaneous
OC006 Breg Paincare 3000 100ml Continuous Infusion device (delivers 100cc reservoir $370.00
2ml/hr) with additional 4ml bolus. Code # 10314 L=10.4cm, D=3.0cm, W=7.4cm
OC007 Breg Paincare 3200 200ml Continuous Infusion device (delivers 200cc reservoir $265.00 $395.00
4ml/hr) with additional 4ml bolus Code # 11030 L=10.4cm, D=6.5cm, W=7.4cm
OC008 Breg Paincare 4200 200ml Continuous Infusion device (delivers 200cc reservoir $265.00 $395.00
2ml/hr) with additional 4ml bolus Code # 11090 L=10.4cm, D=6.0cm, W=7.0cm
Orthotech Pty Ltd
Neurosurgical
OH045 Synergy Spinal System Infant Hooks 4.75mm $772.00
OH046 Synergy Spinal System Washers Single/Double 16mm - 21mm $1,040.00
OH054 Interpore Bone Plate System TPS Locked Nut 3mm $500.00
OH058 Synergy Spinal System Growth Rod 30 - 60cm $1,345.00
OH130 Non-Fusion Spine Stabilising Device Titanium or PEEK Height 8 - 16mm $5,000.00
OH178 Omega 21 Spine Fixation System Screw, Spondylolisthesis, 4.75mm, 5.5mm, 25mm - 65mm $1,480.00
6.35mm, 7.5mm diameter
OH185 Spinelink Spinal Fixation System End Cap, Titanium One size only $360.00
OH186 OMEGA 21 Spine Fixation System Multidirection Coupling, Titanium One size only $780.00
OH190 Omega 21 Spine Fixation System Screw, Expandable, 5.5mm, 6.35mm, 7mm, 25mm - 65mm $1,480.00
Orthopaedic
OH203 Altius Occipito-Cervico-Thoracic (OCT) System Rod 8 to 24cm x 3.5mm Occipital and Curved $759.00
Rod
Pacific Medical
Ear, Nose & Throat
PM074 Tympo Vent Otological ventilation tubes, paparella with tab Length 2.2mm $17.83
Pacing Importers Pty Ltd
Vascular
PI004 Stentself Stent Phynox construction, adapted sizes & Dia 5 - 9mm Length: 20 - 100mm $1,800.00
Benefit(s) Updated Items for Prostheses List Report Page 11 of 21
Billing Product Name Description Size MinBenefit MaxBenefit
Plus Orthopedics Australia Pty Ltd
Orthopaedic
PL140 POLAR CUP ACETABULAR CUP SYSTEM DUAL MOBILITY SHELL TITANIUM VPS 43-67MM $2,350.00 $2,600.00
Portland Orthopaedics (Aust) Pty Ltd
Orthopaedic
PD021 M-COR Modular Hip System M-COR Uncemented Femoral Stem, Ti6AI4V 29-9Z to 47-17A $2,400.00
PD022 M-COR Modular Hip System M-COR Uncemented Femoral Neck, Ti6AI4V 31Z to 51A $1,500.00
Roche Diagnostics Australia Pty Ltd
General/Miscellaneous
RO003 Disetronic Administration Sets and Accessories Adaptor D-Tron plus 10/box $13.00
RO004 "Disetronic Infusion Sets" Tender II 17/30 Pack 10/10 $7.70 $22.90
RO006 Disetronic Administration Sets and Accessories Plastic Cartridge (H-Tron) 3.15mL 25/box $7.80 $11.96
RO007 Disetronic Administration Sets Plastic Cartridge (D-Tron plus) 3.0mL 5/box $13.00
RO010 "Disetronic Infusion Sets" Tender II 17/60 Pack 10/10 $7.70 $29.90
RO011 "Disetronic Infusion Sets" Tender II 17/80 Pack 10/10 $7.70 $29.90
RO012 "Disetronic Infusion Sets" Tender I 17/60 Pack 10 $7.70 $21.90
Scient'x Australia
Neurosurgical
SX001 Isobar TTL Monoaxial Screw D: 4.5 - 8mm, L: 25 - 50mm $1,037.00
SX002 Isobar TTL Polyaxial Screw D: 4.5 - 8mm, L: 30 - 55mm $1,600.00
SX003 Isobar TTL Rod L: 45-450mm $419.00
SX004 Isobar TTL Nut Blocker, Hemispherical $550.00
SX006 Isobar TTL Hooks Small, Large, offset $820.00
SX007 Antelys Cage H: 9-15mm $2,750.00
SX008 Antelys Plate H: 19-23mm $1,271.00
SX009 Antelys Screw D: 5mm, L: 32.5 to 50mm $250.00
SX010 PCB Plate-Cage Titanium cervical plate-cage L: 14-16mm, W: 12-15mm, Cage Height: $3,000.00
4.5-8mm, Plate Height: 23-29mm
Benefit(s) Updated Items for Prostheses List Report Page 12 of 21
Billing Product Name Description Size MinBenefit MaxBenefit
SX011 Stella Anterior cervical plate - titanium L: 21-121mm $1,550.00
SX012 Stella Screw D: 4-4.5mm, L: 12-20mm $190.00
SX014 CBK Cage PEEK L: 15mm, W: 13mm, H: 4.5-9mm $2,120.00
SX015 Easys Connector Bar - titanium L: 40-100mm $660.00
SX016 Easys Straddler - titanium alloy one size $900.00
Smith & Nephew Surgical Pty Ltd
Orthopaedic
SN376 Profix I/M Peg Femoral or Tibial 10-20mm x 100mm. 10-20x150mm 10-20 $1,254.00
x 200mm
SN834 Competitor Deuce Patello Femoral Oxinium Sm, Med Lg, XLg $3,000.00
SN838 Trigen InterTAN Nail Nail, Titanium diameter 10-13mm $1,350.00
length 18-46cm
Angle 125°-135°
SN842 Platform Hip Stem Titanium grit blasted stem 0-12 $3,450.00
St. Jude Medical Australia Pty Ltd
Cardio-thoracic
SJ036 St Jude Medical Coated Aortic Valved Graft Coated Aortic Valved Graft 21mm - 33mm $6,800.00 $7,800.00
SJ037 St Jude Medical Aortic Expanded Cuff Heart Valve; Aortic Expanded Cuff, Aortic Hemodynamic Aortic Expanded 19 -31mm, Aortic $5,909.00 $6,050.00
St Jude Medical Aortic Hemodynamic Plus Cuff Plus Cuff, Mitral Hemodynamic Cuff, Aortic & Hemodynamic 17 - 27mm, Mitral
Heart Valve; St Jude Medical Mitral Hemodynamic Mitral Rotatable Cuff Hemodynamic 17 -27mm, Rotatable 17 -
Plus Cuff Heart Valve; St Jude Medical Mechanical 33mm
Heart Valve Masters Series
SJ039 St Jude Medical Regent Prosthetic Heart Valves Standard Cuff - Model 17AGN-751 - 29AGN- Standard cuff - 17-29mm, Flex cuff - 17- $5,909.00 $6,990.00
751, Flex Cuff - Model 17AGFN-756 - 29mm
29AGFN-756
SJ069 St Jude Medical Biocor Porcine Prosthetic Heart St Jude Medical Biocor Porcine Prosthetic Aortic Valves - Tissue Annulus Diameter $4,350.00 $5,000.00
Heart Valve is manufactured from selected - 21-29mm, Implant Height - 11-15c;
procine aortic valve cusps that have been cross- Mitral Valves - Tissue Annulus Diameter
linked with a glutaraldehyde solution - 25-35mm, Implant Height - 8-10mm
Vascular
SJ043 Intergard W Woven Aortic Arch 24mm x 10mm x 8mm x 8mm x 50cm - $1,950.00
30mm x 10mm x 8mm x 8mm
Stryker Australia Pty Ltd
Neurosurgical
Benefit(s) Updated Items for Prostheses List Report Page 13 of 21
Billing Product Name Description Size MinBenefit MaxBenefit
ST687 Dimso/Stryker Implants Diapason Screw -long arm 5.5, 6.7, 7.7mm by 30-60mm by 5mm $879.00
increment
Orthopaedic
ST971 TenXor External Fixation System Anodized metal alloy, with sliding clamp One size only $250.00
Plastic and Reconstructive
ST163 Leibinger Titanium Implant System Leibinger Steinhauser plate: L-shape, right/left, 5 holes, 8mm bar, 0.55mm height $200.00
with bar Titanium
ST311 Leibinger Titanium Implant System Plate - Leibinger Low Profile Osteosynthesis 4 holes $110.00
System: mini, non-compression / compression,
straight, regular / extended, medium / long
Titanium
ST346 Leibinger Screws Leibinger Micro Screws: cross-slot, self- 1.2x2mm, 1.2x5mm $65.00
tapping Titanium
ST362 Leibinger Screws Leibinger - Salzburg Lag Screws Titanium 2x13mm, 2x15mm. Pack of 10 $50.00
Stryker Australia Pty Ltd (2)
Neurosurgical
SK224 Oasys-Occipito Cervico Thoracic System Ti-6A1-4V 3.5mm Rod (Length 80mm); 3.5mm Rod $722.00
(Length 120mm); 3.5mm Rod (Length
240mm)
Orthopaedic
SK055 Matta Pelvic System Straight acetabular plate 10-14 Holes $368.00
SK057 Matta Pelvic System Straight acetabular plate 15-20 Holes $160.00
SK067 Matta Pelvic System Curved Pelvic Plate Radius 108 4-9 Holes $53.00
SK069 Matta Pelvic System Curved Pelvic Plate Radius 108 10-14 Holes $32.00
SK071 Matta Pelvic System Curved Pelvic Plate Radius 88 4-9 Holes $61.00
Plastic and Reconstructive
SK422 Orthodontic Skeletal Anchor Screw Anchor Screw for Mandibular Maxillary 1.7mm $110.00
Fixation Screw, Self-Drilling
SK423 Orthodontic Skeletal Anchor Screw Anchor Screw for Mandibular Maxillary 2.0mm $110.00
Fixation Screw, Self-Drilling
Surgical House
Neurosurgical
SU002 Rod 3.5mm CVD Titanium alloy; component of the Olerud 120mm $419.00
Cervical System
Benefit(s) Updated Items for Prostheses List Report Page 14 of 21
Billing Product Name Description Size MinBenefit MaxBenefit
SU003 Rod 3.5mm CVD Titanium alloy; component of the Olerud 40mm $419.00
Cervical System
SU004 Rod 3.5mm CVD Titanium alloy; component of the Olerud 80mm $419.00
Cervical System
SU072 OGP posterior lumbar rigid screw fixation system OGP clamp 10,12,14,16,18mm $1,386.00
SU074 Olerud spinal system: Threaded rod Hook/screw & rod spinal system component 35mm - 180mm x 7mm $492.00
SU083 Rod straight 40mm Hook/screw & rod Spinal system component 3.5mm diam $419.00
SU084 Rod straight 80mm Hook/screw & rod spinal system component 3.5mm diam $419.00
SU085 Rod straight 120mm Hook/screw & rod spinal system component 3.5mm diam $419.00
SU089 Occiput rod 120mm Hook/screw & rod spinal system component 3.5mm diam $2,888.00
SU095 Songer cable system Double loop titanium spinal cable plus crimps One size only $464.00
SU096 Hartshill: Ransford Occipito-cervical - titanium loop 100 degree 9mm-20mm $3,364.00
SU098 Hartshill Rectangle Stainless steel posterior lumbar fusion system 5mm diam 3-5cm length $804.00
SU099 Hartshill Rectangle Stainless steel posterior lumbar fusion system 5mm diam 6-8cm length $1,027.00
SU100 Hartshill Rectangle Stainless steel posterior lumbar fusion system 5mm diam 9-11cm length $1,239.00
SU101 Hartshill Rectangle Stainless steel posterior lumbar fusion system 5mm diam 12-14cm length $1,471.00
SU102 Hartshill Rectangle Stainless steel posterior thoracic/thoracolumbar 6mm diam 15-19cm length $1,972.00
fusion system
SU103 Hartshill Rectangle Stainless steel posterior thoracic/thoracolumbar 6mm diam 20-24cm length $2,316.00
fusion system
SU104 Hartshill Rectangle Stainless steel posterior thoracic/thoracolumbar 6mm diam 25-30cm length $2,700.00
fusion system
SU105 Hartshill Rectangle Stainless steel posterior thoracic/thoracolumbar 6mm diam 31-36cm length $2,980.00
fusion system
SU106 Hartshill Rectangle Stainless steel posterior thoracic/thoracolumbar 6mm diam 37-44cm length $3,473.00
fusion system
SU172 Stalif Interbody Spinal Fusion Implant: 37mm x 11, 13, 15mm; 41mm x 11, 13, $5,036.00
Retroperitoneal/Transperitoneal 15mm; 45mm x 11, 13, 15mm; 37mm x
17mm, 41mm x 17mm, 45mm x 17mm
SU173 Intext Cervical Plate/Intext Screws Intext cervical plate, including (2-part) fixation Screws/Revision Screws - dia 4.4mm, $744.00
screws length 11 - 18mm - Pack of 3
SU198 Olerud ME-Connector Titanium. For polyaxial connection of Olerud for use with 3mm and 4mm Olerud $743.00
cervical pedicle screws to rod, claws etc for
fixation of the cervical spine.
Benefit(s) Updated Items for Prostheses List Report Page 15 of 21
Billing Product Name Description Size MinBenefit MaxBenefit
SU199 Olerud PF Blocks Titanium, Threaded or Non-threaded, 0, 10, To suit 7mm Olerud PF Rods $1,200.00
13mm offset
Surgical Specialties Pty Ltd
Orthopaedic
SQ001 Rearfoot Plate - RPS Titanium 6-14 holes $750.00
Surgical Synergies Pty Ltd
General/Miscellaneous
SS004 PainBuster Kit includes catheter, introducer needle, flow 270ml volume x 5 ml per hour $300.00
restrictor, filter
Synthes Australia Pty Ltd
Neurosurgical
SY150 Universal Spine System (USS) Washers Pointed, Flat, 4.2 - 7mm $431.00
SY175 Universal Spine System (USS) Pedicle Screw - USSII 25 - 140mm $1,350.00
SY250 Universal Spine System Low Profile Transconnector 18-83mm length $1,100.00 $2,565.00
SY276 Spine Cable System Single Lead One size only $412.00
SY289 USS llio-Sacral Fixation system Polyaxial screw 20mm to 140mm $1,390.50
SY291 Anterior Tension Band Locking Screw 22mm to 36mm $275.00
SY295 Synmesh End rings round/oblong $1,133.00 $1,200.00
SY325 Universal Spine System Hook Small, Medium, Large, Lamina, Thoracic, $970.26
Pedicle
SY364 Cervical Spine Locking Plate (CSLP) System Eepansion Head Screw Dia 3.5 - 4.5mm, Length 12 - 25mm $298.00
Orthopaedic
SY056 Cortex Screws 2.7mm - 5.00mm diameter, 5mm - $92.70
100mm Length
SY065 Cortex Screw Cortex Screws 1.0mm - 2.6mm diameter, 5mm - 100mm $67.00
Length
SY081 AO/ASIF Screws 4.0mm Cancellous Screws 29.0 - 70.0mm $48.93
SY105 AO/ASIF Plates - Steel Condylar & small condylar, angled plate 5 - 24 hole, blade length 50 - 90mm, 95 $974.00
degree
SY189 ChronOS Cylinder Osteoconductive Bone Substitute 8.5, 9.5, 10.5, 12.5 & 14cm $980.20
SY224 Orthopaedic External Fixator Systems External fixator clamp components, angled 3.5-11.0mm $1,167.30
Benefit(s) Updated Items for Prostheses List Report Page 16 of 21
Billing Product Name Description Size MinBenefit MaxBenefit
SY352 Cortex Screws Cortex Screws pack of four 1.00mm 2.6mm diameter, 5mm - 100mm $268.00
length
SY353 Cortex Screws Cortex Screws pack of four 2.7mm - 5.0mm diameter, 5.0mm - $370.80
100mm Length
Tag Medical
Cardio-thoracic
TM039 Mitroflow Pericardial Bioprosthesis 19-27mm $4,445.00 $4,950.00
Taylor Bryant Pty Ltd
General/Miscellaneous
TB137 Curaspon Absorbable Gelatin Sponge CUR-ST-1258001-10C Absorb Sterile Gelatin 100mm, Bx /10 $41.00
Sponges
Neurosurgical
TB192 Blackstone Medical Inc Anterior Cervical Plate Titanium alloy plate 4.4mm Diameter x 14mm length $2,050.00
TB241 Spinal Fixation System Rod - Titanium 40mm to 100mm in 10mm increments $260.00
TB273 Blackstone - Posterior Cervical System Double Loop Cable w/Four Crimps - Titanium One size only $464.00
TB293 Wafer Cartridge Assemby, Composition: Peek 8 x 20/25/30mm $2,700.00
Terumo Corporation Australia
Vascular
TU036 Gelweave Valsalva Graft Woven vascular prosthesis, polyester, gelatin Diameter 26 - 32 mm, Overall length 18.6 $3,250.00 $3,528.50
sealed - 19.2 cm
W L Gore & Associates
Vascular
GT002 Gore-Tex Axillo-Bifemoral Vascular Graft ePTFE 70 - 40cm Length 8 x 8mm Diameter $1,900.00
GT003 Gore-Tex Axillo-Bifemoral Vascular Graft with ePTFE 70 - 40cm Length 8 x 8mm Diameter $1,900.00
Removable Rings
GT006 Gore-Tex Bifurcated Graft ePTFE 12x6mm to 24x12mm 40-50cm long $930.00
GT010 Gore-Tex Vascular Graft THIN Wall Grafts TAPERED (ePTFE) 4.5-6.5 & 6-8mm Diameter x 80-90cm $1,320.00
Lengths
GT020 Viabahn/Hemobahn Endoprosthesis Endoluminal Graft System Viabahn 2.5mm - 8mm Diameter, 5cm $3,270.00
Length; Hemobahn 6 - 13mm Diameter,
5cm Length
Benefit(s) Updated Items for Prostheses List Report Page 17 of 21
Billing Product Name Description Size MinBenefit MaxBenefit
GT021 Viabahn/Hemobahn Endoprosthesis Endoluminal Graft System Viabahn 2.5mm - 8mm Diameter, 10cm $3,995.00
Length; Hemobahn 6 - 13mm Diameter,
10cm Length
GT022 Viabahn/Hemobahn Endoprosthesis Endoluminal Graft System Viabahn 2.5mm - 8mm Diameter, 15cm $4,530.00
Length; Hemobahn 6 - 11mm Diameter,
15cm Length
GT023 Excluder Endovascular Prostheses Thoracic Stent Graft Nitinol & ePTFE 26-40mm Diameter x 15-20cm Lengths $14,500.00
GT029 Gore Tips Endoprosthesis ePTFE 8-12mm Diameter 4-8cm Graft-Lined $4,120.00
Length 2cm Unlined Length
GT134 Gore-tex Vascular Grafts Standard Wall Grafts (ePTFE) Diameter 6 - 10mm, Length 50cm $690.00
GT147 Gore-tex Vascular Grafts Standard Wall Grafts Stretch (ePTFE) Diameter 12 - 24mm, Length 30cm $525.00
GT175 Gore-tex Vascular Grafts Ringed Grafts Removable Standard Wall 4-7 mm x 70cm - Rings 30cm Length $1,300.00
Tapered (ePTFE)
GT190 Excluder Endovascular Prostheses Abdominal Stent Graft Nitinol & ePTFE - Iliac Diameter 10 - 14.5mm, Length 7cm $3,700.00
Extender
GT191 Excluder Endovascular Prostheses Thoracic Stent Graft Nitinol & ePTFE Diameter 26-40mm x 10cm Length $13,400.00
GT216 Gore-tex Axillobifemoral Vascular Graft Stretch vascular graft with removable rings Diameter 8mm $1,950.00
(ePTFE)
GT218 Gortex Propaten Vascular Graft Stretch Thin Wall Graft (ePTFE) 6mm diameter 30cm Removable Ring - $1,870.00
70cm length
GT220 Gortex Propaten Vascular Graft Stretch Thin Wall Graft (ePTFE) 6-8mm diameter 60-70 Removable Ring - $1,920.00
80cm length
GT222 Gortex Propaten Vascular Graft Stretch Thin Wall Graft (ePTFE) 6-8mm diameter Non-Ringed 80cm length $1,260.00
William A Cook Aust Pty Ltd
General/Miscellaneous
WC078 Cook Biliary Stents Composition Plastic, includes Stent, Wireguide French 7.0, length 4cm $245.00
& Positioner
WC199 Cook Gastronomy Tubes Russell Gastronomy Set 14fr, 17cm $284.98
Urogenital
WC162 Cook Ureteral Stent - Tarkington Urethral Stent Stent, Wire 8 fr $79.00
WC171 Urinary Tract Stent set Endo-Sof Multilength Ureteral Stent and 5, 6, 7 fr, Length: 22-32cm $180.00
Positioner Only
Vascular
WC045 Cook H & L-B - Endostent Converter Diameter 20 thru 36 Length 80-85 $817.88
WC061 Detachable Coil System Microembolisation Coils - Platinum 011/018 2-20mm diameter, 2 - 50cm length $785.90
Benefit(s) Updated Items for Prostheses List Report Page 18 of 21
Billing Product Name Description Size MinBenefit MaxBenefit
WC076 Flipper-Patient Ducts Arteriosus-Occluding System Detachable Coil for PDA Closure Coil Diameter 3,5,6.5 & 8 mm Number of $233.95
Loops (3,4,5)
WC094 Cook Implantable Injection/Infusion Ports Mini Single Chamber Titanium with Standard 5.0fr, 6.5fr, 7.5fr, 8.5fr Pre-attached or $523.00
Introducer Set; Petite Single Chamber Titanium Detached Catheter
with Standard Introducer Set; Petite Single
Chamber Titanium with Micropuncture
Introducer Set; Standard Single Chamber
Titanium with Standard Introducer Set
WC111 Cook Central Venous Catheterisation Kit Single lumen peripherally inserted catheter set, Fr 3, 4, 5 and Length 50 and 60cm $132.55
includes catheter, needle, J-wire and introducer
WC112 Cook Central Venous Catheterisation Kit Double lumen peripherally inserted catheter Fr 6, 7 and Length 50cm $199.50
set, includes catheter, needle, wire or J-wire and
introducer
WC115 Cook Implantable Injection/Infusion Port Mini Single Chamber Titanium with 5.2fr Detached Catheter $639.00
Micropuncture Introducer Set
WC153 Zenith AAA Endovascular Graft Composite One size only $12,500.00
WC156 Zenith AAA Endovascular Graft ZFEN-1000 Fenestrated One size only $15,800.00
WC157 Zenith TAA Endovascular Graft Thoracic - TX2 One size only $17,600.00
WC159 Zenith TAA Endovascular Graft Thoracic - TX1 One size only $10,800.00
WC160 Zenith TAA Endovascular Graft Thoracic Proximal Extension Dia 22 Length 77; Dia 24 Length 77;Dia $6,150.00
26 Length 77; Dia 28 Length 80; Dia 30
Length 80; Dia 32 Length 80; Dia 34
Length 77; Dia 36 Length 77; Dia 38
Length 77; Dia 40 Length 81
Diameter 42 Length 81
WC164 Cook Implantable Injection/Infusion Ports Dual Chamber Titanium Port 7.5 fr, 11.5 fr Pre-Attached or Detached $746.00
Catheter with Standard or Micropuncture
Introducer
WC173 Cook Embolisation Coils Nester Platinum Diameters: .018 and .035, Extended $241.85
Lengths: 14cm, Coil Diameters: 3mm to
10mm
WC186 ZenithThoracic Endovascular Graft Thoracic Proximal Graft 22mm to 42mm diameter; 115mm to $8,800.00
216mm length
WC187 Zenith Thoracic Endovascular Graft Thoracic Distal Graft 26mm to 42mm diameter; 127mm to $8,800.00
207mm length
WC188 Zenith Thoracic Endovascular Graft Thoracic Body Extension 22mm to 42mm diameter; 77mm to $6,000.00
81mm length
WC192 Detachable Mreye Embolization Coils Jackson Mreye Diameters: .035 and .038 Extended $133.90
Lengths: 4cm to 6cm Coil Diameters:
3mm to 12mm
Benefit(s) Updated Items for Prostheses List Report Page 19 of 21
Billing Product Name Description Size MinBenefit MaxBenefit
WC201 Cook Central Venous Catherisation Kits Turbo-Flo Peripherally Inserted Central 4Fr - 60cm and 5Fr - 60cm $132.55
Venous Catheter Set, Single Lumen
Polyurethane with Micropuncture Peel-Away
Sheath Introducer and Wire Guide
WC204 Cook Central Venous Catheterisation Kits Turbo-Flo Over-The-Wire Peripherally 4Fr - 60cm and 5Fr -60cm $132.55
Inserted Central Venous Catheter Set, Single
Lumen Polyurethane with Micropuncture Peel-
Away Sheath Introducer and Wire Guide
WC206 Cook Central Venous Catheterisation Kits PICC Peripherally Inserted Central Venous 3Fr - 50cm and 4Fr and 5Fr - 60cm $238.99
Catheter Set, Single Lumen Silicone with
Micropuncture Peel-Away Sheath Introducer
and Nitinol Wire Guide
WC207 Cook Central Venous Catheterisation Kits PICC Peripherally Inserted Central Venous 3Fr - 50cm and 4Fr and 5Fr - 60cm $132.55
Catheter Set, Catheter without Clamp, Single
Lumen Silicone with Micropuncture Peel-
Away Sheath Introducer and Wire Guide
WC208 Cook Central Venous Catheterisation Kits PICC Peripherally Inserted Central Venous 4Fr - 60cm and 5Fr - 60cm $241.25
Catheter Set, Catheter without Clamp, Single
Lumen Silicone with Micropuncture Peel-
Away Sheath Introducer and Nitinol Wire Guide
WC210 Zenith Fenestrated AAA Endovascular Graft Distal Fenestrated Body Diameter 12-24mm, 1st length 28-62mm, $4,700.00
2nd length 76-121mm
Zimmer
Neurosurgical
ZI330 Trabecular Metal Spinal Devices Composition - Trabecular Metal Various heights, sizes and diameters $6,200.00
ZI334 Dynesys Cord Composition: Sulene 100 or 200 mm long $2,669.00
ZI479 Silhouette Spinal System Implants Nut, Locking, Polyaxial 1 size $170.00
ZI483 Spine-Tech BAK "L" Cage Lumbar Cage 9 x 20mm, 9 x 24mm, 11 x 20mm, 13 x $1,719.00
20mm, 13 x 24mm, 15 x 20mm, 15 x
24mm, 17 x 24mm, 17 x 28mm
ZI487 Trinica Screw Titanium Screws, fixed and variable angle. 4.2mm x 12/14/16/18mm; 4.6mm x $195.00
12/14/16/18mm
Orthopaedic
ZI510 Optima Spinal System - Transverse Link Assembly Small, Medium, Large $936.00
ZI511 Optima Spinal System - Set Screw One size only $312.00
ZI512 Optima Spinal System - Rod Dia 5-7mm, length 40-400mm $513.00
ZI513 Optima Spinal System - Monoaxial Pedicle Screw Dia 4-8mm, length 20-60mm $936.00
System
Benefit(s) Updated Items for Prostheses List Report Page 20 of 21
Billing Product Name Description Size MinBenefit MaxBenefit
ZI514 Optima Spinal System - Polyaxial Pedicle Screw Dia 4-8mm, length 20-60mm $1,300.00
System
Benefit(s) Updated Items for Prostheses List Report Page 21 of 21
Changed Items for Prostheses August 2006 Attachment B
Billing Product Name Description Size Explanation of Change
Advanced Biomedical Pty Ltd
Cardio-thoracic
AB002 ATS medical open pivot heart valve model 500FA Pyrolythic Carbon, Double Velour Polyester, 16-33mm Expanded into AB064. Change of
standard flexi-cuff aortic valve series, ATS medical Titanium product name.
open pivot heart valve model 500DM standard
flexi-cuff mitral valve series
AB064 ATS medical open pivot heart valve model 501DA Pyrolythic Carbon, Double Velour Polyester, 16-33mm Expansion from AB002. Change of
advanced performance (AP) aortic valve series, ATS Titanium product name.
medical open pivot heart valve model 501DM
advanced performance (AP) mitral valve series
Atrium Australia-Pacific Rim Pty Ltd
Vascular
AC002 Atrium PTFE Vascular Graft Straight PTFE Standard Wall 6mm x 10cm - 10mm x 90cm Group Changed to VPCAG 3a
Boston Scientific Pty Ltd
Urogenital
BS086 Polaris Ultra Ureteral Stent This ureteral stent is made from Percuflex Sizes up to 7Fr, lengths up to 30cm Added ARTG number 50859
material with a Hydro Plus Coating
BS091 Percuflex; Percuflex Plus; Percuflex Tail; Percuflex Each Stent contains a ureteral stent with Size: 4Fr to 14Fr, Length: 10cm to 95cm Expanded from BS038. Change of
Tail Plus Ureteral Stents. attached suture and stent positioner product name
BS092 Contour Ureteral Stents Each Stent contains a ureteral stent with Size: 4Fr to 14Fr, Length: 10cm to 95cm Expanded from BS038. Change of
attached suture and a stent positioner . If product name.
packaged as a set, the set will contain the
ureteral stent, stent positionerand guidewire
BS093 Retromax Plus Ureteral Stent Each Stent contains a uretera stent with Size: 4Fr to 14Fr, Length: 10cm to 95cm Expanded from BS038. Change of
attached suture and stent poitioner. product name
BS094 Contour VL; Stretch VL Flexima; Ureteral Stents Each Stent contains a ureteral stent with Size: 4Fr to 14Fr, Length: 10cm to 95cm Expanded from of BS038. Change of
attached suture and a stent positioner product name
BS095 Urinary Diversion Stents Each Stent contains a ureteral stent with Size: 4Fr to 14Fr, Length: 10cm to 95cm Expanded from BS038. Change of
attached suture and a stent positioner product name
Changed Items for Prostheses List Report Page 1 of 4
Billing Product Name Description Size Explanation of Change
Cochlear Limited
Ear, Nose & Throat
CO027 BAHA - Bone Anchored Hearing Aids Flange fixture 4mm and 3mm Change to product size
CO030 BAHA - Bone Anchored Hearing Aids Flange Fixture - Titanium Self Tapping 4mm and 3mm Change to product size
CO032 BAHA - Bone Anchored Hearing Aids Flange Fixture - Titanium Self Tapping 4mm and 3mm with BAHA Change to product size
Abutment
Corin Australia Pty Ltd
Orthopaedic
CR016 Cormet 2000 - Modular Endo Head CoCr alloy >32mm Change to product size
CR063 Ceramic Insert for Alpha Cera Fit Cup Biolox Forte 28-36mm Change to product size
CR065 Ball Heads 12 - 14 Taper (Alumina) Alumina Ball Head (28mm) >32mm Change to product size
CR073 Alpha Lock, (UHMWPE) Inlays UHMWPE 22-32mm Change to product size
CR086 Tri-Fit Hip Titanium stem proximally coated with titanium 5-20mm Change to product size
plasma spray and Hydroxyapartite
De Puy Australia
Neurosurgical
DY069 Codman Anterior Cervical Plate System Anterior Cervical Plate 50 - 70mm Category changed to Neurosurgical
Edwards Lifesciences Pty Ltd
Cardio-thoracic
EL033 Baxter Augmentation / Substitution Material, Edwards Pericardial Patch. Bovine Pericardium. 10cm x 16cm Group Changed to CPCAG 5a
Human or Animal Origin, Sterile Pericardial Patch.
Endotec Australia Pty Ltd
Orthopaedic
EA036 BPU Revision Total Ankle Prostheses Tibial componenet ceramic coated titanium 1-6 EA001 expanded into EA036
EA037 Buechel-Pappas Total Ankle Prosthesis - Primary Polyethylene mobile bearing 3mm - 11mm EA002 expanded into EA037
Howmedica
Orthopaedic
HW017 Stryker Biolox Forte Alumina Femoral Head 28, 32mm ST928, SK011 and SK012 have been
compressed into HW017
HW032 Stryker CoCr Femoral Head 22, 26, 28, 30, 32mm HW018, HW027, HW058, HW059,
ST567, ST598 were compressed into
HW032
Changed Items for Prostheses List Report Page 2 of 4
Billing Product Name Description Size Explanation of Change
IQ Medical
Ophthalmic
IQ003 Tetraflex Acrylic single piece, foldable accommodating Available in dioptric powers from +5.0 to Changed group to LPCAG 5c with suffix
intraocular lens with sqare edge design, custom +36.0, 1D steps: +31.0 to +36.0; 0.5D (P).
control precision and closed loop haptic design steps: +5.0 to +18.0 and +25.0 to +30.0;
0.2D steps; +18.0 to +25.0
Medtronic Australasia Pty Ltd
Cardio-thoracic
MC005 Medtronic Duran Annuloplasty Ring; Duran Annuloplasty Devices - Models 610R & 620R Model 610R 25-35mm & Model 620R Expanded into Billing code MC709.
Ancore Ring 620R; Duran Ancore Chordal Model Silicone / Barium Sulphate, Dacron. 23-35mm Product name, description and size
changed
MC709 Posterior Annuloplasty Band; Colvin - Galloway Annuloplasty - Model 610B & 620B Silicone / Model 610B: 25-35mm; Models 620B & Expanded from MC005. Product name,
Future Band Model 638B; Duran Ancore Band Barium Sulphate, Dacron. Models 638B semi- 620BG: 23-35mm, Model 638B - 26-38mm description and size changed.
620B; Duran Ancore Chordal Model 620BG regid metal alloy core, silicone coating,
polyester knit fabric, kit includes-band,
malleable handle, template with suture markers,
Neurosurgical
MC375 Colorado Spinal System Colorado 2 Hook, Pedicular hook - small and MC375 was expanded into MC724 due
large, Laminar hook - small, medium and large, to two groupings. Product description
Staple for pedicular hooks,
Open laminar thoracic hook, Supra laminar
median hook,
Narrow laminar - 1 size, Open laminar - 1 size
MC710 Neurostimulation System - Octad Leads Octad Standard Lead Kit with Percutaneous 45, 60 & 75cm Expanded from MC690 into MC710,
extension model 3877 MC711 and MC712. Product
description changed
MC712 Neurostimulation System - Octad Leads Octad Compact Lead Kit with Percutaneous 45, 60 & 75cm Expanded from MC690 into MC710,
Extension Model 3878 MC711 and MC712. Product desription
changed.
Urogenital
MC180 Sacral Nerve Stimulation Unilateral Interstim stimulation lead Models 3080 & 28 cm Temporary test removed from further
3886. Platinum / Iridium, polyurethane. description. Product description changed
Vascular
MC715 Interceptor Plus Filter System Braided Nitol Filter: 3.5 - 6.5mm; Length: 180cm; Product name changed
Profile: 0.032 - 0.036"
Changed Items for Prostheses List Report Page 3 of 4
Billing Product Name Description Size Explanation of Change
Roche Diagnostics Australia Pty Ltd
General/Miscellaneous
RO003 Disetronic Administration Sets and Accessories Adaptor D-Tron plus 10/box Added text under field “Notation”
RO004 "Disetronic Infusion Sets" Tender II 17/30 Pack 10/10 Added text under field “Notation”
RO006 Disetronic Administration Sets and Accessories Plastic Cartridge (H-Tron) 3.15mL 25/box Added text under field “Notation”
RO007 Disetronic Administration Sets Plastic Cartridge (D-Tron plus) 3.0mL 5/box Added text under field “Notation”
RO010 "Disetronic Infusion Sets" Tender II 17/60 Pack 10/10 Added text under field “Notation”
RO011 "Disetronic Infusion Sets" Tender II 17/80 Pack 10/10 Added text under field “Notation”
RO012 "Disetronic Infusion Sets" Tender I 17/60 Pack 10 Added text under field “Notation”
Smith & Nephew Surgical Pty Ltd
Orthopaedic
SN831 Peri-Loc UE Locking plates SS: Distal Radius, Olecrannon, 2.5-4.5mm, 3-14 holes Product name changed
Humerus, Clavicle
SN832 Peri-Loc UE Self Tapping Cortex Locking Screw 2.5-2.7mm, 10-60mm length Product name changed
SN833 Peri-Loc UE Self Tapping Cortex Non Locking Screw 2.5mm, 10-30mm length Product name changed
Southern Surgical Distribution Pty Ltd
Urogenital
DS001 Serasis TO Stress Incontinence system Blue Polypropylene monofilament tape with 55 cm tape Sponsor Changed
(Trans obturator approach) looped edges. Tape only
Stryker Australia Pty Ltd
Orthopaedic
HW394 Stryker Bilox Forte Alumina Femoral Head 36mm Compressed billing code - SR001
Stryker Australia Pty Ltd (2)
Neurosurgical
SK425 VBOSS/VLIFT Titanium Available from 10 to 25mm in Diameter Expanded from SK338
and from 8 to 120mm in Length
Stryker Australia Pty Ltd (3)
Orthopaedic
SR023 Stryker Revision Femoral Head, Biolox Forte With pre assembled titanium sleeve 28, 32mm Compressed billing code - SR010
SR025 C-Taper CoCr HeadStryker CoCr Femoral Heads, 36mm SR019 and ST929 have been compressed
LFIT treatment into SR025
Synthes Australia Pty Ltd
Orthopaedic
SY180 Cervical Spine Locking Plate (CSLP) System Small Stature Plate Length 20-77mm reinstated 15/10/06 after accidentally
deleted in August 06. Previous Benefit
amount retained.
Changed Items for Prostheses List Report Page 4 of 4
Deleted Items for Prostheses List August 2006 Attachment C
Billing Product Description Size Explanation of Change
Boston Scientific Pty Ltd
General/Miscellaneous
NG033 Polyflex Airway Stent Poylester braided material encapsulated with silicone, Stent inner diameters up to 22mm, stent lengths up to transferred sponsorship from
self expanding stent 80mm N Stenning to Boston Scientific
Pty Ltd NG033-deleted, then
BS101 and BS102 added
Howmedica
Orthopaedic
HW018 ABG Hip System ABG1 Metal femoral head - Francobal 22mm,28mm,32mm Dia Was compressed into HW032
HW027 Contemporary Hip System Range Femoral Head. Vitallium 22, 26, 28, 32mm Was compressed into HW032
HW058 PCA Hip System Femoral Head - Vitallium 22mm,26mm,28mm, 32mm Dia Was compressed into HW032
HW059 PCA Hip System Revision (+15mm) Head - Vitallium 26mm,28mm,32mm Dia Was compressed into HW032
Stryker Australia Pty Ltd
Orthopaedic
ST567 Osteonics hip prostheses Femoral head, cobalt chrome 22, 26, 28, 32mm dia Was compressed into HW032
ST598 Peritia Metal head cobalt chrome 12-14 and 14-16 taper 28 & 32mm dia Was compressed into HW032
ST928 ABG 1 Revision Femoral Head Composition - Alumina ceramic with pre assembled 32mm with OD with a std (0mm) #465700 and (+5mm) Was Compressed into HW017
titanium sleeve #465703 neck length options
ST929 V40 LFIT CoCr Femoral Heads Composition - Ion Implanted V40 Chrome Cobalt Heads Dia 22mm: Std (0), +3mm, +8mm neck lengths. Dia Was compressed into SR025
26mm: -3mm, Std (0), +4mm, +8mm, +12mm, +16mm
neck lengths. Dia 28mm: -4mm, Std (0), +4mm, +6mm,
+8mm, +12mm, +16mm. 32mm: -4mm, Std (0), +4mm,
+8mm, +12mm, +16mm
Stryker Australia Pty Ltd (2)
Orthopaedic
SK011 PCA Revision Femoral Head 32mm OD with a std, +5mm neck length options Was Compressed into HW017
SK012 C-taper Ceramic Biolox Head 22 -28mm Diameter Was Compressed into HW017
Deleted Items for Prostheses List Report Page 1 of 2
Billing Product Description Size Explanation of Change
Stryker Australia Pty Ltd (3)
Orthopaedic
SR001 Stryker Biolox Forte Alumina 36mm Was compressed into HW394
Femoral Head
SR010 PCA Revision Femoral Head 32mm OD with a std, +5mm neck length options Was compressed into SR023
SR015 Stryker CoCr Femoral Heads, LFIT 36mm Was compressed into SR025
Treatment
Deleted Items for Prostheses List Report Page 2 of 2
Items Added to the Prostheses List August 2006 Attachment D
Billing Product Description Size MinBenefit MaxBenefit
Sponsor : Boston Scientific Pty Ltd
BS101 Polyflex Airway Stent Poylester braided material encapsulated with silicone, Stent inner diameters up to 22mm, stent $2,040.00
self expanding stent lengths up to 80mm
BS102 Polyflex Oesophageal Stent Poylester braided material encapsulated with silicone, Stent inner diameters up to 22mm, stent $2,040.00
self expanding stent lengths up to 80mm
Sponsor : De Puy Australia
DP060 VSP System (Stainless Steel) Sacral Connector - Left & Right Offset One size only $521.00
DP099 Coventry Screw System S/S Cannulated Screws 7.00 mm dia $495.00
DP102 Coventry Screw system Cannulated Screws 4mm and 4.50 mm $258.00
DP170 Austin Moore Hip Prosthesis Ortron Custom sizes $591.00
DP205 Elite Modular Hip System Stem Ortron Custom size $3,700.00
DP222 Thackray Hip System Poly Liner Custom Made to order $1,200.00
DP252 Acroflex Lumbar Artificial Disc Lumbar Disc Replacement Device One size only $951.00
DP296 Cementraliser Cementraliser Size 10 -13 $207.00
DP298 Centralisers Centraliser Size 11 - 18 $207.00
DP505 Anterior Isola System (SS) Rod with Hex End 1/4" x 18" $325.00
DP549 C- Stem C-Stem Heads Ortron Size -3 to +8 $700.00
DP837 Peak Channelled Plate System Cortical Bone Screw 3.5mm $114.00
DP842 Moss Miami (Stainless Steel) Sacral Extender 5mm x 5 - 20mm length $600.00
Items Added to the Prostheses List Page 1 of 3
Billing Product Description Size MinBenefit MaxBenefit
DP848 Moss Miami 4mm Anterior System Screws - Polyaxial 6mm x 25 - 55mm $1,330.00 $1,619.00
(SS)
DP849 Moss Miami 4mm Anterior System Washer or Staple or 12 sided outie One size only $255.00 $337.00
(SS)
DP889 AMK Chrome CobaltTray Cobalt Chrome Tibial TEX or TX FX Tray Size 1-5 $4,488.00
DP969 SROM Total Hip System UHMWPE Constrained 0Deg, 10 Deg, 28mm, 32mm, $2,341.00
DP980 SROM Total Hip System Stem STD 14 x 09 x 130 NK36mm to 24 x 19 x 175 $4,428.00
NK42mm
DP988 SROM Total Hip System Unipolar 38-66mm $863.00
DP999 SROM Total Hip System Unipolar Adaptor Sleeve +10 $593.00
DY107 Carbon Fibre Cages Stackable Cage Titanium Interface Screw Nuts One size only $815.00 $857.00
DY147 C-Stem End Cap One size only $132.00
DY167 G2 Hip System G2 Stem Cemented 1 - 11L $2,000.00
DY168 G2 Hip System Distal Centraliser 1 - 11 $409.00
DY198 Carbon Fibre Cages ALIF 1 C/F Cage 5 - 10 deg Sm to Lg 10 - 18 mm $3,080.00 $3,128.00
DY280 Pinnacle Acetabular Cup System Pinnacle GVF +4 or Neutral or 10 Degree or Lipped 38-80mm x 22.225 or 26 or 28 or 32 or 36mm $900.00
DY304 Monarch Spinal System Hooks - Open (Pedicle/Narrow Tapered/Wide Blade) 5-11mm $725.00
DY313 Monarch Spinal System Rods - Pre Cut/Lordosed 6.35 & 5.5mm x 45 - 95mm $329.00
DY321 Codman Anterior Cervical Plate Rescue screw 12 & 15mm $178.00
System
DY322 Carbon Fibre Interbody Fusion Stackable C/F Cage System Wedges 11 Degree Small-Large $3,305.00 $3,407.00
Device
DY350 RECO Spinal System Set Screw One size only $79.00
Items Added to the Prostheses List Page 2 of 3
Billing Product Description Size MinBenefit MaxBenefit
DY351 RECO Spinal System Tranverse Connector 4 or 6mm $900.00
DY401 Monarch Monoaxial Pedicle Screw 4.75mm - 8.5mm x 25 to 80mm length $1,004.00 $1,782.00
DY450 Swift Spine System Titanium Anterior Cervical Plate System - various size Level 4 size 60 - 100mm $2,700.00 $2,822.00
Plates
DY454 Swift Spine System Titanium Anterior Cervical Plate System - 3.8mm 10 - 28mm $850.00
Bicortical Screw
DY455 Swift Spine System Titanium Anterior Cervical Plate System - Graft Screw 10mm $850.00
DY501 SROM Total Hip System ZT/HA Small / Large /XX Large size 14B-24F $2,750.00
Sponsor : Synthes Australia Pty Ltd
SY180 Cervical Spine Locking Plate Small Stature Plate Length 20-77mm $1,250.00
(CSLP) System
Items Added to the Prostheses List Page 3 of 3
PART B - Human Tissue List August 2006 Attachment E
ORTHOPAEDIC
Billing Code Facility Benefit Amount
Cancellous Crunch - 15cc
NBB62 New South Wales Bone Bank $795.00
Cancellous Crunch - 30cc
NBB61 New South Wales Bone Bank $1,450.00
Cancellous Crunch - 60cc
NBB60 New South Wales Bone Bank $2,200.00
Cortico-Cancellous Crunch (40/60) - 15cc
NBB65 New South Wales Bone Bank $795.00
Cortico-Cancellous Crunch (40/60) - 30cc
NBB64 New South Wales Bone Bank $1,450.00
Cortico-Cancellous Crunch (40/60) - 60cc
NBB63 New South Wales Bone Bank $2,200.00
Femur - Hemicondyle
NBB59 New South Wales Bone Bank $2,000.00
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