National Health Act 1970 - Legislation

National Health

No. 41 of 1970

An Act to amend the National Health Act 1953-1969.

[Assented to 24 June 1970]

BE it enacted by the Queen’s Most Excellent Majesty, the Senate, and the House of Representatives of the Commonwealth of Australia, as follows:—

Part I.—Preliminary.

Short title and citation.

1.—(1.) This Act may be cited as the National Health Act 1970.

(2.) The National Health Act 1953-1969 is in this Act referred to as the Principal Act.

(3.) The Principal Act, as amended by this Act, may be cited as the National Health Act 1953-1970.

Commencement.

2.—(1.) This Part and sections 4, 6, 7, 59 and 60 of this Act shall come into operation on the day on which this Act receives the Royal Assent.

(2.) Sections 35 and 48 of this Act shall come into operation on the first day of July, One thousand nine hundred and seventy-one.

(3.) The remaining provisions of this Act shall come into operation on a date to be fixed by Proclamation.

Parts.

3. This Act is divided into Parts, as follows:—

Part I.—Preliminary (Sections 1-3).

Part II.—Amendments of the Principal Act (Sections 4-58).

Part III.—Transitional Provisions (Sections 59-64).

Part II.—Amendments of the Principal Act.

Parts.

4. Section 3 of the Principal Act is amended—

(a) by omitting the words—

“Part II.—National Health Services (Sections 7-11).”

and inserting in their stead the words—

“Part II.—National Health Services (Sections 9-11).”; and

(b) by omitting the words—

“Division 3.—Insured Patients in Approved Hospitals (Sections 46-52).

“Division 4.—Uninsured Patients and Pensioners in Approved Hospitals (Sections 53-55).”

and inserting in their stead the words—

“Division 3.—Certain Insured Patients in Approved Hospitals (Sections 46-52).

“Division 4.—Certain Uninsured Patients, and Pensioners, in Approved Hospitals (Sections 53-55).

“Division 4a.—Patients treated without Charge in Approved Hospitals (Sections 55a-55b).”.

Interpretation.

5. Section 4 of the Principal Act is amended—

(a) by inserting in sub-section (1.), after the definition of “registered organization”, the following definition:—

“‘restricted membership organization’ means an organization the rules of which restrict eligibility for membership by reference to—

(a) employment or former employment in a profession, trade, industry or calling;

(b) employment or former employment by a particular employer or by an employer included in a particular class of employers;

(d) membership or former membership of the Defence Force or of a part of the Defence Force; or

(e) any other prescribed matter,

not being an organization that has notified the Director-General in writing that it does not wish to be subject to the provisions of this Act relating to restricted membership organizations;”; and

(b) by adding at the end of sub-section (1.) the following definitions:—

“‘the Northern Territory’ means the Northern Territory of Australia;

‘the proclaimed date’ means the date fixed by Proclamation under sub-section (3.) of section two of the National Health Act 1970.”.

Repeal of sections 7 and 8.

6. Sections 7 and 8 of the Principal Act are repealed.

7. Section 9b of the Principal Act is repealed and the following section inserted in its stead:—

Provision of vaccines.

“9b. The Minister may provide, or arrange for the provision of, vaccine for the purpose of immunizing persons against any of the following diseases:—

(a) poliomyelitis;

(b) measles; and

Interpretation.

8. Section 13 of the Principal Act is amended—

(a) by omitting from sub-section (1.) the definition of “contributor” and inserting in its stead the following definition:—

“‘contributor’ means a person—

(a) who pays contributions, or on whose behalf contributions are paid, to a medical benefits fund conducted by a registered medical benefits organization; and

(b) who is, if there is rendered to him any professional service, entitled, subject to the rules of the organization—

(i) to receive from the organization an amount equal to the amount set out as the fund medical benefit in relation to a professional service of that kind in the table of fund medical benefits in respect of a State, being a State in which the organization is lawfully carrying on business as a registered medical benefits organization, set out in a Schedule to this Act as in force at the time when the service is rendered; or

(ii) to have the professional service provided without charge under a contract arrangement,

and, except in relation to the payment of contributions, includes a dependant of such a person;”;

(b) by omitting from sub-section (1.) the definitions of “professional service” and “the Committee” and inserting in their stead the following definitions:—

“‘medical service’ means a service that is specified in an item in the First Schedule to this Act;

‘professional service’ means—

(a) a medical service that is rendered by, or on behalf of, a medical practitioner; or

(b) a prescribed medical service that is rendered in an operating theatre of an approved hospital by a legally qualified dentist or dental practitioner approved by the Director-General for the purposes of this definition;

‘the basic Commonwealth medical benefit’, in relation to a professional service, means the amount that was, at the date on which the professional service was rendered, the amount indicated as the basic Commonwealth benefit in relation to a professional service of that kind in the table of Commonwealth medical benefits set out in the First Schedule to this Act;

‘the Committee’ means the Registration Committee referred to in section seventy of this Act;

‘the specified excess’, in respect of a professional service, means the amount indicated as the specified excess in respect of that professional service in the relevant table of fund medical benefits in relation to the contributor to whom the professional service is rendered.”; and

“(4.) A reference in this Part to the relevant table of fund medical benefits shall be read, in relation to a contributor, as a reference to the table of fund medical benefits set out in a Schedule to this Act that is the relevant table, in accordance with the rules of the organization concerned, in respect of the contributor and where a reference is in relation to a particular professional service, shall be read as a reference to that table as in force at the time at which that professional service was rendered.

“(5.) Where a medical service rendered to a person includes a medical procedure that would, but for this sub-section, itself be a medical service, that procedure shall, in respect of that person, be deemed not to be a medical service.”.

9. After section 13 of the Principal Act the following section is inserted:—

Schedules to this Act to have effect as varied by regulation.

“13a.—(1.) The regulations may provide that this Act shall have effect as if a table in a Schedule to this Act were varied—

(a) by omitting an item from the table;

(b) by inserting an item in the table; or

“(2.) Regulations under this section shall, unless sooner repealed, cease to be in force on the day next following the fifteenth sitting day of the House of Representatives after the expiration of a period of twelve months commencing on the day on which the regulations are notified in the Gazette, and shall be deemed to have been repealed on that first-mentioned day.”.

Entitlement to Commonwealth benefit.

10. Section 14 of the Principal Act is amended by omitting sub-section (1.) and inserting in its stead the following sub-sections:—

“(1.) Where, on or after the proclaimed date, medical expenses are incurred by a contributor in respect of a professional service rendered to the contributor or to a dependant of the contributor, an amount equal

to the basic Commonwealth medical benefit in respect of that professional service is payable subject to and in accordance with the provisions of this Part.

“(1a.) Where—

(a) on or after the proclaimed date, medical expenses are incurred by a contributor in respect of professional services consisting of two or more operations performed on the one occasion on the contributor or on one dependant of the contributor;

(b) an additional Commonwealth medical benefit is not payable under the next succeeding sub-section in respect of professional services that include those operations; and

an additional Commonwealth medical benefit of an amount equal to the amount by which that aggregate exceeds Five dollars is payable, subject to and in accordance with the provisions of this Part, in respect of those professional services.

“(1b.) Where—

(a) on or after the proclaimed date, medical expenses are incurred by a contributor in respect of one or more professional services (not being an operation or operations) rendered to the contributor, or to a dependant of the contributor—

(i) in preparation for, and immediately preceding, the rendering to the contributor or to the dependant, as the case may be, of a professional service that consists of an operation or of professional services that consist of two or more operations performed on the one occasion;

(ii) by way of assistance at such an operation or such operations; or

(iii) by way of providing, immediately after such an operation or such operations, care required by the contributor or the dependant, as the case may be, in consequence of the operation or operations; and

(b) the aggregate of the specified excesses in respect of all the professional services (including the operation or operations) exceeds Five dollars,

“(1c.) Where—

(a) on or after the proclaimed date, medical expenses are incurred by a contributor in respect of a professional service rendered to the contributor or to a dependant of the contributor;

(b) the professional service is a service to which an item in Division 9 or 10 of Part 10 of the First Schedule applies;

(c) an additional Commonwealth medical benefit is not payable under either of the last two preceding sub-sections in respect of professional services that include that professional service; and

(d) the specified excess in respect of the professional service is to be ascertained in accordance with a formula set out in a Schedule to this Act and the amount so ascertained exceeds Five dollars,

an additional Commonwealth medical benefit of an amount equal to the amount by which the specified excess exceeds Five dollars is payable, subject to and in accordance with the provisions of this Part, in respect of the professional service.”.

11. Sections 15a and 16 of the Principal Act are repealed and the following sections inserted in their stead:—

Calculation of Commonwealth benefit payable where two or more operations are performed.

“16a.—(1.) Subject to this section, for the purpose of calculating the amount of Commonwealth benefit payable in respect of the medical expenses incurred by a contributor in respect of two or more operations, each constituting a professional service covered by an item in the First Schedule to this Act, that are performed on the one occasion on the contributor or on one dependant of the contributor, the amounts indicated in those items as basic Commonwealth benefit, other than the greatest of those amounts, shall be deemed to be reduced as follows:—

(a) the greatest of the amounts to be deemed to be reduced shall be deemed to be reduced by one-half; and

(b) the other amount, or each of the other amounts, to be deemed to be reduced shall be deemed to be reduced by three-quarters,

and, where an item in a Schedule to this Act other than the First Schedule relates to an item in the First Schedule to this Act that indicates an amount of basic Commonwealth benefit that is, in accordance with the foregoing provisions of this sub-section, to be deemed to be reduced by a specified fraction, the amounts indicated as the fund medical benefit and as the specified excess in that item in that other Schedule shall be deemed to be reduced by the same fraction.

“(2.) For the purposes of this section, where two amounts are equal, one of those amounts shall be treated as being greater than the other or others of those amounts.

“(3.) This section does not apply in relation to an operation, being one of two or more operations performed under the one anaesthetic on the same person, if the medical practitioner who performed the operation—

(a) did not perform, or assist at, the other operation or any of the other operations; and

(b) did not administer the anaesthetic.

“(4.) In this section, ‘operation’ does not include a medical service specified in Division 2 of Part 10 of the First Schedule to this Act.

Total benefits not to exceed expenses incurred.

“16.—(1.) Where, in respect of professional services rendered to a contributor or to a dependant of a contributor (being professional services in respect of which an additional Commonwealth medical benefit is payable under section fourteen of this Act), the aggregate of—

(a) the amount of Commonwealth benefit that would, but for this section, be payable in respect of the professional services; and

(b) the amounts indicated as fund medical benefit in respect of the professional services in the relevant table of fund medical benefits,

exceeds the medical expenses incurred by the contributor in respect of the professional services—

(c) the additional Commonwealth medical benefit payable, but for this section, in respect of the professional services shall be reduced by the amount of the excess; or

(d) if the excess is equal to or greater than the additional Commonwealth medical benefit so payable, that additional Commonwealth medical benefit is not payable in respect of the professional services.

“(2.) The rules of a registered medical benefits organization may include a rule that where, in respect of a professional service rendered to a contributor or to a dependant of a contributor, the aggregate of—

(a) the amount of the basic Commonwealth medical benefit in respect of the professional service; and

(b) the amount indicated as the fund medical benefit in respect of the professional service in the relevant table of fund medical benefits,

exceeds the medical expenses incurred by the contributor in respect of the professional service—

(c) fund benefit payable, but for that rule, in respect of the professional service shall be reduced by the amount of the excess; or

(d) if the excess is equal to or greater than the fund benefit so payable, fund benefit is not payable in respect of that professional service.

“(3.) Where, in respect of a professional service rendered to a contributor or to a dependant of a contributor, the aggregate of—

(a) the amount of Commonwealth benefit that would, but for this sub-section, be payable in respect of the professional service; and

(b) the amount of fund benefit payable in respect of the professional service,

exceeds the medical expenses incurred by the contributor in respect of the professional service—

(c) any Commonwealth benefit payable, but for this sub-section, in respect of the professional service shall be reduced by the amount of the excess; or

(d) if the excess is equal to or greater than the Commonwealth benefit so payable, Commonwealth benefit is not payable in respect of that professional service.”.

Administration of anaesthetic and assistance at operation.

12. Section 17 of the Principal Act is amended by omitting sub-section (3.) and inserting in its stead the following sub-section:—

“(3.) Where an item in the First Schedule to this Act relates to a professional service constituted by—

(a) assistance at an operation;

(b) the administration of an anaesthetic; or

the amount indicated in that item as the amount of basic Commonwealth benefit is the amount payable in respect of that professional service whether the assistance is rendered or the anaesthetic is administered by one or more than one medical practitioner.”.

Post-operative treatment deemed to form part of professional service.

13. Section 18 of the Principal Act is amended by omitting the words “the Schedule” and inserting in their stead the words “the First Schedule”.

14. Section 18a of the Principal Act is repealed and the following section inserted in its stead:—

Commonwealth benefit not payable in respect of first two months.

“18a. Where a person becomes a contributor on or after the proclaimed date (not being a person who, immediately before he so becomes a contributor, was a contributor within the meaning of Part III. of the National Health Act 1953-1969 and had been such a contributor for a period of two months or more), Commonwealth benefit is not payable in respect of medical expenses incurred by the person during a period of two months commencing—

(a) in the case of a person who, immediately before becoming a contributor, was a contributor within the meaning of Part III. of the National Health Act 1953-1969—on the day on which that person became a contributor within the meaning of that Part; or

(b) in any other case—on the day on which that person becomes a contributor,

unless, under the rules of the registered medical benefits organization concerned, fund benefit is paid by the organization in respect of those medical expenses.”.

Commonwealth benefit not payable where medical expenses payable to public hospitals.

15. Section 19 of the Principal Act is amended by omitting from subsection (2.) the definition of “professional service” and inserting in its stead the following definition:—

“‘professional service’ does not include a medical service covered by item 631, 641, 651 or 661 in the First Schedule to this Act or by any item in Part 7 or Part 8 of that Schedule;”.

Commonwealth benefit not payable where contributor is entitled to compensation or damages.

16. Section 21 of the Principal Act is amended—

(a) by omitting sub-sections (1.) and (2.) and inserting in their stead the following sub-sections:—

“(1.) Where, in respect of medical expenses incurred by a contributor, he has received or established his right to receive a payment by way of compensation or damages (including a payment in settlement of a claim for compensation or damages) under the law of the Commonwealth or of a State or Territory, and the amount of that payment is not less than the aggregate of the amount of Commonwealth benefit and the amount of fund benefit that would be payable in respect of those medical expenses if he had not received or established his right to receive that payment, Commonwealth benefit is not payable in respect of those medical expenses.

“(2.) Where, in respect of medical expenses incurred by a contributor, he has received or established his right to receive a payment of the kind referred to in the last preceding subsection, but the amount of that payment is less than the aggregate referred to in that sub-section, Commonwealth benefit is not payable in respect of those medical expenses except to the extent of such amount as the Director-General determines, but not exceeding the amount by which that aggregate exceeds the sum of the amount of fund benefit payable in respect of those medical expenses and the amount of the payment of the kind referred to in the last preceding sub-section that he has received or established his right to receive.”; and

(b) by omitting from sub-section (3.) the words “may, in his discretion,” and inserting in their stead the word “shall”.

Payment of Commonwealth benefit.

17. Section 23 of the Principal Act is amended by omitting from subsection (1.) all the words after the word “contributor” (second occurring).

18. Section 28 of the Principal Act is repealed and the following section inserted in its stead:—

Payment of Commonwealth benefit in event of suspension or cancellation of registration &c.

“28. Where a registration of a registered medical benefits organization is suspended or cancelled, the Minister may, by instrument in writing—

(a) direct that, subject to any further directions under this section, Commonwealth benefit shall continue to be paid, for such period as is specified in the direction, as if the suspension or cancellation had not taken place; and

(b) give further directions with respect to the persons to whom, the manner in which and the conditions subject to which such Commonwealth benefit is to be paid.”.

19. After section 29 of the Principal Act the following sections are inserted:—

Specialist Recognition Advisory Committee.

“29a.—(1.) There shall be, in respect of—

(a) each State;

(b) the Australian Capital Territory; and

a Specialist Recognition Advisory Committee.

“(2.) Each Committee shall consist of five medical practitioners appointed by the Minister in accordance with section twenty-nine c of this Act.

“(3.) The exercise or performance of the powers or functions of a Committee is not affected by reason only of there being a vacancy or vacancies in the membership of the Committee.

“(4.) A member of a Committee holds office for a period of three years but he shall be removable by the Minister in any case of misconduct or incapacity.

“(5.) A member of the Specialist Recognition Appeal Committee is not eligible to be nominated or appointed under this section to a Committee.

“(6.) At a meeting of a Committee three members form a quorum.

“(7.) The regulations may make provision for and in relation to the procedure of the Committee.

Specialist Recognition Appeal Committee.

“29b.—(1.) There shall be a Specialist Recognition Appeal Committee, which shall consist of five medical practitioners appointed by the Minister in accordance with the next succeeding section.

“(2.) The exercise or performance of the powers or functions of the Committee is not affected by reason only of there being a vacancy or vacancies in the membership of the Committee.

“(3.) A member of the Committee holds office for a period of three years but he shall be removable by the Minister in any case of misconduct or incapacity.

“(4.) A member of a Specialist Recognition Advisory Committee is not eligible to be nominated or appointed under this section to the Committee.

“(5.) At a meeting of the Committee three members form a quorum.

“(6.) The regulations may make provision for and in relation to the procedure of the Committee.

Panels for the appointment of Committees.

“29c.—(1.) Before making appointments to a Committee, the Minister shall request each of the following bodies to nominate a panel of not less than three medical practitioners for consideration for appointment to the Committee:—

(a) the Australian Medical Association;

(b) the Royal Australasian College of Surgeons;

(d) the Australian Council of the Royal College of Obstetricians and Gynaecologists; and

(e) the Royal Australian College of General Practitioners.

“(2.) When, in accordance with a request under the last preceding sub-section, each of the bodies referred to in that sub-section has nominated a panel of medical practitioners for consideration for appointment to a Committee, the Minister shall appoint to the Committee one medical practitioner from each of the panels.

“(3.) Where a member of a Committee dies or resigns or the appointment of a member of a Committee is terminated, the Minister shall request the body by whom the member was nominated to nominate a panel of not less than three medical practitioners for consideration for appointment to fill the place of the member, and the Minister shall appoint one of those medical practitioners to fill that place.

“(4.) In this section, ‘Committee’ means a Specialist Recognition Advisory Committee or the Specialist Recognition Appeal Committee.

Recognition of consultant physician, &c.

“29d.—(1.) The Director-General may refer to a Specialist Recognition Advisory Committee the question whether a particular medical practitioner should, having regard to his qualifications, experience and standing in the medical profession and the nature of his practice, be recognized for the purposes of this Act as a specialist, or as a consultant physician, in a particular specialty.

“(2.) Before considering a question referred to it under the last preceding sub-section, a Committee may, with the Minister’s approval, engage as a consultant a medical practitioner who has qualifications, experience and standing in the medical profession in the specialty to which the question before the Committee relates.

“(3.) A Committee shall consider a question referred to it under sub-section (1.) of this section and shall submit to the Director-General a recommendation agreed to by a majority of the members present at a meeting of the Committee.

“(4.) On the receipt of a recommendation under the last preceding sub-section, the Director-General shall determine, for the purposes of this Act, in accordance with the said recommendation, that the medical practitioner concerned is to be recognized as a consultant physician or as a specialist, as the case may be, in the specialty concerned or that he is not to be so recognized.

“(5.) Where the Director-General makes a determination under the last preceding sub-section, he shall—

(a) notify each registered medical benefits organization, in writing, accordingly; and

(b) where the determination is that the medical practitioner is not to be recognized—notify the medical practitioner, in writing, accordingly.

“(6.) The Director-General shall not determine that a medical practitioner is not to be recognized as a consultant physician or as a specialist in respect of a specialty in respect of which the medical practitioner is registered as a consultant physician or as a specialist, as the case may be, under a law of a State or of a Territory forming part of the Commonwealth.

“(7.) Nothing in this section prevents the recognition, for the purposes of this Act, as a consultant physician or as a specialist in respect of a specialty, of a medical practitioner in relation to whom no determination has been made under this section.

“(8.) A determination of the Director-General that a medical practitioner is not to be recognized as a consultant physician or as a specialist does not affect entitlement to Commonwealth benefit in respect of a professional service rendered before the date of the determination.

Appeal against refusal of recognition as a consultant physician, &c.

“29e.—(1.) Where the Director-General notifies a medical practitioner that the Director-General has determined that the medical practitioner is not to be recognized, for the purposes of this Act, as

a consultant physician, or as a specialist, in a specialty, the medical practitioner may, within one month after the receipt of that notification, lodge an appeal with the Specialist Recognition Appeal Committee.

“(2.) Before considering an appeal, the Specialist Recognition Appeal Committee may, with the Minister’s approval, engage as a consultant a medical practitioner who has qualifications, experience and standing in the medical profession in the specialty to which the appeal relates.

“(3.) The Committee shall consider an appeal so lodged and, if a majority of the members present at a meeting of the Committee is of opinion that the appeal should be allowed, the Committee shall allow the appeal, but otherwise shall dismiss the appeal.

“(4.) Where the Committee allows or dismisses an appeal, it shall notify the appellant and the Director-General, in writing, accordingly.

“(5.) Where the Committee allows an appeal, the Director-General shall make the appropriate determination in relation to the appellant.

Fees for consultants.

“29f. A medical practitioner engaged as a consultant under either of the last two preceding sections shall be paid such professional fee in respect of his services as the Minister determines.”.

Agreement with Australian Medical Association.

20. Section 32 of the Principal Act is amended by adding at the end of sub-section (1.) the words “and the conditions of the agreement shall be reviewed at least once every two years”.

Interpretation.

21. Section 38 of the Principal Act is amended—

(a) by omitting from the definition of “contributor” in sub-section (1.) the words “the hospital benefits fund” and inserting in their stead the words “a hospital benefits fund”;

(b) by omitting from the definition of “dependant” in sub-section (1.) the words “the fund of a registered hospital benefits organization” and inserting in their stead the words “a hospital benefits fund conducted by a registered hospital benefits organization”; and

(c) by omitting from sub-section (2.) the words “the hospital benefits fund of a registered hospital benefits organization” and inserting in their stead the words “a hospital benefits fund conducted by a registered hospital benefits organization “.

Heading to Division 3.

22. The heading to Division 3 of Part V. of the Principal Act is amended by inserting before the words “Insured Patients” the word “Certain”.

Payment of benefit.

23. Section 47 of the Principal Act is amended by omitting subsection (2.) and inserting in its stead the following sub-section:—

“(2.) Commonwealth benefit under this Division in respect of any day is not payable to the organization unless and until the organization has paid to the contributor, or to the proprietor on behalf of the contributor, otherwise than by way of hospital fund benefit, an amount equal to the amount of Commonwealth benefit.”.

Benefit not payable if benefit payable under certain other provisions.

24. Section 49 of the Principal Act is amended by adding at the end thereof the words “or under Division 4a of this Part”.

25. Section 50 of the Principal Act is repealed and the following section inserted in its stead:—

Payment of Commonwealth benefits in the event of suspension or cancellation of registration, &c.

“50. Where a registration of a registered hospital benefits organization is suspended or cancelled, the Minister may, by instrument in writing—

(b) give further directions with respect to the persons to whom, the manner in which and the conditions subject to which such Commonwealth benefit is to be paid.”.

Heading to Division 4.

26. The heading to Division 4 of Part V. of the Principal Act is repealed and the following heading inserted in its stead:—

“Division 4.—Certain Uninsured Patients, and Pensioners, in Approved Hospitals”.

Benefit payable in respect of certain patients who are not contributors.

27. Section 53 of the Principal Act is amended—

(a) by adding at the end of sub-section (2.) the words “or under Division 4a of this Part”;

(b) by omitting from paragraph (b) of sub-section (3.) the word “or”; and

28. After Division 4 of Part V. of the Principal Act the following Division is inserted:—

“Division 4a.—Patients treated without Charge in Approved Hospitals.

Commonwealth benefit payable in certain cases.

“55a. Subject to this Part, where the proprietor of an approved hospital certifies in the authorized form that no fees were charged in respect of some or all of the qualified hospital patients in that hospital during a specified period, there is payable to the proprietor of that hospital, in respect of each patient to whom the certificate relates, Commonwealth benefit of Two dollars for each day on which the patient was a qualified hospital patient in that hospital during that period.

Benefit under this Division not payable if benefit payable under section 54.

“55b. A Commonwealth benefit under this Division is not payable in respect of a qualified hospital patient for any day for which Commonwealth benefit is payable in respect of that patient under section fifty-four of this Act.”.

Interpretation.

29. Section 66 of the Principal Act is amended—

(a) by omitting from sub-section (1.) the definitions of “special account contributor” and “standard rate benefit” and inserting in their stead the following definitions:—

“‘special account’ means a special account established by a

registered organization for the purposes of Division 2 of this Part.

‘special account contributor’ means a contributor the amounts of whose contributions are for the time being required to be credited to a special account, and includes a person who is a contributor by virtue of being a dependant of a special account contributor;”; and

(b) by adding at the end thereof the following sub-sections:—

“(3.) For the purposes of this Part, a registered medical benefits organization shall be deemed to carry on business as a registered medical benefits organization in a State or Territory if, for the purposes of, or purposes related to, the enrolment of contributors to a medical benefits fund conducted by it or the payment of benefits to such contributors—

(a) it uses premises in that State or Territory; or

(b) it uses, in that State or Territory, the services of a servant or agent.

“(4.) For the purposes of this Part, a registered hospital benefits organization shall be deemed to carry on business as a registered hospital benefits organization in a State or Territory if, for the purposes of, or purposes related to, the enrolment of contributors to a hospital benefits fund conducted by it or the payment of benefits to such contributors—

(a) it uses premises in that State or Territory; or

(b) it uses, in that State or Territory, the services of a servant or agent.

“(5.) A reference in this Part to the relevant table of fund medical benefits shall be read, in relation to a contributor, as a reference to the table of fund medical benefits set out in a Schedule to this Act that is the relevant table, in accordance with the rules of the organization concerned, in respect of the contributor.

“(6.) For the purposes of this Part, the Australian Capital Territory shall be deemed to form part of the State of New South Wales.”.

30. Sections 67 and 68 of the Principal Act are repealed and the following sections inserted in their stead:—

Application by organizations for registration as medical benefits organizations.

“67.—(1.) An organization may apply for registration as a registered medical benefits organization in respect of a specified State or in respect of the Northern Territory, or may make more than one such application.

“(2.) An organization (not being a restricted membership organization) is not eligible to be registered as a registered medical benefits organization in respect of a State unless, under the rules of the organization—

(a) a medical benefits fund is to be conducted by the organization in respect of that State;

(b) there is to be credited to that fund the whole of the income of the organization arising out of the carrying on in that State of business as a registered medical benefits organization or if, in accordance with those rules, the Northern Territory is to be treated as part of that State, the whole of the income of the organization arising out of the carrying on of such business in that State and in the Northern Territory;

(i) payments by the organization of medical fund benefits, or any other benefits payable under the rules of the organization, in respect of contributors to the fund;

(ii) costs incurred by the organization wholly and exclusively in the carrying on in that State of business as a registered medical benefits organization or if, in accordance with those rules, the Northern Territory is to be treated as part of that State, incurred by the organization wholly and exclusively in carrying on such business in that State and in the Northern Territory;

(iii) such proportion of any costs incurred by the organization in the carrying on of business as a registered medical benefits organization, not being costs incurred wholly and exclusively in relation to business in a particular State or in the Northern Territory, as is approved by the Director-General as being an equitable proportion; and

(iv) any amount transferred, with the approval of the Minister, to another medical benefits fund conducted by the organization; and

(d) where a person who contributes to that fund, or a dependant of such a person, has a professional service rendered to him, the person is, subject to those rules, entitled—

(i) to be paid out of that fund an amount equal to the fund medical benefit indicated in respect of the professional service, in the relevant table of fund medical benefits; or

(ii) to have the professional service provided without charge under a contract arrangement.

“(3.) An organization (not being a restricted membership organization) is not eligible to be registered as a registered medical benefits organization in respect of the Northern Territory unless—

(a) under the rules of the organization—

(i) the Northern Territory is to be treated as part of a State in respect of which the organization is registered or is eligible to be registered as a registered medical benefits organization; or

(ii) a medical benefits fund is to be conducted by the organization in respect of the Northern Territory; and

(b) where, under the rules of the organization, a medical benefits fund is to be conducted by the organization in respect of the Northern Territory, those rules contain provisions complying with the requirements of the last preceding sub-section, as modified by the substitution of references to the Northern Territory for references to a State.

“(4.) A restricted membership organization is not eligible to be registered as a registered medical benefits organization in respect of any State or in respect of the Northern Territory unless, under the rules of the organization—

(a) a medical benefits fund is to be conducted by the organization;

(b) there is to be credited to that fund the whole of the income of the organization arising out of the carrying on by the organization of business as a registered medical benefits organization;

(i) payments by the organization of medical fund benefits, or any other benefits payable under the rules of the organization, in respect of contributors to the fund; and

(ii) costs incurred by the organization in the carrying on of business as a registered medical benefits organization; and

(d) where a person who contributes to that fund, or a dependant of such a person, has a professional service rendered to him, the person is, subject to those rules, entitled—

(i) to be paid out of that fund an amount equal to the fund benefit set out, in respect of the professional service, in the relevant table of fund medical benefits; or

(ii) to have that professional service provided without charge under a contract arrangement.

“(5.) An organization is not eligible to be registered as a registered medical benefits organization in respect of any State or in respect of the Northern Territory unless, under the rules of the organization—

(a) a person who contributes to a medical benefits fund conducted by the organization is not eligible to contribute to another medical benefits fund conducted by the organization; and

(b) a person who contributes to a medical benefits fund conducted by another registered medical benefits organization is not eligible to contribute to a medical benefits fund conducted by the first-mentioned organization.

Application by organizations for registration as hospital benefits organizations.

“68.—(1.) An organization may apply for registration as a registered hospital benefits organization in respect of a specified State or in respect of the Northern Territory, or may make more than one such application.

“(2.) An organization (not being a restricted membership organization) is not eligible to be registered as a registered hospital benefits organization in respect of a State unless, under the rules of the organization

(a) a hospital benefits fund is to be conducted by the organization in respect of that State;

(b) there is to be credited to that fund the whole of the income of the organization arising out of the carrying on by the organization in that State of business as a registered hospital benefits organization and if, in accordance with those rules, the Northern Territory is to be treated as part of that State, the whole of the income of the organization arising out of the carrying on of such business by the organization in the Northern Territory; and

(i) payments by the organization of hospital fund benefits, or any other benefits payable under the rules of the organization, in respect of contributors to the fund;

(ii) costs incurred by the organization wholly and exclusively in the carrying on in that State of business as a registered hospital benefits organization or if, in accordance with those rules, the Northern Territory is to be treated as part of that State, incurred by the organization wholly and exclusively in carrying on such business in that State and in the Northern Territory;

(iii) such proportion of any costs incurred by the organization in respect of the carrying on of business as a registered hospital benefits organization, not being costs incurred wholly and exclusively in relation to business in a particular State or in the Northern Territory, as is approved by the Director-General as being an equitable proportion; and

(iv) any amount transferred, with the approval of the Minister, to another hospital benefits fund conducted by the organization.

“(3.) An organization (not being a restricted membership organization) is not eligible to be registered as a registered hospital benefits organization in respect of the Northern Territory unless—

(a) under the rules of the organization—

(i) the Northern Territory is to be treated as part of a State in respect of which the organization is registered or is eligible to be registered as a registered hospital benefits organization; or

(ii) a hospital benefits fund is to be conducted by the organization in respect of the Northern Territory; and

(b) where, under the rules of the organization, a hospital benefits fund is to be conducted by the organization in respect of the Northern Territory, those rules contain provisions complying with the requirements of the last preceding sub-section, as modified by the substitution of references to the Northern Territory for references to a State.

“(4.) A restricted membership organization is not eligible to be registered as a registered hospital benefits organization in respect of any

State or in respect of the Northern Territory unless, under the rules of the organization—

(a) a hospital benefits fund is to be conducted by the organization;

(b) there is to be credited to that fund the whole of the income of the organization arising out of the carrying on by the organization of business as a registered hospital benefits organization; and

(i) payments by the organization of hospital fund benefits, or any other benefits payable under the rules of the organization, in respect of contributors to the fund; and

(ii) costs incurred by the organization in carrying on a business as a registered hospital benefits organization.”.

Furnishing of information by applicant organizations.

31. Section 69 of the Principal Act is amended—

(a) by omitting from sub-section (1.) the word “may” and inserting in its stead the word “shall”; and

(b) by omitting from sub-section (2.) the word “may” and inserting in its stead the word “shall”.

32. Section 72 of the Principal Act is repealed and the following sections are inserted in its stead:—

Report of the Committee.

“72. The Committee shall submit to the Minister a report on the application and, in its report, recommend to the Minister that registration of the organization be granted or refused.

Matters to be taken into account by Committee and by Minister.

“72a. The Committee, in making a recommendation with respect to an application for registration of an organization in respect of a State or Territory, and the Minister, in exercising his powers with respect to such an application, shall consider whether the organization is eligible to be registered and shall also take into account—

(a) the number of persons who contribute, or are likely to contribute, to the relevant fund of the organization;

(b) the rates of contributions to that fund;

(c) the rules of the organization relating to that fund and, in particular, whether those rules contain appropriate provisions, having regard to the provisions of this Act;

(d) the ratio that the likely amount of the management and administrative expenses in respect of the conduct of that fund bears to the likely amount of contributions to that fund; or

(e) any other matter that the Minister or the Committee, as the case may be , considers relevant, having regard to the public interest.”.

Registration.

33.—(1.) Section 73 of the Principal Act is amended by omitting subsection (1.) and inserting in its stead the following sub-section:—

“(1.) The Minister may, after considering the report of the Committee, grant, subject to such terms and conditions (if any) as he thinks fit, or refuse, the application and, if he grants the application, he shall register the organization accordingly.”.

(2.) Section 73 of the Principal Act is further amended by adding at the end thereof the following sub-sections:—

“(7.) Where the Minister grants an application for registration of an organization, he shall, within one month after he has so granted the application, publish in the Gazette a notification to that effect setting out—

(a) the name of the organization;

(b) the name of the State or Territory to which the registration relates;

(d) the fact that the registration is subject to the conditions set out in section seventy-three b of this Act; and

(e) if the grant is subject to any other terms or conditions—those other terms and conditions.

“(8.) Where the Minister refuses an application for registration of an organization, he shall, within one month after he has so refused the application, publish in the Gazette a notification of the refusal.

“(9.) Where the Minister takes action in pursuance of sub-section (6.) of this section in relation to an organization, he shall, within one month after so taking action, publish in the Gazette a notification setting out—

(a) the name of the organization;

(b) particulars of the action so taken, including—

(i) where a term or condition has been varied—the term or condition as so varied;

(ii) where a term or condition has been revoked—the term or condition so revoked; or

(iii) where a term or condition has been added—the term or condition so added; and

34. After section 73a of the Principal Act the following section is inserted:—

Conditions to which registrations are to be deemed to be subject.

“73b. Where an organization is registered after the proclaimed date, the registration shall be deemed to be subject to each of the following conditions:—

(a) a condition that the rules of the organization will at all times include such provision as is required to enable section eighty-two s and section eighty-two t of this Act to apply in relation to the organization;

(b) a condition that the organization will not carry on business in Australia as a registered medical benefits organization or as a registered hospital benefits organization except in a State or Territory in respect of which it is registered as a registered medical benefits organization or as a registered hospital benefits organization, as the case may be; and

(c) a condition that the organization will cause such alterations to be made to its rules as are necessary to enable it to comply with any direction given to it by the Minister with respect to the variation of the rates of contributions payable to the organization by all or any contributors.”.

35. Section 76 of the Principal Act is repealed and the following sections are inserted in its stead:—

Particulars to be furnished annually to the Director-General.

“76.—(1.) A registered organization which makes any report to all or any of its members at any time after the thirtieth day of June, One thousand nine hundred and seventy-one, shall, within one month after making the report or within such further time as the Director-General allows, furnish a copy of the report to the Director-General.

“(2.) A registered organization shall, within three months after the expiration of each year commencing with the year ending on the thirtieth day of June, One thousand nine hundred and seventy-one, or within such further time as the Director-General allows, furnish to the Director-General—

(a) such financial accounts and statements in respect of that year as. the Director-General requires to be furnished for use in preparing the report referred to in the next succeeding section; and

(b) such other statements in respect of that year as are prescribed,

certified on behalf of the organization, as prescribed, to be true and correct.

Penalty: Two hundred dollars.

Annual report by Director-General.

“76a.—(1.) The Director-General shall, as soon as practicable after the thirtieth day of June in each year, commencing with the year One thousand nine hundred and seventy-one, furnish to the Minister a report on the operations of registered organizations during the year ending on that date.

“(2.) The report shall include, in respect of each medical benefits fund or hospital benefits fund conducted by the registered organization during the year to which the report relates, the following information in respect of the fund or, if the fund includes a special account, in respect of the part of the fund other than the special account:—

(a) contributions payable to the fund;

(b) other amounts payable to the fund;

(d) other benefits payable out of the fund;

(e) management expenses;

(f) other amounts payable out of the fund;

(g) the balance of the fund as at the end of that year;

(h) details of how the reserves of the fund have been invested; and (i) such other information as the Minister requires to be included.

“(3.) Where a special account is maintained in a fund during a year the report in respect of that year shall include, in respect of that special account, similar information as is required to be included in respect of the remainder of the fund.

“(4.) The Minister shall lay each report under this section before each House of the Parliament within fifteen sitting days of that House after it is received by the Minister.”.

Changes of rules, &c., by registered organizations.

36. Section 78 of the Principal Act is amended by omitting from subsections (2.) and (5.) the words “the medical benefits fund or the hospital benefits fund of” (wherever occurring) and inserting in their stead the words” any medical benefits fund or any hospital benefits fund conducted by”.

Cancellation or suspension of registration.

37. Section 79 of the Principal Act is amended by inserting in subsection (1.), before the word “where”, the words “in respect of a State or in respect of the Northern Territory,”.

38. After section 80 of the Principal Act the following section is: inserted:—

Limits in respect of management expenses of funds.

“80a. The regulations—

(a) may, for the purpose of the exercise by the Minister of the powers referred to in the next succeeding paragraph, prescribe limits in respect of management expenses in relation to all or any medical benefits funds and hospital benefits funds conducted by all or any registered organizations; and

(b) may empower the Minister to deduct from any Commonwealth benefit payable to a registered organization in relation to the conduct of a medical benefits fund or hospital benefits fund by the organization an amount equal to the amount by which any management expenses in relation to that fund exceed any limit so prescribed that is applicable in respect of that fund.”.

Notification of registrations, &c.

39. Section 81 of the Principal Act is amended by omitting from subsection (1.) the words “the names of organizations registered” and inserting in their stead the words “particulars of all subsisting registrations of organizations”.

40.—(1.) Section 82a of the Principal Act is repealed and the following section inserted in its stead:—

Establishment of special account.

“82a. For the purposes of this Division, a registered organization may, with the approval of the Minister, establish a special account in a medical benefits fund or hospital benefits fund conducted by the registered organization.”.

(2.) A special account established under the section repealed by the last preceding sub-section that was subsisting immediately before the commencement of this section shall be deemed, for the purposes of the Principal Act, as amended at any time, to have been established under the section inserted in the Principal Act by that sub-section.

Contributors suffering from pre-existing ailments, chronic illnesses, &c.

41. Section 82c of the Principal Act is amended—

(a) by omitting sub-section (1.) and inserting in its stead the following sub-section:—

“(1.) Where, after the establishment of a special account by a registered medical benefits organization—

(a) a claim for medical fund benefit is lodged by, or on behalf of, an ordinary contributor (being a contributor with respect to the medical benefits fund in which the special account is established) in respect of a professional service that is rendered to him or to one of his dependants; and

(b) by reason only of the rules of the organization relating to the eligibility of an ordinary contributor to be paid fund benefit in respect of a pre-existing ailment or relating to the maximum fund benefit payable to an ordinary contributor, the organization is entitled to disallow, and does disallow, the claim,

the organization shall credit to the special account the amount of the contributions referred to in sub-section (2.) of this section.”;

(b) by inserting in paragraph (a) of sub-section (1a.), after the word “contributor”, the words “(being a contributor with respect to the hospital benefits fund in which the special account is established)”; and

(c) by inserting in paragraph (a) of sub-section (3.), after the words “ordinary contributor”, the words “(being a contributor with respect to the hospital benefits fund in which the special account is established)”.

Certain contributors may be made special account contributors.

42. Section 82ca of the Principal Act is amended by omitting from sub-section (1.) all the words after paragraph (b) and inserting in their stead the words—

“the organization may elect to treat the contributor as having become, on any day that is included in the days in respect of which the benefit is so payable, a special account contributor in relation to the special account established in the hospital benefits fund in respect of which he is a contributor and, if it so elects, shall, subject to section eighty-two g of this Act, credit to that special account contributions by or on behalf of that contributor in respect of the week in which that day is included and all subsequent weeks.”.

Payment of benefits.

43. Section 82d of the Principal Act is amended by inserting in subsection (1.), after the words “special account contributor”, the words “in relation to that special account”.

Rules of organization establishing special account to contain certain provisions.

44. Section 82e of the Principal Act is amended—

(a) by inserting in paragraph (a) of sub-section (1.), after the word “contributor” (first occurring), the words “in relation to the special account”;

(b) by inserting in paragraph (b) of sub-section (1.), after the word “contributor” (first occurring), the words “in relation to the special account”;

(c) by inserting in paragraph (c) of sub-section (1.), after the word “contributor” (first occurring), the words “in relation to the special account”;

(d) by omitting paragraph (ca) of sub-section (1.) and inserting in its stead the following paragraph:—

“(ca) in the case of a registered medical benefits organization, a special account contributor in relation to the special account is not, in respect of a claim for medical fund benefit in relation to professional services (being professional services rendered on or after the date of the establishment of the special account or the day on which there became payable the first contribution in respect of the contributor the amount of which was credited to the special account, whichever is the later) excluded from entitlement to fund benefit by any rule of the organization relating to the eligibility of a contributor for payment of fund benefit in respect of a pre-existing ailment or relating to maximum fund benefit payable;”;

(e) by inserting in paragraph (d) of sub-section (1.), after the word “contributor” (first occurring), the words “in relation to the special account”;

(f) by adding at the end of paragraph (g) of sub-section (1.) the word “and”;

(g) by omitting paragraph (h) and paragraph (j) of sub-section (1.) and inserting in their stead the following paragraph:—

“(h) in the case of a registered hospital benefits organization, benefit is not payable from the special account in respect of a period during which a special account contributor in relation to the special account was a patient in an institution other than an approved hospital, unless payment of the benefit has been approved by the Director-General”;

(h) by omitting from sub-section (2.) the words “of the fund”; and

(i) by inserting in sub-section (2.) after the word “contributor” (first occurring), the words “in relation to the special account”.

Contributors at concessional rates.

45. Section 82f of the Principal Act is amended—

(a) by inserting after the words “special account contributors” (first occurring) the words “in relation to a special account”;

(b) by omitting the words “the special account contributors within that specified class” and inserting in their stead the words “those special account contributors”; and

“(2.) A person who is a special account contributor shall be deemed, for the purposes of the last preceding sub-section, not to be a special account contributor during any period during which there is in force in respect of him a determination under section eighty-two u of this Act that is a Class B determination or a Class C determination for the purposes of Division 3 of Part VI.”.

Special account contributor may be made an ordinary contributor in certain cases.

46. Section 82g of the Principal Act is amended by adding at the end of sub-section (2.) the words “in relation to which he was a special account contributor”.

Records relating to special account contributors.

47. Section 82j of the Principal Act is amended by inserting in subsection (1.), after the word “contributor” (first occurring), the words “in relation to the special account”.

Reimbursement of organization in respect of amount standing to debit of special account.

48. Section 82l of the Principal Act is amended by adding at the end thereof the following sub-section:—

“(3.) In this section, ‘accounting year’ means the year ending on the thirtieth day of June, One thousand nine hundred and seventy-one, or on any subsequent thirtieth day of June.”.

Interpretation.

49. Section 82q of the Principal Act is amended—

(a) by omitting from sub-section (1.) the definitions of “approved scale of benefits” and “Assistant Director-General” and inserting in their stead the following definitions:—

“‘approved scale of benefits’ means a scale of hospital benefits approved by the Minister under section eighty-two r of this Act;

‘Assistant Director-General’ means an Assistant Director-General of Social Services;

‘Class A determination’ means a determination under subsection (4.) of section eighty-two u of this Act in terms of sub-paragraph (i) of paragraph (a) or (b) of that subsection;

‘Class B determination’ means a determination under subsection (4.) of section eighty-two u of this Act in terms of sub-paragraph (ii) of paragraph (a) or (b) of that subsection;

‘Class C determination’ means a determination under subsection (4.) of section eighty-two u of this Act in terms of sub-paragraph (iii) of paragraph (a) or (b) of that subsection;”;

(b) by omitting from paragraph (d) of sub-section (2.) the words “Thirty-nine dollars” and inserting in their stead the words “a particular amount”; and

“(3.) In this Division—

(a) a reference to a professional service shall be read as including a reference to any service (including the supply of any article) in respect of which a benefit is payable under the rules of the registered organization concerned; and

(b) a reference to hospital treatment shall be read as including a reference to any service or treatment in respect of which a benefit is payable under the rules of the registered organization concerned.”.

50.—(1.) Sections 82r, 82s and 82t of the Principal Act are repealed and the following sections inserted in their stead:—

Power of Minister to approve scale of benefits.

“82r.—(1.) The Minister may, in relation to a hospital benefits fund conducted by a registered hospital benefits organization, by instrument in writing, approve, for the purposes of this Division, a scale of hospital benefits provided by the organization, in accordance with the rules of the organization, to contributors to that fund, being a scale that the Minister considers appropriate having regard to the charges made for hospital treatment in public wards of public hospitals.

“(2.) In the case of a restricted membership organization, a scale approved under this section may provide for different hospital benefits in respect of hospital treatment received in different States (for which purpose the Northern Territory shall be deemed to be a State).

Waiver of contributions, and reimbursement by Commonwealth of fund benefits, where contributor in receipt of unemployment or sickness benefit.

“82s.—(1.) Where—

(a) a contributor to a medical benefits fund lodges with the organization that conducts the fund a claim in respect of a professional service that has been rendered (whether before or after the contributor became a contributor) to himself or to one of his dependants;

(b) the professional service was rendered on or after the proclaimed date, and during a period in relation to which this section applies in respect of the contributor;

(c) under a provision included in the rules of the organization for the purpose of enabling this section and the next succeeding section to apply in relation to the organization, contributions were not payable by the contributor to the fund in respect of that period or the payment of contributions by the contributor to the fund in respect of that period has been waived; and

(d) the organization pays to, or to a person on behalf of, the contributor fund benefit in respect of the professional service,

there is payable to the organization by the Commonwealth an amount equal to the fund benefit referred to in paragraph (d) of this sub-section.

“(2.) Where—

(a) a contributor to a hospital benefits fund lodges with the organization that conducts the fund a claim in respect of hospital treatment that has been received (whether before or after the contributor became a contributor) by himself or by one of his dependants;

(b) the hospital treatment was received on or after the proclaimed date and during a period in relation to which this section applies in respect of the contributor;

(c) the contributor is a contributor for the approved scale of benefits in relation to the fund or for a scale of benefits greater than those provided by the approved scale of benefits;

(d) under a provision included in the rules of the organization for the purpose of enabling this section and the next succeeding section to apply in relation to the organization, contributions were not payable by the contributor to the fund in respect of that period or the payment of contributions by the contributor to the fund in respect of that period has been waived; and

(e) the organization pays to, or to a person on behalf of, the contributor, as fund benefit in respect of that hospital treatment—

(i) the amount of fund benefit in accordance with the scale of benefits for which the contributor is a contributor; or

(ii) if that amount exceeds the prescribed amount, an amount equal to the prescribed amount, and no more,

there is payable to the organization by the Commonwealth—

(f) if the contributor is a contributor for the approved scale of benefits—an amount equal to the amount paid as fund benefit in accordance with paragraph (e) of this sub-section; or

(g) in any other case—an amount equal to the amount that would have been paid as fund benefit in accordance with paragraph (e) of this sub-section if the contributor had been, when the hospital treatment was received, a contributor for the approved scale of benefits.

“(3.) Where a contributor was, in respect of a period, a contributor for a scale of benefits greater than those provided by the approved scale of benefits, a reference in paragraph (d) of the last preceding sub-section to contributions shall, in relation to the contributor, be read as not including a reference to any contributions payable by the contributor in respect of that period that would not have been so payable if the contributor had been, in respect of that period, a contributor for the approved scale of benefits.

“(4.) In sub-section (2.) of this section, ‘the prescribed amount’ means the amount (if any) by which the sum of the gross fees and extra charges incurred in respect of the hospital treatment is greater than the amount of Commonwealth and miscellaneous fund benefit payable in respect of the hospital treatment.

“(5.) Subject to the next succeeding sub-section, this section applies, in respect of a contributor, in relation to—

(a) a period (in this sub-section called a ‘benefit period’) in respect of which benefit was paid or is payable to the contributor under Part VII. of the Social Services Act 1947-1970; or

(b) a period in respect of which benefit was not paid and is not payable under that Part, being—

(i) a period, not exceeding seven days, during which the contributor was unemployed or incapacitated and which immediately preceded a benefit period other than a benefit period that commenced from a date fixed under section one hundred and twenty of the Social Services Act 1947-1970; or

(ii) a period of four weeks that immediately followed a benefit period other than a benefit period that ended by reason of the cancellation, under section one hundred and twenty or section one hundred and twenty-one of that Act, of payment of the benefit.

“(6.) Notwithstanding the last preceding sub-section, where a contributor was not a contributor at the commencement of a period in relation to which, but for this sub-section, this section would apply in respect of the contributor, this section does not apply, in respect of the contributor, in relation to—

(a) the first two weeks of that period; or

(b) the part of that period before the contributor became a contributor, whichever is the shorter.

Waiver of, or reduction in, contributions and reimbursement of fund benefits, where income or means as assessed of contributor and family do not exceed a certain amount.

“82t.—(1.) This section applies in respect of a contributor to a medical benefits fund or a hospital benefits fund (not being a person who is such a contributor by reason only that he or she is a dependant of another person who is such a contributor) in relation to a period if a determination under the next succeeding section in respect of the contributor (in this section referred to as ‘the determination’) was, or is to be deemed to have been, in force throughout that period.

“(2.) Where—

(a) a contributor to a medical benefits fund lodges with the organization that conducts the fund a claim in respect of a professional service that has been rendered to himself or to one of his dependants (including, where the determination is a Class A determination, a professional service rendered before the contributor became a contributor);

(b) the professional service was rendered on or after the proclaimed date, and during a period in relation to which this section applies in respect of the contributor;

(c) under a provision included in the rules of the organization for the purpose of enabling this section and the last preceding section to apply in relation to the organization—

(i) where the determination is a Class A determination—contributions were not payable by the contributor to the fund in respect of that period or the payment of contributions by the contributor to the fund in respect of that period has been waived;

(ii) where the determination is a Class B determination—contributions were not payable by the contributor to the fund in respect of that period at a rate exceeding one-third of the rate that would have been applicable but for that provision; or

(iii) where the determination is a Class C determination—contributions were not payable by the contributor to the fund in respect of that period at a rate exceeding two-thirds of the rate that would have been applicable but for that provision; and

(d) the organization pays to, or to a person on behalf of, the contributor fund benefit in respect of the professional service,

there is payable to the organization by the Commonwealth an amount equal to—

(e) where the determination is a Class A determination—the fund benefit referred to in paragraph (d) of this section;

(f) where the determination is a Class B determination—two-thirds of the fund benefit referred to in paragraph (d) of this sub-section; or

(g) where the determination is a Class C determination—one-third of the fund benefit referred to in paragraph (d) of this sub-section.

“(3.) Where—

(a) a contributor to a hospital benefits fund lodges with the organization that conducts the fund a claim in respect of hospital treatment that has been received by himself or by one of his dependants (including, where the determination is a Class A determination, hospital treatment received before the contributor became a contributor);

(b) the hospital treatment was received on or after the proclaimed date, and during a period in relation to which this section applies in respect of the contributor;

(c) the contributor was, when the hospital treatment was received, a contributor for the approved scale of benefits in relation to the fund or for a scale of benefits greater than those provided by the approved scale of benefits;

(d) under a provision included in the rules of the organization for the purpose of enabling this section and the last preceding section to apply in relation to the organization—

(ii) where the determination is a Class B determination—contributions were payable by the contributor to the fund in respect of that period at a rate not exceeding one-third of the rate that would have been applicable but for that provision; or

(iii) where the determination is a Class C determination—contributions were payable by the contributor to the fund in respect of that period at a rate not exceeding two-thirds of the rate that would have been applicable but for that provision; and

(e) the organization pays to, or to a person on behalf of, the contributor, as fund benefit in respect of that hospital treatment—

(i) the amount of fund benefit in accordance with the scale of benefits for which the contributor is a contributor; or

(ii) if that amount exceeds the prescribed amount, the prescribed amount and no more,

there is payable to the organization by the Commonwealth—

(f) where the determination is a Class A determination—an amount equal to—

(i) if the contributor was, when the hospital treatment was received, a contributor for the approved scale of benefits—the amount paid as fund benefit in accordance with paragraph (e) of this sub-section; or

(ii) in any other case—the amount that would have been paid as fund benefit in accordance with paragraph (e) of this sub-section if the contributor had been, when the hospital treatment was received, a contributor for the approved scale of benefits;

(g) where the determination is a Class B determination—an amount equal to two-thirds of the amount that would be payable under the last preceding paragraph if the determination were a Class A determination; or

(h) where the determination is a Class C determination—an amount equal to one-third of the amount that would be payable under paragraph (f) of this sub-section if the determination were a Class A determination.

“(4.) Where a contributor was, in respect of a period, a contributor for a scale of benefits greater than those provided by the approved scale of benefits, a reference in paragraph (d) of the last preceding sub-section to contributions shall, in relation to the contributor, be read as not including a reference to any contributions payable by the contributor in respect of that period that would not have been so payable if the contributor had been, in respect of that period, a contributor for the approved scale of benefits.

“(5.) In sub-section (3.) of this section, ‘the prescribed amount’ means the amount (if any) by which the sum of the gross fees and extra charges incurred in respect of the hospital treatment concerned is greater than the amount of Commonwealth and miscellaneous fund benefit payable in respect of the hospital treatment.”.

(2.) Notwithstanding the repeal effected by the last preceding subsection—

(a) a scale of benefits approved under section 82r of the Principal Act in relation to a registered hospital benefits organization that was in force immediately before the commencement of this section continues in force as if it had been approved under section 82r of the Principal Act, as amended at any time; and

(b) sections 82s and 82t of the Principal Act continue in force for the purpose of the payment by the Commonwealth to an organization of any amount in relation to a professional service rendered, or hospital treatment received, before the commencement of this section.

Application by person for determination that income or means as assessed do not exceed a certain amount.

51.—(1.) Section 82u of the Principal Act is amended by omitting subsection (4.) and inserting in its stead the following sub-sections:—

“(4.) If the Director-General is satisfied—

(a) in the case of an applicant who, being a man, has not attained the age of sixty-five years or, being a woman, has not attained the age of sixty years—

Class A determination.

(i) that the weekly income of the applicant does not exceed Forty-two dollars fifty cents or, if a higher amount is prescribed for the purposes of this sub-paragraph, the amount so prescribed;

Class B determination.

(ii) that the weekly income of the applicant does not exceed Forty-five dollars fifty cents or, if a higher amount is prescribed for the purposes of this sub-paragraph, the amount so prescribed; or

Class C determination.

(iii) that the weekly income of the applicant does not exceed Forty-eight dollars fifty cents or, if a higher amount is prescribed for the purposes of this sub-paragraph, the amount so prescribed; or

(b) in the case of any other applicant—

Class A determination.

(i) that the means as assessed of the applicant do not exceed

Two thousand two hundred and ten dollars or, if a higher amount is prescribed for the purposes of this subparagraph, the amount so prescribed;

Class B determination.

(ii) that the means as assessed of the applicant do not exceed Two thousand three hundred and sixty-six dollars or, if a higher amount is prescribed for the purposes of this subparagraph, the amount so prescribed; or

Class C determination.

(iii) that the means as assessed of the applicant do not exceed Two thousand five hundred and twenty-two dollars or, if a higher amount is prescribed for the purposes of this subparagraph, the amount so prescribed,

he shall make a determination to that effect but, if not so satisfied, he shall refuse the application.

“(4a.) In dealing with an application under this section, the Director-General—

(a) shall not make a Class C determination if he can make a Class A determination or a Class B determination; and

(b) shall not make a Class B determination if he can make a Class A determination.”.

(2.) Notwithstanding the amendments made by the last preceding sub-section, a determination in force under section 82u of the National Health Act 1953-1970 as in force immediately before the commencement of this section continues in force as if it were a Class A determination within the meaning of Division 3 of Part VI. of the National Health Act 1953-1970 as in force after the commencement of this section.

52. Section 82v of the Principal Act is repealed and the following section inserted in its stead:—

Certain contributors deemed not to be special account contributors.

“82v. A contributor who, but for this section, would be a special account contributor shall be deemed not to be a special account contributor in relation to any period in relation to which—

(a) section eighty-two s of this Act applies in respect of the contributor; or

(b) section eighty-two t of this Act applies in respect of the contributor by reason of a Class A determination.”

Reimbursement by Commonwealth of fund benefit in respect of service rendered or treatment received during two months after immigrant enters Australia.

53. Section 82w of the Principal Act is amended—

(a) by omitting from paragraph (a) of sub-section (1.) the words “for an approved scale of benefits”;

(b) by omitting paragraphs (d) and (e) of sub-section (1.) and inserting in their stead the following word and paragraph:—

“and (d) the organization pays to, or to a person on behalf of, the contributor fund benefit in respect of the professional service,”; and

54. Section 82zc of the Principal Act is repealed and the following section inserted in its stead:—

Review of determinations.

“82zc.—(1.) The Director-General may, at any time, review a determination of the Director-General, or of a delegate of the Director-General, in force under section eighty-two u of this Act and—

(a) shall review every such determination at the expiration of twelve months after the determination was made or last reviewed, as the case may be; and

(b) in the case of a determination that was made in relation to a person before the person, being a man, attained the age of sixty-five years or, being a woman, attained the age of sixty years—shall review the determination when the person attains that age.

“(2.) A review of a determination under this section shall be made by the Director-General on the basis of the circumstances existing at the time of the review and, upon the review, the Director-General shall, as appropriate—

(a) affirm the determination;

(b) cancel the determination and make a further determination, being a Class A determination, a Class B determination, or a Class C determination; or

“(3.) If the Director-General—

(a) cancels a determination without making a further determination;

(b) cancels a Class A determination and makes a further determination that is a Class B determination or a Class C determination; or

the cancellation does not, or the cancellation and the further determination do not, take effect until the expiration of four weeks after notice of the cancellation, or of the cancellation and further determination, as the case may be, is served on the person to whom the determination relates—

(d) by sending it by post to that person at his address last known to the Director-General; or

(e) in such other manner as is prescribed.”.

Pharmaceutical Benefits Advisory Committee.

55. Section 101 of the Principal Act is amended by inserting after sub-section (2b.) the following sub-section:—

“(2c.) The names and qualifications of persons appointed to be members of the Committee shall be published in the Gazette.”.

Evidence.

56. Section 139a of the Principal Act is amended by omitting paragraphs (b) and (c) of sub-section (1.) and inserting in their stead the following paragraphs:—

“(b) an organization was or was not registered as a registered medical benefits organization or as a registered hospital benefits organization, or was or was not so registered in respect of a specified State or the Northern Territory;

“(c) a registration of an organization was subject to terms and conditions stated in the certificate;”.

Regulations.

57. Section 140 of the Principal Act is amended by adding at the end thereof the following sub-section:—

“(2.) Where an item in the First Schedule to this Act specifies a medical service that is to be rendered by a consultant physician or a specialist in the practice of his specialty to a patient who has been referred to him, the regulations may require that, for the purposes of the item, the patient be referred in a manner prescribed by the regulations.”.

The Schedules.

58. The Schedule to the Principal Act is repealed and the Schedules set out in the Schedule to this Act are inserted in its stead.

Part III.—Transitional Provisions.

Definition.

59. In this Part, “the proclaimed date” means the date fixed by Proclamation under sub-section (3.) of section 2 of this Act.

Making of regulations before date on which relevant provisions come into operation.

60.—(1.) At any time after this Act receives the Royal Assent and before the proclaimed date, regulations may be made for the purposes of the Principal Act as amended by any provision of this Act that is to come into force on the proclaimed date, but regulations so made shall not come into operation before the proclaimed date.

(2.) At any time after this Act receives the Royal Assent and before the first day of July, One thousand nine hundred and seventy-one, regulations may be made for the purposes of a provision to be inserted in the Principal Act by section 35 of this Act, but regulations so made shall not come into operation before that date.

Registrations of organizations to be registrations in respect of certain States, &c.

61.—(1.) The registration of an organization that was, immediately before the proclaimed date, a registered medical benefits organization or a registered hospital benefits organization shall be deemed, on and after that date, to be—

(a) a registration in respect of each State in which the organization was, immediately before that date, carrying on business as a registered medical benefits organization or as a registered hospital benefits organization, as the case may be; and

(b) if, immediately before that date, it was so carrying on business in the Northern Territory of Australia, a registration in respect of that Territory,

and each such deemed registration shall be deemed to be subject to the conditions that were applicable to the registration that was in force immediately before the proclaimed date.

(2.) A registration of an organization by virtue of the last preceding sub-section as a registered medical benefits organization is subject to the following conditions:—

(a) a condition that, under the rules of the organization, a contributor to the medical benefits fund conducted by the organization is not entitled to make a contribution in respect of fund benefits other than fund benefits set out in the relevant table of fund medical benefits where the contribution is made after, or is in respect of a period that ends after, the expiration of the period of three months commencing on the proclaimed date;

(b) a condition that, under the rules of the organization but subject to the rules referred to in paragraph (d) of this sub-section, a contributor to the medical benefits fund conducted by the organization who was such a contributor immediately before the proclaimed date will become, or will have an opportunity to become, before the specified date in relation to that contributor, a contributor for the fund benefits set out in the relevant table of fund medical benefits;

(c) a condition that, under the rules of the organization, the organization will not, on or after the proclaimed date, enrol a new contributor to the medical benefits fund conducted by the organization except as a contributor for the fund benefits set out in the relevant table of fund medical benefits; and

(d) a condition that, under the rules of the organization, a person who contributes to a medical benefits fund conducted by another registered medical benefits organization is not eligible to contribute to the medical benefits fund conducted by the first-mentioned organization for the fund benefits set out in a table of fund medical benefits set out in a Schedule to the National Health Act 1953-1970.

(3.) A registration of an organization by virtue of sub-section (1.) of this section is superseded by a similar registration granted to the organization in accordance with the next succeeding section.

(4.) In this section, “the specified date”, in relation to a contributor, means—

(a) in the case of a contributor whose contributions have, before the proclaimed date, been paid up to a date that is more than three

months after the proclaimed date—the date to which the contributions have been so paid up; or

(b) in any other case—the date three months after the proclaimed date.

Application for registration.

62.—(1.) An organization referred to in the last preceding section may, on or before the first day of October, One thousand nine hundred and seventy, apply, in accordance with section 67 or section 68 of the National Health Act 1953-1970, for registration as a registered medical benefits organization or a registered hospital benefits organization in respect of a specified State or in respect of the Northern Territory of Australia or may make more than one such application.

(2.) Where an organization (not being a restricted membership organization) referred to in the last preceding section makes application, in accordance with the last preceding sub-section, for registration as a registered medical benefits organization, or a registered hospital benefits organization, in respect of two or more States, the application shall set out a scheme for winding up the medical benefits fund or the hospital benefits fund, as the case may be, conducted by the organization.

(3.) A scheme referred to in the last preceding sub-section shall provide for allocating the moneys standing to the credit of the fund and not required for the purpose of meeting outstanding liabilities or other expenses in connexion with the winding up among the funds to be conducted by the organization in respect of the States specified in the applications.

(4.) The Minister may suggest to an organization that it make specified changes to its scheme, and the organization may make those changes accordingly.

(5.) The Minister shall refuse to register an organization referred to in sub-section (2.) of this section unless he is satisfied that the scheme set out in its application, or that scheme as altered, is a fair and proper one, and, if he does register the organization, he shall make each of the registrations subject to the condition that the organization shall carry out the scheme.

(6.) Where an application is made by an organization in accordance with sub-section (1.) of this section, the Minister, on or before the first day of January, One thousand nine hundred and seventy-one, and after report by the Registration Committee in accordance with section 72 of the National Health Act 1953-1970, shall determine the application in accordance with section 73 of that Act and furnish to the organization an appropriate notification in accordance with sub-section (5.) of that section.

(7.) In relation to an application for registration made in accordance with sub-section (1.) of this section, section 80 of the National Health Act 1953-1970 has effect as if—

(a) the refusal of the application were the cancellation of the registration of the organization; and

(b) the reference in sub-section (5.) of that section to the restoration of the registration were a reference to the grant of the registration to which the appeal relates either unconditionally or subject to such conditions as the Court thinks just and equitable.

Refusal or registration of organizations.

63.—(1.) This section applies to and in relation to an organization that has made, or is entitled to make, any application for registration in accordance with the last preceding section, and in this section “registration” means registration of the kind in respect of which that application is made or could be made, and “registered” has a corresponding meaning.

(2.) Where an organization fails to make, on or before the first day of October, One thousand nine hundred and seventy, the application for registration referred to in sub-section (1.) of this section, the organization ceases, on that first day of October, to be deemed to be registered by virtue of section 61 of this Act.

(3.) Where the Director-General furnishes to an organization that has made the application referred to in sub-section (1.) of this section a notification of the refusal of the application by the Minister and—

(a) the organization does not, before the last day of the period of one month from the date on which the notification is furnished to it, institute an appeal under section 80 of the National Health Act 1953-1970 against the refusal; or

(b) the organization so institutes an appeal but the appeal is dismissed, the organization ceases, on the last day of the period referred to in paragraph (a) of this sub-section, or on the day next following the day on which the Court dismisses the appeal, as the case may be, to be deemed to be registered by virtue of section 61 of this Act.

(4.) Where, under either of the last two preceding sub-sections, an organization has ceased to be deemed to be registered by virtue of section 61 of this Act, the organization shall, until such date as is fixed by the Minister by notice in writing served on the organization, be deemed by virtue of this sub-section to continue to be registered, but, in relation to that registration, the only contributors shall be persons who—

(a) were, immediately before the registration by virtue of section 61 of this Act ceased, contributors to the relevant medical benefits fund or hospital benefits fund conducted by the organization; and

(b) ordinarily paid their contributions in the State or Territory in respect of which that registration was deemed to exist.

(5.) The Minister shall not fix a date under the last preceding subsection until he is satisfied that all the contributors referred to in that sub-section have had an opportunity of becoming contributors, on terms not prejudicial to them, to a medical benefits fund or hospital benefits fund, as the case requires, conducted by another organization that is registered under the National Health Act 1953-1970 in respect of the relevant State or of the Northern Territory, as the case may be.

(6.) Where a contributor to the relevant fund conducted by an organization to which sub-section (4.) of this section applies wishes to become a contributor to a fund conducted by another organization, the Minister may pay to that other organization, on behalf of that person, an amount of contribution equal to the amount of any contribution paid by that person to the first-mentioned organization in respect of a period after the person will cease to be a contributor to the relevant fund conducted by the first-mentioned organization, and may deduct an amount equal to the amount so paid from any Commonwealth benefit becoming payable to that first-mentioned organization under the National Health Act 1953-1970.

Principal Act to continue in force for purpose of certain payments.

64. Notwithstanding the amendments made by this Act, the Principal Act, and the regulations that were in force under the Principal Act immediately before the proclaimed date, continue in force for the purpose of the payment of Commonwealth benefit in respect of—

(a) medical expenses incurred before the proclaimed date;

(b) medical expenses incurred during the period of three months commencing on the proclaimed date by a person who, at the time when the expenses were incurred—

(i) was a contributor within the meaning of Part III. of the Principal Act as so continued in force; and

(ii) was not a contributor within the meaning of Part III. of the National Health Act 1953-1970; and

(c) medical expenses incurred after the expiration of the period of three months commencing on the proclaimed date by a person who, at the time when the expenses were incurred—

(i) was, by virtue of a payment of contributions made before the proclaimed date, a contributor within the meaning of Part III. of the Principal Act as so continued in force; and

(ii) was not a contributor within the meaning of Part III. of the National Health Act 1953-1970.

THE SCHEDULE Section 58.

Schedules to be Inserted in the Principal Act

“the schedules

“first schedule Section 13.

Interpretation of Table

1. A reference in the table in this Schedule to an item shall be read as a reference to an item in that table.

2. Where an item in Part 1, 3 or 4 of the table in this Schedule includes the symbol “(S)”, the item shall be taken to relate to the service specified in the item when rendered by a specialist in the practice of his specialty.

3. Where an item in Part 1, 3 or 4 of the table in this Schedule includes the symbol “(G)”, the item shall be taken to relate to the service specified in the item when rendered otherwise than by a specialist in the practice of his specialty.

4. Where an item in the table in this Schedule, other than an item in Part 1, 3 or 4 of that table, includes the symbol “(S)”, the item shall be taken to relate to the service specified in the item when rendered by a specialist in the practice of his specialty to a patient who has been referred to him.

5. Where an item in the table in this Schedule, other than an item in Part 1, 3 or 4 of that table, includes the symbol “(G)”, the item shall be taken to relate to the service specified in the item when rendered otherwise than by a specialist in the practice of his specialty to a patient who has been referred to him.

6. A reference in either of the last two preceding paragraphs or in Part I. of the table in this Schedule to the referring of a patient to a specialist shall be read as a reference to a referring by a medical practitioner and—

(a) where the specialist concerned is an ophthalmologist—shall be read as including a reference to a referring by a registered optometrist or a registered optician; and

(b) where a referring arises out of a dental service rendered to the person who has been referred—shall be read as including a reference to a referring by a registered dentist.

TABLE OF COMMONWEALTH MEDICAL BENEFITS

Item No.	Medical service	Basic Commonwealth benefit
		$
Part 1.—Professional attendances not covered by an item in any other Fart of this Schedule
2.	Professional attendance (not being an attendance covered by any other item in this Part)—each attendance at consulting rooms, hospital or nursing home	1.10
3.	Professional attendance (not being an attendance covered by any other item in this Part)—each attendance at a place other than consulting rooms, hospital or nursing home	1.65
9.	Professional attendance by a specialist in the practice of his specialty where the patient is referred to him—an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at consulting rooms, hospital or nursing home	4.25
11.	Professional attendance by a specialist in the practice of his specialty where the patient is referred to him—an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at a place other than consulting rooms, hospital or nursing home	6.50
13.	Professional attendance by a specialist in the practice of his specialty where the patient is referred to him—each attendance that is a second or subsequent attendance in a single course of treatment	2.00
15.	Professional attendance by a consultant physician in the practice of his specialty where the patient is referred to him by a medical practitioner—an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at consulting rooms, hospital or nursing home	8.00

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
		$
17.	Professional attendance by a consultant physician in the practice of his specialty where the patient is referred to him by a medical practitioner—an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at a place other than consulting rooms, hospital or nursing home	10.00
18.	Professional attendance by a consultant physician in the practice of his specialty where the patient is referred to him by a medical practitioner—each attendance that is a second or subsequent attendance in a single course of treatment	3.25
24.	Professional attendance by a specialist or a consultant physician in the practice of his specialty where the patient is not referred to him—each attendance	1.10
37.	Prolonged professional attendance, for a period of not less than two hours but less than three hours, on a patient in a critical condition arising from electric shock, drowning, caisson disease, tetanus or respiratory paralysis that requires constant attention to the exclusion of all other patients	8.50
38.	Prolonged professional attendance, for a period of not less than three hours but less than four hours, in the circumstances referred to in the last preceding item	13.00
39.	Prolonged professional attendance, for a period of not less than four hours but less than five hours, in the circumstances referred to in Item 37	17.00
40.	Prolonged professional attendance, for a period of five hours or more, in the circumstances referred to in Item 37	22.50
43.	Pre-operative examination of a patient in preparation for the administration of an anaesthetic, being an examination carried out at an attendance other than that at which the anaesthetic is administered (G)	1.10
45.	Pre-operative examination of a patient in preparation for the administration of an anaesthetic, being an examination carried out at an attendance other than that at which the anaesthetic is administered (S)	2.00
	Part 2.—Obstetrics
	Division 1.—General
203.	Antenatal care where attendances do not exceed ten—each attendance..........	1.10
206.	Antenatal care where attendances exceed ten..........................	18.60
209.	Confinement and postnatal care for nine days where the medical practitioner has not given the antenatal care (G)	17.40
210.	Confinement and postnatal care for nine days where the medical practitioner has not given the antenatal care (S)	24.00
220.	Confinement, including a professional attendance that would, but for this item, be covered by item 9 (S)	13.20
223.	Antenatal care, confinement and postnatal care for nine days (G).............	24.00
224.	Antenatal care, confinement and postnatal care for nine days (S).............	39.00
	Division 2.—Special Services
226.	Antenatal care, confinement and postnatal care for nine days with surgical induction of labour (G)	33.60
227.	Antenatal care, confinement and postnatal care for nine days with surgical induction of labour (S)	51.00
230.	Antenatal care, confinement and postnatal care for nine days with surgical induction of labour; requiring major regional or field block (including abdominal; brachial plexus; caudal; cervical plexus; epidural (peridural); paravertebral (thoracic or lumbar); pudendal; sacral; spinal) (G)	43.50
231.	Antenatal care, confinement and postnatal care for nine days with surgical induction of labour; requiring major regional or field block (including abdominal; brachial plexus; caudal; cervical plexus; epidural (peridural); paravertebral (thoracic or lumbar); pudendal; sacral; spinal) (S)	66.00
235.	Caesarean section and postnatal care for nine days (G)....................	39.00
236.	Caesarean section and postnatal care for nine days (S)....................	57.00

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
		$
	Division 2.—Special Services—continued
243.	Treatment of habitual miscarriage by injection of hormones—each injection up to a maximum of twelve injections	1.00
247.	Threatened abortion, threatened miscarriage or hyperemesis gravidarum, requiring admission to hospital, treatment of—each attendance	1.00
251.	Cervix, purse string ligation of, for threatened miscarriage (G)................	11.70
252.	Cervix, purse string ligation of, for threatened miscarriage (S).................	15.60
255.	Cervix, removal of purse string ligature of, under general anaesthesia (G).........	3.90
256.	Cervix, removal of purse string ligature of, under general anaesthesia (S).........	5.10
259.	Pre-eclampsia, eclampsia or antepartum haemorrhage, treatment of—each attendance.	1.00
263.	Amniocentesis................................................	5.10
267.	Version, external or internal, under anaesthesia (G)........................	3.90
268.	Version, external or internal, under anaesthesia (S)........................	5.10
271.	Surgical induction of labour.......................................	5.10
275.	Decapitation, craniotomy, cleidotomy or evisceration of foetus or any two or more of those services	23.40
279.	Evacuation by intrauterine manual removal of the products of conception such as retained foetus, placenta, membranes or mole	8.10
283.	Manipulative correction of acute inversion of uterus, with or without incision of cervix	25.80
287.	Postpartum haemorrhage requiring special procedures such as packing, treatment of (G)	3.90
288.	Postpartum haemorrhage requiring special procedures such as packing, treatment of (S)	5.10
291.	Third degree tear, repair of, involving anal sphincter muscles.................	11.40
	Part 3.—Anaesthetics
	Division 1.—Anaesthetics other than Gaseous Anaesthetics not Covered by an Item in any other Part of this Schedule
301.	Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit does not exceed $13.20 and where an anaesthetic referred to in Division 2 of this Part is not given (G)	3.00
302.	Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit does not exceed $13.20 and where an anaesthetic referred to in Division 2 of this Part is not given (S)	4.20
305.	Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $13.20 but does not exceed $24.00 and where an anaesthetic referred to in Division 2 of this Part is not given (G)	4.50
306.	Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $13.20 but does not exceed $24.00 and where an anaesthetic referred to in Division 2 of this Part is not given (S)	5.10
309.	Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $24.00 but does not exceed $51.00 and where an anaesthetic referred to in Division 2 of this Part is not given (G)	8.10
310.	Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $24.00 but does not exceed $51.00 and where an anaesthetic referred to in Division 2 of this Part is not given (S)	10.20

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
	Division 1.—Anaesthetics, other than Gaseous, etc.—continued	$
313.	Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $51.00 but does not exceed $81.00 and where an anaesthetic referred to in Division 2 of this Part is not given	11.40
317.	Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $81.00 and where an anaesthetic referred to in Division 2 of this Part is not given	17.40
321.	Administration of an anaesthetic other than gaseous, in addition to a gaseous anaesthetic referred to in Division 2 of this Part	1.50
323.	Administration of neuroleptal analgesia...................................	5.70
	Division 2.—Gaseous Anaesthetics
341.	Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit does not exceed $13.20 (G)	4.50
342.	Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit does not exceed $13.20 (S)	5.70
344.	Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $13.20 but does not exceed $24.00 (G)	6.30
345.	Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $13.20 but does not exceed $24.00 (S)	7.80
347.	Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $24.00 but does not exceed $51.00 (G)	9.60
348.	Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $24.00 but does not exceed $51.00 (S)	12.00
351.	Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $51.00 but does not exceed $81.00 (G)	10.20
352.	Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $51.00 but does not exceed $81.00 (S)	12.60
355.	Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $81.00 but does not exceed $117.00	17.40
357.	Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $117.00	24.00
	Division 3.—Groupings of Anaesthetics and Related Procedures
370.	Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit does not exceed $13.20 (G)	6.60
371.	Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit does not exceed $13.20 (S)	7.50
375.	Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $13.20 but does not exceed $24.00 (G)	8.10

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
		$
	Division 3.—Groupings of Anaesthetics and Related Procedures—continued
376.	Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $13.20 but does not exceed $24.00 (S)	9.90
378.	Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $24.00 but does not exceed $51.00 (G)	11.70
379.	Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $24.00 but does not exceed $51.00 (S)	14.10
381.	Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $51.00 but does not exceed $81.00 (G)	12.30
382.	Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $51.00 but does not exceed $81.00 (S)	14.70
384.	Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $81.00 but does not exceed $117.00	19.50
386.	Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $117.00	26.10
388.	Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $24.00 but does not exceed $51.00, and intravenous or subcutaneous infusion or injection of fluids—percutaneous (G)	15.00
389.	Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $24.00 but does not exceed $51.00, and intravenous or subcutaneous infusion or injection of fluids—percutaneous (S)	16.80
391.	Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $51.00 but does not exceed $81.00, and intravenous or subcutaneous infusion or injection of fluids—percutaneous (G)	15.60
392.	Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $51.00 but does not exceed $81.00, and intravenous or subcutaneous infusion or injection of fluids—percutaneous (S)	17.40
394.	Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $81.00 but does not exceed $117.00, and intravenous or subcutaneous infusion or injection of fluids—percutaneous	22.20

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
		$
	Division 3.—Groupings of Anaesthetics and Related Procedures—continued
396.	Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $24.00 but does not exceed $51.00, and blood transfusion, using pooled blood or blood already collected (G)	17.70
397.	Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $24.00 but does not exceed $51.00, and blood transfusion, using pooled blood or blood already collected (S)	20.10
399.	Administration of a anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $51.00 but does not exceed $81.00, and blood transfusion, using pooled blood or blood already collected (G)	18.30
400.	Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $51.00 but does not exceed $81.00, and blood transfusion, using pooled blood or blood already collected (S)	20.70
402.	Administration of an anaesthetic other than gaseous, in addition to the administration of a gaseous anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit exceeds $81.00 but does not exceed $117.00, and blood transfusion, using pooled blood or blood already collected	25.50
	Division 4.—Dental Anaesthetics
430.	Administration by a medical practitioner of an anaesthetic, other than an endotracheal anaesthetic, in connexion with a dental operation	3.90
435.	Administration by a medical practitioner of an endotracheal anaesthetic in connexion with a dental operation (G)	6.30
436.	Administration by a medical practitioner of an endotracheal anaesthetic in connexion with a dental operation (S)	7.50
	Part 4.—Regional Nerve or Field Block
451.	Major regional or field block, including abdominal; brachial plexus; caudal; cervical plexus; epidural (peridural); paravertebral (thoracic or lumbar); pudendal; sacral; spinal	8.10
455.	Intravenous regional anaesthesia of limb by retrograde perfusion (G).............	5.40
456.	Intravenous regional anaesthesia of limb by retrograde perfusion (S).............	7.20
	Part 5.—Assistance in Administration of an Anaesthetic
501.	Assistance in the administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the basic Commonwealth medical benefit payable is not less than $96.00	5.70
	Part 6.—Miscellaneous Procedures
601.	Electrocardiography, phonocardiography, stethography or ballistocardiography......	3.30
611.	Continuous electrocardiographic monitoring during anaesthesia................	4.40
616.	Restoration of cardiac rhythm by electrical stimulation, other than in the course of cardiac surgery	6.90
621.	Intracardiac pressure recording at operation..............................	17.40
625.	Blood pressure recording by intravenous cannula..........................	15.60
631.	Echoencephalography or echography..................................	5.10
641.	Electroencephalography, not covered by item 631, 651 or 661.................	8.10

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
		$
651.	Electroencephalography, temporosphenoidal.............................	12.60
661.	Electrocorticography.............................................	17.40
681.	Electromyography—involving estimation of nerve conduction times or stimulating response recording	4.00
691.	Electromyography—involving sampling of muscle activity—each attendance at which procedure is performed	3.10
701.	Tonography, in the management of glaucoma............................	4.50
703.	Provocative test or tests for glaucoma, including water drinking................	2.70
705.	Electroretinography.............................................	9.00
707.	Audiogram, pure tone............................................	3.30
708.	Audiogram, pure tone, follow up.....................................	2.10
715.	Audiological assessment (pure tone speech audiogram and additional tests as required).	3.60
721.	Test of ear, or tests of ears on the same occasion, for integrity of static labyrinth.....	3.80
731.	Bronchospirometry, including gas analysis..............................	14.70
741.	Estimation of respiratory function by spirometer or other simple techniques—each attendance at which one or more tests are performed	5.10
751.	Estimation of respiratory function requiring complicated techniques—each attendance at which one or more tests are performed	7.50
761.	Perfusion of limb or organ using heart-lung machine or equivalent...............	42.00
771.	Whole body perfusion, cardiac by-pass, using heart-lung machine or equivalent......	63.00
781.	Dialysis involving use of artificial kidney...............................	48.00
791.	Dialysis, peritoneal, for acute renal failure..............................	11.40
801.	Induced controlled hypothermia—total body.............................	9.30
831.	Fluids, intravenous or subcutaneous infusion of—percutaneous.................	2.40
841.	Fluids, intravenous or subcutaneous infusion of—by open exposure..............	4.50
851.	Intravenous infusion or injection of a substance incorporating a cytotoxic agent......	4.20
861.	Intraarterial infusion or injection of a substance incorporating a cytotoxic agent, preparation for	6.90
866.	Intralymphatic infusion or injection of a fluid containing a cytotoxic agent, with or without the incorporation of an opaque medium	11.40
871.	Blood transfusion, including collection from donor.........................	8.10
881.	Blood transfusion, using pooled blood or blood already collected...............	5.10
891.	Blood transfusion with venesection and complete replacement of blood, including collection from donor	21.00
901.	Blood transfusion with venesection and complete replacement of blood, using pooled blood or blood already collected	17.40
906.	Intrauterine foetal blood transfusion using pooled blood or blood already collected, including necessary amniocentesis	21.00
911.	Blood for purposes of transfusion, collection of, not covered by item 871 or 891	4.00
915.	Blood dye—dilution indicator test....................................	10.20
921.	Venesection, not covered by item 891 or 901—each attendance at which venesection is performed	1.40
931.	Blood specimen for pathology test, intravenous collection of, for forwarding to another medical practitioner	0.80
941.	Blood for pathology test, collection of, by arterial puncture...................	1.50
943.	Blood for pathology test, collection of, by femoral or external jugular vein puncture in infants	1.80
945.	Collection of specimen of sweat by iontophoresis..........................	2.70
951.	Hormone or living tissue implantation—by incision........................	4.40
961.	Hormone or living tissue implantation—by cannula........................	2.50
971.	Intragastric freezing.............................................	11.40
976.	Intragastric cooling..............................................	23.40
981.	Electroconvulsive therapy—each attendance at which treatment is given...........	4.50
985.	Narcotherapy or similar psychiatric procedure involving intravenous injection-each attendance at which treatment is given	5.70

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
		$
	Part 7.—Pathology Services
	Division 1.—Blood
	Haematology—Erythrocytes
1000.	Blood film, examination of.........................................	1.00
1002.	Blood film, examination by special stains to demonstrate; basophilic stippling, foetal haemoglobin, haemoglobin H, Heinz bodies, reticulocytes, siderocytes or similar	1.00
1004.	Malarial or other parasites, examination of blood for........................	1.50
1006.	Sickling, examination of blood for....................................	1.30
1008.	Haemoglobin estimation (where patient is referred by another medical practitioner for this service)	1.00
1010.	Haemoglobin estimation and examination of blood film......................	2.10
1012.	Haemoglobin estimation and examination of blood film and blood grouping, ABO and Rh	4.50
1014.	Haemoglobin estimation, leucocyte count, and differential leucocyte count.........	3.60
1016.	Haemoglobin estimation, haematocrit (packed cell volume) estimation, leucocyte count and differential leucoyte count	3.90
1018.	Haemoglobin estimation, haematocrit (packed cell volume) estimation, leucocyte count and differential leucocyte count, and erythrocyte sedimentation rate	5.70
1020.	Haemoglobin estimation, blood grouping, ABO and Rh, indirect Coombs’ test, total bilirubin and compatability testing	12.30
1022.	Erythrocyte count...............................................	1.00
1024.	Erythrocyte sedimentation rate (where patient is referred by another medical practitioner for this service)	1.00
1026.	Haematocrit (packed cell volume) estimation.............................	1.00
1028.	Erythrocyte fragility test, to hypotonic saline.............................	3.80
1030.	Erythrocyte fragility test, mechanical fragility............................	3.90
1032.	Erythrocyte, autohaemolysis test.....................................	3.80
1034.	Erythrocytes, estimation of mean cell diameter............................	2.10
1036.	Erythrocytes, tests for enzymes, acid phosphatase or similar, each enzyme.........	3.30
1038.	Erythrocytes, estimation of glutathione.................................	3.90
1040.	Erythrocytes, glutathione stability test.................................	3.90
1042.	Erythrocytes, glucose-6-phosphate dehydrogenase, pyruvate kinase deficiency, or similar, screening test	3.30
1044.	Erythrocytes, glucose-6-phosphate dehydrogenase, pyruvate kinase deficiency, or similar, quantitative estimation	4.50
1046.	Erythrocytes, test for paroxysmal nocturnal haemoglobinuria—screening test (sucrose water test)	1.80
1048.	Erythrocytes, test for paroxysmal nocturnal haemoglobinuria—acid haemolysin test...	6.90
1050.	Erythrocytes, folate estimation of....................................	4.50
1052.	Erythrocytes, survival or life—radio-active technique.......................	13.20
1054.	Erythrocytes, direct Coombs’ test....................................	1.50
	Haematology—Leucocytes
1060.	Leucocyte count................................................	1.00
1062.	Leucocyte count and differential count.................................	2.10
1064.	Eosinophil count, wet............................................	1.00
1066.	Leucocyte agglutinins, detection of...................................	2.70
1068.	Lupus erythematosus cells, examination of blood film for....................	3.00
1070.	Cytological sex determination from blood film............................	2.70
1072.	Leucocyte, (neutrophil) alkaline phosphatase determination...................	3.30
1074.	Leucocyte tests for phagocytic activity.................................	11.40
1076.	Blood film examination using special stains (P.A.S., Sudan black or similar) for leucocytes	1.30
	Haematology—Platelets
1080.	Platelet count..................................................	1.00
1082.	Platelet agglutinin test............................................	2.70
1084.	Platelet survival or life—radio-active technique...........................	13.20

First Schedule—continued

Item No.	Medical service	Basic Common wealth benefit
		$
	Division 1.—Blood—continued
	Haematology—Blood Transfusion Procedures
1090.	Blood grouping, ABO and Rh.........................................	2.10
1092.	Blood grouping, MN or other, each system, not covered by Item 1090..............	2.10
1094.	Compatability testing—for each bottle tested up to five bottles...................	2.10
1096.	Compatability testing—for each subsequent bottle tested in excess of five............	1.80
1098.	Examination of serum for Rh or other blood group antibodies—screening test.........	2.40
1100.	Examination of serum for Rh or other blood group antibodies—quantitative estimation...	3.00
1102.	Examination of serum for Rh or other blood group antibodies—screening and quantitive estimation	4.50
1104.	Coombs’ test—direct...............................................	1.50
1106.	Coombs’ test—indirect (if not part of Items 1094, 1096, 1098, 1100 or 1102)..........	2.10
1108.	Examination of serum for blood group haemolysins...........................	3.00
	Haematology—Haemostasis
1110.	Antihaemophilic globulin, assay of, or other blood coagulation factor—quantitative.....	7.20
1112.	Bleeding time...................................................	1.00
1114.	Coagulation time (including qualitative clot retraction)........................	1.00
1116.	Bleeding time, coagulation time (including qualitative clot retraction), prothrombin estimation and platelet count	6.90
1118.	Clot retraction, quantitative...........................................	2.10
1120.	Euglobulin lysis time, or similar.......................................	5.70
1122.	Fibrinogen estimation..............................................	3.30
1124.	Fibrinogen titre, determination of.......................................	2.10
1126.	Kaolin clotting time...............................................	2.70
1128.	Platelet count....................................................	1.00
1130.	Platelet adhesion test...............................................	3.90
1132.	Platelet aggregation test, qualitative.....................................	2.10
1134.	Platelet aggregation test, quantitative....................................	3.90
1136.	Platelet factor III availability..........................................	5.70
1138.	Prothrombin estimation.............................................	2.10
1140.	Prothrombin estimation—two stage.....................................	3.30
1142.	Prothrombin consumption test.........................................	3.60
1144.	Recalcified plasma clotting time.......................................	2.10
1146.	Thrombin clotting time.............................................	2.10
1148.	Thromboplastin generation screening test.................................	3.30
1150.	Thromboplastin generation test (full)....................................	5.70
1152.	Thrombin time, determination of (including test for presence of an inhibitor)..........	3.30
1154.	Thrombin time serial test for fibrinogenolysis...............................	2.70
1156.	Thromboplastin time (partial) with or without kaolin..........................	2.70
	Haematology—Miscellaneous Procedures
1160.	Blood culture....................................................	3.30
1162.	Blood volume (dye method)..........................................	3.90
1164.	Folic acid, estimation of, in serum or plasma...............................	4.50
1166.	Vitamin B12, estimation of, in serum or plasma.............................	4.50
1168.	Marrow, examination of films made from aspirate............................	4.50
1170.	Marrow examination—histopathological examination of aspirate or trephine..........	5.10
1172.	Marrow, examination of films of, by special staining, e.g. iron, P.A.S., peroxidase, Sudan black or similar	1.30
1174.	Spectroscopic examination of blood.....................................	2.10
1176.	Assay of concentration of antibiotic or chemotherapeutic agents in serum or plasma.....	2.70
	Haematology—Serology
1180.	Agglutination tests, including agglutination tests for enteric fever, Brucella infection, one antigen	2.10
1182.	Agglutination tests, including agglutination tests for enteric fever, Brucella infection, more than one antigen, each additional antigen	1.00
1184.	Antistreptolysin titre, determination of...................................	3.30
1186.	Cold agglutinins, qualitative test.......................................	1.00

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
	Division 1.—Blood—continued	$
1188.	Cold agglutinins, quantitative test.............................................	2.10
1190.	Complement, estimation of, in serum..........................................	3.30
1192.	Complement fixation tests for the diagnosis of gonorrhoea, hydatid infestation, or similar, each antigen	3.30
1194.	Complement fixation tests for the diagnosis of toxoplasmosis..........................	3.30
1196.	Complement fixation tests to detect antibodies to other bacterial, viral, fungal or parasitic infection not covered by any other item in this Part	3.30
1198.	Haemagglutination or haemagglutination-inhibition test for the diagnosis of a virus infection.....	3.30
1200.	Latex flocculation test, or similar test, for rheumatoid arthritis or other conditions—each test.....	1.50
1202.	Methylene blue dye test for toxoplasmosis.......................................	3.60
1204.	Paul Bunnell test—screening................................................	2.10
1206.	Paul Bunnell test—titre with absorptions........................................	3.90
1208.	Rose Waaler test........................................................	3.30
1210.	Syphilis, complement fixation tests for the diagnosis of, one antigen......................	3.30
1212.	Syphilis, complement fixation tests for the diagnosis of, two antigens.....................	4.50
1214.	Syphilis, flocculation test for, Kahn, Kline, VDRL or similar, one antigen..................	1.00
1216.	Syphilis, flocculation test for, Kahn, Kline, VDRL or similar, two antigens.................	2.40
1218.	Syphilis, fluorescent antibody test for..........................................	4.50
	Haematology—Chemistry
1220.	Alcohol, estimation of....................................................	6.00
1222.	Amino acids, total estimation of..............................................	6.00
1224.	Amino acid pattern, qualitative (chromatography or high voltage electrophoresis), estimation of...	10.20
1226.	Amino acid pattern, quantitative (ion exchange, gas liquid chromatography), estimation of.......	13.20
1228.	Ammonia, estimation of...................................................	4.50
1230.	Barbiturates, quantitative estimation of.........................................	6.00
1232.	Bicarbonate (CO2 combining power, alkali-reserve), estimation of.......................	3.30
1234.	Carbohydrate tolerance test (fructose, galactose, glucose, lactose, sucrose) not exceeding two hours, each	5.70
1236.	Carbohydrate tolerance test (fructose, galactose, glucose, lactose, sucrose) exceeding two hours but not exceeding three hours, each	7.20
1238.	Carbohydrate tolerance test (fructose, galactose, glucose, lactose, sucrose) exceeding three hours, each	9.00
1240.	Carboxyhaemaglobin (carbon monoxide), qualitative estimation of.......................	2.10
1242.	Carboxyhaemoglobin (carbon monoxide), quantitative estimation of......................	3.90
1244.	Congo red test.........................................................	6.30
1246.	Cortisol, corticosteroids or similar, estimation of...................................	6.00
1248.	Cryoglobulins—qualitative estimation of........................................	1.50
1250.	Electrolytes, estimation of sodium, potassium, calcium, magnesium or chloride, estimation of one substance	3.30
1252.	Estimation of two substances referred to in the last preceding item.......................	5.70
1254.	Estimation of three substances referred to in Item 1250..............................	7.80
1256.	Estimation of four substances referred to in Item 1250...............................	10.20
1258.	Estimation of five substances referred to in Item 1250...............................	12.60
1260.	Electrophoretic determination of serum or plasma for lipoprotein, protein, abnormal haemoglobin, haptoglobin, or other unspecified fractions, qualitative, each determination	3.30
1262.	Electrophoretic determination of serum or plasma for lipoprotein, protein, abnormal haemoglobin, haptoglobin or other unspecified fractions, quantitative, each determination	5.10
1264.	Enzymes (whole blood, serum or plasma), one estimation.............................	3.30
1266.	Enzymes (whole blood, serum or plasma), two estimations............................	5.70
1268.	Enzymes (whole blood, serum or plasma), three estimations...........................	7.80
1270.	Enzymes (whole blood, serum or plasma), four or more estimations......................	10.20
1272.	Folic acid, estimation of...................................................	4.50
1274.	Gas analysis including oxygen capacity, oxygen saturation and partial carbon dioxide (PCO2).....	13.20
1276.	Chemical analysis of blood or serum, five or more tests performed simultaneously on a single specimen on one multi-channel analyser	7.20

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
		$
	Division 1.—Blood—continued
1278.	Chemical tests, quantitative, of albumin, bromide, cholesterol, creatinine, globulin, glucose, phosphorus, salicylates, sulphonamides, total protein, urea, urea nitrogen, uric acid or similar substance, not covered by any other item, estimation of one substance, other than by reagent stick, strip, tablet or similar	3.30
1280.	Two estimations of any substance or substances referred to in the last preceding item....	5.70
1282.	Three estimations of any substance or substances referred to in item 1278............	7.80
1284.	Four estimations of any substance or substances referred to in item 1278.............	10.20
1286.	Five or more estimations of any substance or substances referred to in item 1278.......	12.60
1288.	Hydrogen ion concentration (pH), estimation of.............................	4.50
1290.	Insulin tolerance test...............................................	6.90
1292.	Intravenous tolbutamide test..........................................	6.90
1294.	Iron, estimation of................................................	3.30
1296.	Iron-binding capacity, estimation of.....................................	2.10
1298.	Iron and iron-binding capacity, estimation of...............................	5.70
1301.	Liver function test (bilirubin, total; bilirubin, direct and indirect; enzymes; alkaline phosphatase, transaminase or similar; turbidity; or other liver function test not covered by any other item), any one test	3.30
1302.	Two of any test or tests referred to in the last preceding item.....................	5.70
1304.	Three of any test or tests referred to in item 1301............................	7.80
1305.	Four of any test or tests referred to in item 1301.............................	10.20
1307.	Five or more of any test or tests referred to in item 1301.......................	12.60
1310.	Other unspecified liver function test not covered by any other item................	3.30
1313.	Methaemalbumin, qualitative test for....................................	2.10
1316.	Phenylketonuria, bacterial inhibition assay for, (Guthrie test)....................	3.30
1319.	Protein bound iodine, estimation of.....................................	5.40
1322.	Proteins, chemical estimation of, total (copper sulphate method)..................	1.50
1325.	Protamine sulphate titration..........................................	1.30
1328.	Spectroscopic examination for pigments..................................	2.10
1331.	Thyroxine, estimation of............................................	6.00
1334.	Triglycerides, phospholipids, total lipids, estimation of each substance..............	3.90
1337	Estimation of any two substances referred to in the last preceding item..............	6.30
1340.	Estimation of any three or more substances referred to in item 1334................	9.00
1343.	Triglycerides, phospholipids, total lipids, estimation of one substance and estimation of cholesterol	6.30
1346.	Thyroxine or tri-iodothyronine, free plasma estimation of.......................	10.20
1349.	Trace elements (copper, lead, mercury, zinc or other unspecified trace elements), estimation of	4.20
1352.	Vitamin A or carotenoids, estimation of..................................	4.50
1355.	Vitamin B12, estimation of...........................................	4.50
1358.	Assay of concentration of antibiotic or chemotherapeutic agent...................	2.70
	Division 2.—Urine
	Urine—Bacteriology
1380.	Microscopical examination of urine concentrate (where patient is referred by another medical practitioner for this service)	1.00
1382.	Microscopical examination of urine concentrate and general examination for three or more of: reaction, specific gravity, blood, albumin, urobilinogen, sugar, acetone, bile pigments (where patient is referred by another medical practitioner for this service)	1.50
1385.	Microscopical examination of urine concentrate and general examination for three or more of: reaction, specific gravity, blood, albumin, urobilinogen, sugar, acetone, bile pigments; and cultural examination of urine specimen for isolation and identification of organisms	3.30
1388.	Microscopical examination of urine concentrate and general examination for three or more of: reaction, specific gravity, blood, albumin, urobilinogen, sugar, acetone, bile pigments; cultural examination of urine specimen; and antibiotic sensitivity testing of urine organisms, up to eight antibiotics	5.70

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
	Division 2.—Urine—continued	$
1389.	Microscopical examination of urine concentrate and general examination for three or more of: reaction, specific gravity, blood, albumin, urobilinogen, sugar, acetone, bile pigments; cultural examination of urine specimen; and antibiotic sensitivity test of urine organism (each organism), for nine or more antibiotics	7.20
1391.	Microscopical examination of urine concentrate and general examination for three or more of: reaction, specific gravity, blood, albumin, urobilinogen, sugar, acetone, bile pigments; bacterial count for organisms in urine (colony count), simplified technique; and cultural examination of urine specimen for isolation and identification of organisms	4.50
1392.	Microscopical examination of urine concentrate, and general examination for three or more of: reaction, specific gravity, blood, albumin, urobilinogen, sugar, acetone, bile pigments; bacterial count for organisms in urine (colony count), simplified technique: cultural examination of urine specimen; and antibiotic sensitivity of urine organisms, up to eight antibiotics	7.20
1394.	Microscopical examination of urine concentrate, and general examination for three or more of: reaction, specific gravity, blood, albumin, urobilinogen, sugar, acetone, bile pigments; bacterial count for organisms in urine (colony count), simplified technique; cultural examination of urine specimen; and antiobiotic sensitivity of urine organisms, for nine or more antiobiotics	9.00
1395.	Microscopical examination of urine concentrate by special stain—Ziehl Neelsen or similar..	1.30
1397.	Microscopical examination of urine concentrate by special stain—Ziehl Neelsen or similar, and cultural examination of urine specimen for special pathogens, such as M. tuberculosis	3.60
1399.	Bacterial count for organisms in urine (colony count), simplified technique............	1.00
1401.	Bacterial count for organisms in urine (colony count), noured Plate technique...........	2.10
1404.	Cultural examination of urine specimen, for isolation and identification of organisms......	1.50
1407.	Microscopical examination of urine concentrate and cultural examination of urine specimen, for isolation and identification of organisms	3.30
1410.	Cultural examination of urine specimen for special pathogens, such as M. tuberculosis.....	2.10
1413.	Antibiotic sensitivity of urine organism (each organism), up to eight antibiotics	2.10
1416.	Antibiotic sensitivity of urine organism (each organism), nine or more antibiotics	3.90
1419.	Sensitivity testing of mycobacteria, each antibiotic............................	2.10
1421.	Sensitivity testing—tube dilution, each antibiotic.............................	2.70
1423.	Assay of concentration of antibiotic or chemotherapeutic agents in urine..............	2.70
1425.	Examination by animal inoculation.......................................	4.50
1428.	Addis count or quantitative estimation of sediments............................	2.70
	Urine—Chemistry
1430.	Alcohol, quantitative estimation of.......................................	6.00
1432.	Aldosterone, estimation of............................................	13.20
1434.	Amino acid, total estimation of.........................................	3.30
1436.	Amino acids, identification of, screening tests, by chromatography..................	3.90
1438.	Amino acids, identification of, qualitative pattern (high voltage electrophoresis or chromatography)	13.20
1441.	Amimo-levulinic acid, estimation of......................................	4.20
1444.	Ascorbic acid, estimation of...........................................	3.30
1447.	Barbiturates, estimation of, quantitative....................................	6.00
1450.	Catecholamines or similar, estimation of...................................	5.10
1453.	Chromatography of urine for separation and identification of sugars and other substances of diagnostic significance other than amino acids	3.30
1456.	Electrophoresis of urinary protein, qualitative................................	4.50
1459.	Chemical tests, quantitative, not covered by any other item (calcium, phosphorus, protein, sugar, urea, enzymes, uric acid or similar substance), one estimation, other than by reagent stick, strip, tablet or similar	3.30
1461.	Two estimations of any substance or substances referred to in the last preceding item......	5.70
1463.	Three estimations of any substance or substances referred to in item 1459.............	7.80
1466.	Four or more estimations of any substance or substances referred to in Item 1459........	10.20

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
	Division 2.—Urine—continued	$
1468.	Chorionic gonadotrophins (for diagnosis of pregnancy), using immunochemical.........	1.50
1470.	Chorionic gonadotrophins (for diagnosis of pregnancy), using animals...............	3.30
1472.	Chorionic gonadotrophins, quantitative estimation of..........................	4.50
1474.	Pituitary gonadotrophins, quantitative estimation of...........................	13.20
1476.	Hydroxycorticosteroids, estimation of....................................	4.80
1478.	Hydroxyindole-acetic acid, quantitative estimation of..........................	4.20
1481.	Lead, thallium, mercury or arsenic, estimation of.............................	4.20
1484.	Oestrogens, total, estimation of.........................................	10.20
1487.	Oxosteroids, estimation of............................................	4.80
1490.	Oxogenic steroids, estimation of........................................	4.80
1491.	Porphyrins, qualitative examination, other than by reagent stick, strip, tablet or similar....	1.50
1493.	Porphyrins, quantitative examination, each substance..........................	10.20
1494.	Quantitative estimation of pregnanediol, pregnanetriol or similar substances...........	13.20
1495.	Qualitative estimation of substances in urine (Bence-Jones protein, hydroxyindole-acetic acid, indican, melanogen, porphobilinogen or other similar substances not covered by any other item), each substance, other than by reagent stick, strip, tablet or similar (where patient is referred by another medical practitioner for this service)	1.30
1496.	Spectroscopic examination for pigments...................................	2.10
1497.	Vanilmandelic acid, estimation of.......................................	5.10
	Urine—Cytology
1499.	Cytological examination for malignancy...................................	4.50
Division 3.—Body Fluids: Exudates, including Pus, Sputum, Sweat and Amniotic Ascitic, Cerebrospinal, Pleural, Prostatic, Seminal, Synovial and Vaginal Fluids
	Body Fluids—Bacteriology and Parasitology
1500.	Microscopical examination—wet film....................................	1.00
1502.	Microscopical examination—Gram stain or similar............................	1.00
1504.	Microscopical examination, by special stains, e.g. Ziehl-Neelsen or similar............	1.00
1506.	Microscopical examination by dark ground illumination or phase contrast.............	2.70
1508.	Cultural examination for, and identification of aerobic micro-organisms..............	2.00
1511.	Cultural examination for, and identification of anaerobic micro-organisms............	2.10
1513.	Cultural examination for special pathogens, such as M. tuberculosis, fungi, &c..........	2.10
1515.	Microscopical examination, Gram stain or similar, and cultural examination for and identification of aerobic micro-organisms	3.60
1517.	Microscopical examination, Gram stain or similar; cultural examination for and identification of aerobic micro-organisms; and microscopical examination, by special stains, e.g. Ziehl-Neelsen or similar	4.80
1519.	Microscopical examination, Gram stain or similar; cultural examination for and identification of aerobic micro-organisms; and sensitivity testing of up to eight antibiotics	6.00
1521.	Microscopical examination, Gram stain or similar; culural examination for and identification of aerobic micro-organisms; sensitivity testing of up to eight antibiotics; and microscopical examination, by special stains, e.g. Ziehl-Neelsen or similar	7.50
1523.	Microscopical examination, Gram stain or similar; cultural examination for and identification of aerobic micro-organisms; and sensitivity testing of nine or more antibiotics	7.50
1525.	Microscopical examination by special stains, e.g. Ziehl-Neelsen or similar; and cultural examination for special pathogens, such as M. tuberculosis, fungi, &c.	3.60
1527.	Examination by animal inoculation......................................	4.50
1529.	Autogenous vaccines, preparation of, for a single organism......................	2.70
1531.	Autogenous vaccines, preparation of, for multiple organisms.....................	5.10
1534.	Sensitivity testing—up to eight antibiotics.................................	2.10

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
		$
	Division 3.—Body Fluids—continued
1537.	Sensitivity testing—nine or more antibiotics...............................	3.90
1539.	Sensitivity testing—tube dilution, each antibiotic............................	2.70
1541.	Sensitivity testing of mycobacteria, each antibiotic...........................	2.10
1543.	Assay of concentration of antibiotic or chemotherapeutic agents in body fluids	2.70
	Body Fluids—Vaginal and Prostatic Fluids
1545.	Microscopical examination, wet film....................................	1.00
1546.	Microscopical examination, wet film; microscopical examination, Gram stain or similar; cultural examination for and identification of aerobic micro-organisms	4.50
1548.	Microscopical examination, wet film; microscopical examination, Gram stain or similar; cultural examination for and identification of aerobic microorganisms; and sensitivity testing of up to eight antibiotics	7.20
	Body Fluids—Cerebrospinal Fluid
1551.	Cell count and differential; and quantitative chemical estimation of one substance......	4.50
1554.	Cell count and differential; quantitative chemical estimation of one substance; and Lange colloidal gold reaction	8.10
1557.	Cell count and differential; quantitative chemical estimation of one substance; Lange colloidal gold reaction; and complement fixation test for syphilis	12.00
1560.	Cell count and differential; quantitative chemical estimation of one substance; and complement fixation test for syphilis	8.10
1562.	Cell count and differential; and quantitative chemical estimation of two substances......	7.20
1564.	Cell count and differential; quantitative chemical estimation of two substances; and Lange colloidal gold reaction	11.10
1566.	Cell count and differential; and quantitative chemical estimation of three substances.....	9.60
1568.	Cell count and differential; quantitative chemical estimation of three substances; and Lange colloidal gold reaction	13.50
	Body Fluids—Seminal Fluid
1571.	Cell count; microscopical examination, wet film, and microscopical examination, Gram stain or similar	4.20
	Body Fluids—Serological Examination
1580.	Serological procedures, not covered by any other item; to identify organisms..........	2.10
1582.	Rh or similar blood group antibodies, qualitative examination for.................	2.40
1584.	Rh or similar blood group antibodies, quantitative examination for................	4.50
1586.	Flocculation tests for syphilis, rheumatoid factor or similar.....................	1.50
1588.	Syphilis, complement fixation tests for...................................	3.30
1590.	Complement, estimation of..........................................	3.30
	Body Fluids—Chemistry
1601.	Quantitative chemical estimation of one substance...........................	3.30
1604.	Quantitative chemical estimation of two substances..........................	5.70
1607.	Quantitative chemical estimation of three substances..........................	7.80
1609.	Quantitative chemical estimation of four or more substances.....................	10.20
1611.	Lange colloidal gold reaction.........................................	3.00
1613.	Amniotic fluid, spectroscopic examination of..............................	4.20
1615.	Electrophoresis of protein or enzyme, qualitative............................	4.50
	Body Fluids—Cytology
1616.	Cytological examination for malignancy..................................	4.50
	Body Fluids—Miscellaneous
1621.	Cell count and differential...........................................	1.30
1623.	Assay of concentration of antibiotic or chemotherapeutic agent...................	2.70
1625.	Sweat plate test..................................................	1.60

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
	Division 3.—Body Fluids—continued	$
1627.	Huhner’s test...................................................	3.30
1629.	Milk, human, chemical analysis of.....................................	2.70
1631.	Calculi (gall stones, urinary calculi and other body concretions), chemical examination of	2.10
	Division 4.—Immunology
1640.	Immunoelectrophoresis of serum, cerebrospinal fluid, urine or other body fluids—qualitative	6.90
1643.	Immunodiffusion for the detection of proteins in serum, cerebrospinal fluid, urine or other body fluids—qualitative—each protein	3.60
1645.	Radio-immunodiffusion determination of protein in serum, cerebrospinal fluid, urine or other body fluids—quantitative—each protein	3.60
1647.	Radio immune precipitation of globulins.................................	13.20
1649.	Lymphocyte (function studies) response to phytohaemagglutinin or antigen, visual transformation	9.00
1651.	Lymphocyte (function studies) response to phytohaemagglutinin or antigen—using radio-active techniques, estimation of	13.20
1653.	Skin sensitivity—induction and detection of sensitivity to chemical antigens.........	4.50
	Immunology—Tissue Antibody Detection
1661.	Flocculation tests, e.g. latex—each antibody...............................	1.50
1664.	Agglutination immobilization test.....................................	7.20
1667.	Tanned erythrocyte haemagglutination technique—each antibody................	3.30
1670.	Complement fixation tests involving human tissue antibody—each antibody.........	3.30
1673.	Immunofluorescent detection of tissue antibody—each antibody.................	4.50
	Division 5.—Faeces
	Faeces—Bacteriology and Parasitology
1680.	Microscopical examination of wet preparation.............................	1.00
1682.	Microscopical examination with simple staining............................	1.00
1684.	Microscopical examination with special staining (iron haematoxylin, trichrome or similar)	1.30
1686.	Microscopical examination for parasites or ova after concentration techniques ........	1.60
1688.	Identification of helminthes..........................................	2.10
1691.	Cultural examination for parasites.....................................	2.10
1694.	Cultural examination for isolation of micro-organisms, using selective media.........	2.70
1697.	Microscopical examination of wet preparation; and cultural examination for isolation of micro-organisms, using selective media	4.20
1698.	Microscopical examination of wet preparation; microscopical examination for parasites or ova after concentration techniques; and cultural examination for isolation of micro-organisms, using selective media	5.70
1700.	Special cultural examination for identification of intestinal pathogenic microorganisms using biochemical reactions	2.10
1701.	Microscopical examination of wet preparation; microscopical examination for parasites or ova after concentration techniques; cultural examination for isolation of micro-organisms using selective media; and special cultural examination for identification of intestinal pathogenic micro-organisms using biochemical reactions	8.40
1703.	Identification of intestinal pathogenic micro-organisms by specific serological techniques.	2.10
1706.	Sensitivity testing (each organism) using up to eight antibiotics..................	2.10
1707.	Sensitivity testing (each organism) using nine or more antibiotics.................	3.90
	Faeces—Chemistry
1710.	Bilirubin, qualitative test other than by reagent stick, strip, tablet or similar ..........	1.00
1712.	Chloride, estimation of.............................................	3.30
1714.	Calcium, estimation of.............................................	3.30
1716.	Enzyme assay for amylase, trypsin, mucinase or similar enzyme, qualitative, each substance	1.30

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
		$
	Division 5.—Faeces—continued
1718.	Fat, total, quantitative estimation of, one estimation.........................	4.50
1720.	Fat, total, quantitative estimation of, two estimations.........................	9.00
1722.	Fat, total, quantitative estimation of, three or more estimations..................	14.40
1724.	Fat, differential, quantitative estimation of, one estimation.....................	2.10
1726.	Fat, differential, quantitative estimation of, two estimations....................	4.50
1728.	Fat, differential, quantitative estimation of, three or more estimations..............	7.20
1730.	Nitrogen, total, estimation of........................................	4.50
1732.	Occult blood, chemical tests for, other than by reagent stick, strip, tablet or similar.....	1.00
1734.	Porphyrins, qualitative estimation of, other than by reagent stick, strip, tablet or similar..	1.50
1736.	Porphyrins, quantitative estimation of (each substance).......................	10.20
1738.	Reducing substances, qualitative test other than by reagent stick, strip, tablet or similar..	1.30
1741.	Phosphorus, estimation of..........................................	3.30
1744.	Urobilin, urobilinogen, qualitative estimation of, other than by reagent stick, strip, tablet or similar	1.30
1746.	Urobilinogen, quantitative estimation of, other than by reagent stick, strip, tablet or similar	3.30
1748.	Chemical estimation, quantitative, of any one substance not specified elsewhere, other than by reagent stick, strip, tablet or similar	3.30
	Division 6.—Skin, Hair, Nails
1761.	Microscopical examination for fungi...................................	1.80
1764.	Microscopical and cultural examination for fungi...........................	3.30
1767.	Chemical examination (qualitative)—each substance........................	1.30
1770.	Chemical examination (quantitative)—each substance........................	3.30
1773.	Skin sensitivity testing for allergens, using one to twenty allergens...............	3.90
1776.	Skin sensitivity testing for allergens, using more than twenty allergens.............	5.70
1779.	Skin sensitivity testing for hydatid disease (Casoni test).......................	1.50
1782.	Skin sensitivity testing for mycobacterial infection (Mantoux, Von Pirquet, Vollmer or similar test)	1.50
1785.	Skin sensitivity testing for diagnosis of disease not otherwise listed (Schick test, Frei test, Schultz-Charlton test, &c.)	1.50
	Division 7.—Gastric and Duodenal Contents
	Gastric and Duodenal Contents—Bacteriology
1790.	Microscopical examination for mycobacteria including collection of gastric contents...	2.10
1792.	Cultural examination for mycobacteria..................................	2.10
1794.	Microscopical examination for mycobacteria including collection of gastric contents and cultural examination for mycobacteria	4.50
1796.	Animal inoculation...............................................	4.50
1798.	Sensitivity testing for mycobacteria—each antibiotic........................	2.10
	Gastric and Duodenal Contents—Chemistry
1800.	Qualitative tests for barbiturate, blood, alcohol, metallic poison or similar substances—each substance	1.60
1802.	Quantitative determination of acidity, single or multiple specimens, including collection (fractional test meal)	4.80
1804.	Collection of gastric juice specimens after stimulation by histamine, synthetic gastrin, alcohol or similar substance and quantitative determination of acidity	7.20
3806.	Quantitative determination of bicarbonate—single determination................	3.30
1808.	Quantitative determinations of bicarbonate—more than one determination..........	7.20
1810.	Quantitative determination of other substances—each substance.................	3.30
1812.	Stomach acid secretion test by ingestion of dye............................	3.30

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
	Division 8.—Morbid Anatomy	$
1820.	Histopathological examination of biopsy specimen when one or two pieces of tissue are separately identified, processed and examined	5.70
1822.	Histopathological examination of biopsy specimen when three or four pieces of tissue are separately identified, processed and examined	9.00
1824.	Histopathological examination of biopsy specimen when five or more pieces of tissue are separately identified, processed and examined	12.60
1826.	Immediate frozen section diagnosis and histopathological examination when one or two pieces of tissue are separately identified, processed and examined	12.60
1828.	Immediate frozen section diagnosis and histopathological examination of biopsy specimen when three or more pieces of tissue are separately identified, processed and examined	15.60
	Division 9.—Special Investigations (includes collection of specimens, administration of drugs and all relevant chemical determinations)
1840.	ACTH stimulation procedure (including synacthen) using multiple plasma steroid estimation......	18.60
1841.	ACTH stimulation procedure (including synacthen) using multiple urine steroid estimation.......	24.00
1843.	Adrenaline tolerance test...................................................	6.90
1846.	Arginine infusion test.....................................................	4.50
1849.	Basal metabolic rate estimation...............................................	4.50
1850.	Bromsulphthalein retention test...............................................	5.70
1852.	Carbohydrate tolerance test (e.g. glucose, fructose, galactose, lactose, sucrose, or similar) not exceeding two hours	5.70
1855.	Carbohydrate tolerance test (e.g. glucose, fructose, galactose, lactose, sucrose, or similar) exceeding two hours but not exceeding three hours	7.20
1858.	Carbohydrate tolerance test (e.g. glucose, fructose, galactose, lactose, sucrose, or similar) exceeding three hours	9.00
1861.	Congo red test..........................................................	6.30
1863.	Creatinine clearance test...................................................	7.20
1865.	Dexamethazone suppression test..............................................	21.00
1867.	Glucagon tolerance test....................................................	6.90
1869.	Histidine loaded figlu test..................................................	5.70
1871.	Inulin clearance test......................................................	10.20
1873.	Metyropone suppression test................................................	21.00
1875.	Para amino hippuric clearance test.............................................	7.20
1877.	Phenolsulphonphthalein excretion test..........................................	7.20
1879.	Tolbutamide tolerance test..................................................	6.90
1881.	Urea clearance test.......................................................	5.40
1884.	Urea concentration test....................................................	4.50
1887.	Urine acidification test (ammonium chloride or similar)...............................	4.50
1889.	Vasopressin stimulation test.................................................	18.60
1891.	Water elimination or Mosenthal kidney function test.................................	2.10
1893.	Xylose absorption test.....................................................	5.10
	Division 10.—Cytology
1901.	Examination of cervical or vaginal smears for malignant cells...........................	3.30
1903.	Examination of sputum, urine or body fluids including bronchial, cerebrospinal, pericardial, peritoneal, or similar for malignant cells	4.50
1905.	Examination of colonic or duodenal washings for malignant cells........................	4.50
1907.	Examination of blood for circulating malignant cells.................................	7.20
1909.	Oesophageal cytology including collection of specimen...............................	6.00
1911.	Gastric cytology including collection of specimen..................................	9.00
1913.	Hormonal assessment by cytological examination of vaginal epithelium....................	2.70
1915.	Cytological sex chromatin studies other than from blood film...........................	3.00
	Division 11.—Chromosome Studies
1921.	Chromosome studies—including preparation, count and karyotyping of blood................	9.00
1923.	Chromosome studies—including preparation, count and karyotyping of marrow or other tissue.....	10.80
1925.	Chromosome studies—including preparation, count and karyotyping of skin.................	12.60

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
		$
	Division 12.—Radioisotope Studies
1941.	Erythrocyte radioactive uptake survival time.....................................	13.20
1943.	Blood volume Cr51.....................................................	4.50
1945.	Radioiodine thyroid uptake.................................................	4.50
1947.	Radioactive T3 test......................................................	5.10
1949.	Radioiodine, urinary estimation..............................................	3.30
1951.	Protein bound radioactive iodine test..........................................	4.50
1953.	Hormonal immunoassay by radioactive techniques, each estimation......................	4.50
1955.	Radioactive B12 absorption test (Schilling test)...................................	5.10
1957.	Cerebral scan..........................................................	9.00
1959.	Spinal cord scan........................................................	9.00
1961.	Parathyroid scan........................................................	7.20
1963.	Thyroid scan..........................................................	4.50
1965.	Mediastinal scan.......................................................	6.90
1967.	Scan of lung or lungs....................................................	6.90
1969.	Heart scan............................................................	6.90
1971.	Liver scan............................................................	10.20
1973.	Pancreas scan.........................................................	9.00
1975.	Spleen scan...........................................................	6.90
1977.	Renal scan...........................................................	7.20
1979.	Differential renal scan....................................................	4.50
1981.	Scan of bone or bones....................................................	7.20
1983.	Scan of region or organ not covered by any other item in this Division....................	7.20
	Part 8.—Radiological Services
	Division 1.—Radiographic Examination of Extremities and Report (with or without Fluoroscopy)
2010.	Digits or phalanges—all or any of either hand or either foot...........................	3.90
2014.	Hand, wrist, forearm, elbow or arm (elbow to shoulder)..............................	4.50
2018.	Hand, wrist and lower forearm; upper forearm and elbow; or elbow and arm (elbow to shoulder)...	4.80
2022.	Foot, ankle, lower leg, upper leg, knee or thigh (femur)..............................	4.50
2026.	Foot, ankle and lower leg; or upper leg and knee...................................	4.50
	Division 2.—Radiographic Examination of Shoulder or Hip Joint and Report
2040.	Shoulder region including clavicle and scapula....................................	4.80
2044.	Hip joint.............................................................	5.10
2048.	Pelvic girdle..........................................................	6.00
2052.	Smith-Petersen nail—insertion or similar procedure................................	10.20
	Division 3.—Radiographic Examination of Head and Report
2060.	Skull, sinuses or mastoids.................................................	5.70
2064.	Maxilla, or orbit, or both..................................................	5.70
2068.	Mandible, malar bones or salivary calculus......................................	5.70
2072.	Nose or eye...........................................................	4.50
2076.	Palate or pharynx, or palate and pharynx, by direct radiography with fluoroscopic screening......	7.20
2081.	Larynx..............................................................	5.10
	Division 4.—Radiographic Examination of Spine and Report
2091.	Spine—any one region...................................................	6.00
2094.	Spine—two regions.....................................................	8.10
2098.	Spine—three or more regions...............................................	14.70
	Division 5.—Radiographic Examination of Thoracic Region and Report
2110.	Chest (lung fields) by direct radiography........................................	4.50
2114.	Chest (lung fields) by direct radiography with fluoroscopic screening.....................	5.10
2119.	Thoracic inlet.........................................................	4.50
2123.	Chest, by miniature radiography.............................................	2.40
2128.	Orthodiagraphy........................................................	5.70
2132.	Teleoroentgenography with cardiac measurements.................................	5.70
2136.	Cardiac examination (including barium swallow)..................................	6.90
2140.	Sternum or one or more ribs of any one side.....................................	4.50
2144.	One or more ribs of both sides..............................................	5.70

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
		$
	Division 6.—Radiographic Examination of Urinary Tract and Report
2160.	Plain renal only..................................................	5.10
2164.	Drip-infusion pyelography...........................................	17.40
2169.	Intravenous pyelography, including preliminary plain film......................	13.20
2173.	Retrograde pyelography.............................................	7.20
2177.	Cystography, urethrography or vesiculography, as an independent procedure..........	8.10
2181.	Micturating cysto-urethrography, as an independent procedure...................	10.20
2185.	Perirenal insufflations..............................................	5.70
Division 7.—Radiographic Examination of Alimentary Tract and Biliary System (with or without Fluoroscopy) and Report
2200.	Plain abdominal only...............................................	5.10
2205.	Pneumoperitoneum................................................	5.10
2209.	Oesophagus, with or without examination for foreign body or barium swallow.........	6.90
2214.	Barium or other opaque meal of oesophagus, stomach and duodenum, with or without screening of chest	11.70
2218.	Barium or other opaque meal of oesophagus, stomach, duodenum and follow through to colon, with or without screening of chest	13.80
2222.	Barium or other opaque meal, small bowel series only.........................	10.20
2226.	Opaque enema...................................................	11.70
2230.	Opaque enema, including air contrast study (two stages).......................	13.20
2234.	Graham’s test (cholecystography)......................................	8.40
2238.	Cholangiography direct, operative or post-operative..........................	9.00
2247.	Cholangiography—intravenous........................................	11.40
	Division 8.—Radiographic Examination for Localization of Foreign Bodies and Report
2250.	Foreign body in eye (special method, Sweet’s or other)........................	8.10
2254.	Foreign body, localization of and report, not covered by any other item in this Part—the amount of Commonwealth benefit payable for the radiographic examination of the area and report, plus	2.10
	Division 9.—Radiographic Examination of Breasts and Report
2270.	Radiographic examination of both breasts and report..........................	10.20
2274.	Radiographic examination of one breast and report...........................	5.70
	Division 10.—Radiographic Examination in Connexion with Pregnancy and Report
2290.	Pregnant uterus..................................................	5.10
2294.	Pelvimetry or placentography.........................................	10.20
2298.	Control X-rays associated with intrauterine foetal blood transfusion................	8.10
	Division 11.—Radiographic Examination with Opaque or Contrast Media, and Report
	(Not including any service covered by Division 16 of this Part)
2310.	Serial angiocardiography (rapid cassette changing)...........................	10.20
2314.	Serial angiocardiography (single plane—direct roll-film method)..................	14.70
2318.	Serial angiocardiography (bi-plane—direct roll-film method)....................	14.70
2322.	Serial angiocardiography (indirect roll-film method)..........................	14.70
2326.	Discography....................................................	8.10
2330.	Dacryocystography................................................	5.70
2334.	‘Encephalography.................................................	13.80
2338.	Intracranial angiography, one side......................................	10.20
2342.	Cerebral ventriculography...........................................	11.40
2346.	Hysterosalpingography.............................................	6.90
2350.	Bronchography, arteriography, phlebography, aortography or splenography...........	13.20
2354.	Myelography....................................................	15.60
2358.	Sialography or vasoepididymography....................................	6.00
2362.	Sinuses and fistulae—the amount of Commonwealth benefit payable for the radiographic examination of the area and report, plus	2.40
2367.	Pneumarthrography—the amount of Commonwealth benefit payable for the radiographic examination of the area and report, plus	2.40
2371.	Lymphangiography, including follow up radiography.........................	8.10

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
		$
	Division 12.—Tomography and Report
2410.	Tomography, any part and report.......................................	7.20
	Division 13.—Stereoscopic Examination and Report
2420.	Stereoscopic examination and report—the amount of Commonwealth benefit payable for the radiographic examination of the area and report, plus	1.30
	Division 14.—Fluoroscopic Examination and Report
	(Fluoroscopic examination and report not covered by any other item in this Part—where radiograph is not taken)
2440.	Examination with general anaesthesia....................................	5.10
2444.	Examination without general anaesthesia..................................	3.30
	Division 15.—Radiotherapy
2460.	Radiotherapy, superficial (including treatment by means of X-rays, radium rays or other radio-active substances) not covered by any other item in this Part—each attendance at which treatment is given	2.40
2464.	Radiotherapy, other than superficial, orthovoltage therapy or megavoltage therapy (including treatment by means of X-rays, radium rays or other radio-active substances) not covered by any other item in this Part—each attendance at which treatment is given	3.60
2468.	Radiotherapy, orthovoltage therapy or megavoltage therapy under hyperbaric conditions (including treatment by means of X-rays, radium rays or other radio-active substances) not covered by any other item in this Part—each attendance at which treatment is given	6.90
	Implantation of Radio-active Substances for Tumour
2510.	Globe of eye....................................................	36.00
2514.	Retina.........................................................	36.00
2518.	Lip...........................................................	12.00
2522.	Mouth or tongue or both.............................................	21.00
2526.	Bladder........................................................	48.00
2530.	Prostate........................................................	36.00
2534.	Cervix or corpus uteri..............................................	17.40
2538.	Any region or organ not referred to in a preceding item under this heading, the implantation of which requires a major anaesthetic	23.40
2542.	Any region or organ referred to in the last preceding item, the implantation of which does not require a major anaesthetic	8.10
	Application of Moulds of Radio-active Substances
2570.	Alveolus, palate or antrum, each attendance at which a mould is applied.............	17.40
2574.	Scar following radical mastectomy, each attendance at which a mould is applied........	8.10
2578.	Hand or other skin area or mucous membrane, each attendance at which a mould is applied	8.10
	Division 16.—Preparation for Radiological Procedure, being the Injection of Opaque or Contrast Media or the Removal of Fluid and its Replacement by Air, Oxygen or Other Contrast Media or Other Similar Preparation, Including the Administration of an Anaesthetic for Radiotherapy
2620.	Encephalography.................................................	18.60
2624.	Intracranial angiography—percutaneous..................................	15.60
2628.	Intracranial angioeranhv—open exposure.................................	15.60
2632.	Cerebral ventriculography...........................................	24.00
2636.	Dacryocystography................................................	4.50
2640.	Bronchography...................................................	7.20
2644.	Aortography....................................................	7.20
2648.	Arteriography—peripheral, phlebography or splenography......................	5.70
2652.	Perirenal insufflations..............................................	5.70
2657.	Renal cyst or cysts, aspiration with injection of radio-opaque material...............	7.90
2661.	Pneumarthrography or radiography of pneumoperitoneum......................	6.00
2666.	Drip-infusion pyelography...........................................	3.60
2670.	Hysterosalpingography.............................................	5.70

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
		$
	Division 16.—Preparation for Radiological Procedure—continued
2674.	Discography............................................................	4.50
2678.	Intraosseous venography....................................................	4.50
2682.	Myelography............................................................	10.20
2686.	Sinus or fistula, injection into.................................................	2.10
2691.	Lymphangiography........................................................	15.60
2696.	Administration of an anaesthetic for radiotherapy under hyperbaric conditions.................	8.10
2700.	Intracavitary administration of radio-active substances.................................	6.90
	Part 9.—Assistance at Operations
2901.	Assistance at any operation or series or combination of operations for which the basic Commonwealth medical benefit does not exceed $24.00	5.70
2904.	Assistance at any operation or series or combination of operations for which the basic Commonwealth medical benefit exceeds $24.00 but does not exceed $51.00	7.80
2907.	Assistance at any operation or series or combination of operations for which the basic Commonwealth medical benefit exceeds $51.00 but does not exceed $81.00	10.20
2910.	Assistance at any operation or series or combination of operations for which the basic Commonwealth medical benefit exceeds $81.00 but does not exceed $117.00	13.20
2913.	Assistance at any operation or series or combination of operations for which the basic Commonwealth medical benefit exceeds $117.00	18.60
	Part 10.—Operations
	Division 1.—General Surgical
3000.	Dressing of localised burns (not involving grafting)—each attendance at which the procedure is performed	1.10
3004.	Dressing of burns, extensive, without anaesthesia (not involving grafting)—each attendance at which the procedure is performed (G)	2.10
3005.	Dressing of burns, extensive, without anaesthesia (not involving grafting)—each attendance at which the procedure is performed (S)	3.10
3009.	Dressing of localised burns under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed (G)	4.10
3011.	Dressing of localised burns under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed (S)	5.10
3015.	Dressing of burns, extensive, under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed (G)	8.70
3017.	Dressing of burns, extensive, under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed (S)	12.00
3021.	Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, small (not more than 7 centimetres long), superficial, not covered by any item in Part 2 of this Schedule	4.40
3025.	Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, small (not more than 7 centimetres long), involving deeper tissue, not covered by any item in Part 2 of this Schedule	8.10
3030.	Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 centimetres long), superficial	7.20
3034.	Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 centimetres long), involving deeper tissue	11.40
3039.	Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7 centimetres long), superficial, not covered by any item in Part 2 of this Schedule	8.10
3043.	Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7 centimetres long), involving deeper tissue, not covered by any item in Part 2 of this Schedule (G)	10.20
3045.	Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7 centimetres long), involving deeper tissue, not covered by any item in Part 2 of this Schedule (S)	14.10
3049.	Skin and subcutaneous tissue or mucous membrane, repair of recent wound or, on face or neck, large (more than 7 centimetres long), superficial (G)	8.10
3051.	Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 centimetres long), superficial (S)	11.40
3055.	Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 centimetres long), involving deeper tissue (G)	10.50

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
		$
	Division 1.—General Surgical—continued
3056.	Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 centimetres long), involving deeper tissue (S)	14.70
3061.	Superficial foreign body, removal of, not covered by any other item in this Part........	1.90
3064.	Subcutaneous foreign body, removal of, not covered by any other item in this Part (G)....	4.40
3065.	Subcutaneous foreign body, removal of, not covered by any other item in this Part (S)....	10.20
3069.	Foreign body in muscle, endon or other deep tissue, removal of, not covered by any other item in this Part (G)	14.70
3070.	Foreign body in muscle, tendon or other deep tissue, removal of, not covered by any other item in this Part (S)	21.00
3074.	Biopsy of skin or mucous membrane, as an independent procedure.................	4.50
3078.	Biopsy of lymph gland, mtuscle or other deep tissue or organ, as an independent procedure (G)	8.10
3080.	Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (S)	11.40
3084.	Aspiration biopsy of lymph gland, deep tissue or organ, as an independent procedure....	4.50
3089.	Biopsy of bone marrow by trephine or burr-hole.............................	10.20
3093.	Biopsy of bone marrow by aspiration....................................	2.40
3097.	Scalene node biopsy (G)............................................	10.50
3099.	Scalene node biopsy (S).............................................	14.70
3103.	Sinus, excision of, involving superficial tissues only (G).......................	6.00
3104.	Sinus, excision of, involving superficial tissues only (S)........................	8.10
3108.	Sinus, excision of, involving muscle and deep tissue (G).......................	10.50
3110.	Sinus, excision of. involving muscle and deep tissue (S)........................	14.70
3115.	Bursa, incision of.................................................	3.10
3119.	Ganglion or small bursa, excision of (G)..................................	11.40
3121.	Ganglion or small bursa, excision of (S)..................................	18.60
3125.	Bursa (large), including olecranon, calcaneum or patella, excision of (G).............	20.10
3126.	Bursa (large), including olecranon, calcaneum or patella, excision of (S).............	27.00
3131.	Bursa, semimembranosus (Baker’s cyst), excision of (G).......................	24.00
3132.	Bursa, semimembranosus (Baker’s cyst), excision of (S).......................	33.00
3137.	Tumour, cyst or scar, removal of cutaneous, subcutaneous or in mucous membrane, up to 3 centimetres in diameter (G)	4.50
3138.	Tumour, cyst or scar, removal of cutaneous, subcutaneous or in mucous membrane, up to 3 centimetres in diameter (S)	10.20
3143.	Tumour, cyst or scar, removal of cutaneous, subcutaneous or in mucous membrane, more than 3 centimetres in diameter (G)	8.10
3144.	Tumour, cyst or scar, removal of cutaneous, subcutaneous or in mucous membrane, more than 3 centimetres in diameter (S)	13.20
3149.	Tumour, cyst or scar, removal of, not covered by any other item in this Part, involving muscle, bone or other deep tissue (G)	17.40
3150.	Tumour, cyst or scar, removal of, not covered by any other item in this Part, involving muscle, bone or other deep tissue (S)	24.00
3155.	Tumour or deep cyst, removal of, not covered by any other item in this Part, requiring wide excision (G)	27.00
3156.	Tumour or deep cyst, removal of, not covered by any other item in this Part, requiring wide excision (S)	33.00
3161.	Tumours, malignant, operation for, not covered by any other item in this Part, requiring wide excision and dissection of glands or involving muscle, bone or viscera (G)	51.00
3162.	Tumours, malignant, operation for, not covered by any other item in this Part, requiring wide excision and dissection of glands or involving muscle, bone or viscera (S)	78.00
3166.	Lipectomy for abdominal apron or similar condition..........................	72.00
3170.	Axillary hyperidrosis, wedge excision for.................................	13.20
3174.	Plantar wart, simple removal of........................................	4.40
3178.	Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on not more than five lesions (G)	3.00

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
	Division 1.—General Surgical—continued	$
3180.	Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on not more than five lesions (S)	4.50
3184.	Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on more than five but not more than ten lesions (G)	4.40
3185.	Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on more than five but not more than ten lesions (S)	6.30
3190.	Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on more than ten but not more than fifteen lesions (G)	5.10
3191.	Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on more than ten but not more than fifteen lesions (S)	7.80
3196.	Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on more than fifteen but not more than twenty lesions (G)	6.90
3197.	Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on more than fifteen but not more than twenty lesions (S)	8.70
3201.	Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on more than twenty lesions (G)	8.10
3202.	Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on more than twenty lesions (S)	10.20
3206.	Keloid, extensive, multiple injections of hydrocortisone or similar preparation under general anaesthesia (G)	11.70
3207.	Keloid, extensive, multiple injections of hydrocortisone or similar preparation under general anaesthesia (S)	15.60
3211.	Haematoma, aspiration of..........................................	2.00
3216.	Haematoma, furuncle, small abscess or similar lesion not requiring a general anaesthetic, incision with drainage of	2.00
3220.	Large haematoma, abscess, carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (G)	8.10
3221.	Large haematoma, abscess, carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (S)	13.20
3225.	Muscle, excision of (limited) (G)......................................	8.10
3226.	Muscle, excision of (limited) (S)......................................	11.40
3230.	Muscle, excision of (extensive) (G)....................................	15.90
3232.	Muscle, excision of (extensive) (S)....................................	21.00
3236.	Muscle, ruptured, repair of, not associated with external wound (G)...............	15.90
3238.	Muscle, ruptured, repair of, not associated with external wound (S)...............	21.00
3242.	Fascia, deep, repair of, for herniated muscle (G)............................	8.10
3244.	Fascia, deep, repair of, for herniated muscle (S)............................	11.40
3248.	Anatomical compartment of extremity, extensive exploration of, not involving any other procedure (G)	8.70
3250.	Anatomical compartment of extremity, extensive exploration of, not involving any other procedure (S)	12.00
3254.	Bone tumour, innocent, excision of, not covered by any other item in this Part(G).....	26.40
3255.	Bone tumour, innocent, excision of, not covered by any other item in this Part(S)......	36.00
3259.	Styloid process of temporal bone, removal of.............................	36.00
3263.	Parotid gland, total extirpation of.....................................	75.00
3267.	Parotid gland, removal of tumour from (G)...............................	20.10
3269.	Parotid gland, removal of tumour from (S)...............................	27.00
3273.	Parotid gland, superficial lobectomy or removal of tumour from, with exposure of facial nerve (G)	51.00
3274.	Parotid gland, superficial lobectomy or removal of tumour from, with exposure of facial nerve (S)	69.00

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
		$
	Division 1.—General Surgical—continued
3279.	Sublingual or submandibular gland, extirpation of (G)................................	24.00
3280.	Sublingual or submandibular gland, extirpation of (S)................................	33.00
3285.	Salivary gland, incision of, or transoral ligation of salivary duct (G).......................	4.10
3286.	Salivary gland, incision of, or transoral ligation of salivary duct (S).......................	5.10
3291.	Salivary gland, removal of calculus from (G)......................................	10.50
3292.	Salivary gland, removal of calculus from (S)......................................	14.70
3297.	Salivary gland, dilatation or diathermy of duct (G)..................................	3.10
3298.	Salivary gland, dilatation or diathermy of duct (S)..................................	4.40
3303.	Salivary gland, removal of calculus from duct (G)..................................	8.10
3304.	Salivary gland, removal of calculus from duct (S)...................................	11.40
3309.	Salivary gland, repair of cutaneous fistula of......................................	11.40
3313.	Tongue, partial or complete excision of (G).......................................	55.50
3315.	Tongue, partial or complete excision of (S).......................................	75.00
3319.	Tongue tie, repair of......................................................	3.10
3323.	Ranula, removal of (G)....................................................	15.90
3324.	Ranula, removal of (S)....................................................	21.00
3328.	Cut throat, repair of, involving vessels or nerves, or both (G)...........................	20.10
3329.	Cut throat, repair of, involving vessels or nerves, or both (S)...........................	27.00
3334.	Cut throat, repair of, involving vessels and nerves and oesophagus or trachea (G)..............	39.90
3335.	Cut throat, repair of, involving vessels and nerves and oesophagus or trachea (S)..............	54.00
3340.	Neck, malignant tumour of, removal of.........................................	75.00
3344.	Thymectomy...........................................................	129.00
3348.	Branchial cyst or branchial fistula, removal of (G)..................................	28.50
3349.	Branchial cyst or branchial fistula, removal of (S)..................................	39.00
3353.	Cystic hygroma, removal of.................................................	63.00
3357.	Thyroidectomy, total, or removal of parathyroid tumour..............................	93.00
3361.	Thyroidectomy, sub-total (G)................................................	57.00
3362.	Thyroidectomy, sub-total (S)................................................	69.00
3367.	Thyroid, excision of localised tumour of (G)......................................	35.40
3368.	Thyroid, excision of localised tumour of (S)......................................	48.00
3372.	Diverticulum of pharynx or larynx, excision of (G)..................................	39.90
3373.	Diverticulum of pharynx or larynx, excision of (S)..................................	54.00
3377.	Thyroglossal cyst or fistula, removal of (G).......................................	51.00
3378.	Thyroglossal cyst or fistula, removal of (S).......................................	69.00
3383.	Cervical oesophagostomy..................................................	36.00
3387.	Cervical oesophagostomy, closure or plastic repair of................................	27.00
3392.	Tuberculous or neoplastic glands of neck, groin or axilla, limited excision of (G)..............	30.90
3393.	Tuberculous or neoplastic glands of neck, groin or axilla, limited excision of (S)..............	42.00
3397.	Tuberculous or neoplastic glands of neck, groin or axilla, radical excision of.................	69.00
3402.	Operation for lymphoedema by extended indwelling subcutaneous tube or tubes..............	15.60
3406.	Simple mastectomy (G)....................................................	33.00
3408.	Simple mastectomy (S)....................................................	45.00
3412.	Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason (G)	17.40
3414.	Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason (S)	24.00
3418.	Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason, where frozen section is performed (G)	25.80
3419.	Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason, where frozen section is performed (S)	33.00
3423.	Partial mastectomy involving more than one quarter of the breast tissue (G).................	25.80
3424.	Partial mastectomy involving more than one quarter of the breast tissue (S)..................	33.00
3428.	Breast, radical amputation of (G).............................................	69.00
3430.	Breast, radical amputation of (S)..............................................	93.00
3434.	Nipple, inverted, surgical eversion of (G)........................................	8.10
3436.	Nipple, inverted, surgical eversion of (S)........................................	11.40
3440.	Laparotomy (exploratory) where no other procedure is performed (G).....................	36.00
3442.	Laparotomy (exploratory) where no other procedure is performed (S).....................	45.00
3446.	Laparotomy involving operation on abdominal viscera, not covered by any other item in this Part (G)	45.00
3448.	Laparotomy involving operation on abdominal viscera, not covered by any other item in this Part (S).	57.00

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
	Division 1.—General Surgical—continued	$
3452.	Laparotomy, exploratory, followed by enterostomy or colostomy (G)..........................	46.50
3454.	Laparotomy, exploratory, followed by enterostomy or colostomy (S)..........................	63.00
3458.	Subphrenic abscess, drainage of (G)................................................	35.40
3460.	Subphrenic abscess, drainage of (S)................................................	48.00
3464.	Liver tumour, removal of, other than by biopsy........................................	63.00
3469.	Liver, massive resection of, or lobectomy............................................	129.00
3473.	Liver abscess, abdominal drainage of...............................................	48.00
3478.	Liver abscess, transpleural drainage of..............................................	63.00
3482.	Hydatid of liver, peritoneum or viscus, operation for.....................................	63.00
3486.	Cholecystectomy (G)..........................................................	63.00
3487.	Cholecystectomy (S)..........................................................	81.00
3491.	Cholecystostomy (G)..........................................................	35.40
3492.	Cholecystostomy (S)..........................................................	48.00
3497.	Choledochotomy (with or without cholecystectomy) (G)..................................	75.00
3498.	Choledochotomy (with or without cholecystectomy) (S)...................................	93.00
3502.	Reconstruction of bile duct including choledochoduodenostomy, cholecystoduodenostomy, choledochoenterostomy, choledochogastrostomy, cholecystogastrostomy or cholecystenterostomy	87.00
3506.	Reconstruction of hepatic duct including anastomosis with gallbladder or intestine.................	129.00
3510.	Gastroscopy...............................................................	17.40
3514.	Gastrostomy...............................................................	33.00
3519.	Gastrostomy for fixation of indwelling oesophageal tube..................................	42.00
3523.	Vagotomy.................................................................	69.00
3528.	Gastro-enterostomy or entero-colostomy (G)..........................................	42.00
3529.	Gastro-enterostomy or entero-colostomy (S)..........................................	57.00
3534.	Perforated peptic ulcer, suture of (G)...............................................	35.40
3535.	Perforated peptic ulcer, suture of (S)................................................	48.00
3539.	Partial gastrectomy, with or without gastro-jejunostomy (G)................................	64.50
3541.	Partial gastrectomy, with or without gastro-jejunostomy (S)................................	87.00
3545.	Gastrectomy, complete........................................................	117.00
3550.	Pyloroplasty (G).............................................................	30.90
3551.	Pyloroplasty (S).............................................................	42.00
3556.	Stomach, reconstruction of, by bowel transplant........................................	129.00
3560.	Peritoneal adhesions, separation of, where no other procedure is performed (G)...................	42.00
3561.	Peritoneal adhesions, separation of, where no other procedure is performed (S)....................	57.00
3566.	Enterostomy or colostomy, as an independent procedure (G)................................	42.00
3567.	Enterostomy or colostomy, as an independent procedure (S)................................	57.00
3572.	Enterostomy or colostomy, closure or plastic repair of (G).................................	21.90
3573.	Enterostomy or colostomy, closure or plastic repair of (S).................................	30.00
3577.	Caecostomy (G).............................................................	26.40
3578.	Caecostomy (S).............................................................	36.00
3582.	Bowel, anastomosis of (G)......................................................	69.00
3583.	Bowel, anastomosis of (S)......................................................	93.00
3588.	Intussusception, reduction of, by fluid (G)............................................	17.40
3589.	Intussusception, reduction of, by fluid (S)............................................	23.40
3593.	Intussusception, laparotomy and reduction of (G).......................................	30.90
3594.	Intussusception, laparotomy and reduction of (S).......................................	42.00
3598.	Intussusception, laparotomy and resection of (G).......................................	69.00
3599.	Intussusception, laparotomy and resection of (S)........................................	93.00
3604.	Volvulus, reduction of (G)......................................................	30.90
3605.	Volvulus, reduction of (S)......................................................	42.00
3609.	Meckel’s diverticulum, removal of (G)..............................................	39.00
3610.	Meckel’s diverticulum, removal of (S)..............................................	54.00
3614.	Bowel or viscera, resection of, with or without anastomosis, not covered by any other item in this Part (G).	69.00
3615.	Bowel or viscera, resection of, with or without anastomosis, not covered by any other item in this Part (S)..	93.00
3620.	Enterolysis with intestinal plication, Noble type........................................	69.00
3624.	Appendicectomy (G)..........................................................	36.00
3626.	Appendicectomy (S)..........................................................	42.00
3630.	Drainage of appendiceal abscess, or for ruptured appendix or for peritonitis with or without appendicectomy (G)	37.50

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
		$
	Division 1.—General Surgical—continued
3632.	Drainage of appendiceal abscess, or for ruptured appendix or for peritonitis with or without appendicectomy (S)	51.00
3636.	Small bowel intubation with biopsy....................................	17.40
3640.	Small bowel intubation—as an independent procedure........................	8.10
3645.	Pancreas, partial excision of.........................................	129.00
3649.	Pancreas, drainage of (G)...........................................	30.90
3651.	Pancreas, drainage of (S)...........................................	42.00
3655.	Splenectomy (G)................................................	46.50
3656.	Splenectomy (S).................................................	63.00
3661.	Ruptured viscus (including liver, spleen or kidney), repair of (G).................	46.50
3662.	Ruptured viscus (including liver, spleen or kidney), repair of (S).................	63.00
3667.	Retroperitoneal tumour, removal of....................................	75.00
3671.	Retroperitoneal abscess, drainage of, not involving laparotomy..................	48.00
3675.	Peritoneoscopy..................................................	11.40
3680.	Paracentesis abdominis (G)..........................................	2.70
3681.	Paracentesis abdominis (S)..........................................	3.90
3686.	Abdomino-perineal resection........................................	129.00
3690.	Femoral or inguinal hernia (other than recurrent), repair of (G)..................	36.00
3691.	Femoral or inguinal hernia (other than recurrent), repair of (S)...................	45.00
3696.	Diaphragmatic hernia, traumatic, repair of................................	75.00
3700.	Diaphragmatic hernia, other than traumatic, repair of.........................	105.00
3704.	Umbilical hernia, repair of, in person under ten years of age (G).................	26.40
3705.	Umbilical hernia, repair of, in person under ten years of age (S)..................	36.00
3709.	Umbilical hernia, repair of, in person ten years of age or over (G)................	30.90
3710.	Umbilical hernia, repair of, in person ten years of age or over (S).................	42.00
3714.	Ventral, incisional, lumbar or recurrent hernia, repair of (G)....................	42.00
3716.	Ventral, incisional, lumbar or recurrent hernia, repair of (S)....................	51.00
3720.	Hydrocele, tapping of (G)...........................................	2.10
3721.	Hydrocele, tapping of (S)...........................................	3.10
3726.	Hydrocele, removal of (G)..........................................	21.00
3727.	Hydrocele, removal of (S)..........................................	27.00
3731.	Varicocele, removal of (G)..........................................	21.90
3732.	Varicocele, removal of (S)..........................................	30.00
3736.	Orchidectomy (simple) (G)..........................................	30.90
3737.	Orchidectomy (simple) (S)..........................................	42.00
3741.	Undescended testis, transplantation of, with or without associated hernial repair (G)....	36.00
3742.	Undescended testis, transplantation of, with or without associated hernial repair (S).....	48.00
3746.	Secondary detachment of testis from thigh (G).............................	6.00
3747.	Secondary detachment of testis from thigh (S).............................	8.10
3751.	Circumcision of person under four weeks of age............................	3.30
3755.	Circumcision of person under ten years of age but not less than four weeks of age (G)...	5.10
3756.	Circumcision of person under ten years of age but not less than four weeks of age (S)...	10.20
3760.	Circumcision of person ten years of age or over (G)..........................	10.50
3761.	Circumcision of person ten years of age or over (S)..........................	14.70
3765.	Paraphimosis, reduction of, under anaesthesia, with or without dorsal incision........	4.40
3769.	Sigmoidoscopic examination (G)......................................	3.90
3770.	Sigmoidoscopic examination (S)......................................	4.50
3771.	Sigmoidoscopy with diathermy or resection of rectal tumour or tumours (G).........	14.40
3772.	Sigmoidoscopy with diathermy or resection of rectal tumour or tumours (S)..........	19.20
3773.	Sigmoidoscopic examination followed by removal, ligation or cauterisation of haemorrhoids (G)	32.40
3774.	Sigmoidoscopic examination followed by removal, ligation or cauterisation of haemorrhoids (S)	37.00
3776.	Full thickness rectal biopsy..........................................	11.40
3780.	Rectum, radical operation for prolapse of, perineal approach....................	48.00
3784.	Rectum, radical operation for prolapse of, involving laparotomy.................	102.00

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
		$
	Division 1.—General Surgical—continued
3788.	Rectum, anterior resection of, involving rectosigmoidectomy, not covered by item 3686 or 7594	117.00
3792.	Rectum, prolapse of, injection into.....................................	3.10
3796.	Rectal polyp, removal of (G).........................................	14.10
3797.	Rectal polyp, removal of (S).........................................	18.60
3801.	Anus, dilatation of, as an independent procedure............................	3.30
3805.	Anal prolapse—circum-anal suture (G)..................................	8.10
3806.	Anal prolapse—circum-anal suture (S)..................................	11.40
3811.	Anal stricture, repair of (G)..........................................	21.90
3812.	Anal stricture, repair of (S)..........................................	30.00
3817.	Haemorrhoids, injection into—each attendance at which an injection is given.........	2.10
3821.	Haemorrhoids, incision of...........................................	5.10
3826.	Haemorrhoidectomy, radical (G)......................................	25.00
3827.	Haemorrhoidectomy, radical (S)......................................	30.00
3832.	Haemorrhoids, external, or anal tags, one or more, removal of...................	7.20
3836.	Fissure in ano, excision of (G)........................................	11.40
3838.	Fissure in ano, excision of (S)........................................	24.00
3842.	Fistula in ano, subcutaneous, excision of (G)..............................	21.90
3844.	Fistula in ano, subcutaneous, excision of (S)...............................	30.00
3848.	Fistula in ano, excision of (involving incision of external sphincter) (G)............	26.40
3850.	Fistula in ano, excision of (involving incision of external sphincter) (S).............	36.00
3854.	Ischio-rectal abscess, incision of (G)....................................	9.60
3856.	Ischio-rectal abscess, incision of (S)....................................	13.20
3860.	Faecal fistula, repair of.............................................	36.00
3865.	Recto-vesical fistula, repair of........................................	63.00
3869.	Pubo-rectalis muscle, division of......................................	33.00
3874.	Disimpaction of faeces under anaesthesia................................	6.30
3878.	Coccyx, excision of (G)............................................	26.40
3880.	Coccyx, excision of (S)............................................	36.00
3883.	Pilonidal cyst or sinus, excision of (G)..................................	30.00
3884.	Pilonidal cyst or sinus, excision of (S)...................................	36.00
3888.	Pilonidal sinus, injection of sclerosant fluid under anaesthesia...................	9.00
	Blood Vessels
3900.	Varicose veins, injection into—each attendance at which an injection is given........	2.10
3904.	Varicose veins—multiple simultaneous injections by continuous compression techniques.	9.00
3908.	Varicose veins, excision or ligation of, not covered by any other item in this Part (G)....	7.20
3909.	Varicose veins, excision or ligation of, not covered by any other item in this Part (S)....	10.20
3914.	Varicose veins, sub-fascial ligation of (G)................................	15.60
3915.	Varicose veins, sub-fascial ligation of (S)................................	21.00
3917.	High ligation of long saphenous vein with excision and sub-fascial ligation of varicose veins (G)	39.00
3920.	High ligation of long saphenous vein with excision and sub-fascial ligation of varicose veins (S)	57.00
3921.	Varicose veins, excision of, with ligation of short saphenous vein (G)..............	13.20
3923.	Varicose veins, excision of, with ligation of short saphenous vein (S)..............	17.40
3926.	Varicose veins, excision of, with high ligation of long and short saphenous veins (G)....	36.00
3927.	Varicose veins, excision of, with high ligation of long and short saphenous veins (S)....	51.00
3931.	Varicose veins, excision of, with high ligation of long saphenous vein (G)...........	30.00
3932.	Varicose veins, excision of, with high ligation of long saphenous vein (S)...........	45.00
3936.	Saphenous vein, high ligation of (G)....................................	21.90
3937.	Saphenous vein, high ligation of (S)....................................	30.00
3941.	Saphenous vein, crossed, by-pass......................................	75.00
3945.	Intra-arterial oxygen injection........................................	4.50
3949.	Vein or small artery, ligation of (G)....................................	2.60
3951.	Vein or small artery, ligation of (S).....................................	3.80
3955.	Medium artery, ligation of (G)........................................	6.90

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
		$
	Division 1.—General Surgical—continued
3957.	Medium artery, ligation of (S)........................................	9.30
3961.	Artery or vein, ligation of—involving deep dissection (G)......................	21.90
3963.	Artery or vein, ligation of—involving deep dissection (S)......................	30.00
3967.	Great vessel (including carotid, jugular, subclavian, axillary, iliac or femoral vessel), ligation of, involving gradual occlusion of vessel by mechanical device	42.00
3971.	Great vessel (including carotid, jugular, subclavian, axillary, iliac or femoral vessel), ligation of	48.00
3975.	Major artery of neck or extremity, repair of wound of, with restoration of continuity....	69.00
3979.	Major artery of trunk, repair of wound of, with restoration of continuity.............	87.00
3983.	Arteriovenous fistula, dissection and repair of..............................	129.00
3987.	Artery of neck or extremities, endarterectomy of............................	117.00
3991.	Innominate, subclavian, carotid or any intra-thoracic artery, endarterectomy of........	129.00
3995.	Inferior vena cava, plication of........................................	63.00
3999.	Repositioning of internal carotid artery..................................	63.00
4004.	Arterial or venous graft or by-pass.....................................	147.00
4008.	Arterial anastomosis..............................................	129.00
4013.	Portal hypertension, lienorenal anastomosis for.............................	129.00
4017.	Portal vein anastomosis............................................	129.00
4022.	Embolus, removal of, from artery of neck or extremities.......................	63.00
4026.	Embolus, removal of, from artery of trunk................................	75.00
4031.	Thrombus, removal of, from femoral, iliac or other similar large vein..............	48.00
4035.	Carotid body or carotid body tumour, removal of, without arterial anastomosis........	48.00
4040.	Arteriovenous shunt, external, insertion of................................	24.00
	Operations for Acute Osteomyelitis
4050.	Operation on terminal phalanx of finger or toe (G)...........................	3.90
4051.	Operation on terminal phalanx of finger or toe (S)...........................	5.10
4055.	Operation on phalanx other than terminal, metacarpus or metatarsus—one bone (G).....	8.70
4056.	Operation on phalanx other than terminal, metacarpus or metatarsus—one bone (S).....	12.00
4060.	Operation on sternum, clavicle, rib, ulna, radius, carpus, tibia, fibula, tarsus, mandible or maxilla (other than alveolar margins)—one bone (G)	15.90
4061.	Operation on sternum, clavicle, rib, ulna, radius, carpus, tibia, fibula, tarsus, mandible or maxilla (other than alveolar margins)—one bone (S)	21.00
4065.	Operation on humerus or femur—one bone (G).............................	26.40
4066.	Operation on humerus or femur—one bone (S).............................	36.00
4070.	Operation on skull (G).............................................	21.90
4071.	Operation on skull (S).............................................	30.00
4075.	Operation on spine or pelvic bones—one bone (G)...........................	26.40
4076.	Operation on spine or pelvic bones—one bone (S)...........................	36.00
	Operations for Chronic Osteomyelitis
4090.	Operation on nasal bones (G).........................................	8.70
4091.	Operation on nasal bones (S).........................................	12.00
4095.	Operation on scapula, sternum, clavicle, rib, ulna, radius, metacarpus, carpus, phalanx, tibia, fibula, metatarsus, tarsus, mandible or maxilla (other than alveolar margins)—one bone (G)	26.40
4096.	Operation on scapula, sternum, clavicle, rib, ulna, radius, metacarpus, carpus, phalanx, tibia, fibula, metatarsus, tarsus, mandible or maxilla (other than alveolar margins)—one bone (S)	36.00
4101.	Operation on humerus or femur—one bone (G).............................	26.40
4102.	Operation on humerus or femur—one bone (S).............................	36.00
4107.	Operation on spine or pelvic bones—one bone (G)...........................	46.50
4108.	Operation on spine or pelvic bones—one bone (S)...........................	63.00
4113.	Operation on skull (G).............................................	35.40
4114.	Operation on skull (S).............................................	48.00
4119.	Operation on any combination of bones referred to in item 4095 (G)...............	26.40
4120.	Operation on any combination of bones referred to in item 4096 (S)...............	36.00
4125.	Operation on any combination of bones not covered by item 4119 (G)..............	46.50
4126.	Operation on any combination of bones not covered by item 4120 (S)..............	63.00

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
		$
	Division 2.—Amputation or Disarticulation of Limb
4150.	One finger or thumb (G)..................................................	15.60
4151.	One finger or thumb (S)...................................................	21.00
4156.	Additional ringer or thumb—each (G).........................................	2.10
4157.	Additional finger or thumb—each (S).........................................	2.70
4161.	Finger or thumb, including metacarpal or part of metacarpal—each digit (G)................	13.20
4162.	Finger or thumb, including metacarpal or part of metacarpal—each digit (S)................	17.40
4166.	Hand, midcarpal or transmetacarpal (G)........................................	21.90
4167.	Hand, midcarpal or transmetacarpal (S)........................................	30.00
4171.	Hand, forearm or through arm (G)............................................	26.40
4172.	Hand, forearm or through arm (S)............................................	36.00
4176.	At shoulder (G)........................................................	46.50
4177.	At shoulder (S)........................................................	63.00
4182.	Interscapulothoracic (G)..................................................	96.00
4183.	Interscapulothoracic (S)...................................................	129.00
4188.	One toe or great toe (G)...................................................	7.20
4189.	One toe or great toe (S)...................................................	10.20
4194.	Additional toe or great toe—each (G)..........................................	2.10
4195.	Additional toe or great toe—each (S)..........................................	3.00
4200	Toe, including metatarsal or part of metatarsal—each toe (G)..........................	10.50
4201.	Toe, including metatarsal or part of metatarsal—each toe (S)..........................	14.70
4206.	Foot at ankle (Syme, Pirogoff types) (G)........................................	26.40
4207.	Foot at ankle (Syme, Pirogoff types) (S)........................................	36.00
4212.	Foot, midtarsal or transmetatarsal (G)..........................................	21.90
4213.	Foot, midtarsal or transmetatarsal (S)..........................................	30.00
4218.	Through leg or at knee (G).................................................	35.40
4219.	Through leg or at knee (S).................................................	48.00
4224.	Through thigh (G)......................................................	51.00
4225.	Through thigh (S).......................................................	69.00
4230.	At hip (G)............................................................	57.90
4231.	At hip (S)............................................................	78.00
4236.	Hindquarter...........................................................	162.00
	Division 3.—Ear, Nose and Throat
4300.	Ear, removal of foreign body in, otherwise than by simple syringing.....................	7.20
4304.	Aural polyp, removal of (G)................................................	9.60
4305.	Aural polyp, removal of (S)................................................	13.20
4309.	External auditory meatus, surgical removal of keratosis obturans from, not covered by item 4315 or 4320 (G)	11.70
4311.	External auditory meatus, surgical removal of keratosis obturans from, not covered by item 4315 or 4320 (S)	15.60
4315.	External auditory meatus, surgical removal of exostoses in............................	102.00
4320.	Tympanoplasty, including preliminary mastoidectomy..............................	102.00
4324.	Mastoidectomy (cortical)..................................................	57.00
4328.	Mastoidectomy (radical or modified radical).....................................	117.00
4333.	Mastoidectomy for decompression of facial nerve..................................	75.00
4337.	Labyrinthotomy or destruction of labyrinth......................................	114.00
4342.	Fenestration operation—each ear.............................................	129.00
4346.	Venous graft to fenestration cavity............................................	63.00
4350.	Stapedectomy.........................................................	117.00
4355.	Stapes mobilization.....................................................	75.00
4359.	Abscess or inflammation of middle ear, operation for (G).............................	4.50
4360.	Abscess or inflammation of middle ear, operation for (S).............................	7.20
4364.	Middle ear, exploration of.................................................	45.00
4368.	Middle ear, insertion of tube for drainage of.....................................	24.00
4372.	Perforation of tympanum, cauterisation or diathermy of..............................	4.40
4376.	Cholesteatoma, removal of, by suction ear toilet...................................	10.20
4381.	Examination of nasal cavity or post-nasal space, or nasal cavity and post-nasal space, under general anaesthesia, as an independent procedure	4.50
4385.	Nose, removal of foreign body in, other than by simple probing........................	7.20
4389.	Nasal polyp or polypi (simple), removal of (G)...................................	5.40
4390.	Nasal polyp or polypi (simple), removal of (S)....................................	7.20
4394.	Nasal polyp or polypi (requiring admission to hospital), removal of (G)...................	15.60

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
		$
	Division 3.—Ear, Nose and Throat—continued
4395.	Nasal polyp or polypi (requiring admission to hospital), removal of (S).............	21.00
4399.	Nasal septum, septoplasty or submucous resection of, as an independent procedure.....	45.00
4400.	Nasal septum, septoplasty or submucous resection of, with cauterisation or diathermy of any one or more of septum or turbinates or pharynx (G)	46.70
4401.	Nasal septum, septoplasty or submucous resection of, with cauterisation or diathermy of any one or more of septum or turbinates or pharynx (S)	49.50
4402.	Nasal septum, septoplasty or submucous resection of, with turbinectomy or dislocation of turbinate	52.50
4403.	Cauterisation or diathermy of septum or turbinates or pharynx—any one or more—each attendance at which the procedure is performed (G)	2.40
4404.	Cauterisation or diathermy of septum or turbinates or pharynx—any one or more—each attendance at which the procedure is performed (S)	7.20
4408.	Cryotherapy to nose in the treatment of nasal haemorrhage.....................	15.60
4412.	Turbinectomy or dislocation of turbinate.................................	13.20
4416.	Turbinates, submucous resection of....................................	17.40
4420.	Maxillary antrum, proof puncture and lavage of............................	2.70
4424.	Maxillary antrum, lavage of—each attendance.............................	2.50
4428.	Antrostomy (radical)..............................................	45.00
4432.	Antrostomy (radical) with transantral ethmoidectomy........................	69.00
4436.	Antrum, intranasal operation on, or removal of foreign body from................	27.00
4440.	Antrum, drainage of, through tooth socket................................	11.40
4444.	Oro-antral fistula, plastic closure of....................................	63.00
4448.	Frontal sinus, external operation on....................................	63.00
4450.	Frontal sinus or ethmoidal sinuses, intranasal operation on.....................	39.00
4452.	Frontal sinus, catheterisation of.......................................	5.10
4456.	Ethmoidal sinuses, external operation on.................................	66.00
4460.	Sphenoidal sinus, proof puncture of....................................	5.10
4464.	Sphenoidal sinus, intranasal operation on.................................	30.00
4468.	Transantral Vidian neurectomy.......................................	63.00
4472.	Trans-sphenoidal hypophysectomy.....................................	96.00
4476.	Eustachian tube, catheterisation of.....................................	3.60
4480.	Division of pharyngeal adhesions......................................	11.40
4484.	Post-nasal space, direct examination of, with biopsy.........................	7.20
4488.	Nasopharyngeal tumour, operation for removal of—involving hard palate...........	63.00
4492.	Pharyngeal pouch, removal of........................................	75.00
4496.	Pharyngotomy (lateral)............................................	75.00
4498.	Tonsils or tonsils and adenoids, removal of, in a person aged less than twelve years (G)..	12.00
4499.	Tonsils or tonsils and adenoids, removal of, in a person aged less than twelve years (S)..	24.00
4501.	Tonsils or tonsils and adenoids in a person aged less than twelve years, removal of, with operation for abscess or inflammation of middle ear (G)	14.70
4502.	Tonsils or tonsils and adenoids in a person aged less than twelve years, removal of, with operation for abscess or inflammation of middle ear (S)	30.50
4504.	Tonsils or tonsils and adenoids in a person aged less than twelve years, removal of, with cauterisation and diathermy of any one or more of septum or turbinates or pharynx (G)	13.70
4505.	Tonsils or tonsils and adenoids in a person aged less than twelve years, removal of with cauterisation and diathermy of any one or more of septum or turbinates or pharynx (S)	30.50
4507.	Tonsils or tonsils and adenoids, removal of, in a person twelve years of age or over (G)..	17.40
4508.	Tonsils or tonsils and adenoids, removal of, in a person twelve years of age or over (S)..	39.00
4513.	Tonsils or tonsils and adenoids, arrest of haemorrhage requiring general anaesthesia, following removal of (G)	4.10
4514.	Tonsils or tonsils and adenoids, arrest of haemorrhage requiring general anaesthesia, following removal of (S)	5.10
4519.	Adenoids, removal of (G)...........................................	8.10
4520.	Adenoids, removal of (S)...........................................	13.20

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
	Division 3.—Ear, Nose and Throat—continued	$
4525.	Adenoids, removal of, with operation for abscess or inflammation of middle ear (G)....	10.80
4526.	Adenoids, removal of, with operation for abscess or inflammation of middle ear (S)....	20.10
4528.	Lingual tonsil or lateral pharyngeal bands, removal of........................	8.10
4529.	Peritonsillar abscess (quinsy), incision of.................................	6.30
4533.	Uvulotomy....................................................	3.10
4538.	Vallecular or pharyngeal cysts, removal of................................	36.00
4542.	Oesophagoscopy.................................................	24.00
4545.	Oesophagoscopy with insertion of Souttar’s tubes or first dilatation of oesophagus.....	37.20
4547.	Oesophagoscopy with biopsy........................................	30.00
4551.	Oesophagus, removal of foreign body in.................................	36.00
4555.	Insertion of Souttar’s tubes or dilatation of oesophagus—first dilatation............	23.40
4559.	Insertion of Souttar’s tubes or dilatation of oesophagus—subsequent dilatation........	17.40
4563.	Laryngectomy (total)..............................................	96.00
4567.	Larynx, direct examination of, as an independent procedure....................	18.60
4571.	Larynx, direct examination of, with biopsy...............................	21.00
4575.	Larynx, direct examination of, with removal of tumour.......................	23.40
4579.	Microlaryngoscopy...............................................	18.60
4583.	Microlaryngoscopy with removal of tumour...............................	42.00
4587.	Larynx, fractured, operation for.......................................	63.00
4591.	Larynx, external operation on, or laryngofissure............................	63.00
4595.	Arytenoid cartilages, fixation of.......................................	78.00
4599.	Arytenoid cartilage, removal of.......................................	63.00
4604.	Tracheotomy (G)................................................	18.00
4605.	Tracheotomy (S).................................................	24.00
4610.	Trachea, removal of foreign body in....................................	17.40
4614.	Bronchoscopy, as an independent procedure (G)............................	13.20
4616.	Bronchoscopy, as an independent procedure (S)............................	17.40
4620.	Bronchoscopy, with biopsy..........................................	23.40
4625.	Bronchus, removal of foreign body in (G)................................	26.40
4626.	Bronchus, removal of foreign body in (S)................................	36.00
	Division 4.—Urological
4710.	Adrenal gland, biopsy of...........................................	63.00
4714.	Adrenal gland, removal of..........................................	63.00
4719.	Renal transplant.................................................	162.00
4723.	Nephrectomy for malignant disease, complete or partial.......................	117.00
4727.	Nephrectomy (complete or partial) other than for malignant disease (G)............	78.00
4728.	Nephrectomy (complete or partial) other than for malignant disease (S).............	105.00
4732.	Nephro-ureterectomy, complete, with bladder repair.........................	117.00
4735.	Kidney, fused, symphysiotomy for.....................................	75.00
4739.	Kidney, exploration of, with division of aberrant artery or other procedure not covered by any other item	57.00
4743.	Nephrolithotomy, pyelolithotomy or ureterolithotomy........................	87.00
4747.	Nephrostomy...................................................	63.00
4751.	Nephropexy, as an independent procedure................................	63.00
4755.	Pyonephrosis, drainage of...........................................	36.00
4759.	Perinephric abscess, drainage of......................................	36.00
4763.	Pelvi-ureteric junction, plastic procedures to..............................	87.00
4767.	Divided ureter, repair of............................................	63.00
4771.	Ureterectomy, complete, with bladder repair, as an independent procedure...........	60.00
4775.	Ureter, transplantation of, into skin.....................................	48.00
4779.	Ureter, transplantation of, into bladder..................................	72.00
4783.	Ureter, transplantation of, into intestine..................................	96.00
4787.	Ureter, transplantation of, into isolated intestinal loop........................	114.00
	Operations on the Bladder (Closed)
4810.	Bladder, catheterisation of—where no other surgical procedure is performed.........	2.40
4814.	Cystoscopy, with or without urethral dilatation.............................	14.70
4819.	Cystoscopy, with ureteric catheterisation, with or without introduction of opaque medium.	17.40

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
		$
	Division 4.—Urological—continued
4823.	Cystometrography...............................................	5.10
4827.	Cystoscopic removal of foreign body...................................	23.40
4831.	Cystoscopy, with biopsy of bladder tumours..............................	21.00
4835.	Cystoscopy, with diathermy or resection of bladder tumours....................	30.00
4839.	Cystoscopy, with ureteric meatotomy...................................	27.00
4843.	Cystoscopy, with diathermy of ureteric orifices.............................	21.00
4847.	Cystoscopy, with endoscopic bladder neck resection.........................	36.00
4851.	Cystoscopy, with endoscopic removal or manipulation of ureteric calculus..........	36.00
4855.	Litholapaxy, with or without cystoscopy.................................	33.00
	Operations on the Bladder (Open)
4910.	Bladder, repair of rupture of (G)......................................	35.40
4911.	Bladder, repair of rupture of (S).......................................	48.00
4916.	Cystostomy or cystotomy, suprapubic (G)................................	20.10
4917.	Cystostomy or cystotomy, suprapubic, (S)................................	27.00
4922.	Bladder, partial excision or plastic repair of...............................	75.00
4926.	Bladder, excision of, with ureteric transplantation...........................	129.00
4931.	Bladder neck contracture, operation for..................................	63.00
4935.	Bladder tumours, suprapubic diathermy of................................	63.00
4939.	Diverticulum of bladder, excision or obliteration of..........................	84.00
4944.	Vesical fistula, cutaneous, operation for.................................	36.00
	Operations on the Prostate
5010.	Prostatectomy (suprapubic, perineal or retropubic)..........................	117.00
5014.	Prostatectomy (endoscopic), with or without cystoscopy.......................	75.00
5019.	Median bar, endoscopic resection of, with or without cystoscopy.................	51.00
5023.	Prostate, total excision of...........................................	129.00
5028.	Prostate, biopsy of, perineal.........................................	30.00
5032.	Prostate, biopsy of, endoscopic, with or without cystoscopy....................	45.00
5037.	Prostate, needle biopsy of, or injection into...............................	4.50
5041.	Prostatic abscess, retropubic drainage of.................................	30.00
	Operations on Urethra, Penis or Scrotum
5110.	Urethral sounds, passage of, as an independent procedure......................	3.90
5114.	Urethral stricture, dilatation of........................................	7.20
5118.	Urethra, repair of rupture of (G).......................................	46.50
5120.	Urethra, repair of rupture of (S).......................................	63.00
5124.	Urethral fistula, closure of..........................................	14.70
5128.	Urethroscopy, as an independent procedure...............................	14.70
5132.	Urethroscopy with removal of stone or foreign body.........................	17.40
5136.	Urethral meatotomy..............................................	7.20
5140.	Urethrotomy (external), with excision of stricture...........................	63.00
5145.	Urethrotomy, perineal (external), as an independent procedure..................	30.00
5149.	Urethrotomy (internal).............................................	27.00
5153.	Urethroplasty not covered by any other item in this Part.......................	63.00
5157.	Urethrectomy, partial or complete, for removal of tumour......................	51.00
5161.	Urethral stricture, plastic repair of.....................................	75.00
5165.	Hypospadias, correction of chordee....................................	36.00
5170.	Hypospadias, urethral reconstruction for.................................	57.00
5174.	Hypospadias, secondary correction of...................................	23.40
5178.	Epispadias, repair of, not involving sphincter..............................	63.00
5182.	Epispadias, repair of, including bladder neck closure.........................	78.00
5186.	Urethra, diathermy of.............................................	15.60
5190.	Priapism, decompression operation for, under general anaesthesia................	7.20
5194.	Penis, partial amputation of..........................................	36.00
5198.	Penis, complete or radical amputation of.................................	75.00
5202.	Penis, amputation of, with excision of glands..............................	96.00
5206.	Scrotum, partial excision of.........................................	30.00

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
		$
	Division 4.—Urological—continued
	Operations on Testes, Vasa or Seminal Vesicles
5220.	Testicular biopsy......................................................	14.70
5223.	Spermatocele, excision of (G)..............................................	20.10
5224.	Spermatocele, excision of (S)..............................................	27.00
5228.	Testis, exposure of, with or without fixation.....................................	21.00
5232.	Orchidectomy, with excision of retroperitoneal glands or seminal vesicles.................	96.00
5236.	Orchidoplasty........................................................	36.00
5240.	Epididymectomy......................................................	33.00
5244.	Vasoepididymostomy...................................................	63.00
5248.	Vasoepididymography and vasovesiculography as an independent operative procedure, preparation for, by open operation	15.60
5252.	Vasectomy (simple)....................................................	21.00
5256.	Vasectomy (radical) including seminal vesicles..................................	75.00
5260.	Vasotomy or vasectomy (bilateral) (G)........................................	18.00
5261.	Vasotomy or vasectomy (bilateral) (S)........................................	24.00
	Division 5.—Gynaecological
5310.	Gynaecological examination under anaesthesia not performed in association with any service covered by any other item in this Part (G)	4.20
5311.	Gynaecological examination under anaesthesia not performed in association with any service covered by any other item in this Part (S)	7.20
5316.	Simple tumour of vagina or vulva, removal of (G).................................	6.00
5317.	Simple tumour of vagina or vulva, removal of (S).................................	8.10
5322.	Hymenectomy (G).....................................................	6.00
5323.	Hymenectomy (S)......................................................	8.10
5328.	Bartholin’s cyst, excision of (G)............................................	14.10
5329.	Bartholin’s cyst, excision of (S).............................................	18.60
5334.	Bartholin’s cyst or gland, marsupialisation or cautery destruction of (G)..................	10.50
5335.	Bartholin’s cyst or gland, marsupialisation or cautery destruction of (S)..................	14.70
5340.	Bartholin’s abscess, incision of (G)..........................................	4.10
5341.	Bartholin’s abscess, incision of (S)...........................................	5.10
5346.	Skene’s duct, incision of, or removal of calculus from..............................	8.10
5350.	Urethra or urethral caruncle, cauterisation of (G).................................	4.10
5352.	Urethra or urethral caruncle, cauterisation of (S)..................................	5.10
5356.	Urethral caruncle, excision of (G)...........................................	10.50
5358.	Urethral caruncle, excision of (S)............................................	14.70
5362.	Clitoris, amputation of...................................................	27.00
5367.	Vulvectomy (simple)....................................................	36.00
5371.	Vulvectomy (radical)....................................................	96.00
5376.	Pelvic lymph glands, excision of (radical)......................................	75.00
5380.	Vagina, dilatation of, as an independent procedure—each attendance at which dilatation is performed	4.00
5385.	Vagina, complete removal of..............................................	75.00
5387.	Vaginal reconstruction in congenital absence or gynatresia...........................	75.00
5394.	Vaginal septum, excision of, for correction of double vagina..........................	42.00
5398.	Plastic repair to enlarge vaginal orifice (G).....................................	11.70
5399.	Plastic repair to enlarge vaginal orifice (S)......................................	15.60
5403.	Colpotomy or colporrhaphy, not covered by any other item in this Part (G)................	8.70
5404.	Colpotomy or colporrhaphy, not covered by any other item in this Part (S)................	12.00
5408.	Cystocele or rectocele, repair of, not covered by item 5414 or 5419 (G)..................	33.00
5410.	Cystocele or rectocele, repair of, not covered by item 5416 or 5420 (S)...................	45.00
5414.	Cystocele and rectocele, repair of, not covered by item 5419 (G).......................	42.00
5416.	Cystocele and rectocele, repair of, not covered by item 5420 (S).......................	57.00
5419.	Colpoplasty, Donald-Fothergill or Manchester operation (operation for genital prolapse) (G)....	51.00
5420.	Colpoplasty, Donald-Fothergill or Manchester operation (operation for genital prolapse) (S).....	63.00
5422.	Colpoplasty, Donald-Fothergill or Manchester operation (operation for genital prolapse) and curettage of uterus, with or without dilatation (G)	57.90
5423.	Colpoplasty, Donald-Fothergill or Manchester operation (operation for genital prolapse) and curettage of uterus, with or without dilatation (S)	72.00

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
	Division 5.—Gynaecological—continued	$
5425.	Urethrocele, operation for................................................	17.40
5429.	Fistula between genital and urinary or alimentary tracts, repair of......................	75.00
5434.	Stress incontinence, sling operation for, as an independent procedure....................	72.00
5438.	Cervix, cauterisation, ionisation or diathermy of (G)...............................	3.90
5439.	Cervix, cauterisation, ionisation or diathermy of (S)...............................	4.50
5443.	Cervix, removal of polyp from (G)..........................................	4.50
5444.	Cervix, removal of polyp from (S)...........................................	5.10
5448.	Examination of the uterine cervix by a magnifying colposcope of the Hinselmann type or similar instrument	6.30
5451.	Cervix, cone biopsy of (G)................................................	15.60
5452.	Cervix, cone biopsy of (S)................................................	21.00
5453.	Cone biopsy of cervix, and curettage of uterus with or without dilatation(G)...............	21.90
5454.	Cone biopsy of cervix, and curettage of uterus with or without dilatation (S)...............	30.00
5457.	Cervix, amputation or repair of, not covered by item 5419 (G)........................	13.20
5458.	Cervix, amputation or repair of, not covered by item 5420 (S).........................	17.40
5462.	Cervix, dilatation of, not covered by item 5471 (G)................................	6.00
5463.	Cervix, dilatation of, not covered by item 5472 (S)................................	7.80
5467.	Culdoscopy..........................................................	10.20
5471.	Uterus, curettage of, with or without dilatation (G)................................	12.00
5472.	Uterus, curettage of, with or without dilatation (S)................................	15.60
5475.	Uterus, curettage of, with or without dilatation; and cauterisation, ionisation or diathermy of cervix (G)	14.40
5477.	Uterus, curettage of, with or without dilatation; and cauterisation, ionisation or diathermy of cervix (S)	18.60
5481.	Uterus, curettage of, with or without dilatation and removal of polyp from cervix (G).........	14.70
5483.	Uterus, curettage of, with or without dilatation and removal of polyp from cervix (S).........	18.90
5487.	Uterus, curettage of, with or without dilatation, with removal of polyp from cervix and cauterisation, ionisation or diathermy of cervix (G)	15.90
5489.	Uterus, curettage of, with or without dilatation, with removal of polyp from cervix and cauterisation, ionisation or diathermy of cervix (S)	20.40
5493.	Hysterotomy (G)......................................................	21.90
5495.	Hysterotomy (S).......................................................	30.00
5499.	Hysterectomy (other than vaginal)—subtotal (G).................................	51.00
5501.	Hysterectomy (other than vaginal)—subtotal (S).................................	69.00
5505.	Hysterectomy (other than vaginal)—total (G)...................................	51.00
5507.	Hysterectomy (other than vaginal)—total (S)....................................	69.00
5511.	Hysterectomy (other than vaginal)—total, with curettage of uterus, with or without dilatation (G).	57.90
5512.	Hysterectomy (other than vaginal)—total, with curettage of uterus, with or without dilatation (S).	78.00
5513.	Hysterectomy (total) with abdominal urethroplexy................................	81.00
5515.	Hysterectomy and dissection of pelvic glands...................................	117.00
5518.	Hysterectomy (other than vaginal)—total, with appendicectomy (G)....................	70.50
5519.	Hysterectomy (other than vaginal)—total, with appendicectomy (S).....................	91.50
5523.	Colpoplasty with vaginal hysterectomy (G).....................................	69.00
5525.	Colpoplasty with vaginal hysterectomy (S).....................................	87.00
5529.	Ectopic gestation, removal of (G)...........................................	42.00
5531.	Ectopic gestation, removal of (S)............................................	57.00
5535.	Myomectomy (G)......................................................	42.00
5537.	Myomectomy (S)......................................................	57.00
5541.	Round ligaments, shortening of (G)..........................................	36.00
5543.	Round ligaments, shortening of (S)..........................................	42.00
5547.	Bicornuate uterus, plastic reconstruction for....................................	36.00
5551.	Uterus, suspension or fixation of (G).........................................	30.90
5553.	Uterus, suspension or fixation of (S).........................................	42.00
5557.	Rubin test for patency...................................................	5.70
5561.	Fallopian tube or tubes, implantation of, into uterus...............................	48.00
5565.	Fallopian tubes, hydrotubation of, as an isolated procedure...........................	5.70
5569.	Fallopian tubes, hydrotubation of, as a repetitive post-operative procedure................	3.90

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
	Division 5.—Gynaecological—continued	$
5573.	Oophorectomy, salpingectomy, salpingo-oophorectomy or ligation of Fallopian tubes, not associated with hysterectomy (G)	33.00
5574.	Oophorectomy, salpingectomy, salpingo-oophorectomy or ligation of Fallopian tubes, not associated with hysterectomy (S)	42.00
5577.	Oophorectomy, salpingectomy, salpingo-oophorectomy or ligation of Fallopian tubes, not associated with hysterectomy in addition to curettage of uterus, with or without dilatation (G)	39.90
5579.	Oophorectomy, salpingectomy, salpingo-oophorectomy or ligation of Fallopian tubes, not associated with hysterectomy in addition to curettage of uterus, with or without dilatation (S)	51.00
5583.	Appendicectomy with oophorectomy, salpingectomy, salpingo-oophorectomy, or ligation of Fallopian tubes, not associated with hysterectomy (G)	54.00
5585.	Appendicectomy with oophorectomy, salpingectomy, salpingo-oophorectomy, or ligation of Fallopian tubes, not associated with hysterectomy (S)	64.50
5589.	Salpingostomy or salpingolysis, or both.........................................	48.00
5593.	Ovarian, parovarian, fimbrial or broad ligament cyst, excision of, not covered by any other item in this Part (G)	39.00
5594.	Ovarian, parovarian, fimbrial or broad ligament cyst, excision of, not covered by any other item in this Part (S)	57.00
5596.	Pelvic abscess, suprapubic drainage of (G)........................................	35.40
5597.	Pelvic abscess, suprapubic drainage of (S)........................................	48.00
	Division 6.—Ophthalmological
5610.	Ophthalmological examination under general anaesthesia as an independent procedure..........	4.50
5614.	Eye, enucleation of (G)....................................................	26.40
5616.	Eye, enucleation of (S).....................................................	36.00
5620.	Eye, enucleation of, and insertion of ball.........................................	66.00
5625.	Globe, evisceration of.....................................................	36.00
5631.	Orbitotomy, lateral.......................................................	69.00
5635.	Orbit, exenteration of, including skin grafting......................................	63.00
5640.	Orbital cyst or tumour, excision of, requiring preparation of bone flap......................	69.00
5644.	Orbital cyst or tumour, excision of, not requiring preparation of bone flap...................	42.00
5649.	Perforating wound of globe, repair of, with or without iris prolapsed.......................	87.00
5653.	Perforating wound of globe involving the lens, repair of...............................	69.00
5658.	Intraocular foreign body, removal of............................................	75.00
5662.	Abscess (intraorbital), drainage of.............................................	11.40
5667.	Tarsal cyst, extirpation of (G)................................................	4.50
5668.	Tarsal cyst, extirpation of (S)................................................	5.10
5673.	Tarsal cartilage, excision of.................................................	21.00
5677.	Canthoplasty or tarsorrhaphy.................................................	27.00
5681.	Lacrimal sac, excision of, or operation on........................................	30.00
5685.	Dacryocystorrhinostomy...................................................	63.00
5689.	Parotid duct, transplantation of, into conjunctival sac.................................	69.00
5693.	Lacrimal canaliculus, reconstruction of..........................................	63.00
5697.	Lacrimal canaliculus, immediate repair of........................................	42.00
5701.	Lacrimal passages, probing or dilatation of, for obstruction (G)..........................	6.00
5702.	Lacrimal passages, probing or dilatation of, for obstruction (S)..........................	10.20
5706.	Conjunctival peritomy.....................................................	11.40
5710.	Trachoma, crushing operation for..............................................	12.00
5714.	Cornea or sclera, removal of superficial foreign body from.............................	1.10
5718.	Cornea or sclera, removal of foreign body, involving deeper layers (G).....................	4.10
5719.	Cornea or sclera, removal of foreign body, involving deeper layers (S).....................	5.10
5723.	Corneal scars, excision of, or partial keratectomy...................................	19.20
5727.	Cornea, tattooing of.......................................................	23.40
5731.	Cornea, epithelial debridement for dendritic ulcer...................................	5.10
5735.	Cornea, transplantation of, including collection of implant.............................	147.00
5739.	Keratoplasty, superficial....................................................	96.00
5742.	Keratoplasty—corneal transplant, lamellar........................................	87.00
5746.	Conjunctiva, cautery of, for treatment of pannus—each attendance at which treatment is given.....	5.40

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
	Division 6.—Ophthalmological—continued	$
5750.	Pterygium or Pinguecula, removal of..................................	24.00
5754.	Limbic tumour, removal of.........................................	27.00
5758.	Lens extraction, including initial and subsequent needlings....................	129.00
5762.	Insertion of artificial lens..........................................	63.00
5766.	Cataract, juvenile, removal of, including subsequent needlings..................	129.00
5770.	Capsulectomy..................................................	51.00
5774.	Secondary cataract, needling of—each stage..............................	27.00
5778.	Paracentesis in relation to eye.......................................	30.00
5782.	Glaucoma, filtering and allied operations for.............................	105.00
5786.	Goniotomy...................................................	51.00
5790.	Iridectomy or iridotomy...........................................	57.00
5794.	Tumour involving iris or ciliary body, or iris and ciliary body, excision of..........	69.00
5798.	Cyclodiathermy................................................	30.00
5802.	Detached retina, diathermy operation for................................	96.00
5806.	Detached retina, resection or buckling operation for.........................	129.00
5810.	Re-attachment of retina, revision operation for............................	51.00
5814.	Detached retina, light coagulation for..................................	36.00
5818.	Detached retina, removal of encircling silicone band from.....................	15.60
5822.	Detached retina, removal of encircling silicone band from, with excision of sclera.....	24.00
5826.	Cryopexy, without scleral resection or scleral infolding, for treatment of detached retina or pre-detachment disease of retina	63.00
5830.	Cryopexy, with scleral resection or scleral infolding, for treatment of detached retina or pre-detachment disease of retina	96.00
5834.	Retrobulbar transillumination.......................................	8.10
5838.	Retrobulbar injection of alcohol......................................	6.30
5842.	Squint, operation for.............................................	57.00
5846.	Muscle transplant (Hummelsheim type, etc.) for squint.......................	42.00
5850.	Re-attachment of ruptured medial palpebral ligament........................	42.00
5854.	Torn ocular muscle, repair of........................................	39.00
5858.	Suprachoroidal implantation of ocular muscle.............................	39.00
	Division 7.—Thoracic
5910.	Thoracic cavity, aspiration or paracentesis of, or both (G).....................	2.70
5911.	Thoracic cavity, aspiration or paracentesis of, or both (S).....................	3.90
5915.	Artificial pneumothorax—induction...................................	7.80
5920.	Artificial pneumothorax—each filling subsequent to induction..................	4.00
5924.	Intercostal drain, insertion of, not involving resection of rib (G).................	10.50
5926.	Intercostal drain, insertion of, not involving resection of rib (S).................	14.70
5930.	Empyema, radical operation for, involving resection of rib (G)..................	35.40
5931.	Empyema, radical operation for, involving resection of rib (S)..................	48.00
5936.	Thoracotomy without pneumolysis....................................	96.00
5940.	Thoracotomy with pneumolysis......................................	96.00
5945.	Thoracotomy with pulmonary decortications.............................	102.00
5949.	Thoracoplasty (complete)..........................................	129.00
5954.	Thoracoplasty (in stages)—each stage..................................	75.00
5958.	Pectus excavatum or pectus carinatum in person under five years of age, correction of..	42.00
5963.	Pectus excavatum or pectus carinatum in person five years of age or over, correction of.	105.00
5967.	Thoracoscopy..................................................	23.40
5971.	Thoracoscopy with division of pleural adhesions...........................	39.00
5976.	Thoracic duct cannulisation.........................................	8.10
5980.	Phrenic avulsion or crush..........................................	17.40
5985.	Pneumonectomy or lobectomy.......................................	129.00
5989.	Hydatid cysts of lungs, removal of....................................	78.00
5994.	Oesophagectomy or operation for atresia of oesophagus......................	114.00
5998.	Oesophagus, reconstruction of, or replacement by bowel transplant...............	129.00
6003.	Mediastinal abscess, drainage of.....................................	63.00
6007.	Mediastinum, cervical exploration of, with or without biopsy..................	42.00
6012.	Left ventricular puncture..........................................	30.00
6016.	Pericardium, drainage of, by open operation..............................	75.00

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
	Division 7.—Thoracic—continued	$
6021.	Bronchoscopy with left atrial puncture.........................................	48.00
6025.	Intrathoracic operation on heart, lungs, great vessels, bronchial tree, oesophagus or mediastinum, or on more than one of those organs, not covered by any other item in this Part	147.00
6029.	Cardiac catheterisation with or without fluoroscopy................................	17.40
6034.	Cardiac catheterisation with oximetry..........................................	25.20
6038.	Atrial balloon septostomy including preliminary cardiac catheterisation with oximetry..........	60.00
6042.	Implantation of cardiac pacemaker—extrathoracic.................................	23.40
	Division 8.—Neuro-Surgical
6100.	Local infiltration around nerve or in muscle with alcohol, novocaine or similar preparation—each attendance at which an injection is given	1.10
6104.	Nerve blocking with alcohol or other agent following localization by electrical stimulator.......	4.50
6108.	Sympathetic trunk, injection into.............................................	5.10
6112.	Injection of intracranial ganglion, or primary branch of trigeminal nerve, with alcohol or similar substance	12.00
6116.	Lumbar puncture.......................................................	4.20
6120.	Cisternal puncture......................................................	5.10
6124.	Spinal or epidural injection for neurological diagnosis or for therapeutic reasons.............	6.30
6128.	Ventricular puncture.....................................................	17.40
6132.	Cutaneous or digital nerve, primary suture of (G)..................................	10.50
6133.	Cutaneous or digital nerve, primary suture of (S)..................................	14.70
6137.	Repair of divided digital nerve to thumb or finger (G)...............................	18.00
6138.	Repair of divided digital nerve to thumb or finger (S)...............................	24.00
6142.	Nerve trunk, primary suture of (G)............................................	30.60
6143.	Nerve trunk, primary suture of (S)............................................	42.00
6147.	Nerve trunk, secondary suture of.............................................	48.00
6151.	Nerve, graft or anastomosis of...............................................	75.00
6155.	Neuro-anastomosis, involving cranial nerves.....................................	87.00
6159.	Nerve, transposition of (G).................................................	24.00
6160.	Nerve, transposition of (S).................................................	33.00
6164.	Neurectomy, neurotomy, or removal of tumour from peripheral nerve (G)..................	15.60
6165.	Neurectomy, neurotomy, or removal of tumour from peripheral nerve (S)..................	21.00
6169.	Neurectomy, periarterial..................................................	75.00
6173.	Neurectomy, intracranial or radical as in tic douloureux..............................	96.00
6177.	Exploration of brachial plexus not covered by any other item in this Part...................	36.00
6181.	Neurolysis by open operation, with or without transposition (G)........................	21.00
6182.	Neurolysis by open operation, with or without transposition (S).........................	24.00
6186.	Craniotomy, burr-hole (G).................................................	15.60
6187.	Craniotomy, burr-hole (S).................................................	21.00
6191.	Intracranial haemorrhage, burr-hole craniotomy for (G)..............................	26.40
6192.	Intracranial haemorrhage, burr-hole craniotomy for (S)..............................	36.00
6196.	Intracranial cyst, needling and drainage of.......................................	23.40
6197.	Fracture of skull, depressed or comminuted, operation for (G)..........................	46.50
6198.	Fracture of skull, depressed or comminuted, operation for (S)..........................	63.00
6202.	Compound or complicated fracture or fractures of skull, operation for (G)..................	64.50
6203.	Compound or complicated fracture or fractures of skull, operation for (S)..................	87.00
6207.	Reconstructive cranioplasty................................................	96.00
6211.	Chronic subdural haematoma, operation for......................................	87.00
6215.	Craniotomy involving osteoplastic flap	81.00
6219.	Aneurysm, intracranial, operation for..........................................	162.00
6223.	Craniotomy and tumour removal.............................................	147.00
6227.	Transfrontal orbitotomy for tumours or other lesions................................	129.00
6231.	Intracranial abscess, excision of.............................................	129.00
6235.	Intracranial infection, drainage of............................................	75.00
6239.	Leucotomy or lobotomy for psychiatric causes....................................	96.00
6243.	Hemispherectomy.......................................................	162.00
6247.	Temporal lobectomy.....................................................	129.00
6251.	Chemopallidectomy, or other stereotatic procedure.................................	96.00
6255.	Laminectomy for cordotomy, removal of tumour or for treatment or removal of intervertebral disc lesion	105.00
6259.	Spinal rhizolysis with or without laminectomy....................................	96.00
6263.	Sympathectomy (cervical, lumbar, thoracic, sacral or presacral).........................	63.00

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
	Division 9.—Treatment of Dislocations	$
	Dislocations not requiring Open Operation
6310.	Mandible—first or second dislocation.........................................	4.40
6314.	Mandible—third or subsequent dislocation......................................	2.50
6318.	Clavicle (G)..........................................................	4.80
6320.	Clavicle (S)..........................................................	6.90
6324.	Shoulder—first or second dislocation.........................................	8.10
6328.	Shoulder—third or subsequent dislocation—requiring anaesthesia......................	6.90
6333.	Shoulder—third or subsequent dislocation—not requiring anaesthesia....................	5.10
6337.	Elbow (G)...........................................................	7.20
6338.	Elbow (S)...........................................................	10.20
6343.	Carpus (G)...........................................................	4.50
6344.	Carpus (S)...........................................................	6.30
6349.	Carpus on radius and ulna (G)..............................................	13.20
6350.	Carpus on radius and ulna (S)..............................................	17.40
6354.	Finger (G)...........................................................	1.90
6355.	Finger (S)...........................................................	2.50
6359.	Metacarpo-phalangeal joint of thumb (G).......................................	6.00
6360.	Metacarpo-phalangeal joint of thumb (S).......................................	8.10
6365.	Hip (G).............................................................	21.90
6366.	Hip (S).............................................................	30.00
6371.	Knee (G)............................................................	15.90
6372.	Knee (S)............................................................	21.00
6377.	Patella (G)...........................................................	4.50
6378.	Patella (S)...........................................................	6.30
6382.	Ankle (G)...........................................................	8.10
6383.	Ankle (S)............................................................	11.40
6387.	Toe (G).............................................................	2.10
6388.	Toe (S).............................................................	3.10
6392.	Tarsus (G)...........................................................	6.00
6393.	Tarsus (S)...........................................................	8.10
6397.	Spine (cervical), without fracture (G).........................................	20.10
6398.	Spine (cervical), without fracture (S)..........................................	27.00
6402.	Spine (lumbar), without fracture (G)..........................................	20.10
6404.	Spine (lumbar), without fracture (S)..........................................	27.00
	Dislocations requiring Open Operation
6414.	Treatment of a dislocation requiring open operation, being a dislocation referred to in an item under the last preceding heading	The amount shown in this column in the item in which the dislocation concerned is referred to, plus one-half of that amount
	Division 10.—Treatment of Fractures
	Simple and Uncomplicated Fractures not requiring Open Operation
6420.	Terminal phalanx of finger or thumb..........................................	4.40
6425.	Proximal phalanx of finger or thumb (G).......................................	8.10
6426.	Proximal phalanx of finger or thumb (S)	13.20
6431.	Middle phalanx of finger (G)...............................................	4.40
6432.	Middle phalanx of finger (S)...............................................	5.40
6437.	One or more metacarpals, not involving base of first carpometacarpal joint (G)..............	8.10
6438.	One or more metacarpals, not involving base of first carpometacarpal joint (S)..............	18.60
6442.	First metacarpal involving carpometacarpal joint (Bennett’s fracture) (G)..................	10.20

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
	Division 10.—Treatment of Fractures—continued	$
6443.	First metacarpal involving carpometacarpal joint (Bennett’s fracture) (S)..................	21.00
6447.	Carpus (excluding navicular) (G)............................................	5.00
6448.	Carpus (excluding navicular) (S)............................................	6.30
6453.	Navicular or carpal scaphoid (G)............................................	10.50
6454.	Navicular or carpal scaphoid (S)............................................	14.70
6458.	Colles’ fracture of wrist (G)...............................................	11.40
6459.	Colles’ fracture of wrist (S)................................................	24.00
6463.	Distal end of radius or ulna, involving wrist.....................................	11.40
6467.	Radius (G)...........................................................	11.40
6468.	Radius (S)...........................................................	18.60
6472.	Ulna(G)............................................................	8.10
6473.	Ulna(S).............................................................	11.40
6477.	Both shafts of forearm (G)................................................	17.40
6478.	Both shafts of forearm (S)................................................	33.00
6482.	Humerus (G).........................................................	15.60
6483.	Humerus (S).........................................................	33.00
6487.	Clavicle or sternum (G)..................................................	8.10
6489.	Clavicle or sternum (S)..................................................	13.20
6493.	Scapula (G)..........................................................	8.10
6494.	Scapula (S)..........................................................	11.40
6498.	One or more ribs—each attendance (G)........................................	1.10
6499.	One or more ribs—each attendance (S)........................................	2.00
6503.	Pelvis (excluding symphysis pubis) or sacrum (G).................................	17.40
6505.	Pelvis (excluding symphysis pubis) or sacrum (S).................................	23.40
6509.	Symphysis pubis (G)....................................................	13.20
6510.	Symphysis pubis (S)....................................................	17.40
6515.	Femur (G)...........................................................	42.00
6516.	Femur (S)...........................................................	57.00
6521.	Fibula or tarsus (excepting os calcis or os talus) (G)................................	8.10
6522.	Fibula or tarsus (excepting os calcis or os talus) (S)................................	14.10
6525.	Tibia or patella (G).....................................................	14.70
6527.	Tibia or patella (S).....................................................	21.00
6531.	Both shafts of leg (G)...................................................	26.40
6532.	Both shafts of leg (S)....................................................	36.00
6537.	Ankle (Pott’s fracture), with or without dislocation of ankle (G)........................	26.40
6538.	Ankle (Pott’s fracture), with or without dislocation of ankle (S)........................	36.00
6543.	Os calcis (calcaneus) or os talus (G)..........................................	26.40
6544.	Os calcis (calcaneus) or os talus (S)..........................................	36.00
6549.	Metatarsals—one or more (G)..............................................	8.10
6550.	Metatarsals—one or more (S)..............................................	13.20
6555.	Phalanx of toe (other than great toe)..........................................	4.40
6559.	More than one phalanx of toe (other than great toe)................................	5.10
6564.	Distal phalanx of great toe................................................	4.70
6568.	Proximal phalanx of great toe (G)...........................................	4.40
6569.	Proximal phalanx of great toe (S)............................................	5.70
6574.	Skull, not requiring operation—each attendance (G)...............................	1.10
6575.	Skull, not requiring operation—each attendance (S)................................	2.00
6578.	Nasal bones, not requiring reduction—each attendance (G)...........................	1.10
6580.	Nasal bones, not requiring reduction—each attendance (S)...........................	2.00
6584.	Nasal bones, requiring reduction (G)..........................................	11.70
6586.	Nasal bones, requiring reduction (S)..........................................	21.00
6590.	Maxilla—not requiring splinting (G)..........................................	10.50
6592.	Maxilla—not requiring splinting (S)..........................................	14.70
6596.	Maxilla—with wiring of teeth or internal fixation.................................	33.00
6601.	Maxilla—with external fixation.............................................	36.00
6605.	Mandible—not requiring splinting (G)........................................	13.20
6606.	Mandible—not requiring splinting (S).........................................	17.40
6610.	Mandible—with wiring of teeth or internal fixation................................	45.00
6614.	Mandible—skeletal pinning with external fixation.................................	48.00
6618.	Zygoma (G)..........................................................	11.70
6619.	Zygoma (S)..........................................................	15.60
6623.	Spine (excluding sacrum), transverse process or bone other than vertebral body, not requiring immobilisation in plaster—each attendance (G)	1.10

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
	Division 10.—Treatment of Fractures—continued	$
6624.	Spine (excluding sacrum), transverse process or bone other than vertebral body, not requiring immobilisation in plaster—each attendance (S)	2.40
6628.	Spine (excluding sacrum), vertebral body, without involvement of cord, not requiring immobilisation in plaster—each attendance (G)	1.10
6629.	Spine (excluding sacrum), vertebral body, without involvement of cord, not requiring immobilisation in plaster—each attendance (S)	2.00
6633.	Spine (excluding sacrum), transverse process or bone other than vertebral body requiring immobilisation in plaster or traction by skull calipers (G)	15.90
6634.	Spine (excluding sacrum), transverse process or bone other than vertebral body requiring immobilisation in plaster or traction by skull calipers (S)	21.00
6638.	Spine (excluding sacrum), vertebral body, without involvement of cord, requiring immobilisation in plaster or traction by skull calipers (G)	26.40
6639.	Spine (excluding sacrum), vertebral body, without involvement of cord, requiring immobilisation in plaster or traction by skull calipers (S)	36.00
6643.	Spine (excluding sacrum), vertebral body, with involvement of cord.....................	96.00
	Simple and Uncomplicated Fractures requiring Open Operation
6647.	Treatment of a simple and uncomplicated fracture requiring open operation, being a fracture referred to in an item under the last preceding heading	The amount shown in this column in the item in which the fracture concerned is referred to, plus one-third of that amount
	Compound Fractures requiring Open Operation
6651.	Treatment of a compound fracture requiring open operation, being a fracture referred to in an item under the first heading in this Division	The amount shown in this column in the item in which the fracture concerned is referred to, plus one-half of that amount
	Complicated Fractures requiring Open Operation
6655.	Treatment of a complicated fracture involving viscera, blood vessels or nerves and requiring open operation, being a fracture referred to in an item under the first heading in this Division	The amount shown in this column in the

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
		$
	Division 10.—Treatment of Fractures—continued
6655	—continued	item in which the fracture concerned is referred to, plus three-quarters of that amount
	General
6659.	Initial reduction (without full post-operative treatment) in a series of two or more reductions of a fracture, being a reduction that would, but for this item, be covered by an item under a preceding heading in this Division	One-half of the amount shown in this column in the item that would, but for this item, apply to the reduction concerned
6663.	Each subsequent reduction (without full post-operative treatment) in the series (other than the final reduction), being a reduction that would, but for this item, be covered by an item under a preceding heading in this Division	One-half of the amount shown in this column in the item that would, but for this item, apply to the reduction concerned
6667	Final reduction (including full post-operative treatment) in the series, being a reduction that would, but for this item, be covered by an item under a preceding heading in this Division	The amount shown in this column in the item that would, but for this item, apply to the reduction concerned

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
	Division 10.—Treatment of Fractures—continued	$
6671.	Treatment of avulsion of epiphysis of any part....................................	The amount shown in this column in the item that would apply in the case of a simple and uncomplicated fracture of the part concerned
	Division 11.—Orthopaedic
7010.	Accessory or sesamoid bone, removal of........................................	27.00
7014.	Epicondylitis, open operation for (G)..........................................	14.10
7016.	Epicondylitis, open operation for (S)..........................................	18.60
7020.	Digital nail, removal of...................................................	3.00
7025.	Incision of pulp space, paronychia or other acute infection of hands or feet, not covered by any other item in this Part	2.50
7029.	Middle palmar, thenar or hypothenar spaces, drainage of (G)..........................	5.00
7031.	Middle palmar, thenar or hypothenar spaces, drainage of (S)...........................	6.30
7035.	Ingrowing toenail, excision of nail bed (G)......................................	8.10
7037.	Ingrowing toenail, excision of nail bed (S).......................................	16.00
7041.	Insertion of orthopaedic pin or wire where no other surgical procedure is performed (G)........	8.10
7043.	Insertion of orthopaedic pin or wire where no other surgical procedure is performed (S).........	11.40
7047.	Osteosynthesis by Smith-Petersen nail.........................................	105.00
7051.	Temporo-mandibular meniscectomy..........................................	36.00
7055.	Joint (other than spine), manipulation of, under general anaesthesia (G)...................	9.60
7056.	Joint (other than spine), manipulation of, under general anaesthesia (S)....................	13.20
7060.	Spine, manipulation of, under general anaesthesia (G)...............................	13.20
7061.	Spine, manipulation of, under general anaesthesia (S)...............................	18.60
7065.	Spine, application of plaster jacket............................................	17.40
7069.	Risser jacket, localiser or turn-buckle jacket, application of, body only....................	15.60
7074.	Risser jacket, localiser or turn-buckle jacket, application of, body and head.................	19.20
7078.	Scoliosis, spinal fusion for.................................................	162.00
7082.	Scoliosis, re-exploration for adjustment or removal of Harrington rods or similar devices........	51.00
7087.	Application of halo for spinal fusion in the treatment of scoliosis, as an independent procedure....	33.00
7091.	Bone graft to spine, posterior, not covered by item 7095, 7100 or 7104....................	75.00
7095.	Bone graft to spine, postero-lateral for spondylolisthesis.............................	135.00
7100.	Bone graft to spine with interbody spinal fusion...................................	135.00
7104.	Bone graft to spine with laminectomy and posterior interbody fusion.....................	117.00
7108.	Bone graft not covered by any other item in this Part................................	57.00
7113.	Shoulder—removal of calcium deposit from cuff (G)...............................	20.10
7114.	Shoulder—removal of calcium deposit from cuff (S)................................	27.00
7118.	Shoulder—arthrotomy....................................................	30.00
7122.	Shoulder—arthroplasty or plastic reconstruction...................................	81.00
7126.	Shoulder—arthrodesis or arthrectomy..........................................	96.00
7130.	Finger or other small joint—arthrodesis, arthrectomy or arthroplasty.....................	33.00
7135.	Small joint—arthrotomy (G)................................................	6.00
7136.	Small joint—arthrotomy (S)................................................	8.10

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
	Division 11.—Orthopaedic—continued	$
7141.	Zygapopbyseal joints, arthrectomy of.........................................	48.00
7145.	Sacro-iliac joint—arthrodesis..............................................	54.00
7149.	Other large joint—arthrodesis, arthrectomy, arthroplasty or total synovectomy of............	48.00
7154.	Other large joint—arthrotomy (G)...........................................	24.00
7155.	Other large joint—arthrotomy (S)...........................................	33.00
7159.	Hip—arthrodesis, arthrectomy or arthroplasty...................................	129.00
7163.	Hip—arthrotomy......................................................	63.00
7167.	Knee—arthrodesis, arthrectomy, arthroplasty or total synovectomy of...................	87.00
7171.	Knee—arthrotomy.....................................................	42.00
7176.	Knee—operation for internal derangement.....................................	48.00
7180.	Knee—reconstruction of cruciate ligaments.....................................	63.00
7184.	Knee—reconstruction of capsular ligaments....................................	48.00
7189.	Knee—excision of patella (G).............................................	42.00
7190.	Knee—excision of patella (S)..............................................	57.00
7195.	Knee—operation for recurrent dislocation of patella...............................	48.00
7199.	Joint, aspiration of, or intra-articular injection into, or both of those services (G)............	2.10
7200.	Joint, aspiration of, or intra-articular injection into, or both of those services (S).............	2.70
7205.	Synovial cavity, aspiration of, or intra-synovial injection of, or both of those services (G)......	2.10
7206.	Synovial cavity, aspiration of, or intra-synovial injection of, or both of those services (S).......	2.70
7210.	Joint, repair of capsule or ligament of.........................................	17.40
7214.	Foot or ankle region—triple arthrodesis.......................................	63.00
7218.	Calcanean spur, removal of...............................................	36.00
7221.	Hallux valgus, correction of (G)............................................	30.00
7222.	Hallux valgus, correction of (S)............................................	39.00
7224.	Hallux valgus, correction of, with osteotomy or osteectomy of phalanx, metacarpal or metatarsal (G)	40.50
7225.	Hallux valgus, correction of, with osteotomy or osteectomy of phalanx, metacarpal or metatarsal (S)	60.00
7227.	Hallux valgus and hammer toe, correction of, with subcutaneous tenotomy, one or more tendons (G)	44.30
7228.	Hallux valgus and hammer toe, correction of, with subcutaneous tenotomy, one or more tendons (S)	57.00
7230.	Hallux rigidus, correction of...............................................	30.00
7233.	Hammer toe, correction of (G).............................................	20.10
7234.	Hammer toe, correction of (S).............................................	27.00
7238.	Cervical rib. removal of..................................................	63.00
7242.	Scalenotomy.........................................................	21.00
7246.	Acromion or coraco-acromion ligament, removal of...............................	36.00
7250.	Excision of exostosis of small bone (G).......................................	20.10
7252.	Excision of exostosis of small bone (S).......................................	27.00
7256.	Excision of exostosis of large bone (G).......................................	24.00
7257.	Excision of exostosis of large bone (S)........................................	33.00
7261.	Osteotomy or osteectomy of phalanx, metacarpal or metatarsal (G).....................	18.60
7262.	Osteotomy or osteectomy of phalanx, metacarpal or metatarsal (S).....................	33.00
7266.	Osteotomy of phalanx, metacarpal or metatarsal, with internal fixation...................	30.00
7271.	Osteotomy or osteectomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus	30.00
7275.	Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, with internal fixation	36.00
7280.	Osteotomy or osteectomy of tibia or humerus...................................	42.00
7284.	Osteotomy or osteectomy of femur or pelvic bone................................	69.00
7289.	Osteotomy of tibia, humerus, femur or pelvic bone, with internal fixation.................	105.00
7293.	Osteotomy of spines—sub-trochanteric.......................................	69.00
7297.	Osteectomy of vertebral bodies.............................................	66.00
7301.	Osteotomy and distraction for lengthening of limb................................	69.00
7305.	Removal of distracting apparatus from limb, without internal fixation...................	15.60
7309.	Removal of distracting apparatus from limb, with internal fixation......................	33.00
7313.	Flexor tendon of hand, primary suture of (G)....................................	13.20
7314.	Flexor tendon of hand, primary suture of (S)....................................	17.40
7318.	Flexor tendon of hand, secondary suture of (G)..................................	30.90

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
	Division 11.—Orthopaedic—continued	$
7319.	Flexor tendon of hand, secondary suture of (S)..................................	42.00
7323.	Extensor tendon of hand, primary suture of (G)..................................	16.20
7324.	Extensor tendon of hand, primary suture of (S)..................................	21.60
7328.	Extensor tendon of hand, secondary suture of (G)................................	20.10
7329.	Extensor tendon of hand, secondary suture of (S).................................	27.00
7333.	Achilles tendon or other large tendon, suture of (G)...............................	33.00
7334.	Achilles tendon or other large tendon, suture of (S)...............................	45.00
7338.	Tendon of foot, primary suture of (G)........................................	8.10
7339.	Tendon of foot, primary suture of (S)........................................	11.40
7343.	Tendon of foot, secondary suture of (G).......................................	13.20
7344.	Tendon of foot, secondary suture of (S).......................................	17.40
7348.	Tenotomy, subcutaneous, one or more tendons..................................	10.20
7352.	Tenotomy, open, with or without tenoplasty....................................	27.00
7356.	Tendon or ligament transplantation not covered by any other item......................	51.00
7360.	Iliopsoas tendon, transplantation of, to greater trochanter............................	87.00
7364.	Tendon graft.........................................................	42.00
7368.	Achilles tendon or other large tendon—operation for lengthening......................	30.00
7372.	Tendon sheath, incision of (G).............................................	8.10
7373.	Tendon sheath, incision of (S).............................................	11.40
7377.	Stenosing tendovaginitis, open operation for (G).................................	15.60
7378.	Stenosing tendovaginitis, open operation for (S).................................	21.00
7382.	Tendon sheath of finger or thumb, synovectomy of...............................	23.40
7386.	Cicatricial flexion contracture of joint, correction of, involving tissues deeper than skin and subcutaneous tissue	36.00
7390.	Dupuytren’s contracture, subcutaneous fasciotomy (G).............................	13.20
7391.	Dupuytren’s contracture, subcutaneous fasciotomy (S).............................	17.40
7395.	Dupuytren’s contracture, radical operation for (G)................................	33.00
7396.	Dupuytren’s contracture, radical operation for (S)................................	45.00
7400.	Volkmann’s contracture, operation for........................................	42.00
	Division 12.—Paediatric
	Manipulations and Plaster Work for correction of Congenital Abnormalities
7450.	Congenital dislocation of hip—manipulation and plaster (one hip).....................	18.60
7454.	Talipes equinovarus—manipulation under general anaesthesia........................	4.40
7458.	Talipes equinovarus—manipulation and plaster under general anaesthesia................	4.50
7462.	Calcaneus valgus—manipulation under general anaesthesia..........................	4.40
7466.	Calcaneus valgus—manipulation and plaster under general anaesthesia..................	5.10
7470.	Pes planus—manipulation under general anaesthesia..............................	4.40
7474.	Pes planus—manipulation and plaster under general anaesthesia.......................	6.30
7478.	Genu varum or genu valgum—manipulation under general anaesthesia..................	4.40
7482.	Genu varum or genu valgum—manipulation and plaster under general anaesthesia...........	8.10
7486.	Genu varum or genu valgum—manipulation and plaster with osteoclasis.................	23.40
7490.	Contractures, manipulation under general anaesthesia not covered by any other item in this Part..	4.40
7494.	Contractures, manipulation and plaster under general anaesthesia, not covered by any other item in this Part	6.30
7498.	Spastic paralysis—manipulation and plaster (one limb).............................	6.30
	Operations for correction of Congenital Abnormalities
7510.	Subdural haemorrhage, tap for, each tap.......................................	4.40
7514.	Subdural haemorrhage, osteoplastic flap and excision of............................	75.00
7519.	Hydrocephalus—suboccipital decompression, third ventriculostomy or Torkildsen’s operation...	96.00
7523.	Ventriculo-jugular shunt.................................................	96.00
7528.	Ventriculo-atrial shunt for hydrocephalus......................................	96.00
7532.	Ventriculo-atrial shunt for hydrocephalus, revision or removal of......................	48.00
7537.	Hydrocephalus, spino-ureteral, spino-peritoneal or spino-pleural anastomosis of, or ventricular cable shunt for	75.00
7541.	Craniostenosis, operation for..............................................	75.00
7545.	Arachnoidal cyst, operation for............................................	96.00

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
	Division 12.—Paediatric—continued	$
7549.	Hypertelorism, correction of...............................................	96.00
7553.	Choanal atresia, repair of—transpalatine.......................................	63.00
7557.	Choanal atresia, repair of—intranasal.........................................	21.00
7561.	Macrocheilia, macroglossia or macrostomia, operation for...........................	48.00
7565.	Torticollis, operation for..................................................	36.00
7569.	Oesophagus, radical correction of congenital stenosis of.............................	114.00
7573.	Tracheo-oesophageal fistula, correction of......................................	114.00
7577.	Duodenal obstruction (congenital)—anastomosis or resection of.......................	75.00
7581.	Hypertrophic pyloric stenosis, operation for (G)..................................	37.50
7582.	Hypertrophic pyloric stenosis, operation for (S)..................................	51.00
7586.	Congenital volvulus of the small intestine, correction of.............................	63.00
7590.	Intestinal atresia or stenosis—excision or anastomosis (or both)........................	75.00
7594.	Hirschsprung’s disease, rectosigmoidectomy for..................................	96.00
7598.	Exomphalos, operation for................................................	48.00
7602.	Exomphalos, operation for, by plastic flap......................................	63.00
7607.	Imperforate anus, abdominoperineal correction of.................................	96.00
7611.	Imperforate anus, correction of (other than abdomino-perineal)........................	36.00
7616.	Contracted bladder neck (congenital), wedge excision or perurethral resection of............	63.00
7620.	Urachal fistula, operation for...............................................	36.00
7625.	Ectopic bladder—‘turning-in’ operation.......................................	96.00
7629.	Pinhole urinary meatus—meatotomy (G).......................................	8.10
7631.	Pinhole urinary meatus—meatotomy (S).......................................	11.40
7635.	Urethral valves, open removal of............................................	75.00
7640.	Incontinence of urine (congenital)—plastic operation to sphincter......................	54.00
7644.	Lymphangiectasis of limb (Milroy’s disease)—excision of...........................	48.00
	Operations for Excision of Congenital Abnormalities
7649.	Abnormal limb, amputation of..............................................	27.00
7653.	Extra digit, amputation of (G)..............................................	8.10
7655.	Extra digit, amputation of (S)..............................................	11.40
7659.	Dermoid, periorbital, excision of (G).........................................	9.60
7661.	Dermoid, periorbital, excision of (S)..........................................	13.20
7665.	Dermoid, orbital, excision of...............................................	48.00
7670.	Dermoid of nose, superficial, excision of (G)....................................	8.10
7671.	Dermoid of nose, superficial, excision of (S)....................................	11.40
7676.	Dermoid of nose, excision of, with intranasal extension.............................	30.00
7680.	Sacrococcygeal dermoid or teratoma other than pilonidal sinus, excision of................	54.00
7685.	Myelomeningocele—excision of sac..........................................	48.00
	Operations for Acquired Conditions
7700.	Megacolon, colectomy...................................................	75.00
7704.	Epiphysitis (Perthes’, Calve’s or Scheuermann’s) plaster for..........................	8.10
7708.	Epiphysitis (Sever’s, Kohler’s, Kienboch’s or Schlatter’s), plaster for....................	4.50
	Division 13.—Plastic and Reconstructive
	Meticulous Plastic Repair designed to obtain maximal Functional or Cosmetic Results including the preparation of the Defect requiring Repair

7750.	Derma-fat fascia graft (including transplant or muscle flap)...........................	36.00
7754.	Abrasive therapy, limited area..............................................	17.40
7758.	Abrasive therapy, extensive area............................................	30.00
7762.	Electrolysis epilation, each treatment.........................................	4.50
7767.	Angioma, cauterisation of or injection into, under general anaesthesia....................	4.40
7771.	Angioma of skin and subcutaneous tissue or mucous surface, small, excision and repair of......	13.20
7775.	Angioma of skin and subcutaneous tissue or mucous surface, large, excision and repair of......	15.60
7779.	Angioma involving deeper tissue, small, excision and repair of........................	21.00
7783.	Angioma involving deeper tissue, large, excision and repair of........................	33.00
7787.	Haemangioma of neck, deep-seated, excision of..................................	60.00
7791.	Major excision and grafting for lymph-oedema...................................	63.00
7795.	Foreign implants for contour reconstruction.....................................	30.00

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
		$
	Division 13.—Plastic and Reconstructive—continued
	Meticulous Plastic Repair of Limb (above Hand or Foot) or of Trunk designed to obtain maximal Functional or Cosmetic Results including the preparation of the Defect requiring Repair
7850.	Single stage local flap repair, simple, small......................................	21.00
7854.	Single stage local flap repair, complicated or large.................................	27.00
7858.	Direct flap repair (cross leg or similar), first stage.................................	21.00
7862.	Direct flap repair (cross leg or similar), second stage...............................	11.40
7866.	Direct flap repair, small, first stage...........................................	14.70
7870.	Direct flap repair, small, second stage.........................................	6.30
7874.	Indirect flap or tubed pedicle, formation of.....................................	23.40
7877.	Indirect flap or tubed pedicle, delay, intermediate transfer or detachment of................	14.70
7881.	Indirect flap or tubed pedicle, preparation of site and attachment to site...................	36.00
7885.	Indirect flap or tubed pedicle, spreading of pedicle, as a separate procedure................	21.00
7889.	Direct, indirect or local flap repair, revision of graft................................	14.70
7893.	Free grafts (split skin or pinch grafts) on granulating areas, small.......................	8.10
7897.	Free grafts (split skin) on granulating areas, extensive..............................	24.00
7901.	Free grafts (split skin) to extensive burns.......................................	36.00
7905.	Free grafts (split skin) including elective dissection, small...........................	16.20
7909.	Free grafts (split skin) including elective dissection, extensive.........................	36.00
7913.	Free full thickness grafts.................................................	30.00
7917.	Cineplasty for amputation stump............................................	48.00
7921.	Mammaplasty, reduction or repositioning (unilateral)...............................	96.00
7925.	Mammaplasty, augmentation, prosthetic (unilateral)...............................	81.00
7929.	Mammaplasty, derma-fat fascia (unilateral).....................................	96.00
	Meticulous Plastic Repair of Hands, Feet, Scalp, Face or Neck designed to obtain maximal Functional or Cosmetic Results including the preparation of the Defect requiring Repair
7950.	Single stage local flap repair, simple, small.....................................	21.00
7952.	Single stage local flap repair following removal of tumour, cyst or scar, cutaneous, subcutaneous or in mucous membrane, up to 3 centimetres in diameter (G)	24.00
7953.	Single stage local flap repair following removal of tumour, cyst or scar, cutaneous, subcutaneous or in mucous membrane, up to 3 centimetres in diameter (S)	28.50
7954.	Single stage local flap repair, complicated or large................................	36.00
7958.	Direct flap repair, small (cross finger or similar), first stage...........................	21.00
7962.	Direct flap repair, small (cross finger or similar), second stage.........................	11.40
7966.	Indirect flap or tubed pedicle, formation of.....................................	30.00
7970.	Indirect flap or tubed pedicle, delay, intermediate transfer or detachment of ................	21.00
7974.	Indirect flap or tubed pedicle, preparation of site and attachment to site...................	48.00
7978.	Indirect flap or tubed pedicle, spreading of pedicle, as a separate procedure................	30.00
7982.	Direct, indirect or local flap repair, revision of graft................................	21.00
7986.	Hair transplants, multiple punch or similar technique, complete procedure.................	51.00
7990.	Hair transplants, multiple punch or similar technique, staged procedure involving more than fifteen transplants—each stage	15.60
7994.	Free grafts (split skin or pinch grafts) on granulating areas, small.......................	11.40
7998.	Free grafts (split skin) on granulating areas, extensive..............................	33.00
8002.	Free grafts (split skin) to extensive burns.......................................	54.00
8007.	Free grafts (split skin) including elective dissection, small...........................	27.00
8011.	Free grafts (split skin) including elective dissection, extensive.........................	42.00
8015.	Free full thickness grafts.................................................	42.00
8020.	Digit, transplantation of—complete procedure...................................	75.00
8024.	Macrodactyly, plastic reduction of, each finger...................................	24.00
8029.	Face, operations involving supportive grafts.....................................	75.00
8033.	Suspension operation for facial paralysis.......................................	54.00
8037.	Melonoplasty.........................................................	147.00
8042.	Orbital cavity, reconstruction of floor or roof of..................................	51.00
8046.	Maxilla, resection of....................................................	96.00
8050.	Mandible, resection of...................................................	75.00
8054.	Mandible, segmental resection of, for tumours...................................	63.00
8058.	Mandible, section—fixation for prognathism or retrognathism.........................	63.00
8062.	Mandible, condylectomy.................................................	36.00

First Schedule—continued

Item No.	Medical service	Basic Commonwealth benefit
		$
	Division 13.—Plastic and Reconstructive—continued
8066.	Osteotomy or osteectomy of mandible (other than alveolar margins) for congenital malformation not covered by any other item in this Part	30.00
8070.	Osteotomy or osteectomy of maxilla (other than alveolar margins) for congenital malformation not covered by any other item in this Part	36.00
	Meticulous Plastic Repair of Eyelids, Nose, Ears, Lips, Palate or Pharynx designed to obtain maximal Functional or Cosmetic Results including the preparation of the Defect requiring Repair
8110.	Single stage local flap repair, simple, small.....................................	27.00
8114.	Single stage local flap repair, complicated or large................................	42.00
8119.	Direct flap repair, first stage...............................................	48.00
8123.	Direct flap repair, second stage.............................................	27.00
8128.	Indirect flap or tubed pedicle, formation of.....................................	48.00
8132.	Indirect flap or tubed pedicle, delay, intermediate transfer or detachment of................	27.00
8136.	Indirect flap or tubed pedicle, preparation of site and attachment to site...................	63.00
8141.	Indirect flap or tubed pedicle, spreading of pedicle, as a separate procedure................	48.00
8145.	Direct, indirect or local flap repair, revision of graft................................	30.00
8150.	Free grafts (split skin or pinch grafts) on granulating areas, small.......................	17.40
8154	Free grafts (split skin) on granulating areas, extensive..............................	36.00
8159.	Free grafts (split skin) to extensive burns.......................................	75.00
8163.	Free grafts (split skin) including elective dissection, small...........................	36.00
8167	Free grafts (split skin) including elective dissection, extensive.........................	75.00
8172.	Free full thickness grafts.................................................	42.00
8176.	Whole thickness repair of eyelid............................................	63.00
8180.	Partial reconstruction of eyelid or socket.......................................	14.70
8184.	Correction of ptosis (unilateral).............................................	69.00
8188.	Ectropion or entropion, correction of (unilateral)..................................	33.00
8192.	Reduction of eyelid or eyelids of one eye.......................................	33.00
8196	Symblepharon, grafting for................................................	36.00
8200.	Rhinoplasty involving correction of bony or cartilaginous vault of the nose................	63.00
8204	Rhinoseptoplasty......................................................	75.00
8208.	Rhinoplasty, cosmetic, not covered by item 6584 or 6586............................	105.00
8212.	Rhinoplasty, secondary revision of...........................................	14.70
8216.	Rhinophyma. correction of................................................	36.00
8220.	Composite graft to nose or ear..............................................	27.00
8224.	Lop ear. bat ear or similar deformity, correction of................................	57.00
8228.	Pinna, amputation of, complete.............................................	19.20
8232.	Congenital atresia, reconstruction of external auditory canal..........................	63.00
8236.	Full thickness lip reconstruction, other than simple suture—complete procedure.............	42.00
8240.	Cleft lip, complete primary repair, unilateral....................................	69.00
8244.	Cleft lip, complete primary repair, one stage, bilateral..............................	93.00
8248.	Cleft lip, incomplete primary repair, unilateral...................................	36.00
8252.	Cleft lip, secondary correction, partial or incomplete...............................	27.00
8256.	Cleft lip, secondary correction, complete revision.................................	54.00
8260.	Cleft lip, secondary correction, Abbè flap......................................	129.00
8264.	Cleft lip, secondary correction of nostril or nasal tip...............................	21.60
8268.	Cleft palate, primary repair, partial cleft.......................................	69.00
8272.	Cleft palate, primary repair, complete cleft......................................	87.00
8276.	Cleft palate, secondary repair, incomplete......................................	36.00
8280.	Cleft palate, secondary repair, lengthening procedure...............................	63.00
8284	Cleft palate, partial repair, complex cleft.......................................	63.00
8288.	Pharyngeal flap or pharyngoplasty...........................................	75.00

SECOND SCHEDULE Section 13.

TABLE OF FUND MEDICAL BENEFITS IN RESPECT OF NEW SOUTH WALES

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
2	1.60	0.80	355	11.60	4.00
3	2.15	1.20	357	16.00	5.00
9	4.25	2.50	370	4.40	2.50
11	6.50	3.00	371	5.00	3.00
13	2.00	1.50	375	5.40	3.00
15	9.00	3.00	376	6.60	3.00
17	12.00	3.00	378	7.80	3.00
18	3.75	1.50	379	9.40	3.00
24	1.10	3.30	381	8.20	3.00
37	8.50	3.00	382	9.80	3.00
38	13.00	4.00	384	13.00	4.00
39	17.50	5.00	386	17.40	5.00
40	22.50	5.00	388	10.00	3.00
43	1.60	0.80	389	11.20	4.00
45	1.50	1.50	391	10.40	3.00
203	1.60	0.80	392	11.60	4.00
206	12.40	4.00	394	14.80	5.00
209	11.60	4.00	396	11.80	4.00
210	36.00	5.00	397	13.40	4.00
220	12.80	4.00	399	12.20	4.00
223	21.00	5.00	400	13.80	4.00
224	56.00	5.00	402	17.00	5.00
226	22.40	5.00	430	2.60	1.50
227	55.00	5.00	435	4.20	2.50
230	29.00	5.00	436	5.00	3.00
231	56.50	5.00	451	5.40	3.00
235	36.00	5.00	455	3.60	2.50
236	58.00	5.00	456	4.80	3.00
243	1.00	0.80	501	3.80	2.50
247	1.00	0.80	601	2.20	1.50
251	7.80	3.00	611	2.90	1.50
252	10.40	4.00	616	4.60	2.50
255	2.60	1.50	621	11.60	4.00
256	3.40	2.50	625	10.40	4.00
259	1.00	0.80	631	3.40	2.50
263	3.40	2.50	641	5.40	3.00
267	2.60	1.50	651	8.40	3.00
268	3.40	2.50	661	11.60	4.00
271	3.40	2.50	681	2.70	1.50
275	15.60	5.00	691	2.00	1.50
279	5.40	3.00	701	3.00	2.50
283	17.20	5.00	703	1.80	1.50
287	2.60	1.50	705	6.00	3.00
288	3.40	2.50	707	2.20	1.50
291	7.60	3.00	708	1.40	1.50
301	2.00	1.50	715	2.40	1.50
302	2.80	1.50	721	2.50	1.50
305	3.00	1.50	731	9.80	3.00
306	3.40	2.50	741	3.40	2.50
309	5.40	3.00	751	5.00	3.00
310	6.80	3.00	761	28.00	5.00
313	7.60	3.00	771	42.00	5.00
317	11.60	4.00	781	32.00	5.00
321	1.20	0.80	791	7.60	3.00
323	3.80	2.50	801	6.20	3.00
341	3.00	2.50	831	1.60	1.50
342	3.80	2.50	841	3.00	1.50
344	4.20	2.50	851	2.80	1.50
345	5.20	3.00	861	4.60	2.50
347	6.40	3.00	866	7.60	3.00
348	8.00	3.00	871	5.40	3.00
351	6.80	3.00	881	3.40	2.50
352	8.40	3.00	891	14.00	4.00

Second Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
901	11.60	4.00	1106	1.40	1.50
906	14.00	4.00	1108	2.00	1.50
911	2.70	1.50	1110	4.80	3.00
915	6.80	3.00	1112	0.70	0.80
921	0.90	0.80	1114	1.20	0.80
931	0.60	0.80	1116	4.60	2.50
941	1.00	0.80	1118	1.40	1.50
943	1.20	1.00	1120	3.80	2.50
945	1.80	1.50	1122	2.20	1.50
951	2.90	1.50	1124	1.40	1.50
961	1.60	1.50	1126	1.80	1.50
971	7.60	3.00	1128	1.20	0.80
976	15.60	5.00	1130	2.60	1.50
981	3.00	2.50	1132	1.40	1.50
985	3.80	2.50	1134	2.60	1.50
1000	0.70	0.80	1136	3.80	2.50
1002	1.20	0.80	1138	1.40	1.50
1004	1.50	1.00	1140	2.20	1.50
1006	0.90	0.80	1142	2.40	1.50
1008	0.70	0.80	1144	1.40	1.50
1010	1.40	1.00	1146	1.40	1.50
1012	3.00	2.50	1148	2.20	1.50
1014	2.40	1.50	1150	3.80	2.50
1016	2.60	1.50	1152	2.20	1.50
1018	3.80	2.50	1154	1.80	1.50
1020	8.20	3.00	1156	1.80	1.50
1022	0.70	0.80	1160	2.20	1.50
1024	2.00	1.00	1162	2.60	1.50
1026	1.20	0.80	1164	3.00	1.50
1028	2.70	1.50	1166	3.00	1.50
1030	2.60	1.50	1168	3.00	2.50
1032	2.70	1.50	1170	3.40	2.50
1034	1.40	1.50	1172	0.90	0.80
1036	2.20	1.50	1174	1.40	1.50
1038	2.60	1.50	1176	1.80	1.50
1040	2.60	1.50	1180	1.40	1.50
1042	2.20	1.50	1182	2.00	1.00
1044	3.00	2.50	1184	2.20	1.50
1046	1.20	1.00	1186	0.70	0.80
1048	4.60	2.50	1188	1.40	1.50
1050	3.00	2.50	1190	2.20	1.50
1052	8.80	3.00	1192	2.20	1.50
1054	1.50	1.00	1194	2.20	1.50
1060	0.70	0.80	1196	2.20	1.50
1062	1.40	1.00	1198	2.20	1.50
1064	0.70	0.80	1200	2.00	1.00
1066	1.80	1.50	1202	2.40	1.50
1068	2.00	1.50	1204	1.40	1.00
1070	1.80	1.50	1206	2.60	1.50
1072	2.20	1.50	1208	2.20	1.50
1074	7.60	3.00	1210	2.20	1.50
1076	0.90	0.80	1212	3.00	1.50
1080	1.20	0.80	1214	2.00	1.00
1082	1.80	1.50	1216	1.60	1.50
1084	8.80	3.00	1218	3.00	1.50
1090	1.40	1.50	1220	4.00	2.50
1092	1.40	1.50	1222	4.00	2.50
1094	1.40	1.50	1224	6.80	3.00
1096	1.20	1.00	1226	8.80	3.00
1098	1.60	1.50	1228	3.00	1.50
1100	2.00	1.50	1230	4.00	2.50
1102	3.00	2.50	1232	2.20	1.50
1104	1.50	1.00	1234	3.80	2.50

Second Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
1236	4.80	3.00	1397	2.40	1.50
1238	6.00	3.00	1399	0.70	0.80
1240	1.40	1.50	1401	1.40	1.50
1242	2.60	1.50	1404	1.20	0.80
1244	4.20	2.50	1407	2.20	1.50
1246	4.00	2.50	1410	1.40	1.50
1248	1.20	0.80	1413	1.40	1.50
1250	2.20	1.50	1416	2.60	1.50
1252	3.80	2.50	1419	1.40	1.50
1254	5.20	3.00	1421	1.80	1.50
1256	6.80	3.00	1423	1.80	1.50
1258	8.40	3.00	1425	3.00	2.50
1260	2.20	1.50	1428	1.80	1.50
1262	3.40	2.50	1430	4.00	2.50
1264	2.20	1.50	1432	8.80	3.00
1266	3.80	2.50	1434	2.20	1.50
1268	5.20	3.00	1436	2.60	1.50
1270	6.80	3.00	1438	8.80	3.00
1272	3.00	1.50	1441	2.80	1.50
1274	8.80	3.00	1444	2.20	1.50
1276	4.80	3.00	1447	4.00	2.50
1278	2.20	1.50	1450	3.40	2.50
1280	3.80	2.50	1453	2.20	1.50
1282	5.20	3.00	1456	3.00	1.50
1284	6.80	3.00	1459	2.20	1.50
1286	8.40	3.00	1461	3.80	2.50
1288	3.00	2.50	1463	5.20	3.00
1290	4.60	2.50	1466	6.80	3.00
1292	4.60	2.50	1468	2.00	1.50
1294	2.20	1.50	1470	2.20	1.50
1296	1.40	1.50	1472	3.00	2.50
1298	3.80	2.50	1474	8.80	3.00
1301	2.20	1.50	1476	3.20	2.50
1302	3.80	2.50	1478	2.80	1.50
1304	5.20	3.00	1481	2.80	1.50
1305	6.80	3.00	1484	6.80	3.00
1307	8.40	3.00	1487	3.20	2.50
1310	2.20	1.50	1490	3.20	2.50
1313	1.40	1.50	1491	2.00	1.50
1316	2.20	1.50	1493	6.80	3.00
1319	3.60	2.50	1494	8.80	3.00
1322	1.50	1.00	1495	0.90	0.80
1325	0.90	0.80	1496	1.40	1.50
1328	1.40	1.50	1497	3.40	2.50
1331	4.00	2.50	1499	3.00	2.50
1334	2.60	1.50	1500	0.70	0.80
1337	4.20	2.50	1502	1.20	0.80
1340	6.00	3.00	1504	1.20	0.80
1343	4.20	2.50	1506	1.80	1.50
1346	6.80	3.00	1508	1.50	1.00
1349	2.80	1.50	1511	1.40	1.50
1352	3.00	1.50	1513	1.40	1.00
1355	3.00	1.50	1515	2.40	1.50
1358	1.80	1.50	1517	3.20	2.50
1380	1.70	0.80	1519	4.00	2.50
1382	1.50	1.00	1521	5.00	3.00
1385	2.20	1.50	1523	5.00	3.00
1388	3.80	2.50	1525	2.40	1.50
1389	4.80	3.00	1527	3.00	2.50
1391	3.00	2.50	1529	1.80	1.50
1392	4.80	3.00	1531	3.40	2.50
1394	6.00	3.00	1534	1.40	1.50
1395	0.90	0.80	1537	2.60	1.50

Second Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
1539	1.80	1.50	1714	2.20	1.50
1541	1.40	1.50	1716	0.90	0.80
1543	1.80	1.50	1718	3.00	1.50
1545	0.70	0.80	1720	6.00	3.00
1546	3.00	2.50	1722	9.60	3.00
1548	4.80	3.00	1724	1.40	1.50
1551	3.00	2.50	1726	3.00	2.50
1554	5.40	3.00	1728	4.80	3.00
1557	8.00	3.00	1730	3.00	2.50
1560	5.40	3.00	1732	1.20	0.80
1562	4.80	3.00	1734	2.00	1.50
1564	7.40	3.00	1736	6.80	3.00
1566	6.40	3.00	1738	0.90	0.80
1568	9.00	3.00	1741	2.20	1.50
1571	2.80	1.50	1744	0.90	0.80
1580	1.40	1.50	1746	2.20	1.50
1582	1.60	1.50	1748	2.20	1.50
1584	3.00	2.50	1761	1.20	1.00
1586	2.00	1.00	1764	2.20	1.50
1588	2.20	1.50	1767	0.90	0.80
1590	2.20	1.50	1770	2.20	1.50
1601	2.20	1.50	1773	2.60	1.50
1604	3.80	2.50	1776	3.80	2.50
1607	5.20	3.00	1779	2.00	1.00
1609	6.80	3.00	1782	2.00	1.00
1611	2.00	1.50	1785	2.00	1.00
1613	2.80	1.50	1790	1.40	1.50
1615	3.00	1.50	1792	1.40	1.50
1616	3.00	2.50	1794	3.00	2.50
1621	0.90	0.80	1796	3.00	2.50
1623	1.80	1.50	1798	1.40	1.50
1625	1.10	0.80	1800	1.10	0.80
1627	2.20	1.50	1802	3.20	2.50
1629	1.80	1.50	1804	4.80	3.00
1631	1.40	1.50	1806	2.20	1.50
1640	4.60	2.50	1808	4.80	3.00
1643	2.40	1.50	1810	2.20	1.50
1645	2.40	1.50	1812	2.20	1.50
1647	8.80	3.00	1820	3.80	2.50
1649	6.00	3.00	1822	6.00	3.00
1651	8.80	3.00	1824	8.40	3.00
1653	3.00	2.50	1826	8.40	3.00
1661	2.00	1.00	1828	10.40	4.00
1664	4.80	3.00	1840	12.40	4.00
1667	2.20	1.50	1841	16.00	5.00
1670	2.20	1.50	1843	4.60	2.50
1673	3.00	1.50	1846	3.00	2.50
1680	0.70	0.80	1849	3.00	2.50
1682	1.20	0.80	1850	3.80	2.50
1684	0.90	0.80	1852	3.80	2.50
1686	1.10	0.80	1855	4.80	3.00
1688	1.40	1.50	1858	6.00	3.00
1691	1.40	1.50	1861	4.20	2.50
1694	1.80	1.50	1863	4.80	3.00
1697	2.80	1.50	1865	14.00	5.00
1698	3.80	2.50	1867	4.60	2.50
1700	1.40	1.50	1869	3.80	2.50
1701	5.60	3.00	1871	6.80	3.00
1703	1.40	1.50	1873	14.00	5.00
1706	1.40	1.50	1875	4.80	3.00
1707	2.60	1.50	1877	4.80	3.00
1710	0.70	0.80	1879	4.60	2.50
1712	2.20	1.50	1881	3.60	2.50

Second Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
1884	3.00	2.50	2144	3.80	2.50
1887	3.00	2.50	2160	3.40	2.50
1889	12.40	4.00	2164	11.60	4.00
1891	1.40	1.50	2169	8.80	3.00
1893	3.40	2.50	2173	4.80	3.00
1901	2.20	1.50	2177	5.40	3.00
1903	3.00	2.50	2181	6.80	3.00
1905	3.00	2.50	2185	3.80	2.50
1907	4.80	3.00	2200	3.40	2.50
1909	4.00	2.50	2205	3.40	2.50
1911	6.00	3.00	2209	4.60	2.50
1913	1.80	1.50	2214	7.80	3.00
1915	2.00	1.50	2218	9.20	3.00
1921	6.00	3.00	2222	6.80	3.00
1923	7.20	3.00	2226	7.80	3.00
1925	8.40	3.00	2230	8.80	3.00
1941	8.80	3.00	2234	5.60	3.00
1943	3.00	2.50	2238	6.00	3.00
1945	3.00	2.50	2247	7.60	3.00
1947	3.40	2.50	2250	5.40	3.00
1949	2.20	1.50	2254	1.40	1.50
1951	3.00	2.50	2270	6.80	3.00
1953	3.00	2.50	2274	3.80	2.50
1955	3.40	2.50	2290	3.40	2.50
1957	6.00	3.00	2294	6.80	3.00
1959	6.00	3.00	2298	5.40	3.00
1961	4.80	3.00	2310	6.80	3.00
1963	3.00	2.50	2314	9.80	3.00
1965	4.60	2.50	2318	9.80	3.00
1967	4.60	2.50	2322	9.80	3.00
1969	4.60	2.50	2326	5.40	3.00
1971	6.80	3.00	2330	3.80	2.50
1973	6.00	3.00	2334	9.20	3.00
1975	4.60	2.50	2338	6.80	3.00
1977	4.80	3.00	2342	7.60	3.00
1979	3.00	2.50	2346	4.60	2.50
1981	4.80	3.00	2350	8.80	3.00
1983	4.80	3.00	2354	10.40	4.00
2010	2.60	1.50	2358	4.00	2.50
2014	3.00	1.50	2362	1.60	1.50
2018	3.20	1.50	2367	1.60	1.50
2022	3.00	2.50	2371	5.40	3.00
2026	3.00	2.50	2410	4.80	3.00
2040	3.20	2.50	2420	0.90	0.80
2044	3.40	2.50	2440	3.40	2.50
2048	4.00	2.50	2444	2.20	1.50
2052	6.80	3.00	2460	1.60	1.50
2060	3.80	2.50	2464	2.40	1.50
2064	3.80	2.50	2468	4.60	2.50
2068	3.80	2.50	2510	24.00	5.00
2072	3.00	2.50	2514	24.00	5.00
2076	4.80	3.00	2518	8.00	3.00
2081	3.40	2.50	2522	14.00	4.00
2091	4.00	2.50	2526	32.00	5.00
2094	5.40	3.00	2530	24.00	5.00
2098	9.80	3.00	2534	11.60	4.00
2110	3.00	2.50	2538	15.60	5.00
2114	3.40	2.50	2542	5.40	3.00
2119	3.00	2.50	2570	11.60	4.00
2123	1.60	1.50	2574 2578 2620 2624	5.40 5.40 12.40 10.40	3.00 3.00 4.00 4.00
2128	3.80	2.50
2132	3.80	2.50
2136	4.60	2.50
2140	3.00	2.50

Second Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
2628	10.40	4.00	3131	16.00	5.00
2632	16.00	5.00	3132	22.00	5.00
2636	3.00	2.50	3137	3.00	2.50
2640	4.80	3.00	3138	11.80	3.00
2644	4.80	3.00	3143	5.40	3.00
2648	3.80	2.50	3144	8.80	3.00
2652	3.80	2.50	3149	11.60	4.00
2657	4.80	3.00	3150	16.00	5.00
2661	4.00	2.50	3155	18.00	5.00
2666	2.40	1.50	3156	22.00	5.00
2670	3.80	2.50	3161	34.00	5.00
2674	3.00	2.50	3162	52.00	5.00
2678	3.00	2.50	3166	48.00	5.00
2682	6.80	3.00	3170	8.80	3.00
2686	1.40	1.50	3174	2.90	1.50
2691	10.40	4.00	3178	2.00	1.50
2696	5.40	3.00	3180	3.00	2.50
2700	4.60	2.50	3184	2.90	1.50
2901	3.80	2.50	3185	4.20	2.50
2904	5.20	3.00	3190	3.40	2.50
2907	6.80	3.00	3191	5.20	3.00
2910	8.80	3.00	3196	4.60	2.50
2913	12.40	4.00	3197	5.80	3.00
3000	1.60	0.80	3201	5.40	3.00
3004	1.40	1.50	3202	6.80	3.00
3005	2.00	1.50	3206	7.80	3.00
3009	2.65	1.50	3207	10.40	4.00
3011	3.40	2.50	3211	1.40	1.00
3015	5.80	3.00	3216	1.40	1.00
3017	8.00	3.00	3220	5.40	3.00
3021	2.90	1.50	3221	12.80	4.00
3025	5.40	3.00	3225	5.40	3.00
3030	4.80	3.00	3226	7.60	3.00
3034	7.60	3.00	3230	10.60	3.00
3039	5.40	3.00	3232	14.00	4.00
3043	6.80	3.00	3236	10.60	3.00
3045	9.40	3.00	3238	14.00	4.00
3049	5.40	3.00	3242	5.40	3.00
3051	7.60	3.00	3244	7.60	3.00
3055	7.00	3.00	3248	5.80	3.00
3056	9.80	3.00	3250	8.00	3.00
3061	1.50	1.00	3254	17.60	5.00
3064	2.90	1.50	3255	24.00	5.00
3065	6.80	3.00	3259	24.00	5.00
3069	9.80	3.00	3263	50.00	5.00
3070	14.00	5.00	3267	13.40	4.00
3074	3.00	2.50	3269	18.00	5.00
3078	5.40	3.00	3273	34.00	5.00
3080	7.60	3.00	3274	46.00	5.00
3084	3.00	1.50	3279	16.00	5.00
3089	6.80	3.00	3280	22.00	5.00
3093	1.60	1.50	3285	2.65	1.50
3097	7.00	3.00	3286	3.40	2.50
3099	9.80	3.00	3291	7.00	3.00
3103	4.00	2.50	3292	9.80	3.00
3104	5.40	3.00	3297	2.00	1.50
3108	7.00	3.00	3298	2.90	1.50
3110	9.80	3.00	3303	5.40	3.00
3115	2.00	1.50	3304	7.60	3.00
3119	7.60	3.00	3309	7.60	3.00
3121	16.40	5.00	3313	37.00	5.00
3125	27.40	5.00	3315	50.00	5.00
3126	38.00	5.00	3319	2.00	1.50

Second Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
3323	10.60	3.00	3528	28.00	5.00
3324	14.00	4.00	3529	38.00	5.00
3328	13.40	4.00	3534	23.60	5.00
3329	18.00	5.00	3535	32.00	5.00
3334	26.60	5.00	3539	43.00	5.00
3335	36.00	5.00	3541	58.00	5.00
3340	50.00	5.00	3545	78.00	5.00
3344	86.00	5.00	3550	20.60	5.00
3348	19.00	5.00	3551	28.00	5.00
3349	26.00	5.00	3556	86.00	5.00
3353	42.00	5.00	3560	28.00	5.00
3357	62.00	5.00	3561	38.00	5.00
3361	38.00	5.00	3566	28.00	5.00
3362	46.00	5.00	3567	38.00	5.00
3367	23.60	5.00	3572	14.60	5.00
3368	32.00	5.00	3573	20.00	5.00
3372	26.60	5.00	3577	17.60	5.00
3373	36.00	5.00	3578	24.00	5.00
3377	34.00	5.00	3582	46.00	5.00
3378	46.00	5.00	3583	62.00	5.00
3383	24.00	5.00	3588	11.60	4.00
3387	18.00	5.00	3589	15.60	5.00
3392	20.60	5.00	3593	20.60	5.00
3393	28.00	5.00	3594	28.00	5.00
3397	46.00	5.00	3598	46.00	5.00
3402	10.40	4.00	3599	62.00	5.00
3406	22.00	5.00	3604	20.60	5.00
3408	30.00	5.00	3605	28.00	5.00
3412	11.60	4.00	3609	26.60	5.00
3414	21.00	5.00	3610	36.00	5.00
3418	17.20	5.00	3614	46.00	5.00
3419	22.00	5.00	3615	62.00	5.00
3423	17.20	5.00	3620	46.00	5.00
3424	22.00	5.00	3624	24.00	5.00
3428	46.00	5.00	3626	28.00	5.00
3430	62.00	5.00	3630	25.00	5.00
3434	5.40	3.00	3632	34.00	5.00
3436	7.60	3.00	3636	11.60	4.00
3440	24.00	5.00	3640	5.40	3.00
3442	30.00	5.00	3645	86.00	5.00
3446	30.00	5.00	3649	20.60	5.00
3448	38.00	5.00	3651	28.00	5.00
3452	31.00	5.00	3655	31.00	5.00
3454	42.00	5.00	3656	42.00	5.00
3458	23.60	5.00	3661	31.00	5.00
3460	32.00	5.00	3662	42.00	5.00
3464	42.00	5.00	3667	50.00	5.00
3469	86.00	5.00	3671	32.00	5.00
3473	32.00	5.00	3675	7.60	3.00
3478	42.00	5.00	3680	1.80	1.50
3482	42.00	5.00	3681	2.60	1.50
3486	42.00	5.00	3686	86.00	5.00
3487	54.00	5.00	3690	24.00	5.00
3491	23.60	5.00	3691	30.00	5.00
3492	32.00	5.00	3696	50.00	5.00
3497	50.00	5.00	3700	70.00	5.00
3498	62.00	5.00	3704	17.60	5.00
3502	58.00	5.00	3705	24.00	5.00
3506	86.00	5.00	3709	20.60	5.00
3510	11.60	4.00	3710	28.00	5.00
3514	22.00	5.00	3714	28.00	5.00
3519	28.00	5.00	3716	34.00	5.00
3523	46.00	5.00	3720	1.40	1.50

Second Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
3721	2.00	1.50	3917	26.00	5.00
3726	14.00	5.00	3920	38.00	5.00
3727	18.00	5.00	3921	8.80	3.00
3731	14.60	5.00	3923	11.60	4.00
3732	20.00	5.00	3926	24.00	5.00
3736	20.60	5.00	3927	34.00	5.00
3737	28.00	5.00	3931	20.00	5.00
3741	24.00	5.00	3932	30.00	5.00
3742	32.00	5.00	3936	14.60	5.00
3746	4.00	2.50	3937	20.00	5.00
3747	5.40	3.00	3941	50.00	5.00
3751	2.20	1.50	3945	3.00	1.50
3755	3.40	2.50	3949	1.75	1.50
3756	6.80	3.00	3951	2.50	1.50
3760	7.00	3.00	3955	4.60	2.50
3761	9.80	3.00	3957	6.20	3.00
3765	2.90	1.50	3961	14.60	5.00
3769	2.60	1.50	3963	20.00	5.00
3770	3.00	2.50	3967	28.00	5.00
3771	9.60	3.00	3971	32.00	5.00
3772	12.80	4.00	3975	46.00	5.00
3773	21.60	5.00	3979	58.00	5.00
3774	33.00	5.00	3983	86.00	5.00
3776	7.60	3.00	3987	78.00	5.00
3780	32.00	5.00	3991	86.00	5.00
3784	68.00	5.00	3995	42.00	5.00
3788	78.00	5.00	3999	42.00	5.00
3792	2.00	1.50	4004	98.00	5.00
3796	9.40	3.00	4008	86.00	5.00
3797	12.40	4.00	4013	86.00	5.00
3801	2.20	1.50	4017	86.00	5.00
3805	5.40	3.00	4022	42.00	5.00
3806	7.60	3.00	4026	50.00	5.00
3811	14.60	5.00	4031	32.00	5.00
3812	20.00	5.00	4035	32.00	5.00
3817	1.40	1.50	4040	16.00	5.00
3821	3.40	2.50	4050	2.60	1.50
3826	25.00	5.00	4051	3.40	2.50
3827	35.00	5.00	4055	5.80	3.00
3832	4.80	3.00	4056	8.00	3.00
3836	7.60	3.00	4060	10.60	3.00
3838	16.00	5.00	4061	14.00	4.00
3842	14.60	5.00	4065	17.60	5.00
3844	20.00	5.00	4066	24.00	5.00
3848	17.60	5.00	4070	14.60	5.00
3850	24.00	5.00	4071	20.00	5.00
3854	6.40	3.00	4075	17.60	5.00
3856	8.80	3.00	4076	24.00	5.00
3860	24.00	5.00	4090	5.80	3.00
3865	42.00	5.00	4091	8.00	3.00
3869	22.00	5.00	4095	17.60	5.00
3874	4.20	2.50	4096	24.00	5.00
3878	17.60	5.00	4101	17.60	5.00
3880	24.00	5.00	4102	24.00	5.00
3883	20.00	5.00	4107	31.00	5.00
3884	24.00	5.00	4108	42.00	5.00
3888	6.00	3.00	4113	23.60	5.00
3900	1.40	1.50	4114	32.00	5.00
3904	6.00	3.00	4119	17.60	5.00
3908	4.80	3.00	4120	24.00	5.00
3909	6.80	3.00	4125	31.00	5.00
3914	10.40	4.00	4126	42.00	5.00
3915	14.00	5.00	4150	10.40	4.00

Second Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
4151	14.00	5.00	4408	10.40	4.00
4156	1.40	1.00	4412	8.80	3.00
4157	1.80	1.50	4416	11.60	4.00
4161	8.80	3.00	4420	1.80	1.50
4162	11.60	4.00	4424	1.60	1.50
4166	14.60	5.00	4428	30.00	5.00
4167	20.00	5.00	4432	46.00	5.00
4171	17.60	5.00	4436	18.00	5.00
4172	24.00	5.00	4440	7.60	3.00
4176	31.00	5.00	4444	42.00	5.00
4177	42.00	5.00	4448	42.00	5.00
4182	64.00	5.00	4450	26.00	5.00
4183	86.00	5.00	4452	3.40	2.50
4188	4.80	3.00	4456	44.00	5.00
4189	6.80	3.00	4460	3.40	2.50
4194	1.40	1.50	4464	20.00	5.00
4195	2.00	1.50	4468	42.00	5.00
4200	7.00	3.00	4472	64.00	5.00
4201	9.80	3.00	4476	2.40	1.50
4206	17.60	5.00	4480	7.60	3.00
4207	24.00	5.00	4484	4.80	3.00
4212	14.60	5.00	4488	42.00	5.00
4213	20.00	5.00	4492	50.00	5.00
4218	23.60	5.00	4496	50.00	5.00
4219	32.00	5.00	4498	8.00	3.00
4224	34.00	5.00	4499	26.00	5.00
4225	46.00	5.00	4501	9.80	3.00
4230	38.60	5.00	4502	27.00	5.00
4231	52.00	5.00	4504	9.05	3.00
4236	108.00	5.00	4505	27.00	5.00
4300	4.80	3.00	4507	11.60	4.00
4304	6.40	3.00	4508	26.00	5.00
4305	8.80	3.00	4513	2.65	1.50
4309	7.80	3.00	4514	3.40	2.50
4311	10.40	4.00	4519	5.40	3.00
4315	68.00	5.00	4520	12.80	4.00
4320	68.00	5.00	4525	7.20	3.00
4324	38.00	5.00	4526	13.40	4.00
4328	78.00	5.00	4528	5.40	3.00
4333	50.00	5.00	4529	4.20	2.50
4337	76.00	5.00	4533	2.00	1.50
4342	86.00	5.00	4538	24.00	5.00
4346	42.00	5.00	4542	16.00	5.00
4350	78.00	5.00	4545	24.80	5.00
4355	50.00	5.00	4547	20.00	5.00
4359	3.00	1.50	4551	24.00	5.00
4360	4.80	3.00	4555	15.60	5.00
4364	30.00	5.00	4559	11.60	4.00
4368	16.00	5.00	4563	64.00	5.00
4372	2.90	1.50	4567	12.40	4.00
4376	6.80	3.00	4571	14.00	5.00
4381	3.00	2.50	4575	15.60	5.00
4385	4.80	2.50	4579	12.40	4.00
4389	3.60	2.50	4583	28.00	5.00
4390	4.80	3.00	4587	42.00	5.00
4394	10.40	4.00	4591	42.00	5.00
4395	14.00	5.00	4595	52.00	5.00
4399	30.00	5.00	4599	42.00	5.00
4400	31.05	5.00	4604	12.00	4.00
4401	33.00	5.00	4605	16.00	5.00
4402	35.00	5.00	4610	11.60	4.00
4403	1.60	1.50	4614	8.80	3.00
4404	4.80	3.00	4616	11.60	4.00

Second Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
		$		$	$
4620	15.60	5.00	5149	18.00	5.00
4625	17.60	5.00	5153	42.00	5.00
4626	24.00	5.00	5157	34.00	5.00
4710	42.00	5.00	5161	50.00	5.00
4714	42.00	5.00	5165	24.00	5.00
4719	108.00	5.00	5170	38.00	5.00
4723	78.00	5.00	5174	15.60	5.00
4727	52.00	5.00	5178	42.00	5.00
4728	70.00	5.00	5182	52.00	5.00
4732	78.00	5.00	5186	10.40	4.00
4735	50.00	5.00	5190	4.80	3.00
4739	38.00	5.00	5194	24.00	5.00
4743	83.00	5.00	5198	50.00	5.00
4747	42.00	5.00	5202	64.00	5.00
4751	42.00	5.00	5206	20.00	5.00
4755	24.00	5.00	5220	9.80	3.00
4759	24.00	5.00	5223	13.40	4.00
4763	58.00	5.00	5224	18.00	5.00
4767	42.00	5.00	5228	14.00	5.00
4771	40.00	5.00	5232	64.00	5.00
4775	32.00	5.00	5236	24.00	5.00
4779	48.00	5.00	5240	22.00	5.00
4783	64.00	5.00	5244	42.00	5.00
4787	76.00	5.00	5248	10.40	4.00
4810	1.60	1.50	5252	14.00	4.00
4814	9.80	3.00	5256	50.00	5.00
4819	11.60	4.00	5260	12.00	4.00
4823	3.40	2.50	5261	16.00	5.00
4827	15.60	5.00	5310	2.80	1.50
4831	14.00	5.00	5311	4.80	3.00
4835	20.00	5.00	5316	4.00	2.50
4839	18.00	5.00	5317	5.40	3.00
4843	14.00	5.00	5322	4.00	2.50
4847	24.00	5.00	5323	5.40	3.00
4851	24.00	5.00	5328	9.40	3.00
4855	22.00	5.00	5329	12.40	4.00
4910	23.60	5.00	5334	7.00	3.00
4911	32.00	5.00	5335	9.80	3.00
4916	13.40	4.00	5340	2.65	1.50
4917	18.00	5.00	5341	3.40	2.50
4922	50.00	5.00	5346	5.40	3.00
4926	86.00	5.00	5350	2.65	1.50
4931	42.00	5.00	5352	3.40	2.50
4935	42.00	5.00	5356	7.00	3.00
4939	56.00	5.00	5358	9.80	3.00
4944	24.00	5.00	5362	18.00	5.00
5010	78.00	5.00	5367	24.00	5.00
5014	100.00	5.00	5371	64.00	5.00
5019	34.00	5.00	5376	50.00	5.00
5023	86.00	5.00	5380	2.70	1.50
5028	20.00	5.00	5385	50.00	5.00
5032	30.00	5.00	5387	50.00	5.00
5037	3.00	2.50	5394	28.00	5.00
5041	20.00	5.00	5398	7.80	3.00
5110	2.60	1.50	5399	10.40	4.00
5114	4.80	3.00	5403	5.80	3.00
5118	31.00	5.00	5404	8.00	3.00
5120	42.00	5.00	5408	22.00	5.00
5124	9.80	3.00	5410	30.00	5.00
5128	9.80	3.00	5414	28.00	5.00
5132	11.60	4.00	5416	38.00	5.00
5136	4.80	3.00	5419	34.00	5.00
5140	42.00	5.00	5420	42.00	5.00
5145	20.00	5.00	5422	38.60	5.00

Second Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
5423	48.00	5.00	5610	3.00	2.50
5425	11.60	4.00	5614	17.60	5.00
5429	50.00	5.00	5616	24.00	5.00
5434	48.00	5.00	5620	44.00	5.00
5438	2.60	1.50	5625	24.00	5.00
5439	3.00	2.50	5631	46.00	5.00
5443	3.00	1.50	5635	42.00	5.00
5444	3.40	2.50	5640	46.00	5.00
5448	4.20	2.50	5644	28.00	5.00
5451	10.40	4.00	5649	58.00	5.00
5452	14.00	5.00	5653	46.00	5.00
5453	14.60	5.00	5658	50.00	5.00
5454	20.00	5.00	5662	7.60	3.00
5457	8.80	3.00	5667	3.00	1.50
5458	11.60	4.00	5668	3.40	2.50
5462	4.00	2.50	5673	14.00	4.00
5463	9.20	3.00	5677	18.00	5.00
5467	6.80	3.00	5681	20.00	5.00
5471	8.00	3.00	5685	42.00	5.00
5472	10.40	4.00	5689	46.00	5.00
5475	9.60	3.00	5693	42.00	5.00
5477	12.40	4.00	5697	28.00	5.00
5481	9.80	3.00	5701	4.00	2.50
5483	12.60	4.00	5702	11.80	3.00
5487	10.60	3.00	5706	7.60	3.00
5489	13.60	4.00	5710	8.00	3.00
5493	14.60	5.00	5714	1.60	0.80
5495	20.00	5.00	5718	2.65	1.50
5499	34.00	5.00	5719	3.40	2.50
5501	46.00	5.00	5723	12.80	4.00
5505	34.00	5.00	5727	15.60	5.00
5507	46.00	5.00	5731	3.40	2.50
5511	38.60	5.00	5735	98.00	5.00
5512	52.00	5.00	5739	64.00	5.00
5513	54.00	5.00	5742	58.00	5.00
5515	78.00	5.00	5746	3.60	2.50
5518	47.00	5.00	5750	16.00	5.00
5519	61.00	5.00	5754	18.00	5.00
5523	46.00	5.00	5758	86.00	5.00
5525	58.00	5.00	5762	42.00	5.00
5529	28.00	5.00	5766	86.00	5.00
5531	38.00	5.00	5770	34.00	5.00
5535	28.00	5.00	5774	18.00	5.00
5537	38.00	5.00	5778	20.00	5.00
5541	24.00	5.00	5782	70.00	5.00
5543	28.00	5.00	5786	34.00	5.00
5547	24.00	5.00	5790	38.00	5.00
5551	20.60	5.00	5794	46.00	5.00
5553	28.00	5.00	5798	20.00	5.00
5557	3.80	2.50	5802	64.00	5.00
5561	32.00	5.00	5806	86.00	5.00
5565	3.80	2.50	5810	34.00	5.00
5569	2.60	1.50	5814	24.00	5.00
5573	22.00	5.00	5818	10.40	4.00
5574	28.00	5.00	5822	16.00	5.00
5577	26.60	5.00	5826	42.00	5.00
5579	34.00	5.00	5830	64.00	5.00
5583	36.00	5.00	5834	5.40	3.00
5585	43.00	5.00	5838	4.20	2.50
5589	32.00	5.00	5842	38.00	5.00
5593	26.00	5.00	5846	28.00	5.00
5594	38.00	5.00	5850	28.00	5.00
5596	23.60	5.00	5854	26.00	5.00
5597	32.00	5.00	5858	26.00	5.00

Second Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
5910	1.80	1.50	6198	42.00	5.00
5911	2.60	1.50	6202	43.00	5.00
5915	5.20	3.00	6203	58.00	5.00
5920	2.70	1.50	6207	64.00	5.00
5924	7.00	3.00	6211	58.00	5.00
5926	9.80	3.00	6215	54.00	5.00
5930	23.60	5.00	6219	108.00	5.00
5931	32.00	5.00	6223	98.00	5.00
5936	64.00	5.00	6227	86.00	5.00
5940	64.00	5.00	6231	86.00	5.00
5945	68.00	5.00	6235	50.00	5.00
5949	86.00	5.00	6239	64.00	5.00
5954	50.00	5.00	6243	108.00	5.00
5958	28.00	5.00	6247	86.00	5.00
5963	70.00	5.00	6251	64.00	5.00
5967	15.60	5.00	6255	70.00	5.00
5971	26.00	5.00	6259	64.00	5.00
5976	5.40	3.00	6263	42.00	5.00
5980	11.60	4.00	6310	2.90	1.50
5985	86.00	5.00	6314	1.60	1.50
5989	52.00	5.00	6318	3.20	2.50
5994	76.00	5.00	6320	4.60	2.50
5998	86.00	5.00	6324	5.40	3.00
6003	42.00	5.00	6328	4.60	2.50
6007	28.00	5.00	6333	3.40	2.50
6012	20.00	5.00	6337	4.80	3.00
6016	50.00	5.00	6338	6.80	3.00
6021	32.00	5.00	6343	3.00	2.50
6025	98.00	5.00	6344	4.20	2.50
6029	11.60	4.00	6349	8.80	3.00
6034	16.80	5.00	6350	11.60	4.00
6038	40.00	5.00	6354	1.30	1.00
6042	15.60	5.00	6355	1.60	1.50
6100	1.60	0.80	6359	4.00	2.50
6104	3.00	2.50	6360	5.40	3.00
6108	3.40	2.50	6365	14.60	5.00
6112	8.00	3.00	6366	20.00	5.00
6116	2.80	1.50	6371	10.60	3.00
6120	3.40	2.50	6372	14.00	4.00
6124	4.20	2.50	6377	3.00	2.50
6128	11.60	4.00	6378	4.20	2.50
6132	7.00	3.00	6382	5.40	3.00
6133	9.80	3 00	6383	7.60	3.00
6137	12.00	4.00	6387	1.40	1.50
6138	16.00	5.00	6388	2.00	1.50
6142	20.40	5.00	6392	4.00	2.50
6143	28.00	5.00	6393	5.40	3.00
6147	32.00	5.00	6397	13.40	4.00
6151	50.00	5.00	6398	18.00	5.00
6155	58.00	5.00	6402	13.40	4.00
6159	16.00	5.00	6404	18.00	5.00
6160	22.00	5.00	6414	The amount shown in this column in the item relating to the dislocation concerned, plus one-half of that amount	The amount shown in this column in the item relating to the dislocation concerned, plus one-half of that amount
6164	10.40	4.00
6165	14.00	5.00
6169	50.00	5.00
6173	64.00	5.00
6177	24.00	5.00
6181	14.00	5.00
6182	31.00	5.00
6186	10.40	4.00
6187	14.00	5.00
6191	17.60	5.00	6420	2.90	1.50
6192	24.00	5.00	6420	2.90	1.50
6196	15.60	5.00	6425	5.40	3.00
6197	31.00	5.00	6426	8.80	3.00

Second Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
6431	2.90	1.50	6618	7.80	3.00
6432	3.60	2.50	6619	10.40	4.00
6437	5.40	3.00	6623	1.60	0.80
6438	12.40	4.00	6624	1.60	1.50
6442	6.80	3.00	6628	1.60	0.80
6443	14.00	5.00	6629	2.00	1.50
6447	3.40	1.50	6633	10.60	3.00
6448	4.20	2.50	6634	14.00	4.00
6453	7.00	3.00	6638	17.60	5.00
6454	9.80	3.00	6639	24.00	5.00
6458	7.60	3.00	6643	64.00	5.00
6459	16.00	5.00	6647	The amount shown in this column in the item relating to the fracture concerned, plus one-third of that amount	The amount shown in this column in the item relating to the fracture concerned, plus one-third of that amount
6463	7.60	3.00
6467	7.60	3.00
6468	12.40	4.00
6472	5.40	3.00
6473	7.60	3.00
6477	11.60	4.00
6478	22.00	5.00
6482	10.40	4.00
6483	22.00	5.00	6651	The amount shown in this column in the item relating to the fracture concerned, plus one-half of that amount	The amount shown in this column in the item relating to the fracture concerned, plus one-half of that amount
6487	5.40	3.00
6489	8.80	3.00
6493	5.40	3.00
6494	7.60	3.00
6498	1.60	0.80
6499	2.00	1.50
6503	11.60	4.00
6505	15.60	5.00
6509	8.80	3.00	6655	The amount shown in this column in the item relating to the fracture concerned, plus three-quarters of that amount	The amount shown in this column in the item relating to the fracture concerned, plus three-quarters of that amount
6510	11.60	4.00
6515	28.00	5.00
6516	38.00	5.00
6521	5.40	3.00
6522	9.40	3.00
6525	9.80	3.00
6527	14.00	5.00
6531	17.60	5.00
6532	24.00	5.00
6537	17.60	5.00	6659	One-half of the amount shown in this column in the item that would, but for item 6659 in the First Schedule to this Act, apply to the reduction concerned	One-half of the amount shown in this column in the item that would, but for item 6659 in the First Schedule to this Act, apply to the reduction concerned
6538	24.00	5.00
6543	17.60	5.00
6544	24.00	5.00
6549	5.40	3.00
6550	8.80	3.00
6555	2.90	1.50
6559	3.40	2.50
6564	3.20	1.50
6568	2.95	1.50
6569	3.80	2.50
6574	1.60	0.80
6575	2.00	1.50
6578	1.60	0.80	6663	One-half of the amount shown in this column in the item that would, but for item 6663 in the First Schedule to this Act, apply to the reduction concerned	One-half of the amount shown in this column in the item that would, but for item 6663 in the First Schedule to this Act, apply to the reduction concerned
6580	2.00	1.50
6584	7.80	3.00
6586	19.00	5.00
6590	7.00	3.00
6592	9.80	3.00
6596	22.00	5.00
6601	24.00	5.00
6605	8.80	3.00
6606	11.60	4.00
6606	11.60	4.00
6610	30.00	5.00
6614	32.00	5.00

Second Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
6667	The amount shown in this column in the item that would, but for item 6667 in the First Schedule to this Act, apply to the reduction concerned	The amount shown in this column in the item that would, but for item 6667 in the First Schedule to this Act, apply to the reduction concerned	7155	22.00	5.00
			7159	86.00	5.00
			7163	42.00	5.00
			7167	58.00	5.00
			7171	28.00	5.00
			7176	32.00	5.00
			7180	42.00	5.00
			7184	32.00	5.00
			7189	28.00	5.00
			7190	38.00	5.00
			7195	32.00	5.00
			7199	1.40	1.50
6671	The amount shown in this column in the item that would apply in the case of a simple and uncomplicated fracture of the part concerned	The amount shown in this column in the item that would apply in the case of a simple and uncomplicated fracture of the part concerned	7200	1.80	1.50
			7205	1.40	1.00
			7206	1.80	1.50
			7210	11.60	4.00
			7214	42.00	5.00
			7218	24.00	5.00
			7221	20.00	5.00
			7222	26.00	5.00
			7224	27.00	5.00
			7225	40.00	5.00
			7227	29.45	5.00
			7228	38.00	5.00
			7230	20.00	5.00
7010	18.00	5.00	7233	13.40	4.00
7014	9.40	3.00	7234	18.00	5.00
7016	12.40	4.00	7238	42.00	5.00
7020	2.00	1.50	7242	14.00	4.00
7025	1.60	1.50	7246	24.00	5.00
7029	3.40	1.50	7250	13.40	4.00
7031	4.20	2.50	7252	18.00	5.00
7035	5.40	3.00	7256	16.00	5.00
7037	19.00	5.00	7257	22.00	5.00
7041	5.40	3.00	7261	12.40	4.00
7043	7.60	3.00	7262	32.00	5.00
7047	70.00	5.00	7266	20.00	5.00
7051	24.00	5.00	7271	20.00	5.00
7055	6.40	3.00	7275	24.00	5.00
7056	8.80	3.00	7280	28.00	5.00
7060	8.80	3.00	7284	46.00	5.00
7061	12.40	4.00	7289	70.00	5.00
7065	11.60	4.00	7293	46.00	5.00
7069	10.40	4.00	7297	44.00	5.00
7074	12.80	4.00	7301	46.00	5.00
7078	108.00	5.00	7305	10.40	4.00
7082	34.00	5.00	7309	22.00	5.00
7087	22.00	5.00	7313	8.80	3.00
7091	50.00	5.00	7314	11.60	4.00
7095	90.00	5.00	7318	20.60	5.00
7100	90.00	5.00	7319	28.00	5.00
7104	78.00	5.00	7323	10.80	4.00
7108	38.00	5.00	7324	14.40	5.00
7113	13.40	4.00	7328	13.40	4.00
7114	18.00	5.00	7329	18.00	5.00
7118	20.00	5.00	7333	22.00	5.00
7122	54.00	5.00	7334	30.00	5.00
7126	64.00	5.00	7338	5.40	3.00
7130	22.00	5.00	7339	7.60	3.00
7135	4.00	2.50	7343	8.80	3.00
7136	5.40	3.00	7344	11.60	4.00
7141	32.00	5.00	7348	6.80	3.00
7145	36.00	5.00	7352	18.00	5.00
7149	32.00	5.00	7356	34.00	5.00
7154	16.00	5.00	7360	58.00	5.00

Second Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
7364	28.00	5.00	7659	6.40	3.00
7368	20.00	5.00	7661	8.80	3.00
7372	5.40	3.00	7665	32.00	5.00
7373	7.60	3.00	7670	5.40	3.00
7377	10.40	4.00	7671	7.60	3.00
7378	14.00	5.00	7676	20.00	5.00
7382	15.60	5.00	7680	36.00	5.00
7386	24.00	5.00	7685	32.00	5.00
7390	8.80	3.00	7700	50.00	5.00
7391	11.60	4.00	7704	5.40	3.00
7395	22.00	5.00	7708	3.00	2.50
7396	30.00	5.00	7750	24.00	5.00
7400	28.00	5.00	7754	11.60	4.00
7450	12.40	4.00	7758	20.00	5.00
7454	2.90	1.50	7762	3.00	2.50
7458	3.00	2.50	7767	2.90	1.50
7462	2.90	1.50	7771	8.80	3.00
7466	3.40	2.50	7775	10.40	4.00
7470	2.90	1.50	7779	14.00	5.00
7474	4.20	2.50	7783	22.00	5.00
7478	2.90	1.50	7787	40.00	5.00
7482	5.40	3.00	7791	42.00	5.00
7486	15.60	5.00	7795	20.00	5.00
7490	2.90	1.50	7850	14.00	5.00
7494	4.20	2.50	7854	18.00	5.00
7498	4.20	2.50	7858	14.00	4.00
7510	2.90	1.50	7862	7.60	3.00
7514	50.00	5.00	7866	9.80	3.00
7519	64.00	5.00	7870	4.20	2.50
7523	64.00	5.00	7874	15.60	5.00
7528	64.00	5.00	7877	9.80	3.00
7532	32.00	5.00	7881	24.00	5.00
7537	50.00	5.00	7885	14.00	4.00
7541	50.00	5.00	7889	9.80	3.00
7545	64.00	5.00	7893	5.40	3.00
7549	64.00	5.00	7897	16.00	5.00
7553	42.00	5.00	7901	24.00	5.00
7557	14.00	4.00	7905	10.80	4.00
7561	32.00	5.00	7909	24.00	5.00
7565	24.00	5.00	7913	20.00	5.00
7569	76.00	5.00	7917	32.00	5.00
7573	76.00	5.00	7921	64.00	5.00
7577	50.00	5.00	7925	54.00	5.00
7581	25.00	5.00	7929	64.00	5.00
7582	34.00	5.00	7950	14.00	5.00
7586	42.00	5.00	7952	16.00	5.00
7590	50.00	5.00	7953	19.00	5.00
7594	64.00	5.00	7954	24.00	5.00
7598	32.00	5.00	7958	14.00	5.00
7602	42.00	5.00	7962	7.60	3.00
7607	64.00	5.00	7966	20.00	5.00
7611	24.00	5.00	7970	14.00	4.00
7616	42.00	5.00	7974	32.00	5.00
7620	24.00	5.00	7978	20.00	5.00
7625	64.00	5.00	7982	14.00	4.00
7629	5.40	3.00	7986	34.00	5.00
7631	7.60	3.00	7990	10.40	4.00
7635	50.00	5.00	7994	7.60	3.00
7640	36.00	5.00	7998	22.00	5.00
7644	32.00	5.00	8002	36.00	5.00
7649	18.00	5.00	8007	18.00	5.00
7653	5.40	3.00	8011	28.00	5.00
7655	7.60	3.00	8015	28.00	5.00

Second Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
8020	50.00	5.00	8180	9.80	3.00
8024	16.00	5.00	8184	46.00	5.00
8029	50.00	5.00	8188	22.00	5.00
8033	36.00	5.00	8192	22.00	5.00
8037	98.00	5.00	8196	24.00	5.00
8042	34.00	5.00	8200	42.00	5.00
8046	64.00	5.00	8204	50.00	5.00
8050	50.00	5.00	8208	70.00	5.00
8054	42.00	5.00	8212	9.80	3.00
8058	42.00	5.00	8216	24.00	5.00
8062	24.00	5.00	8220	18.00	5.00
8066	20.00	5.00	8224	38.00	5.00
8070	24.00	5.00	8228	12.80	4.00
8110	18.00	5.00	8232	42.00	5.00
8114	28.00	5.00	8236	28.00	5.00
8119	32.00	5.00	8240	46.00	5.00
8123	18.00	5.00	8244	62.00	5.00
8128	32.00	5.00	8248	24.00	5.00
8132	18.00	5.00	8252	18.00	5.00
8136	42.00	5.00	8256	36.00	5.00
8141	32.00	5.00	8260	86.00	5.00
8145	20.00	5.00	8264	14.40	5.00
8150	11.60	4.00	8268	46.00	5.00
8154	24.00	5.00	8272	58.00	5.00
8159	50.00	5.00	8276	24.00	5.00
8163	24.00	5.00	8280	42.00	5.00
8167	50.00	5.00	8284	42.00	5.00
8172	28.00	5.00	8288	50.00	5.00
8176	42.00	5.00

THIRD SCHEDULE Section 13.

TABLE OF FUND MEDICAL BENEFITS IN RESPECT OF VICTORIA

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
2	1.30	0.80	351	8.80	3.00
3	1.65	1.20	352	10.40	3.00
9	4.25	1.50	355	13.60	4.00
11	6.50	2.00	357	16.00	5.00
13	2.50	1.00	370	4.90	1.50
15	8.00	2.00	371	5.50	2.00
17	10.00	3.00	375	5.40	2.00
18	3.25	1.00	376	6.10	2.00
24	1.60	2.30	378	8.30	3.00
37	8.50	3.00	379	9.90	3.00
38	13.00	4.00	381	9.70	3.00
39	17.50	5.00	382	11.30	3.00
40	22.50	5.00	384	14.50	4.00
43	1.30	0.80	386	16.90	5.00
45	1.70	0.80	388	10.00	3.00
203	1.30	0.80	389	11.20	4.00
206	9.40	4.00	391	10.40	4.00
209	8.60	4.00	392	12.60	4.00
210	16.00	5.00	394	15.80	5.00
220	8.80	3.00	396	13.30	4.00
223	16.00	5.00	397	14.90	4.00
224	21.00	5.00	399	14.70	4.00
226	16.40	5.00	400	15.30	5.00
227	19.00	5.00	402	19.50	5.00
230	21.50	5.00	430	3.10	1.00
231	19.00	5.00	435	6.70	2.00
235	36.00	5.00	436	8.50	2.00
236	38.00	5.00	451	4.90	2.00
243	0.20	0.80	455	4.60	1.50
247	0.20	0.80	456	5.80	2.00
251	7.80	3.00	501	4.80	1.50
252	10.40	4.00	601	3.70	1.00
255	3.10	1.00	611	3.10	1.00
256	4.40	1.50	616	5.60	1.50
259	0.20	0.80	621	11.60	4.00
263	4.40	1.50	625	10.40	4.00
267	3.10	1.00	631	4.40	1.50
268	4.40	1.50	641	5.90	2.00
271	3.40	1.50	651	8.40	3.00
275	15.60	5.00	661	11.60	4.00
279	2.40	1.50	681	3.20	1.00
283	17.20	5.00	691	2.50	1.00
287	3.10	1.00	701	1.50	1.00
288	4.40	1.50	703	2.30	1.00
291	5.60	3.00	705	7.00	2.00
301	4.00	1.00	707	2.70	1.00
302	4.30	1.00	708	1.90	1.00
305	4.00	1.50	715	2.90	1.00
306	5.40	1.50	721	2.70	1.00
309	5.90	2.00	731	9.80	3.00
310	6.80	2.00	741	3.40	1.50
313	7.60	3.00	751	6.00	2.00
317	11.60	4.00	761	28.00	5.00
321	0.70	0.80	771	42.00	5.00
323	4.80	1.50	781	32.00	5.00
341	4.00	1.50	791	7.60	3.00
342	4.80	1.50	801	7.20	2.00
344	4.70	1.50	831	1.60	1.00
345	5.20	2.00	841	2.50	1.00
347	7.40	3.00	851	3.30	1.00
348	9.00	3.00	861	5.60	1.50

Third Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
866	7.60	3.00	1098	1.30	0.80
871	6.40	2.00	1100	1.50	1.00
881	5.40	1.50	1102	3.50	1.00
891	14.00	4.00	1104	0.70	0.80
901	11.60	4.00	1106	0.60	0.80
906	14.00	4.00	1108	1.50	1.00
911	3.20	1.00	1110	5.80	2.00
915	6.80	3.00	1112	0.70	0.80
921	0.90	0.80	1114	1.20	0.80
931	0.90	0.80	1116	4.60	1.50
941	1.00	0.80	1118	1.90	1.00
943	1.40	0.80	1120	4.80	1.50
945	2.30	1.00	1122	2.70	1.00
951	3.40	1.00	1124	1.90	1.00
961	2.10	1.00	1126	2.30	1.00
971	7.60	3.00	1128	1.40	0.80
976	15.60	5.00	1130	3.10	1.00
981	4.00	1.50	1132	1.90	1.00
985	4.80	1.50	1134	3.10	1.00
1000	1.20	0.80	1136	4.80	1.50
1002	1.20	0.80	1138	1.60	0.80
1004	1.70	0.80	1140	3.20	1.00
1006	0.90	0.80	1142	1.40	1.00
1008	0.70	0.80	1144	1.90	1.00
1010	1.90	1.00	1146	1.90	1.00
1012	5.00	1.50	1148	2.70	1.00
1014	2.40	1.00	1150	4.80	1.50
1016	3.60	1.00	1152	2.70	1.00
1018	5.80	1.50	1154	2.30	1.00
1020	4.70	3.00	1156	2.30	1.00
1022	0.70	0.80	1160	3.70	1.00
1024	2.20	0.80	1162	3.10	1.00
1026	0.70	0.80	1164	4.00	1.50
1028	3.20	1.00	1166	4.00	1.50
1030	3.10	1.00	1168	5.00	1.50
1032	3.20	1.00	1170	4.40	1.50
1034	1.90	1.00	1172	0.90	0.80
1036	2.70	1.00	1174	2.40	1.00
1038	3.10	1.00	1176	1.80	1.00
1040	3.10	1.00	1180	1.90	1.00
1042	3.20	1.00	1182	2.20	0.80
1044	4.00	1.50	1184	3.70	1.00
1046	1.40	0.80	1186	0.70	0.80
1048	5.60	1.50	1188	1.90	1.00
1050	4.00	1.50	1190	2.70	1.00
1052	8.80	3.00	1192	2.70	1.00
1054	0.70	0.80	1194	3.20	1.00
1060	1.20	0.80	1196	2.70	1.00
1062	1.60	0.80	1198	1.70	1.00
1064	1.20	0.80	1200	1.20	0.80
1066	2.30	1.00	1202	2.90	1.00
1068	2.50	1.00	1204	0.60	0.80
1070	2.30	1.00	1206	3.10	1.00
1072	2.70	1.00	1208	3.70	1.00
1074	7.60	3.00	1210	2.70	1.00
1076	0.90	0.80	1212	3.50	1.00
1080	1.20	0.80	1214	2.20	0.80
1082	2.30	1.00	1216	2.10	1.00
1084	8.80	3.00	1218	3.50	1.00
1090	1.90	1.00	1220	5.00	1.50
1092	1.90	1.00	1222	5.00	1.50
1094	1.60	0.80	1224	6.80	3.00
1096	0.90	0.80	1226	8.80	3.00

Third Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
1228	3.50	1.00	1391	4.00	1.50
1230	5.00	1.50	1392	6.30	2.00
1232	2.70	1.00	1394	7.50	2.00
1234	4.80	1.50	1395	0.90	0.80
1236	5.80	2.00	1397	2.90	1.00
1238	7.00	2.00	1399	0.70	0.80
1240	1.90	1.00	1401	1.90	1.00
1242	3.10	1.00	1404	1.20	0.80
1244	5.20	1.50	1407	2.70	1.00
1246	5.00	1.50	1410	1.90	1.00
1248	0.20	0.80	1413	2.40	1.00
1250	2.70	1.00	1416	3.60	1.00
1252	4.80	1.50	1419	1.90	1.00
1254	6.20	2.00	1421	2.30	1.00
1256	6.80	3.00	1423	2.30	1.00
1258	8.40	3.00	1425	4.00	1.50
1260	2.70	1.00	1428	2.30	1.00
1262	4.40	1.50	1430	5.00	1.50
1264	2.70	1.00	1432	8.80	3.00
1266	4.80	1.50	1434	2.70	1.00
1268	6.20	2.00	1436	3.10	1.00
1270	6.80	3.00	1438	8.80	3.00
1272	4.00	1.50	1441	3.30	1.00
1274	8.80	3.00	1444	2.70	1.00
1276	5.80	2.00	1447	5.00	1.50
1278	2.70	1.00	1450	4.40	1.50
1280	4.80	1.50	1453	2.70	1.00
1282	6.20	2.00	1456	3.50	1.00
1284	6.80	3.00	1459	2.70	1.00
1286	8.40	3.00	1461	4.80	1.50
1288	4.00	1.50	1463	6.20	2.00
1290	5.60	1.50	1466	6.80	3.00
1292	5.60	1.50	1468	2.50	1.00
1294	2.70	1.00	1470	2.20	1.00
1296	1.90	1.00	1472	4.00	1.50
1298	4.80	1.50	1474	8.80	3.00
1301	2.70	1.00	1476	4.20	1.50
1302	4.80	1.50	1478	3.30	1.00
1304	6.20	2.00	1481	3.30	1.00
1305	6.80	3.00	1484	6.80	3.00
1307	8.40	3.00	1487	4.20	1.50
1310	2.70	1.00	1490	4.20	1.50
1313	1.90	1.00	1491	2.50	1.00
1316	2.70	1.00	1493	6.80	3.00
1319	5.10	1.50	1494	8.80	3.00
1322	1.70	0.80	1495	0.90	0.80
1325	0.90	0.80	1496	2.40	1.00
1328	2.40	1.00	1497	4.40	1.50
1331	5.00	1.50	1499	4.00	1.50
1334	3.10	1.00	1500	0.70	0.80
1337	5.20	1.50	1502	1.20	0.80
1340	7.00	2.00	1504	1.20	0.80
1343	5.20	1.50	1506	2.30	1.00
1346	6.80	3.00	1508	1.70	0.80
1349	3.30	1.00	1511	1.90	1.00
1352	3.50	1.00	1513	1.60	0.80
1355	4.00	1.50	1515	2.90	1.00
1358	2.30	1.00	1517	4.20	1.50
1380	1.70	0.80	1519	5.00	1.50
1382	1.70	0.80	1521	6.00	2.00
1385	2.70	1.00	1523	6.00	2.00
1388	4.80	1.50	1525	2.90	1.00
1389	5.80	2.00	1527	4.00	1.50

Third Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
1529	2.30	1.00	1706	1.90	1.00
1531	4.40	1.50	1707	3.10	1.00
1534	1.90	1.00	1710	0.70	0.80
1537	3.10	1.00	1712	2.70	1.00
1539	2.30	1.00	1714	2.70	1.00
1541	1.90	1.00	1716	0.90	0.80
1543	2.30	1.00	1718	3.50	1.00
1545	0.70	0.80	1720	7.00	2.00
1546	4.00	1.50	1722	9.60	3.00
1548	5.80	2.00	1724	1.90	1.00
1551	4.00	1.50	1726	4.00	1.50
1554	6.40	2.00	1728	5.80	2.00
1557	8.00	3.00	1730	4.00	1.50
1560	6.40	2.00	1732	0.70	0.80
1562	5.80	2.00	1734	2.50	1.00
1564	7.40	3.00	1736	6.80	3.00
1566	7.40	2.00	1738	0.90	0.80
1568	9.00	3.00	1741	2.70	1.00
1571	3.30	1.00	1744	0.90	0.80
1580	1.90	1.00	1746	2.70	1.00
1582	1.60	1.00	1748	2.70	1.00
1584	3.50	1.00	1761	1.40	0.80
1586	1.70	0.80	1764	2.70	1.00
1588	2.70	1.00	1767	0.90	0.80
1590	2.70	1.00	1770	2.70	1.00
1601	2.70	1.00	1773	3.10	1.00
1604	4.80	1.50	1776	4.80	1.50
1607	6.20	2.00	1779	1.70	0.80
1609	6.80	3.00	1782	1.70	0.80
1611	2.50	1.00	1785	1.70	0.80
1613	3.30	1.00	1790	1.90	1.00
1615	3.50	1.00	1792	1.90	1.00
1616	4.00	1.50	1794	4.00	1.50
1621	0.90	0.80	1796	4.00	1.50
1623	2.30	1.00	1798	1.90	1.00
1625	1.10	0.80	1800	1.10	0.80
1627	2.70	1.00	1802	4.20	1.50
1629	2.30	1.00	1804	5.80	2.00
1631	1.90	1.00	1806	2.70	1.00
1640	5.60	1.50	1808	5.80	2.00
1643	2.90	1.00	1810	2.70	1.00
1645	2.90	1.00	1812	2.70	1.00
1647	8.80	3.00	1820	4.80	1.50
1649	7.00	2.00	1822	7.00	2.00
1651	8.80	3.00	1824	8.40	3.00
1653	4.00	1.50	1826	8.40	3.00
1661	1.20	0.80	1828	10.40	4.00
1664	5.80	2.00	1840	12.40	4.00
1667	2.70	1.00	1841	16.00	5.00
1670	2.70	1.00	1843	5.60	1.50
1673	3.50	1.00	1846	4.00	1.50
1680	1.70	0.80	1849	4.00	1.50
1682	1.20	0.80	1850	4.80	1.50
1684	0.90	0.80	1852	4.80	1.50
1686	1.10	0.80	1855	5.80	2.00
1688	1.90	1.00	1858	7.00	2.00
1691	1.90	1.00	1861	5.20	1.50
1694	1.30	1.00	1863	5.80	2.00
1697	3.30	1.00	1865	14.00	5.00
1698	4.80	1.50	1867	5.60	1.50
1700	1.90	1.00	1869	4.80	1.50
1701	6.60	2.00	1871	6.80	3.00
1703	1.90	1.00	1873	14.00	5.00

Third Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
1875	5.80	2.00	2123	2.10	1.00
1877	5.80	2.00	2128	4.80	1.50
1879	5.60	1.50	2132	4.80	1.50
1881	4.60	1.50	2136	6.10	2.00
1884	4.00	1.50	2140	4.00	1.50
1887	4.00	1.50	2144	4.80	1.50
1889	12.40	4.00	2160	5.40	1.50
1891	1.90	1.00	2164	11.60	4.00
1893	4.40	1.50	2169	8.80	3.00
1901	2.70	1.00	2173	6.80	2.00
1903	4.00	1.50	2177	6.40	2.00
1905	4.00	1.50	2181	6.80	3.00
1907	5.80	2.00	2185	5.80	1.50
1909	5.00	1.50	2200	4.40	1.50
1911	7.00	2.00	2205	4.40	1.50
1913	2.30	1.00	2209	6.60	2.00
1915	2.50	1.00	2214	7.30	3.00
1921	7.00	2.00	2218	7.20	3.00
1923	7.20	3.00	2222	6.80	3.00
1925	8.40	3.00	2226	7.80	3.00
1941	8.80	3.00	2230	8.80	3.00
1943	4.00	1.50	2234	7.60	2.00
1945	4.00	1.50	2238	8.50	2.00
1947	3.40	1.50	2247	10.60	3.00
1949	2.70	1.00	2250	6.40	2.00
1951	4.00	1.50	2254	1.90	1.00
1953	4.00	1.50	2270	6.80	3.00
1955	4.40	1.50	2274	4.80	1.50
1957	7.00	2.00	2290	4.90	1.50
1959	7.00	2.00	2294	8.80	3.00
1961	5.80	2.00	2298	6.40	2.00
1963	4.00	1.50	2310	6.80	3.00
1965	5.60	1.50	2314	9.80	3.00
1967	5.60	1.50	2318	9.80	3.00
1969	5.60	1.50	2322	9.80	3.00
1971	6.80	3.00	2326	7.90	2.00
1973	7.00	2.00	2330	4.80	1.50
1975	5.60	1.50	2334	9.20	3.00
1977	5.80	2.00	2338	6.80	3.00
1979	4.00	1.50	2342	7.60	3.00
1981	5.80	2.00	2346	7.10	2.00
1983	5.80	2.00	2350	8.80	3.00
2010	3.10	1.00	2354	10.40	4.00
2014	3.50	1.00	2358	5.00	1.50
2018	3.20	1.00	2362	2.10	1.00
2022	4.00	1.00	2367	2.10	1.00
2026	4.00	1.50	2371	6.40	2.00
2040	3.70	1.50	2410	5.80	2.00
2044	3.40	1.50	2420	0.90	0.80
2048	2.50	1.00	2440	4.40	1.50
2052	6.80	3.00	2444	2.70	1.00
2060	4.30	1.50	2460	2.10	1.00
2064	5.80	1.50	2464	2.90	1.00
2068	4.80	1.50	2468	5.60	1.50
2072	5.00	1.50	2510	24.00	5.00
2076	5.80	2.00	2514	24.00	5.00
2081	4.40	1.50	2518	8.00	3.00
2091	6.50	1.50	2522	14.00	4.00
2094	7.90	2.00	2526	32.00	5.00
2098	6.30	3.00	2530	24.00	5.00
2110	4.00	1.50	2534	11.60	4.00
2114	5.40	1.50	2538	15.60	5.00
2119	4.00	1.50	2542	6.40	2.00

Third Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
2570	11.60	4.00	3115	2.50	1.00
2574	6.40	2.00	3119	5.60	3.00
2578	6.40	2.00	3121	16.40	5.00
2620	21.40	5.00	3125	13.40	4.00
2624	10.40	4.00	3126	18.00	5.00
2628	10.40	4.00	3131	16.00	5.00
2632	2.00	4.00	3132	22.00	5.00
2636	4.00	1.50	3137	3.50	1.00
2640	5.80	2.00	3138	11.80	3.00
2644	5.80	2.00	3143	4.90	2.00
2648	4.80	1.50	3144	8.80	3.00
2652	4.80	1.50	3149	13.60	4.00
2657	5.80	2.00	3150	16.00	5.00
2661	5.00	1.50	3155	28.00	5.00
2666	2.90	1.00	3156	32.00	5.00
2670	4.80	1.50	3161	34.00	5.00
2674	4.00	1.50	3162	37.00	5.00
2678	4.00	1.50	3166	48.00	5.00
2682	6.80	3.00	3170	8.80	3.00
2686	1.90	1.00	3174	2.60	1.00
2691	10.40	4.00	3178	1.00	1.00
2696	6.40	2.00	3180	6.00	1.50
2700	5.60	1.50	3184	2.60	1.00
2901	4.80	1.50	3185	5.20	1.50
2904	6.20	2.00	3190	3.40	1.50
2907	6.80	3.00	3191	5.20	2.00
2910	8.80	3.00	3196	3.60	1.50
2913	12.40	4.00	3197	5.30	2.00
3000	1.30	0.80	3201	4.90	2.00
3004	1.90	1.00	3202	5.80	2.00
3005	2.50	1.00	3206	7.80	3.00
3009	3.15	1.00	3207	10.40	4.00
3011	4.40	1.50	3211	2.00	1.00
3015	6.80	2.00	3216	2.00	1.00
3017	8.00	3.00	3220	4.90	2.00
3021	2.60	1.00	3221	12.80	4.00
3025	4.40	1.50	3225	6.40	2.00
3030	3.30	1.50	3226	7.60	3.00
3034	7.60	3.00	3230	10.60	3.00
3039	4.90	2.00	3232	14.00	4.00
3043	6.80	3.00	3236	10.60	3.00
3045	9.40	3.00	3238	14.00	4.00
3049	6.40	2.00	3242	6.40	2.00
3051	7.60	3.00	3244	7.60	3.00
3055	7.00	3.00	3248	6.80	2.00
3056	9.80	3.00	3250	8.00	3.00
3061	1.30	0.80	3254	17.60	5.00
3064	2.60	1.00	3255	24.00	5.00
3065	6.80	3.00	3259	24.00	5.00
3069	9.80	3.00	3263	50.00	5.00
3070	14.00	5.00	3267	13.40	4.00
3074	3.50	1.00	3269	18.00	5.00
3078	4.90	2.00	3273	34.00	5.00
3080	5.60	3.00	3274	46.00	5.00
3084	3.50	1.00	3279	31.00	5.00
3089	6.80	3.00	3280	42.00	5.00
3093	2.10	1.00	3285	3.15	1.00
3097	7.00	3.00	3286	4.40	1.50
3099	9.80	3.00	3291	7.00	3.00
3103	5.00	1.50	3292	9.80	3.00
3104	6.40	2.00	3297	2.50	1.00
3108	7.00	3.00	3298	3.40	1.00
3110	9.80	3.00	3303	6.40	2.00

Third Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
3304	7.60	3.00	3506	86.00	5.00
3309	7.60	3.00	3510	11.60	4.00
3313	37.00	5.00	3514	22.00	5.00
3315	50.00	5.00	3519	28.00	5.00
3319	2.50	1.00	3523	61.00	5.00
3323	10.60	3.00	3528	43.00	5.00
3324	14.00	4.00	3529	58.00	5.00
3328	13.40	4.00	3534	23.60	5.00
3329	18.00	5.00	3535	32.00	5.00
3334	26.60	5.00	3539	65.50	5.00
3335	36.00	5.00	3541	88.00	5.00
3340	50.00	5.00	3545	78.00	5.00
3344	86.00	5.00	3550	20.60	5.00
3348	19.00	5.00	3551	28.00	5.00
3349	26.00	5.00	3556	86.00	5.00
3353	42.00	5.00	3560	28.00	5.00
3357	62.00	5.00	3561	38.00	5.00
3361	38.00	5.00	3566	28.00	5.00
3362	66.00	5.00	3567	38.00	5.00
3367	34.60	5.00	3572	14.60	5.00
3368	47.00	5.00	3573	20.00	5.00
3372	26.60	5.00	3577	17.60	5.00
3373	36.00	5.00	3578	24.00	5.00
3377	11.50	5.00	3582	61.00	5.00
3378	16.00	5.00	3583	82.00	5.00
3383	24.00	5.00	3588	11.60	4.00
3387	18.00	5.00	3589	15.60	5.00
3392	20.60	5.00	3593	20.60	5.00
3393	28.00	5.00	3594	28.00	5.00
3397	46.00	5.00	3598	61.00	5.00
3402	10.40	4.00	3599	82.00	5.00
3406	22.00	5.00	3604	20.60	5.00
3408	30.00	5.00	3605	28.00	5.00
3412	17.60	5.00	3609	26.60	5.00
3414	21.00	5.00	3610	36.00	5.00
3418	17.20	5.00	3614	61.00	5.00
3419	22.00	5.00	3615	82.00	5.00
3423	17.20	5.00	3620	46.00	5.00
3424	22.00	5.00	3624	19.00	5.00
3428	46.00	5.00	3626	33.00	5.00
3430	62.00	5.00	3630	25.00	5.00
3434	6.40	2.00	3632	34.00	5.00
3436	7.60	3.00	3636	11.60	4.00
3440	24.00	5.00	3640	6.40	2.00
3442	40.00	5.00	3645	86.00	5.00
3446	25.00	5.00	3649	20.60	5.00
3448	38.00	5.00	3651	28.00	5.00
3452	31.00	5.00	3655	50.00	5.00
3454	42.00	5.00	3656	67.00	5.00
3458	23.60	5.00	3661	31.00	5.00
3460	32.00	5.00	3662	42.00	5.00
3464	42.00	5.00	3667	50.00	5.00
3469	86.00	5.00	3671	32.00	5.00
3473	32.00	5.00	3675	7.60	3.00
3478	42.00	5.00	3680	2.30	1.00
3482	42.00	5.00	3681	3.10	1.00
3486	32.00	5.00	3686	86.00	5.00
3487	54.00	5.00	3690	24.00	5.00
3491	23.60	5.00	3691	30.00	5.00
3492	32.00	5.00	3696	50.00	5.00
3497	50.00	5.00	3700	55.00	5.00
3498	62.00	5.00	3704	17.60	5.00
3502	58.00	5.00	3705	24.00	5.00

Third Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
3709	20.60	5.00	3904	7.00	2.00
3710	28.00	5.00	3908	5.80	2.00
3714	28.00	5.00	3909	6.80	3.00
3716	34.00	5.00	3914	8.40	3.00
3720	1.90	1.00	3915	11.00	4.00
3721	2.50	1.00	3917	24.50	5.00
3726	24.00	5.00	3920	36.00	5.00
3727	28.00	5.00	3921	8.80	3.00
3731	14.60	5.00	3923	11.60	4.00
3732	20.00	5.00	3926	24.00	5.00
3736	20.60	5.00	3927	34.00	5.00
3737	28.00	5.00	3931	20.00	5.00
3741	24.00	5.00	3932	30.00	5.00
3742	32.00	5.00	3936	14.60	5.00
3746	5.00	1.50	3937	20.00	5.00
3747	6.40	2.00	3941	50.00	5.00
3751	1.70	1.00	3945	3.50	1.00
3755	3.40	1.50	3949	2.25	1.00
3756	6.80	3.00	3951	3.00	1.00
3760	7.00	3.00	3955	5.60	1.50
3761	9.80	3.00	3957	7.20	2.00
3765	3.40	1.00	3961	14.60	5.00
3769	3.10	1.00	3963	20.00	5.00
3770	4.00	1.50	3967	28.00	5.00
3771	9.60	3.00	3971	32.00	5.00
3772	12.80	4.00	3975	46.00	5.00
3773	26.60	5.00	3979	58.00	5.00
3774	48.00	5.00	3983	86.00	5.00
3776	7.60	3.00	3987	78.00	5.00
3780	32.00	5.00	3991	86.00	5.00
3784	68.00	5.00	3995	42.00	5.00
3788	78.00	5.00	3999	42.00	5.00
3792	2.50	1.00	4004	98.00	5.00
3796	9.40	3.00	4008	86.00	5.00
3797	12.40	4.00	4013	86.00	5.00
3801	2.70	1.00	4017	86.00	5.00
3805	6.40	2.00	4022	42.00	5.00
3806	7.60	3.00	4026	50.00	5.00
3811	14.60	5.00	4031	32.00	5.00
3812	20.00	5.00	4035	32.00	5.00
3817	1.90	1.00	4040	16.00	5.00
3821	3.40	1.50	4050	3.10	1.00
3826	30.00	5.00	4051	4.40	1.50
3827	50.00	5.00	4055	6.80	2.00
3832	5.30	1.50	4056	8.00	3.00
3836	10.60	3.00	4060	10.60	3.00
3838	31.00	5.00	4061	14.00	4.00
3842	14.60	5.00	4065	17.60	5.00
3844	20.00	5.00	4066	24.00	5.00
3848	17.60	5.00	4070	14.60	5.00
3850	24.00	5.00	4071	20.00	5.00
3854	13.90	3.00	4075	17.60	5.00
3856	17.80	4.00	4076	24.00	5.00
3860	24.00	5.00	4090	6.80	2.00
3865	42.00	5.00	4091	8.00	3.00
3869	22.00	5.00	4095	17.60	5.00
3874	5.20	1.50	4096	24.00	5.00
3878	28.60	5.00	4101	17.60	5.00
3880	39.00	5.00	4102	24.00	5.00
3883	15.00	5.00	4107	31.00	5.00
3884	29.00	5.00	4108	42.00	5.00
3888	6.00	2.00	4113	23.60	5.00
3900	1.90	1.00	4114	32.00	5.00

Third Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
4119	17.60	5.00	4400	40.80	5.00
4120	24.00	5.00	4401	45.50	5.00
4125	31.00	5.00	4402	45.00	5.00
4126	42.00	5.00	4403	1.60	1.00
4150	10.40	4.00	4404	9.80	3.00
4151	14.00	5.00	4408	10.40	4.00
4156	1.60	0.80	4412	8.80	3.00
4157	2.30	1.00	4416	11.60	4.00
4161	8.80	3.00	4420	1.80	1.00
4162	11.60	4.00	4424	2.10	1.00
4166	14.60	5.00	4428	50.00	5.00
4167	20.00	5.00	4432	46.00	5.00
4171	17.60	5.00	4436	18.00	5.00
4172	24.00	5.00	4440	7.60	3.00
4176	31.00	5.00	4444	42.00	5.00
4177	42.00	5.00	4448	42.00	5.00
4182	64.00	5.00	4450	46.00	5.00
4183	86.00	5.00	4452	4.40	1.50
4188	5.80	2.00	4456	44.00	5.00
4189	6.80	3.00	4460	4.40	1.50
4194	1.90	1.00	4464	20.00	5.00
4195	2.50	1.00	4468	42.00	5.00
4200	7.00	3.00	4472	64.00	5.00
4201	9.80	3.00	4476	3.90	1.00
4206	17.60	5.00	4480	7.60	3.00
4207	24.00	5.00	4484	5.80	2.00
4212	14.60	5.00	4488	42.00	5.00
4213	20.00	5.00	4492	50.00	5.00
4218	23.60	5.00	4496	50.00	5.00
4219	32.00	5.00	4498	10.00	3.00
4224	34.00	5.00	4499	21.00	5.00
4225	46.00	5.00	4501	11.80	3.00
4230	38.60	5.00	4502	27.00	5.00
4231	52.00	5.00	4504	10.80	3.00
4236	108.00	5.00	4505	24.50	5.00
4300	5.80	2.00	4507	17.60	5.00
4304	7.40	2.00	4508	26.00	5.00
4305	8.80	3.00	4513	3.15	1.00
4309	7.80	3.00	4514	4.40	1.50
4311	10.40	4.00	4519	4.90	2.00
4315	68.00	5.00	4520	8.80	3.00
4320	73.00	5.00	4525	6.70	2.00
4324	38.00	5.00	4526	13.40	4.00
4328	78.00	5.00	4528	6.40	2.00
4333	50.00	5.00	4529	5.20	1.50
4337	76.00	5.00	4533	2.50	1.00
4342	86.00	5.00	4538	24.00	5.00
4346	42.00	5.00	4542	16.00	5.00
4350	78.00	5.00	4545	24.80	5.00
4355	50.00	5.00	4547	20.00	5.00
4359	3.50	1.00	4551	24.00	5.00
4360	14.80	3.00	4555	15.60	5.00
4364	50.00	5.00	4559	11.60	4.00
4368	11.00	5.00	4563	64.00	5.00
4372	3.40	1.00	4567	12.40	4.00
4376	6.80	3.00	4571	24.00	5.00
4381	4.00	1.50	4575	26.60	5.00
4385	5.80	1.50	4579	12.40	4.00
4389	4.60	1.50	4583	28.00	5.00
4390	5.80	2.00	4587	42.00	5.00
4394	10.40	4.00	4591	42.00	5.00
4395	14.00	5.00	4595	52.00	5.00
4399	40.00	5.00	4599	42.00	5.00

Third Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
4604	12.00	4.00	5124	9.80	3.00
4605	16.00	5.00	5128	9.80	3.00
4610	11.60	4.00	5132	11.60	4.00
4614	8.80	3.00	5136	5.80	2.00
4616	11.60	4.00	5140	42.00	5.00
4620	15.60	5.00	5145	20.00	5.00
4625	17.60	5.00	5149	18.00	5.00
4626	24.00	5.00	5153	42.00	5.00
4710	42.00	5.00	5157	34.00	5.00
4714	42.00	5.00	5161	50.00	5.00
4719	108.00	5.00	5165	24.00	5.00
4723	78.00	5.00	5170	38.00	5.00
4727	52.00	5.00	5174	15.60	5.00
4728	70.00	5.00	5178	42.00	5.00
4732	78.00	5.00	5182	52.00	5.00
4735	50.00	5.00	5186	10.40	4.00
4739	38.00	5.00	5190	5.80	2.00
4743	83.00	5.00	5194	24.00	5.00
4747	42.00	5.00	5198	50.00	5.00
4751	42.00	5.00	5202	64.00	5.00
4755	24.00	5.00	5206	20.00	5.00
4759	24.00	5.00	5220	9.80	3.00
4763	33.00	5.00	5223	13.40	4.00
4767	42.00	5.00	5224	18.00	5.00
4771	40.00	5.00	5228	14.00	5.00
4775	32.00	5.00	5232	64.00	5.00
4779	48.00	5.00	5236	24.00	5.00
4783	64.00	5.00	5240	22.00	5.00
4787	76.00	5.00	5244	42.00	5.00
4810	2.60	1.00	5248	10.40	4.00
4814	7.30	3.00	5252	14.00	4.00
4819	17.60	5.00	5256	50.00	5.00
4823	4.40	1.50	5260	12.00	4.00
4827	15.60	5.00	5261	16.00	5.00
4831	14.00	5.00	5310	4.30	1.50
4835	25.00	5.00	5311	5.80	2.00
4839	18.00	5.00	5316	5.00	1.50
4843	14.00	5.00	5317	6.40	2.00
4847	24.00	5.00	5322	5.00	1.50
4851	39.00	5.00	5323	6.40	2.00
4855	22.00	5.00	5328	9.40	3.00
4910	23.60	5.00	5329	12.40	4.00
4911	32.00	5.00	5334	7.00	3.00
4916	13.40	4.00	5335	9.80	3.00
4917	18.00	5.00	5340	3.15	1.00
4922	50.00	5.00	5341	4.40	1.50
4926	86.00	5.00	5346	6.40	2.00
4931	42.00	5.00	5350	3.15	1.00
4935	42.00	5.00	5352	4.40	1.50
4939	56.00	5.00	5356	7.00	3.00
4944	24.00	5.00	5358	9.80	3.00
5010	78.00	5.00	5362	18.00	5.00
5014	130.00	5.00	5367	24.00	5.00
5019	34.00	5.00	5371	64.00	5.00
5023	86.00	5.00	5376	50.00	5.00
5028	20.00	5.00	5380	3.20	1.00
5032	30.00	5.00	5385	50.00	5.00
5037	4.00	1.50	5387	50.00	5.00
5041	20.00	5.00	5394	28.00	5.00
5110	3.10	1.00	5398	7.80	3.00
5114	5.30	1.50	5399	10.40	4.00
5118	31.00	5.00	5403	6.80	2.00
5120	42.00	5.00	5404	8.00	3.00

Third Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
5408	11.00	5.00	5579	41.50	5.00
5410	15.00	5.00	5583	31.00	5.00
5414	28.00	5.00	5585	50.50	5.00
5416	38.00	5.00	5589	32.00	5.00
5419	29.00	5.00	5593	26.00	5.00
5420	32.00	5.00	5594	28.00	5.00
5422	34.60	5.00	5596	23.60	5.00
5423	40.50	5.00	5597	32.00	5.00
5425	11.60	4.00	5610	4.00	1.50
5429	50.00	5.00	5614	17.60	5.00
5434	48.00	5.00	5616	24.00	5.00
5438	3.10	1.00	5620	44.00	5.00
5439	4.00	1.50	5625	24.00	5.00
5443	3.50	1.00	5631	46.00	5.00
5444	4.40	1.50	5635	42.00	5.00
5448	4.20	1.50	5640	46.00	5.00
5451	10.40	4.00	5644	28.00	5.00
5452	14.00	5.00	5649	88.00	5.00
5453	15.60	5.00	5653	46.00	5.00
5454	22.50	5.00	5658	50.00	5.00
5457	8.80	3.00	5662	7.60	3.00
5458	11.60	4.00	5667	3.50	1.00
5462	4.50	1.50	5668	5.40	1.50
5463	5.20	2.00	5673	14.00	4.00
5467	6.80	3.00	5677	18.00	5.00
5471	10.00	3.00	5681	20.00	5.00
5472	15.40	4.00	5685	42.00	5.00
5475	11.60	3.00	5689	46.00	5.00
5477	16.40	5.00	5693	42.00	5.00
5481	11.80	3.00	5697	28.00	5.00
5483	16.60	5.00	5701	2.50	1.50
5487	11.60	4.00	5702	7.80	3.00
5489	17.60	5.00	5706	7.60	3.00
5493	14.60	5.00	5710	8.00	3.00
5495	20.00	5.00	5714	1.30	0.80
5499	34.00	5.00	5718	3.15	1.00
5501	46.00	5.00	5719	4.40	1.50
5505	34.00	5.00	5723	12.80	4.00
5507	46.00	5.00	5727	15.60	5.00
5511	39.60	5.00	5731	4.40	1.50
5512	54.50	5.00	5735	98.00	5.00
5513	54.00	5.00	5739	64.00	5.00
5515	78.00	5.00	5742	58.00	5.00
5518	44.50	5.00	5746	4.60	1.50
5519	63.50	5.00	5750	21.00	5.00
5523	26.00	5.00	5754	18.00	5.00
5525	38.00	5.00	5758	66.00	5.00
5529	28.00	5.00	5762	42.00	5.00
5531	38.00	5.00	5766	86.00	5.00
5535	28.00	5.00	5770	34.00	5.00
5537	38.00	5.00	5774	18.00	5.00
5541	29.00	5.00	5778	20.00	5.00
5543	33.00	5.00	5782	55.00	5.00
5547	24.00	5.00	5786	34.00	5.00
5551	20.60	5.00	5790	38.00	5.00
5553	28.00	5.00	5794	46.00	5.00
5557	3.30	1.50	5798	20.00	5.00
5561	32.00	5.00	5802	64.00	5.00
5565	4.80	1.50	5806	116.00	5.00
5569	3.10	1.00	5810	34.00	5.00
5573	22.00	5.00	5814	24.00	5.00
5574	33.00	5.00	5818	10.40	4.00
5577	27.60	5.00	5822	16.00	5.00

Third Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
5826	42.00	5.00	6169	50.00	5.00
5830	64.00	5.00	6173	64.00	5.00
5834	6.40	2.00	6177	24.00	5.00
5838	5.20	1.50	6181	19.00	5.00
5842	38.00	5.00	6182	31.00	5.00
5846	28.00	5.00	6186	10.40	4.00
5850	28.00	5.00	6187	14.00	5.00
5854	26.00	5.00	6191	17.60	5.00
5858	26.00	5.00	6192	24.00	5.00
5910	2.30	1.00	6196	15.60	5.00
5911	3.10	1.00	6197	31.00	5.00
5915	6.20	2.00	6198	42.00	5.00
5920	3.20	1.00	6202	43.00	5.00
5924	7.00	3.00	6203	58.00	5.00
5926	9.80	3.00	6207	64.00	5.00
5930	23.60	5.00	6211	58.00	5.00
5931	32.00	5.00	6215	54.00	5.00
5936	64.00	5.00	6219	108.00	5.00
5940	64.00	5.00	6223	78.00	5.00
5945	68.00	5.00	6227	86.00	5.00
5949	86.00	5.00	6231	86.00	5.00
5954	50.00	5.00	6235	50.00	5.00
5958	28.00	5.00	6239	64.00	5.00
5963	70.00	5.00	6243	108.00	5.00
5967	15.60	5.00	6247	86.00	5.00
5971	26.00	5.00	6251	64.00	5.00
5976	6.40	2.00	6255	70.00	5.00
5980	11.60	4.00	6259	64.00	5.00
5985	116.00	5.00	6263	42.00	5.00
5989	52.00	5.00	6310	3.40	1.00
5994	76.00	5.00	6314	2.10	1.00
5998	86.00	5.00	6318	4.20	1.50
6003	42.00	5.00	6320	5.60	1.50
6007	28.00	5.00	6324	6.40	2.00
6012	20.00	5.00	6328	5.60	1.50
6016	50.00	5.00	6333	4.40	1.50
6021	32.00	5.00	6337	5.80	2.00
6025	98.00	5.00	6338	6.80	3.00
6029	11.60	4.00	6343	4.00	1.50
6034	16.80	5.00	6344	5.20	1.50
6038	40.00	5.00	6349	8.80	3.00
6042	15.60	5.00	6350	11.60	4.00
6100	1.30	0.80	6354	1.50	0.80
6104	4.00	1.50	6355	2.10	1.00
6108	4.40	1.50	6359	5.00	1.50
6112	8.00	3.00	6360	6.40	2.00
6116	2.80	1.00	6365	14.60	5.00
6120	4.40	1.50	6366	20.00	5.00
6124	5.20	1.50	6371	10.60	3.00
6128	11.60	4.00	6372	14.00	4.00
6132	7.00	3.00	6377	4.00	1.50
6133	9.80	3.00	6378	5.20	1.50
6137	12.00	4.00	6382	6.40	2.00
6138	16.00	5.00	6383	7.60	3.00
6142	20.40	5.00	6387	1.90	1.00
6143	28.00	5.00	6388	2.50	1.00
6147	32.00	5.00	6392	5.00	1.50
6151	50.00	5.00	6393	6.40	2.00
6155	58.00	5.00	6397	13.40	4.00
6159	16.00	5.00	6398	18.00	5.00
6160	22.00	5.00	6398	18.00	5.00
6164	10.40	4.00	6402	13.40	4.00
6165	14.00	5.00	6404	18.00	5.00

Third Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
6414	The amount shown in this column in the item relating to the dislocation concerned, plus one-half of that amount	The amount shown in this column in the item relating to the dislocation concerned, plus one-half of that amount	6568	3.45	1.00
			6569	4.80	1.50
			6574	1.30	0.80
			6575	2.50	1.00
			6578	1.30	0.80
			6580	2.50	1.00
			6584	5.30	3.00
			6586	19.00	5.00
			6590	7.00	3.00
			6592	9.80	3.00
			6596	22.00	5.00
			6601	24.00	5.00
6420	3.40	1.00	6605	8.80	3.00
6425	6.40	2.00	6606	11.60	4.00
6426	8.80	3.00	6610	30.00	5.00
6431	3.40	1.00	6614	32.00	5.00
6432	4.60	1.50	6618	7.80	3.00
6437	4.90	2.00	6619	10.40	4.00
6438	12.40	4.00	6623	1.30	0.80
6442	6.80	3.00	6624	2.10	1.00
6443	14.00	5.00	6628	1.30	0.80
6447	3.90	1.00	6629	2.50	1.00
6448	5.20	1.50	6633	10.60	3.00
6453	7.00	3.00	6634	14.00	4.00
6454	9.80	3.00	6638	17.60	5.00
6458	10.60	3.00	6639	24.00	5.00
6459	11.00	5.00	6643	64.00	5.00
6463	7.60	3.00
6467	5.60	3.00
6468	16.40	5.00	6647	The amount shown in this column in the item relating to the fracture concerned, plus one-third of that amount	The amount shown in this column in the item relating to the fracture concerned, plus one-third of that amount
6472	6.40	2.00
6473	7.60	3.00
6477	8.60	4.00
6478	12.00	5.00
6482	10.40	4.00
6483	12.00	5.00
6487	5.90	2.00
6489	7.80	3.00
6493	6.40	2.00
6494	7.60	3.00
6498	1.30	0.80
6499	2.50	1.00	6651	The amount shown in this column in the item relating to the fracture concerned, plus one-half of that amount	The amount shown in this column in the item relating to the fracture concerned, plus one-half of that amount
6503	11.60	4.00
6505	15.60	5.00
6509	8.80	3.00
6510	11.60	4.00
6515	28.00	5.00
6516	38.00	5.00
6521	7.40	2.00
6522	10.40	3.00
6525	11.30	4.00
6527	14.00	5.00
6531	17.60	5.00
6532	24.00	5.00	6655	The amount shown in this column in the item relating to the fracture concerned, plus three-quarters of that amount	The amount shown in this column in the item relating to the fracture concerned, plus three-quarters of that amount
6537	17.60	5.00
6538	24.00	5.00
6543	17.60	5.00
6544	24.00	5.00
6549	4.90	2.00
6550	8.80	3.00
6555	3.40	1.00
6559	4.40	1.50
6564	3.70	1.00

Third Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
6659	One-half of the amount shown in this column in the item that would, but for item 6659 in the First Schedule to this Act, apply to the reduction concerned	One-half of the amount shown in this column in the item that would, but for item 6659 in the First Schedule to this Act, apply to the reduction concerned	7055	7.40	2.00
			7056	8.80	3.00
			7060	3.80	3.00
			7061	3.40	3.00
			7065	11.60	4.00
			7069	10.40	4.00
			7074	12.80	4.00
			7078	108.00	5.00
			7082	34.00	5.00
			7087	22.00	5.00
			7091	50.00	5.00
			7095	90.00	5.00
			7100	110.00	5.00
6663	One-half of the amount shown in this column in the item that would, but for item 6663 in the First Schedule to this Act, apply to the reduction concerned	One-half of the amount shown in this column in the item that would, but for item 6663 in the First Schedule to this Act, apply to the reduction concerned	7104	103.00	5.00
			7108	38.00	5.00
			7113	13.40	4.00
			7114	18.00	5.00
			7118	20.00	5.00
			7122	54.00	5.00
			7126	64.00	5.00
			7130	22.00	5.00
			7135	5.00	1.50
			7136	6.40	2.00
			7141	32.00	5.00
			7145	36.00	5.00
			7149	32.00	5.00
6667	The amount shown in this column in the item that would, but for item 6667 in the First Schedule to this Act, apply to the reduction concerned	The amount shown in this column in the item that would, but for item 6667 in the First Schedule to this Act, apply to the reduction concerned	7154	16.00	5.00
			7155	22.00	5.00
			7159	116.00	5.00
			7163	42.00	5.00
			7167	58.00	5.00
			7171	28.00	5.00
			7176	37.00	5.00
			7180	42.00	5.00
			7184	32.00	5.00
			7189	28.00	5.00
			7190	38.00	5.00
			7195	32.00	5.00
6671	The amount shown in this column in the item that would apply in the case of a simple and uncomplicated fracture of the part concerned	The amount shown in this column in the item that would apply in the case of a simple and uncomplicated fracture of the part concerned	7199	1.90	1.00
			7200	2.30	1.00
			7205	1.60	0.80
			7206	2.30	1.00
			7210	11.60	4.00
			7214	57.00	5.00
			7218	24.00	5.00
			7221	15.00	5.00
			7222	26.00	5.00
			7224	22.00	5.00
			7225	24.45	5.00
			7227	24.50	5.00
7010	18.00	5.00	7228	38.00	5.00
7014	9.40	3.00	7230	20.00	5.00
7016	12.40	4.00	7233	13.40	4.00
7020	2.50	1.00	7234	18.00	5.00
7025	2.10	1.00	7238	42.00	5.00
7029	3.90	1.00	7242	14.00	4.00
7031	5.20	1.50	7246	24.00	5.00
7035	7.90	2.00	7250	13.40	4.00
7037	10.00	4.00	7252	18.00	5.00
7041	6.40	2.00	7256	16.00	5.00
7043	7.60	3.00	7257	22.00	5.00
7047	70.00	5.00	7261	12.40	4.00
7051	24.00	5.00	7262	12.00	5.00

Third Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
7266	20.00	5.00	7545	64.00	5.00
7271	20.00	5.00	7549	64.00	5.00
7275	24.00	5.00	7553	42.00	5.00
7280	28.00	5.00	7557	14.00	4.00
7284	46.00	5.00	7561	32.00	5.00
7289	70.00	5.00	7565	24.00	5.00
7293	46.00	5.00	7569	76.00	5.00
7297	44.00	5.00	7573	76.00	5.00
7301	46.00	5.00	7577	50.00	5.00
7305	10.40	4.00	7581	25.00	5.00
7309	22.00	5.00	7582	34.00	5.00
7313	8.80	3.00	7586	42.00	5.00
7314	11.60	4.00	7590	50.00	5.00
7318	20.60	5.00	7594	64.00	5.00
7319	28.00	5.00	7598	32.00	5.00
7323	10.80	4.00	7602	42.00	5.00
7324	14.40	5.00	7607	64.00	5.00
7328	13.40	4.00	7611	24.00	5.00
7329	18.00	5.00	7616	42.00	5.00
7333	22.00	5.00	7620	24.00	5.00
7334	30.00	5.00	7625	64.00	5.00
7338	6.40	2.00	7629	6.40	2.00
7339	7.60	3.00	7631	7.60	3.00
7343	8.80	3.00	7635	50.00	5.00
7344	11.60	4.00	7640	36.00	5.00
7348	6.80	3.00	7644	32.00	5.00
7352	18.00	5.00	7649	18.00	5.00
7356	34.00	5.00	7653	6.40	2.00
7360	58.00	5.00	7655	7.60	3.00
7364	28.00	5.00	7659	7.40	2.00
7368	20.00	5.00	7661	8.80	3.00
7372	6.40	2.00	7665	32.00	5.00
7373	7.60	3.00	7670	6.40	2.00
7377	10.40	4.00	7671	7.60	3.00
7378	14.00	5.00	7676	20.00	5.00
7382	15.60	5.00	7680	36.00	5.00
7386	24.00	5.00	7685	32.00	5.00
7390	8.80	3.00	7700	50.00	5.00
7391	11.60	4.00	7704	6.40	2.00
7395	22.00	5.00	7708	4.00	1.50
7396	30.00	5.00	7750	24.00	5.00
7400	28.00	5.00	7754	11.60	4.00
7450	3.40	3.00	7758	20.00	5.00
7454	3.40	1.00	7762	2.50	1.00
7458	4.00	1.50	7767	3.40	1.00
7462	3.40	1.00	7771	8.80	3.00
7466	4.40	1.50	7775	10.40	4.00
7470	3.40	1.00	7779	14.00	5.00
7474	5.20	1.50	7783	22.00	5.00
7478	3.40	1.00	7787	40.00	5.00
7482	6.40	2.00	7791	42.00	5.00
7486	15.60	5.00	7795	20.00	5.00
7490	3.40	1.00	7850	14.00	5.00
7494	5.20	1.50	7854	18.00	5.00
7498	5.20	1.50	7858	14.00	4.00
7510	3.40	1.00	7862	7.60	3.00
7514	50.00	5.00	7866	9.80	3.00
7519	64.00	5.00	7870	5.20	1.50
7523	64.00	5.00	7874	15.60	5.00
7528	64.00	5.00	7877	9.80	3.00
7532	32.00	5.00	7881	24.00	5.00
7537	50.00	5.00	7885	14.00	4.00
7541	50.00	5.00	7889	9.80	3.00

Third Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
7893	6.40	2.00	8114	28.00	5.00
7897	16.00	5.00	8119	32.00	5.00
7901	24.00	5.00	8123	18.00	5.00
7905	10.80	4.00	8128	32.00	5.00
7909	34.00	5.00	8132	18.00	5.00
7913	20.00	5.00	8136	42.00	5.00
7917	32.00	5.00	8141	32.00	5.00
7921	64.00	5.00	8145	20.00	5.00
7925	54.00	5.00	8150	11.60	4.00
7929	64.00	5.00	8154	24.00	5.00
7950	14.00	5.00	8159	50.00	5.00
7952	15.50	5.00	8163	24.00	5.00
7953	19.00	5.00	8167	50.00	5.00
7954	24.00	5.00	8172	28.00	5.00
7958	14.00	5.00	8176	42.00	5.00
7962	7.60	3.00	8180	9.80	3.00
7966	20.00	5.00	8184	26.00	5.00
7970	14.00	4.00	8188	22.00	5.00
7974	32.00	5.00	8192	22.00	5.00
7978	20.00	5.00	8196	24.00	5.00
7982	14.00	4.00	8200	32.00	5.00
7986	34.00	5.00	8204	50.00	5.00
7990	10.40	4.00	8208	90.00	5.00
7994	7.60	3.00	8212	9.80	3.00
7998	22.00	5.00	8216	24.00	5.00
8002	36.00	5.00	8220	18.00	5.00
8007	18.00	5.00	8224	38.00	5.00
8011	28.00	5.00	8228	12.80	4.00
8015	28.00	5.00	8232	42.00	5.00
8020	50.00	5.00	8236	28.00	5.00
8024	16.00	5.00	8240	46.00	5.00
8029	50.00	5.00	8244	62.00	5.00
8033	36.00	5.00	8248	24.00	5.00
8037	98.00	5.00	8252	18.00	5.00
8042	34.00	5.00	8256	36.00	5.00
8046	64.00	5.00	8260	86.00	5.00
8050	50.00	5.00	8264	14.40	5.00
8054	42.00	5.00	8268	46.00	5.00
8058	42.00	5.00	8272	58.00	5.00
8062	24.00	5.00	8276	24.00	5.00
8066	20.00	5.00	8280	42.00	5.00
8070	24.00	5.00	8284	42.00	5.00
8110	18.00	5.00	8288	50.00	5.00

FOURTH SCHEDULE Section 13.

TABLE OF FUND MEDICAL BENEFITS IN RESPECT OF QUEENSLAND

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
2	0.95	0.80	352	10.40	3.00
3	1.40	1.20	355	11.60	4.00
9	4.25	1.50	357	16.00	5.00
11	6.50	2.00	370	5.40	1.50
13	2.00	1.00	371	6.00	2.00
15	8.00	2.00	375	5.40	2.00
17	10.00	3.00	376	6.10	2.00
18	3.25	1.00	378	7.30	3.00
24	1.10	2.30	379	8.90	3.00
37	8.50	3.00	381	9.70	3.00
38	13.00	4.00	382	11.30	3.00
39	17.50	5.00	384	12.50	4.00
40	22.50	5.00	386	16.90	5.00
43	0.95	0.80	388	9.00	3.00
45	2.00	1.00	389	10.20	4.00
203	0.95	0.80	391	10.40	4.00
206	6.90	3.00	392	12.60	4.00
209	8.60	4.00	394	13.80	5.00
210	16.00	5.00	396	10.80	4.00
220	8.80	3.00	397	12.40	4.00
223	16.00	5.00	399	13.20	4.00
224	26.00	5.00	400	14.80	4.00
226	16.90	5.00	402	16.00	5.00
227	24.50	5.00	430	3.10	1.00
230	23.00	5.00	435	6.70	2.00
231	25.50	5.00	436	8.50	2.00
235	26.00	5.00	451	5.90	2.00
236	38.00	5.00	455	4.60	1.50
243	0.30	0.80	456	5.80	2.00
247	0.70	0.80	501	4.80	1.50
251	7.80	3.00	601	3.50	1.00
252	10.40	4.00	611	2.40	1.00
255	3.10	1.00	616	5.60	1.50
256	4.40	1.50	621	11.60	4.00
259	0.70	0.80	625	10.40	4.00
263	4.40	1.50	631	4.40	1.50
267	3.10	1.00	641	6.90	2.00
268	4.40	1.50	651	8.40	3.00
271	3.90	1.50	661	11.60	4.00
275	15.60	5.00	681	3.20	1.00
279	2.90	1.50	691	2.50	1.00
283	17.20	5.00	701	4.50	1.50
287	3.10	1.00	703	2.30	1.00
288	4.40	1.50	705	7.00	2.00
291	7.60	3.00	707	2.70	1.00
301	3.50	1.00	708	1.90	1.00
302	3.80	1.00	715	2.90	1.00
305	4.50	1.50	721	2.70	1.00
306	5.90	1.50	731	9.80	3.00
309	5.90	2.00	741	3.90	1.50
310	6.80	2.00	751	6.00	2.00
313	7.60	3.00	761	28.00	5.00
317	11.60	4.00	771	42.00	5.00
321	0.70	0.80	781	32.00	5.00
323	4.80	1.50	791	7.60	3.00
341	4.50	1.50	801	7.20	2.00
342	5.30	1.50	831	1.60	1.00
344	4.70	1.50	841	3.00	1.00
345	5.20	2.00	851	3.30	1.00
347	7.40	2.00	861	5.60	1.50
348	8.00	3.00	866	7.60	3.00
351	8.80	3.00	871	6.40	2.00

Fourth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
881	3.90	1.50	1102	3.50	1.00
891	14.00	4.00	1104	0.70	0.80
901	11.60	4.00	1106	0.60	0.80
906	14.00	4.00	1108	1.50	1.00
911	3.20	1.00	1110	5.80	2.00
915	6.80	3.00	1112	0.70	0.80
921	0.90	0.80	1114	0.70	0.80
931	0.50	0.80	1116	4.10	1.50
941	1.00	0.80	1118	1.90	1.00
943	1.40	0.80	1120	4.80	1.50
945	2.30	1.00	1122	1.20	1.00
951	3.40	1.00	1124	1.90	1.00
961	2.10	1.00	1126	2.30	1.00
971	7.60	3.00	1128	1.20	0.80
976	15.60	5.00	1130	3.10	1.00
981	2.50	1.00	1132	1.90	1.00
985	4.80	1.50	1134	3.10	1.00
1000	0.20	0.80	1136	4.80	1.50
1002	1.20	0.80	1138	1.90	1.00
1004	0.70	0.80	1140	2.30	1.00
1006	0.90	0.80	1142	1.40	1.00
1008	0.20	0.80	1144	1.90	1.00
1010	0.60	0.80	1146	1.90	1.00
1012	3.50	1.00	1148	2.70	1.00
1014	0.90	1.00	1150	4.80	1.50
1016	2.60	1.00	1152	2.70	1.00
1018	3.30	1.50	1154	2.30	1.00
1020	5.20	3.00	1156	2.30	1.00
1022	0.20	0.80	1160	0.70	1.00
1024	1.20	0.80	1162	2.60	1.00
1026	1.20	0.80	1164	3.00	1.00
1028	2.70	1.00	1166	3.00	1.00
1030	2.60	1.00	1168	1.50	1.00
1032	2.70	1.00	1170	3.40	1.00
1034	1.90	1.00	1172	0.90	0.80
1036	2.70	1.00	1174	1.90	1.00
1038	3.10	1.00	1176	1.80	1.00
1040	3.10	1.00	1180	0.60	0.80
1042	0.70	1.00	1182	0.70	0.80
1044	4.00	1.50	1184	1.70	1.00
1046	1.40	0.80	1186	0.70	0.80
1048	5.60	1.50	1188	1.90	1.00
1050	4.00	1.50	1190	2.70	1.00
1052	8.80	3.00	1192	0.70	1.00
1054	0.70	0.80	1194	1.20	1.00
1060	0.20	0.80	1196	2.70	1.00
1062	0.60	0.80	1198	1.20	1.00
1064	0.70	0.80	1200	0.70	0.80
1066	2.30	1.00	1202	0.90	1.00
1068	2.00	1.00	1204	0.10	0.80
1070	1.30	1.00	1206	1.10	1.00
1072	2.70	1.00	1208	1.70	1.00
1074	7.60	3.00	1210	1.20	1.00
1076	0.90	0.80	1212	2.00	1.00
1080	1.20	0.80	1214	1.20	0.80
1082	2.30	1.00	1216	1.30	0.80
1084	8.80	3.00	1218	3.50	1.00
1090	1.90	1.00	1220	5.00	1.50
1092	1.90	1.00	1222	5.00	1.50
1094	1.90	1.00	1224	6.80	3.00
1096	0.90	0.80	1226	8.80	3.00
1098	1.30	0.80	1228	3.50	1.00
1100	1.50	1.00	1230	5.00	1.50

Fourth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
1232	2.70	1.00	1394	5.00	2.00
1234	3.80	1.50	1395	0.40	0.80
1236	5.30	1.50	1397	2.90	1.00
1238	6.00	2.00	1399	0.70	0.80
1240	1.90	1.00	1401	1.90	1.00
1242	3.10	1.00	1404	0.50	0.80
1244	4.20	1.50	1407	0.70	1.00
1246	5.00	1.50	1410	1.90	1.00
1248	0.70	0.80	1413	1.90	1.00
1250	1.20	1.00	1416	3.10	1.00
1252	3.30	1.50	1419	1.90	1.00
1254	5.20	1.50	1421	2.30	1.00
1256	6.30	2.00	1423	1.80	1.00
1258	6.90	3.00	1425	4.00	1.50
1260	2.70	1.00	1428	1.80	1.00
1262	4.40	1.50	1430	5.00	1.50
1264	1.20	1.00	1432	8.80	3.00
1266	3.30	1.50	1434	2.70	1.00
1268	5.20	1.50	1436	3.10	1.00
1270	6.30	2.00	1438	8.80	3.00
1272	3.00	1.00	1441	3.30	1.00
1274	8.80	3.00	1444	2.20	1.00
1276	5.80	2.00	1447	5.00	1.50
1278	1.20	1.00	1450	3.90	1.50
1280	3.30	1.50	1453	2.20	1.00
1282	5.20	1.50	1456	2.50	1.00
1284	6.30	2.00	1459	1.70	1.00
1286	6.90	3.00	1461	3.80	1.50
1288	4.00	1.50	1463	5.20	2.00
1290	4.10	1.50	1466	6.80	2.00
1292	4.10	1.50	1468	1.20	0.80
1294	1.20	1.00	1470	1.70	1.00
1296	1.90	1.00	1472	4.00	1.50
1298	3.30	1.50	1474	8.80	3.00
1301	1.20	1.00	1476	3.70	1.50
1302	3.30	1.50	1478	3.30	1.00
1304	5.20	1.50	1481	3.30	1.00
1305	6.30	2.00	1484	6.80	3.00
1307	6.90	3.00	1487	3.70	1.50
1310	1.20	1.00	1490	3.70	1.50
1313	1.90	1.00	1491	0.20	0.80
1316	2.70	1.00	1493	6.80	3.00
1319	3.60	1.50	1494	8.80	3.00
1322	0.70	0.80	1495	0.90	0.80
1325	0.70	0.80	1496	1.90	1.00
1328	2.40	1.00	1497	3.90	1.50
1331	3.00	1.50	1499	3.50	1.00
1334	1.60	1.00	1500	0.70	0.80
1337	3.70	1.50	1502	0.70	0.80
1340	5.50	2.00	1504	0.70	0.80
1343	2.20	1.50	1506	2.30	1.00
1346	6.80	3.00	1508	1.70	0.80
1349	3.30	1.00	1511	1.90	1.00
1352	3.50	1.00	1513	1.60	0.80
1355	3.00	1.00	1515	2.40	1.00
1358	1.80	1.00	1517	3.70	1.00
1380	0.70	0.80	1519	4.50	1.50
1382	0.70	0.80	1521	5.50	1.50
1385	1.20	1.00	1523	5.50	2.00
1388	3.30	1.50	1525	2.40	1.00
1389	4.80	1.50	1527	4.00	1.50
1391	2.50	1.00	1529	2.30	1.00
1392	4.30	1.50	1531	4.40	1.50

Fourth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
1534 1537 1539 1541 1543 1545 1546 1548 1551 1554 1557 1560 1562 1564 1566 1568 1571 1580 1582 1584 1586 1588 1590 1601 1604 1607 1609 1611 1613 1615 1616 1621 1623 1625 1627 1629 1631 1640 1643 1645 1647 1649 1651 1653 1661 1664 1667 1670 1673 1680 1682 1684 1686 1688 1691 1694 1697 1698 1700 1701 1703 1706	1.90 3.10 2.30 1.90 1.80 0.70 4.00 5.80 2.50 3.90 4.50 3.40 4.30 5.40 5.40 6.00 2.30 1.90 1.60 3.50 0.70 1.20 2.70 1.20 3.30 5.20 6.30 1.50 3.30 2.50 3.50 0.40 1.80 1.10 2.70 2.30 1.60 5.60 2.90 2.90 8.80 7.00 8.80 4.00 0.70 5.80 0.70 2.70 3.50 0.70 0.70 0.40 1.10 1.90 1.90 1.00 1.80 3.30 1.90 5.10 1.90 1.90	1.00 1.00 1.00 1.00 1.00 0.80 1.00 1.50 1.00 1.50 2.00 1.50 1.50 2.00 2.00 3.00 1.00 1.00 1.00 1.00 0.80 1.00 1.00 1.00 1.50 1.50 2.00 1.00 1.00 1.00 1.00 0.80 1.00 0.80 1.00 1.00 0.80 1.50 1.00 1.00 3.00 2.00 3.00 1.50 0.80 2.00 1.00 1.00 1.00 0.80 0.80 0.80 0.80 1.00 1.00 0.80 1.00 1.50 1.00 2.00 1.00 1.00	1707	3.10	1.00
			1710	0.70	0.80
			1712	1.70	1.00
			1714	1.70	1.00
			1716	0.90	0.80
			1718 1720 1722 1724 1726 1728 1730 1732 1734	2.00 4.00 5.10 1.90 4.00 5.80 4.00 0.20 0.20	1.00 2.00 3.00 1.00 1.50 2.00 1.50 0.80 0.80
			1736	6.80	3.00
			1738	0.90	0.80
			1741	1.20	1.00
			1744	0.90	0.80
			1746	1.20	1.00
			1748	1.20	1.00
			1761	1.40	0.80
			1764	2.70	1.00
			1767	0.90	0.80
			1770	1.70	1.00
			1773	3.10	1.00
			1776	4.80	1.50
			1779	0.20	0.80
			1782	0.20	0.80
			1785	0.20	0.80
			1790	1.90	1.00
			1792	1.90	1.00
			1794	4.00	1.50
			1796	4.00	1.50
			1798	1.90	1.00
			1800	1.10	0.80
			1802	3.70	1.50
			1804	5.80	1.50
			1806	2.70	1.00
			1808	5.80	2.00
			1810	2.70	1.00
			1812	0.70	1.00
			1820	2.80	1.50
			1822	5.00	2.00
			1824	6.40	3.00
			1826	4.40	3.00
			1828	7.40	3.00
			1840	12.40	4.00
			1841	16.00	5.00
			1843	4.10	1.50
			1846	4.00	1.50
			1849	2.50	1.00
			1850	3.80	1.50
			1852	3.80	1.50
			1855	5.30	1.50
			1858	6.00	2.00
			1861	4.20	1.50
			1863	5.80	2.00
			1865	14.00	5.00
			1867	4.10	1.50
			1869	4.80	1.50
			1871	6.80	3.00
			1873	14.00	5.00
			1875	5.80	2.00

Fourth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
1877	5.80	2.00	2128	4.80	1.50
1879	4.10	1.50	2132	4.80	1.50
1881	3.10	1.00	2136	4.60	1.50
1884	2.50	1.00	2140	4.00	1.50
1887	4.00	1.50	2144	4.80	1.50
1889	12.40	4.00	2160	3.40	1.50
1891	1.90	1.00	2164	11.60	4.00
1893	3.90	1.50	2169	8.80	3.00
1901	1.70	1.00	2173	5.80	2.00
1903	3.50	1.00	2177	5.90	2.00
1905	3.50	1.00	2181	6.80	3.00
1907	5.30	1.50	2185	3.80	1.50
1909	4.00	1.50	2200	3.40	1.50
1911	6.00	2.00	2205	3.40	1.50
1913	1.30	1.00	2209	5.60	1.50
1915	1.50	1.00	2214	4.80	2.00
1921	7.00	2.00	2218	4.20	3.00
1923	7.20	3.00	2222	6.80	3.00
1925	8.40	3.00	2226	5.30	3.00
1941	8.80	3.00	2230	7.80	3.00
1943	4.00	1.50	2234	5.60	2.00
1945	4.00	1.50	2238	6.00	2.00
1947	3.40	1.50	2247	6.60	3.00
1949	2.70	1.00	2250	6.40	2.00
1951	4.00	1.50	2254	1.90	1.00
1953	4.00	1.50	2270	6.80	3.00
1955	4.40	1.50	2274	4.80	1.50
1957	7.00	2.00	2290	3.40	1.50
1959	7.00	2.00	2294	5.80	2.00
1961	5.80	2.00	2298	6.40	2.00
1963	4.00	1.50	2310	6.80	3.00
1965	5.60	1.50	2314	9.80	3.00
1967	5.60	1.50	2318	9.80	3.00
1969	5.60	1.50	2322	9.80	3.00
1971	6.80	3.00	2326	4.90	2.00
1973	7.00	2.00	2330	4.80	1.50
1975	5.60	1.50	2334	9.20	3.00
1977	5.80	2.00	2338	6.80	3.00
1979	4.00	1.50	2342	7.60	3.00
1981	5.80	2.00	2346	4.60	1.50
1983	5.80	2.00	2350	3.80	3.00
2010	1.60	1.00	2354	10.40	4.00
2014	2.50	1.00	2358	5.00	1.50
2018	2.70	1.00	2362	2.10	1.00
2022	3.00	1.00	2367	2.10	1.00
2026	3.50	1.00	2371	6.40	2.00
2040	2.70	1.00	2410	5.80	2.00
2044	1.90	1.00	2420	0.90	0.80
2048	1.50	1.00	2440	4.40	1.50
2052	6.80	3.00	2444	2.70	1.00
2060	3.30	1.50	2460	1.60	1.00
2064	3.30	1.50	2464	2.40	1.00
2068	3.30	1.50	2468	5.60	1.50
2072	3.50	1.00	2510	24.00	5.00
2076	4.80	1.50	2514	24.00	5.00
2081	2.90	1.00	2518	8.00	3.00
2091	3.50	1.50	2522	14.00	4.00
2094	4.90	2.00	2526	32.00	5.00
2098	4.30	3.00	2530	24.00	5.00
2110	3.50	1.00	2534	11.60	4.00
2114	4.90	1.50	2538	15.60	5.00
2119	3.50	1.00	2542	6.40	2.00
2123	1.60	1.00	2570	11.60	4.00

Fourth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
2574	6.40	2.00	3119	6.60	3.00
2578	6.40	2.00	3121	7.40	4.00
2620	12.40	4.00	3125	13.40	4.00
2624	10.40	4.00	3126	18.00	5.00
2628	10.40	4.00	3131	16.00	5.00
2632	2.00	4.00	3132	22.00	5.00
2636	4.00	1.50	3137	3.50	1.00
2640	5.80	2.00	3138	6.80	3.00
2644	5.80	2.00	3143	5.90	2.00
2648	4.80	1.50	3144	3.80	3.00
2652	4.80	1.50	3149	8.60	4.00
2657	5.80	2.00	3150	11.00	5.00
2661	5.00	1.50	3155	18.00	5.00
2666	2.90	1.00	3156	22.00	5.00
2670	4.80	1.50	3161	34.00	5.00
2674	4.00	1.50	3162	37.00	5.00
2678	4.00	1.50	3166	48.00	5.00
2682	6.80	3.00	3170	8.80	3.00
2686	1.90	1.00	3174	2.60	1.00
2691	10.40	4.00	3178	1.00	1.00
2696	6.40	2.00	3180	3.50	1.00
2700	5.60	1.50	3184	2.10	1.00
2901	4.80	1.50	3185	2.20	1.50
2904	6.20	2.00	3190	2.90	1.00
2907	6.80	3.00	3191	5.20	2.00
2910	8.80	3.00	3196	2.60	1.50
2913	12.40	4.00	3197	5.30	2.00
3000	0.95	0.80	3201	4.40	1.50
3004	1.90	1.00	3202	5.80	2.00
3005	2.50	1.00	3206	7.80	3.00
3009	3.15	1.00	3207	10.40	4.00
3011	4.40	1.50	3211	0.70	0.80
3015	6.80	2.00	3216	0.70	0.80
3017	8.00	3.00	3220	5.90	2.00
3021	2.60	1.00	3221	8.80	3.00
3025	4.90	1.50	3225	6.40	2.00
3030	3.30	1.50	3226	7.60	3.00
3034	7.60	3.00	3230	10.60	3.00
3039	2.90	1.50	3232	14.00	4.00
3043	6.80	3.00	3236	10.60	3.00
3045	9.40	3.00	3238	14.00	4.00
3049	6.40	2.00	3242	6.40	2.00
3051	7.60	3.00	3244	7.60	3.00
3055	7.00	3.00	3248	6.80	2.00
3056	9.80	3.00	3250	8.00	3.00
3061	0.80	0.80	3254	17.60	5.00
3064	2.60	1.00	3255	24.00	5.00
3065	6.80	3.00	3259	24.00	5.00
3069	8.80	3.00	3263	50.00	5.00
3070	14.00	5.00	3267	13.40	4.00
3074	4.00	1.50	3269	18.00	5.00
3078	4.90	2.00	3273	34.00	5.00
3080	5.60	3.00	3274	46.00	5.00
3084	3.50	1.00	3279	16.00	5.00
3089	6.80	3.00	3280	22.00	5.00
3093	2.10	1.00	3285	3.15	1.00
3097	7.00	3.00	3286	4.40	1.50
3099	9.80	3.00	3291	7.00	3.00
3103	5.00	1.50	3292	9.80	3.00
3104	6.40	2.00	3297	2.50	1.00
3108	7.00	3.00	3298	3.40	1.00
3110	9.80	3.00	3303	6.40	2.00
3115	2.50	1.00	3304	7.60	3.00

Fourth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
3309	7.60	3.00	3510	11.60	4.00
3313	37.00	5.00	3514	22.00	5.00
3315	50.00	5.00	3519	28.00	5.00
3319	2.50	1.00	3523	46.00	5.00
3323	10.60	3.00	3528	28.00	5.00
3324	14.00	4.00	3529	38.00	5.00
3328	13.40	4.00	3534	23.60	5.00
3329	18.00	5.00	3535	32.00	5.00
3334	26.60	5.00	3539	43.00	5.00
3335	36.00	5.00	3541	58.00	5.00
3340	50.00	5.00	3545	78.00	5.00
3344	86.00	5.00	3550	20.60	5.00
3348	19.00	5.00	3551	28.00	5.00
3349	26.00	5.00	3556	86.00	5.00
3353	42.00	5.00	3560	28.00	5.00
3357	62.00	5.00	3561	38.00	5.00
3361	38.00	5.00	3566	28.00	5.00
3362	46.00	5.00	3567	38.00	5.00
3367	23.60	5.00	3572	14.60	5.00
3368	32.00	5.00	3573	20.00	5.00
3372	26.60	5.00	3577	17.60	5.00
3373	36.00	5.00	3578	24.00	5.00
3377	11.50	5.00	3582	46.00	5.00
3378	16.00	5.00	3583	62.00	5.00
3383	24.00	5.00	3588	11.60	4.00
3387	18.00	5.00	3589	15.60	5.00
3392	20.60	5.00	3593	20.60	5.00
3393	28.00	5.00	3594	28.00	5.00
3397	46.00	5.00	3598	46.00	5.00
3402	10.40	4.00	3599	62.00	5.00
3406	22.00	5.00	3604	20.60	5.00
3408	30.00	5.00	3605	28.00	5.00
3412	10.60	4.00	3609	26.60	5.00
3414	16.00	5.00	3610	36.00	5.00
3418	17.20	5.00	3614	46.00	5.00
3419	22.00	5.00	3615	62.00	5.00
3423	17.20	5.00	3620	46.00	5.00
3424	22.00	5.00	3624	24.00	5.00
3428	46.00	5.00	3626	43.00	5.00
3430	62.00	5.00	3630	25.00	5.00
3434	6.40	2.00	3632	34.00	5.00
3436	7.60	3.00	3636	11.60	4.00
3440	24.00	5.00	3640	6.40	2.00
3442	50.00	5.00	3645	86.00	5.00
3446	25.00	5.00	3649	20.60	5.00
3448	38.00	5.00	3651	28.00	5.00
3452	31.00	5.00	3655	31.00	5.00
3454	42.00	5.00	3656	42.00	5.00
3458	23.60	5.00	3661	31.00	5.00
3460	32.00	5.00	3662	42.00	5.00
3464	42.00	5.00	3667	50.00	5.00
3469	86.00	5.00	3671	32.00	5.00
3473	32.00	5.00	3675	7.60	3.00
3478	42.00	5.00	3680	2.30	1.00
3482	42.00	5.00	3681	3.10	1.00
3486	32.00	5.00	3686	86.00	5.00
3487	54.00	5.00	3690	24.00	5.00
3491	23.60	5.00	3691	40.00	5.00
3492	32.00	5.00	3696	50.00	5.00
3497	30.00	5.00	3700	55.00	5.00
3498	62.00	5.00	3704	17.60	5.00
3502	58.00	5.00	3705	24.00	5.00
3506	86.00	5.00	3709	20.60	5.00

Fourth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
3710	28.00	5.00	3908	5.80	2.00
3714	28.00	5.00	3909	6.80	3.00
3716	34.00	5.00	3914	8.40	3.00
3720	1.90	1.00	3915	12.00	4.00
3721	2.50	1.00	3917	24.50	5.00
3726	19.00	5.00	3920	26.50	5.00
3727	28.00	5.00	3921	8.80	3.00
3731	14.60	5.00	3923	11.60	4.00
3732	20.00	5.00	3926	24.00	5.00
3736	20.60	5.00	3927	19.00	5.00
3737	28.00	5.00	3931	20.00	5.00
3741	19.00	5.00	3932	20.00	5.00
3742	22.00	5.00	3936	14.60	5.00
3746	5.00	1.50	3937	20.00	5.00
3747	6.40	2.00	3941	50.00	5.00
3751	1.70	1.00	3945	3.50	1.00
3755	3.40	1.50	3949	2.25	1.00
3756	3.80	2.00	3951	3.00	1.00
3760	7.00	3.00	3955	5.60	1.50
3761	9.80	3.00	3957	7.20	2.00
3765	3.40	1.00	3961	14.60	5.00
3769	1.60	1.00	3963	20.00	5.00
3770	2.50	1.00	3967	28.00	5.00
3771	9.60	3.00	3971	32.00	5.00
3772	12.80	4.00	3975	46.00	5.00
3773	15.85	5.00	3979	58.00	5.00
3774	22.00	5.00	3983	86.00	5.00
3776	7.60	3.00	3987	78.00	5.00
3780	32.00	5.00	3991	86.00	5.00
3784	68.00	5.00	3995	42.00	5.00
3788	78.00	5.00	3999	42.00	5.00
3792	2.50	1.00	4004	98.00	5.00
3796	9.40	3.00	4008	86.00	5.00
3797	12.40	4.00	4013	86.00	5.00
3801	2.70	1.00	4017	86.00	5.00
3805	6.40	2.00	4022	42.00	5.00
3806	7.60	3.00	4026	50.00	5.00
3811	14.60	5.00	4031	32.00	5.00
3812	20.00	5.00	4035	32.00	5.00
3817	1.10	0.80	4040	16.00	5.00
3821	3.90	1.50	4050	3.10	1.00
3826	20.00	5.00	4051	4.40	1.50
3827	25.00	5.00	4055	6.80	2.00
3832	5.30	1.50	4056	8.00	3.00
3836	5.60	3.00	4060	10.60	3.00
3838	16.00	5.00	4061	14.00	4.00
3842	14.60	5.00	4065	17.60	5.00
3844	20.00	5.00	4066	24.00	5.00
3848	17.60	5.00	4070	14.60	5.00
3850	24.00	5.00	4071	20.00	5.00
3854	7.40	2.00	4075	17.60	5.00
3856	8.80	3.00	4076	24.00	5.00
3860	24.00	5.00	4090	6.80	2.00
3865	42.00	5.00	4091	8.00	3.00
3869	22.00	5.00	4095	17.60	5.00
3874	5.20	1.50	4096	24.00	5.00
3878	17.60	5.00	4101	17.60	5.00
3880	24.00	5.00	4102	24.00	5.00
3883	10.00	5.00	4107	31.00	5.00
3884	19.00	5.00	4108	42.00	5.00
3888	6.00	2.00	4113	23.60	5.00
3900	1.90	1.00	4114	32.00	5.00
3904	7.00	2.00	4119	17.60	5.00

Fourth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
4120	24.00	5.00	4401	15.50	5.00
4125	31.00	5.00	4402	15.00	5.00
4126	42.00	5.00	4403	3.10	1.00
4150	10.40	4.00	4404	9.80	3.00
4151	14.00	5.00	4408	10.40	4.00
4156	1.60	0.80	4412	8.80	3.00
4157	2.30	1.00	4416	11.60	4.00
4161	8.80	3.00	4420	2.30	1.00
4162	11.60	4.00	4424	2.10	1.00
4166	14.60	5.00	4428	30.00	5.00
4167	20.00	5.00	4432	46.00	5.00
4171	17.60	5.00	4436	23.00	5.00
4172	24.00	5.00	4440	7.60	3.00
4176	31.00	5.00	4444	42.00	5.00
4177	42.00	5.00	4448	42.00	5.00
4182	64.00	5.00	4450	26.00	5.00
4183	86.00	5.00	4452	4.40	1.50
4188	5.80	2.00	4456	44.00	5.00
4189	6.80	3.00	4460	4.40	1.50
4194	1.90	1.00	4464	20.00	5.00
4195	2.50	1.00	4468	42.00	5.00
4200	7.00	3.00	4472	64.00	5.00
4201	9.80	3.00	4476	2.40	1.00
4206	17.60	5.00	4480	7.60	3.00
4207	24.00	5.00	4484	5.80	2.00
4212	14.60	5.00	4488	42.00	5.00
4213	20.00	5.00	4492	50.00	5.00
4218	23.60	5.00	4496	50.00	5.00
4219	32.00	5.00	4498	8.00	3.00
4224	34.00	5.00	4499	7.00	4.00
4225	46.00	5.00	4501	9.80	3.00
4230	38.60	5.00	4502	7.75	5.00
4231	52.00	5.00	4504	9.55	3.00
4236	108.00	5.00	4505	9.50	5.00
4300	5.80	2.00	4507	8.60	4.00
4304	7.40	2.00	4508	6.00	5.00
4305	8.80	3.00	4513	3.15	1.00
4309	7.80	3.00	4514	4.40	1.50
4311	10.40	4.00	4519	4.90	2.00
4315	68.00	5.00	4520	8.80	3.00
4320	43.00	5.00	4525	6.70	2.00
4324	38.00	5.00	4526	9.15	4.00
4328	78.00	5.00	4528	6.40	2.00
4333	50.00	5.00	4529	5.20	1.50
4337	76.00	5.00	4533	2.50	1.00
4342	86.00	5.00	4538	24.00	5.00
4346	42.00	5.00	4542	16.00	5.00
4350	78.00	5.00	4545	24.80	5.00
4355	50.00	5.00	4547	20.00	5.00
4359	3.50	1.00	4551	24.00	5.00
4360	7.30	2.00	4555	15.60	5.00
4364	30.00	5.00	4559	11.60	4.00
4368	2.00	4.00	4563	64.00	5.00
4372	3.40	1.00	4567	12.40	4.00
4376	6.80	3.00	4571	14.00	5.00
4381	4.00	1.50	4575	15.60	5.00
4385	5.80	1.50	4579	12.40	4.00
4389	4.60	1.50	4583	28.00	5.00
4390	5.80	2.00	4587	42.00	5.00
4394	3.90	3.00	4591	42.00	5.00
4395	5.00	4.00	4595	52.00	5.00
4399	10.00	5.00	4599	42.00	5.00
4400	11.55	5.00	4604	12.00	4.00

Fourth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
4605	16.00	5.00	5128	9.80	3.00
4610	11.60	4.00	5132	11.60	4.00
4614	8.80	3.00	5136	5.80	2.00
4616	11.60	4.00	5140	42.00	5.00
4620	15.60	5.00	5145	20.00	5.00
4625	17.60	5.00	5149	18.00	5.00
4626	24.00	5.00	5153	42.00	5.00
4710	42.00	5.00	5157	34.00	5.00
4714	42.00	5.00	5161	50.00	5.00
4719	108.00	5.00	5165	24.00	5.00
4723	78.00	5.00	5170	38.00	5.00
4727	52.00	5.00	5174	15.60	5.00
4728	70.00	5.00	5178	42.00	5.00
4732	78.00	5.00	5182	52.00	5.00
4735	50.00	5.00	5186	10.40	4.00
4739	38.00	5.00	5190	5.80	2.00
4743	58.00	5.00	5194	24.00	5.00
4747	42.00	5.00	5198	50.00	5.00
4751	42.00	5.00	5202	64.00	5.00
4755	24.00	5.00	5206	20.00	5.00
4759	24.00	5.00	5220	9.80	3.00
4763	33.00	5.00	5223	13.40	4.00
4767	42.00	5.00	5224	18.00	5.00
4771	40.00	5.00	5228	14.00	5.00
4775	32.00	5.00	5232	64.00	5.00
4779	48.00	5.00	5236	24.00	5.00
4783	64.00	5.00	5240	22.00	5.00
4787	76.00	5.00	5244	42.00	5.00
4810	2.10	1.00	5248	10.40	4.00
4814 4819 4823 4827 4831 4835 4839 4843 4847 4851	4.30 6.10 4.40 15.60 14.00 20.00 18.00 14.00 24.00 24.00	3.00 3.00 1.50 5.00 5.00 5.00 5.00 5.00 5.00 5.00	5252 5256 5260 5261 5310 5311 5316 5317 5322 5323 5328 5329 5334 5335 5340 5341 5346 5350 5352 5356 5358 5362 5367 5371 5376 5380 5385 5387 5394 5398 5399 5403 5404	14.00 50.00 12.00 16.00 3.30 5.80 5.00 6.40 5.00 6.40 9.40 12.40 7.00 9.80 3.15 4.40 6.40 3.15 4.40 7.00 9.80 18.00 24.00 64.00 50.00 3.20 50.00 50.00 28.00 7.80 10.40 6.80 8.00	4.00 5.00 4.00 5.00 1.00 2.00 1.50 2.00 1.50 2.00 3.00 4.00 3.00 3.00 1.00 1.50 2.00 1.00 1.50 3.00 3.00 5.00 5.00 5.00 5.00 1.00 5.00 5.00 5.00 3.00 4.00 2.00 3.00
4855	22.00	5.00
4910	23.60	5.00
4911	32.00	5.00
4916	13.40	4.00
4917	18.00	5.00
4922	50.00	5.00
4926	86.00	5.00
4931	42.00	5.00
4935	42.00	5.00
4939	56.00	5.00
4944	24.00	5.00
5010	68.00	5.00
5014	60.00	5.00
5019	34.00	5.00
5023	86.00	5.00
5028	20.00	5.00
5032	30.00	5.00
5037	4.00	1.50
5041	20.00	5.00
5110	2.60	1.00
5114	5.80	2.00
5118	31.00	5.00
5120	42.00	5.00
5124	9.80	3.00

Fourth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
5408	11.00	5.00	5577	25.10	5.00
5410	15.00	5.00	5579	31.50	5.00
5414	28.00	5.00	5583	36.00	5.00
5416	38.00	5.00	5585	58.00	5.00
5419	29.00	5.00	5589	32.00	5.00
5420	32.00	5.00	5593	21.00	5.00
5422	32.10	5.00	5594	18.00	5.00
5423	35.50	5.00	5596	23.60	5.00
5425	11.60	4.00	5597	32.00	5.00
5429	50.00	5.00	5610	4.00	1.50
5434	48.00	5.00	5614	17.60	5.00
5438	3.10	1.00	5616	24.00	5.00
5439	4.00	1.50	5620	44.00	5.00
5443	3.50	1.00	5625	24.00	5.00
5444	4.40	1.50	5631	46.00	5.00
5448	5.20	1.50	5635	42.00	5.00
5451	10.40	4.00	5640	46.00	5.00
5452	14.00	5.00	5644	28.00	5.00
5453	13.10	5.00	5649	58.00	5.00
5454	17.50	5.00	5653	46.00	5.00
5457	8.80	3.00	5658	50.00	5.00
5458	11.60	4.00	5662	7.60	3.00
5462	3.00	1.50	5667	3.50	1.00
5463	2.70	1.50	5668	5.40	1.50
5467	6.80	3.00	5673	14.00	4.00
5471	5.00	3.00	5677	18.00	5.00
5472	6.40	3.00	5681	20.00	5.00
5475	6.60	3.00	5685	42.00	5.00
5477	7.40	4.00	5689	46.00	5.00
5481	6.80	3.00	5693	42.00	5.00
5483	7.60	4.00	5697	28.00	5.00
5487	7.60	3.00	5701	3.00	1.50
5489	8.60	4.00	5702	2.80	2.00
5493	14.60	5.00	5706	7.60	3.00
5495	20.00	5.00	5710	8.00	3.00
5499	34.00	5.00	5714	0.95	0.80
5501	46.00	5.00	5718	3.15	1.00
5505	34.00	5.00	5719	4.40	1.50
5507	46.00	5.00	5723	12.80	4.00
5511	37.10	5.00	5727	15.60	5.00
5512	49.50	5.00	5731	4.40	1.50
5513	54.00	5.00	5735	98.00	5.00
5515	78.00	5.00	5739	64.00	5.00
5518	47.00	5.00	5742	58.00	5.00
5519	68.50	5.00	5746	4.60	1.50
5523	36.00	5.00	5750	11.00	5.00
5525	38.00	5.00	5754	18.00	5.00
5529	28.00	5.00	5758	51.00	5.00
5531	38.00	5.00	5762	42.00	5.00
5535	28.00	5.00	5766	86.00	5.00
5537	38.00	5.00	5770	34.00	5.00
5541	24.00	5.00	5774	18.00	5.00
5543	28.00	5.00	5778	20.00	5.00
5547	24.00	5.00	5782	55.00	5.00
5551	20.60	5.00	5786	34.00	5.00
5553	28.00	5.00	5790	38.00	5.00
5557	5.30	1.50	5794	46.00	5.00
5561	32.00	5.00	5798	20.00	5.00
5565	4.80	1.50	5802	64.00	5.00
5569	3.10	1.00	5806	86.00	5.00
5573	22.00	5.00	5810	34.00	5.00
5574	28.00	5.00	5814	24.00	5.00

Fourth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
5818	10.40	4.00	6164	10.40	4.00
5822	16.00	5.00	6165	14.00	5.00
5826	42.00	5.00	6169	50.00	5.00
5830	64.00	5.00	6173	64.00	5.00
5834	6.40	2.00	6177	24.00	5.00
5838	5.20	1.50	6181	10.00	4.00
5842	23.00	5.00	6182	16.00	5.00
5846	28.00	5.00	6186	10.40	4.00
5850	28.00	5.00	6187	14.00	5.00
5854	26.00	5.00	6191	17.60	5.00
5858	26.00	5.00	6192	24.00	5.00
5910	2.30	1.00	6196	15.60	5.00
5911	3.10	1.00	6197	31.00	5.00
5915	6.20	2.00	6198	42.00	5.00
5920	3.20	1.00	6202	43.00	5.00
5924	7.00	3.00	6203	58.00	5.00
5926	9.80	3.00	6207	64.00	5.00
5930	23.60	5.00	6211	58.00	5.00
5931	32.00	5.00	6215	54.00	5.00
5936	64.00	5.00	6219	108.00	5.00
5940	64.00	5.00	6223	78.00	5.00
5945	68.00	5.00	6227	86.00	5.00
5949	86.00	5.00	6231	86.00	5.00
5954	50.00	5.00	6235	50.00	5.00
5958	28.00	5.00	6239	64.00	5.00
5963	70.00	5.00	6243	108.00	5.00
5967	15.60	5.00	6247	86.00	5.00
5971	26.00	5.00	6251	64.00	5.00
5976	6.40	2.00	6255	70.00	5.00
5980	11.60	4.00	6259	64.00	5.00
5985	86.00	5.00	6263	42.00	5.00
5989	52.00	5.00	6310	3.40	1.00
5994	76.00	5.00	6314	2.10	1.00
5998	86.00	5.00	6318	4.20	1.50
6003	42.00	5.00	6320	5.60	1.50
6007	28.00	5.00	6324	6.40	2.00
6012	20.00	5.00	6328	5.60	1.50
6016	50.00	5.00	6333	4.40	1.50
6021	32.00	5.00	6337	5.80	2.00
6025	98.00	5.00	6338	6.80	3.00
6029	11.60	4.00	6343	4.00	1.50
6034	16.80	5.00	6344	5.20	1.50
6038	40.00	5.00	6349	8.80	3.00
6042	15.60	5.00	6350	11.60	4.00
6100	0.95	0.80	6354	1.50	0.80
6104	4.00	1.50	6355	2.10	1.00
6108	4.40	1.50	6359	5.00	1.50
6112	8.00	3.00	6360	6.40	2.00
6116	3.30	1.00	6365	14.60	5.00
6120	4.40	1.50	6366	20.00	5.00
6124	5.20	1.50	6371	10.60	3.00
6128	11.60	4.00	6372	14.00	4.00
6132	7.00	3.00	6377	4.00	1.50
6133	9.80	3.00	6378	5.20	1.50
6137	12.00	4.00	6382	6.40	2.00
6138	16.00	5.00	6383	7.60	3.00
6142	20.40	5.00	6387	1.90	1.00
6143	28.00	5.00	6388	2.50	1.00
6147	32.00	5.00	6392	5.00	1.50
6151	50.00	5.00	6393	6.40	2.00
6155	58.00	5.00	6397	13.40	4.00
6159	16.00	5.00	6398	18.00	5.00
6160	22.00	5.00	6402	13.40	4.00

Fourth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
6404	18.00	5.00	6564	3.70	1.00
			6568	3.45	1.00
6414	The amount shown in this column in the item relating to the dislocation concerned, plus one-half of that amount	The amount shown in this column in the item relating to the dislocation concerned, plus one-half of that amount	6569	4.80	1.50
			6574	0.95	0.80
			6575	2.00	1.00
			6578	0.95	0.80
			6580	2.00	1.00
			6584	8.80	3.00
			6586	14.00	5.00
			6590	7.00	3.00
			6592	9.80	3.00
			6596	22.00	5.00
			6601	24.00	5.00
6420	3.40	1.00	6605	8.80	3.00
6425	6.40	2.00	6606	11.60	4.00
6426	8.80	3.00	6610	30.00	5.00
6431	3.40	1.00	6614	32.00	5.00
6432	4.60	1.50	6618	7.80	3.00
6437	6.90	2.00	6619	10.40	4.00
6438	12.40	4.00	6623	0.95	0.80
6442	6.80	3.00	6624	1.60	1.00
6443	14.00	5.00	6628	0.95	0.80
6447	3.90	1.00	6629	2.00	1.00
6448	5.20	1.50	6633	10.60	3.00
6453	7.00	3.00	6634	14.00	4.00
6454	9.80	3.00	6638	17.60	5.00
6458	13.60	3.00	6639	24.00	5.00
6459	21.00	5.00	6643	64.00	5.00
6463	7.60	3.00
6467	6.60	3.00	6647	The amount shown in this column in the item relating to the fracture concerned, plus one-third of that amount	The amount shown in this column in the item relating to the fracture concerned, plus one-third of that amount
6468	7.40	4.00
6472	6.40	2.00
6473	7.60	3.00
6477	10.60	4.00
6478	12.00	5.00
6482	12.40	4.00
6483	12.00	5.00
6487	4.90	2.00
6489	8.80	3.00
6493	6.40	2.00
6494	7.60	3.00
6498	0.95	0.80	6651	The amount shown in this column in the item relating to the fracture concerned, plus one-half of that amount	The amount shown in this column in the item relating to the fracture concerned, plus one-half of that amount
6499	2.00	1.00
6503	11.60	4.00
6505	15.60	5.00
6509	8.80	3.00
6510	11.60	4.00
6515	28.00	5.00
6516	38.00	5.00
6521	5.90	2.00
6522	6.90	3.00
6525	8.80	3.00
6527	10.00	4.00
6531	17.60	5.00	6655	The amount shown in this column in the item relating to the fracture concerned, plus three-quarters of that amount	The amount shown in this column in the item relating to the fracture concerned, plus three-quarters of that amount
6532	24.00	5.00
6537	17.60	5.00
6538	24.00	5.00
6543	17.60	5.00
6544	24.00	5.00
6549	5.90	2.00
6550	8.80	3.00
6555	3.40	1.00
6559	4.40	1.50

Fourth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
6659	One-half of the amount shown in this column in the item that would, but for item 6659 in the First Schedule to this Act, apply to the reduction concerned	One-half of the amount shown in this column in the item that would, but for item 6659 in the First Schedule to this Act, apply to the reduction concerned	7055	7.40	2.00
			7056	8.80	3.00
			7060	3.80	3.00
			7061	3.40	3.00
			7065	11.60	4.00
			7069	10.40	4.00
			7074	12.80	4.00
			7078	108.00	5.00
			7082	34.00	5.00
			7087	22.00	5.00
			7091	50.00	5.00
			7095	90.00	5.00
			7100	90.00	5.00
6663	One-half of the amount shown in this column in the item that would, but for item 6663 in the First Schedule to this Act, apply to the reduction concerned	One-half of the amount shown in this column in the item that would, but for item 6663 in the First Schedule to this Act, apply to the reduction concerned	7104 7108 7113 7114 7118 7122 7126 7130 7135 7136 7141 7145 7149 7154 7155 7159 7163 7167 7171 7176 7180 7184 7189 7190 7195 7199 7200 7205 7206 7210 7214 7218 7221 7222 7224 7225 7227 7228 7230 7233 7234 7238 7242 7246 7250 7252 7256 7257 7261	78.00 38.00 13.40 18.00 20.00 54.00 64.00 12.00 5.00 6.40 32.00 36.00 32.00 16.00 22.00 86.00 42.00 58.00 28.00 32.00 42.00 32.00 28.00 38.00 32.00 1.90 2.30 1.60 2.30 11.60 42.00 24.00 10.00 16.00 17.00 17.50 19.45 28.00 20.00 13.40 18.00 42.00 14.00 24.00 13.40 18.00 16.00 22.00 12.40	5.00 5.00 4.00 5.00 5.00 5.00 5.00 5.00 1.50 2.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 1.00 1.00 0.80 1.00 4.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 4.00 5.00 5.00 4.00 5.00 4.00 5.00 5.00 5.00 4.00












6667	The amount shown in this column in the item that would, but for item 6667 in the First Schedule to this Act, apply to the reduction concerned	The amount shown in this column in the item that would, but for item 6667 in the First Schedule to this Act, apply to the reduction concerned











6671	The amount shown in this column in the item that would apply in the case of a simple and uncomplicated fracture of the part concerned	The amount shown in this column in the item that would apply in the case of a simple and uncomplicated fracture of the part concerned











7010	18.00	5.00
7014	9.40	3.00
7016	12.40	4.00
7020	1.00	1.00
7025	2.10	1.00
7029	3.90	1.00
7031	5.20	1.50
7035	4.90	2.00
7037	10.00	4.00
7041	6.40	2.00
7043	7.60	3.00
7047	70.00	5.00
7051	24.00	5.00

Fourth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
7262	7.00	5.00	7541	50.00	5.00
7266	20.00	5.00	7545	64.00	5.00
7271	20.00	5.00	7549	64.00	5.00
7275	24.00	5.00	7553	42.00	5.00
7280	28.00	5.00	7557	14.00	4.00
7284	46.00	5.00	7561	32.00	5.00
7289	70.00	5.00	7565	24.00	5.00
7293	46.00	5.00	7569	76.00	5.00
7297	44.00	5.00	7573	76.00	5.00
7301	46.00	5.00	7577	50.00	5.00
7305	10.40	4.00	7581	25.00	5.00
7309	22.00	5.00	7582	34.00	5.00
7313	8.80	3.00	7586	42.00	5.00
7314	11.60	4.00	7590	50.00	5.00
7318	20.60	5.00	7594	64.00	5.00
7319	28.00	5.00	7598	32.00	5.00
7323	10.80	4.00	7602	42.00	5.00
7324	14.40	5.00	7607	64.00	5.00
7328	13.40	4.00	7611	24.00	5.00
7329	18.00	5.00	7616	42.00	5.00
7333	22.00	5.00	7620	24.00	5.00
7334	30.00	5.00	7625	64.00	5.00
7338	6.40	2.00	7629	6.40	2.00
7339	7.60	3.00	7631	7.60	3.00
7343	8.80	3.00	7635	50.00	5.00
7344	11.60	4.00	7640	36.00	5.00
7348	6.80	3.00	7644	32.00	5.00
7352	18.00	5.00	7649	18.00	5.00
7356	34.00	5.00	7653	6.40	2.00
7360	58.00	5.00	7655	7.60	3.00
7364	28.00	5.00	7659	7.40	2.00
7368	20.00	5.00	7661	8.80	3.00
7372	6.40	2.00	7665	32.00	5.00
7373	7.60	3.00	7670	6.40	2.00
7377	10.40	4.00	7671	7.60	3.00
7378	14.00	5.00	7676	20.00	5.00
7382	15.60	5.00	7680	36.00	5.00
7386	24.00	5.00	7685	32.00	5.00
7390	8.80	3.00	7700	50.00	5.00
7391	11.60	4.00	7704	6.40	2.00
7395	22.00	5.00	7708	4.00	1.50
7396	30.00	5.00	7750	24.00	5.00
7400	28.00	5.00	7754	11.60	4.00
7450	3.40	3.00	7758	20.00	5.00
7454	3.40	1.00	7762	2.00	1.00
7458	4.00	1.50	7767	3.40	1.00
7462	3.40	1.00	7771	3.80	3.00
7466	4.40	1.50	7775	10.40	4.00
7470	3.40	1.00	7779	14.00	5.00
7474	5.20	1.50	7783	22.00	5.00
7478	3.40	1.00	7787	40.00	5.00
7482	6.40	2.00	7791	42.00	5.00
7486	15.60	5.00	7795	20.00	5.00
7490	3.40	1.00	7850	14.00	5.00
7494	5.20	1.50	7854	18.00	5.00
7498	5.20	1.50	7858	14.00	4.00
7510	3.40	1.00	7862	7.60	3.00
7514	50.00	5.00	7866	9.80	3.00
7519	64.00	5.00	7870	5.20	1.50
7523	64.00	5.00	7874	15.60	5.00
7528	64.00	5.00	7877	9.80	3.00
7532	32.00	5.00	7881	24.00	5.00
7537	50.00	5.00	7885	14.00	4.00

Fourth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
7889	9.80	3.00	8114	28.00	5.00
7893	6.40	2.00	8119	32.00	5.00
7897	16.00	5.00	8123	18.00	5.00
7901	24.00	5.00	8128	32.00	5.00
7905	10.80	4.00	8132	18.00	5.00
7909	24.00	5.00	8136	42.00	5.00
7913	20.00	5.00	8141	32.00	5.00
7917	32.00	5.00	8145	20.00	5.00
7921	64.00	5.00	8150	11.60	4.00
7925	54.00	5.00	8154	24.00	5.00
7929	64.00	5.00	8159	50.00	5.00
7950	14.00	5.00	8163	24.00	5.00
7952	15.50	5.00	8167	50.00	5.00
7953	16.50	5.00	8172	28.00	5.00
7954	24.00	5.00	8176	42.00	5.00
7958	14.00	5.00	8180	9.80	3.00
7962	7.60	3.00	8184	26.00	5.00
7966	20.00	5.00	8188	22.00	5.00
7970	14.00	4.00	8192	22.00	5.00
7974	32.00	5.00	8196	24.00	5.00
7978	20.00	5.00	8200	32.00	5.00
7982	14.00	4.00	8204	50.00	5.00
7986	34.00	5.00	8208	70.00	5.00
7990	10.40	4.00	8212	9.80	3.00
7994	7.60	3.00	8216	24.00	5.00
7998	22.00	5.00	8220	18.00	5.00
8002	36.00	5.00	8224	38.00	5.00
8007	18.00	5.00	8228	12.80	4.00
8011	28.00	5.00	8232	42.00	5.00
8015	28.00	5.00	8236	28.00	5.00
8020	50.00	5.00	8240	46.00	5.00
8024	16.00	5.00	8244	62.00	5.00
8029	50.00	5.00	8248	24.00	5.00
8033	36.00	5.00	8252	18.00	5.00
8037	98.00	5.00	8256	36.00	5.00
8042	34.00	5.00	8260	86.00	5.00
8046	64.00	5.00	8264	14.40	5.00
8050	50.00	5.00	8268	46.00	5.00
8054	42.00	5.00	8272	58.00	5.00
8058	42.00	5.00	8276	24.00	5.00
8062	24.00	5.00	8280	42.00	5.00
8066	20.00	5.00	8284	42.00	5.00
8070	24.00	5.00	8288	50.00	5.00
8110	18.00	5.00

FIFTH SCHEDULE Section 13.

TABLE OF FUND MEDICAL BENEFITS IN RESPECT OF SOUTH AUSTRALIA

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
2	0.90	0.80	351	6.80	3.00
3	1.35	1.20	352	8.40	3.00
9	4.25	1.50	355	11.60	4.00
11	6.50	2.00	357	16.00	5.00
13	2.00	1.00	370	3.40	1.50
15	8.00	2.00	371	4.50	1.50
17	10.00	3.00	375	4.90	1.50
18	3.25	1.00	376	5.60	2.00
24	1.10	2.30	378	5.80	3.00
37	8.50	3.00	379	7.40	3.00
38	13.00	4.00	381	7.20	3.00
39	17.50	5.00	382	8.80	3.00
40	22.50	5.00	384	12.00	4.00
43	0.90	0.80	386	16.40	5.00
45	1.70	0.80	388	7.50	3.00
203	0.90	0.80	389	9.70	3.00
206	6.40	3.00	391	8.90	3.00
209	4.60	3.00	392	10.10	4.00
210	11.00	5.00	394	13.30	5.00
220	8.80	3.00	396	9.80	4.00
223	11.00	5.00	397	11.40	4.00
224	36.00	5.00	399	11.20	4.00
226	11.40	5.00	400	12.80	4.00
227	34.00	5.00	402	16.00	5.00
230	16.50	5.00	430	3.10	1.00
231	34.00	5.00	435	4.20	1.50
235	26.00	5.00	436	5.50	1.50
236	28.00	5.00	451	4.90	2.00
243	0.55	0.80	455	4.60	1.50
247	0.55	0.80	456	5.80	2.00
251	7.80	3.00	501	4.80	1.50
252	10.40	4.00	601	1.70	1.00
255	3.10	1.00	611	2.10	1.00
256	4.40	1.50	616	5.60	1.50
259	0.55	0.80	621	11.60	4.00
263	4.40	1.50	625	10.40	4.00
267	3.10	1.00	631	4.40	1.50
268	4.40	1.50	641	6.90	2.00
271	3.40	1.50	651	8.40	3.00
275	15.60	5.00	661	11.60	4.00
279	2.90	1.50	681	3.20	1.00
283	17.20	5.00	691	2.50	1.00
287	3.10	1.00	701	4.00	1.50
288	4.40	1.50	703	2.30	1.00
291	5.60	3.00	705	7.00	2.00
301	2.50	1.00	707	2.70	1.00
302	2.80	1.00	708	1.90	1.00
305	4.00	1.50	715	2.90	1.00
306	5.40	1.50	721	2.70	1.00
309	4.90	2.00	731	9.80	3.00
310	5.80	2.00	741	2.90	1.00
313	7.60	3.00	751	6.00	2.00
317	11.60	4.00	761	28.00	5.00
321	0.20	0.80	771	42.00	5.00
323	4.80	1.50	781	32.00	5.00
341	3.50	1.00	791	7.60	3.00
342	3.80	1.50	801	7.20	2.00
344	4.20	1.50	831	1.60	1.00
345	5.20	2.00	841	2.50	1.00
347	6.40	2.00	851	3.30	1.00
348	7.00	3.00	861	5.60	1.50

Fifth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
866	7.60	2.00	1098	1.30	0.80
871	6.40	3.00	1100	1.50	1.00
881	4.40	1.50	1102	3.50	1.00
891	14.00	4.00	1104	0.20	0.80
901	11.60	4.00	1106	0.60	0.80
906	14.00	4.00	1108	1.50	1.00
911	3.20	1.00	1110	3.30	1.50
915	6.80	3.00	1112	0.20	0.80
921	0.90	0.80	1114	0.20	0.80
931	0.40	0.80	1116	1.60	1.50
941	1.00	0.80	1118	0.60	0.80
943	1.40	0.80	1120	4.80	1.50
945	2.30	1.00	1122	0.70	1.00
951	3.40	1.00	1124	1.90	1.00
961	2.10	1.00	1126	2.30	1.00
971	7.60	3.00	1128	0.20	0.80
976	15.60	5.00	1130	3.10	1.00
981	3.50	1.00	1132	1.90	1.00
985	4.80	1.50	1134	3.10	1.00
1000	0.20	0.80	1136	4.80	1.50
1002	0.20	0.80	1138	1.10	0.80
1004	0.20	0.80	1140	1.70	1.00
1006	0.90	0.80	1142	1.40	1.00
1008	0.20	0.80	1144	1.90	1.00
1010	0.60	0.80	1146	1.90	1.00
1012	3.00	1.00	1148	1.70	1.00
1014	0.40	1.00	1150	2.80	1.50
1016	2.10	1.00	1152	2.70	1.00
1018	2.30	1.00	1154	2.30	1.00
1020	4.70	2.00	1156	2.30	1.00
1022	0.20	0.80	1160	0.70	1.00
1024	0.20	0.80	1162	1.10	1.00
1026	0.20	0.80	1164	3.00	1.00
1028	0.20	1.00	1166	3.00	1.00
1030	0.10	1.00	1168	3.50	1.00
1032	0.20	1.00	1170	3.40	1.50
1034	1.90	1.00	1172	0.90	0.80
1036	2.70	1.00	1174	1.90	1.00
1038	3.10	1.00	1176	1.30	1.00
1040	3.10	1.00	1180	0.10	0.80
1042	0.70	1.00	1182	0.20	0.80
1044	4.00	1.50	1184	1.70	1.00
1046	1.40	0.80	1186	0.70	0.80
1048	5.60	1.50	1188	1.90	1.00
1050	2.00	1.00	1190	2.70	1.00
1052	8.80	3.00	1192	0.70	1.00
1054	0.20	0.80	1194	0.70	1.00
1060	0.20	0.80	1196	2.70	1.00
1062	0.10	0.80	1198	0.70	1.00
1064	0.70	0.80	1200	0.20	0.80
1066	2.30	1.00	1202	0.40	1.00
1068	1.00	1.00	1204	0.60	0.80
1070	1.30	1.00	1206	2.10	1.00
1072	2.70	1.00	1208	1.70	1.00
1074	7.60	3.00	1210	0.70	1.00
1076	0.90	0.80	1212	1.50	1.00
1080	0.20	0.80	1214	0.70	0.80
1082	2.30	1.00	1216	0.80	0.80
1084	8.80	3.00	1218	3.50	1.00
1090	1.60	0.80	1220	5.00	1.50
1092	1.90	1.00	1222	5.00	1.50
1094	1.60	0.80	1224	6.80	3.00
1096	0.90	0.80	1226	8.80	3.00

Fifth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
1228	3.50	1.00	1391	2.00	1.00
1230	5.00	1.50	1392	3.30	1.50
1232	0.70	1.00	1394	4.00	2.00
1234	2.80	1.50	1395	0.40	0.80
1236	4.30	1.50	1397	1.90	1.00
1238	5.00	2.00	1399	0.70	0.80
1240	1.90	1.00	1401	1.90	1.00
1242	3.10	1.00	1404	0.20	0.80
1244	3.20	1.50	1407	0.40	0.80
1246	5.00	1.50	1410	1.60	0.80
1248	0.20	0.80	1413	1.60	0.80
1250	0.70	1.00	1416	2.60	1.00
1252	2.80	1.50	1419	1.90	1.00
1254	4.70	1.50	1421	2.30	1.00
1256	5.80	2.00	1423	1.30	1.00
1258	6.40	3.00	1425	4.00	1.50
1260	2.70	1.00	1428	1.30	1.00
1262	4.40	1.50	1430	5.00	1.50
1264	0.70	1.00	1432	8.80	3.00
1266	2.80	1.50	1434	2.70	1.00
1268	4.70	1.50	1436	3.10	1.00
1270	5.80	2.00	1438	8.80	3.00
1272	3.00	1.00	1441	3.30	1.00
1274	8.80	3.00	1444	0.70	1.00
1276	5.80	2.00	1447	5.00	1.50
1278	0.70	1.00	1450	3.40	1.50
1280	2.80	1.50	1453	1.20	1.00
1282	4.70	1.50	1456	2.50	1.00
1284	5.80	2.00	1459	0.70	1.00
1286	6.40	3.00	1461	2.80	1.50
1288	4.00	1.50	1463	4.70	1.50
1290	3.10	1.50	1466	5.80	2.00
1292	3.10	1.50	1468	0.20	0.80
1294	0.70	1.00	1470	1.70	1.00
1296	1.90	1.00	1472	4.00	1.50
1298	2.80	1.50	1474	8.80	3.00
1301	0.70	1.00	1476	1.70	1.00
1302	2.80	1.50	1478	2.30	1.00
1304	4.70	1.50	1481	3.30	1.00
1305	5.80	2.00	1484	6.80	3.00
1307	6.40	3.00	1487	1.70	1.00
1310	0.70	1.00	1490	1.70	1.00
1313	1.90	1.00	1491	0.20	0.80
1316	2.70	1.00	1493	6.80	3.00
1319	3.10	1.50	1494	8.80	3.00
1322	0.20	0.80	1495	0.90	0.80
1325	0.40	0.80	1496	1.90	1.00
1328	1.90	1.00	1497	3.40	1.50
1331	2.50	1.50	1499	3.50	1.00
1334	1.10	1.00	1500	0.20	0.80
1337	3.20	1.50	1502	0.20	0.80
3340	5.00	2.00	1504	0.20	0.80
1343	1.70	1.00	1506	1.30	1.00
1346	6.80	3.00	1508	0.20	0.80
1349	3.30	1.00	1511	1.90	1.00
1352	3.50	1.00	1513	1.60	0.80
1355	3.00	1.00	1515	0.40	1.00
1358	1.30	1.00	1517	1.20	1.00
1380	0.20	0.80	1519	2.50	1.00
1382	0.20	0.80	1521	2.50	1.50
1385	0.70	1.00	1523	3.50	1.50
1388	2.80	1.50	1525	1.90	1.00
1389	4.30	1.50	1527	4.00	1.50

Fifth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
1529	2.30	1.00	1706	1.60	0.80
1531	4.40	1.50	1707	2.60	1.00
1534	1.60	0.80	1710	0.70	0.80
1537	2.60	1.00	1712	0.70	1.00
1539	2.30	1.00	1714	0.70	1.00
1541	1.90	1.00	1716	0.90	0.80
1543	1.30	1.00	1718	2.00	1.00
1545	0.20	0.80	1720	4.00	2.00
1546	1.50	1.00	1722	5.10	3.00
1548	2.80	1.50	1724	1.90	1.00
1551	2.00	1.00	1726	4.00	1.50
1554	2.90	1.50	1728	5.80	2.00
1557	3.50	2.00	1730	4.00	1.50
1560	2.90	1.50	1732	0.20	0.80
1562	3.80	1.50	1734	0.20	0.80
1564	4.40	2.00	1736	6.80	3.00
1566	4.90	2.00	1738	0.90	0.80
1568	5.00	3.00	1741	0.70	1.00
1571	1.30	1.00	1744	0.90	0.80
1580	1.90	1.00	1746	0.70	1.00
1582	1.30	0.80	1748	0.70	1.00
1584	3.50	1.00	1761	0.90	0.80
1586	0.20	0.80	1764	1.70	1.00
1588	0.70	1.00	1767	0.90	0.80
1590	2.70	1.00	1770	0.70	1.00
1601	0.70	1.00	1773	3.10	1.00
1604	2.80	1.50	1776	4.80	1.50
1607	4.70	1.50	1779	0.20	0.80
1609	5.80	2.00	1782	0.20	0.80
1611	1.00	1.00	1785	0.20	0.80
1613	3.30	1.00	1790	1.90	1.00
1615	2.50	1.00	1792	1.60	0.80
1616	3.50	1.00	1794	4.00	1.00
1621	0.40	0.80	1796	4.00	1.50
1623	1.30	1.00	1798	1.90	1.00
1625	1.10	0.80	1800	1.10	0.80
1627	2.70	1.00	1802	2.20	1.00
1629	2.30	1.00	1804	3.80	1.50
1631	1.60	0.80	1806	0.70	1.00
1640	5.60	1.50	1808	2.30	1.50
1643	2.90	1.00	1810	0.70	1.00
1645	2.90	1.00	1812	0.40	0.80
1647	8.80	3.00	1820	2.80	1.50
1649	7.00	2.00	1822	5.00	2.00
1651	8.80	3.00	1824	6.40	3.00
1653	4.00	1.50	1826	4.40	3.00
1661	0.20	0.80	1828	7.40	3.00
1664	5.80	2.00	1840	12.40	4.00
1667	0.70	1.00	1841	16.00	5.00
1670	2.70	1.00	1843	3.10	1.50
1673	3.50	1.00	1846	4.00	1.50
1680	0.20	0.80	1849	2.50	1.00
1682	0.20	0.80	1850	2.80	1.50
1684	0.40	0.80	1852	2.80	1.50
1686	1.10	0.80	1855	4.30	1.50
1688	1.90	1.00	1858	5.00	2.00
1691	1.90	1.00	1861	3.20	1.50
1694	1.00	0.80	1863	5.80	2.00
1697	1.30	1.00	1865	14.00	5.00
1698	2.80	1.50	1867	3.10	1.50
1700	1.90	1.00	1869	4.80	1.50
1701	4.60	2.00	1871	6.80	3.00
1703	1.90	1.00	1873	14.00	5.00

Fifth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
1875	5.80	2.00	2119	4.00	1.50
1877	5.80	2.00	2123	1.60	1.00
1879	3.10	1.50	2128	4.80	1.50
1881	2.10	1.00	2132	4.80	1.50
1884	1.50	1.00	2136	2.60	1.50
1887	4.00	1.50	2140	4.00	1.50
1889	12.40	4.00	2144	4.80	1.50
1891	1.60	0.80	2160	3.40	1.50
1893	3.40	1.50	2164	11.60	4.00
1901	1.70	1.00	2169	8.80	3.00
1903	3.50	1.00	2173	5.80	2.00
1905	3.50	1.00	2177	5.90	2.00
1907	5.30	1.50	2181	6.80	3.00
1909	4.00	1.50	2185	3.80	1.50
1911	6.00	2.00	2200	3.40	1.50
1913	1.30	1.00	2205	3.40	1.50
1915	1.50	1.00	2209	6.10	2.00
1921	7.00	2.00	2214	5.30	2.00
1923	7.20	3.00	2218	5.20	3.00
1925	8.40	3.00	2222	6.80	3.00
1941	8.80	3.00	2226	5.30	3.00
1943	4.00	1.50	2230	7.80	3.00
1945	4.00	1.50	2234	5.60	2.00
1947	3.40	1.50	2238	6.00	2.00
1949	2.70	1.00	2247	6.60	3.00
1951	4.00	1.50	2250	6.40	2.00
1953	4.00	1.50	2254	1.90	1.00
1955	4.40	1.50	2270	6.80	3.00
1957	7.00	2.00	2274	4.80	1.50
1959	7.00	2.00	2290	3.40	1.50
1961	5.80	2.00	2294	3.80	2.00
1963	4.00	1.50	2298	6.40	2.00
1965	5.60	1.50	2310	6.80	3.00
1967	5.60	1.50	2314	9.80	3.00
1969	5.60	1.50	2318	9.80	3.00
1971	6.80	3.00	2322	9.80	3.00
1973	7.00	2.00	2326	4.90	2.00
1975	5.60	1.50	2330	4.80	1.50
1977	5.80	2.00	2334	9.20	3.00
1979	4.00	1.50	2338	6.80	3.00
1981	5.80	2.00	2342	7.60	3.00
1983	5.80	2.00	2346	4.60	1.50
2010	2.10	1.00	2350	3.80	3.00
2014	0.50	1.00	2354	10.40	4.00
2018	2.20	1.00	2358	5.00	1.50
2022	3.50	1.00	2362	2.10	1.00
2026	4.00	1.50	2367	2.10	1.00
2040	3.70	1.50	2371	6.40	2.00
2044	1.90	1.00	2410	5.80	2.00
2048	2.00	1.00	2420	0.90	0.80
2052	6.80	3.00	2440	4.40	1.50
2060	3.80	1.50	2444	2.70	1.00
2064	2.80	1.50	2460	1.60	1.00
2068	4.80	1.50	2464	2.40	1.00
2072	3.50	1.00	2468	5.60	1.50
2076	4.80	1.50	2510	24.00	5.00
2081	2.90	1.00	2514	24.00	5.00
2091	5.50	1.50	2518	8.00	3.00
2094	4.90	2.00	2522	14.00	4.00
2098	4.30	3.00	2526	32.00	5.00
2098	4.30	3.00	2530	24.00	5.00
2110	4.00	1.50	2534	11.60	4.00
2114	5.40	1.50	2538	15.60	5.00

Fifth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
2542	6.40	2.00	3110	9.80	3.00
2570	11.60	4.00	3115	2.50	1.00
2574	6.40	2.00	3119	5.60	3.00
2578	6.40	2.00	3121	7.40	4.00
2620	12.40	4.00	3125	13.40	4.00
2624	10.40	4.00	3126	18.00	5.00
2628	10.40	4.00	3131	16.00	5.00
2632	2.00	4.00	3132	22.00	5.00
2636	4.00	1.50	3137	3.50	1.00
2640	5.80	2.00	3138	6.80	3.00
2644	5.80	2.00	3143	4.90	2.00
2648	4.80	1.50	3144	3.80	3.00
2652	4.80	1.50	3149	8.60	4.00
2657	5.80	2.00	3150	7.00	4.00
2661	5.00	1.50	3155	18.00	5.00
2666	2.90	1.00	3156	22.00	5.00
2670	4.80	1.50	3161	34.00	5.00
2674	4.00	1.50	3162	37.00	5.00
2678	4.00	1.50	3166	48.00	5.00
2682	6.80	3.00	3170	8.80	3.00
2686	1.90	1.00	3174	2.60	1.00
2691	10.40	4.00	3178	1.00	1.00
2696	6.40	2.00	3180	3.50	1.00
2700	5.60	1.50	3184	2.10	1.00
2901	4.80	1.50	3185	2.20	1.50
2904	6.20	2.00	3190	3.90	1.50
2907	6.80	3.00	3191	5.20	2.00
2910	8.80	3.00	3196	3.60	1.50
2913	12.40	4.00	3197	5.30	2.00
3000	0.90	0.80	3201	4.90	2.00
3004	1.90	1.00	3202	5.80	2.00
3005	2.50	1.00	3206	7.80	3.00
3009	3.15	1.00	3207	10.40	4.00
3011	4.40	1.50	3211	0.70	0.80
3015	6.80	2.00	3216	0.70	0.80
3017	8.00	3.00	3220	4.90	2.00
3021	2.10	1.00	3221	3.80	3.00
3025	4.40	1.50	3225	6.40	2.00
3030	3.30	1.50	3226	7.60	3.00
3034	7.60	3.00	3230	10.60	3.00
3039	2.90	1.50	3232	14.00	4.00
3043	6.80	3.00	3236	10.60	3.00
3045	9.40	3.00	3238	14.00	4.00
3049	6.40	2.00	3242	6.40	2.00
3051	7.60	3.00	3244	7.60	3.00
3055	7.00	3.00	3248	6.80	2.00
3056	9.80	3.00	3250	8.00	3.00
3061	0.30	0.80	3254	17.60	5.00
3064	2.10	1.00	3255	24.00	5.00
3065	6.80	3.00	3259	24.00	5.00
3069	7.30	3.00	3263	50.00	5.00
3070	10.00	4.00	3267	13.40	4.00
3074	3.50	1.00	3269	18.00	5.00
3078	4.90	2.00	3273	34.00	5.00
3080	5.60	3.00	3274	46.00	5.00
3084	3.50	1.00	3279	16.00	5.00
3089	6.80	3.00	3280	22.00	5.00
3093	2.10	1.00	3285	3.15	1.00
3097	7.00	3.00	3286	4.40	1.50
3099	9.80	3.00	2191	7.00	3.00
3103	5.00	1.50	3292	9.80	3.00
3104	6.40	2.00	3297	2.50	1.00
3108	7.00	3.00	3298	3.40	1.00

Fifth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
3303	6.40	2.00	3506	86.00	5.00
3304	7.60	3.00	3510	11.60	4.00
3309	7.60	3.00	3514	22.00	5.00
3313	37.00	5.00	3519	28.00	5.00
3315	50.00	5.00	3523	46.00	5.00
3319	2.50	1.00	3528	28.00	5.00
3323	10.60	3.00	3529	38.00	5.00
3324	14.00	4.00	3534	23.60	5.00
3328	13.40	4.00	3535	32.00	5.00
3329	18.00	5.00	3539	43.00	5.00
3334	26.60	5.00	3541	58.00	5.00
3335	36.00	5.00	3545	78.00	5.00
3340	50.00	5.00	3550	20.60	5.00
3344	86.00	5.00	3551	28.00	5.00
3348	19.00	5.00	3556	86.00	5.00
3349	26.00	5.00	3560	28.00	5.00
3353	42.00	5.00	3561	38.00	5.00
3357	62.00	5.00	3566	28.00	5.00
3361	38.00	5.00	3567	38.00	5.00
3362	46.00	5.00	3572	14.60	5.00
3367	23.60	5.00	3573	20.00	5.00
3368	32.00	5.00	3577	17.60	5.00
3372	26.60	5.00	3578	24.00	5.00
3373	36.00	5.00	3582	46.00	5.00
3377	11.50	5.00	3583	62.00	5.00
3378	16.00	5.00	3588	11.60	4.00
3383	24.00	5.00	3589	15.60	5.00
3387	18.00	5.00	3593	20.60	5.00
3392	20.60	5.00	3594	28.00	5.00
3393	28.00	5.00	3598	46.00	5.00
3397	46.00	5.00	3599	62.00	5.00
3402	10.40	4.00	3604	20.60	5.00
3406	22.00	5.00	3605	28.00	5.00
3408	30.00	5.00	3609	26.60	5.00
3412	8.60	4.00	3610	36.00	5.00
3414	7.00	4.00	3614	46.00	5.00
3418	17.20	5.00	3615	62.00	5.00
3419	22.00	5.00	3620	46.00	5.00
3423	17.20	5.00	3624	19.00	5.00
3424	22.00	5.00	3626	23.00	5.00
3428	46.00	5.00	3630	25.00	5.00
3430	62.00	5.00	3632	34.00	5.00
3434	6.40	2.00	3636	11.60	4.00
3436	7.60	3.00	3640	6.40	2.00
3440	24.00	5.00	3645	86.00	5.00
3442	30.00	5.00	3649	20.60	5.00
3446	25.00	5.00	3651	28.00	5.00
3448	28.00	5.00	3655	31.00	5.00
3452	31.00	5.00	3656	42.00	5.00
3454	42.00	5.00	3661	31.00	5.00
3458	23.60	5.00	3662	42.00	5.00
3460	32.00	5.00	3667	50.00	5.00
3464	42.00	5.00	3671	32.00	5.00
3469	86.00	5.00	3675	7.60	3.00
3473	32.00	5.00	3680	2.30	1.00
3478	42.00	5.00	3681	3.10	1.00
3482	42.00	5.00	3686	86.00	5.00
3486	32.00	5.00	3690	19.00	5.00
3487	34.00	5.00	3691	20.00	5.00
3491	23.60	5.00	3696	50.00	5.00
3492	32.00	5.00	3700	55.00	5.00
3497	30.00	5.00	3704	17.60	5.00
3498	42.00	5.00	3705	24.00	5.00
3502	58.00	5.00	3709	20.60	5.00

Fifth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
3710	28.00	5.00	3908	5.80	2.00
3714	23.00	5.00	3909	6.80	3.00
3716	24.00	5.00	3914	6.40	3.00
3720	1.90	1.00	3915	10.00	4.00
3721	2.50	1.00	3917	18.50	5.00
3726	14.00	5.00	3920	25.50	5.00
3727	18.00	5.00	3921	8.80	3.00
3731	14.60	5.00	3923	11.60	4.00
3732	20.00	5.00	3926	19.00	5.00
3736	20.60	5.00	3927	19.00	5.00
3737	28.00	5.00	3931	15.00	5.00
3741	19.00	5.00	3932	20.00	5.00
3742	17.00	5.00	3936	14.60	5.00
3746	5.00	1.50	3937	20.00	5.00
3747	6.40	2.00	3941	50.00	5.00
3751	1.70	1.00	3945	3.50	1.00
3755	3.40	1.50	3949	2.25	1.00
3756	2.80	2.00	3951	3.00	1.00
3760	7.00	3.00	3955	5.60	1.50
3761	9.80	3.00	3957	7.20	2.00
3765	3.40	1.00	3961	14.60	5.00
3769	1.60	1.00	3963	20.00	5.00
3770	2.50	1.00	3967	28.00	5.00
3771	9.60	3.00	3971	32.00	5.00
3772	12.80	4.00	3975	46.00	5.00
3773	5.85	5.00	3979	58.00	5.00
3774	12.00	5.00	3983	86.00	5.00
3776	7.60	3.00	3987	78.00	5.00
3780	32.00	5.00	3991	86.00	5.00
3784	68.00	5.00	3995	42.00	5.00
3788	78.00	5.00	3999	42.00	5.00
3792	2.50	1.00	4004	98.00	5.00
3796	9.40	3.00	4008	86.00	5.00
3797	12.40	4.00	4013	86.00	5.00
3801	2.70	1.00	4017	86.00	5.00
3805	6.40	2.00	4022	42.00	5.00
3806	7.60	3.00	4026	50.00	5.00
3811	14.60	5.00	4031	32.00	5.00
3812	20.00	5.00	4035	32.00	5.00
3817	1.10	0.80	4040	16.00	5.00
3821	3.40	1.50	4050	3.10	1.00
3826	10.00	5.00	4051	4.40	1.50
3827	15.00	5.00	4055	6.80	2.00
3832	5.30	1.50	4056	8.00	3.00
3836	5.60	3.00	4060	10.60	3.00
3838	7.00	4.00	4061	14.00	4.00
3842	14.60	5.00	4065	17.60	5.00
3844	20.00	5.00	4066	24.00	5.00
3848	17.60	5.00	4070	14.60	5.00
3850	24.00	5.00	4071	20.00	5.00
3854	7.40	2.00	4075	17.60	5.00
3856	8.80	3.00	4076	24.00	5.00
3860	24.00	5.00	4090	6.80	2.00
3865	42.00	5.00	4091	8.00	3.00
3869	22.00	5.00	4095	17.60	5.00
3874	5.20	1.50	4096	24.00	5.00
3878	17.60	5.00	4101	17.60	5.00
3880	24.00	5.00	4102	24.00	5.00
3883	10.00	5.00	4107	31.00	5.00
3884	19.00	5.00	4108	42.00	5.00
3888	6.00	2.00	4113	23.60	5.00
3900	1.90	1.00	4114	32.00	5.00
3904	7.00	2.00	4119	17.60	5.00

Fifth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
4120	24.00	5.00	4401	13.00	5.00
4125	31.00	5.00	4402	15.00	5.00
4126	42.00	5.00	4403	3.10	1.00
4150	10.40	4.00	4404	5.80	2.00
4151	14.00	5.00	4408	10.40	4.00
4156	1.60	0.80	4412	8.80	3.00
4157	2.30	1.00	4416	11.60	4.00
4161	8.80	3.00	4420	2.30	1.00
4162	11.60	4.00	4424	2.10	1.00
4166	14.60	5.00	4428	30.00	5.00
4167	20.00	5.00	4432	46.00	5.00
4171	17.60	5.00	4436	8.00	5.00
4172	24.00	5.00	4440	7.60	3.00
4176	31.00	5.00	4444	42.00	5.00
4177	42.00	5.00	4448	42.00	5.00
4182	64.00	5.00	4450	26.00	5.00
4183	86.00	5.00	4452	4.40	1.50
4188	5.80	2.00	4456	44.00	5.00
4189	6.80	3.00	4460	4.40	1.50
4194	1.90	1.00	4464	20.00	5.00
4195	2.50	1.00	4468	42.00	5.00
4200	7.00	3.00	4472	64.00	5.00
4201	9.80	3.00	4476	1.90	1.00
4206	17.60	5.00	4480	7.60	3.00
4207	24.00	5.00	4484	5.80	2.00
4212	14.60	5.00	4488	42.00	5.00
4213	20.00	5.00	4492	50.00	5.00
4218	23.60	5.00	4496	50.00	5.00
4219	32.00	5.00	4498	8.00	3.00
4224	34.00	5.00	4499	11.00	5.00
4225	46.00	5.00	4501	9.30	3.00
4230	38.60	5.00	4502	12.00	5.00
4231	52.00	5.00	4504	9.55	3.00
4236	108.00	5.00	4505	12.00	5.00
4300	5.80	2.00	4507	8.60	4.00
4304	7.40	2.00	4508	6.00	5.00
4305	8.80	3.00	4513	3.15	1.00
4309	7.80	3.00	4514	4.40	1.50
4311	10.40	4.00	4519	2.40	1.50
4315	68.00	5.00	4520	8.80	3.00
4320	43.00	5.00	4525	3.20	2.00
4324	38.00	5.00	4526	8.40	4.00
4328	78.00	5.00	4528	6.40	2.00
4333	50.00	5.00	4529	5.20	1.50
4337	76.00	5.00	4533	2.50	1.00
4342	86.00	5.00	4538	24.00	5.00
4346	42.00	5.00	4542	16.00	5.00
4350	78.00	5.00	4545	24.80	5.00
4355	50.00	5.00	4547	20.00	5.00
4359	2.50	1.00	4551	24.00	5.00
4360	5.80	2.00	4555	15.60	5.00
4364	30.00	5.00	4559	11.60	4.00
4368	2.00	4.00	4563	64.00	5.00
4372	3.40	1.00	4567	12.40	4.00
4376	6.80	3.00	4571	14.00	5.00
4381	4.00	1.50	4575	15.60	5.00
4385	5.80	1.50	4579	12.40	4.00
4389	4.60	1.50	4583	28.00	5.00
4390	5.80	2.00	4587	42.00	5.00
4394	3.90	3.00	4591	42.00	5.00
4395	5.00	4.00	4595	52.00	5.00
4399	10.00	5.00	4599	42.00	5.00
4400	11.55	5.00	4604	12.00	4.00

Fifth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
4605	16.00	5.00	5128	9.80	3.00
4610	11.60	4.00	5132	11.60	4.00
4614	8.80	3.00	5136	5.80	2.00
4616	11.60	4.00	5140	42.00	5.00
4620	15.60	5.00	5145	20.00	5.00
4625	17.60	5.00	5149	18.00	5.00
4626	24.00	5.00	5153	42.00	5.00
4710	42.00	5.00	5157	34.00	5.00
4714	42.00	5.00	5161	50.00	5.00
4719	108.00	5.00	5165	24.00	5.00
4723	78.00	5.00	5170	38.00	5.00
4727	52.00	5.00	5174	15.60	5.00
4728	70.00	5.00	5178	42.00	5.00
4732	78.00	5.00	5182	52.00	5.00
4735	50.00	5.00	5186	10.40	4.00
4739	38.00	5.00	5190	5.80	2.00
4743	58.00	5.00	5194	24.00	5.00
4747	42.00	5.00	5198	50.00	5.00
4751	42.00	5.00	5202	64.00	5.00
4755	24.00	5.00	5206	20.00	5.00
4759	24.00	5.00	5220	9.80	3.00
4763	33.00	5.00	5223	13.40	4.00
4767	42.00	5.00	5224	18.00	5.00
4771	40.00	5.00	5228	14.00	5.00
4775	32.00	5.00	5232	64.00	5.00
4779	48.00	5.00	5236	24.00	5.00
4783	64.00	5.00	5240	22.00	5.00
4787	76.00	5.00	5244	42.00	5.00
4810	2.10	1.00	5248	10.40	4.00
4814	7.30	3.00	5252	14.00	4.00
4819	13.60	4.00	5256	50.00	5.00
4823	4.40	1.50	5260	12.00	4.00
4827	15.60	5.00	5261	16.00	5.00
4831	14.00	5.00	5310	2.80	1.00
4835	25.00	5.00	5311	5.80	2.00
4839	18.00	5.00	5316	5.00	1.50
4843	14.00	5.00	5317	6.40	2.00
4847	24.00	5.00	5322	5.00	1.50
4851	24.00	5.00	5323	6.40	2.00
4855	22.00	5.00	5328	9.40	3.00
4910	23.60	5.00	5329	12.40	4.00
4911	32.00	5.00	5334	7.00	3.00
4916	13.40	4.00	5335	9.80	3.00
4917	18.00	5.00	5340	3.15	1.00
4922	50.00	5.00	5341	4.40	1.50
4926	86.00	5.00	5346	6.40	2.00
4931	42.00	5.00	5350	3.15	1.00
4935	42.00	5.00	5352	4.40	1.50
4939	56.00	5.00	5356	7.00	3.00
4944	24.00	5.00	5358	9.80	3.00
5010	38.00	5.00	5362	18.00	5.00
5014	60.00	5.00	5367	24.00	5.00
5019	34.00	5.00	5371	64.00	5.00
5023	86.00	5.00	5376	50.00	5.00
5028	20.00	5.00	5380	3.20	1.00
5032	30.00	5.00	5385	50.00	5.00
5037	4.00	1.50	5387	50.00	5.00
5041	20.00	5.00	5394	28.00	5.00
5110	3.10	1.00	5398	7.80	3.00
5114	5.80	2.00	5399	10.40	4.00
5118	31.00	5.00	5403	6.80	2.00
5120	42.00	5.00	5404	8.00	3.00
5124	9.80	3.00	5408	11.00	5.00

Fifth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
5410	15.00	5.00	5583	31.00	5.00
5414	28.00	5.00	5585	45.50	5.00
5416	38.00	5.00	5589	32.00	5.00
5419	34.00	5.00	5593	16.00	5.00
5420	52.00	5.00	5594	8.00	5.00
5422	37.10	5.00	5596	23.60	5.00
5423	58.00	5.00	5597	32.00	5.00
5425	11.60	4.00	5610	4.00	1.50
5429	50.00	5.00	5614	17.60	5.00
5434	48.00	5.00	5616	24.00	5.00
5438	3.10	1.00	5620	44.00	5.00
5439	4.00	1.50	5625	24.00	5.00
5443	3.50	1.00	5631	46.00	5.00
5444	4.40	1.50	5635	42.00	5.00
5448	2.20	1.50	5640	46.00	5.00
5451	10.40	4.00	5644	28.00	5.00
5452	14.00	5.00	5649	58.00	5.00
5453	13.10	5.00	5653	46.00	5.00
5454	20.00	5.00	5658	50.00	5.00
5457	8.80	3.00	5662	7.60	3.00
5458	11.60	4.00	5667	3.50	1.00
5462	2.50	1.50	5668	5.40	1.50
5463	5.20	2.00	5673	14.00	4.00
5467	6.80	3.00	5677	18.00	5.00
5471	5.00	3.00	5681	20.00	5.00
5472	10.40	4.00	5685	42.00	5.00
5475	6.60	3.00	5689	46.00	5.00
5477	12.40	4.00	5693	42.00	5.00
5481	6.80	3.00	5697	28.00	5.00
5483	12.60	4.00	5701	4.50	1.50
5487	7.60	3.00	5702	2.80	2.00
5489	13.60	4.00	5706	7.60	3.00
5493	14.60	5.00	5710	8.00	3.00
5495	20.00	5.00	5714	0.90	0.80
5499	34.00	5.00	5718	3.15	1.00
5501	46.00	5.00	5719	4.40	1.50
5505	34.00	5.00	5723	12.80	4.00
5507	56.00	5.00	5727	15.60	5.00
5511	47.10	5.00	5731	4.40	1.50
5512	62.00	5.00	5735	98.00	5.00
5513	54.00	5.00	5739	64.00	5.00
5515	78.00	5.00	5742	58.00	5.00
5518	54.50	5.00	5746	4.60	1.50
5519	68.50	5.00	5750	7.00	4.00
5523	36.00	5.00	5754	18.00	5.00
5525	58.00	5.00	5758	41.00	5.00
5529	28.00	5.00	5762	42.00	5.00
5531	38.00	5.00	5766	86.00	5.00
5535	28.00	5.00	5770	34.00	5.00
5537	38.00	5.00	5774	18.00	5.00
5541	9.00	5.00	5778	20.00	5.00
5543	13.00	5.00	5782	55.00	5.00
5547	24.00	5.00	5786	34.00	5.00
5551	20.60	5.00	5790	38.00	5.00
5553	28.00	5.00	5794	46.00	5.00
5557	2.80	1.50	5798	20.00	5.00
5561	32.00	5.00	5802	64.00	5.00
5565	4.80	1.50	5806	86.00	5.00
5569	3.10	1.00	5810	34.00	5.00
5573	22.00	5.00	5814	24.00	5.00
5574	33.00	5.00	5818	10.40	4.00
5577	25.10	5.00	5822	16.00	5.00
5579	39.00	5.00	5826	42.00	5.00

Fifth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
5830	64.00	5.00	6173	64.00	5.00
5834	6.40	2.00	6177	24.00	5.00
5838	5.20	1.50	6181	5.00	4.00
5842	8.00	5.00	6182	11.00	5.00
5846	28.00	5.00	6186	10.40	4.00
5850	28.00	5.00	6187	14.00	5.00
5854	26.00	5.00	6191	17.60	5.00
5858	26.00	5.00	6192	24.00	5.00
5910	2.30	1.00	6196	15.60	5.00
5911	3.10	1.00	6197	31.00	5.00
9515	6.20	2.00	6198	42.00	5.00
5920	3.20	1.00	6202	43.00	5.00
5924	7.00	3.00	6203	58.00	5.00
5926	9.80	3.00	6207	64.00	5.00
5930	23.60	5.00	6211	58.00	5.00
5931	32.00	5.00	6215	54.00	5.00
5936	64.00	5.00	6219	108.00	5.00
5940	64.00	5.00	6223	78.00	5.00
5945	68.00	5.00	6227	86.00	5.00
5949	86.00	5.00	6231	86.00	5.00
5954	50.00	5.00	2635	50.00	5.00
5958	28.00	5.00	6239	64.00	5.00
5963 5967 5971 5976 5980 5985 5989	70.00 15.60 26.00 6.40 11.60 86.00 52.00	5.00 5.00 5.00 2.00 4.00 5.00 5.00	6243 6247 6251 6255 6259 6263	108.00 86.00 64.00 70.00 64.00 42.00	5.00 5.00 5.00 5.00 5.00 5.00
5994	76.00	5.00	6310	3.40	1.00
5998	86.00	5.00	6314	2.10	1.00
6003	42.00	5.00	6318	4.20	1.50
6007	28.00	5.00	6320	5.60	1.50
6012	20.00	5.00	6324	6.40	2.00
6016	50.00	5.00	6328	5.60	1.50
6021	32.00	5.00	6333	4.40	1.50
6025	98.00	5.00	6337	5.80	2.00
6029	11.60	4.00	6338	6.80	3.00
6034	16.80	5.00	6343	4.00	1.50
6038	40.00	5.00	6344	5.20	1.50
6042	15.60	5.00	6349	8.80	3.00
6100	0.90	0.80	6350	11.60	4.00
6104	4.00	1.50	6354	1.50	0.80
6108	4.40	1.50	6355	2.10	1.00
6112	8.00	3.00	6359	5.00	1.50
6116	3.80	1.00	6360	6.40	2.00
6120	4.40	1.50	6365	14.60	5.00
6124	5.20	1.50	6366	20.00	5.00
6128	11.60	4.00	6371	10.60	3.00
6132	7.00	3.00	6372	14.00	4.00
6133	9.80	3.00	6377	4.00	1.50
6137	12.00	4.00	6378	5.20	1.50
6138	16.00	5.00	6382	6.40	2.00
6142	20.40	5.00	6383	7.60	3.00
6143	28.00	5.00	6387	1.90	1.00
6147	32.00	5.00	6388	2.50	1.00
6151	50.00	5.00	6392 6393 6397 6398 6402 6404	5.00 6.40 13.40 18.00 13.40 18.00	1.50 2.00 4.00 5.00 4.00 5.00
6155	58.00	5.00
6159	16.00	5.00
6160 6164 6165 6169	22.00 10.40 14.00 50.00	5.00 4.00 5.00 5.00

Fourth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
6414	The amount shown in this column in the item relating to the dislocation concerned, plus one-half of that amount	The amount shown in this column in the item relating to the dislocation concerned, plus one-half of that amount	6569	4.80	1.50
			6574	0.90	0.80
			6575	2.00	1.00
			6578	0.90	0.80
			6580	2.00	1.00
			6584	7.80	3.00
			6586	5.00	4.00
			6590	7.00	3.00
			6592	9.80	3.00
6420	3.40	1.00	6596	22.00	5.00
6425	6.40	2.00	6601	24.00	5.00
6426	8.80	3.00	6605	8.80	3.00
6431	3.40	1.00	6606	11.60	4.00
6432	4.60	1.50	6610	30.00	5.00
6437	4.90	2.00	6614	32.00	5.00
6438	12.40	4.00	6618	7.80	3.00
6442	6.80	3.00	6619	10.40	4.00
6443	14.00	5.00	6623	0.90	0.80
6447	3.90	1.00	6624	1.60	1.00
6448	5.20	1.50	6628	0.90	0.80
6453	7.00	3.00	6629	2.00	1.00
6454	9.80	3.00	6633	10.60	3.00
6458	6.60	3.00	6634	14.00	4.00
6459	16.00	5.00	6638	17.60	5.00
6463	7.60	3.00	6639	24.00	5.00
6467	8.10	3.00	6643	64.00	5.00
6468	7.40	4.00
6472	6.40	2.00
6473	7.60	3.00	6647	The amount shown in this column in the item relating to the fracture concerned, plus one-third of that amount	The amount shown in this column in the item relating to the fracture concerned, plus one-third of that amount
6477	8.60	4.00
6478	12.00	5.00
6482	10.40	4.00
6483	12.00	5.00
6487	2.90	1.50
6489	3.80	3.00
6493	6.40	2.00
6494	7.60	3.00
6498	0.90	0.80
6499	2.00	1.00
6503	11.60	4.00
6505	15.60	5.00
6509	8.80	3.00	6651	The amount shown in this column in the item relating to the fracture concerned, plus one-half of that amount	The amount shown in this column in the item relating to the fracture concerned, plus one-half of that amount
6510	11.60	4.00
6515	28.00	5.00
6516	38.00	5.00
6521	4.90	2.00
6522	7.90	3.00
6525	7.30	3.00
6527	10.00	4.00
6531	17.60	5.00
6532	24.00	5.00
6537	17.60	5.00
6538	24.00	5.00	6655	The amount shown in this column in the item relating to the fracture concerned, plus three-quarters of that amount	The amount shown in this column in the item relating to the fracture concerned, plus three-quarters of that amount
6543	17.60	5.00
6544	24.00	5.00
6549	4.90	2.00
6550	8.80	3.00
6555	3.40	1.00
6559	4.40	1.50
6564	3.70	1.00
6568	3.45	1.00

Fifth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
6659	One-half of the amount shown in this column in the item that would, but for item 6659 in the First Schedule to this Act, apply to the reduction concerned	One-half of the amount shown in this column in the item that would, but for item 6659 in the First Schedule to this Act, apply to the reduction concerned	7056	8.80	3.00
			7060	3.80	3.00
			7061	3.40	3.00
			7065	11.60	4.00
			7069	10.40	4.00
			7074	12.80	4.00
			7078	108.00	5.00
			7082	34.00	5.00
			7087	22.00	5.00
			7091	50.00	5.00
			7095	90.00	5.00
			7100	90.00	5.00
			7104	78.00	5.00
6663	One-half of the amount shown in this column in the item that would, but for item 6663 in the First Schedule to this Act, apply to the reduction concerned	One-half of the amount shown in this column in the item that would, but for item 6663 in the First Schedule to this Act, apply to the reduction concerned	7108	38.00	5.00
			7113	13.40	4.00
			7114	18.00	5.00
			7118	20.00	5.00
			7122	54.00	5.00
			7126	64.00	5.00
			7130	7.00	5.00
			7135	5.00	1.50
			7136	6.40	2.00
			7141	32.00	5.00
			7145	36.00	5.00
			7149	32.00	5.00
			7154	16.00	5.00
6667	The amount shown in this column in the item that would, but for item 6667 in the First Schedule to this Act, apply to the reduction concerned	The amount shown in this column in the item that would, but for item 6667 in the First Schedule to this Act, apply to the reduction concerned	7155	22.00	5.00
			7159	86.00	5.00
			7163	42.00	5.00
			7167	58.00	5.00
			7171	28.00	5.00
			7176	47.00	5.00
			7180	42.00	5.00
			7184	32.00	5.00
			7189	28.00	5.00
			7190	38.00	5.00
			7195	32.00	5.00
			7199	1.90	1.00
6671	The amount shown in this column in the item that would apply in the case of a simple and uncomplicated fracture of the part concerned	The amount shown in this column in the item that would apply in the case of a simple and uncomplicated fracture of the part concerned	7200	2.30	1.00
			7205	1.60	0.80
			7206	2.30	1.00
			7210	11.60	4.00
			7214	42.00	5.00
			7218	24.00	5.00
			7221	10.00	5.00
			7222	16.00	5.00
			7224	14.50	5.00
			7225	15.00	5.00
			7227	19.45	5.00
7010	18.00	5.00	7228	28.00	5.00
7014	9.40	3.00	7230	20.00	5.00
7016	12.40	4.00	7233	13.40	4.00
7020	1.00	1.00	7234	18.00	5.00
7025	2.10	1.00	7238	42.00	5.00
7029	3.90	1.00	7242	14.00	4.00
7031	5.20	1.50	7246	24.00	5.00
7035	4.90	2.00	7250	13.40	4.00
7037	6.00	3.00	7252	18.00	5.00
7041	6.40	2.00	7256	16.00	5.00
7043	7.60	3.00	7257	22.00	5.00
7047	70.00	5.00	7261	7.40	4.00
7051	24.00	5.00	7262	2.00	5.00
7055	7.40	2.00	7266	20.00	5.00

Fifth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
7271	20.00	5.00	7549	64.00	5.00
7275	24.00	5.00	7553	42.00	5.00
7280	28.00	5.00	7557	14.00	4.00
7284	46.00	5.00	7561	32.00	5.00
7289	70.00	5.00	7565	24.00	5.00
7293	46.00	5.00	7569	76.00	5.00
7297	44.00	5.00	7573	76.00	5.00
7301	46.00	5.00	7577	50.00	5.00
7305	10.40	4.00	7581	25.00	5.00
7309	22.00	5.00	7582	34.00	5.00
7313	8.80	3.00	7586	42.00	5.00
7314	11.60	4.00	7590	50.00	5.00
7318	20.60	5.00	7594	64.00	5.00
7319	28.00	5.00	7598	32.00	5.00
7323	10.80	4.00	7602	42.00	5.00
7324	14.40	5.00	7607	64.00	5.00
7328	13.40	4.00	7611	24.00	5.00
7329	18.00	5.00	7616	42.00	5.00
7333	22.00	5.00	7620	24.00	5.00
7334	30.00	5.00	7625	64.00	5.00
7338	6.40	2.00	7629	6.40	2.00
7339	7.60	3.00	7631	7.60	3.00
7343	8.80	3.00	7635	50.00	5.00
7344	11.60	4.00	7640	36.00	5.00
7348	6.80	3.00	7644	32.00	5.00
7352	18.00	5.00	7649	18.00	5.00
7356	34.00	5.00	7653	6.40	2.00
7360	58.00	5.00	7655	7.60	3.00
7364	28.00	5.00	7659	7.40	2.00
7368	20.00	5.00	7661	8.80	3.00
7372	6.40	2.00	7665	32.00	5.00
7373	7.60	3.00	7670	6.40	2.00
7377	10.40	4.00	7671	7.60	3.00
7378	14.00	5.00	7676	20.00	5.00
7382	15.60	5.00	7680	36.00	5.00
7386	24.00	5.00	7685	32.00	5.00
7390	8.80	3.00	7700	50.00	5.00
7391	11.60	4.00	7704	6.40	2.00
7395	22.00	5.00	7708	4.00	1.50
7396	30.00	5.00	7750	24.00	5.00
7400	28.00	5.00	7754	11.60	4.00
7450	3.40	3.00	7758	20.00	5.00
7454	3.40	1.00	7762	2.00	1.00
7458	4.00	1.50	7767	3.40	1.00
7462	3.40	1.00	7771	3.80	3.00
7466	4.40	1.50	7775	10.40	4.00
7470	3.40	1.00	7779	14.00	5.00
7474	5.20	1.50	7783	22.00	5.00
7478	3.40	1.00	7787	40.00	5.00
7482	6.40	2.00	7791	42.00	5.00
7486	15.60	5.00	7795	20.00	5.00
7490	3.40	1.00	7850	14.00	5.00
7494	5.20	1.50	7854	18.00	5.00
7498	5.20	1.50	7858	14.00	4.00
7510	3.40	1.00	7862	7.60	3.00
7514	50.00	5.00	7866	9.80	3.00
7519	64.00	5.00	7870	5.20	1.50
7523	64.00	5.00	7874	15.60	5.00
7528	64.00	5.00	7877	9.80	3.00
7532	32.00	5.00	7881	24.00	5.00
7537	50.00	5.00	7885	14.00	4.00
7541	50.00	5.00	7889	9.80	3.00
7545	64.00	5.00	7893	6.40	2.00

Fifth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
7897	16.00	5.00	8119	32.00	5.00
7901	24.00	5.00	8123	18.00	5.00
7905	10.80	4.00	8128	32.00	5.00
7909	24.00	5.00	8132	18.00	5.00
7913	20.00	5.00	8136	42.00	5.00
7917	32.00	5.00	8141	32.00	5.00
7921	64.00	5.00	8145	20.00	5.00
7925	54.00	5.00	8150	11.60	4.00
7929	64.00	5.00	8154	24.00	5.00
7950	14.00	5.00	8159	50.00	5.00
7952	15.50	5.00	8163	24.00	5.00
7953	16.50	5.00	8167	50.00	5.00
7954	24.00	5.00	8172	28.00	5.00
7958	14.00	5.00	8176	42.00	5.00
7962	7.60	3.00	8180	9.80	3.00
7966	20.00	5.00	8184	26.00	5.00
7970	14.00	4.00	8188	22.00	5.00
7974	32.00	5.00	8192	22.00	5.00
7978	20.00	5.00	8196	24.00	5.00
7982	14.00	4.00	8200	32.00	5.00
7986	34.00	5.00	8204	50.00	5.00
7990	10.40	4.00	8208	70.00	5.00
7994	7.60	3.00	8212	9.80	3.00
7998	22.00	5.00	8216	24.00	5.00
8002	36.00	5.00	8220	18.00	5.00
8007	18.00	5.00	8224	38.00	5.00
8011	28.00	5.00	8228	12.80	4.00
8015	28.00	5.00	8232	42.00	5:00
8020	50.00	5.00	8236	28.00	5.00
8024	16.00	5.00	8240	46.00	5.00
8029	50.00	5.00	8244	62.00	5.00
8033	36.00	5.00	8248	24.00	5.00
8037	98.00	5.00	8252	18.00	5.00
8042	34.00	5.00	8256	36.00	5.00
8046	64.00	5.00	8260	86.00	5.00
8050	50.00	5.00	8264	14.40	5.00
8054	42.00	5.00	8268	46.00	5.00
8058	42.00	5.00	8272	58.00	5.00
8062	24.00	5.00	8276	24.00	5.00
8066	20.00	5.00	8280	42.00	5.00
8070	24.00	5.00	8284	42.00	5.00
8110	18.00	5.00	8288	50.00	5.00
8114	28.00	5.00

SIXTH SCHEDULE Section 13.

TABLE OF FUND MEDICAL BENEFITS IN RESPECT OF WESTERN AUSTRALIA

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
2	0.90	0.80	352	10.40	3.00
3	1.35	1.20	355	11.60	4.00
9	3.25	1.00	357	16.00	5.00
11	5.50	1.50	370	4.40	1.50
13	2.00	1.00	371	5.50	2.00
15	8.00	2.00	375	4.90	1.50
17	10.00	3.00	376	5.60	2.00
18	3.25	1.00	378	5.80	3.00
24	1.60	1.80	379	7.40	3.00
37	8.50	3.00	381	9.20	3.00
38	13.00	4.00	382	10.80	3.00
39	17.50	5.00	384	12.00	4.00
40	22.50	5.00	386	16.40	5.00
43	0.90	0.80	388	7.50	3.00
45	2.00	1.00	389	9.70	3.00
203	0.90	0.80	391	10.90	3.00
206	6.40	3.00	392	12.10	4.00
209	4.60	3.00	394	13.30	5.00
210	11.00	5.00	396	9.80	4.00
220	8.80	3.00	397	11.40	4.00
223	11.00	5.00	399	13.20	4.00
224	26.00	5.00	400	14.80	4.00
226	11.40	5.00	402	16.00	5.00
227	24.00	5.00	430	3.10	1.00
230	16.50	5.00	435	4.20	1.50
231	24.00	5.00	436	5.50	1.50
235	26.00	5.00	451	4.90	2.00
236	38.00	5.00	455	4.60	1.50
243	0.60	0.80	456	5.80	2.00
247	0.60	0.80	501	4.80	1.50
251	7.80	3.00	601	1.70	1.00
252	10.40	4.00	611	2.10	1.00
255	3.10	1.00	616	5.60	1.50
256	4.40	1.50	621	11.60	4.00
259	0.60	0.80	625	10.40	4.00
263	4.40	1.50	631	4.40	1.50
267	3.10	1.00	641	4.40	1.50
268	4.40	1.50	651	8.40	3.00
271	3.40	1.50	661	11.60	4.00
275	15.60	5.00	681	3.20	1.00
279	2.90	1.50	691	2.50	1.00
283	17.20	5.00	701	2.50	1.00
287	3.10	1.00	703	2.30	1.00
288	4.40	1.50	705	7.00	2.00
291	5.60	3.00	707	2.70	1.00
301	3.50	1.00	708	1.90	1.00
302	3.80	1.00	715	2.90	1.00
305	6.00	1.50	721	2.70	1.00
306	7.40	1.50	731	9.80	3.00
309	5.90	2.00	741	2.90	1.00
310	6.80	2.00	751	6.00	2.00
313	7.60	3.00	761	28.00	5.00
317	11.60	4.00	771	42.00	5.00
321	0.20	0.80	781	32.00	5.00
323	4.80	1.50	791	7.60	3.00
341	4.00	1.50	801	7.20	2.00
342	5.30	1.50	831	1.60	1.00
344	4.20	1.50	841	2.50	1.00
345	5.20	2.00	851	3.30	1.00
347	6.40	2.00	861	5.60	1.50
348	7.00	3.00	866	7.60	3.00
351	8.80	3.00	871	6.40	2.00

Sixth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
881	4.40	1.50	1102	3.50	1.00
891	14.00	4.00	1104	0.20	0.80
901	11.60	4.00	1106	1.60	0.80
906	14.00	4.00	1108	1.50	1.00
911	3.20	1.00	1110	3.30	1.50
915	6.80	3.00	1112	0.20	0.80
921	0.90	0.80	1114	0.20	0.80
931	0.40	0.80	1116	2.60	1.50
941	1.00	0.80	1118	1.10	0.80
943	1.40	0.80	1120	4.80	1.50
945	2.30	1.00	1122	0.40	0.80
951	3.40	1.00	1124	1.90	1.00
961	2.10	1.00	1126	2.30	1.00
971	7.60	3.00	1128	0.70	0.80
976	15.60	5.00	1130	3.10	1.00
981	3.50	1.00	1132	1.90	1.00
985	4.80	1.50	1134	3.10	1.00
1000	0.20	0.80	1136	4.80	1.50
1002	0.70	0.80	1138	1.60	0.80
1004	0.20	0.80	1140	1.70	1.00
1006	0.90	0.80	1142	1.40	1.00
1008	0.20	0.80	1144	1.10	0.80
1010	0.60	0.80	1146	1.10	0.80
1012	3.00	1.00	1148	1.70	1.00
1014	1.40	1.00	1150	2.80	1.50
1016	3.60	1.00	1152	2.70	1.00
1018	3.80	1.50	1154	2.30	1.00
1020	5.70	3.00	1156	2.30	1.00
1022	0.20	0.80	1160	0.70	1.00
1024	0.70	0.80	1162	0.60	1.00
1026	0.70	0.80	1164	2.00	1.00
1028	1.70	1.00	1166	2.00	1.00
1030	1.60	1.00	1168	0.50	1.00
1032	1.70	1.00	1170	3.40	1.50
1034	1.90	1.00	1172	0.90	0.80
1036	2.70	1.00	1174	1.60	0.80
1038	3.10	1.00	1176	1.00	0.80
1040	3.10	1.00	1180	0.10	0.80
1042	0.40	0.80	1182	0.20	0.80
1044	4.00	1.50	1184	1.70	1.00
1046	1.40	0.80	1186	0.70	0.80
1048	5.60	1.50	1188	1.90	1.00
1050	1.00	1.00	1190	2.70	1.00
1052	3.80	3.00	1192	0.70	1.00
1054	0.20	0.80	1194	0.70	1.00
1060	0.20	0.80	1196	2.70	1.00
1062	1.10	0.80	1198	0.70	1.00
1064	0.70	0.80	1200	0.20	0.80
1066	2.30	1.00	1202	0.40	1.00
1068	1.00	1.00	1204	0.60	0.80
1070	1.30	1.00	1206	2.10	1.00
1072	2.70	1.00	1208	1.70	1.00
1074	7.60	3.00	1210	0.70	1.00
1076	0.90	0.80	1212	1.50	1.00
1080	0.70	0.80	1214	0.20	0.80
1082	2.30	1.00	1216	0.30	0.80
1084	3.80	3.00	1218	3.50	1.00
1090	1.60	0.80	1220	5.00	1.50
1092	1.90	1.00	1222	5.00	1.50
1094	1.90	1.00	1224	6.80	3.00
1096	0.90	0.80	1226	8.80	3.00
1098	1.30	0.80	1228	3.50	1.00
1100	1.50	1.00	1230	5.00	1.50

Sixth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
1232	0.40	0.80	1394	4.00	2.00
1234	2.80	1.50	1395	0.40	0.80
1236	4.30	1.50	1397	1.90	1.00
1238	5.00	2.00	1399	0.70	0.80
1240	1.90	1.00	1401	1.90	1.00
1242	3.10	1.00	1404	0.20	0.80
1244	2.20	1.50	1407	0.40	0.80
1246	5.00	1.50	1410	1.60	0.80
1248	0.20	0.80	1413	1.60	0.80
1250	0.70	1.00	1416	2.60	1.00
1252	2.80	1.50	1419	1.90	1.00
1254	4.70	1.50	1421	2.30	1.00
1256	5.80	2.00	1423	1.00	0.80
1258	6.40	3.00	1425	4.00	1.50
1260	2.70	1.00	1428	1.30	1.00
1262	4.40	1.50	1430	5.00	1.50
1264	0.70	1.00	1432	8.80	3.00
1266	2.80	1.50	1434	2.70	1.00
1268	4.70	1.50	1436	3.10	1.00
1270	5.80	2.00	1438	8.80	3.00
1272	2.00	1.00	1441	3.30	1.00
1274	8.80	3.00	1444	0.40	0.80
1276	5.80	2.00	1447	5.00	1.50
1278	0.70	1.00	1450	3.40	1.50
1280	2.80	1.50	1453	0.40	0.80
1282	4.70	1.50	1456	2.50	1.00
1284	5.80	2.00	1459	0.70	1.00
1286	6.40	3.00	1461	2.80	1.50
1288	4.00	1.50	1463	4.70	1.50
1290	3.10	1.50	1466	5.80	2.00
1292	3.10	1.50	1468	0.20	0.80
1294	0.70	1.00	1470	1.70	1.00
1296	1.60	0.80	1472	4.00	1.50
1298	2.80	1.00	1474	8.80	3.00
1301	0.70	1.00	1476	1.70	1.00
1302	2.80	1.50	1478	2.30	1.00
1304	4.70	1.50	1481	3.30	1.00
1305	5.80	2.00	1484	6.80	3.00
1307	6.40	3.00	1487	1.70	1.00
1310	0.70	1.00	1490	1.70	1.00
1313	1.90	1.00	1491	0.20	0.80
1316	2.70	1.00	1493	6.80	3.00
1319	3.10	1.50	1494	8.80	3.00
1322	0.20	0.80	1495	0.90	0.80
1325	0.40	0.80	1496	1.60	0.80
1328	1.60	0.80	1497	3.40	1.50
1331	2.50	1.00	1499	3.50	1.00
1334	1.10	1.00	1500	0.20	0.80
1337	3.20	1.50	1502	0.20	0.80
1340	5.00	2.00	1504	0.20	0.80
1343	1.70	1.00	1506	1.30	1.00
1346	6.80	3.00	1508	0.20	0.80
1349	3.30	1.00	1511	1.90	1.00
1352	3.50	1.00	1513	1.60	0.80
1355	2.00	1.00	1515	0.40	1.00
1358	1.00	0.80	1517	1.20	1.00
1380	0.20	0.80	1519	2.50	1.00
1382	0.20	0.80	1521	2.50	1.50
1385	0.70	1.00	1523	3.50	1.50
1388	2.80	1.50	1525	1.90	1.00
1389	4.30	1.50	1527	4.00	1.50
1391	2.00	1.00	1529	2.30	1.00
1392	3.30	1.50	1531	4.40	1.50

Sixth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
1534	1.60	0.80	1710	0.70	0.80
1537	2.60	1.00	1712	0.40	0.80
1539	2.30	1.00	1714	0.40	0.80
1541	1.90	1.00	1716	0.90	0.80
1543	1.00	0.80	1718	2.00	1.00
1545	0.20	0.80	1720	4.00	2.00
1546	1.50	1.00	1722	5.10	3.00
1548	2.80	1.50	1724	1.90	1.00
1551	2.00	1.00	1726	4.00	1.50
1554	2.90	1.50	1728	5.80	2.00
1557	3.50	2.00	1730	4.00	1.50
1560	2.90	1.50	1732	0.20	0.80
1562	3.80	1.50	1734	0.20	0.80
1564	4.40	2.00	1736	6.80	3.00
1566	4.90	2.00	1738	0.90	0.80
1568	5.00	3.00	1741	0.70	1.00
1571	1.30	1.00	1744	0.90	0.80
1580	1.90	1.00	1746	0.70	1.00
1582	1.30	0.80	1748	0.70	1.00
1584	3.50	1.00	1761	0.90	0.80
1586	0.20	0.80	1764	1.70	1.00
1588	0.70	1.00	1767	0.90	0.80
1590	2.70	1.00	1770	0.70	1.00
1601	0.70	1.00	1773	3.10	1.00
1604	2.80	1.50	1776	4.80	1.50
1607	4.70	1.50	1779	0.20	0.80
1609	5.80	2.00	1782	0.20	0.80
1611	1.00	1.00	1785	0.20	0.80
1613	3.30	1.00	1790	1.90	1.00
1615	2.50	1.00	1792	1.60	0.80
1616	3.50	1.00	1794	4.00	1.00
1621	0.40	0.80	1796	4.00	1.50
1623	1.00	0.80	1798	1.90	1.00
1625	1.10	0.80	1800	1.10	0.80
1627	2.70	1.00	1802	3.20	1.00
1629	2.30	1.00	1804	4.80	1.50
1631	1.60	0.80	1806	0.40	0.80
1640	5.60	1.50	1808	1.30	1.50
1643	2.90	1.00	1810	0.40	0.80
1645	2.90	1.00	1812	0.40	0.80
1647	8.80	3.00	1820	2.80	1.50
1649	7.00	2.00	1822	5.00	2.00
1651	8.80	3.00	1824	6.40	3.00
1653	4.00	1.50	1826	4.40	3.00
1661	0.20	0.80	1828	7.40	3.00
1664	5.80	2.00	1840	12.40	4.00
1667	0.70	1.00	1841	16.00	5.00
1670	2.70	1.00	1843	3.10	1.50
1673	3.50	1.00	1846	4.00	1.50
1680	0.20	0.80	1849	2.50	1.00
1682	0.20	0.80	1850	2.80	1.50
1684	0.40	0.80	1852	2.80	1.50
1686	1.10	0.80	1855	4.30	1.50
1688	1.90	1.00	1858	5.00	2.00
1691	1.90	1.00	1861	2.20	1.50
1694	1.30	1.00	1863	5.80	2.00
1697	1.80	1.00	1865	14.00	5.00
1698	3.30	1.50	1867	3.10	1.50
1700	1.90	1.00	1869	4.80	1.50
1701	5.10	2.00	1871	6.80	3.00
1703	1.90	1.00	1873	14.00	5.00
1706	1.60	0.80	1875	5.80	2.00
1707	2.60	1.00	1877	5.80	2.00

Sixth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
1879	3.10	1.50	2132	4.80	1.50
1881	2.10	1.00	2136	3.60	1.50
1884	1.50	1.00	2140	4.00	1.50
1887	4.00	1.50	2144	4.80	1.50
1889	12.40	4.00	2160	3.40	1.50
1891	1.60	0.80	2164	11.60	4.00
1893	3.40	1.50	2169	8.80	3.00
1901	1.70	1.00	2173	5.80	2.00
1903	3.50	1.00	2177	5.90	2.00
1905	3.50	1.00	2181	6.80	3.00
1907	5.30	1.50	2185	3.80	1.50
1909	4.00	1.50	2200	3.40	1.50
1911	6.00	2.00	2205	3.40	1.50
1913	1.30	1.00	2209	6.10	2.00
1915	1.50	1.00	2214	5.30	3.00
1921	7.00	2.00	2218	5.20	3.00
1923	7.20	3.00	2222	6.80	3.00
1925	8.40	3.00	2226	5.30	3.00
1941	8.80	3.00	2230	7.80	3.00
1943	3.50	1.00	2234	5.60	2.00
1945	3.50	1.00	2238	5.00	2.00
1947	3.40	1.50	2247	6.60	3.00
1949	2.70	1.00	2250	6.40	2.00
1951	4.00	1.50	2254	1.90	1.00
1953	4.00	1.50	2270	6.80	3.00
1955	4.40	1.50	2274	4.80	1.50
1957	7.00	2.00	2290	3.40	1.50
1959	7.00	2.00	2294	3.80	2.00
1961	5.80	2.00	2298	6.40	2.00
1963	4.00	1.50	2310	6.80	3.00
1965	5.60	1.50	2314	9.80	3.00
1967	5.60	1.50	2318	9.80	3.00
1969	5.60	1.50	2322	9.80	3.00
1971	6.80	3.00	2326	7.90	2.00
1973	7.00	2.00	2330	4.80	1.50
1975	5.60	1.50	2334	9.20	3.00
1977	5.80	2.00	2338	6.80	3.00
1979	4.00	1.50	2342	7.60	3.00
1981	5.80	2.00	2346	4.60	1.50
1983	5.80	2.00	2350	3.80	3.00
2010	2.60	1.00	2354	10.40	4.00
2014	3.50	1.00	2358	5.00	1.50
2018	3.20	1.00	2362	2.10	1.00
2022	4.00	1.00	2367	2.10	1.00
2026	4.00	1.50	2371	6.40	2.00
2040	4.20	1.50	2410	5.80	2.00
2044	3.40	1.50	2420	0.90	0.80
2048	2.50	1.00	2440	4.40	1.50
2052	6.80	3.00	2444	2.70	1.00
2060	3.30	1.50	2460	1.60	1.00
2064	2.80	1.50	2464	2.40	1.00
2068	4.80	1.50	2468	5.60	1.50
2072	4.00	1.00	2510	24.00	5.00
2076	4.80	1.50	2514	24.00	5.00
2081	3.40	1.00	2518	8.00	3.00
2091	3.50	1.50	2522	14.00	4.00
2094	7.90	2.00	2526	32.00	5.00
2098	9.30	3.00	2530	24.00	5.00
2110	4.00	1.50	2534	11.60	4.00
2114	5.40	1.50	2538	15.60	5.00
2119	4.00	1.50	2542	6.40	2.00
2123	1.60	1.00	2570	11.60	4.00
2128	4.80	1.50	2574	6.40	2.00

Sixth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
2578	6.40	2.00	3121	7.40	4.00
2620	12.40	4.00	3125	13.40	4.00
2624	10.40	4.00	3126	18.00	5.00
2628	10.40	4.00	3131	16.00	5.00
2632	2.00	4.00	3132	22.00	5.00
2636	4.00	1.50	3137	3.50	1.00
2640	5.80	2.00	3138	6.80	3.00
2644	5.80	2.00	3143	4.40	1.50
2648	4.80	1.50	3144	3.80	3.00
2652	4.80	1.50	3149	8.60	4.00
2657	5.80	2.00	3150	7.00	4.00
2661	5.00	1.50	3155	18.00	5.00
2666	2.90	1.00	3156	22.00	5.00
2670	4.80	1.50	3161	34.00	5.00
2674	4.00	1.50	3162	37.00	5.00
2678	4.00	1.50	3166	48.00	5.00
2682	6.80	3.00	3170	8.80	3.00
2686	1.90	1.00	3174	2.60	1.00
2691	10.40	4.00	3178	1.00	1.00
2696	6.40	2.00	3180	3.50	1.00
2700	5.60	1.50	3184	2.60	1.00
2901	4.80	1.50	3185	2.20	1.50
2904	6.20	2.00	3190	3.90	1.50
2907	6.80	3.00	3191	5.20	2.00
2910	8.80	3.00	3196	3.60	1.50
2913	12.40	4.00	3197	5.30	2.00
3000	0.90	0.80	3201	4.90	2.00
3004	1.90	1.00	3202	5.80	2.00
3005	2.50	1.00	3026	7.80	3.00
3009	3.15	1.00	3207	10.40	4.00
3011	4.40	1.50	3211	0.20	0.80
3015	6.80	2.00	3216	0.20	0.80
3017	8.00	3.00	3220	4.40	1.50
3021	3.10	1.00	3221	3.80	3.00
3025	4.40	1.50	3225	6.40	2.00
3030	3.30	1.50	3226	7.60	3.00
3034	7.60	3.00	3230	10.60	3.00
3039	2.90	1.50	3232	14.00	4.00
3043	6.80	3.00	3236	10.60	3.00
3045	9.40	3.00	3238	14.00	4.00
3049	6.40	2.00	3242	6.40	2.00
3051	7.60	3.00	3244	7.60	3.00
3055	7.00	3.00	3248	6.80	2.00
3056	9.80	3.00	3250	8.00	3.00
3061	0.30	0.80	3254	17.60	5.00
3064	2.60	1.00	3255	24.00	5.00
3065	6.80	3.00	3259	24.00	5.00
3069	7.30	3.00	3263	50.00	5.00
3070	10.00	4.00	3267	13.40	4.00
3074	1.50	1.00	3269	18.00	5.00
3078	4.90	2.00	3273	34.00	5.00
3080	5.60	3.00	3274	46.00	5.00
3084	3.50	1.00	3279	16.00	5.00
3089	6.80	3.00	3280	22.00	5.00
3093	2.10	1.00	3285	3.15	1.00
3097	7.00	3.00	3286	4.40	1.50
3099	9.80	3.00	3291	7.00	3.00
3103	5.00	1.50	3292	9.80	3.00
3104	6.40	2.00	3297	2.50	1.00
3108	7.00	3.00	3298	3.40	1.00
3110	9.80	3.00	3303	6.40	2.00
3115	2.50	1.00	3304	7.60	3.00
3119	1.60	2.00	3309	7.60	3.00

Sixth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
3313	37.00	5.00	3514	22.00	5.00
3315	50.00	5.00	3519	28.00	5.00
3319	2.50	1.00	3523	46.00	5.00
3323	10.60	3.00	3528	28.00	5.00
3324	14.00	4.00	3529	38.00	5.00
3328	13.40	4.00	3534	23.60	5.00
3329	18.00	5.00	3535	32.00	5.00
3334	26.60	5.00	3539	43.00	5.00
3335	36.00	5.00	3541	58.00	5.00
3340	50.00	5.00	3545	78.00	5.00
3344	86.00	5.00	3550	20.60	5.00
3348	19.00	5.00	3551	28.00	5.00
3349	26.00	5.00	3556	86.00	5.00
3353	42.00	5.00	3560	28.00	5.00
3357	62.00	5.00	3561	38.00	5.00
3361	38.00	5.00	3566	28.00	5.00
3362	46.00	5.00	3567	38.00	5.00
3367	23.60	5.00	3572	14.60	5.00
3368	32.00	5.00	3573	20.00	5.00
3372	26.60	5.00	3577	17.60	5.00
3373	36.00	5.00	3578	24.00	5.00
3377	11.50	5.00	3582	46.00	5.00
3378	16.00	5.00	3583	62.00	5.00
3383	24.00	5.00	3588	11.60	4.00
3387	18.00	5.00	3589	15.60	5.00
3392	20.60	5.00	3593	20.60	5.00
3393	28.00	5.00	3594	28.00	5.00
3397	46.00	5.00	3598	46.00	5.00
3402	10.40	4.00	3599	62.00	5.00
3406	22.00	5.00	3604	20.60	5.00
3408	30.00	5.00	3605	28.00	5.00
3412	8.60	4.00	3609	26.60	5.00
3414	7.00	4.00	3610	36.00	5.00
3418	17.20	5.00	3614	46.00	5.00
3419	22.00	5.00	3615	62.00	5.00
3423	17.20	5.00	3620	46.00	5.00
3424	22.00	5.00	3624	19.00	5.00
3428	46.00	5.00	3626	28.00	5.00
3430	62.00	5.00	3630	25.00	5.00
3434	6.40	2.00	3632	34.00	5.00
3436	7.60	3.00	3636	11.60	4.00
3440	19.00	5.00	3640	6.40	2.00
3442	30.00	5.00	3645	86.00	5.00
3446	25.00	5.00	3649	20.60	5.00
3448	38.00	5.00	3651	28.00	5.00
3452	31.00	5.00	3655	31.00	5.00
3454	42.00	5.00	3656	42.00	5.00
3458	23.60	5.00	3661	31.00	5.00
3460	32.00	5.00	3662	42.00	5.00
3464	42.00	5.00	3667	50.00	5.00
3469	86.00	5.00	3671	32.00	5.00
3473	32.00	5.00	3675	7.60	3.00
3478	42.00	5.00	3680	2.30	1.00
3482	42.00	5.00	3681	3.10	1.00
3486	17.00	5.00	3686	86.00	5.00
3487	14.00	5.00	3690	19.00	5.00
3491	23.60	5.00	3691	35.00	5.00
3492	32.00	5.00	3696	50.00	5.00
3497	20.00	5.00	3700	55.00	5.00
3498	32.00	5.00	3704	17.60	5.00
3502	58.00	5.00	3705	24.00	5.00
3506	86.00	5.00	3709	20.60	5.00
3510	11.60	4.00	3710	28.00	5.00

Sixth Schedule—continued

Number of item in Fust Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
3714	18.00	5.00	3909	6.80	3.00
3716	34.00	5.00	3914	6.40	3.00
3720	1.90	1.00	3915	10.00	4.00
3721	2.50	1.00	3917	23.50	5.00
3726	14.00	5.00	3920	25.50	5.00
3727	18.00	5.00	3921	8.80	3.00
3731	14.60	5.00	3923	11.60	4.00
3732	20.00	5.00	3926	24.00	5.00
3736	20.60	5.00	3927	19.00	5.00
3737	28.00	5.00	3931	20.00	5.00
3741	19.00	5.00	3932	20.00	5.00
3742	22.00	5.00	3936	14.60	5.00
3746	5.00	1.50	3937	20.00	5.00
3747	6.40	2.00	3941	50.00	5.00
3751	1.70	1.00	3945	3.50	1.00
3755	3.40	1.50	3949	2.25	1.00
3756	2.80	2.00	3951	3.00	1.00
3760	7.00	3.00	3955	5.60	1.50
3761	9.80	3.00	3957	7.20	2.00
3765	3.40	1.00	3961	14.60	5.00
3769	1.60	1.00	3963	20.00	5.00
3770	2.50	1.00	3967	28.00	5.00
3771	9.60	3.00	3971	32.00	5.00
3772	12.80	4.00	3975	46.00	5.00
3773	1.85	4.00	3979	58.00	5.00
3774	12.00	5.00	3983	86.00	5.00
3776	7.60	3.00	3987	78.00	5.00
3780	32.00	5.00	3991	86.00	5.00
3784	68.00	5.00	3995	42.00	5.00
3788	78.00	5.00	3999	42.00	5.00
3792	2.50	1.00	4004	98.00	5.00
3796	9.40	3.00	4008	86.00	5.00
3797	12.40	4.00	4013	86.00	5.00
3801	2.70	1.00	4017	86.00	5.00
3805	6.40	2.00	4022	42.00	5.00
3806	7.60	3.00	4026	50.00	5.00
3811	14.60	5.00	4031	32.00	5.00
3812	20.00	5.00	4035	32.00	5.00
3817	0.60	0.80	4040	16.00	5.00
3821	3.40	1.50	4050	3.10	1.00
3826	6.00	4.00	4051	4.40	1.50
3827	15.00	5.00	4055	6.80	2.00
3832	5.30	1.50	4056	8.00	3.00
3836	5.60	3.00	4060	10.60	3.00
3838	2.00	4.00	4061	14.00	4.00
3842	14.60	5.00	4065	17.60	5.00
3844	20.00	5.00	4066	24.00	5.00
3848	17.60	5.00	4070	14.60	5.00
3850	24.00	5.00	4071	20.00	5.00
3854	7.40	2.00	4075	17.60	5.00
3856	8.80	3.00	4076	24.00	5.00
3860	24.00	5.00	4090	6.80	2.00
3865	42.00	5.00	4091	8.00	3.00
3869	22.00	5.00	4095	17.60	5.00
3874	5.20	1.50	4096	24.00	5.00
3878	17.60	5.00	4101	17.60	5.00
3880	24.00	5.00	4102	24.00	5.00
3883	10.00	5.00	4107	31.00	5.00
3884	19.00	5.00	4108	42.00	5.00
3888	6.00	2.00	4113	23.60	5.00
3900	1.90	1.00	4114	32.00	5.00
3904	7.00	2.00	4119	17.60	5.00
3908	5.80	2.00	4120	24.00	5.00

Sixth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
4125	31.00	5.00	4402	35.00	5.00
4126	42.00	5.00	4403	1.60	1.00
4150	10.40	4.00	4404	1.30	1.50
4151	14.00	5.00	4408	10.40	4.00
4156	1.60	0.80	4412	8.80	3.00
4157	2.30	1.00	4416	11.60	4.00
4161	8.80	3.00	4420	2.30	1.00
4162	11.60	4.00	4424	2.10	1.00
4166	14.60	5.00	4428	30.00	5.00
4167	20.00	5.00	4432	46.00	5.00
4171	17.60	5.00	4436	8.00	5.00
4172	24.00	5.00	4440	7.60	3.00
4176	31.00	5.00	4444	42.00	5.00
4177	42.00	5.00	4448	42.00	5.00
4182	64.00	5.00	4450	26.00	5.00
4183	86.00	5.00	4452	4.40	1.50
4188	5.80	2.00	4456	44.00	5.00
4189	6.80	3.00	4460	4.40	1.50
4194	1.90	1.00	4464	20.00	5.00
4195	2.50	1.00	4468	42.00	5.00
4200	7.00	3.00	4472	64.00	5.00
4201	9.80	3.00	4476	1.90	1.00
4206	17.60	5.00	4480	7.60	3.00
4207	24.00	5.00	4484	5.80	2.00
4212	14.60	5.00	4488	42.00	5.00
4213	20.00	5.00	4492	50.00	5.00
4218	23.60	5.00	4496	50.00	5.00
4219	32.00	5.00	4498	5.00	3.00
4224	34.00	5.00	4499	7.00	4.00
4225	46.00	5.00	4501	6.30	3.00
4230	38.60	5.00	4502	7.00	5.00
4231	52.00	5.00	4504	5.80	3.00
4236	108.00	5.00	4505	4.50	5.00
4300	5.80	2.00	4507	8.60	4.00
4304	7.40	2.00	4508	6.00	5.00
4305	8.80	3.00	4513	3.15	1.00
4309	7.80	3.00	4514	4.40	1.50
4311	10.40	4.00	4519	2.40	1.50
4315	68.00	5.00	4520	8.80	3.00
4320	43.00	5.00	4525	3.20	2.00
4324	38.00	5.00	4526	8.40	4.00
4328	78.00	5.00	4528	6.40	2.00
4333	50.00	5.00	4529	5.20	1.50
4337	76.00	5.00	4533	2.50	1.00
4342	86.00	5.00	4538	24.00	5.00
4346	42.00	5.00	4542	16.00	5.00
4350	78.00	5.00	4545	24.80	5.00
4355	50.00	5.00	4547	20.00	5.00
4359	2.50	1.00	4551	24.00	5.00
4360	5.80	2.00	4555	15.60	5.00
4364	30.00	5.00	4559	11.60	4.00
4368	2.00	4.00	4563	64.00	5.00
4372	3.40	1.00	4567	12.40	4.00
4376	6.80	3.00	4571	14.00	5.00
4381	4.00	1.50	4575	15.60	5.00
4385	5.80	1.50	4579	12.40	4.00
4389	4.60	1.50	4583	28.00	5.00
4390	5.80	2.00	4587	42.00	5.00
4394	10.40	4.00	4591	42.00	5.00
4395	14.00	5.00	4595	52.00	5.00
4399	30.00	5.00	4599	42.00	5.00
4400	30.80	5.00	4604	12.00	4.00
4401	30.50	5.00	4605	16.00	5.00

Sixth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
4610	11.60	4.00	5132	11.60	4.00
4614	8.80	3.00	5136	5.80	2.00
4616	11.60	4.00	5140	42.00	5.00
4620	15.60	5.00	5145	20.00	5.00
4625	17.60	5.00	5149	18.00	5.00
4626	24.00	5.00	5153	42.00	5.00
4710	42.00	5.00	5157	34.00	5.00
4714	42.00	5.00	5161	50.00	5.00
4719	108.00	5.00	5165	24.00	5.00
4723	78.00	5.00	5170	38.00	5.00
4727	52.00	5.00	5174	15.60	5.00
4728	70.00	5.00	5178	42.00	5.00
4732	78.00	5.00	5182	52.00	5.00
4735	50.00	5.00	5186	10.40	4.00
4739	38.00	5.00	5190	5.80	2.00
4743	28.00	5.00	5194	24.00	5.00
4747	42.00	5.00	5198	50.00	5.00
4751	42.00	5.00	5202	64.00	5.00
4755	24.00	5.00	5206	20.00	5.00
4759	24.00	5.00	5220	9.80	3.00
4763	33.00	5.00	5223	13.40	4.00
4767	42.00	5.00	5224	18.00	5.00
4771	40.00	5.00	5228	14.00	5.00
4775	32.00	5.00	5232	64.00	5.00
4779	48.00	5.00	5236	24.00	5.00
4783	64.00	5.00	5240	22.00	5.00
4787	76.00	5.00	5244	42.00	5.00
4810	2.60	1.00	5248	10.40	4.00
4814	3.30	3.00	5252	14.00	4.00
4819	8.60	4.00	5256	50.00	5.00
4823	4.40	1.50	5260	12.00	4.00
4827	15.60	5.00	5261	16.00	5.00
4831	14.00	5.00	5310	1.30	1.00
4835	15.00	5.00	5311	5.80	2.00
4839	18.00	5.00	5316	5.00	1.50
4843	14.00	5.00	5317	6.40	2.00
4847	24.00	5.00	5322	5.00	1.50
4851	24.00	5.00	5323	6.40	2.00
4855	22.00	5.00	5328	9.40	3.00
4910	23.60	5.00	5329	12.40	4.00
4911	32.00	5.00	5334	7.00	3.00
4916	13.40	4.00	5335	9.80	3.00
4917	18.00	5.00	5340	3.15	1.00
4922	50.00	5.00	5341	4.40	1.50
4926	86.00	5.00	5346	6.40	2.00
4931	42.00	5.00	5350	3.15	1.00
4935	42.00	5.00	5352	4.40	1.50
4939	56.00	5.00	5356	7.00	3.00
4944	24.00	5.00	5358	9.80	3.00
5010	28.00	5.00	5362	18.00	5.00
5014	60.00	5.00	5367	24.00	5.00
5019	34.00	5.00	5371	64.00	5.00
5023	86.00	5.00	5376	50.00	5.00
5028	20.00	5.00	5380	3.20	1.00
5032	30.00	5.00	5385	50.00	5.00
5037	4.00	1.50	5387	50.00	5.00
5041	20.00	5.00	5394	28.00	5.00
5110	4.10	1.00	5398	7.80	3.00
5114	5.80	2.00	5399	10.40	4.00
5118	31.00	5.00	5403	6.80	2.00
5120	42.00	5.00	5404	8.00	3.00
5124	9.80	3.00	5408	11.00	5.00
5128	9.80	3.00	5410	15.00	5.00

Sixth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
5414	28.00	5.00	5585	40.50	5.00
5416	38.00	5.00	5589	32.00	5.00
5419	34.00	5.00	5593	11.00	5.00
5420	57.00	5.00	5594	8.00	5.00
5422	37.10	5.00	5596	23.60	5.00
5423	63.00	5.00	5597	32.00	5.00
5425	11.60	4.00	5610	4.00	1.50
5429	50.00	5.00	5614	17.60	5.00
5434	48.00	5.00	5616	24.00	5.00
5438	3.10	1.00	5620	44.00	5.00
5439	4.00	1.50	5625	24.00	5.00
5443	3.50	1.00	5631	46.00	5.00
5444	4.40	1.50	5635	42.00	5.00
5448	2.20	1.50	5640	46.00	5.00
5451	10.40	4.00	5644	28.00	5.00
5452	14.00	5.00	5649	58.00	5.00
5453	13.10	5.00	5653	46.00	5.00
5454	20.00	5.00	5658	50.00	5.00
5457	8.80	3.00	5662	7.60	3.00
5458	11.60	4.00	5667	2.50	1.00
5462	2.50	1.50	5668	3.40	1.50
5463	3.20	1.50	5673	14.00	4.00
5467	6.80	3.00	5677	18.00	5.00
5471	5.00	3.00	5681	20.00	5.00
5472	10.40	4.00	5685	42.00	5.00
5475	6.60	3.00	5689	46.00	5.00
5477	12.40	4.00	5693	42.00	5.00
5481	6.80	3.00	5697	28.00	5.00
5483	12.60	4.00	5701	4.50	1.50
5487	7.60	3.00	5702	2.80	2.00
5489	13.60	4.00	5706	7.60	3.00
5493	14.60	5.00	5710	8.00	3.00
5495	20.00	5.00	5714	0.90	0.80
5499	34.00	5.00	5718	3.15	1.00
5501	46.00	5.00	5719	4.40	1.50
5505	44.00	5.00	5723	12.80	4.00
5507	51.00	5.00	5727	15.60	5.00
5511	47.10	5.00	5731	4.40	1.50
5512	57.00	5.00	5735	98.00	5.00
5513	54.00	5.00	5739	64.00	5.00
5515	78.00	5.00	5742	58.00	5.00
5518	54.50	5.00	5746	4.60	1.50
5519	66.00	5.00	5750	11.00	5.00
5523	36.00	5.00	5754	18.00	5.00
5525	48.00	5.00	5758	41.00	5.00
5529	28.00	5.00	5762	42.00	5.00
5531	38.00	5.00	5766	86.00	5.00
5535	28.00	5.00	5770	34.00	5.00
5537	38.00	5.00	5774	18.00	5.00
5541	19.00	5.00	5778	20.00	5.00
5543	23.00	5.00	5782	55.00	5.00
5547	24.00	5.00	5786	34.00	5.00
5551	20.60	5.00	5790	38.00	5.00
5553	28.00	5.00	5794	46.00	5.00
5557	2.80	1.50	5798	20.00	5.00
5561	32.00	5.00	5802	64.00	5.00
5565	4.80	1.50	5806	86.00	5.00
5569	3.10	1.00	5810	34.00	5.00
5573	17.00	5.00	5814	24.00	5.00
5574	23.00	5.00	5818	10.40	4.00
5577	20.10	5.00	5822	16.00	5.00
5579	29.00	5.00	5826	42.00	5.00
5583	28.50	5.00	5830	64.00	5.00

Sixth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
5834	6.40	2.00	6173	64.00	5.00
5838	5.20	1.50	6177	24.00	5.00
5842	23.00	5.00	6181	10.00	4.00
5846	28.00	5.00	6182	16.00	5.00
5850	28.00	5.00	6186	10.40	4.00
5854	26.00	5.00	6187	14.00	5.00
5858	26.00	5.00	6191	17.60	5.00
5910 5911 5915 5920 5924	2.30 3.10 6.20 3.20 7.00	1.00 1.00 2.00 1.00 3.00	6192 6196 6197 6198	24.00 15.60 31.00 42.00	5.00 5.00 5.00 5.00
5926	9.80	3.00	6202	43.00	5.00
5930	23.60	5.00	6203	58.00	5.00
5931	32.00	5.00	6207	64.00	5.00
5936	64.00	5.00	6211	58.00	5.00
5940	64.00	5.00	6215	54.00	5.00
5945	68.00	5.00	6219	108.00	5.00
5949	86.00	5.00	6223	78.00	5.00
5954	50.00	5.00	6227	86.00	5.00
5958	28.00	5.00	6231	86.00	5.00
5963	70.00	5.00	6235	50.00	5.00
5967	15.60	5.00	6239	64.00	5.00
5971	26.00	5.00	6243	108.00	5.00
5976	6.40	2.00	6247	86.00	5.00
5980	11.60	4.00	6251	64.00	5.00
5985	86.00	5.00	6255	70.00	5.00
5989	52.00	5.00	6259	64.00	5.00
5994	76.00	5.00	6263	42.00	5.00
5998	86.00	5.00	6310	3.40	1.00
6003	42.00	5.00	6314	2.10	1.00
6007	28.00	5.00	6318	4.20	1.50
6012	20.00	5.00	6320	5.60	1.50
6016	50.00	5.00	6324	6.40	2.00
6021	32.00	5.00	6328	5.60	1.50
6025	98.00	5.00	6333	4.40	1.50
6029	11.60	4.00	6337	5.80	2.00
6034	16.80	5.00	6338	6.80	3.00
6038	40.00	5.00	6343	4.00	1.50
6042	15.60	5.00	6344	5.20	1.50
6100	0.90	0.80	6349	8.80	3.00
6104	4.00	1.50	6350	11.60	4.00
6108	4.40	1.50	6354	1.50	0.80
6112	8.00	3.00	6355	2.10	1.00
6116	4.30	1.50	6359	5.00	1.50
6120	4.40	1.50	6360	6.40	2.00
6124	5.20	1.50	6365	14.60	5.00
6128	11.60	4.00	6366	20.00	5.00
6132	7.00	3.00	6371	10.60	3.00
6133	9.80	3.00	6372	14.00	4.00
6137	12.00	4.00	6377	4.00	1.50
6138	16.00	5.00	6378	5.20	1.50
6142	20.40	5.00	6382	6.40	2.00
6143	28.00	5.00	6383	7.60	3.00
6147	32.00	5.00	6387	1.90	1.00
6151	50.00	5.00	6388	2.50	1.00
6155	58.00	5.00	6392	5.00	1.50
6159	16.00	5.00	6393	6.40	2.00
6160	22.00	5.00	6397	13.40	4.00
6164	10.40	4.00	6398	18.00	5.00
6165	14.00	5.00	6402	13.40	4.00
6169	50.00	5.00	6404	18.00	5.00

Sixth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
6414	The amount shown in this column in the item relating to the dislocation concerned, plus one-half of that amount	The amount shown in this column in the item relating to the dislocation concerned, plus one-half of that amount	6575	2.00	1.00
			6578	0.90	0.80
			6580	2.00	1.00
			6584	5.30	3.00
			6586	7.00	4.00
			6590	7.00	3.00
			6592	9.80	3.00
			6596	22.00	5.00
			6601	24.00	5.00
			6605	8.80	3.00
			6606	11.60	4.00
6420	3.40	1.00	6610	30.00	5.00
6425	6.40	2.00	6614	32.00	5.00
6426	8.80	3.00	6618	7.80	3.00
6431	3.40	1.00	6619	10.40	4.00
6432	4.60	1.50	6623	0.90	0.80
6437	4.90	2.00	6624	1.60	1.00
6438	12.40	4.00	6628	0.90	0.80
6442	6.80	3.00	6629	2.00	1.00
6443	14.00	5.00	6633	10.60	3.00
6447	3.90	1.00	6634	14.00	4.00
6448	5.20	1.50	6638	17.60	5.00
6453	7.00	3.00	6639	24.00	5.00
6454	9.80	3.00	6643	64.00	5.00
6458	6.60	3.00
6459	16.00	5.00	6647	The amount shown in this column in the item relating to the fracture concerned, plus one-third of that amount	The amount shown in this column in the item relating to the fracture concerned, plus one-third of that amount
6463	7.60	3.00
6467	8.10	3.00
6468	16.40	5.00
6472	6.40	2.00
6473	7.60	3.00
6477	12.60	4.00
6478	7.00	5.00
6482	14.40	4.00
6483	7.00	5.00	6651	The amount shown in this column in the item relating to the fracture concerned, plus one-half of that amount	The amount shown in this column in the item relating to the fracture concerned, plus one-half of that amount
6487	4.40	1.50
6489	3.80	3.00
6493	6.40	2.00
6494	7.60	3.00
6498	0.90	0.80
6499	2.00	1.00
6503	11.60	4.00
6505	15.60	5.00
6509	8.80	3.00	6655	The amount shown in this column in the item relating to the fracture concerned, plus three-quarters of that amount	The amount shown in this column in the item relating to the fracture concerned, plus three-quarters of that amount
6510	11.60	4.00
6515	28.00	5.00
6516	38.00	5.00
6521	4.90	2.00
6522	7.90	3.00
6525	7.30	3.00
6527	10.00	4.00
6531	17.60	5.00
6532	24.00	5.00	6659	One-half of the amount shown in this column in the item that would, but for item 6659 in the First Schedule to this Act, apply to the reduction concerned	One-half of the amount shown in this column in the item that would, but for item 6659 in the First Schedule to this Act, apply to the reduction concerned
6537	17.60	5.00
6538	24.00	5.00
6543	17.60	5.00
6544	24.00	5.00
6549	4.90	2.00
6550	8.80	3.00
6555	3.40	1.00
6559	4.40	1.50
6564	3.70	1.00
6568	3.45	1.00
6569	4.80	1.50
6574	0.90	0.80

Sixth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
6663	One-half of the amount shown in this column in the item that would, but for item 6663 in the First Schedule to this Act, apply to the reduction concerned	One-half of the amount shown in this column in the item that would, but for item 6663 in the First Schedule to this Act, apply to the reduction concerned	7114	18.00	5.00
			7118	20.00	5.00
			7122	54.00	5.00
			7126	64.00	5.00
			7130	7.00	5.00
			7135	5.00	1.50
			7136	6.40	2.00
			7141	32.00	5.00
			7145	36.00	5.00
			7149	32.00	5.00
			7154	16.00	5.00
			7155	22.00	5.00
			7159	86.00	5.00
6667	The amount shown in this column in the item that would, but for item 6667 in the First Schedule to this Act, apply to the reduction concerned	The amount shown in this column in the item that would, but for item 6667 in the First Schedule to this Act, apply to the reduction concerned	7163	42.00	5.00
			7167	58.00	5.00
			7171	28.00	5.00
			7176	32.00	5.00
			7180	42.00	5.00
			7184	32.00	5.00
			7189	28.00	5.00
			7190	38.00	5.00
			7195	32.00	5.00
			7199	1.90	1.00
			7200	2.30	1.00
			7205	1.60	0.80
6671	The amount shown in this column in the item that would apply in the case of a simple and uncomplicated fracture of the part concerned	The amount shown in this column in the item that would apply in the case of a simple and uncomplicated fracture of the part concerned	7206	2.30	1.00
			7210	11.60	4.00
			7214	42.00	5.00
			7218	24.00	5.00
			7221	10.00	5.00
			7222	16.00	5.00
			7224	17.00	5.00
			7225	20.00	5.00
			7227	19.45	5.00
			7228	28.00	5.00
			7230	20.00	5.00
7010	18.00	5.00	7233	13.40	4.00
7014	9.40	3.00	7234	18.00	5.00
7016	12.40	4.00	7238	42.00	5.00
7020	1.00	1.00	7242	14.00	4.00
7025	2.10	1.00	7246	24.00	5.00
7029	3.90	1.00	7250	13.40	4.00
7031	5.20	1.50	7252	18.00	5.00
7035	4.90	2.00	7256	16.00	5.00
7037	10.00	4.00	7257	22.00	5.00
7041	6.40	2.00	7261	12.40	4.00
7043	7.60	3.00	7262	12.00	5.00
7047	70.00	5.00	7266	20.00	5.00
7051	24.00	5.00	7271	20.00	5.00
7055	7.40	2.00	7275	24.00	5.00
7056	8.80	3.00	7280	28.00	5.00
7060	3.80	3.00	7284	46.00	5.00
7061	3.40	3.00	7289	70.00	5.00
7065	11.60	4.00	7293	46.00	5.00
7069	10.40	4.00	7297	44.00	5.00
7074	12.80	4.00	7301	46.00	5.00
7078	108.00	5.00	7305	10.40	4.00
7082	34.00	5.00	7309	22.00	5.00
7087	22.00	5.00	7313	8.80	3.00
7091	50.00	5.00	7314	11.60	4.00
7095	90.00	5.00	7318	20.60	5.00
7100	90.00	5.00	7319	28.00	5.00
7104	78.00	5.00	7323	10.80	4.00
7108	38.00	5.00	7324	14.40	5.00
7113	13.40	4.00	7328	13.40	4.00

Sixth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
7329	18.00	5.00	7616	42.00	5.00
7333	22.00	5.00	7620	24.00	5.00
7334	30.00	5.00	7625	64.00	5.00
7338	6.40	2.00	7629	6.40	2.00
7339	7.60	3.00	7631	7.60	3.00
7343	8.80	3.00	7635	50.00	5.00
7344	11.60	4.00	7640	36.00	5.00
7348	6.80	3.00	7644	32.00	5.00
7352	18.00	5.00	7649	18.00	5.00
7356	34.00	5.00	7653	6.40	2.00
7360	58.00	5.00	7655	7.60	3.00
7364	28.00	5.00	7659	7.40	2.00
7368	20.00	5.00	7661	8.80	3.00
7372	6.40	2.00	7665	32.00	5.00
7373	7.60	3.00	7670	6.40	2.00
7377	10.40	4.00	7671	7.60	3.00
7378	14.00	5.00	7676	20.00	5.00
7382	15.60	5.00	7680	36.00	5.00
7386	24.00	5.00	7685	32.00	5.00
7390	8.80	3.00	7700	50.00	5.00
7391	11.60	4.00	7704	6.40	2.00
7395	22.00	5.00	7708	4.00	1.50
7396	30.00	5.00	7750	24.00	5.00
7400	28.00	5.00	7754	11.60	4.00
7450	3.40	3.00	7758	20.00	5.00
7454	3.40	1.00	7762	2.50	1.00
7458	4.00	1.50	7767	3.40	1.00
7462	3.40	1.00	7771	3.80	3.00
7466	4.40	1.50	7775	10.40	4.00
7470	3.40	1.00	7779	14.00	5.00
7474	5.20	1.50	7783	22.00	5.00
7478	3.40	1.00	7787	40.00	5.00
7482	6.40	2.00	7791	42.00	5.00
7486	15.60	5.00	7795	20.00	5.00
7490	3.40	1.00	7850	14.00	5.00
7494	5.20	1.50	7854	18.00	5.00
7498	5.20	1.50	7858	14.00	4.00
7510	3.40	1.00	7862	7.60	3.00
7514	50.00	5.00	7866	9.80	3.00
7519	64.00	5.00	7870	5.20	1.50
7523	64.00	5.00	7874	15.60	5.00
7528	64.00	5.00	7877	9.80	3.00
7532	32.00	5.00	7881	24.00	5.00
7537	50.00	5.00	7885	14.00	4.00
7541	50.00	5.00	7889	9.80	3.00
7545	64.00	5.00	7893	6.40	2.00
7549	64.00	5.00	7897	16.00	5.00
7553	42.00	5.00	7901	24.00	5.00
7557	14.00	4.00	7905	10.80	4.00
7561	32.00	5.00	7909	24.00	5.00
7565	24.00	5.00	7913	20.00	5.00
7569	76.00	5.00	7917	32.00	5.00
7573	76.00	5.00	7921	64.00	5.00
7577	50.00	5.00	7925	54.00	5.00
7581	25.00	5.00	7929	64.00	5.00
7582	34.00	5.00	7950	14.00	5.00
7586	42.00	5.00	7952	15.50	5.00
7590	50.00	5.00	7953	16.50	5.00
7594	64.00	5.00	7954	24.00	5.00
7598	32.00	5.00	7958	14.00	5.00
7602	42.00	5.00	7962	7.60	3.00
7607	64.00	5.00	7966	20.00	5.00
7611	24.00	5.00	7970	14.00	4.00

Sixth Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
7974	32.00	5.00	8154	24.00	5.00
7978	20.00	5.00	8159	50.00	5.00
7982	14.00	4.00	8163	24.00	5.00
7986	34.00	5.00	8167	50.00	5.00
7990	10.40	4.00	8172	28.00	5.00
7994	7.60	3.00	8176	42.00	5.00
7998	22.00	5.00	8180	9.80	3.00
8002	36.00	5.00	8184	26.00	5.00
8007	18.00	5.00	8188	22.00	5.00
8011	28.00	5.00	8192	22.00	5.00
8015	28.00	5.00	8196	24.00	5.00
8020	50.00	5.00	8200	32.00	5.00
8024	16.00	5.00	8204	50.00	5.00
8029	50.00	5.00	8208	70.00	5.00
8033	36.00	5.00	8212	9.80	3.00
8037	98.00	5.00	8216	24.00	5.00
8042	34.00	5.00	8220	18.00	5.00
8046	64.00	5.00	8224	38.00	5.00
8050	50.00	5.00	8228	12.80	4.00
8054	42.00	5.00	8232	42.00	5.00
8058	42.00	5.00	8236	28.00	5.00
8062	24.00	5.00	8240	46.00	5.00
8066	20.00	5.00	8244	62.00	5.00
8070	24.00	5.00	8248	24.00	5.00
8110	18.00	5.00	8252	18.00	5.00
8114	28.00	5.00	8256	36.00	5.00
8119	32.00	5.00	8260	86.00	5.00
8123	18.00	5.00	8264	14.40	5.00
8128	32.00	5.00	8268	46.00	5.00
8132	18.00	5.00	8272	58.00	5.00
8136	42.00	5.00	8276	24.00	5.00
8141	32.00	5.00	8280	42.00	5.00
8145	20.00	5.00	8284	42.00	5.00
8150	11.60	4.00	8288	50.00	5.00

SEVENTH SCHEDULE Section 13.

TABLE OF FUND MEDICAL BENEFITS IN RESPECT OF TASMANIA

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
2	1.10	0.80	357	16.00	5.00
3	1.15	1.20	370	4.90	1.50
9	2.75	1.00	371	5.50	2.00
11	5.00	1.50	375	5.40	2.00
13	2.00	1.00	376	6.10	2.00
15	5.00	2.00	378	6.30	3.00
17	7.00	3.00	379	7.90	3.00
18	2.25	1.00	381	9.70	3.00
24	1.60	1.80	382	11.30	3.00
37	8.50	3.00	384	12.50	4.00
38	13.10	4.00	386	16.90	5.00
39	17.50	5.00	388	8.00	3.00
40	22.50	5.00	389	9.20	4.00
43	1.10	0.80	391	10.40	4.00
45	1.20	0.80	392	12.60	4.00
203	1.10	0.80	394	13.80	5.00
206	7.40	4.00	396	9.30	4.00
209	4.60	3.00	397	10.90	4.00
210	7.00	4.00	399	12.70	4.00
220	3.80	3.00	400	14.30	4.00
223	11.00	5.00	402	15.50	5.00
224	6.00	5.00	430	3.10	1.00
226	11.40	5.00	435	4.20	1.50
227	4.00	5.00	436	5.50	1.50
230	15.50	5.00	451	4.40	1.50
231	3.00	5.00	455	4.60	1.50
235	16.00	5.00	456	5.80	2.00
236	8.00	5.00	501	4.80	1.50
243	0.30	0.80	601	1.70	1.00
247	0.30	0.80	611	2.10	1.00
251	7.80	3.00	616	5.60	1.50
252	10.40	4.00	621	11.60	4.00
255	3.10	1.00	625	10.40	4.00
256	4.40	1.50	631	4.40	1.50
259	0.30	0.80	641	3.40	1.50
263	4.40	1.50	651	8.40	3.00
267	3.10	1.00	661	11.60	4.00
268	4.40	1.50	681	3.20	1.00
271	3.40	1.50	691	2.50	1.00
275	15.60	5.00	701	2.50	1.00
279	2.40	1.50	703	2.30	1.00
283	17.20	5.00	705	7.00	2.00
287	3.10	1.00	707	2.70	1.00
288	4.40	1.50	708	1.90	1.00
291	5.60	3.00	715	2.90	1.00
301	3.00	1.00	721	2.70	1.00
302	3.30	1.00	731	9.80	3.00
305	6.00	1.50	741	2.40	1.00
306	7.40	1.50	751	6.00	2.00
309	4.90	2.00	761	28.00	5.00
310	5.80	2.00	771	42.00	5.00
313	7.60	3.00	781	32.00	5.00
317	11.60	4.00	791	7.60	3.00
321	0.70	0.80	801	7.20	2.00
323	4.80	1.50	831	1.60	1.00
341	4.00	1.50	841	2.50	1.00
342	4.80	1.50	851	3.30	1.00
344	4.70	1.50	861	5.60	1.50
345	5.20	2.00	866	7.60	3.00
347	6.40	2.00	871	6.40	2.00
348	7.00	3.00	881	3.40	1.50
351	8.80	3.00	891	14.00	4.00
352	10.40	3.00	901	11.60	4.00
355	11.60	4.00	906	14.00	4.00

Seventh Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
911	3.20	1.00	1110	3.30	1.50
915	6.80	3.00	1112	0.20	0.80
921	0.90	0.80	1114	0.20	0.80
931	0.40	0.80	1116	2.60	1.50
941	1.00	0.80	1118	1.10	0.80
943	1.40	0.80	1120	4.80	1.50
945	2.30	1.00	1122	0.70	1.00
951	3.40	1.00	1124	1.90	1.00
961	2.10	1.00	1126	2.30	1.00
971	7.60	3.00	1128	0.70	0.80
976	15.60	5.00	1130	3.10	1.00
981	3.50	1.00	1132	1.90	1.00
985	4.80	1.50	1134	3.10	1.00
1000	0.20	0.80	1136	4.80	1.50
1002	0.70	0.80	1138	1.60	0.80
1004	0.20	0.80	1140	1.70	1.00
1006	0.90	0.80	1142	1.40	1.00
1008	0.20	0.80	1144	1.60	0.80
1010	0.60	0.80	1146	1.60	0.80
1012	3.00	1.00	1148	1.70	1.00
1014	0.90	1.00	1150	2.80	1.50
1016	3.10	1.00	1152	2.70	1.00
1018	3.80	1.50	1154	2.30	1.00
1020	5.70	3.00	1156	2.30	1.00
1022	0.20	0.80	1160	0.70	1.00
1024	0.70	0.80	1162	1.10	1.00
1026	0.70	0.80	1164	2.50	1.00
1028	1.20	1.00	1166	2.50	1.00
1030	1.10	1.00	1168	2.50	1.00
1032	1.20	1.00	1170	2.90	1.00
1034	1.90	1.00	1172	0.90	0.80
1036	2.70	1.00	1174	1.60	0.80
1038	3.10	1.00	1176	1.00	0.80
1040	3.10	1.00	1180	0.10	0.80
1042	0.40	0.80	1182	0.20	0.80
1044	4.00	1.50	1184	1.70	1.00
1046	1.40	0.80	1186	0.70	0.80
1048	5.60	1.50	1188	1.90	1.00
1050	1.50	1.00	1190	2.70	1.00
1052	6.30	3.00	1192	0.70	1.00
1054	0.20	0.80	1194	0.70	1.00
1060	0.20	0.80	1196	2.70	1.00
1062	0.60	0.80	1198	0.70	1.00
1064	0.70	0.80	1200	0.20	0.80
1066	2.30	1.00	1202	0.40	1.00
1068	1.00	1.00	1204	0.60	0.80
1070	1.30	1.00	1206	2.10	1.00
1072	2.70	1.00	1208	1.70	1.00
1074	7.60	3.00	1210	0.70	1.00
1076	0.90	0.80	1212	1.50	1.00
1080	0.70	0.80	1214	0.70	0.80
1082	2.30	1.00	1216	0.80	0.80
1084	3.80	3.00	1218	3.50	1.00
1090	1.60	0.80	1220	5.00	1.50
1092	1.90	1.00	1222	5.00	1.50
1094	1.90	1.00	1224	6.80	3.00
1096	0.90	0.80	1226	8.80	3.00
1098	1.30	0.80	1228	3.50	1.00
1100	1.50	1.00	1230	5.00	1.50
1102	3.50	1.00	1232	0.40	0.80
1104	0.20	0.80	1234	2.80	1.50
1106	1.10	0.80	1236	4.30	1.50
1108	1.50	1.00	1238	5.00	2.00

Seventh Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
1240	1.90	1.00	1401	1.90	1.00
1242	3.10	1.00	1404	0.20	0.80
1244	2.70	1.50	1407	0.70	1.00
1246	5.00	1.50	1410	1.60	0.80
1248	0.20	0.80	1413	1.60	0.80
1250	0.70	1.00	1416	2.60	1.00
1252	2.80	1.50	1419	1.90	1.00
1254	4.70	1.50	1421	2.30	1.00
1256	5.80	2.00	1423	1.00	0.80
1258	6.40	3.00	1425	4.00	1.50
1260	2.70	1.00	1428	1.30	1.00
1262	4.40	1.50	1430	5.00	1.50
1264	0.70	1.00	1432	8.80	3.00
1266	2.80	1.50	1434	2.70	1.00
1268	4.70	1.50	1436	3.10	1.00
1270	5.80	2.00	1438	8.80	3.00
1272	2.50	1.00	1441	3.30	1.00
1274	8.80	3.00	1444	0.40	0.80
1276	5.80	2.00	1447	5.00	1.50
1278	0.70	1.00	1450	3.40	1.50
1280	2.80	1.50	1453	1.20	1.00
1282	4.70	1.50	1456	2.50	1.00
1284	5.80	2.00	1459	0.70	1.00
1286	6.40	3.00	1461	2.80	1.50
1288	4.00	1.50	1463	4.70	1.50
1290	3.10	1.50	1466	5.80	2.00
1292	3.10	1.50	1468	0.20	0.80
1294	0.70	1.00	1470	1.70	1.00
1296	1.60	0.80	1472	4.00	1.50
1298	2.80	1.00	1474	8.80	3.00
1301	0.70	1.00	1476	1.70	1.00
1302	2.80	1.50	1478	2.30	1.00
1304	4.70	1.50	1481	3.30	1.00
1305	5.80	2.00	1484	6.80	3.00
1307	6.40	3.00	1487	1.70	1.00
1310	0.70	1.00	1490	1.70	1.00
1313	1.90	1.00	1491	0.20	0.80
1316	2.70	1.00	1493	6.80	3.00
1319	3.10	1.50	1494	8.80	3.00
1322	0.20	0.80	1495	0.90	0.80
1325	0.40	0.80	1496	1.60	0.80
1328	1.90	1.00	1497	3.40	1.50
1331	3.00	1.50	1499	3.50	1.00
1334	1.10	1.00	1500	0.20	0.80
1337	3.20	1.50	1502	0.20	0.80
1340	5.00	2.00	1504	0.20	0.80
1343	1.70	1.00	1506	1.30	1.00
1346	6.80	3.00	1508	0.20	0.80
1349	3.30	1.00	1511	1.90	1.00
1352	3.50	1.00	1513	1.60	0.80
1355	2.50	1.00	1515	0.40	1.00
1358	1.00	0.80	1517	1.20	1.00
1380	0.70	0.80	1519	2.50	1.00
1382	0.70	0.80	1521	2.50	1.50
1385	0.70	1.00	1523	3.50	1.50
1388	2.80	1.50	1525	1.90	1.00
1389	4.30	1.50	1527	4.00	1.50
1391	2.00	1.00	1529	2.30	1.00
1392	3.30	1.50	1531	4.40	1.50
1394	4.00	2.00	1534	1.60	0.80
1395	0.40	0.80	1537	2.60	1.00
1397	1.90	1.00	1539	2.30	1.00
1399	0.70	0.80	1541	1.90	1.00

Seventh Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
1543	1.00	0.80	1718	2.00	1.00
1545	0.20	0.80	1720	4.00	2.00
1546	1.50	1.00	1722	5.10	3.00
1548	2.80	1.50	1724	1.90	1.00
1551	2.00	1.00	1726	4.00	1.50
1554	2.90	1.50	1728	5.80	2.00
1557	3.50	2.00	1730	4.00	1.50
1560	2.90	1.50	1732	0.20	0.80
1562	3.80	1.50	1734	0.20	0.80
1564	4.40	2.00	1736	6.80	3.00
1566	4.90	2.00	1738	0.90	0.80
1568	5.00	3.00	1741	0.70	1.00
1571	1.30	1.00	1744	0.90	0.80
1580	1.90	1.00	1746	0.70	1.00
1582	1.30	0.80	1748	0.70	1.00
1584	3.50	1.00	1761	0.90	0.80
1586	0.20	0.80	1764	1.70	1.00
1588	0.70	1.00	1767	0.90	0.80
1590	2.70	1.00	1770	0.70	1.00
1601	0.70	1.00	1773	3.10	1.00
1604	2.80	1.50	1776	4.80	1.50
1607	4.70	1.50	1779	0.20	0.80
1609	5.80	2.00	1782	0.20	0.80
1611	1.00	1.00	1785	0.20	0.80
1613	3.30	1.00	1790	1.90	1.00
1615	2.50	1.00	1792	1.60	0.80
1616	3.50	1.00	1794	4.00	1.00
1621	0.40	0.80	1796	4.00	1.50
1623	1.00	0.80	1798	1.90	1.00
1625	1.10	0.80	1800	1.10	0.80
1627	2.70	1.00	1802	2.20	1.00
1629	2.30	1.00	1804	3.80	1.50
1631	1.60	0.80	1806	0.40	0.80
1640	5.60	1.50	1808	1.30	1.50
1643	2.90	1.00	1810	0.40	0.80
1645	2.90	1.00	1812	0.40	0.80
1647	8.80	3.00	1820	2.80	1.50
1649	7.00	2.00	1822	5.00	2.00
1651	8.80	3.00	1824	6.40	3.00
1653	4.00	1.50	1826	4.40	3.00
1661	0.20	0.80	1828	7.40	3.00
1664	5.80	2.00	1840	12.40	4.00
1667	0.70	1.00	1841	16.00	5.00
1670	2.70	1.00	1843	3.10	1.50
1673	3.50	1.00	1846	4.00	1.50
1680	0.20	0.80	1849	2.50	1.00
1682	0.20	0.80	1850	2.80	1.50
1684	0.40	0.80	1852	2.80	1.50
1686	1.10	0.80	1855	4.30	1.50
1688	1.90	1.00	1858	5.00	2.00
1691	1.90	1.00	1861	2.70	1.50
1694	1.30	1.00	1863	5.80	2.00
1697	1.80	1.00	1865	14.00	5.00
1698	3.30	1.50	1867	3.10	1.50
1700	1.90	1.00	1869	4.80	1.50
1701	5.10	2.00	1871	6.80	3.00
1703	1.90	1.00	1873	14.00	5.00
1706	1.60	0.80	1875	5.80	2.00
1707	2.60	1.00	1877	5.80	2.00
1710	0.70	0.80	1879	3.10	1.50
1712	0.70	1.00	1881	2.10	1.00
1714	0.70	1.00	1884	1.50	1.00
1716	0.90	0.80	1887	4.00	1.50

Seventh Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
1889	12.40	4.00	2160	3.40	1.00
1891	1.60	0.80	2164	11.60	4.00
1893	3.40	1.50	2169	8.80	3.00
1901	1.70	1.00	2173	5.80	2.00
1903	3.50	1.00	2177	5.90	2.00
1905	3.50	1.00	2181	6.80	3.00
1907	5.30	1.50	2185	3.30	1.50
1909	4.00	1.50	2200	2.90	1.00
1911	6.00	2.00	2205	2.90	1.00
1913	1.30	1.00	2209	5.60	1.50
1915	1.50	1.00	2214	4.80	2.00
1921	7.00	2.00	2218	4.20	3.00
1923	7.20	3.00	2222	6.80	3.00
1925	8.40	3.00	2226	4.30	2.00
1941	8.80	3.00	2230	4.80	3.00
1943	4.00	1.50	2234	4.60	2.00
1945	3.50	1.00	2238	5.00	2.00
1947	3.40	1.50	2247	5.60	3.00
1949	2.70	1.00	2250	6.40	2.00
1951	4.00	1.50	2254	1.90	1.00
1953	4.00	1.50	2270	6.80	3.00
1955	4.40	1.50	2274	4.80	1.50
1957	7.00	2.00	2290	3.40	1.50
1959	7.00	2.00	2294	3.80	2.00
1961	5.80	2.00	2298	6.40	2.00
1963	4.00	1.50	2310	6.80	3.00
1965	5.60	1.50	2314	9.80	3.00
1967	5.60	1.50	2318	9.80	3.00
1969	5.60	1.50	2322	9.80	3.00
1971	6.80	3.00	2326	6.40	2.00
1973	7.00	2.00	2330	4.80	1.50
1975	5.60	1.50	2334	9.20	3.00
1977	5.80	2.00	2338	6.80	3.00
1979	4.00	1.50	2342	7.60	3.00
1981	5.80	2.00	2346	4.60	1.50
1983	5.80	2.00	2350	3.80	3.00
2010	1.60	1.00	2354	10.40	4.00
2014	2.50	1.00	2358	5.00	1.50
2018	2.20	1.00	2362	2.10	1.00
2022	2.50	1.00	2367	2.10	1.00
2026	2.50	1.00	2371	6.40	2.00
2040	1.70	1.00	2410	5.80	2.00
2044	1.40	1.00	2420	0.90	0.80
2048	2.00	1.00	2440	4.40	1.50
2052	6.80	3.00	2444	2.70	1.00
2060	4.30	1.50	2460	1.60	1.00
2064	2.80	1.50	2464	2.40	1.00
2068	2.80	1.50	2468	5.60	1.50
2072	3.00	1.00	2510	24.00	5.00
2076	4.80	1.50	2514	24.00	5.00
2081	2.40	1.00	2518	8.00	3.00
2091	3.50	1.50	2522	14.00	4.00
2094	6.40	2.00	2526	32.00	5.00
2098	2.30	3.00	2530	24.00	5.00
2110	4.00	1.00	2534	11.60	4.00
2114	4.40	1.50	2538	15.60	5.00
2119	4.00	1.00	2542	6.40	2.00
2123	1.60	1.00	2570	11.60	4.00
2128	4.80	1.50	2574	6.40	2.00
2132	4.80	1.50	2578	6.40	2.00
2136	2.60	1.50	2620	12.40	4.00
2140	4.00	1.50	2624	10.40	4 00
2144	4.80	1.50	2628	10.40	4.00

Seventh Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
2632	2.00	4.00	3132	22.00	5.00
2636	4.00	1.50	3137	2.50	1.00
2640	5.80	2.00	3138	3.80	2.00
2644	5.80	2.00	3143	4.90	2.00
2648	4.80	1.50	3144	3.80	3.00
2652	4.80	1.50	3149	8.60	4.00
2657	5.80	2.00	3150	7.00	4.00
2661	5.00	1.50	3155	8.00	5.00
2666	2.90	1.00	3156	12.00	5.00
2670	4.80	1.50	3161	34.00	5.00
2674	4.00	1.50	3162	37.00	5.00
2678	4.00	1.50	3166	48.00	5.00
2682	6.80	3.00	3170	8.80	3.00
2686	1.90	1.00	3174	2.60	1.00
2691	10.40	4.00	3178	1.00	1.00
2696	6.40	2.00	3180	3.50	1.00
2700	5.60	1.50	3184	2.60	1.00
2901	4.80	1.50	3185	2.20	1.50
2904	6.20	2.00	3190	3.40	1.50
2907	6.80	3.00	3191	5.20	2.00
2910	8.80	3.00	3196	3.60	1.50
2913	12.40	4.00	3197	5.30	2.00
3000	1.10	0.80	3201	4.90	2.00
3004	1.90	1.00	3202	5.80	2.00
3005	2.50	1.00	3206	7.80	3.00
3009	3.15	1.00	3207	10.40	4.00
3011	4.40	1.50	3211	0.70	0.80
3015	6.80	2.00	3216	0.70	0.80
3017	8.00	3.00	3220	2.90	1.50
3021	2.60	1.00	3221	3.80	3.00
3025	2.90	1.50	3225	6.40	2.00
3030	3.30	1.50	3226	7.60	3.00
3034	7.60	3.00	3230	10.60	3.00
3039	2.40	1.50	3232	14.00	4.00
3043	6.80	3.00	3236	10.60	3.00
3045	9.40	3.00	3238	14.00	4.00
3049	6.40	2.00	3242	6.40	2.00
3051	7.60	3.00	3244	7.60	3.00
3055	7.00	3.00	3248	6.80	2.00
3056	9.80	3.00	3250	8.00	3.00
3061	0.30	0.80	3254	17.60	5.00
3064	2.10	1.00	3255	24.00	5.00
3065	6.80	3.00	3259	24.00	5.00
3069	7.30	3.00	3263	50.00	5.00
3070	10.00	4.00	3267	13.40	4.00
3074	2.50	1.00	3269	18.00	5.00
3078	4.90	2.00	3273	34.00	5.00
3080	5.60	3.00	3274	46.00	5.00
3084	3.50	1.00	3279	16.00	5.00
3089	6.80	3.00	3280	22.00	5.00
3093	2.10	1.00	3285	3.15	1.00
3097	7.00	3.00	3286	4.40	1.50
3099	9.80	3.00	3291	7.00	3.00
3103	5.00	1.50	3292	9.80	3.00
3104	6.40	2.00	3297	2.50	1.00
3108	7.00	3.00	3298	3.40	1.00
3110	9.80	3.00	3303	6.40	2.00
3115	2.50	1.00	3304	7.60	3.00
3119	1.60	2.00	3309	7.60	3.00
3121	3.40	3.00	3313	37.00	5.00
3125	13.40	4.00	3315	50.00	5.00
3126	18.00	5.00	3319	2.50	1.00
3131	16.00	5.00	3323	10.60	3.00

Seventh Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
3324	14.00	4.00	3529	38.00	5.00
3328	13.40	4.00	3534	23.60	5.00
3329	18.00	5.00	3535	32.00	5.00
3334	26.60	5.00	3539	43.00	5.00
3335	36.00	5.00	3541	58.00	5.00
3340	50.00	5.00	3545	78.00	5.00
3344	86.00	5.00	3550	20.60	5.00
3348	19.00	5.00	3551	28.00	5.00
3349	26.00	5.00	3556	86.00	5.00
3353	42.00	5.00	3560	28.00	5.00
3357	62.00	5.00	3561	38.00	5.00
3361	38.00	5.00	3566	28.00	5.00
3362	46.00	5.00	3567	38.00	5.00
3367	23.60	5.00	3572	14.60	5.00
3368	32.00	5.00	3573	20.00	5.00
3372	26.60	5.00	3577	17.60	5.00
3373	36.00	5.00	3578	24.00	5.00
3377	11.50	5.00	3582	46.00	5.00
3378	16.00	5.00	3583	62.00	5.00
3383	24.00	5.00	3588	11.60	4.00
3387	18.00	5.00	3589	15.60	5.00
3392	20.60	5.00	3593	20.60	5.00
3393	28.00	5.00	3594	28.00	5.00
3397	46.00	5.00	3598	46.00	5.00
3402	10.40	4.00	3599	62.00	5.00
3406	22.00	5.00	3604	20.60	5.00
3408	30.00	5.00	3605	28.00	5.00
3412	4.60	3.00	3609	26.60	5.00
3414	2.00	4.00	3610	36.00	5.00
3418	17.20	5.00	3614	46.00	5.00
3419	22.00	5.00	3615	62.00	5.00
3423	17.20	5.00	3620	46.00	5.00
3424	22.00	5.00	3624	14.00	5.00
3428	46.00	5.00	3626	18.00	5.00
3430	62.00	5.00	3630	25.00	5.00
3434	6.40	2.00	3632	34.00	5.00
3436	7.60	3.00	3636	11.60	4.00
3440	19.00	5.00	3640	6.40	2.00
3442	30.00	5.00	3645	86.00	5.00
3446	15.00	5.00	3649	20.60	5.00
3448	18.00	5.00	3651	28.00	5.00
3452	31.00	5.00	3655	31.00	5.00
3454	42.00	5.00	3656	42.00	5.00
3458	23.60	5.00	3661	31.00	5.00
3460	32.00	5.00	3662	42.00	5.00
3464	42.00	5.00	3667	50.00	5.00
3469	86.00	5.00	3671	32.00	5.00
3473	32.00	5.00	3675	7.60	3.00
3478	42.00	5.00	3680	2.30	1.00
3482	42.00	5.00	3681	3.10	1.00
3486	12.00	5.00	3686	86.00	5.00
3487	14.00	5.00	3690	9.00	5.00
3491	23.60	5.00	3691	10.00	5.00
3492	32.00	5.00	3696	50.00	5.00
3497	20.00	5.00	3700	55.00	5.00
3498	22.00	5.00	3704	17.60	5.00
3502	58.00	5.00	3705	24.00	5.00
3506	86.00	5.00	3709	20.60	5.00
3510	11.60	4.00	3710	28.00	5.00
3514	22.00	5.00	3714	18.00	5.00
3519	28.00	5.00	3716	19.00	5.00
3523	36.00	5.00	3720	1.90	1.00
3528	28.00	5.00	3721	2.50	1.00

Seventh Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
3726	14.00	5.00	3920	10.50	5.00
3727	18.00	5.00	3921	8.80	3.00
3731	14.60	5.00	3923	11.60	4.00
3732	20.00	5.00	3926	9.00	5.00
3736	20.60	5.00	3927	4.00	5.00
3737	28.00	5.00	3931	10.00	5.00
3741	19.00	5.00	3932	5.00	5.00
3742	17.00	5.00	3936	14.60	5.00
3746	5.00	1.50	3937	20.00	5.00
3747	6.40	2.00	3941	50.00	5.00
3751	1.70	1.00	3945	3.50	1.00
3755	3.40	1.50	3949	2.25	1.00
3756	2.80	2.00	3951	3.00	1.00
3760	7.00	3.00	3955	5.60	1.50
3761	9.80	3.00	3957	7.20	2.00
3765	3.40	1.00	3961	14.60	5.00
3769	1.60	1.00	3963	20.00	5.00
3770	2.50	1.00	3967	28.00	5.00
3771	9.60	3.00	3971	32.00	5.00
3772	12.80	4.00	3975	46.00	5.00
3773	1.85	4.00	3979	58.00	5.00
3774	2.00	5.00	3983	86.00	5.00
3776	7.60	3.00	3987	78.00	5.00
3780	32.00	5.00	3991	86.00	5.00
3784	68.00	5.00	3995	42.00	5.00
3788	78.00	5.00	3999	42.00	5.00
3792	2.50	1.00	4004	98.00	5.00
3796	9.40	3.00	4008	86.00	5.00
3797	12.40	4.00	4013	86.00	5.00
3801	2.70	1.00	4017	86.00	5.00
3805	6.40	2.00	4022	42.00	5.00
3806	7.60	3.00	4026	50.00	5.00
3811	14.60	5.00	4031	32.00	5.00
3812	20.00	5.00	4035	32.00	5.00
3817	1.10	0.80	4040	16.00	5.00
3821	3.40	1.50	4050	3.10	1.00
3826	6.00	4.00	4051	4.40	1.50
3827	5.00	5.00	4055	6.80	2.00
3832	5.30	1.50	4056	8.00	3.00
3836	1.60	2.00	4060	10.60	3.00
3838	2.00	4.00	4061	14.00	4.00
3842	14.60	5.00	4065	17.60	5.00
3844	20.00	5.00	4066	24.00	5.00
3848	17.60	5.00	4070	14.60	5.00
3850	24.00	5.00	4071	20.00	5.00
3854	7.40	2.00	4075	17.60	5.00
3856	8.80	3.00	4076	24.00	5.00
3860	24.00	5.00	4090	6.80	2.00
3865	42.00	5.00	4091	8.00	3.00
3869	22.00	5.00	4095	17.60	5.00
3874	5.20	1.50	4096	24.00	5.00
3878	17.60	5.00	4101	17.60	5.00
3880	24.00	5.00	4102	24.00	5.00
3883	5.00	5.00	4107	31.00	5.00
3884	4.00	5.00	4108	42.00	5.00
3888	6.00	2.00	4113	23.60	5.00
3900	1.90	1.00	4114	32.00	5.00
3904	7.00	2.00	4119	17.60	5.00
3908	5.80	2.00	4120	24.00	5.00
3909	6.80	3.00	4125	31.00	5.00
3914	6.40	3.00	4126	42.00	5.00
3915	10.00	4.00	4150	10.40	4.00
3917	13.50	5.00	4151	14.00	5.00

Seventh Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
4156	1.60	0.80	4412	8.80	3.00
4157	2.30	1.00	4416	11.60	4.00
4161	8.80	3.00	4420	2.30	1.00
4162	11.60	4.00	4424	2.10	1.00
4166	14.60	5.00	4428	30.00	5.00
4167	20.00	5.00	4432	46.00	5.00
4171	17.60	5.00	4436	8.00	5.00
4172	24.00	5.00	4440	7.60	3.00
4176	31.00	5.00	4444	42.00	5.00
4177	42.00	5.00	4448	42.00	5.00
4182	64.00	5.00	4450	26.00	5.00
4183	86.00	5.00	4452	4.40	1.50
4188	5.80	2.00	4456	44.00	5.00
4189	6.80	3.00	4460	4.40	1.50
4194	1.90	1.00	4464	20.00	5.00
4195	2.50	1.00	4468	42.00	5.00
4200	7.00	3.00	4472	64.00	5.00
4201	9.80	3.00	4476	1.90	1.00
4206	17.60	5.00	4480	7.60	3.00
4207	24.00	5.00	4484	5.80	2.00
4212	14.60	5.00	4488	42.00	5.00
4213	20.00	5.00	4492	50.00	5.00
4218	23.60	5.00	4496	50.00	5.00
4219	32.00	5.00	4498	8.00	3.00
4224	34.00	5.00	4499	3.50	4.00
4225	46.00	5.00	4501	9.30	3.00
4230	38.60	5.00	4502	2.00	4.00
4231	52.00	5.00	4504	8.80	3.00
4236	108.00	5.00	4505	2.00	4.00
4300	5.80	2.00	4507	8.60	4.00
4304	7.40	2.00	4508	1.00	5.00
4305	8.80	3.00	4513	3.15	1.00
4309	7.80	3.00	4514	4.40	1.50
4311	10.40	4.00	4519	2.40	1.50
4315	68.00	5.00	4520	3.80	3.00
4320	43.00	5.00	4525	3.20	2.00
4324	38.00	5.00	4526	1.90	3.00
4328	78.00	5.00	4528	6.40	2.00
4333	50.00	5.00	4529	5.20	1.50
4337	76.00	5.00	4533	2.50	1.00
4342	86.00	5.00	4538	24.00	5.00
4346	42.00	5.00	4542	16.00	5.00
4350	78.00	5.00	4545	24.80	5.00
4355	50.00	5.00	4547	20.00	5.00
4359	2.50	1.00	4551	24.00	5.00
4360	1.30	1.50	4555	15.60	5.00
4364	30.00	5.00	4559	11.60	4.00
4368	2.00	4.00	4563	64.00	5.00
4372	3.40	1.00	4567	12.40	4.00
4376	6.80	3.00	4571	14.00	5.00
4381	4.00	1.50	4575	15.60	5.00
4385	5.80	1.50	4579	12.40	4.00
4389	4.60	1.50	4583	28.00	5.00
4390	5.80	2.00	4587	42.00	5.00
4394	3.90	3.00	4591	42.00	5.00
4395	5.00	4.00	4595	52.00	5.00
4399	10.00	5.00	4599	42.00	5.00
4400	10.80	5.00	4604	12.00	4.00
4401	10.50	5.00	4605	16.00	5.00
4402	15.00	5.00	4610	11.60	4.00
4403	1.60	1.00	4614	8.80	3.00
4404	1.30	1.50	4616	11.60	4.00
4408	10.40	4.00	4620	15.60	5.00

Seventh Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
4625	17.60	5.00	5149	18.00	5.00
4626	24.00	5.00	5153	42.00	5.00
4710	42.00	5.00	5157	34.00	5.00
4714	42.00	5.00	5161	50.00	5.00
4719	108.00	5.00	5165	24.00	5.00
4723	78.00	5.00	5170	38.00	5.00
4727	52.00	5.00	5174	15.60	5.00
4728	70.00	5.00	5178	42.00	5.00
4732	78.00	5.00	5182	52.00	5.00
4735	50.00	5.00	5186	10.40	4.00
4739	38.00	5.00	5190	5.80	2.00
4743	8.00	5.00	5194	24.00	5.00
4747	42.00	5.00	5198	50.00	5.00
4751	42.00	5.00	5202	64.00	5.00
4755	24.00	5.00	5206	20.00	5.00
4759	24.00	5.00	5220	9.80	3.00
4763	33.00	5.00	5223	13.40	4.00
4767	42.00	5.00	5224	18.00	5.00
4771	40.00	5.00	5228	14.00	5.00
4775	32.00	5.00	5232	64.00	5.00
4779	48.00	5.00	5236	24.00	5.00
4783	64.00	5.00	5240	22.00	5.00
4787	76.00	5.00	5244	42.00	5.00
4810	1.60	1.00	5248	10.40	4.00
4814	3.30	3.00	5252	14.00	4.00
4819	8.60	4.00	5256	50.00	5.00
4823	4.40	1.50	5260	12.00	4.00
4827	15.60	5.00	5261	16.00	5.00
4831	14.00	5.00	5310	1.30	1.00
4835	15.00	5.00	5311	5.80	2.00
4839	18.00	5.00	5316	5.00	1.50
4843	14.00	5.00	5317	6.40	2.00
4847	24.00	5.00	5322	5.00	1.50
4851	24.00	5.00	5323	6.40	2.00
4855	22.00	5.00	5328	9.40	3.00
4910	23.60	5.00	5329	12.40	4.00
4911	32.00	5.00	5334	7.00	3.00
4916	13.40	4.00	5335	9.80	3.00
4917	18.00	5.00	5340	3.15	1.00
4922	50.00	5.00	5341	4.40	1.50
4926	86.00	5.00	5346	6.40	2.00
4931	42.00	5.00	5350	3.15	1.00
4935	42.00	5.00	5352	4.40	1.50
4939	56.00	5.00	5356	7.00	3.00
4944	24.00	5.00	5358	9.80	3.00
5010	28.00	5.00	5362	18.00	5.00
5014	20.00	5.00	5367	24.00	5.00
5019	34.00	5.00	5371	64.00	5.00
5023	86.00	5.00	5376	50.00	5.00
5028	20.00	5.00	5380	3.20	1.00
5032	30.00	5.00	5385	50.00	5.00
5037	4.00	1.50	5387	50.00	5.00
5041	20.00	5.00	5394	28.00	5.00
5110	3.10	1.00	5398	7.80	3.00
5114	5.80	2.00	5399	10.40	4.00
5118	31.00	5.00	5403	6.80	2.00
5120	42.00	5.00	5404	8.00	3.00
5124	9.80	3.00	5408	11.00	5.00
5128	9.80	3.00	5410	15.00	5.00
5132	11.60	4.00	5414	28.00	5.00
5136	5.80	2.00	5416	38.00	5.00
5140	42.00	5.00	5419	29.00	5.00
5145	20.00	5.00	5420	32.00	5.00

Seventh Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
5422	32.10	5.00	5597	32.00	5.00
5423	35.50	5.00	5610	4.00	1.50
5425	11.60	4.00	5614	17.60	5.00
5429	50.00	5.00	5616	24.00	5.00
5434	48.00	5.00	5620	44.00	5.00
5438	3.10	1.00	5625	24.00	5.00
5439	4.00	1.50	5631	46.00	5.00
5443	3.50	1.00	5635	42.00	5.00
5444	4.40	1.50	5640	46.00	5.00
5448	2.20	1.50	5644	28.00	5.00
5451	10.40	4.00	5649	58.00	5.00
5452	14.00	5.00	5653	46.00	5.00
5453	13.10	5.00	5658	50.00	5.00
5454	17.50	5.00	5662	7.60	3.00
5457	8.80	3.00	5667	2.50	1.00
5458	11.60	4.00	5668	3.40	1.50
5462	2.50	1.50	5673	14.00	4.00
5463	5.20	2.00	5677	18.00	5.00
5467	6.80	3.00	5681	20.00	5.00
5471	5.00	3.00	5685	42.00	5.00
5472	6.40	3.00	5689	46.00	5.00
5475	6.60	3.00	5693	42.00	5.00
5477	7.40	4.00	5697	28.00	5.00
5481	6.80	3.00	5701	4.50	1.50
5483	7.60	4.00	5702	2.80	2.00
5487	7.60	3.00	5706	7.60	3.00
5489	8.60	4.00	5710	8.00	3.00
5493	14.60	5.00	5714	1.10	0.80
5495	20.00	5.00	5718	3.15	1.00
5499	34.00	5.00	5719	4.40	1.50
5501	46.00	5.00	5723	12.80	4.00
5505	24.00	5.00	5727	15.60	5.00
5507	26.00	5.00	5731	4.40	1.50
5511	27.10	5.00	5735	98.00	5.00
5512	29.50	5.00	5739	64.00	5.00
5513	54.00	5.00	5742	58.00	5.00
5515	78.00	5.00	5746	4.60	1.50
5518	32.00	5.00	5750	7.00	4.00
5519	36.00	5.00	5754	18.00	5.00
5523	26.00	5.00	5758	16.00	5.00
5525	38.00	5.00	5762	42.00	5.00
5529	28.00	5.00	5766	86.00	5.00
5531	38.00	5.00	5770	34.00	5.00
5535	28.00	5.00	5774	18.00	5.00
5537	38.00	5.00	5778	20.00	5.00
5541	19.00	5.00	5782	55.00	5.00
5543	23.00	5.00	5786	34.00	5.00
5547	24.00	5.00	5790	38.00	5.00
5551	20.60	5.00	5794	46.00	5.00
5553	28.00	5.00	5798	20.00	5.00
5557	2.80	1.50	5802	64.00	5.00
5561	32.00	5.00	5806	86.00	5.00
5565	4.80	1.50	5810	34.00	5.00
5569	3.10	1.00	5814	24.00	5.00
5573	12.00	5.00	5818	10.40	4.00
5574	13.00	5.00	5822	16.00	5.00
5577	15.10	5.00	5826	42.00	5.00
5579	16.50	5.00	5830	64.00	5.00
5583	21.00	5.00	5834	6.40	2.00
5585	25.50	5.00	5838	5.20	1.50
5589	32.00	5.00	5842	8.00	5.00
5593	11.00	5.00	5846	28.00	5.00
5594	8.00	5.00	5850	28.00	5.00
5596	23.60	5.00	5854	26.00	5.00

Seventh Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
5858	26.00	5.00	6196	15.60	5.00
5910	2.30	1.00	6197	31.00	5.00
5911	3.10	1.00	6198	42.00	5.00
5915	6.20	2.00	6202	43.00	5.00
5920	3.20	1.00	6203	58.00	5.00
5924	7.00	3.00	6207	64.00	5.00
5926	9.80	3.00	6211	58.00	5.00
5930	23.60	5.00	6215	54.00	5.00
5931	32.00	5.00	6219	108.00	5.00
5936	64.00	5.00	6223	78.00	5.00
5940	64.00	5.00	6227	86.00	5.00
5945	68.00	5.00	6231	86.00	5.00
5949	86.00	5.00	6235	50.00	5.00
5954	50.00	5.00	6239	64.00	5.00
5958	28.00	5.00	6243	108.00	5.00
5963	70.00	5.00	6247	86.00	5.00
5967	15.60	5.00	6251	64.00	5.00
5971	26.00	5.00	6255	70.00	5.00
5976	6.40	2.00	6259	64.00	5.00
5980	11.60	4.00	6263	42.00	5.00
5985	86.00	5.00	6310	3.40	1.00
5989	52.00	5.00	6314	2.10	1.00
5994	76.00	5.00	6318	4.20	1.50
5998	86.00	5.00	6320	5.60	1.50
6003	42.00	5.00	6324	6.40	2.00
6007	28.00	5.00	6328	5.60	1.50
6012	20.00	5.00	6333	4.40	1.50
6016	50.00	5.00	6337	5.80	2.00
6021	32.00	5.00	6338	6.80	3.00
6025	98.00	5.00	6343	4.00	1.50
6029	11.60	4.00	6344	5.20	1.50
6034	16.80	5.00	6349	8.80	3.00
6038	40.00	5.00	6350	11.60	4.00
6042	15.60	5.00	6354	1.50	0.80
6100	1.10	0.80	6355	2.10	1.00
6104	4.00	1.50	6359	5.00	1.50
6108	4.40	1.50	6360	6.40	2.00
6112	8.00	3.00	6365	14.60	5.00
6116	3.80	1.00	6366	20.00	5.00
6120	4.40	1.50	6371	10.60	3.00
6124	5.20	1.50	6372	14.00	4.00
6128	11.60	4.00	6377	4.00	1.50
6132	7.00	3.00	6378	5.20	1.50
6133	9.80	3.00	6382	6.40	2.00
6137	12.00	4.00	6383	7.60	3.00
6138	16.00	5.00	6387	1.90	1.00
6142	20.40	5.00	6388	2.50	1.00
6143	28.00	5.00	6392	5.00	1.50
6147	32.00	5.00	6393	6.40	2.00
6151	50.00	5.00	6397	13.40	4.00
6155	58.00	5.00	6398	18.00	5.00
6159	16.00	5.00	6402	13.40	4.00
6160	22.00	5.00	6404	18.00	5.00
6164	10.40	4.00	6414
6165	14.00	5.00		The amount shown in this column in the item relating to the dislocation concerned, plus one-half of that amount	The amount shown in this column in the item relating to the dislocation concerned, plus one-half of that amount
6169	50.00	5.00
6173	64.00	5.00
6177	24.00	5.00
6181	5.00	4.00
6182	11.00	5.00
6186	10.40	4.00
6187	14.00	5.00
6191	17.60	5.00
6192	24.00	5.00

Seventh Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
6420	3.40	1.00	6610	30.00	5.00
6425	6.40	2.00	6614	32.00	5.00
6426	8.80	3.00	6618	7.80	3.00
6431	3.40	1.00	6619	10.40	4.00
6432	4.60	1.50	6623	1.10	0.80
6437	4.90	2.00	6624	1.60	1.00
6438	7.40	4.00	6628	1.10	0.80
6442	6.80	3.00	6629	2.00	1.00
6443	14.00	5.00	6633	10.60	3.00
6447	3.90	1.00	6634	14.00	4.00
6448	5.20	1.50	6638	17.60	5.00
6453	7.00	3.00	6639	24.00	5.00
6454	9.80	3.00	6643	64.00	5.00
6458	6.60	3.00	6647	The amount shown in this column in the item relating to the fracture concerned, plus one-third of that amount	The amount shown in this column in the item relating to the fracture concerned, plus one-third of that amount
6459	11.00	5.00
6463	7.60	3.00
6467	5.60	3.00
6468	7.40	4.00
6472	6.40	2.00
6473	7.60	3.00
6477	8.60	4.00
6478	7.00	5.00
6482	10.40	4.00	6651	The amount shown in this column in the item relating to the fracture concerned, plus one-half of that amount	The amount shown in this column in the item relating to the fracture concerned, plus one-half of that amount
6483	7.00	5.00
6487	2.90	1.50
6489	3.80	3.00
6493	6.40	2.00
6494	7.60	3.00
6498	1.10	0.80
6499	2.00	1.00
6503	11.60	4.00	6655	The amount shown in this column in the item relating to the fracture concerned, plus three-quarters of that amount	The amount shown in this column in the item relating to the fracture concerned, plus three-quarters of that amount
6505	15.60	5.00
6509	8.80	3.00
6510	11.60	4.00
6515	28.00	5.00
6516	38.00	5.00
6521	4.90	2.00
6522	7.90	3.00
6525	7.30	3.00
6527	10.00	4.00	6659	One-half of the amount shown in this column in the item that would, but for item 6659 in the First Schedule to this Act, apply to the reduction concerned	One-half of the amount shown in this column in the item that would, but for item 6659 in the First Schedule to this Act, apply to the reduction concerned
6531	17.60	5.00
6532	24.00	5.00
6537	17.60	5.00
6538	24.00	5.00
6543	17.60	5.00
6544	24.00	5.00
6549	4.90	2.00
6550	8.80	3.00
6555	3.40	1.00
6559	4.40	1.50
6564	3.70	1.00
6568	3.45	1.00
6569	4.80	1.50	6663	One-half of the amount shown in this column in the item that would, but for item 6663 in the First Schedule to this Act, apply to the reduction concerned	One-half of the amount shown in this column in the item that would, but for item 6663 in the First Schedule to this Act, apply to the reduction concerned
6574	1.10	0.80
6575	2.00	1.00
6578	1.10	0.80
6580	2.00	1.00
6584	1.30	2.00
6586	1.00	3.00
6590	7.00	3.00
6592	9.80	3.00
6596	22.00	5.00
6601	24.00	5.00
6605	8.80	3.00
6606	11.60	4.00

Seventh Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
6667	The amount shown in this column in the item that would, but for item 6667 in the First Schedule to this Act, apply to the reduction concerned	The amount shown in this column in the item that would, but for item 6667 in the First Schedule to this Act, apply to the reduction concerned	7163	42.00	5.00
			7167	58.00	5.00
			7171	28.00	5.00
			7176	12.00	5.00
			7180	42.00	5.00
			7184	32.00	5.00
			7189	28.00	5.00
			7190	38.00	5.00
			7195	32.00	5.00
			7199	1.90	1.00
			7200	2.30	1.00
			7205	1.60	0.80
6671	The amount shown in this column in the item that would apply in the case of a simple and uncomplicated fracture of the part concerned	The amount shown in this column in the item that would apply in the case of a simple and uncomplicated fracture of the part concerned	7206	2.30	1.00
			7210	11.60	4.00
			7214	42.00	5.00
			7218	24.00	5.00
			7221	1.00	4.00
			7222	6.00	5.00
			7224	4.50	5.00
			7225	5.00	5.00
			7227	10.70	5.00
			7228	18.00	5.00
			7230	20.00	5.00
7010	18.00	5.00	7233	13.40	4.00
7014	9.40	3.00	7234	18.00	5.00
7016	12.40	4.00	7238	42.00	5.00
7020	1.00	1.00	7242	14.00	4.00
7025	2.10	1.00	7246	24.00	5.00
7029	3.90	1.00	7250	13.40	4.00
7031	5.20	1.50	7252	18.00	5.00
7035	4.90	2.00	7256	16.00	5.00
7037	1.00	3.00	7257	22.00	5.00
7041	6.40	2.00	7261	7.40	4.00
7043	7.60	3.00	7262	2.00	5.00
7047	70.00	5.00	7266	20.00	5.00
7051	24.00	5.00	7271	20.00	5.00
7055	7.40	2.00	7275	24.00	5.00
7056	8.80	3.00	7280	28.00	5.00
7060	3.80	3.00	7284	46.00	5.00
7061	3.40	3.00	7289	70.00	5.00
7065	11.60	4.00	7293	46.00	5.00
7069	10.40	4.00	7297	44.00	5.00
7074	12.80	4.00	7301	46.00	5.00
7078	108.00	5.00	7305	10.40	4.00
7082	34.00	5.00	7309	22.00	5.00
7087	22.00	5.00	7313	8.80	3.00
7091	50.00	5.00	7314	11.60	4.00
7095	90.00	5.00	7318	20.60	5.00
7100	90.00	5.00	7319	28.00	5.00
7104	78.00	5.00	7323	10.80	4.00
7108	38.00	5.00	7324	14.40	5.00
7113	13.40	4.00	7328	13.40	4.00
7114	18.00	5.00	7329	18.00	5.00
7118	20.00	5.00	7333	22.00	5.00
7122	54.00	5.00	7334	30.00	5.00
7126	64.00	5.00	7338	6.40	2.00
7130	7.00	5.00	7339	7.60	3.00
7135	5.00	1.50	7343	8.80	3.00
7136	6.40	2.00	7344	11.60	4.00
7141	32.00	5.00	7348	6.80	3.00
7145	36.00	5.00	7348	6.80	3.00
7149	32.00	5.00	7352	18.00	5.00
7154	16.00	5.00	7356	34.00	5.00
7155	22.00	5.00	7360	58.00	5.00
7159	86.00	5.00	7364	28.00	5.00

Seventh Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
7368	20.00	5.00	7661	8.80	3.00
7372	6.40	2.00	7665	32.00	5.00
7373	7.60	3.00	7670	6.40	2.00
7377	10.40	4.00	7671	7.60	3.00
7378	14.00	5.00	7676	20.00	5.00
7382	15.60	5.00	7680	36.00	5.00
7386	24.00	5.00	7685	32.00	5.00
7390	8.80	3.00	7700	50.00	5.00
7391	11.60	4.00	7704	6.40	2.00
7395	22.00	5.00	7708	4.00	1.50
7396	30.00	5.00	7750	24.00	5.00
7400	28.00	5.00	7754	11.60	4.00
7450	3.40	3.00	7758	20.00	5.00
7454	3.40	1.00	7762	2.00	1.00
7458	4.00	1.50	7767	3.40	1.00
7462	3.40	1.00	7771	0.80	2.00
7466	4.40	1.50	7775	10.40	4.00
7470	3.40	1.00	7779	14.00	5.00
7474	5.20	1.50	7783	22.00	5.00
7478	3.40	1.00	7787	40.00	5.00
7482	6.40	2.00	7791	42.00	5.00
7486	15.60	5.00	7795	20.00	5.00
7490	3.40	1.00	7850	14.00	5.00
7494	5.20	1.50	7854	18.00	5.00
7498	5.20	1.50	7858	14.00	4.00
7510	3.40	1.00	7862	7.60	3.00
7514	50.00	5.00	7866	9.80	3.00
7519	64.00	5.00	7870	5.20	1.50
7523	64.00	5.00	7874	15.60	5.00
7528	64.00	5.00	7877	9.80	3.00
7532	32.00	5.00	7881	24.00	5.00
7537	50.00	5.00	7885	14.00	4.00
7541	50.00	5.00	7889	9.80	3.00
7545	64.00	5.00	7893	6.40	2.00
7549	64.00	5.00	7897	16.00	5.00
7553	42.00	5.00	7901	24.00	5.00
7557	14.00	4.00	7905	10.80	4.00
7561	32.00	5.00	7909	24.00	5.00
7565	24.00	5.00	7913	20.00	5.00
7569	76.00	5.00	7917	32.00	5.00
7573	76.00	5.00	7921	64.00	5.00
7577	50.00	5.00	7925	54.00	5.00
7581	25.00	5.00	7929	64.00	5.00
7582	34.00	5.00	7950	14.00	5.00
7586	42.00	5.00	7952	15.00	5.00
7590	50.00	5.00	7953	14.50	5.00
7594	64.00	5.00	7954	24.00	5.00
7598	32.00	5.00	7958	14.00	5.00
7602	42.00	5.00	7962	7.60	3.00
7607	64.00	5.00	7966	20.00	5.00
7611	24.00	5.00	7970	14.00	4.00
7616	42.00	5.00	7974	32.00	5.00
7620	24.00	5.00	7978	20.00	5.00
7625	64.00	5.00	7982	14.00	4.00
7629	6.40	2.00	7986	34.00	5.00
7631	7.60	3.00	7990	10.40	4.00
7635	50.00	5.00	7994	7.60	3.00
7640	36.00	5.00	7998	22.00	5.00
7644	32.00	5.00	8002	36.00	5.00
7649	18.00	5.00	8007	18.00	5.00
7653	6.40	2.00	8011	28.00	5.00
7655	7.60	3.00	8015	28.00	5.00
7659	7.40	2.00	8020	50.00	5.00

Seventh Schedule—continued

Number of item in First Schedule	Fund medical benefit	Specified excess	Number of item in First Schedule	Fund medical benefit	Specified excess
	$	$		$	$
8024	16.00	5.00	8180	9.80	3.00
8029	50.00	5.00	8184	26.00	5.00
8033	36.00	5.00	8188	22.00	5.00
8037	98.00	5.00	8192	22.00	5.00
8042	34.00	5.00	8196	24.00	5.00
8046	64.00	5.00	8200	32.00	5.00
8050	50.00	5.00	8204	50.00	5.00
8054	42.00	5.00	8208	70.00	5.00
8058	42.00	5.00	8212	9.80	3.00
8062	24.00	5.00	8216	24.00	5.00
8066	20.00	5.00	8220	18.00	5.00
8070	24.00	5.00	8224	38.00	5.00
8110	18.00	5.00	8228	12.80	4.00
8114	28.00	5.00	8232	42.00	5.00
8119	32.00	5.00	8236	28.00	5.00
8123	18.00	5.00	8240	46.00	5.00
8128	32.00	5.00	8244	62.00	5.00
8132	18.00	5.00	8248	24.00	5.00
8136	42.00	5.00	8252	18.00	5.00
8141	32.00	5.00	8256	36.00	5.00
8145	20.00	5.00	8260	86.00	5.00
8150	11.60	4.00	8264	14.40	5.00
8154	24.00	5.00	8268	46.00	5.00
8159	50.00	5.00	8272	58.00	5.00
8163	24.00	5.00	8276	24.00	5.00
8167	50.00	5.00	8280	42.00	5.00
8172	28.00	5.00	8284	42.00	5.00
8176	42.00	5.00	8288	50.00	5.00

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