Statutory Rules
1975 No. 48
REGULATIONS UNDER THE NATIONAL HEALTH ACT 1953-1975.*
I, THE GOVERNOR-GENERAL of Australia, acting with the advice of the Executive Council, hereby make the following Regulations under the National Health Act 1953-1975.
Dated this twenty-seventh day of March, 1975.
John R. Kerr
Governor-General.
By His Excellency’s Command,
R.F.X. CONNOR
Minister of State for Minerals and Energy for and on behalf of the Minister of State for Social Security.
NATIONAL HEALTH (VARIATION OF BENEFITS) (No. 13) REGULATIONS
Citation.
1. These Regulations may be cited as the National Health (Variation of Benefits) (No. 13) Regulations.
Commencement.
2. These Regulations shall come into operation on 1 April 1975.
Repeal.
3. The National Health (Variation of Benefits) (No. 11) Regulations (being Statutory Rules 1974, No. 53) and the National Health (Variation of Benefits) (No. 12) Regulations (being Statutory Rules 1975, No. 11) are repealed.
Definition.
4. In these Regulations “ the Act ” means the National Health Act 1953-1975.
5. The Act shall have effect as if it were varied—
Variation of the rules of interpretation in the First Schedule to the Act.
(a) by omitting the rules of interpretation numbered 2 and 3 in the First Schedule;
(b) by inserting the following rules of interpretation in the First Schedule:—
“ 2. Where an item in Part 1, in Division 3 of Part 3 or in Part 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.
* Notified in the Australian Government Gazette on 1 April 1975.
11721/75—Recommended retail price 5c 10/19.3.1975
“ 3. Where an item in Part 1, in Division 3 of Part 3 or in Part 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.”; and
(c) by inserting the following rules of interpretation in the First Schedule:—
“ 8. A reference in an item in Division 1 of Part 3 of the table in this Schedule to the administration of an anaesthetic shall be read as a reference to the administration of an anaesthetic by a medical practitioner other than a specialist anaesthetist.
“ 9. A reference in an item in Division 2 of Part 3 of the table in this Schedule to the administration of an anaesthetic shall be read as a reference to the administration of an anaesthetic by a specialist anaesthetist.
“ 10. A reference in an item in Division 3 of Part 3 of the table in this Schedule to the administration of an anaesthetic shall be read as a reference to the administration of an anaesthetic in connexion with a dental service other than a service that is a prescribed medical service for the purposes of paragraph (b) of the definition of ‘professional service’ in sub-section 13 (1) of the Act.”.
Variation of Act in relation to table of Commonwealth medical benefits.
6. The table of Commonwealth medical benefits in Schedule 1 is prescribed for the purposes of paragraph 13a (1a) (a) of the Act.
Variation of Act in relation to tables of fund medical benefits.
7. (1) The tables of fund medical benefits in Schedules 2, 3, 4, 5, 6 and 7 are prescribed for the purposes of paragraph 13a (1a) (b) of the Act.
(2) A table of fund medical benefits referred to in sub-regulation (1) is the table of fund medical benefits in respect of the State the name of which is specified in the heading to that table.
SCHEDULE 1
TABLE OF COMMONWEALTH MEDICAL BENEFITS
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 1—Professional attendances not covered by an Item in any other Part of this Schedule | ||
3 | Professional attendance at consulting rooms of not more than 5 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 4— each attendance | 1.10 |
4 | Professional attendance at consulting rooms of not more than 5 minutes duration (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time Other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday | 2.00 |
14 | Professional attendance at consulting rooms of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 19—each attendance | 1.55 |
19 | Professional attendance at consulting rooms of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday | 2.40 |
25 | Professional attendance at consulting rooms of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 26—each attendance | 3.00 |
26 | Professional attendance at consulting rooms of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday | 3.80 |
33 | Professional attendance at consulting rooms of more than 45 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 35—each attendance | 4.50 |
35 | Professional attendance at consulting rooms of more than 45 minutes duration (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday | 5.30 |
43 | Professional attendance at a place other than consulting rooms, hospital or nursing home of not more than 5 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 44—each attendance | 1.70 |
44 | Professional attendance at a place other than consulting rooms, hospital or nursing home of not more than 5 minutes duration (not being an attendance covered by any other item in this Part)— each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday | 2.55 |
51 | Professional attendance at a place other than consulting rooms, hospital or nursing home of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 53—each attendance | 2.30 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 1—continued | ||
53 | Professional attendance at a place other than consulting rooms, hospital or nursing home of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday…………………………………………………………………….. | 3.15 |
57 | Professional attendance at a place other than consulting rooms, hospital or nursing home of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 59—each attendance | 3.75 |
59 | Professional attendance at a place other than consulting rooms, hospital or nursing home of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday | 4.60 |
65 | Professional attendance at a place other than consulting rooms, hospital or nursing home of more than 45 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 66—each attendance | 5.25 |
66 | Professional attendance at a place other than consulting rooms, hospital or nursing home of more than 45 minutes duration (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday | 6.10 |
69 | Professional attendance at a hospital or nursing home (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 71—each attendance when only one patient is seen | 2.30 |
71 | Professional attendance at a hospital or nursing home (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday, when only one patient is seen | 3.15 |
73 | Professional attendance at a hospital (not being an attendance covered by any other item in this Part)—an attendance on two or more patients in the one hospital on the one occasion—each patient | 1.55 |
79 | Professional attendance at a nursing home (not being an attendance covered by any other item in this Part)—an attendance on two or more patients in the one nursing home on the one occasion—each patient | 1.10 |
82 | to-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) | 1.55 |
85 | 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) | 1.50 |
88 | 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 | 4.10 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 1—continued | ||
94 | Professional attendance by a specialist in the practice of his specialty where the patient is referred to him—each attendance subsequent to the first in a single course of treatment where that attendance is at consulting rooms, hospital or nursing home | 2.00 |
100 | 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 | 6.10 |
103 | Professional attendance by a specialist in the practice of his specialty where the patient is referred to him—each attendance subsequent to the first in a single course of treatment where that attendance is at a place other than consulting rooms, hospital or nursing home | 3.80 |
110 | Professional attendance by a consultant physician in the practice of his specialty (not being psychiatry) 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 | 8.40 |
116 | Professional attendance by a consultant physician in the practice of his specialty (not being psychiatry) where the patient is referred to him by a medical practitioner—each attendance subsequent to the first in a single course of treatment where that attendance is at consulting rooms, hospital or nursing home | 4.40 |
122 | Professional attendance by a consultant physician in the practice of his specialty (not being psychiatry) 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 |
128 | Professional attendance by a consultant physician in the practice of his specially (not being psychiatry) where the patient is referred to him by a medical practitioner—each attendance subsequent to the first in a single course of treatment where that attendance is at a place other than consulting rooms, hospital or nursing home | 6.60 |
134 | Professional attendance by a consultant physician in the practice of his Specialty of psychiatry where the patient is referred to him by a medical practitioner—an attendance of not more than 15 minutes duration where that attendance is at consulting rooms, hospital or nursing home | 2.00 |
136 | Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner—an attendance of more than 15 minutes duration but not more than 30 minutes duration where that attendance is at consulting rooms, hospital or nursing home | 4.10 |
138 | Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner—an attendance of more than 30 minutes duration but not more than 45 minutes duration where that attendance is at consulting rooms, hospital or nursing home | 6.50 |
140 | Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner—an attendance of more than 45 minutes duration but not more than 60 minutes duration where that attendance is at consulting rooms, hospital or nursing home | 9.00 |
142 | Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner—an attendance of more than 60 minutes duration where that attendance is at consulting rooms, hospital or nursing home | 11.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 1—continued | ||
144 | Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner—an attendance of not more than 15 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home | 3.80 |
146 | Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner—an attendance of more than 15 minutes duration but not more than 30 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home | 6.10 |
148 | Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner—an attendance of more than 30 minutes duration but not more than 45 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home | 8.60 |
150 | Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner—an attendance of more than 45 minutes duration but not more than 60 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home | 11.00 |
152 | Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner—an attendance of more than 60 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home | 13.00 |
160 | Professional attendance for a period of not less than one hour but less than two hours on a patient in a critical condition that requires attention to the exclusion of all other patients | 5.90 |
161 | Professional attendance for a period of not less than two hours but less than three hours on a patient in a critical condition that requires constant attention to the exclusion of all other patients | 9.90 |
162 | Professional attendance for a period of not less than three hours but less than four hours on a patient in a critical condition that requires constant attention to the exclusion of all other patients | 14.00 |
163 | Professional attendance for a period of not less than four hours but less than five hours on a patient in a critical condition that requires constant attention to the exclusion of all other patients | 18.00 |
164 | Professional attendance for a period of five hours or more on a patient in a critical condition that requires constant attention to the exclusion of all other patients | 23.00 |
Part 2—Obstetrics
Division 1—General
190 | Antenatal care (not including any service or services covered by item 200, 207, 242, 246, 250, 258, 267, 273, 290, 295, 298, 354, 365 or 368), where attendances do not exceed ten—each attendance | 3.00 |
192 | Antenatal care (not including any service or services covered by item 200, 207, 242, 246, 250, 258, 267, 273, 290, 295, 298, 354, 365 or 368), where attendances exceed ten | 48.00 |
194 | Confinement and postnatal care for nine days (not including any service or services covered by item 200, 207, 242, 246, 290, 354, 360, 362, 365, 368, 374 or 383), where the medical practitioner has not given the antenatal care (G) | 30.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 2—Division 1—continued | ||
196 | Confinement and postnatal care for nine days (not including any service or services covered by item 200, 207, 242, 246, 290, 354, 360, 362, 365, 368, 374 or 383), where the medical practitioner has not given the antenatal care (S) | 50.00 |
198 | Confinement, as an independent procedure where a separate account is not rendered for the procedure under item 88 (S) | 30.00 |
200 | Antenatal care, confinement and postnatal care for nine days (not including services covered by Division 2) (G) | 63.00 |
207 | Antenatal care, confinement and postnatal care for nine days (not including services covered by Division 2) (S) | 84.00 |
| Division 2—Special Services |
|
211 | Antenatal care, confinement and postnatal care for nine days with surgical induction of labour (G) | 40.00 |
213 | Antenatal care, confinement and postnatal cars for nine days with surgical induction of labour (S) | 92.00 |
216 | Antenatal care, confinement and postnatal care for nine days with surgical induction of labour; requiring major regional or field block (G) | 74.00 |
217 | Antenatal care, confinement and postnatal care for nine days with surgical induction of labour; requiring major regional or field block (S) | 93.00 |
234 | Caesarean section and postnatal care for nine days (G) (AU 10) .......... | 68.00 |
241 | Caesarean section and postnatal care for nine days (S) (AU 10) .......... | 122.00 |
242 | Treatment of habitual miscarriage by injection of hormones—each injection up to a miximum of twelve injections | 2.20 |
246 | Threatened abortion, threatened miscarriage or hyperemesis gravidarum, requiring admission to hospital, treatment of—each attendance .. .. .. .. .. | 2.20 |
250 | Cervix, purse string ligation of, for threatened miscarriage (G) (AU 6) ..... | 19.40 |
258 | Cervix, purse string ligation of, for threatened miscarriage (S) (AU 6) ...... | 27.00 |
267 | Cervix, removal of purse string ligature of, under general anaesthesia (AU 5) . | 7.30 |
273 | Pre-eclampsia, eclampsia or antepartum haemorrhage, treatment of— each attendance | 2.20 |
278 | Amnioscopy ........................................... | 6.60 |
284 | Amnioscopy with surgical induction of labour (AU 6) ................ | 10.00 |
290 | Amniocentesis .......................................... | 7.30 |
295 | Version, external, under general anaesthesia (AU 6) ................. | 7.30 |
298 | Version, internal, under general anaesthesia (AU 6).................. | 13.20 |
354 | Surgical induction of labour (AU 5) | 7.30 |
360 | Decapitation, craniotomy, cleidotomy or evisceration of foetus or any two or more of those services (AU 8) | 30.00 |
362 | Evacuation by intrauterine manual removal of the products of conception such as retained foetus, placenta, membranes or mole (AU 7) | 10.40 |
365 | Manipulative correction of acute inversion of uterus, by vaginal approach, with or without incision of cervix (AU 8) | 34.00 |
368 | Manipulative correction of acute inversion of uterus, by abdominal approach, with or without incision of cervix (AU 9) | 53.00 |
374 | Postpartum haemorrhage requiring special procedures such as packing, treatment of (AU 8) | 7.30 |
383 | Third degree tear, repair of, involving anal sphincter muscles (AU 7) ...... | 20.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 3—Anaesthetics |
| |
| Division 1—Anaesthetics administered by a medical practitioner other than a specialist anaesthetist |
|
401 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 1) | 1.90 |
403 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 2) | 3.80 |
404 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 3) | 5.60 |
405 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 4) | 7.50 |
406 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 5) | 9.40 |
407 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 6) | 11.20 |
408 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 7) | 12.00 |
409 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 8) | 13.00 |
443 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 9) | 15.00 |
450 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 10) | 16.80 |
453 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 11) | 18.80 |
454 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 12) | 21.00 |
457 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 13) | 23.00 |
458 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 14) | 27.50 |
459 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 15) | 29.50 |
460 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 16) | 32.00 |
461 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 17) | 34.00 |
462 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 18) | 36.50 |
463 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 19) | 38.50 |
464 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 20) | 41.00 |
465 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 21) | 43.00 |
466 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 22) | 45.00 |
467 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 23) | 47.50 |
468 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 24) | 49.50 |
469 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 25) | 52.00 |
470 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 26) | 54.00 |
471 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 27) | 56.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 3—Division 1—continued | ||
472 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 28) | 58.00 |
473 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 29) | 60.00 |
474 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 30) | 62.00 |
475 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 32) | 67.00 |
476 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 36) | 76.00 |
477 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 38) | 80.00 |
478 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 39) | 83.00 |
479 | Administration of an anaesthetic in connection with electroconvulsive therapy | 4.70 |
480 | Administration of an anaesthetic in connection with radio-therapy ..... | 11.20 |
481 | Administration of an anaesthetic in connection with a forceps delivery of a foetus | 13.00 |
482 |
Administration of an anaesthetic in connection with the treatment of a dislocation requiring open operation, being a dislocation referred to in items 7397 to 7476 |
The amount fixed for the administration of an anaesthetic in the item relating to the dislocation in items 7397 to 7476 plus one-half of that amount |
483 | Administration of an anaesthetic in connection with the treatment of a simple and uncomplicated fracture requiring open operation, being a fracture referred to in items 7505 to 7798 | The amount fixed for the administration of an anaesthetic in the item relating to the fracture in items 7505 to 7798 plus one-third of that amount |
484 | Administration of an anaesthetic in connection with the treatment of a simple and uncomplicated fracture requiring internal fixation or in connection with the treatment of a compound fracture requiring open operation, being in either case a fracture referred to in items 7505 to 7798 | The amount fixed for the administration of an anaesthetic in the item relating to the fracture in items 7505 to 7798 plus one-half of that amount |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 3—Division 1—continued | ||
485 | Administration of an anaesthetic in connection with the treatment of a complicated fracture involving viscera, blood vessels or nerves and requiring open operation, being a fracture referred to in items 7505 to 7798 |
The amount fixed for the administration of an anaesthetic in the item relating to the fracture in items 7505 to 7798 plus three-quarters of that amount |
| Division 2—Anaesthetics administered by a specialist anaesthetist |
|
500 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 1) | 2.20 |
505 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 2) | 4.50 |
506 | Administration of an anaesthetic in connection with, a medical service being a medical service which contains the reference (AU 3) | 6.80 |
509 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 4) | 9.10 |
510 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 5) | 11.20 |
513 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 6) | 13.60 |
514 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 7) | 15.80 |
517 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 8) | 18.00 |
518 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 9) | 21.00 |
521 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 10) | 23.50 |
522 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 11) | 26.00 |
523 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 12) | 29.00 |
524 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 13) | 31.50 |
525 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 14) | 34.00 |
526 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 15) | 36.50 |
527 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 16) | 39.00 |
528 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 17) | 42.00 |
529 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 18) | 45.00 |
531 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 19) | 47.50 |
533 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 20) | 50.00 |
535 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 21) | 52.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 3—Division 2—continued | ||
537 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 22) | 55.00 |
538 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 23) | 58.00 |
539 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 24) | 61.00 |
540 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 25) | 63.00 |
541 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 26) | 66.00 |
542 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 27) | 68.00 |
543 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 28) | 71.00 |
544 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 29) | 74.00 |
545 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 30) | 76.00 |
546 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 32) | 81.00 |
547 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 36) | 93.00 |
548 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 38) | 98.00 |
549 | Administration of an anaesthetic in connection with a medical service being a medical service which contains the reference (AU 39) | 100.00 |
550 | Administration of an anaesthetic in connection with electroconvulsive therapy | 5.70 |
551 | Administration of an anaesthetic in connection with radio-therapy ..... | 13.60 |
552 | Administration of an anaesthetic in connection with a forceps delivery of a foetus | 15.80 |
553 | Administration of an anaesthetic in connection with the treatment of a dislocation requiring open operation, being a dislocation referred to in items 7397 to 7476
|
The amount fixed for the administration of an anaesthetic in the item relating to the dislocation in items 7397 to 7476 plus one-half of that amount |
554 | Administration of an anaesthetic in connection with the treatment of a simple and uncomplicated fracture requiring open operation, being a fracture referred to in items 7505 to 7798 |
The amount fixed for the administration of an anaesthetic in the item relating to the fracture in items 7505 to 7798 plus one-third of that amount |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 3—Division 2—continued | ||
556 | Administration of an anaesthetic in connection with the treatment of a simple and uncomplicated fracture requiring internal fixation or in connection with the treatment of a compound fracture requiring open operation, being in either case a fracture referred to in items 7505 to 7798 |
The amount fixed for the administration of an anaesthetic in the item relating to the fracture in items 7505 to 7798 plus one-half of that amount |
557 | Administration of an anaesthetic in connection with the treatment of a complicated fracture involving viscera, blood vessels or nerves and requiring open operation, being a fracture referred to in items 7505 to 7798……………………………………………………………………….. |
The amount fixed for the administration of an anaesthetic in the item relating to the fracture in items 7305 to 7798 plus three-quarters of that amount |
| Division 3—Dental Anaesthetics |
|
566 | Administration by a medical practitioner of an anaesthetic, other than an endotracheal anaesthetic, in connection with a dental operation (G) | 4.30 |
567 | Administration by a medical practitioner of an anaesthetic, other than an endotracheal anaesthetic, in connection with a dental operation (S) | 5.40 |
568 | Administration by a medical practitioner of an endotracheal anaesthetic for extraction of a tooth or teeth not being an extraction covered by items 570 and 571 (G) | 5.70 |
569 | Administration by a medical practitioner of an endotracheal anaesthetic for extraction of a tooth or teeth not being an extraction covered by items 570 and 571 (S) | 11.40 |
570 | Administration by a medical practitioner of an endotracheal anaesthetic for removal of a tooth or teeth requiring incision of soft tissue and removal of bone (G) | 9.70 |
571 | Administration by a medical practitioner of an endotracheal anaesthetic for removal of a tooth or teeth requiring incision of soft tissue and removal of bone (S) | 18.00 |
572 | Administration by a medical practitioner of an endotracheal anaesthetic for restorative dental work where the procedure is of not more than 30 minutes duration (G) | 6.80 |
573 | Administration by a medical practitioner of an endotracheal anaesthetic for restorative dental work where the procedure is of not more than 30 minutes duration (S) | 13.60 |
574 | Administration by a medical practitioner of an endotracheal anaesthetic for restorative dental work where the procedure is of more than 30 minutes duration (G) | 12.60 |
575 | Administration by a medical practitioner of an endotracheal anaesthetic for restorative dental work where the procedure if of more than 30 minutes duration (S) | 23.50 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
| Part 4—Regional Nerve or Field Block |
|
748 | Initial major regional or field block, including abdominal; brachial plexus; caudal; cervical plexus; epidural (peridural); paravertebral (thoracic or lumbar); pudendal; sacral; spinal | 12.60 |
752 | Subsequent major regional or field block, including abdominal; brachial plexus; caudal; cervical plexus; epidural (peridural); paravertebral (thoracic or lumbar); pudendal; sacral; spinal | 8.90 |
760 | Intravenous regional anaesthesia of limb by retrograde perfusion (G)..... | 9.40 |
764 | Intravenous regional anaesthesia of limb by retrograde perfusion (S)..... | 11.40 |
| Part 5—Assistance in Administration of an Anaesthetic |
|
767 | Assistance in the administration of an anaesthetic for which the sum of the basic Commonwealth benefit, the fund benefit and the specified excess is not less than $86.00 | 18.00 |
| Part 6—Miscellaneous Procedures |
|
| Division 1 |
|
770 | Blood pressure recording by intravascular cannula (AU 4) ........... | 7.30 |
774 | Hyperbaric oxygen therapy where the medical practitioner is not in the chamber | 14.60 |
777 | Hyperbaric oxygen therapy where the medical practitioner is confined in the chamber | 25.00 |
787 | Administration of a general anaesthetic (including the administration of oxygen) during hyperbaric therapy where the medical practitioner is not confined in the chamber | 21.50 |
790 | Administration of a general anaesthetic (including the administration of oxygen) during hyperbaric therapy where the medical practitioner is confined in the chamber | 31.50 |
| Division 2 |
|
794 | Echoencephalography or echography ........................ | 8.80 |
797 | Ultrasonic cross-sectional echography, bidimensional .............. | 30.00 |
803 | Electroencephalography, not covered by item 794, 797, 806 or 809 (AU 6) | 14.00 |
806 | Electroencephalography, temporosphenoidal ................... | 18.00 |
809 | Electrocorticography ................................... | 25.00 |
812 | Electromyography—involving estimation of nerve conduction times or stimulating response recording | 10.40 |
815 | Electromyography—involving sampling of muscle activity—each attendance at which procedure is performed | 8.80 |
| Division 3 |
|
818 | Haemodialysis in hospital (where prolonged and constant specialist medical supervision for the duration of the dialysis is required) | 45.00 |
821 | Haemodialysis in hospital (where intermittent specialist medical supervision of the dialysis is required) | 35.00 |
824 | Haemodialysis in hospital (stabilised maintenance dialysis for chronic renal failure where a separate account for an attendance is not rendered under Part 1) | 6.70 |
827 | Haemodialysis in the patient’s home, using a Kiil or similar dialyser, including necessary attendances and provision of disposable equipment—each week of treatment | 33.50 |
829 | Haemodialysis in the patient’s home, using a hollow fibre dialyser including necessary attendances and provision of disposable equipment—each week of treatment | 59.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
| Part 6—Division 3—continued |
|
833 | Indwelling peritoneal catheter (Tenckhoff or similar) for dialysis— insertion and fixation of | 25.00 |
836 | Dialysis, peritoneal .................................... | 14.00 |
839 | Bladder washout test for localisation of urinary infection not including bacterial counts for organisms in specimens | 7.90 |
Division 4 | ||
844 | Tonography—in the investigation or management of glaucoma ....... | 7.30 |
849 | Provocative test or tests for glaucoma, including water drinking ....... | 2.20 |
853 | Electroretinography .................................... | 11.80 |
856 | Optic Fundi, examination of following intravenous dye injection ...... | 7.60 |
859 | Retinal photography, multiple exposures, with intravenous dye injection . | 14.60 |
Division 5 | ||
863 | Audiogram, air conduction ............................... | 2.80 |
865 | Audiogram, air and bone conduction ......................... | 4.10 |
870 | Audiogram, air and bone conduction and speech ................. | 5.40 |
874 | Audiogram, air and bone conduction and speech, with other cochlear tests | 6.70 |
877 | Impedance audiogram .................................. | 4.10 |
879 | Impedance audiogram with either air conduction audiogram or air and bone conduction audiogram | 5.90 |
882 | Caloric test of labyrinth or labyrinths ........................ | 4.70 |
884 | Electronystagmography ................................. | 4.70 |
| Division 6 |
|
886 | Electroconvulsive therapy—each attendance at which treatment is given . | 5.90 |
888 | Group psychotherapy (including associated consultations) of not less than one hours duration given under the continuous direct supervision of a consultant physician in the practice of his specialty of psychiatry involving a group of 2-9 patients each of whom is referred to the consultant physician by a medical practitioner— each patient | 5.20 |
890 | Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner involving an interview of a person other than the patient of not less than 20 minutes duration in the course of initial diagnostic evaluation of the patient where that interview is at consulting rooms, hospital or nursing home | 5.60 |
893 | Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner involving an interview of a person other than the patient of not less than 45 minutes duration in the course of initial diagnostic evaluation of the patient where that interview is at consulting rooms, hospital or nursing home | 12.20 |
| Division 7 |
|
895 | Umbilical vein catheterisation with or without infusion ............. | 5.90 |
897 | Umbilical artery catheterisation with or without infusion ............ | 8.80 |
899 | Scalp vein catheterisation with or without infusion ................ | 5.90 |
902 | Wood transfusion with venesection and complete replacement of blood, including collection from donor | 38.50 |
Schedule 1—-continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 6—Division 7—continued | ||
904 | Blood transfusion with venesection and complete replacement of blood, using blood already collected | 31.50 |
907 | Blood for pathology test, collection of, by femoral or external jugular vein puncture in infants | 2.90 |
| Division 8 |
|
908 | Electrocardiography, tracing and report ........................ | 5.20 |
909 | Electrocardiography, tracing only ............................ | 2.60 |
910 | Electrocardiography, report only ............................ | 2.60 |
912 | Phonocardiography ..................................... | 7.90 |
913 | Echocardiography ...................................... | 13.00 |
914 | Exercise electrocardiography, without monitoring (Master’s test)— including resting electrocardiography | 12.80 |
916 | Electrocardiographic monitoring during exercise with apparatus such as bicycle ergometer or treadmill, including resting electrocardiography and the recording of other parameters | 18.80 |
917 | Restoration of cardiac rhythm by electrical stimulation (cardioversion), other than in the course of cardiac surgery (AU 4) | 10.40 |
918 | Bronchospirometry, including gas analysis ...................... | 18.20 |
919 | Estimation of respiratory function by spirometer or other simple techniques—each attendance at which one or more tests are performed | 4.40 |
920 | Estimation of respiratory function requiring complicated techniques— each attendance at which one or more tests are performed | 14.60 |
922 | Perfusion of limb or organ using heart-lung machine or equivalent....... | 53.00 |
923 | Whole body perfusion, cardiac by-pass, using heart-lung machine or equivalent | 76.00 |
925 | Induced controlled hypothermia—total body .................... | 11.80 |
927 | Fluids, intravenous infusion of—percutaneous ................... | 3.80 |
929 | Fluids, intravenous infusion of—by open exposure ................ | 6.50 |
932 | Intravenous infusion or injection of a substance incorporating a cytotoxic agent | 6.50 |
934 | Intraarterial infusion or injection of a substance incorporating a cytotoxic agent, preparation for | 9.10 |
936 | Intralymphatic infusion or injection of a fluid containing a cytotoxic agent, with or without the incorporation of an opaque medium | 14.00 |
938 | Intralymphatic insertion of needle or cannula for the introduction of radio-active material | 14.00 |
940 | Blood transfusion, including collection from donor ................ | 12.80 |
944 | Blood transfusion, using blood already collected .................. | 8.80 |
947 | Intrauterine foetal blood transfusion using blood already collected, including necessary amniocentesis | 26.00 |
949 | Blood for purposes of transfusion, collection of ................... | 5.20 |
952 | Blood dye—dilution indicator test ........................... | 12.20 |
954 | Venesection, not covered by item 902 or 904—each attendance at which venesection is performed | 2.00 |
956 | Blood for pathology test, collection of, by arterial puncture ........... | 2.40 |
958 | Collection of specimen of sweat by iontophoresis ................. | 3.70 |
960 | Hormone or living tissue implantation—by incision ................ | 5.50 |
963 | Hormone or living tissue implantation—by cannula ................ | 3.60 |
966 | Oesophageal motility test, manometric ........................ | 10.20 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
| Part 6—Division 8—continued |
|
968 | Gastric hypothermia by closed circuit circulation of refrigerant in the absence of gastrointestinal haemorrhage | 20.00 |
970 | Gastric hypothermia by closed circuit circulation of refrigerant for upper gastrointestinal haemorrhage | 42.00 |
974 | Gastric lavage in the treatment of ingested poison ................. | 6.50 |
| Part 7—Pathology Services |
|
| Division 1—Blood Haematology— Erythrocytes |
|
1001 | Blood film, examination of ................................ | 1.60 |
1005 | Blood film, examination by special stains to demonstrate; basophilic stippling, foetal haemoglobin, haemoglobin H, Heinz bodies, reticulocytes, siderocytes or similar | 1.90 |
1013 | Malarial or other parasites, examination of blood for ............... | 2.40 |
1017 | Sickling, examination of blood for ........................... | 1.90 |
1023 | Haemoglobin estimation (where patient is referred by another medical practitioner for this service) | 1.60 |
1027 | Haemoglobin estimation and examination of blood film ............. | 3.20 |
1031 | Haemoglobin estimation and examination of blood film and blood grouping A, B, O and Rh | 6.40 |
1035 | Haemoglobin estimation, leucocyte count, and differential leucocyte count . | 4.50 |
1039 | Haemoglobin estimation, haematocrit (packed cell volume) estimation, leucocyte count and differential leucocyte count | 6.40 |
1043 | Haemoglobin estimation, haematocrit (packed cell volume) estimation, leucocyte count and differential leucocyte count, and erythrocyte sedimentation rate | 8.90 |
1047 | Haemoglobin estimation, erythrocyte count, haematocrit (packed cell volume) estimation, leucocyte count; one or more of these estimations or counts, when performed on a single specimen of blood simultaneously or consecutively on an automated haematology system | 1.60 |
1051 | Haemoglobin estimation, blood grouping, A, B, O and Rh, indirect Coombs’ test, total bilirubin and compatibility testing | 15.40 |
1055 | Erythrocyte count ...................................... | 1.60 |
1056 | Erythrocyte sedimentation rate (where patient is referred by another medical practitioner for this service) | 1.50 |
1058 | Haematocrit (packed cell volume) estimation .................... | 1.90 |
1061 | Erythrocyte fragility test, to hypotonic saline .................... | 4.75 |
1067 | Erythrocyte fragility test, mechanical fragility .................... | 4.75 |
1071 | Erythrocyte, autohaemolysis test ............................ | 4.75 |
1075 | Erythrocytes, estimation of mean cell diameter ................... | 3.20 |
1077 | Erythrocytes, tests for enzymes, acid phosphatase or similar, each enzyme . | 4.40 |
1079 | Erythrocytes, estimation of glutathione......................... | 5.10 |
1083 | Erythrocytes, glutathione stability test......................... | 5.10 |
1086 | Erythrocytes, glucose-6-phosphate dehydrogenase, pyruvate kinase deficiency, or similar, screening test | 4.35 |
1088 | Erythrocytes, glucose-6-phosphate dehydrogenase, pyruvate kinase deficiency, or similar, quantitative estimation | 6.30 |
1093 | Erythrocytes, test for paroxysmal nocturnal haemoglobinuria— screening test (sucrose water test) | 2.60 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
| Part 7—Division 1—continued |
|
1095 | Erythrocytes, test for paroxysmal nocturnal haemoglobinuria—acid haemolysin test | 8.80 |
1099 | Erythrocytes, folate estimation of ............................ | 6.30 |
1103 | Erythrocytes, direct Coombs’ test ............................ | 2.40 |
Haematology—Leucocytes | ||
1107 | Leucocyte count ....................................... | 1.60 |
1111 | Leucocyte count and differential count ........................ | 2.90 |
1115 | Differential leucocyte count ................................ | 1.30 |
1119 | Eosinophil count, wet .................................... | 1.60 |
1123 | Leucocyte agglutinins, detection of ........................... | 3.80 |
1127 | Lupus erythematosus cells, examination of blood film for ............ | 4.20 |
1131 | Cytological sex determination from blood film ................... | 3.80 |
1135 | Leucocyte (neutrophil) alkaline phosphatase determination ........... | 4.40 |
1139 | Leucocyte tests for phagocytic activity ........................ | 14.20 |
1143 | Blood film examination using special stains (P.A.S., Sudan black or similar) for leucocytes | 1.90 |
Haematology—Platelets | ||
1147 | Platelet count......................................... | 1.90 |
1151 | Platelet agglutinin test.................................... | 3.80 |
1155 | Platelet survival or life—radio-active technique ................... | 15.80 |
Haematology—Blood transfusion procedures | ||
1158 | Blood grouping, A, B, O and Rh (D antigen) .................... | 3.20 |
1161 | Blood grouping, Rh phenotyping, examination for C, D, E, c, e and other Rh phenotypes (five or more antigens) | 4.40 |
1165 | Blood grouping, M, N or other, each system, not covered by item 1158 or 1161 | 3.20 |
1169 | Compatability testing—for each bottle tested up to five bottles ......... | 3.20 |
1173 | Compatability testing—for each subsequent bottle tested in excess of five . | 2.60 |
1177 | Examination of serum for Rh or other blood group antibodies— screening test | 3.50 |
1181 | Examination of serum for Rh or other blood group antibodies— quantitative estimation | 4.20 |
1185 | Examination of serum for Rh or other blood group antibodies— screening and quantitative estimation | 7.60 |
1189 | Coombs’ test—direct .................................... | 2.40 |
1193 | Coombs’ test—indirect (if not part of Items 1169, 1173, 1177, 1181 or 1185) | 3.20 |
1197 | Examination of serum for blood group haemolysins................ | 4.20 |
Haematology—Haemostasis | ||
1201 | Antihaemophilic globulin, assay of, or other blood coagulation factor—quantitative | 9.50 |
1205 | Bleeding time ......................................... | 1.60 |
1209 | Coagulation time (including qualitative clot retraction) .............. | 1.90 |
1213 | Bleeding time, coagulation time (including qualitative clot retraction) prothrombin estimation and platelet count | 8.50 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
| Part 7—Division 1—continued |
|
1217 | Clot retraction, quantitative ................................ | 3.20 |
1221 | Euglobulin lysis time, or similar ............................. | 7.60 |
1225 | Fibrinogen estimation .................................... | 4.35 |
1229 | Fibrinogen titre, determination of ............................ | 3.20 |
1233 | Kaolin clotting time ..................................... | 2.80 |
1241 | Platelet count ......................................... | 1.90 |
1245 | Platelet adhesion test .................................... | 5.10 |
1249 | Platelet aggregation test, qualitative .......................... | 3.20 |
1253 | Platelet aggregation test, quantitative .......................... | 5.10 |
1257 | Platelet factor III availability ............................... | 7.60 |
1261 | Prothrombin estimation .................................. | 3.20 |
1265 | Prothrombin estimation—two stage .......................... | 4.40 |
1269 | Prothrombin consumption test .............................. | 4.80 |
1273 | Recalcified plasma clotting time ............................. | 3.20 |
1276 | Thrombin clotting time ................................... | 3.20 |
1281 | Thromboplastin generation screening test ....................... | 4.40 |
1285 | Thromboplastin generation test (full) .......................... | 7.60 |
1289 | Thrombin time; determination of (including test for presence of an inhibitor) | 4.40 |
1293 | Thrombin time serial test for fibrinogenolysis .................... | 3.80 |
1297 | Thromboplastin time (partial) with or without kaolin ............... | 3.80 |
Haematology—Miscellaneous procedures | ||
1303 | Blood culture......................................... | 4.40 |
1308 | Blood volume (dye method)................................ | 5.10 |
1311 | Vitamin B12, estimation of, in serum or plasma .................. | 4.50 |
1315 | Marrow, examination of films made from aspirate ................. | 5.80 |
1318 | Marrow examination—histopathological examination of aspirate or trephine | 7.00 |
1321 | Marrow, examination of films or by special staining, e.g. iron, P.A.S., peroxidase, Sudan black or similar | 1.90 |
1324 | Spectroscopic examination of blood .......................... | 3.20 |
1326 | Assay of concentration of antibiotic or chemotherapeutic agents in serum or plasma | 3.80 |
Haematology—Serology | ||
1329 | Agglutination tests, including agglutination tests for enteric fever, Brucella infection, one antigen | 2.80 |
1332 | Agglutination tests, including agglutination tests for enteric fever, Brucella infection, more than one antigen, each additional antigen | 1.00 |
1335 | Antistreptolysin titre, determination of ........................ | 4.40 |
1338 | Cold agglutinins, qualitative test ............................. | 1.60 |
1341 | Cold agglutinins, quantitative test ............................ | 3.20 |
1344 | Complement, estimation of, in serum ......................... | 4.40 |
1347 | Complement fixation tests for the diagnosis of gonorrhoea, hydatid infestation, or similar, each antigen | 3.30 |
1350 | Complement fixation tests for the diagnosis of toxoplasmosis ......... | 4.40 |
1353 | 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 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
| Part 7—Division 1—continued |
|
1356 | Haemagglutination or haemagglutination-inhibition test for the diagnosis of a virus infection | 4.40 |
1359 | Latex flocculation test, or similar test, for rheumatoid arthritis or other conditions—each test | 2.40 |
1361 | Methylene blue dye test for toxoplasmosis ...................... | 4.75 |
1363 | Paul Bunnell test—screening ............................... | 2.80 |
1365 | Paul Bunnell test—titre with absorptions ....................... | 3.90 |
1367 | Rose Waaler test ....................................... | 4.40 |
1369 | Syphilis, complement fixation tests for the diagnosis of, one antigen..... | 4.40 |
1371 | Syphilis, complement fixation tests for the diagnosis of, two antigens..... | 4.50 |
1373 | Syphilis, flocculation test for, Kahn, Kline, VDRL or similar, one antigen . | 1.90 |
1375 | Syphilis, flocculation test for, Kahn, Kline, VDRL or similar, two antigens | 3.30 |
1377 | Syphilis, fluorescent antibody test for ......................... | 5.80 |
Haematology—Chemistry | ||
1379 | Alcohol, estimation of ................................... | 8.00 |
1383 | Amino acids, total estimation of ............................. | 8.00 |
1386 | Amino acid pattern, qualitative (chromatography or high voltage electrophoresis), estimation of | 12.80 |
1390 | Amino acid pattern, quantitative (ion exchange, gas liquid chromatography), estimation of | 15.80 |
1396 | Ammonia, estimation of .................................. | 5.80 |
1400 | Barbiturates, quantitative estimation of ........................ | 8.00 |
1403 | Bicarbonate (CO2 combining power, alkali-reserve), estimation of ...... | 4.35 |
1406 | Carboxyhaemoglobin (carbon monoxide), qualitative estimation of...... | 3.20 |
1409 | Carboxyhaemoglobin (carbon monoxide), quantitative estimation of..... | 5.10 |
1412 | Cortisol, corticosteroids or similar, estimation of .................. | 8.00 |
1415 | Cryoglobulins—qualitative estimation of ....................... | 2.20 |
1418 | Electrolytes—estimation of one substance....................... | 4.40 |
1422 | Electrolytes—estimation of two substances...................... | 7.60 |
1426 | Electrolytes—estimation of three substances..................... | 10.20 |
1429 | Electrolytes—estimation of four substances...................... | 12.80 |
1433 | Electrolytes—estimation of five substances...................... | 15.20 |
1437 | Electrophoretic determination of serum or plasma for lipoprotein, protein, abnormal haemoglobin, haptoglobin, or other unspecified fractions, qualitative, each determination | 4.40 |
1440 | Electrophoretic determination of serum or plasma for lipoprotein, protein, abnormal haemoglobin, haptoglobin, or other unspecified fractions, quantitative, each determination | 7.00 |
1443 | Enzymes (whole blood, serum or plasma), one estimation ............ | 4.40 |
1446 | Enzymes (whole blood, serum or plasma), two estimations ........... | 7.60 |
1449 | Enzymes (whole blood, serum or plasma), three estimations .......... | 10.20 |
1451 | Enzymes (whole blood, serum or plasma), four or more estimations...... | 12.80 |
1454 | Folic acid, estimation of .................................. | 5.80 |
1457 | Gas analysis including oxygen capacity, oxygen saturation and partial carbon dioxide (PCO2) | 15.80 |
1460 | Chemical analysis of blood or serum, one or more tests performed simultaneously or consecutively on a single specimen on one or more multi-channel analyser systems | 3.20 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
| Part 7—Division 1—continued |
|
1464 | 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 | 4.40 |
1467 | Two estimations of any substance or substances referred to in the last preceding item | 7.60 |
1471 | Three estimations of any substance or substances referred to in Item 1464 | 10.20 |
1473 | Four estimations of any substance or substances referred to in Item 1464 . | 12.80 |
1477 | Five or more estimations of any substance or substances referred to in Item 1464 | 15.20 |
1480 | Hydrogen ion concentration (pH), estimation of .................. | 6.30 |
1483 | Insulin tolerance test ................................... | 8.80 |
1486 | Iron, estimation of ..................................... | 4.40 |
1489 | Iron-binding capacity, estimation of ......................... | 3.20 |
1498 | Iron and iron-binding capacity, estimation of ................... | 7.60 |
1503 | 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 | 4.40 |
1507 | Two of any test or tests referred to in the last preceding item ......... | 7.60 |
1510 | Three of any test or tests referred to in Item 1503 ................. | 10.20 |
1518 | Four of any test or tests referred to in Item 1503 ................. | 12.80 |
1524 | Five or more of any test or tests referred to in Item 1503 ............ | 15.20 |
1528 | Other unspecified liver function test not covered by any other item..... | 4.40 |
1532 | Methaemalbumin, qualitative test for ......................... | 3.20 |
1535 | Phenylketonuria, bacterial inhibition assay for (Guthrie test), when performed as an isolated procedure on specimens from one patient only | 1.30 |
1538 | Phenylketonuria, bacterial inhibition assay for (Guthrie test), when performed simultaneously on specimens from more than one patient —test for each patient | 0.60 |
1542 | Protein bound iodine, estimation of .......................... | 7.30 |
1547 | Proteins, chemical estimation of, total (copper sulphate method)....... | 2.40 |
1552 | Protamine sulphate titration ............................... | 1.90 |
1555 | Spectroscopic examination for pigments ...................... | 3.20 |
1558 | Thyroxine, estimation of ................................. | 8.00 |
1561 | Triglycerides, phospholipids, total lipids, estimation of each substance... | 5.10 |
1565 | Estimation of any two substances referred to in the last preceding item... | 8.30 |
1569 | Estimation of any three or more substances referred to in Item 1561..... | 11.40 |
1572 | Triglycerides, phospholipids, total lipids, estimation of one substance and estimation of cholesterol | 9.50 |
1574 | Thyroxine, tri-iodothyronine or digoxin, free plasma estimation of ..... | 12.80 |
1576 | Trace dements (Copper, lead, mercury, zinc or other unspecified trace elements), estimation of | 5.40 |
1578 | Vitamin A or carotenoids, estimation of ....................... | 5.80 |
1581 | Vitamin B12, estimation of ............................... | 5.80 |
1585 | Assay of concentration of antibiotic or chemotherapeutic agent ....... | 3.80 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 7—continued | ||
| Division 2—Urine |
|
Urine—Bacteriology | ||
1591 | Microscopical examination of urine concentrate (where patient is referred by another medical practitioner for this service | 1.00 |
1593 | 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) | 2.40 |
1595 | 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 | 4.80 |
1597 | 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 | 7.90 |
1599 | 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 organisms (each organism), for nine or more antibiotics | 9.80 |
1602 | 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 | 6.40 |
1605 | 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 test of urine organisms, up to eight antibiotics | 9.50 |
1608 | 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 test of urine organisms, for nine or more antibiotics . | 11.40 |
1612 | Microscopical examination of urine concentrate by special stain— Ziehl-Neelsen or similar | 1.90 |
1617 | 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 | 5.00 |
1619 | Bacterial count for organisms in urine (colony count), simplified technique | 1.60 |
1624 | Bacterial count for organisms in urine (colony count), poured plate technique | 3.20 |
1628 | Cultural examination of urine specimen, for isolation and identification of organisms | 2.20 |
1632 | Microscopical examination of urine concentrate and cultural examination of urine specimen, for isolation and identification of organisms | 3.30 |
1635 | Cultural examination of urine specimen for special pathogens, such as M. tuberculosis | 3.20 |
1637 | Antibiotic sensitivity testing of urine organisms (each organism) up to eight antibiotics | 2.10 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
| Part 7—Division 2—continued |
|
1639 | Antibiotic sensitivity testing of urine organisms (each organism) nine or more antibiotics | 5.10 |
1642 | Sensitivity testing of mycobacteria, each antibiotic ................ | 3.20 |
1646 | Sensitivity testing—tube dilution, each antibiotic .................. | 3.80 |
1650 | Assay of concentration of antibiotic or chemotherapeutic agents in urine .. | 3.80 |
1654 | Examination by animal inoculation ........................... | 6.30 |
1656 | Addis count or quantitative estimation of sediments ................ | 3.80 |
Urine—Chemistry | ||
1658 | Alcohol, quantitative estimation of ........................... | 8.00 |
1660 | Aldosterone, estimation of ................................ | 15.80 |
1663 | Amino acid, total estimation of ............................. | 4.40 |
1666 | Amino acids, identification of, screening tests, by chromatography ...... | 5.10 |
1669 | Amino acids, identification of, qualitative pattern (high voltage electrophoresis or chromatography) | 15.80 |
1672 | Amino-levulinic acid, estimation of .......................... | 5.40 |
1675 | Ascorbic acid, estimation of ............................... | 4.35 |
1677 | Barbiturates, estimation of, quantitative ........................ | 8.00 |
1679 | Catecholamines or similar, estimation of ....................... | 7.00 |
1681 | Chromatography of urine for separation and identification of sugars and other substances of diagnostic significance other than amino acids | 4.35 |
1685 | Electrophoresis of urinary protein, qualitative.................... | 5.80 |
1689 | 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 | 4.40 |
1692 | Two estimations of any substance or substances referred to in the last preceding item | 7.60 |
1695 | Three estimations of any substance or substances referred to in Item 1689 . | 10.20 |
1699 | Four or more estimations of any substance or substances referred to in Item 1689 | 12.80 |
1704 | Chorionic gonadotropins (for diagnosis of pregnancy) using immunochemical methods | 2.40 |
1708 | Chorionic gonadotropins (for diagnosis of pregnancy) using animals..... | 4.40 |
1711 | Chorionic gonadotropins, quantitative estimation of................ | 6.30 |
1715 | Pituitary gonadotropins, quantitative estimation of................. | 15.80 |
1719 | Quantitative estimation of luteinizing hormone using immunochemical methods | 12.80 |
1723 | Hydroxycorticosteroids, estimation of ......................... | 6.60 |
1727 | Hydroxyindole-acetic acid, quantitative estimation of ............... | 5.40 |
1731 | Lead, thallium, mercury or arsenic, estimation of .................. | 5.40 |
1735 | Oestrogens, total, estimation of ............................. | 10.20 |
1739 | Oxosteroids, estimation of ................................. | 6.60 |
1742 | Oxogenic steroids, estimation of ............................. | 6.60 |
1745 | Porphyrins, qualitative examination, other than by reagent stick, strip, tablet or similar | 2.40 |
1749 | Porphyrins, quantitative examination, each substance............... | 12.80 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
| Part 7—Division 2—continued |
|
1751 | Qualitative estimation of pregnanediol, pregnanetriol or similar substances . | 15.80 |
1753 | 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) | 1.90 |
1755 | Spectroscopic examination for pigments ....................... | 3.20 |
1757 | Vanilmandelic acid, estimation of ............................ | 7.00 |
Urine—Cytology | ||
1759 | Cytological examination for malignancy ....................... | 6.30 |
| 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 |
|
1762 | Microscopical examination—wet film ......................... | 1.60 |
1765 | Microscopical examination—gram stain or similar ................. | 1.90 |
1768 | Microscopical examination, by special stains, e.g. Ziehl-Neelsen ....... | 1.90 |
1771 | Microscopical examination by dark ground illumination or phase contrast . | 3.80 |
1774 | Cultural examination for, and identification of aerobic microorganisms ... | 2.80 |
1777 | Cultural examination for, and identification of anaerobic microorganisms . | 4.00 |
1780 | Cultural examination for special pathogens, such as M. tuberculosis and fungi | 2.90 |
1783 | Microscopical examination, gram stain or similar and cultural examination for and identification of aerobic micro-organisms | 4.75 |
1786 | Microscopical examination, gram stain or similar; and cultural examination for and identification of aerobic micro-organisms; and microscopical examination, by special stain?, e.g. Ziehl-Neelsen | 6.60 |
1788 | Microscopical examination, gram stain or similar; cultural examination for and identification of aerobic micro-organisms; and sensitivity testing of up to eight antibiotics | 7.90 |
1791 | Microscopical examination, grain stain or similar; cultural 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 | 9.80 |
1795 | Microscopical examination, gram stain or similar; cultural examination for and identification of aerobic micro-organisms; and sensitivity testing of nine or more antibiotics | 11.20 |
1799 | Microscopical examination by special stains, e.g. Ziehl-Neelsen or similar; and cultural examination for special pathogens, such as M. tuberculosis and fungi | 4.80 |
1803 | Examination by animal inoculation ........................... | 6.30 |
1807 | Autogenous vaccines, preparation of, for a single organism ........... | 3.80 |
1811 | Autogenous vaccines, preparation of, for multiple organisms .......... | 7.00 |
1814 | Sensitivity testing (each organism), up to eight antibiotics ............ | 3.20 |
1816 | Sensitivity testing (each organism), nine or more antibiotics .......... | 5.10 |
1818 | Sensitivity testing-tube dilution, each antibiotic ................... | 3.80 |
1821 | Sensitivity testing of mycobacteria, each antibiotic .. | 3.20 |
1825 | Assay of concentration of antibiotic or chemotherapeutic agents in body fluids | 3.80 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
| Part 7—Division 3—continued |
|
| Body fluids—Vaginal and prostatic fluids |
|
1829 | Microscopical examination—wet film......................... | 1.60 |
1832 | Microscopical examination, wet film; microscopical examination, gram stain or similar; cultural examination for and identification of aerobic micro-organisms | 6.30 |
1834 | Microscopical examination, wet film; microscopical examination, gram stain or similar; cultural examination for and identification of aerobic micro-organisms; and sensitivity testing of up to eight antibiotics | 9.50 |
Body fluids—Cerebrospinal fluid | ||
1836 | Cell count and differential; and quantitative chemical estimation of one substance | 6.30 |
1838 | Cell count and differential; quantitative chemical estimation of one substance; and Lange colloidal gold reaction | 10.40 |
1842 | Cell count and differential; quantitative chemical estimation of one substance; Lange colloidal gold reaction; and complement fixation test for syphilis | 14.80 |
1845 | Cell count and differential; quantitative chemical estimation of one substance; and complement fixation test for syphilis | 10.80 |
1848 | Cell count and differential; and quantitative chemical estimation of two substances | 9.50 |
1854 | Cell count and differential; quantitative chemical estimation of two substances; and Lange colloidal gold reaction | 13.60 |
1857 | Cell count and differential; and quantitative chemical estimation of three substances | 12.20 |
1860 | Cell count and differential; quantitative chemical estimation of three substances; and Lange colloidal gold reaction | 16.40 |
Body fluids—Seminal fluid | ||
1804 | Cell count; microscopical examination, wet film; and microscopical examination, gram stain or similar | 5.40 |
Body fluids—Serological examination | ||
1868 | Serological procedures, not covered by any other item, to identify organisms | 3.20 |
1872 | Rh or similar blood group antibodies, qualitative examination for ....... | 3.50 |
1876 | Rh or similar blood group antibodies, screening and quantitative examination for | 6.30 |
1880 | Flocculation tests for syphilis, rheumatoid factor or similar ........... | 2.40 |
1883 | Syphilis, complement fixation tests for ........................ | 4.40 |
1886 | Complement, estimation of ................................ | 4.40 |
Body fluids—Chemistry | ||
1890 | Quantitative chemical estimation of one substance ................. | 4.40 |
1894 | Quantitative chemical estimation of two substances ................ | 7.60 |
1930 | Quantitative chemical estimation of three substances ............... | 10.20 |
1934 | Quantitative chemical estimation of four or more substances .......... | 12.80 |
1938 | Lange colloidal gold reaction ............................... | 4.20 |
1944 | Amniotic fluid, spectroscopic examination of .................... | 5.40 |
2001 | Electrophoresis of protein or enzyme, qualitative .................. | 5.80 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
| Part 7—Division 3—continued |
|
Body fluids—Cytology | ||
2005 | Cytological examination for malignancy........................ | 6.30 |
Body fluids—Miscellaneous | ||
2008 | Cell count and differential .................................. | 1.90 |
2012 | Microscopical examination of wet film ........................ | 1.60 |
2017 | Assay of concentration of antibiotic or chemotherapeutic agent ........ | 3.80 |
2021 | Sweat plate test ........................................ | 2.20 |
2026 | Huhner’s test ........................................... | 4.40 |
2032 | Milk, human, chemical analysis of ........................... | 3.80 |
2036 | Calculi (gall stones, urinary calculi and other body concretions), chemical examination of | 3.20 |
| Division 4 — Immunology |
|
2040 | Immunoelectrophoresis of serum, cerebrospinal fluid, urine or other body fluids—qualitative | 8.80 |
2047 | Immunodiffusion for the detection of proteins in serum, cerebrospinal fluid, urine or other body fluids — quantitative—each protein | 4.80 |
2051 | Radio-immunodiffusion determination of protein in serum, cerebrospinal fluid, urine or other body fluids—quantitative—each protein | 4.80 |
2055 | Radio immune precipitation of globulins ....................... | 15.80 |
2059 | Lymphocyte (function studies) response to phytohaemagglutinin or antigen, visual transformation | 11.40 |
2064 | Lymphocyte (function studies) response to phytohaemagglutinin or antigen—using radio-active techniques, estimation of | 15.80 |
2068 | Skin sensitivity—induction and detection of sensitivity to chemical antigens | 6.30 |
Immunology—Tissue antibody detection | ||
2072 | Flocculation tests, e.g. latex—each antibody ..................... | 2.40 |
2078 | Agglutination immobilisation test ............................ | 9.50 |
2083 | Tanned erythrocyte haemagglutination technique—each antibody ....... | 4.40 |
2087 | Complement fixation tests involving human tissue antibody—each antibody | 4.40 |
2089 | Immunofluorescent detection of tissue antibody—each antibody ....... | 5.80 |
| Division 5—Faeces |
|
Faeces—Bacteriology and parasitology | ||
2094 | Microscopical examination of wet preparation ................... | 1.60 |
2098 | Microscopical examination with simple staining .................. | 1.90 |
2106 | Microscopical examination with special staining (iron haematoxylin, trichrome or similar) | 1.90 |
2110 | Microscopical examination for parasites or ova after concentration techniques | 2.20 |
2115 | Identification of helminths ................................ | 3.20 |
2121 | Cultural examination for parasites ........................... | 3.20 |
2127 | Cultural examination for isolation of micro-organisms, using selective media | 3.80 |
2133 | Microscopical examination of wet preparation; and cultural examination for isolation of micro-organisms, using selective media | 5.40 |
2139 | 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 | 7.60 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
| Part 7—Division 5—continued |
|
2144 | Special cultural examination for identification of intestinal pathogenic micro-organisms, using biochemical reactions | 3.20 |
2150 | 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 | 10.80 |
2154 | Identification of intestinal pathogenic micro-organisms by specific serological techniques | 3.20 |
2158 | Sensitivity testing (each organism) using up to eight antibiotics ........ | 3.20 |
2168 | Sensitivity testing (each organism) using nine or more antibiotics ....... | 5.10 |
Faeces—Chemistry | ||
2172 | Bilirubin, qualitative test other than by reagent stick, strip, tablet or similar | 1.60 |
2176 | Chloride, estimation of ................................... | 4.35 |
2180 | Calcium, estimation of ................................... | 4.35 |
2184 | Enzyme assay for amylase, trypsin, mucinase or similar enzyme, qualitative, each substance | 1.90 |
2188 | Fat, total, quantitative estimation of, one estimation ................ | 5.80 |
2190 | Fat, total, quantitative estimation of, two estimations ............... | 11.40 |
2192 | Fat, total, quantitative estimation of, three or more estimations ......... | 17.20 |
2194 | Fat, differential, quantitative estimation of, one estimation ........... | 3.20 |
2196 | Fat, differential, quantitative estimation of, two estimations........... | 6.30 |
2197 | Fat, differential, quantitative estimation of, three or more estimations..... | 9.50 |
2198 | Nitrogen, total, estimation of ............................... | 6.30 |
2200 | Occult blood, chemical tests for, other than by reagent stick, strip, tablet or similar | 1.90 |
2207 | Porphyrins, qualitative estimation of, other than by reagent stick, strip, tablet or similar | 2.40 |
2209 | Porphyrins, quantitative estimation of (each substance) .............. | 12.80 |
2214 | Reducing substances, qualitative test other than by reagent stick, strip, tablet or similar | 1.90 |
2218 | Phosphorus, estimation of ................................. | 4.40 |
2224 | Urobilin, urobilinogen, qualitative estimation of, other than by reagent slick, strip, tablet or similar | 1.90 |
2229 | Urobilinogen, quantitative estimation of, other than by reagent stick, strip, tablet or similar | 4.40 |
2233 | Chemical estimation, quantitative, of any one substance not specified elsewhere, other than by reagent stick, strip, tablet or similar | 4.40 |
| Division 6—Skin, Hair, Nails |
|
2237 | Microscopical examination for fungi and parasites ................. | 2.60 |
2242 | Microscopical and cultural examination for fungi ................. | 4.40 |
2246 | Chemical examination (qualitative)—each substance ............... | 1.90 |
2251 | Chemical examination (quantitative)—each substance .............. | 4.40 |
2253 | Skin sensitivity testing for allergens, using one to twenty allergens ...... | 3.90 |
2258 | Skin sensitivity testing for allergens, using more than twenty allergens.... | 7.60 |
2260 | Skin sensitivity testing for hydatid disease (Casoni test) ............. | 2.40 |
2261 | Skin sensitivity testing for myco-bacterial infection (Mantoux, Von Pirquet, Vollmer or similar test) | 2.40 |
2263 | Skin sensitivity testing for diagnosis of disease not listed elsewhere (Schick test, Frei test, Schultz-Charlton test, etc.) | 2.40 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
| Part 7—continued |
|
| Division 7—Gastric and Duodenal Contents |
|
Gastric and Duodenal Contents—Bacteriology | ||
2266 | Microscopical examination for myco-bacteria including collection of gastric contents | 3.20 |
2271 | Cultural examination for mycobacteria ........................ | 3.20 |
2276 | Microscopical examination for mycobacteria including collection of gastric contents and cultural examination for mycobacteria | 6.30 |
2280 | Animal inoculation ..................................... | 6.30 |
2284 | Sensitivity testing for mycobacteria—each antibiotic ............... | 3.20 |
Gastric and Duodenal Contents—Chemistry | ||
2288 | Qualitative tests for barbiturate, blood, alcohol, metallic poison or similar substances—each substance | 2.20 |
2290 | Quantitative determination of acidity, single or multiple specimens, including collection (fractional test meal) | 6.60 |
2293 | Collection of gastric juice specimens after stimulation by histamine, synthetic gastrin, alcohol or similar substance and quantitative determination of acidity | 9.50 |
2297 | Quantitative determination of bicarbonate—single determination ....... | 4.35 |
2301 | Quantitative determination of bicarbonate—more than one determination .. | 9.50 |
2305 | Quantitative determination of other substances—each substance........ | 4.35 |
2309 | Stomach acid secretion test by ingestion of dye ................... | 4.35 |
| Division 8—Morbid anatomy |
|
2313 | Histopathological examination of biopsy material when one or two pieces of tissue are separately identified, processed and examined | 7.60 |
2317 | Histopathological examination of biopsy material when three or four pieces of tissue are separately identified, processed and examined | 11.40 |
2321 | Histopathological examination of biopsy material when five or more pieces of tissue are separately identified, processed and examined | 12.60 |
2325 | Immediate frozen section diagnosis and histopathological examination of biopsy material when one or two pieces of tissue are separately identified, processed and examined | 15.20 |
2329 | Immediate frozen section diagnosis and histopathological examination of biopsy material when three or more pieces of tissue are separately identified, processed and examined | 19.20 |
| Division 9—Special investigations (includes collection of specimens, administration of drugs and all relevant chemical determinations) |
|
2333 | ACTH stimulation procedure (including synacthen) using multiple plasma steroid estimation | 23.00 |
2337 | ACTH stimulation procedure (including synacthen) using multiple urine steroid estimation | 30.50 |
2341 | Adrenaline tolerance test .................................. | 8.80 |
2345 | Arginine infusion test .................................... | 6.30 |
2349 | Basal metabolic rate estimation ............................. | 6.30 |
2353 | Bromsulphthalein retention test ............................. | 7.60 |
2356 | Carbohydrate tolerance test (e.g. glucose, fructose, galactose, lactose, sucrose, or similar) not exceeding 2 hours | 7.60 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
| Part 7—Division 9—continued |
|
2358 | Bromsulphthalein infusion lest of liver function .................. | 12.80 |
2361 | Carbohydrate tolerance test (e.g. glucose, fructose, galactose, lactose, sucrose, or similar) exceeding 2 hours but not exceeding 3 hours | 12.20 |
2364 | Carbohydrate tolerance test (e.g. glucose, fructose, galactose, lactose, sucrose, or similar) exceeding 3 hours | 11.40 |
2368 | Congo red test ........................................ | 8.30 |
2370 | Creatinine clearance test .................................. | 9.50 |
2373 | Dexamethazone suppression test ............................ | 26.50 |
2375 | Glucagon tolerance test .................................. | 8.80 |
2377 | Histidine loaded figlu test ................................. | 7.60 |
2379 | Inulin clearance test ..................................... | 12.80 |
2381 | Metyropone suppression test ............................... | 26.50 |
2383 | Para amino hippuric clearance test ........................... | 9.50 |
2385 | Phenolsulphonphthalein excretion test ......................... | 9.50 |
2387 | Tolbutamide tolerance test ................................ | 8.80 |
2389 | Urea clearance test ..................................... | 7.30 |
2391 | Urea concentration test ................................... | 6.30 |
2393 | Urine acidification test (ammonium chloride or similar) ............. | 6.30 |
2395 | Vasopressin stimulation test ............................... | 23.00 |
2397 | Water elimination or Mosenthal kidney function test ............... | 3.20 |
2399 | Xylose absorption test ................................... | 7.00 |
2402 | Maximum urine concentration test (osmolality) —not less than three estimates; free water clearance test; urate clearance test; acid load test; each test | 9.50 |
| Division 10—Cytology |
|
2404 | Cytological examination of smears from cervix and vagina, skin or mucous membrane for pathological change | 4.40 |
2406 | Examination of sputum, urine or body fluids including bronchial, cerebrospinal, pericardial, peritoneal, or similar for malignant cells | 6.30 |
2408 | Examination of colonic or duodenal washings for malignant cells ....... | 6.30 |
2411 | Examination of blood for circulating malignant cells ............... | 9.50 |
2413 | Oesophageal cytology including collection of specimen ............. | 8.00 |
2415 | Gastric cytology including collection of specimen ................. | 11.40 |
2417 | Hormonal assessment by cytological examination of vaginal epithelium... | 3.80 |
2419 | Cytological sex chromatin studies other than from blood film ......... | 4.20 |
| Division 11—Chromosome studies |
|
2422 | Chromosome studies—including preparation, count and karyotyping of blood | 11.40 |
2424 | Chromosome studies—including preparation, count and karyotyping of marrow or other tissue | 13.20 |
2427 | Chromosome studies—including preparation, count and karyotyping of skin | 15.20 |
| Division 12—Radioisotope studies |
|
2430 | Erythrocyte radioactive uptake survival time ..................... | 18.20 |
2432 | Blood volume Cr51 ..................................... | 7.30 |
2434 | Radioiodine thyroid uptake ................................ | 7.30 |
2436 | Radioactive T3 test ..................................... | 8.10 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
| Part 7—Division 12—continued |
|
2438 | Gastrointestinal blood loss estimation with radioactive chromium involving serial examinations of stool specimens | 14.60 |
2441 | Radioiodine, urinary estimation ............................. | 5.10 |
2443 | Protein bound radioactive iodine test .......................... | 7.30 |
2446 | Hormonal immunoassay by radioactive techniques, each estimation...... | 7.30 |
2448 | Radioactive B12 absorption test (Schilling test) ................... | 8.10 |
2451 | Brain scan ........................................... | 22.50 |
2454 | Cisternal scan ......................................... | 37.00 |
2457 | Spinal cord scan ....................................... | 14.60 |
2462 | Parathyroid scan ....................................... | 12.40 |
2470 | Thyroid scan ......................................... | 9.50 |
2473 | Mediastinal scan ....................................... | 11.60 |
2474 | Scan of lung or lungs .................................... | 23.50 |
2476 | Scan of heart and liver ................................... | 22.50 |
2477 | Heart scan ........................................... | 11.60 |
2479 | Scan of liver and lungs ................................... | 42.50 |
2480 | Liver scan ........................................... | 17.40 |
2481 | Pancreas scan ......................................... | 22.50 |
2483 | Spleen scan .......................................... | 12.40 |
2484 | Renal scan ........................................... | 14.60 |
2486 | Scan of liver and spleen .................................. | 23.50 |
2487 | Differential renal scan ................................... | 8.70 |
2489 | Renal scan and differential renal scan ......................... | 24.00 |
2491 | Placental scan ......................................... | 22.50 |
2493 | Scan of skull ......................................... | 14.60 |
2495 | Scan of vertebral column and sacrum ......................... | 22.50 |
2496 | Scan of pelvis ......................................... | 22.50 |
2498 | Scan of joint or long bone ................................. | 14.60 |
2499 | Scan of bone or bones not covered by any other item in this Division..... | 14.60 |
2500 | Scan of region or organ not covered by any other item in this Division.... | 12.40 |
| Part 8—Radiological services |
|
| Division 1—Radiographic examination of extremities and report (with or without fluoroscopy) |
|
2502 | Digits or phalanges—all or any of either hand or either foot (when the service is rendered otherwise than by a specialist in the practice of his specialty) | 7.00 |
2505 | Digits or phalanges—all or any of either hand or either foot (when the service is rendered by a specialist in the practice of his specialty) | 8.10 |
2508 | Hand, wrist, forearm, elbow or arm (elbow to shoulder) (when the service is rendered otherwise than by a specialist in the practice of his specialty) | 7.00 |
2512 | Hand, wrist, forearm, elbow or arm (elbow to shoulder) (when the service is rendered by a specialist in the practice of his specialty) | 8.10 |
2516 | Hand, wrist and lower forearm; upper forearm and elbow; or elbow and arm (elbow to shoulder) (when the service is rendered otherwise than by a specialist in the practice of his specialty) | 9.50 |
2520 | Hand, wrist and lower forearm; upper forearm and elbow; or elbow and arm (elbow to shoulder) (when the service is rendered by a specialist in the practice of his specialty) | 10.60 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
| Part 8—Division 1—continued |
|
2524 | Foot, ankle, lower leg, upper leg, knee or thigh (femur) (when the service is rendered otherwise than by a specialist in the practice of his specialty) | 7.00 |
2528 | Foot, ankle, lower leg, upper leg, knee or thigh (femur) (when the service is rendered by a specialist in the practice of his specialty) | 8.70 |
2532 | Foot, ankle and lower leg; or upper leg and knee (when the service is rendered otherwise than by a specialist in the practice of his specialty) | 10.20 |
2537 | Foot, ankle and lower leg; or upper leg and knee (when the service is rendered by a specialist in the practice of his specialty) | 13.00 |
| Division 2—Radiographic examination of shoulder or hip joint and report |
|
2539 | Shoulder or scapula (when the service is rendered otherwise than by a specialist in the practice of his specialty) | 9.50 |
2541 | Shoulder or scapula (when the service is rendered by a specialist in the practice of his specialty) | 10.60 |
2543 | Clavicle (when the service is rendered otherwise than by a specialist in the practice of his specialty) | 7.60 |
2545 | Clavicle (when the service is rendered by a specialist in the practice of his specialty) | 8.70 |
2548 | Hip joint ............................................ | 9.50 |
2551 | Pelvic girdle .......................................... | 12.20 |
2554 | Sacro-iliac joints....................................... | 12.20 |
2557 | Smith-Petersen nail—insertion or similar procedure ................ | 19.80 |
| Division 3—Radiographic examination of head and report |
|
2560 | Skull (calvarium) ...................................... | 12.20 |
2563 | Sinuses ............................................. | 9.50 |
2566 | Mastoids ............................................ | 12.20 |
2569 | Petrous temporal bones ................................... | 12.20 |
2573 | Facial bones-orbit, maxilla or malar—any or all .................. | 9.50 |
2576 | Mandible ............................................ | 9.50 |
2579 | Salivary calculus ....................................... | 9.50 |
2581 | Nose ............................................... | 8.10 |
2583 | Eye ................................................ | 8.10 |
2585 | Temporo-mandibular joints ................................ | 10.20 |
2587 | Teeth—single area ...................................... | 6.50 |
2589 | Teeth—full mouth ...................................... | 16.00 |
2591 | Palato-pharyngeal studies with fluoroscopic screening .............. | 12.80 |
2593 | Palatopharyngeal studies without fluoroscopic screening ............. | 10.20 |
2595 | Larynx.............................................. | 8.70 |
| Division 4—Radiographic examination of spine and report |
|
2597 | Spine—cervical ....................................... | 12.80 |
2599 | Spine—thoracic ....................................... | 11.00 |
2601 | Spine—lumbo-sacral .................................... | 15.20 |
2604 | Spine—sacro-coccygeal .................................. | 9.10 |
2607 | Spine—two regions ..................................... | 19.60 |
2609 | Spine—three or more regions .............................. | 27.50 |
2611 | Spine—functional views of one area .......................... | 4.10 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
| Part 8— continued |
|
| Division 5—Bone age study and skeletal surveys |
|
2614 | Bone age study, wrist and knee ............................. | 9.50 |
2617 | Bone age study, wrist .................................... | 8.10 |
2621 | Skeletal survey involving four or more regions ................... | 17.40 |
| Division 6—Radiographic examination of thoracic region and report |
|
2625 | Chest (lung fields) by direct radiography (when the service is rendered otherwise than by a specialist in the practice of his specialty) | 7.60 |
2627 | Chest (lung fields) by direct radiography (when the service is rendered by a specialist in the practice of his specially) | 8.70 |
2630 | Chest (lung fields) by direct radiography with fluoroscopic screening .... | 12.20 |
2634 | Thoracic inlet or trachea .................................. | 8.10 |
2638 | Chest by miniature radiography ............................. | 4.40 |
2642 | Cardiac examination (including barium swallow) (when the service is rendered otherwise than by a specialist in the practice of his specialty) | 10.20 |
2646 | Cardiac examination (including barium swallow) (when the service is rendered by a specialist in the practice of his specialty) | 12.20 |
2650 | Sternum or one or more ribs of any one side (when the service is rendered otherwise than by a specialist in the practice of his specialty) | 7.60 |
2654 | Sternum or one or more ribs of any one side (when the service is rendered by a specialist in the practice of his specialty) | 8.70 |
2659 | One or more ribs of both sides (when the service is rendered otherwise than by a specialist in the practice of his specialty) | 9.50 |
2662 | One or more ribs of both sides (when the service is rendered by a specialist in the practice of his specialty) | 11.40 |
| Division 7—Radiographic examination of urinary tract and report |
|
2665 | Plain renal only........................................ | 8.70 |
2672 | Drip-infusion pyelography................................. | 27.50 |
2676 | Intravenous pyelography, including preliminary plain film............ | 25.00 |
2681 | Intravenous pyelography, including preliminary plain film with delayed examination for the cysto-ureteric reflex | 32.50 |
2687 | Retrograde pyelography, including preliminary plain film ............ | 19.80 |
2690 | Retrograde cystography or retrograde urethrography ............... | 13.00 |
2694 | Retrograde micturating cystourethrography ..................... | 16.00 |
2697 | Retro-peritoneal pneumogram .............................. | 9.50 |
| Division 8—Radiographic examination of alimentary tract and bilary system (with or without fluoroscopy) and report |
|
2699 | Plain abdominal only (when the service is rendered otherwise than by a specialist in the practice of his specialty) | 7.60 |
2703 | Plain abdominal only (when the service is rendered by a specialist in the practice of his specialty) | 8.70 |
2706 | Oesophagus, with or without examination for foreign body or barium swallow | 13.60 |
2709 | Barium or other opaque meal of oesophagus, stomach and duodenum, with or without screening of chest | 17.40 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
| Part 8—Division 8—continued |
|
2711 | Barium or other opaque meal of oesophagus, stomach, duodenum and follow through to colon, with or without screening of chest | 22.00 |
2714 | Barium or other opaque meal, small bowel series only .............. | 16.00 |
2716 | Opaque enema ........................................ | 17.40 |
2718 | Opaque enema, including air contrast study (two stages)............. | 22.00 |
2720 | Graham’s test (cholecystography)............................ | 13.80 |
2722 | Cholegraphy direct—operative or post-operative.................. | 14.20 |
2724 | Cholegraphy—intravenous................................. | 22.00 |
2726 | Cholegraphy—percutaneous transhepatic....................... | 15.20 |
2728 | Cholegraphy—drip infusion................................ | 26.50 |
| Division 9—Radiographic examination for localisation of foreign bodies and report |
|
2730 | Foreign body in eye (special method, Sweet’s or other).............. | 13.00 |
2732 | Foreign body, localisation of and report, not covered by any other item in this Part—the amount of Commonwealth benefit for radiographic examination of the area and report, plus | 4.10 |
| Division 10—Radiographic examination of breasts and report |
|
2734 | Radiographic examination of both breasts and report................ | 16.00 |
2736 | Radiographic examination of one breast and report................. | 9.50 |
| Division 11—Radiographic examination in connection with pregnancy and report |
|
2738 | Pregnant uterus ........................................ | 8.70 |
2740 | Pelvimetry or placentography .............................. | 17.40 |
2742 | Control X-rays associated with intrauterine foetal blood transfusion...... | 13.00 |
| Division 12—Radiographic examination with opaque or contrast media, and report |
|
2744 | Serial angiocardiography (rapid cassette changing) — each series (AU 8).. | 16.00 |
2746 | Serial angiocardiography (single plane—direct roll-film method.)—each series (AU 8) | 22.50 |
2748 | Serial angiocardiography (bi-plane—direct roll-film method))—each series (AU 8) | 22.50 |
2750 | Serial angiocardiography (indirect roll-film method)—each series (AU 8) . | 22.50 |
2751 | Selective coronary arteriography............................. | 66.00 |
2752 | Discography—one disc................................... | 13.00 |
2754 | Dacryocystography—one side .............................. | 9.50 |
2756 | Encephalography....................................... | 21.00 |
2758 | Cerebral angiography—one side............................. | 16.00 |
2760 | Cerebral ventriculography ................................. | 17.40 |
2762 | Hysterosalpingography................................... | 13.60 |
2764 | Bronchography—one side................................. | 19.80 |
2766 | Arteriography, peripheral—one side.......................... | 19.80 |
2768 | Phlebography—one side.................................. | 19.80 |
2770 | Aortography.......................................... | 19.80 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 8—Division 12—continued | ||
2772 | Splenography......................................... | 19.80 |
2774 | Myelography.......................................... | 25.00 |
2776 | Selective arteriography per injection and film run.................. | 19.80 |
2778 | Sialography—one side................................... | 13.60 |
2780 | Vasoepididymography—one side............................ | 13.60 |
2782 | Sinuses and fistulae—the amount of Commonwealth benefit for radiographic examination of the area and report, plus | 4.40 |
2784 | Laryngography with contrast media........................... | 10.20 |
2786 | Pneumarthrography..................................... | 8.40 |
2788 | Arthrography—contrast .................................. | 10.20 |
2790 | Arthrography—double contrast.............................. | 16.80 |
2792 | Lymphangiography, including follow up radiography............... | 13.00 |
2794 | Pneumomediastinum..................................... | 12.20 |
Division 13—Tomography and report | ||
2796 | Tomography, any part and report............................. | 12.20 |
Division 14—Stereoscopic examination and report | ||
2798 | Stereoscopic examination and report—the amount of Commonwealth benefit for radiographic examination of the area and report plus | 2.60 |
Division 15—Fluoroscopic examination and report | ||
2800 | Examination with general anaesthesia (AU 7).................... | 8.70 |
2802 | Examination without general anaesthesia....................... | 5.90 |
Division 16—Radiotherapy | ||
2804 | Radiotherapy, superficial—each attendance in a course of treatment where the course involves three or more radiotherapy treatments per week at which fractionated treatment is given to one field only | 5.10 |
2806 | Radiotherapy, superficial—each attendance in a course of treatment where the course involves three or more radiotherapy treatments per week at which fractionated treatment is given separately to each of two or more fields—the amount of the Commonwealth benefit under item 2804 plus an additional amount for each field separately treated in excess of one (up to a maximum of five additional fields) of | 1.00 |
2808 | Radiotherapy, superficial—each attendance in a course of treatment where the course involves not more than two radiotherapy treatments per week at which fractionated treatment is given to one field only | 6.20 |
2810 | Radiotherapy, superficial—each attendance in a course of treatment where the course involves not more than two radiotherapy treatments per week at which fractionated treatment is given separately to each of two or more fields—the amount of the Commonwealth benefit under item 2808 plus an additional amount for each field separately treated in excess of one (up to a maximum of five additional fields) of | 1.20 |
2812 | Radiotherapy, superficial—attendance in relation to a condition for the treatment of which a single dose to one field only is given | 12.40 |
2814 | Radiotherapy, superficial—attendance in relation to a condition for the treatment of which only a single dose is given separately to each of two or more fields— the amount of the Commonwealth benefit under item 2812 plus an additional amount for each field separately treated in excess of one (up to a maximum of five additional fields) of | 2.50 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 8—Division 16—continued | ||
2816 | Radiotherapy superficial—each attendance at which treatment is given to an eye | 7.00 |
2818 | Radiotherapy, deep or orthovoltage—each attendance in a course of treatment where the course involves three or more radiotherapy treatment, per week at which fractionated treatment is given to one field only | 6.20 |
2820 | Radiotherapy, deep or orthovoltage—each attendance in a course of treatment where the course involves three or more radiotherapy treatments per week at which fractionated treatment is given separately to each of two or more fields—the amount of Commonwealth benefit under item 2818 plus an additional amount for each field separately treated in excess of one (up to a maximum of five additional fields) of | 1.20 |
2822 | Radiotherapy, deep or orthovoltage—each attendance in a course of treatment where the course involves not more than two radiotherapy treatments per week at which fractionated treatment is given to one field only | 7.30 |
2824 | Radiotherapy, deep or orthovoltage—each attendance in a course of treatment where the course involves not more than two radiotherapy treatments per week at which fractionated treatment is given separately to each of two or more fields—the amount of the Commonwealth benefit under item 2822 plus an additional amount for each field separately treated in excess of one (up to a maximum of five additional fields) of | 1.50 |
2826 | Radiotherapy, deep or orthovoltage—attendance in relation to a condition for the treatment of which a single dose to one field only is given (not being an attendance covered by any other item in this Part) | 16.00 |
2828 | Radiotherapy, deep or orthovoltage—attendance in relation to a condition for the treatment of which only a single dose is separately given to each of two or more fields (not being an attendance covered by any other item in this Part)—the amount of the Commonwealth benefit under item 2826 plus an additional amount for each field separately treated in excess of one (up to a maximum of five additional fields) of | 3.20 |
2830 | Radiotherapy, megavoltage or teletherapy—each attendance in a course of treatment where the course involves three or more radiotherapy treatments per week at which fractionated treatment is given to one field only | 9.50 |
2832 | Radiotherapy, megavoltage or teletherapy—each attendance in a course of treatment where the course involves three or more radiotherapy treatments per week at which fractionated treatment is given separately to each of two or more fields—the amount of the Commonwealth benefit under item 2830 plus an additional amount for each field separately treated in excess of one (up to a maximum of five additional fields) of | 1.90 |
2834 | Radiotherapy, megavoltage or teletherapy—each attendance in a course of treatment where the course involves not more than two radiotherapy treatments per week at which fractionated treatment is given to one field only | 12.80 |
2836 | Radiotherapy, megavoltage or teletherapy—each attendance in a course of treatment where the course involves not more than two radiotherapy treatments per week at which fractionated treatment is given separately to each of two or more fields— the amount of the Commonwealth benefit under item 2834 plus an additional amount for each field separately treated in excess of one (up to a maximum of five additional fields) of | 2.60 |
2838 | Radiotherapy, megavoltage or teletherapy (not covered by any other item in this Part)— attendance in relation to a condition for the treatment of which a single dose to one field only is given | 22.50 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 8—Division 16—continued | ||
2840 | Radiotherapy, megavoltage or teletherapy (not covered by any other item in this Part)—attendance in relation to a condition for the treatment of which only a single dose is given separately to each of two or more fields—the amount of the Commonwealth benefit under item 2838 plus an additional amount for each field separately treated in excess of one (up to a maximum of five additional fields) of | 4.40 |
Sealed radioactive sources | ||
2842 | Intrauterine insertion alone (AU 5) ........................... | 39.50 |
2844 | Intravaginal insertion alone (AU 4) ........................... | 26.50 |
2846 | Combined intrauterine and intravaginal insertion (AU 5) ............. | 57.00 |
2848 | Implantation of a region necessitating a major anaesthetic and surgical exposure (including implantation in an eye or in an intra-abdominal organ, bladder or prostate) (AU 7) | 86.00 |
2850 | Complex implantation of a site not requiring separate surgical exposure but necessitating a major anaesthetic (including implantation in the mouth, in the tongue, in a salivary gland, in the neck, in the axilla, in the groin or in any subcutaneous region) (AU 6) | 66.00 |
2852 | Simple implantation of a site not requiring separate surgical exposure, but necessitating a major anaesthetic (AU 5) | 39.50 |
2854 | Implantation of a site not requiring separate surgical exposure or a major anaesthetic (including implantation in skin and implantation in a lip) (AU 4) | 15.20 |
2856 | Preparation of a patient to receive sources for gynaecological irradiation and supervision of the patient during the subsequent irradiation (but not including insertion of the radiation source) | 24.00 |
2858 | Removal of scaled radioactive sources under a major anaesthetic (AU 4) .. | 10.20 |
2860 | Removal of scaled radioactive sources without major anaesthetic ....... | 7.60 |
2862 | Construction and first application of a radioactive mould to an intracavitary, an intraoral or an intranasal site | 26.00 |
2864 | Attendance upon a patient to apply a radioactive mould constructed for application to an intracavitary, intraoral or intranasal site other than an attendance which is the first attendance to apply the mould—each attendance | 7.60 |
2866 | Construction and first application of a radioactive mould not exceeding 5 cm diameter to an external surface | 15.20 |
2868 | Construction and first application of a radioactive mould more than 5 cm in diameter to an external surface | 18.20 |
2870 | Attendance upon a patient to apply a radioactive mould constructed for application to an external surface of the patient other than an attendance which is the first attendance to apply the mould—each attendance | 5.10 |
Unsealed radioactive sources | ||
2872 | Oral administration of a therapeutic dose of a radioisotope, being an administration not covered by Item 2874 | 5.50 |
2874 | Oral administration of a therapeutic dose of radioiodine for hyperthyroidism or thyroid cancer by single dose technique | 22.50 |
2876 | Intravenous administration of a therapeutic dose of a radioisotope ....... | 9.10 |
2878 | Intracavitary administration of a therapeutic dose of a radioisotope (not including preliminary paracentesis) (AU 5) | 9.10 |
Schedule 1— continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
| Part 8—continued |
|
| Division 17—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 |
|
2880 | Encephalography (AU 10) ................................. | 30.00 |
2882 | Cerebral angiography—percutaneous, one side (AU 9) .............. | 25.00 |
2884 | Cerebral angiography—catheter or open exposure, one side (AU 10) ..... | 25.00 |
2886 | Cerebral ventriculography (AU 10) ........................... | 35.00 |
2888 | Dacryocystography—one side .............................. | 8.10 |
2890 | Bronchography—one or both sides (AU 8) ...................... | 12.20 |
2892 | Aortography (AU 8) .................................... | 12.20 |
2894 | Arteriography—peripheral, one artery (AU 6) .................... | 9.50 |
2896 | Phlebography—one vein (AU 6)............................. | 9.50 |
2898 | Splenography (AU 6) .................................... | 7.60 |
2900 | Retroperitoneal pneumogram ............................... | 9.50 |
2903 | Selective phlebogram (AU 5) ............................... | 7.60 |
2906 | Selective arteriogram (AU 6) ............................... | 7.60 |
2909 | Renal cyst, aspiration with injection of radio-opaque material ......... | 12.20 |
2912 | Pneumarthrography ..................................... | 9.80 |
2916 | Pneumoperitoneum ..................................... | 9.80 |
2918 | Drip-infusion pyelography or drip-infusion cholegraphy ............. | 6.20 |
2921 | Hysterosalpingography (AU 6) ............................. | 12.20 |
2923 | Discography—one disc (AU 5) ............................. | 8.10 |
2925 | Intraosseous venography .................................. | 8.10 |
2927 | Myelography (AU 9) .................................... | 25.00 |
2930 | Cisternal puncture ...................................... | 16.00 |
2932 | Sinus or fistula injection into ............................... | 4.10 |
2934 | Intracavitary administration of radioactive substance (AU 5) .......... | 25.00 |
2936 | Laryngography ........................................ | 12.20 |
2938 | Pneumomediastinum .................................... | 16.00 |
2940 | Cholegram, percutaneous transhepatic ......................... | 25.00 |
Part 9—Assistance at operations | ||
2950 | Assistance at any operation or series or combination of operations for which the aggregate of the basic Commonwealth benefit, the fund benefit and the specified excess does not exceed $106.00 | 8.90 |
2955 | Assistance at any operation or series or combination of operations for which the aggregate of the basic Commonwealth benefit, the fund benefit and the specified excess exceeds $106.00 |
One-fifth of the basic Common-wealth benefit for the operation or operations |
Part 10—Operations | ||
Division 1—General surgical | ||
3006 | Dressing of localised burns (not involving grafting)—each attendance at which the procedure is performed | 1.60 |
3012 | Dressing of burns, extensive, without anaesthesia (not involving grafting)—each attendance at which the procedure is performed | 3.70 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 1—continued | ||
3016 | Dressing of localised burns under general anaesthesia (not involving grafting)- each attendance at which the procedure is performed (G) (AU 7) | 8.20 |
3022 | Dressing of localised burns under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed (S) (AU 7) | 9.90 |
3027 | Dressing of burns, extensive, under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed (G) (AU 10) | 16.80 |
3033 | Dressing of burns, extensive, under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed (S) (AU 10) | 21.00 |
3038 | Excision, under general anaesthesia, of burns involving not more than 10 per cent of body surface, where grafting is not carried out during the same operation (AU 10) | 46.50 |
3039 | Excision, under general anaesthesia, of burns involving more than 10 per cent of body surface, where grafting is not carried out during the same operation (AU 15) | 96.00 |
3041 | Debridement, under general anaesthesia, of deep or extensive contaminated wound of soft tissue (AU 10) | 46.50 |
3046 | 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 (AU 5) | 2.50 |
3050 | 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 (AU 6) | 11.80 |
3058 | Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 centimetres long), superficial (AU 7) | 3.50 |
3059 | Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 centimetres long), superficial (D) (AU 7) | 3.50 |
3063 | 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 (AU 7) | 15.60 |
3068 | 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 (D) (AU 7) | 15.60 |
3073 | 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 (AU 6) | 4.00 |
3082 | 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 (G) (AU 7) | 19.20 |
3087 | 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 (S) (AU 7) | 25.00 |
3092 | Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 centimetres long), superficial (AU 7) | 15.60 |
3095 | Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 centimetres long), superficial (D) (AU 7) | 15.60 |
3098 | 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) (AU 8) | 20.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 1—continued | ||
3101 | 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) (AU 8) | 26.00 |
3103 | 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 (D) (AU 8) | 26.00 |
3106 | Dressing and removal of sutures requiring a general anaesthetic (AU 5) | 9.90 |
3113 | Superficial foreign body, removal of, not covered by any other item in this Part (AU 5) | 3.10 |
3114 | Superficial foreign body, removal of, not covered by any other item in this Part (D) (AU 5) | 3.10 |
3116 | Subcutaneous foreign body, removal of, not covered by any other item in this Part (AU 6) | 14.20 |
3117 | Subcutaneous foreign body, removal of, not covered by any other item in this Part (D) (AU 6) | 14.20 |
3120 | Foreign body in muscle, tendon or other deep tissue, removal of, not covered by any other item in this Part (G) (AU 7) | 31.00 |
3124 | Foreign body in muscle, tendon or other deep tissue, removal of, not covered by any other item in this Part (S) (AU 7) | 39.00 |
3128 | Foreign body in muscle, tendon or other deep tissue, removal of, not covered by any other item in this Part (D) (AU 7) | 39.00 |
3130 | Biopsy of skin or mucous membrane, as an independent procedure (AU 5) | 7.10 |
3134 | Biopsy of skin or mucous membrane, as an independent procedure (D) (AU 5) | 7.10 |
3135 | Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (G) (AU 6) | 15.60 |
3142 | Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (S) (AU 6) | 20.00 |
3147 | Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (D) (AU 6) | 20.00 |
3148 | Aspiration biopsy of lymph gland, deep tissue or organ, as an independent procedure (AU 5) | 6.30 |
3157 | Biopsy of bone marrow by trephine or burr-hole (AU 5) ........... | 14.20 |
3160 | Biopsy of bone marrow by aspiration (AU 5) .................. | 3.90 |
3163 | Punch biopsy of synovial membrane or pleura .................. | 3.90 |
3168 | Scalene node biopsy (AU 5) .............................. | 25.00 |
3173 | Sinus, excision of, involving superficial tissues only (AU 6) ........ | 11.80 |
3175 | Sinus, excision of, involving superficial tissues only (D) (AU 6) ...... | 11.80 |
3178 | Sinus, excision of, involving muscle and deep tissue (G) (AU 7) ...... | 20.00 |
3183 | Sinus, excision of, involving muscle and deep tissue (S) (AU 7) ...... | 25.00 |
3187 | Sinus, excision of, involving muscle and deep tissue (D) (AU 7) ...... | 25.00 |
3189 | Bursa, incision of (AU 5) ............................... | 4.70 |
3194 | Ganglion or small bursa, excision of (G) (AU 6) ................ | 21.00 |
3199 | Ganglion or small bursa, excision of (S) (AU 6) ................. | 30.00 |
‘ 3208 | Bursa (large), including olecranon, calcaneum or patella, excision of (G)(AU 6) | 40.50 |
3213 | Bursa (large), including olecranon, calcaneum or patella, excision of (S) (AU 6) | 55.00 |
3217 | Bursa, semimembranosus (Baker’s cyst), excision of (AU 7)......... | 54.00 |
3219 | Tumour, cyst, ulcer or scar, removal of cutaneous, subcutaneous or in mucous membrane, up to 3 centimetres in diameter (G) (AU 6) | 4.00 |
3228 | Tumour, cyst, ulcer or scar, removal of cutaneous, subcutaneous or in mucous membrane, up to 3 centimetres in diameter (S) (AU 6) | 19.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 1—continued | ||
3229 | Tumour, cyst, ulcer or scar, removal of cutaneous, subcutaneous or in mucous membrane, up to 3 centimetres in diameter (D) (AU 6) | 19.00 |
3233 | Tumour, cyst, ulcer or scar, removal of cutaneous, subcutaneous or in mucous membrane, more than 3 centimetres in diameter (G) (AU 6) | 18.60 |
3237 | Tumour, cyst, ulcer or scar, removal of cutaneous, subcutaneous or in mucous membrane, more than 3 centimetres in diameter (S) (AU 6) | 32.00 |
3245 | Tumour, cyst, ulcer or scar, removal of cutaneous, subcutaneous or in mucous membrane, more than 3 centimetres in diameter (D) (AU 6) | 32.00 |
3247 | Tumour, cyst, ulcer or scar, removal of, not covered by any other item in this Part, involving muscle, bone or other deep tissue (G) (AU 8) | 16.50 |
3253 | Tumour, cyst, ulcer or scar, removal of, not covered by any other item in this Part, involving muscle, bone or other deep tissue (S) (AU 8) | 35.50 |
3258 | Tumour, cyst, ulcer or scar, removal of, not covered by any other item in this Part, involving muscle, bone or other deep tissue (D) (AU 8) | 35.50 |
3261 | Tumour or deep cyst, removal of, not covered by any other item in this Part, requiring wide excision (G) (AU 8) | 38.50 |
3265 | Tumour or deep cyst, removal of, not covered by any other item in this Part, requiring wide excision (S) (AU 8) | 46.50 |
3268 | Tumour or deep cyst, removal of, not covered by any other item in this Part, requiring wide excision (D) (AU 8) | 46.50 |
3271 | Malignant, tumour, removal of from skin, requiring wide and deep excision (AU 8) | 59.00 |
3276 | Malignant tumour, removal of from skin, requiring wide and deep excision with immediate block dissection of lymph glands (AU 13) | 126.00 |
3281 | Tumour, removal of from soft tissue (including muscle, fascia and connective tissue), extensive excision of without skin graft (AU 8) | 75.00 |
3284 | Tumour, removal of from soft tissue (including muscle, fascia and connective tissue) extensive excision of, without skin graft (D) (AU 8) | 75.00 |
3289 | Tumour, removal of from soft (issue (including muscle, fascia and connective tissue), extensive excision of with skin graft (AU 10) | 89.00 |
3290 | Tumour, removal of from soft tissue (including muscle, fascia and connective tissue), extensive excision of with skin graft (D) (AU 10) | 89.00 |
3295 | Malignant tumour, removal of from any region involving a radical operation (not being an operation covered by any other item in this Part) (AU 13) | 126.00 |
3301 | Malignant tumour, removal of from any region involving a limited operation (not being an operation covered by any other item in this Part) (AU 8) | 59.00 |
3308 | Lipectomy for abdominal apron or similar condition (AU 12) ........ | 100.00 |
3314 | Axillary hyperidrosis, wedge excision for (AU 7) ................ | 17.60 |
3320 | Plantar wart, simple removal of (AU 5) ...................... | 3.00 |
3330 | Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on not more than five lesions (AU 4) | 7.10 |
3331 | Keratoses, warts of similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on not more than five lesions (D) (AU 4) | 7.10 |
3332 | 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 (AU 5) | 9.20 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 1—continued | ||
3338 | 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 (AU 6) | 6.00 |
3342 | 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 (AU 7) | 12.40 |
3346 | Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on more than twenty lesions (AU 8) | 5.00 |
3356 | Skin lesions, multiple injections with hydrocortisone or similar preparations .. .. .. | 7.50 |
3363 | Keloid, extensive, multiple injections of hydrocortisone or similar preparation under general anaesthesia (AU 5) | 21.50 |
3366 | Haematoma, aspiration of (AU 4) .......................... | 3.10 |
3371 | Haematoma, furuncle, small abscess or similar lesion not requiring a general anaesthetic, incision with drainage of (excluding after-care) | 4.00 |
3379 | Large haematoma, large abscess, carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (excluding after-care) (G) (AU 5) | 10.00 |
3384 | Large haematoma, large abscess, carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (excluding after-care) (S) (AU 5) | 21.50 |
3386 | Large haematoma, large abscess, carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (excluding after-care) (D) (AU 5) | 21.50 |
3389 | Muscle, excision of (limited) (G) (AU 6) ..................... | 16.40 |
3391 | Muscle, excision of (limited) (S) (AU 6) ..................... | 20.00 |
3393 | Muscle, excision of (limited) (D) (AU 6) ..................... | 20.00 |
3395 | Muscle, excision of (extensive) (G) (AU 7) .................... | 30.00 |
3399 | Muscle, excision of (extensive) (S) (AU 7) .................... | 38.50 |
3400 | Muscle, excision of (extensive) (D) (AU 7) .................... | 38.50 |
3401 | Muscle, ruptured, repair of (limited), not associated with external wound (G) (AU 7) | 24.50 |
3404 | Muscle, ruptured, repair of (limited), not associated with external wound (S) (AU 7) | 31.00 |
3407 | Muscle, ruptured, repair of (extensive), not associated with external wound (AU 7) | 43.00 |
3411 | Fascia, deep, repair of, for herniated muscle (G) (AU 7) ........... | 16.40 |
3417 | Fascia, deep, repair of, for herniated muscle (S) (AU 7) ............ | 20.00 |
3425 | Bone tumour, innocent, excision of, not covered by any other item in this Part (AU 7) | 51.00 |
3427 | Bone tumour, innocent, excision of, not covered by any other item in this Part (D) (AU 7) | 51.00 |
3431 | Styloid process of temporal bone, removal of (AU 7) ............. | 51.00 |
3437 | Parotid gland, total extirpation of (AU 15) .................... | 112.00 |
3444 | Parotid gland, total extirpation of with preservation of facial nerve (AU 18) | 190.00 |
3450 | Parotid gland, superficial lobectomy or removal of tumour from, with exposure of facial nerve (AU 14) | 126.00 |
3455 | Submandibular gland, extirpation of (AU 8) ................... | 51.00 |
3456 | Submandibular gland, extirpation of (D) (AU 8) ................ | 51.00 |
3459 | Sublingual gland, extirpation of (AU 7) ...................... | 27.50 |
3462 | Sublingual gland, extirpation of (D) (AU 7) ................... | 27.50 |
3465 | Salivary gland, dilatation or diathermy of duct (AU 6) ............ | 7.80 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division I—continued | ||
3466 | Salivary gland, dilatation or diathermy of duct (D) (AU 6) .......... | 7.80 |
3468 | Salivary gland, removal of calculus from duct (G) (AU 7) .......... | 15.60 |
3472 | Salivary gland, removal of calculus from duct (S) (AU 7) .......... | 20.00 |
3475 | Salivary gland, removal of calculus from duct (D) (AU 7) .......... | 20.00 |
3477 | Salivary gland, repair of cutaneous fistula of (AU 7) .............. | 20.00 |
3480 | Tongue, partial excision of (AU 7) ......................... | 43.00 |
3483 | Tongue, partial excision of (D) (AU 7) ....................... | 43.00 |
3490 | Tongue, total excision of (AU 14) .......................... | 106.00 |
3493 | Tongue, total excision of (D) (AU 14) ....................... | 106.00 |
3495 | Radical excision of intra-oral tumour involving resection of mandible and lymph glands of neck (commando-type operation) (AU 18) | 270.00 |
3496 | Tongue tie, repair of, not covered by any other item in this part (AU 6).. | 6.00 |
3500 | Tongue tic, repair of, not covered by any other item in this part (D) (AU 6) | 6.00 |
3505 | Tongue tie or maxillary frenulim, repair of, in a person aged not less than two years, under general anaesthesia (AU 6) | 15.80 |
3507 | Tongue tie or maxillary frenulum, repair of, in a person aged not less than two years, under general anaesthesia (D) (AU 6) | 15.80 |
3509 | Ranula or mucous cyst of mouth, removal of (G) (AU 9) ........... | 21.50 |
3516 | Ranula or mucous cyst of mouth, removal of (S) (AU 9) ........... | 29.00 |
3521 | Ranula or mucous cyst of mouth, removal of (D) (AU 9) ........... | 29.00 |
3526 | Branchial cyst, removal of (AU 9) .......................... | 59.00 |
3530 | Branchial fistula, removal of (AU 9) ........................ | 75.00 |
3532 | Cystic hygroma, removal of (AU 11) ........................ | 89.00 |
3542 | Thyroidectomy, total (AU 14) ............................ | 152.00 |
3547 | Parathyroid tumour, removal of (AU 13) ..................... | 166.00 |
3555 | Parathyroid glands, removal of, other than for tumour (AU 16) ....... | 190.00 |
3563 | Thyroidectomy, sub-total (AU 12) ......................... | 106.00 |
3569 | Hemithyroidectomy and exposure of recurrent laryngeal nerve (AU 11). | 108.00 |
3576 | Thyroid, excision of localised tumour of (AU 10) ............... | 75.00 |
3581 | Thyroglossal cyst, removal of (AU 10) ...................... | 57.00 |
3591 | Thyroglossal fistula, removal of (AU 10) ..................... | 75.00 |
3597 | Cervical oesophagostomy (AU 13) ......................... | 65.00 |
3603 | Cervical oesophagostomy, closure or plastic repair of (AU 10) ....... | 50.00 |
3616 | Cervical oesophagostomy with tracheostomy and oesophagostomy, with or without plastic reconstruction; or laryngopharyngectomy with tracheostomy and plastic reconstruction (AU 22) | 270.00 |
3618 | Lymph glands of neck, limited excision of (AU 9) ............... | 54.00 |
3622 | Lymph glands of neck, radical excision of (AU 20) .............. | 152.00 |
3634 | Lymph glands of groin or axilla, limited excision of (AU 9) ......... | 35.50 |
3638 | Lymph glands of groin or axilla, radical excision of (AU 13) ........ | 108.00 |
3643 | Operation for lymphoedema by extended indwelling subcutaneous tube or tubes (AU 10) | 28.50 |
3647 | Simple mastectomy with or without frozen section biopsy (G) (AU 9).. | 46.50 |
3652 | Simple mastectomy with or without frozen section biopsy (S) (AU 9)... | 64.00 |
3654 | Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason (G) (AU 7) | 27.50 |
3664 | Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason (S) (AU 7) | 38.50 |
3668 | Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason, where frozen section is performed (G)(AU 8) | 36.50 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 1—continued | ||
3673 | Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason, where frozen section is performed (S) (AU 8) | 46.50 |
3678 | Partial mastectomy involving more than one quarter of the breast tissue with or without frozen section biopsy (G) (AU 8) | 36.50 |
3683 | Partial mastectomy involving more than one quarter of the breast tissue with or without frozen section biopsy (S) (AU 8) | 46.50 |
3698 | Breast, extended simple mastectomy with or without frozen section biopsy (AU 12) | 89.00 |
3702 | Breast, radical or modified radical mastectomy with or without frozen section biopsy (AU 16) | 130.00 |
3707 | Nipple, inverted, surgical eversion of (AU 7) .................. | 20.00 |
3713 | Laparotomy (exploratory) where no other procedure is performed (G) (AU 9) | 52.00 |
3718 | Laparotomy (exploratory) where no other procedure is performed (S) (AU 9) | 65.00 |
3724 | Laparotomy, exploratory, followed by enterostomy or colostomy (G) (AU 12) | 65.00 |
3733 | Laparotomy, exploratory, followed by enterostomy or colostomy (S) (AU 12) | 89.00 |
3739 | Operation on abdominal viscera involving laparotomy, not covered by any other item in this Part (G) (AU 12) | 76.00 |
3745 | Operation on abdominal viscera involving laparotomy, not covered by any other item in this Part (S) (AU 12) | 96.00 |
3750 | Subphrenic abscess, drainage of (AU 10) ..................... | 80.00 |
3754 | Liver tumour, removal of other than by biopsy (AU 13) ........... | 89.00 |
3759 | Liver, massive resection of, or lobectomy (AU 18) ............... | 230.00 |
3764 | Liver abscess, abdominal drainage of (AU 11) .................. | 80.00 |
3777 | Liver abscess, transpleural drainage of (AU 13) ................. | 89.00 |
3783 | Hydatid cyst of liver, peritoneum or viscus, drainage procedure for (AU 11) | 89.00 |
3789 | Operative cholegram or pancreatogram, or choledochoscopy (AU 10)... | 16.40 |
3793 | Cholecystectomy (G) (AU 11) ............................ | 89.00 |
3798 | Cholecystectomy (S) (AU 11) ............................ | 112.00 |
3802 | Cholecystostomy (G) (AU 10) ............................ | 65.00 |
3809 | Cholecystostomy (S) (AU 10) ............................. | 80.00 |
3815 | Choledochotomy after previous cholecystectomy (AU 14) .......... | 136.00 |
3820 | Choledochotomy (with or without cholecystectomy) not covered by item 3815 (AU 13) | 130.00 |
3825 | Sphincter of oddi-direct operation on: including dilatation, removal of calculus, sphincterotomy and plastic repair (AU 15) | 93.00 |
3831 | Operations on the biliary system not covered by any other item in this Part including cholecystoduodenostomy, cholecystogastrostomy or cholecystoenterostomy (AU 15) | 144.00 |
3834 | Operation on (including operations for the reconstruction of) hepatic duct or common bile duct with or without anastomosis to gallbladder, stomach or intestine (AU 19) | 225.00 |
3841 | Gallbladder, radical excision and reconstruction for carcinoma, including excision and reconstruction of bile duels where necessary or radical excision and reconstruction of the bile ducts alone for carcinoma (AU 19) | 225.00 |
3846 | Gastroscopy (AU 6) ................................... | 26.00 |
3855 | Gastroscopy with biopsy (AU 6) ........................... | 30.00 |
3864 | Gastrostomy, nut covered by item 3870 (AU 9) ................. | 80.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 1—continued | ||
3870 | Gastrostomy—for fixation of indwelling oesophageal tube, for removal of foreign body or for excision of benign lesion (AU 10) | 84.00 |
3875 | Vagotomy—trunkal (AU 11) ............................. | 89.00 |
3882 | Vagotomy—selective (AU 12) ............................ | 106.00 |
3889 | Vagotomy, including pyloroplasty or gastro-enterostomy (AU 13) .... | 126.00 |
3894 | Gastro-enterostomy (including gastro-duodenostomy) or entero-colostomy or entero-enterostomy (G) (AU 12) | 80.00 |
3898 | Gastro-enterostomy (including gaslro-duodenostomy) or enterocolostomy or entero-enterostomy (S) (AU 12) | 106.00 |
3902 | Pancreatic cyst—anastomosis to stomach or duodenum (AU 13) ...... | 106.00 |
3910 | Perforated peptic ulcer, suture of (G) (AU 10) .................. | 65.00 |
3916 | Perforated peptic ulcer, suture of (S) (AU 10) .................. | 80.00 |
3922 | Partial gastrectomy, with or without gastro-jejunostomy (AU 15) ..... | 152.00 |
3930 | Gastrectomy, total, for benign disease (AU 19) ................. | 190.00 |
3938 | Gastrectomy, total radical, for carcinoma (AU 21)............... | 225.00 |
3946 | Pyloroplasty, adult (AU 11) .............................. | 80.00 |
3952 | Pyloroplasty, infant, or pyloromyotomy (Ramstedt’s operation) (AU 9). | 65.00 |
3958 | Laparotomy and division of peritoneal adhesions where no other listed intra-abdominal procedure is performed (G) (AU 11) | 65.00 |
3962 | Laparotomy and division of peritoneal adhesions where no other listed intra-abdominal procedure is performed (S) (AU 11) | 80.00 |
3965 | Laparotomy and division of extensive peritoneal adhesions with or without intestinal plication (Noble operation or similar procedure) (AU 11) | 106.00 |
3968 | Enterostomy or colostomy, as an independent procedure (G) (AU 11)... | 65.00 |
3970 | Enterostomy or colostomy, as an independent procedure (S) (AU 11)... | 80.00 |
3976 | Enterostomy or colostomy, extra-peritoneal closure of (G) (AU 11).... | 44.00 |
3981 | Enterostomy or colostomy, extra-peritoneal closure of (S) (A U 11).... | 56.00 |
3986 | Enterostomy or colostomy, intra-peritoneal closure, not involving resection (AU 11). | 80.00 |
3990 | Enterotomy or colotomy (AU 12) .......................... | 80.00 |
3996 | Caecostomy (G) (AU 12) ............................... | 52.00 |
4000 | Caecostomy (S) (AU 12) ................................ | 66.00 |
4003 | Intussusception, reduction of, by fluid ....................... | 33.50 |
4009 | Intussusception, laparotomy and reduction of (AU 11) ............ | 75.00 |
4012 | Intussusception, laparotomy and resection of (AU 14) ............. | 130.00 |
4018 | Transverse or sigmoid colectomy with or without anastomosis (AU 15). | 136.00 |
4020 | Laparotomy with reduction of volvulus (G) (AU 11) .............. | 65.00 |
4021 | Laparotomy with reduction of volvulus (S) (AU 11) .............. | 80.00 |
4027 | Meckel’s diverticulum, removal of (G) (AU 10) ................ | 65.00 |
4032 | Meckel’s diverticulum, removal of (S) (AU 10) ................. | 80.00 |
4039 | Bowel, segmental resection of, with or without anastomosis, not covered by any other item in this Part (G) (AU 15) | 100.00 |
4043 | Bowel, segmental resection of, with or without anastomosis, not covered by any other item in this Part (S) (AU 15) | 130.00 |
4046 | Hemicolectomy, right or left (AU 15) ....................... | 152.00 |
4048 | Total colectomy with ileo-rectal anastomosis or ileostomy (AU 20).... | 190.00 |
4052 | Total colectomy with excision of rectum and ileostomy—one surgeon (AU 20) | 225.00 |
4054 | Total colectomy with excision of rectum and ileostomy, combined synchronous operation; abdominal resection (including after care) (AU 18) | 192.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 1—continued | ||
4059 | Total colectomy with excision of rectum and ileostomy, combined synchronous operation; perineal resection | 64.00 |
4068 | Rectum, restorative anterior resection of, with rectosigmoidectomy (AU 16) | 190.00 |
4074 | Appendicectomy, not covered by item 4084 (G) (AU 8) ........... | 51.00 |
4080 | Appendicectomy, not covered by item 4084 (S) (AU 8) ............ | 80.00 |
4084 | Appendicectomy, when performed in conjunction with any other intraabdominal procedure (other than that covered by items 3996 and 4000) and through the same incision (AU 4) | 16.40 |
4087 | Drainage of appendiceal abscess, or for ruptured appendix or for peritonitis with or without appendicectomy (G) (AU 10) | 59.00 |
4093 | Drainage of appendiceal abscess, or for ruptured appendix or for peritonitis with or without appendicectomy (S) (AU 10) | 74.00 |
4099 | Small bowel intubation with biopsy ......................... | 24.50 |
4104 | Small bowel intubation—as an independent procedure ............ | 11.80 |
4109 | Pancreatectomy, partial (AU 15) ........................... | 180.00 |
4115 | Pancreatico-duodenectomy, Whipple’s operation (AU 30) .......... | 270.00 |
4118 | Pancreatectomy, total, including surrounding viscera (AU 32) ....... | 500.00 |
4124 | Pancreas, drainage of (G) (AU 11) ......................... | 61.00 |
4130 | Pancreas, drainage of (S) (AU 11) .......................... | 76.00 |
4133 | Anastomosis of pancreatic duct to bowel (AU 18) ............... | 190.00 |
4138 | Splenectomy for trauma (G) (AU 13) ........................ | 80.00 |
4141 | Splenectomy for trauma (S) (AU 13) ........................ | 106.00 |
4144 | Splenectomy, other than for trauma (AU 13) ................... | 112.00 |
4149 | Ruptured viscus (including liver, kidney or hollow viscus), simple repair of (G) (AU 14) | 70.00 |
4158 | Ruptured viscus (including liver, kidney or hollow viscus), simple repair of (S) (AU 14) | 89.00 |
4165 | Multiple ruptured viscera (including liver, kidney, spleen or hollow viscus) major repair or removal of (AU 18) | 166.00 |
4173 | Retroperitoneal tumour, removal of (AU 15) ................... | 130.00 |
4179 | Sacrococcygeal and presacral tumour—excision of (AU 13) ........ | 130.00 |
4185 | Retroperitoneal abscess, drainage of not involving laparotomy (AU 9) .. | 67.00 |
4191 | Peritoneoscopy (AU 6) ................................. | 20.00 |
4197 | Paracentesis abdominis ................................. | 7.10 |
4202 | Rectum and anus, abdominoperineal resection of—one surgeon (AU 17) | 188.00 |
4209 | Rectum and anus, abdominoperineal resection of, combined synchronous operation—abdominal resection (AU 16) | 154.00 |
4214 | Rectum and anus, abdominoperineal resection of, combined synchronous operation—perineal resection .. .. .. .. .. .. | 64.00 |
4216 | Rectum and anus-perineal excision of (AU 13) ................. | 93.00 |
4222 | Femoral or inguinal hernia or infantile hydrocele, repair of, not covered by Items 4233, 4258 or 4262 (G) (AU 8) | 51.00 |
4227 | Femoral or inguinal hernia or infantile hydrocele, repair of, not covered by Items 4233, 4258 or 4262 (S) (AU 8) | 64.00 |
4233 | Strangulated, incarcerated or obstructed hernia, repair of, without bowel resection (AU 10) | 80.00 |
4238 | Diaphragmatic hernia, traumatic, repair of (AU 17) .............. | 118.00 |
4241 | Diaphragmatic hernia, other than traumatic, repair of (abdominal approach) (AU 14) | 60.00 |
4246 | Umbilical, epigastric or linea alba hernia, repair of, in a person under ten years of age (G) (AU 8) | 38.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 1—continued | ||
4249 | Umbilical, epigastric or linea alba hernia, repair of, in a person under ten years of age (S) (AU 8) | 51.00 |
4251 | Umbilical, epigastric or linea alba hernia, repair of, in a person ten years of age or over (G) (AU 8) | 44.00 |
4254 | Umbilical, epigastric or linea alba hernia, repair of, in a person ten years of age or over (S) (AU 8) | 59.00 |
4258 | Ventral, incisional, lumbar or recurrent hernia, repair of (G) (AU 10)... | 65.00 |
4262 | Ventral, incisional, lumbar or recurrent hernia, repair of (S) (AU 10)... | 80.00 |
4265 | Hydrocele, tapping of .................................. | 4.70 |
4269 | Hydrocele, removal of (G) (AU 7) ......................... | 30.00 |
4273 | Hydrocele, removal of (S) (AU 7) .......................... | 38.50 |
4282 | Varicocele, removal of (G) (AU 7) ......................... | 33.50 |
4285 | Varicocele, removal of (S) (AU 7) ......................... | 43.00 |
4288 | Orchidectomy (simple) (G) (AU 7) ......................... | 44.00 |
4293 | Orchiectomy (simple) (S) (AU 7) .......................... | 59.00 |
4296 | Orchidectomy and complete excision of spermatic cord (AU 8....... | 80.00 |
4299 | Orchidectomy and radical dissection of iliac lymph glands (AU 13).... | 126.00 |
4307 | Undescended testis, orchidopexy or transplantation of, with or without associated hernial repair (AU 8) | 80.00 |
4313 | Secondary detachment of testis from thigh (AU 6) ............... | 14.80 |
4319 | Circumcision of person under four weeks of age (AU 5) ........... | 6.00 |
4327 | Circumcision of person under ten years of age but not less than four weeks of age (AU 6) | 14.20 |
4338 | Circumcision of person ten years of age or over (G) (AU 6) ......... | 20.00 |
4345 | Circumcision of person ten years of age or over (S) (AU 6) ......... | 26.00 |
4351 | Paraphimosis, reduction of, under anaesthesia, with or without dorsal incision (AU 5) | 6.20 |
4354 | Sigmoidoscope examination ............................. | 7.10 |
4362 | Sigmoidoscope examination under general anaesthesia (AU 5) ....... | 10.60 |
4365 | Sigmoidoscopy with diathermy or resection of rectal tumour or tumours (AU 7) | 27.50 |
4370 | Sigmoidoscope examination followed by removal, ligation or cauterisation of haemorrhoids (G) (AU 8) | 47.00 |
4375 | Sigmoidoscope examination followed by removal, ligation or cauterisation of haemorrhoids (S) (AU 8) | 65.00 |
4380 | Full or partial thickness rectal biopsy under general anaesthesia (AU 6). | 21.50 |
4387 | Colonic fibreoscopy (AU 7) .............................. | 26.00 |
4393 | Colonic fibreoscopy with biopsy (AU 7) ..................... | 30.00 |
4397 | Villous tumour of rectum, greater than 3 cm in diameter, local excision (AU 9) | 59.00 |
4407 | Rectum, radical operation for prolapse of, perineal approach including recto-sigmoidectomy (AU 9) | 89.00 |
4413 | Rectum, radical operation for prolapse of, involving laparotomy (AU 13) | 142.00 |
4427 | Rectum, prolapse, injection into ........................... | 4.70 |
4434 | Rectal polyp, removal of (G) (AU 7) ........................ | 19.00 |
4442 | Rectal polyp, removal of (S) (AU 7) ........................ | 26.00 |
4455 | Anus, dilatation of, as an independent procedure (AU 4) ........... | 4.90 |
4461 | Anus, massive dilatation of, under anaesthesia (Lord’s procedure) with or without modified haemorrhoidectomy (AU 5) | 20.00 |
4467 | Anal prolapse—circum-anal suture (AU 6) .. .. .. .. .. .. | 15.60 |
4473 | Anal prolapse, submucosal injection for, under general anaesthesia (AU 5) .. .. .. .. .. .. | 11.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 1—continued | ||
4482 | Anal stricture, repair of (AU 7) ............................ | 56.00 |
4490 | Anal sphincterotomy as an independent procedure (AU 6) .......... | 17.60 |
4497 | Haemorrhoids, injection into—each attendance at which the procedure is performed | 3.60 |
4509 | Haemorrhoids, incision of (AU 5) .......................... | 7.80 |
4521 | Haemorrhoids, rubber band ligation of ....................... | 7.10 |
4523 | Haemorrhoidectomy, radical (G) (AU 7) ..................... | 43.00 |
4527 | Haemorrhoidectomy, radical (S) (AU 7) ...................... | 55.00 |
4534 | Haemorrhoids, external, or anal tags, one or more, removal of under general anaesthetic (AU 5) | 13.40 |
4537 | Fissure in ano, excision of (G) (AU 6) ....................... | 31.00 |
4544 | Fissure in ano, excision of (S) (AU 6) ....................... | 39.00 |
4552 | Fistula in ano, subcutaneous, excision of (G) (AU 7) ............. | 31.50 |
4557 | Fistula in ano, subcutaneous, excision of (S) (AU 7) .............. | 43.00 |
4568 | Fistula in ano, excision of (involving incision of external sphincter) (G) (AU 7) | 46.50 |
4573 | Fistula in ano, excision of (involving incision of external sphincter) (S) (AU 7) | 59.00 |
4578 | Ischio-rectal abscess, incision of (excluding after-care) (G) (AU 6) .... | 15.60 |
4585 | Ischio-rectal abscess, incision of (excluding after-care) (S) (AU 6) .... | 20.00 |
4590 | Faecal fistula, repair of (AU 12) ........................... | 106.00 |
4594 | Pubo-rectalis muscle, division of (AU 6) ..................... | 46.50 |
4602 | Disimpaction of faeces under anaesthesia (AU 7) ................ | 9.20 |
4606 | Coccyx, excision of (AU 8) .............................. | 51.00 |
4611 | Pilonidal cyst or sinus, excision of (G) (AU 8) .................. | 43.50 |
4617 | Pilonidal cyst or sinus, excision of (S) (AU 8) .................. | 56.00 |
4622 | Pilonidal sinus, injection of sclerosant fluid under anaesthesia (AU 6)... | 12.60 |
Vascular surgery | ||
4629 | Varicose veins, injection into—each attendance at which one or more injections are made | 4.60 |
4633 | Varicose veins, multiple simultaneous injections by continuous compression techniques (excluding after-care) | 13.40 |
4637 | Varicose veins, multiple ligations, with or without local stripping or excision not covered by any other item in this Part (AU 8) | 27.50 |
4640 | Varicose veins, high ligation and complete stripping or excision of long saphenous vein (AU 7) | 50.00 |
4643 | Varicose veins, high ligation and complete stripping or excision of short saphenous vein (AU 7) | 54.00 |
4649 | Varicose veins, high ligation and complete stripping or excision of both long and short saphenous systems (AU 10) | 70.00 |
4651 | Varicose veins, high ligation of long saphenous vein at saphenous femoral junction (AU 6) | 46.50 |
4655 | Varicose veins, high ligation of short saphenous vein at saphenous popliteal junction (AU 6) | 36.00 |
4658 | Varicose veins, sub-fascial ligation of single deep perforation (AU 6)... | 28.50 |
4662 | Varicose veins, sub-fascial ligation of multiple deep perforating veins (Cocketts’ operation) (AU 7) | 75.00 |
4665 | Cross-leg by-pass graft—saphenous to femoral vein (AU 11) ........ | 122.00 |
4670 | Intra-arterial oxygen injection ............................ | 6.60 |
4676 | Ligation of medium artery, medium vein or medium artery and medium vein by elective operation (AU 6) | 15.00 |
4678 | Ligation of large artery, large vein or large artery and large vein by elective operation (AU 7) .. .. .. .. .. .. | 50.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
| Part 10—Division 1—continued |
|
4690 | Great artery or great vein (including jugular, sub-clavian, axillary, iliac, femoral or popliteal) ligation of (AU 8) | 75.00 |
4693 | Major artery of neck or extremity, repair of wound of, with restoration of continuity (AU 13) | 108.00 |
4696 | Major artery or vein of abdomen including aorta and vena cava, repair of wound of, with restoration of continuity (AU 16) | 152.00 |
4699 | Arterio venous fistula, dissection and repair of, with restoration of continuity (AU 10) | 180.00 |
4702 | Arterio-venous fistula, dissection and ligation of (AU 10) .......... | 108.00 |
4705 | Innominate, subclavian, or any intra-abdominal artery, endarterectomy of (AU 19) | 180.00 |
4709 | Artery of neck or extremities, endarterectomy of (AU 15) .......... | 164.00 |
4715 | Great artery or great vein (including carotid, jugular, sub-clavian, axillary, iliac, femoral or popliteal) ligation of involving gradual occlusion by mechanical device (AU 10) | 80.00 |
4721 | Inferior vena cava, plication or ligation of (AU 12) ............... | 106.00 |
4733 | Internal carotid artery, repositioning of (AU 13) ................ | 89.00 |
4738 | Arterial patch graft (AU 12) .............................. | 108.00 |
4744 | Aorto-iliac or aorto-femoral bifurcate graft (AU 19) .............. | 205.00 |
4749 | Axillary-femoral by-pass graft or subclavian-femoral by-pass graft (AU 16) | 196.00 |
4754 | Arterial or venous graft or by-pass not included in any other item (AU 20) | 205.00 |
4762 | Arterial anastomosis (AU 16) ............................. | 180.00 |
4766 | Portal hypertension, vascular anastomosis for (AU 21) ............ | 180.00 |
4778 | Embolus, removal of, from artery of neck or extremities (AU 12) ..... | 106.00 |
4784 | Embolus, removal of, from artery of trunk (AU 15) .............. | 136.00 |
4789 | Thrombus, removal of, from femoral, iliac or other similar largo vein (AU 12) | 96.00 |
4791 | Abdominal aortic aneurysm, excision of and insertion of graft (AU 26).. | 225.00 |
4794 | Ruptured abdominal aortic aneurysm, excision of and insertion of graft (AU 26) | 270.00 |
4798 | Aneurysm of major artery, excision of and insertion of graft (AU 18) .. | 190.00 |
4801 | Transluminal angioplasty including associated radiological services and preparation (AU 12) | 64.00 |
4804 | Carotid body or carotid body tumour, removal of, without arterial anastomosis (AU 14) | 130.00 |
4808 | Arteriovenous shunt, external, insertion of (AU 9) ............... | 34.00 |
4812 | Arteriovenous shunt, external, removal of (AU 5) ............... | 26.00 |
4817 | Arteriovenous anastomosis, direct, of upper or lower limb (AU 14) .... | 152.00 |
4822 | Intra-arterial infusion of arteries of neck, thorax or abdomen, including initial operation and all post-operative management (AU 13) | 80.00 |
Operations for acute osteomyelitis | ||
4828 | Operation on terminal phalanx of finger or toe (AU 7) ............ | 7.80 |
4832 | Operation on phalanx other than terminal, metacarpus or metatarsus— one bone (AU 7) | 16.40 |
4838 | Operation on sternum, clavicle, rib, ulna, radius, carpus, tibia, fibula, tarsus, mandible or maxilla (other than alveolar margins)—one bone (AU 10) | 29.00 |
4841 | Operation on mandible or maxilla (other than alveolar margins)—one bone (D) (AU 10) | 29.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 1—continued | ||
4844 | Operation on humerus or femur—one bone (AU 10) .............. | 51.00 |
4848 | Operation on skull (AU 12) .............................. | 43.00 |
4853 | Operation on spine or pelvic bones—one bone (AU 13) ........... | 51.00 |
Operations for chronic osteomyelitis | ||
4856 | Operation on nasal bones (AU 12) ......................... | 16.40 |
4860 | Operation on scapula, sternum, clavicle, rib, ulna, radius, metacarpus, carpus, phalanx, tibia, fibula, metatarsus, tarsus, mandible or maxilla (other than alveolar margins)—one bono (AU 12) | 51.00 |
4862 | Operation on mandible or maxilla, or mandible and maxilla (other than alveolar margins) (D) (AU 12) | 51.00 |
4864 | Operation on humerus or femur—one bone (AU 11) .............. | 51.00 |
4867 | Operation on spine or pelvic bones—one bone (AU 12) ........... | 89.00 |
4870 | Operation on skull (AU 12) .............................. | 67.00 |
4874 | Operation on any combination of bones referred to in item 4860 (AU 12) | 51.00 |
4877 | Operation on any combination of bones where one or more of the bones operated upon is not a bone referred to in item 4860 (AU 12) | 89.00 |
Division 2—Amputation or disarticulation of limb | ||
4927 | One digit of hand (G) (AU 6) ............................. | 21.00 |
4930 | One digit of hand (S) (AU 6) ............................. | 27.00 |
4934 | Two digits of one hand (G) (AU 7) ......................... | 33.00 |
4940 | Two digits of one hand (S) (AU 7) ......................... | 41.50 |
4943 | Three digits of one hand (G) (AU 8) ........................ | 39.00 |
4948 | Three digits of one hand (S) (AU 8) ........................ | 49.00 |
4950 | Four digits of one hand (G) (AU 9) ......................... | 45.50 |
4954 | Four digits of one hand (S) (AU 9) ......................... | 57.00 |
4957 | Five digits of one hand (G) (AU 10) ........................ | 51.00 |
4961 | Five digits of one hand (S) (AU 10) ......................... | 64.00 |
4965 | Finger or thumb, including metacarpal or part of metacarpal—each digit (G)(AU 6) | 25.00 |
4969 | Finger or thumb, including metacarpal or part of metacarpal—each digit (S) (AU 6) | 31.50 |
4972 | Hand, midcarpal or transmetacarpal (G) (AU 7) ................. | 31.50 |
4976 | Hand, midcarpal or transmetacarpal (S) (AU 7) ................. | 43.00 |
4979 | Hand, forearm or through arm (AU 8) ....................... | 51.00 |
4983 | At shoulder (AU 12) ................................... | 89.00 |
4987 | Interscapulothoracic (AU 15) ............................. | 180.00 |
4990 | One digit of foot (G) (AU 6) ............................. | 15.60 |
4993 | One digit of foot (S) (AU 6) .............................. | 19.20 |
4995 | Two digits of one foot (G) (AU 7) .......................... | 24.50 |
4997 | Two digits of one foot (S) (AU 7) .......................... | 30.00 |
4999 | Three digits of one foot (G) (AU 8) ......................... | 29.00 |
5002 | Three digits of one foot (S) (AU 8) ......................... | 36.00 |
5006 | Four digits of one foot. (G) (AU 9) ......................... | 33.50 |
5009 | Four digits of one foot (S) (AU 9) .......................... | 41.50 |
5015 | Five digits of one foot (G) (AU 10) ......................... | 38.00 |
5018 | Five digits of one foot (S) (AU 10) ......................... | 47.50 |
5024 | Toe, including metatarsal or part of metatarsal—each toe (G) (AU 7)... | 19.20 |
5029 | Toe, including metatarsal or part of metatarsal—each toe (S) (AU 7)... | 25.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 2—continued | ||
5034 | Foot at ankle (Syme, Pirogoff types) (AU 8) ................... | 51.00 |
5038 | Foot, midtarsal or transmetatarsal (AU 7) ..................... | 43.00 |
5045 | Through leg or at knee (AU 8) ............................ | 67.00 |
5048 | Through thigh (AU 10) ................................. | 96.00 |
5051 | At hip (AU 14) ...................................... | 108.00 |
5055 | Hindquarter (AU 17) .................................. | 225.00 |
| Division 3—Ear, nose and throat |
|
5059 | Ear, removal of foreign body in, otherwise than by simple syringing (AU 4) | 10.60 |
5062 | Ear, removal of foreign body in, involving incision of external auditory canal (AU 6) | 34.00 |
5066 | Aural polyp, removal of, (AU 4) ........................... | 19.20 |
5068 | External auditory meatus, surgical removal of keratosis obturans from, not covered by any other item in this Part (AU 9) | 21.50 |
5072 | External auditory meatus, removal of exostoses in (AU 12) ......... | 142.00 |
5075 | Myringoplasty, trans-canal approach (Rosen incision) (AU 11) ....... | 30.00 |
5078 | Myringoplasty, post-aural or endaural approach with or without mastoid inspection (AU 12) | 144.00 |
5081 | Ossicular chain reconstruction (AU 12) ...................... | 164.00 |
5085 | Ossicular chain reconstruction and myringoplasty (AU 13) ......... | 180.00 |
5087 | Mastoidectomy (cortical) (AU 12) ......................... | 80.00 |
5091 | Obliteration of the mastoid cavity (AU 10) .................... | 100.00 |
5095 | Mastoidectomy (radical or modified radical) (AU 13) ............. | 60.00 |
5098 | Mastoidectomy (radical or modified radical) and myringoplasty (AU 13) | 180.00 |
5100 | Mastoidectomy (radical or modified radical), myringoplasty and ossicular chain reconstruction (AU 14) | 50.00 |
5102 | Decompression of facial nerve in its mastoid portion (AU 13) ....... | 180.00 |
5104 | Decompression of facial nerve in its intracranial portion by intracranial or intrapetrous approach (AU 18) | 205.00 |
5106 | Labyrinthotomy or destruction of labyrinth (AU 12) .............. | 158.00 |
5108 | Cerebello-pontine angle tumour, removal of by two surgeons operating conjointly, by transmastoid, translabyrinthine approach—transmastoid, translabyrinthine procedure (including after-care) (AU 39) | 370.00 |
5112 | Cerebellopontine angle tumour, removal of by two surgeons operating conjointly, by transmastoid, translabyrinthine approach—intracranial procedure (including after-care) | 370.00 |
5116 | Endolymphatic sac, transmastoid decompression with or without drainage of (AU 12) | 180.00 |
5122 | Internal auditory meatus, exploration of, by middle cranial fossa approach with or without removal of tumour (AU 21) | 225.00 |
5127 | Fenestration operation—each car (AU 11) .................... | 180.00 |
5131 | Venous graft to fenestration cavity (AU 12) ................... | 89.00 |
5138 | Stapedectomy (AU 11) ................................. | 164.00 |
5143 | Stapes mobilisation (AU 10) ............................. | 106.00 |
5147 | Repair of round window (AU 11) .......................... | 164.00 |
5152 | Glomus tumour, transtympanic removal of (AU 12) .............. | 122.00 |
5158 | Glomus tumour, transmastoid removal of, including mastoidectomy (AU 13) | 180.00 |
5162 | Abscess or inflammation of middle ear, operation for (excluding after-care) (AU 7) | 13.20 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 3—continued | ||
5166 | Middle ear, exploration of (AU 9) .......................... | 64.00 |
5172 | Middle ear, insertion of tube for drainage of (AU 6) .............. | 34.00 |
5176 | Perforation of tympanum, cauterisation or diathermy of (AU 6) ...... | 6.20 |
5181 | Cholesteatoma, removal of, by suction ear toilet (AU 7) ........... | 9.00 |
5185 | Tympanic membrane, micro-inspection of, with or without suction removal of cholesteatoma (AU 7) | 14.20 |
5192 | Examination of nasal cavity or post-nasal space, or nasal cavity and post-nasal space, under general anaesthesia, as an independent procedure (AU 6) | 9.50 |
5196 | Nasal haemorrhage, posterior, arrest of, with posterior nasal packing with or without cauterisation and with or without anterior pack (excluding after-care) (AU 8) | 16.40 |
5201 | Nose, removal of foreign body in, other than by simple probing (AU 6). | 10.40 |
5205 | Nasal polyp or polypi (simple), removal of .................... | 10.60 |
5210 | Nasal polyp or polypi (requiring admission to hospital), removal of (G)(AU 7) | 23.50 |
5214 | Nasal polyp or polypi (requiring admission to hospital), removal of (S) (AU 7) | 30.00 |
5217 | Nasal septum, septoplasty or submucous resection of (AU 9) ........ | 64.00 |
5221 | Nasal septum, septoplasty or submucous resection of, with cauterisation or diathermy of any one or more of septum or turbinates or pharynx (AU 10) | 71.00 |
5225 | Nasal septum, septoplasty or submucous resection of, with turbinectomy or disclocation of turbinate (AU 9) | 74.00 |
5229 | Cauterisation or diathermy of septum or turbinates or pharynx—any one or more—each attendance at which the procedure is performed (AU 6) | 13.20 |
5233 | Cryotherapy to nose in the treatment of nasal haemorrhage (AU 7) .... | 21.50 |
5237 | Turbinectomy or dislocation of turbinate (AU 6) ................ | 17.60 |
5241 | Turbinates, submucous resection of (AU 8) .................... | 24.50 |
5245 | Maxillary antrum, proof puncture and lavage of (AU 6) ........... | 4.30 |
5249 | Maxillary antrum, proof puncture and lavage of (D) (AU 6) ......... | 4.30 |
5254 | Maxillary antrum, proof puncture and lavage of under general anaesthesia (requiring admission to hospital) (AU 6) | 12.00 |
5259 | Maxillary antrum, proof puncture and lavage of under general anaesthesia (D) (AU 6) | 12.00 |
5264 | Maxillary antrum, lavage of—each attendance (AU 6) ............ | 3.60 |
5268 | Maxillary artery, transantral ligation of (AU 9) ................. | 64.00 |
5270 | Antrostomy (radical) (AU 9) ............................. | 30.00 |
5274 | Antrostomy (radical) (D) (AU 9) .......................... | 30.00 |
5277 | Antrostomy (radical) with transantral ethmoidectomy (AU 10) ....... | 96.00 |
5280 | Antrum, intranasal operation on, or removal of foreign body from (AU 8) | 38.50 |
5282 | Antrum, intranasal operation on, or removal of foreign body from (D) (AU 8) | 38.50 |
5284 | Antrum, drainage of, through tooth socket (AU 7) ............... | 15.60 |
5286 | Antrum, drainage of, through tooth socket (D) (AU 7) ............ | 15.60 |
5288 | Oro-antral fistula, plastic closure of (AU 11) ................... | 89.00 |
5291 | Oro-antral fistula, plastic closure of (D) (AU 11) ................ | 89.00 |
5295 | Fronto-nasal ethmoidectomy with or without sphenoidectomy (AU 9) .. | 118.00 |
5298 | Radical fronto-ethmoidectomy with osteoplastic (lap (AU 13) ....... | 154.00 |
5301 | Frontal sinus or ethmoidal sinuses, intranasal operation on (AU 9) .... | 55.00 |
5305 | Frontal sinus, catheterisation of (AU 6) ...................... | 7.80 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 3—continued | ||
5308 | Frontal sinus, trephine of (AU 6) .......................... | 49.00 |
5318 | Frontal sinus, radical obliteration of (AU 10) ................... | 118.00 |
5320 | Ethmoidal sinuses, external operation on (AU 10) ............... | 93.00 |
5325 | Sphenoidal sinus, proof puncture of (AU 6) ................... | 7.80 |
5330 | Sphenoidal sinus, intranasal operation on (AU 10) ............... | 43.00 |
5333 | Transantral Vidian neurectomy (AU 12) ...................... | 89.00 |
5337 | Trans-sphenoidal hypophysectomy (AU 14) ................... | 122.00 |
5339 | Trans-sphenoidal hypophysectomy including submucous resection of nasal septum and grafting to obliterate the pituitary fossa (including obtaining of graft) (AU 15) | 164.00 |
5343 | Eustachian tube, catheterisation of (AU 6) .................... | 5.30 |
5345 | Division of pharyngeal adhesions (AU 7) ..................... | 15.60 |
5348 | Post-nasal space, direct examination of, with biopsy (AU 7) ......... | 16.40 |
5351 | Nasopharyngeal tumour, operation for removal of, involving hard palate (AU 14) | 144.00 |
5354 | Pharyngeal pouch, removal of (AU 16) ...................... | 106.00 |
5357 | Pharyngeal pouch, endoscopic resection of (Dohlman’s operation) (AU 14) | 89.00 |
5360 | Pharyngotomy (lateral) (AU 6) ............................ | 106.00 |
5363 | Tonsils or tonsils and adenoids, removal of, in a person aged less than twelve years (G) (AU 7) | 30.00 |
5366 | Tonsils or tonsils and adenoids, removal of, in a person aged less than twelve years (S) (AU 7) | 43.00 |
5370 | 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) (AU 8) | 38.00 |
5374 | Tonsils or tonsils and adenoids in a person aged less than twelve years, removal of with operation for abscess or inflammation of middle car (S) (AU 8) | 51.00 |
5378 | 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) (AU 9) | 38.00 |
5383 | Tonsils or tonsils and adenoids in a person aged loss than twelve years, removal of with cauterisation and diathermy of any one or more of septum or turbinates or pharynx (S) (AU 9) | 51.00 |
5389 | Tonsils or tonsils and adenoids, removal of, in a person twelve years of age or over (G) (AU 8) | 39.00 |
5392 | Tonsils or tonsils and adenoids, removal of, in a person twelve years of age or over (S) (AU 8) | 55.00 |
5396 | Tonsils or tonsils and adenoids, arrest of haemorrhage requiring general anaesthesia, following removal of (G) (AU 9) | 14.80 |
5401 | Tonsils or tonsils and adenoids, arrest of haemorrhage requiring general anaesthesia, following removal of (S) (AU 9) | 19.20 |
5407 | Adenoids, removal of (G) (AU 6) .......................... | 15.60 |
5411 | Adenoids, removal of (S) (AU 6) .......................... | 21.50 |
5415 | Adenoids, removal of, with operation for abscess or inflammation of middle ear (G) (AU 7) | 23.00 |
5424 | Adenoids, removal of, with operation for abscess or inflammation of middle ear (S) (AU 7) | 29.50 |
5431 | Lingual tonsil or lateral pharyngeal bands, removal of (AU 7) ....... | 11.80 |
5445 | Peritonsillar abscess (quinsy), incision of (AU 7) ................ | 9.20 |
5449 | Uvulotomy (AU 6) .................................... | 4.70 |
5456 | Vallecular or pharyngeal cysts, removal of (AU 8) ............... | 51.00 |
5464 | Oesophagoscopy (AU 6) ................................ | 26.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
| Part 10 —Division 3—continued |
|
5470 | Oesophagoscopy, initial, with dilatation or insertion of prosthesis (AU 7) | 52.00 |
5474 | Oesophagoscopy with dilatation or insertion of prosthesis—subsequent procedures in a single course of treatment (AU 7) | 24.50 |
5480 | Oesophagoscopy with biopsy (AU 7) ........................ | 30.00 |
5486 | Oesophagus, removal of foreign body in (AU 7) .. .. .. .. .. .. | 51.00 |
5490 | Oesophageal stricture, dilatation of, without oesophagoscopy (AU 6)... | 7.10 |
5498 | Laryngectomy (total) (AU 20) ............................ | 196.00 |
5503 | Laryngopharyngectomy (AU 20) .......................... | 205.00 |
5508 | Primary restoration of alimentary continuity after laryngopharyngectomy using stomach or bowel (AU 20) | 205.00 |
5520 | Larynx, direct examination of, as an independent procedure (AU 8).... | 26.00 |
5524 | Larynx, direct examination of, with biopsy (AU 8) ............... | 30.00 |
5530 | Larynx, direct examination of, with removal of tumour (AU 9) ....... | 34.00 |
5534 | Microlaryngoscopy (AU 8) .............................. | 41.50 |
5540 | Microlaryngoscopy with removal of tumour (AU 9) .............. | 59.00 |
5545 | Larynx, fractured, operation for (AU 15) ..................... | 89.00 |
5556 | Larynx, external operation on, or laryngofissure (AU 13) .......... | 89.00 |
5566 | Arytenoid cartilage, fixation of (AU 13) ...................... | 144.00 |
5568 | Arytenoid cartilage, removal of (AU 11) ..................... | 126.00 |
5572 | Tracheostomy (G) (AU 10) .............................. | 25.00 |
5598 | Tracheostomy (S) (AU 10) .............................. | 34.00 |
5601 | Trachea, removal of foreign body in (AU 7) ................... | 24.50 |
5605 | Bronchoscopy, as an independent procedure (AU 7) .............. | 24.50 |
5611 | Bronchoscopy with biopsy or other diagnostic or therapeutic procedure (AU 8) | 33.50 |
5613 | Bronchus, removal of foreign body in (AU 9) .................. | 54.00 |
5619 | Bronchoscopy with dilatation of tracheal stricture—initial (AU 7) ..... | 35.50 |
5624 | Bronchoscopy with dilatation of tracheal stricture—subsequent dilatation in a single course of treatment (AU 7) | 16.40 |
| Division 4—Urological |
|
5630 | Adrenal gland, biopsy of (AU 9) ........................... | 118.00 |
5636 | Adrenal gland, removal of (AU 12) ......................... | 130.00 |
5642 | Renal transplant (AU 24) ............................... | 225.00 |
5647 | Donor nephrectomy (cadaver) ............................ | 122.00 |
5651 | Nephrectomy, complicated by previous surgery on same kidney (AU 13) | 164.00 |
5654 | Nephrectomy, complete (G) (AU 13) ........................ | 118.00 |
5661 | Nephrectomy, complete (S) (AU 13) ........................ | 144.00 |
5665 | Nephrectomy, partial (AU 11) ............................ | 164.00 |
5669 | Nephro-ureterectomy (AU 13) ............................ | 164.00 |
5675 | Nephro-ureterectomy, complete, with bladder repair (AU 17) ........ | 182.00 |
5679 | Kidney, fused, symphysiotomy for (AU 14) ................... | 164.00 |
5683 | Kidney, exploration of, with any procedure, not covered by any other item (AU 10) | 112.00 |
5691 | Nephrolithotomy or pyelolithotomy (AU 12) ................... | 144.00 |
5694 | Nephrolithotomy or pyelolithotomy complicated by previous surgery on same kidney (AU 12) | 164.00 |
5699 | Nephrolithotomy or pyelolithotomy—large staghorn calculus filling renal pelvis and calyces (AU 12) | 166.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 4—continued | ||
5705 | Ureterolithotomy (AU 11) ............................... | 130.00 |
5715 | Nephrostomy, nephrotomy or pyelostomy with drainage (AU 11) ..... | 118.00 |
5721 | Nephropexy, as an independent procedure (AU 9) ............... | 89.00 |
5724 | Renal cyst or cysts, excision or unroofing of (AU 11) ............. | 100.00 |
5726 | Renal biopsy (closed) (AU 6) ............................ | 23.50 |
5729 | Pyonephrosis, drainage of (AU 11) ......................... | 51.00 |
5732 | Perinephric abscess, drainage of (AU 9) ...................... | 71.00 |
5734 | Pyeloplasty (AU 14) ................................... | 144.00 |
5737 | Pyeloplasty, complicated by previous surgery on same kidney, or by congenital kidney abnormality or by the operation being on a solitary kidney (AU 14) | 164.00 |
5741 | Divided ureter, repair of (AU 13) .......................... | 144.00 |
5744 | Repair of kidney, wound or injury (AU 13) .................... | 144.00 |
5747 | Ureterectomy, complete or partial, with bladder repair (AU 12) ...... | 118.00 |
5753 | Replacement of ureter by bowel—unilateral (AU 12) ............. | 205.00 |
5757 | Replacement of ureter by bowel—bilateral (AU 17) .............. | 270.00 |
5763 | Ureter (unilateral), transplantation of into skin (AU 10) ............ | 118.00 |
5769 | Ureters (bilateral), transplantation of, into skin (AU 12) ........... | 144.00 |
5773 | Ureter (unilateral), transplantation of, into bladder (AU 12) ......... | 130.00 |
5777 | Ureters (bilateral), transplantation of, into bladder (AU 14) ......... | 164.00 |
5780 | Ureter, transplantation of, into bladder with bladder plastic procedure (Boari flap) (AU 12) | 144.00 |
5785 | Ureter (unilateral), transplantation of, into intestine (AU 12) ........ | 144.00 |
5792 | Ureters (bilateral), transplantation of, into intestine (AU 14) ......... | 176.00 |
5799 | Ureter, transplantation of, into other ureter (AU 12) .............. | 144.00 |
5804 | Ureter (unilateral), transplantation of, into isolated intestinal loop (AU 14) | 176.00 |
5807 | Ureter (bilateral), transplantation of, into isolated intestinal loop (AU 16) | 205.00 |
5812 | Ureterotomy with exploration or drainage as an independent procedure where the procedure is not covered by item 5816 (AU 11) | 100.00 |
5816 | Ureterotomy with exploration or drainage for tumour, as an independent procedure (AU 11) | 118.00 |
5821 | Ureterolysis, with or without repositioning of ureter, for retroperitoneal fibrosis, ovarian vein syndrome, or similar condition— unilateral (AU 11) | 118.00 |
5827 | Ureterolysis, with or without repositioning of ureter, for retroperitoneal fibrosis, ovarian vein syndrome, or similar condition— bilateral (AU 13) | 144.00 |
5831 | Reduction ureteroplasty, unilateral (AU 14) ................... | 112.00 |
5836 | Reduction urethroplasty, bilateral (AU 17) .................... | 144.00 |
5837 | Closure of cutaneous ureterostomy—unilateral (AU 9) ............ | 67.00 |
Operation on the Bladder (Closed) | ||
5840 | Bladder, catheterisation of—where no other surgical procedure is performed (AU 4) | 3.90 |
5845 | Cystoscopy, with or without urethral dilatation not being a procedure covered by item 5847 (AU 5) | 19.80 |
5847 | Cystoscopy, with dilatation of urethral stricture (AU 5) ............ | 25.00 |
5851 | Cystoscopy, with ureteric catheterisation, with or without introduction of opaque medium (AU 5) | 27.00 |
5853 | Cystoscopy, with controlled hydro-dilatation of the bladder (AU 5).... | 34.00 |
5857 | Cystometrography (AU 5) ............................... | 12.60 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 4—continued | ||
5861 | Ascending cystourethrography (AU 5) .......................... | 12.60 |
5864 | Cystoscopic removal of foreign body (AU 6) ...................... | 41.50 |
5868 | Cystoscopy, with biopsy of bladder tumours (AU 6) ................. | 34.00 |
5871 | Cystoscopy, with diathermy or resection of superficial bladder tumours or with other diathermy of bladder or prostate (AU 6) | 49.00 |
5875 | Cystoscopy with diathermy or resection of invasive bladder tumours or solitary tumour over 2 cm in diameter (AU 6) | 108.00 |
5878 | Cystoscopy, with ureteric meatotomy or with resection of ureterococle (AU 5) | 38.50 |
5881 | Cystoscopy, with endoscopic bladder neck resection (AU 7) ............ | 71.00 |
5885 | Cystoscopy, with endoscopic removal or manipulation of ureteric calculus (AU 6) | 51.00 |
5888 | Lithotapaxy, with or without cystoscopy (AU 7) ................... | 71.00 |
Operations on the bladder (open) | ||
5891 | Bladder, repair of rupture of, or partial excision of, or plastic repair of (G) (AU 13) | 89.00 |
5894 | Bladder, repair of rupture of, or partial excision of, or plastic repair of (S)(AU 13) | 108.00 |
5897 | Cystostomy or cystotomy, suprapubic (G) (AU 8) .................. | 51.00 |
5901 | Cystostomy or cystotomy, suprapubic (S) (AU 8) ................... | 64.00 |
5905 | Bladder, total excision of (AU 29) ............................. | 164.00 |
5916 | Bladder neck contracture, operation for (AU 9) .................... | 108.00 |
5919 | Bladder tumours, suprapubic diathermy of (AU 10) ................. | 108.00 |
5929 | Diverticulum of bladder, excision or obliteration of (AU 10) ........... | 118.00 |
5935 | Vesical fistula, cutaneous, operation for (AU 12) ................... | 64.00 |
5941 | Vesico-vaginal fistula, closure of by abdominal approach (AU 12)........ | 130.00 |
5947 | Vesico-colic fistula, closure of, excluding bowel resection (AU 11)....... | 100.00 |
5956 | Vesico-rectal fistula, closure of (AU 13) ......................... | 118.00 |
5964 | Bladder aspiration, by needle ................................ | 6.30 |
5968 | Cystotomy with removal of calculus as an independent procedure (AU 8)... | 71.00 |
5973 | Urethral valves transvesical removal (AU 9) ...................... | 71.00 |
5977 | Urethropexy (Marshall-Marchetti operation) (AU 9) ................. | 118.00 |
5981 | Bladder enlargement using intestine or segment of bowel (AU 23) ........ | 270.00 |
5984 | Correction of vesico-ureteric reflux—operation for—unilateral (AU 10).... | 144.00 |
5993 | Correction of vesico-ureteric reflux—operation for—bilateral (AU 12)..... | 176.00 |
Operations on the prostate | ||
6001 | Prostatectomy (suprapubic, perineal or retropubic) (AU 13) ............ | 164.00 |
6005 | Prostatectomy (endoscopic), with or without cystoscopy (AU 10) ........ | 220.00 |
6010 | Median bar, endoscopic resection of, with or without cystoscopy (AU 9) ... | 71.00 |
6017 | Prostate, total excision of (AU 13) ............................. | 180.00 |
6022 | Prostate, open perineal biopsy of (AU 6) ......................... | 43.00 |
6027 | Prostate, biopsy of, endoscopic, with or without cystoscopy (AU 6)....... | 64.00 |
6030 | Prostate, needle biopsy of, or injection into (AU 5) .. .. .. .. .. ............. | 19.20 |
6033 | Prostatic abscess, retropubic or endoscopic drainage of (AU 7) .......... | 71.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
| Part 10—Division 4—continued |
|
Operations on urethra, penis or scrotum | ||
6036 | Urethral sounds, passage of, us an independent procedure (AU 5) ........ | 6.30 |
6039 | Urethral stricture, dilatation of (AU 5) .......................... | 10.60 |
6041 | Urethra, repair of rupture of (AU 10) ........................... | 144.00 |
6044 | Urethral fistula, closure of (AU 8) ............................. | 41.50 |
6047 | Urethroscopy, as an independent procedure (AU 5) .................. | 19.80 |
6053 | Urethroscopy, with diathermy of tumour (AU 7) ................... | 49.00 |
6036 | Urethroscopy with removal of stone or foreign body (AU 6) ............ | 34.00 |
6061 | Urethra, examination of, involving the use of urethroscope, with cystoscopy (AU 5) | 24.50 |
6066 | Urethral meatotomy, external (AU 4) ........................... | 12.60 |
6069 | Urethrotomy (external) (AU 7) ............................... | 34.00 |
6073 | Urethrotomy (internal) (AU 5) ............................... | 34.00 |
6077 | Urethrectomy, partial or complete, for removal of tumour (AU 9) ........ | 100.00 |
6079 | Urethrovaginal fistula, closure of (AU 9) ........................ | 89.00 |
6083 | Urethro-rectal fistula, closure of (AU 10) ........................ | 118.00 |
6086 | Urethroplasty—single stage operation (AU 10) .................... | 118.00 |
6089 | Urethroplasty—two stage operation—first stage (AU 9) .............. | 108.00 |
6092 | Urethroplasty—two stage operation—second stage (AU 9) ............ | 108.00 |
6095 | Urethroplasty, not covered by any other item in this Part (AU 9) ......... | 41.50 |
6098 | Hypospadias, meatotomy and hemi-circumcision (AU 7) .............. | 25.00 |
6105 | Hypospadias, correction of chordee (AU 10)...................... | 57.00 |
6107 | Hypospadias, correction of chordee with transplantation of prepuce (AU 10) . | 71.00 |
6110 | Hypospadias, urethral reconstruction for (AU 10) ................... | 108.00 |
6114 | Hypospadias, urethral reconstruction with perineal urethrostomy (AU 11) ... | 112.00 |
6118 | Hypospadias, urethral reconstruction and correction of chordee, complete, one stage including urinary diversion (AU 13) | 82.00 |
6122 | Hypospadias, secondary correction of (AU 9) ..................... | 41.50 |
6130 | Epispadias repair of, not involving sphincter—each stage (AU 9) ........ | 89.00 |
6135 | Epispadias, repair of, including bladder neck closure (AU 10) ........... | 144.00 |
6140 | Urethra, diathermy of (AU 4) ................................ | 27.00 |
6146 | Urethra, excision of prolapse of (AU 7) ......................... | 27.00 |
6152 | Urethra, excision of diverticulum of (AU 8) ...................... | 71.00 |
6157 | Urethra, operation for correction of male urinary incontinence (AU 9)...... | 118.00 |
6162 | Priapism, decompression operation for, under general anaesthesia (AU 7) ... | 10.60 |
6166 | Priapism, decompression shunt operation for (AU 10) ................ | 118.00 |
6170 | Urethral abscess, drainage of (AU 5) ........................... | 15.60 |
6175 | Urethral valves or urethral membrane, endoscopic resection of (AU 7)..... | 57.00 |
6179 | Penis, partial amputation of (AU 8) ............................ | 71.00 |
6184 | Penis, complete or radical amputation of (AU 12) ................... | 144.00 |
6189 | Penis, repair of laceration or fracture involving cavernous tissue (AU 8).... | 71.00 |
6194 | Penis, repair of avulsion (AU 12) ............................. | 144.09 |
6199 | Penis, Peyronies’ disease, injection procedure for ................... | 6.30 |
6204 | Penis, Peyronies’ disease, operation for (AU 8) .................... | 71.00 |
6208 | Penis, plastic implantation of (AU 8) ........................... | 136.00 |
6212 | Scrotum, partial excision of (AU 7) ............................ | 43.00 |
6216 | Scrotum, drainage of abscess of (AU 4) ......................... | 27.00 |
Schedule 1 —continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
| Part 10—Division 4—continued |
|
Operations on testes, vasa or seminal vesicles | ||
6218 | Testicular biopsy (AU 6) ................................... | 27.00 |
6221 | Spermatocele, or ipididymal cysts, excision of (G) (AU 6) ............. | 33.00 |
6224 | Spermatocele or ipididymal cysts, excision of (S) (AU 6) .............. | 41.50 |
6228 | Exploration of the testis, with or without fixation for torsion (AU 5) | 41.50 |
6230 | Orchidectomy, with excision of retroperitoneal glands or seminal vesicles (AU 12) | 144.00 |
6233 | Orchidoplasty (AU 8) ..................................... | 51.00 |
6236 | Epididymeetomy (AU 8) ................................... | 46.50 |
6238 | Vasoepididymostomy—unilateral (AU 9) ........................ | 89.00 |
6241 | Vasoepididymostomy—bilateral (AU 12) ........................ | 100.00 |
6244 | Vas deferens, reanastomosis of (AU 9) .......................... | 79.00 |
6246 | Vasoepididymography and vasovesiculography as an independent operative procedure, preparation for, by open operation (AU 5) | 27.00 |
6249 | Vasotomy or vasectomy (unilateral or bilateral) (G) (AU 5) ............ | 10.00 |
6253 | Vasotomy or vasectomy (unilateral or bilateral) (S) (AU 5) ............ | 34.00 |
| Division 5—Gynaecological |
|
6258 | Gynaecological examination under anaesthesia not performed in association with any service covered by any other item in this Part (AU 5) | 10.60 |
6262 | Infra-uterine contraceptive device, introduction or removal of as an independent procedure (AU 5) | 7.10 |
6267 | Simple tumour of vulva, removal of (AU 7) ...................... | 10.60 |
6271 | Hymenectomy (AU 5) ..................................... | 11.80 |
6274 | Bartholin’s cyst, excision of (G) (AU 7) ......................... | 20.00 |
6277 | Bartholin’s cyst, excision of (S) (AU 7) ......................... | 26.00 |
6278 | Bartholin’s cyst or gland, marsupialisation or cautery destruction of (G) (AU 6) | 15.60 |
6280 | Bartholin’s cyst or gland, marsupialisation or cautery destruction of (S) (AU 6) | 19.80 |
6284 | Bartholin’s abscess, incision of (AU 5) .......................... | 7.80 |
6286 | Skene’s duct, incision of, or removal of calculus from (AU 6)........... | 11.80 |
6290 | Urethra or urethral caruncle, cauterisation of (AU 4) ................. | 7.80 |
6292 | Urethral caruncle, excision of (G) (AU 6) ........................ | 15.60 |
6296 | Urethral caruncle, excision of (S) (AU 6) ........................ | 19.80 |
6299 | Clitoris, amputation of (AU 7) ............................... | 38.50 |
6302 | Vulvectomy (simple) (AU 9) ................................ | 51.00 |
6306 | Vulvectomy (radical) (AU 16) ................................ | 182.00 |
6308 | Pelvic lymph glands, excision of (radical) (AU 15) .................. | 106.00 |
6313 | Vagina, dilatation of, as an independent procedure—each attendance at which dilatation is performed (AU 4) | 5.80 |
6321 | Vagina, removal of simple tumour (including Gartner duct cyst) (AU 8) .... | 30.00 |
6325 | Vagina, complete removal of (AU 13) .......................... | 106.00 |
6327 | Vaginal reconstruction in congenital absence or gynatresia (AU 13) ....... | 106.00 |
6632 | Vaginal septum, excision of, for correction of double vagina (AU 12)...... | 59.00 |
6336 | Plastic repair to enlarge vaginal orifice (AU 9) ..................... | 21.50 |
6342 | Colpotomy or colporrhaphy, not covered by any other item in this Part (AU 6) | 16.40 |
6347 | Cystocele or rectocele, repair of not covered by item 6358, 6363, 6367 or 6373 (G) (AU 10) | 50.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 5—continued | ||
6352 | Cystocele or rectocele, repair of not covered by item 6358, 6363, 6367 or 6373 (S) (AU 10) | 62.00 |
6358 | Cystocele and rectocele, repair of, not covered by item 6367 or 6373 (G) (AU 10) | 62.00 |
6363 | Cystocele and rectocele, repair of, not covered by item 6367 or 6373 (S) (AU 10) | 80.00 |
6367 | Colpoplasty, Donald-Fothergill or Manchester’ operation (operation for genital prolapse) (G) (AU 10) | 79.00 |
6373 | Colpoplasty, Donald-Fothergill or Manchester operation (operation for genital prolapse) (S) (AU 10) | 96.00 |
6379 | Colpoplasty, Donald-Fothergill or Manchester operation (operation for genital prolapse) and curettage of uterus, with or without dilatation (G) (AU 11) | 89.00 |
6384 | Colpoplasty, Donald-Fothergill or Manchester operation (operation for genital prolapse) and curettage of uterus, with or without dilatation (S) (AU 11) | 40.00 |
6389 | Urethrocele, operation for (AU 9) ............................. | 24.50 |
6396 | Operation involving abdominal approach for repair of enterocoele or suspension of vaginal vault or enterocoele and suspension of vaginal vault (AU 9) | 80.00 |
6401 | Fistula between genital and urinary or alimentary tracts, repair of not covered by items 5941, 6079 or 6083 (AU 13) | 106.00 |
6406 | Stress incontinence, sling operation for, as an independent procedure (AU 12) | 100.00 |
6409 | Cervix, cauterisation, ionisation or diathermy of (AU 5) .............. | 8.50 |
6412 | Cervix, removal of polyp from (AU 5) .......................... | 8.50 |
6415 | Examination of the uterine cervix by a magnifying colposcope of the Hinselmann type or similar instrument (AU 5) | 2.50 |
6418 | Cervix, cone biopsy of (G) (AU 7) ............................ | 23.50 |
6424 | Cervix, cone biopsy of (S) (AU 7) ............................. | 30.00 |
6428 | Cervix, cone biopsy of and curettage of uterus with or without dilatation (G) (AU 7) | 33.50 |
6434 | Cervix, cone biopsy of and curettage of uterus with or without dilatation (S) (AU 7) | 43.50 |
6436 | Cervix, amputation or repair of, not covered by item 6367 or 6373 (G) (AU 7) | 19.20 |
6441 | Cervix, amputation or repair of, not covered by item 6367 or 6373 (S) (AU 7) | 24.50 |
6446 | Cervix, dilatation of, not covered by item 6460 or 6464 in this Schedule (AU 5) | 10.60 |
6451 | Culdoscopy (AU 7) ...................................... | 14.20 |
6460 | Uterus, curettage of, with or without dilatation (G) (AU 5) ............. | 17.60 |
6464 | Uterus, curettage of, with or without dilatation (S) (AU 5) ............. | 23.50 |
6469 | Evacuation of the contents of the gravid uterus by curettage or suction curettage not covered by item 6460 or 0464 (AU 5) | 31.00 |
6476 | Uterus, curettage of, with or without dilatation; and cauterisation, ionisation or diathermy of cervix (G) (AU 6) | 15.00 |
6481 | Uterus, curettage of, with or without dilatation; and cauterisation, ionisation or diathermy of cervix (S) (AU 6) | 28.50 |
6486 | Uterus, curettage of, with or without dilatation and removal of polyp from cervix (G) (AU 6) | 22.50 |
6491 | Uterus, curettage of, with or without dilatation and removal of polyp from cervix (S) (AU 6) | 28.50 |
6501 | Uterus, curettage of, with or without dilatation, with removal of polyp from cervix and cauterisation, ionisation or diathermy of cervix (G) (AU 6) | 25.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 5—continued | ||
6506 | Uterus, curettage of, with or without dilatation, with removal of polyp from cervix and cauterisation, ionisation or diathermy of cervix (S) (AU 6) | 31.00 |
6508 | Hysterotomy (AU 10) ..................................... | 80.00 |
6513 | Hysterectomy (other than vaginal)—subtotal (G) (AU 10) ............. | 80.00 |
6517 | Hysterectomy (other than vaginal)—subtotal (S) (AU 10) ............. | 100.00 |
6519 | Hysterectomy (other than vaginal)—total (G) (AU 11) ............... | 80.00 |
6523 | Hysterectomy (other than vaginal)—total (S) (AU 11) ................ | 100.00 |
6528 | Hysterectomy (other than vaginal)—total, with curettage of uterus, with or without dilatation (G) (AU 11) | 90.00 |
6530 | Hysterectomy (other than vaginal)—total, with curettage of uterus, with or without dilatation (S) (AU 11) | 174.00 |
6534 | Hysterectomy (total) with abdominal urethropexy (AU 12) ............ | 112.00 |
6536 | Hysterectomy and dissection of pelvic glands (AU 17) ............... | 170.00 |
6542 | Radical hysterectomy without gland dissection (AU 12) .............. | 122.00 |
6546 | Colpoplasty with vaginal hysterectomy (AU 12) ................... | 140.00 |
6553 | Ectopic gestation, removal of (G) (AU 9) ........................ | 62.00 |
6557 | Ectopic gestation, removal of (S) (AU 9) ........................ | 80.00 |
6561 | Myomectomy (G) (AU 10) ................................. | 62.00 |
6563 | Myomectomy (S) (AU 10) .................................. | 80.00 |
6570 | Bicornuate uterus, plastic reconstruction for (AU 14) ................ | 89.00 |
6585 | Uterus, suspension or fixation of—as an independent procedure (G) (AU 8) . | 51.00 |
6594 | Uterus, suspension or fixation of—as an independent procedure (S) (AU 8) .. | 96.00 |
6599 | Rubin test for patency (AU 5) ................................ | 11.60 |
6604 | Laparoscopy, diagnostic, as a diagnostic procedure performed in gynaecology (AU 7) | 30.00 |
6613 | Laparoscopy with transection or resection of Fallopian tubes by diathermy or any other method, or laparoscopy and ovarian biopsy (AU 7) | 15.00 |
6631 | Fallopian tube or tubes, implantation of, into uterus (AU 12)............ | 96.00 |
6636 | Fallopian tubes, hydrotubation of, as an isolated procedure (AU 7)........ | 8.50 |
6641 | Fallopian tubes, hydrotubation of, as a repetitive post-operative procedure (AU 7) | 5.70 |
6645 | Oophorectomy, salpingectomy, salpingo-oophorectomy or ligation of Fallopian tubes, not associated with hysterectomy (G) (AU 9) | 54.00 |
6650 | Oophorectomy, salpingectomy, salpingo-oophorectomy or ligation of Fallopian tubes, not associated with hysterectomy (S) (AU 9) | 67.00 |
6661 | Oophorectomy, salpingectomy, salpingo-oophorectomy or ligation of Fallopian tubes, not associated with hysterectomy in addition to curettage of uterus, with or without dilatation (G) (AU 10) | 64.00 |
6665 | Oophorectomy, salpingectomy, salpingo-oophorectomy or ligation of Fallopian tubes, not associated with hysterectomy in addition to curettage of uterus, with or without dilatation (S) (AU 10) | 110.00 |
6669 | Salpingostomy or salpingolysis, or both (AU 11) ................... | 96.00 |
6672 | Ovarian, parovarian, fimbrial or broad ligament cyst, excision of, not covered by any other item in this Part (G) (AU 9) | 62.00 |
6674 | Ovarian, parovarian, fimbrial or broad ligament cyst, excision of, not covered by any other item in this Part (S) (AU 9) | 106.00 |
6677 | Pelvic abscess, suprapubic drainage of (G) (AU 8) .................. | 54.00 |
6681 | Pelvic abscess, suprapubic drainage of (S) (AU 8) .. .. .. .. .. .. | 67.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
| Part 10—continued |
|
Division 6—Ophthalmological | ||
6686 | Ophthalmological examination under general anaesthesia as an independent procedure (AU 5) | 13.60 |
6688 | Eye, enucleation of, with or without sphere implant (AU 8) ............ | 71.00 |
6692 | Eye, enucleation of, with insertion of integrated implant (AU 9) ......... | 93.00 |
6697 | Globe, evisceration of (AU 8) ................................ | 71.00 |
6699 | Globe, evisceration of, and insertion of intrascleral ball or cartilage (AU 9) .. | 93.00 |
6701 | Anophthalmic orbit, insertion of cartilage or artificial implant as a delayed procedure (AU 9) | 51.00 |
6703 | Orbit, skin graft to, as a delayed procedure (AU 7) .................. | 29.00 |
6705 | Contracted socket, reconstruction including mucous membrane grafting and stent mould (AU 11) | 61.00 |
6707 | Orbit, exploration with or without biopsy, requiring removal of bone (AU 9) . | 96.00 |
6709 | Orbit, exploration of, with drainage or biopsy not requiring removal of bone (AU 8) | 59.00 |
6713 | Orbit, exenteration of (AU 8) ................................ | 100.00 |
6715 | Orbit, exenteration of, with skin graft (AU 10) ..................... | 126.00 |
6718 | Orbit, exenteration of, including skin grafting, with temporalis muscle transplant (AU 11) | 138.00 |
6722 | Orbit, exploration of, with removal of tumour or foreign body, requiring removal of bone (AU 12) | 158.00 |
6724 | Orbit, exploration of, with removal of tumour or of foreign body (AU 10) ... | 75.00 |
6728 | Eyeball, perforating wound of, not involving intraocular structures—repair (AU 10) | 96.00 |
6730 | Eyeball, perforating wound of, with incarceration or prolapse of uveal tissue—repair (AU 12) | 112.00 |
6736 | Eyeball, perforating wound of, with incarceration of lens or vitreous— repair (AU 12) | 158.00 |
6740 | Intraocular foreign body, magnetic removal from anterior segment (AU 10) . | 61.00 |
6742 | Intraocular foreign body, non-magnetic removal from anterior segment (AU 11) | 80.00 |
6744 | Intraocular foreign body, magnetic removal from posterior segment (AU 10) . | 112.00 |
6747 | Introacular foreign body, non-magnetic removal from posterior segment (AU 12) | 158.00 |
6752 | Abscess (intraorbital), drainage of (AU 6) ........................ | 15.60 |
6754 | Tarsal cyst, extirpation of (AU 6) ............................. | 11.00 |
6758 | Tarsal cartilage, excision of (AU 8) ............................ | 67.00 |
6762 | Ectropion, tarsal cauterisation for ............................. | 15.60 |
6766 | Tarsorrhaphy (AU 8) ..................................... | 39.00 |
6768 | Canthoplasty, medial or lateral (AU 9) .......................... | 49.00 |
6772 | Lacrimal gland, excision of palpebral lobe (AU 8) .................. | 29.00 |
6774 | Lacrimal sac, excision of, or operation on (AU 8) ................... | 75.00 |
6778 | Dacryocystorhinostomy (AU 11) .............................. | 106.00 |
6782 | Conjuctivorhinostomy (AU 11) ............................... | 89.00 |
6786 | Conjunctivorhinostomy including dacryocystorhinostomy and fashioning of conjunctival flaps (AU 12) | 112.00 |
6790 | Parotid duct, transplantation of into conjunctival sac (AU 11)........... | 112.00 |
6792 | Lacrimal canalicular system, reconstruction of (AU 8)................ | 96.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10 —Division 6—continued | ||
6796 | Lacrimal canaliculus, immediate repair of (AU 8) ................... | 67.00 |
6799 | Nasolacrimal duct, probing for obstruction one or both ducts (AU 4) ...... | 19.20 |
6802 | Lacrimal passages, lavage of (excluding after-care) (AU 4) ............ | 6.30 |
6805 | Punctum snip operation (AU 4) ............................... | 16.75 |
6807 | Conjunctival peritomy (AU 6) ............................... | 15.60 |
6810 | Conjunctival graft over cornea (AU 7) .......................... | 56.00 |
6814 | Trachoma, crushing operation for (AU 6) ........................ | 16.40 |
6816 | Cornea or sclera, removal of superficial foreign body from (excluding after-care) (AU 6) | 3.30 |
6818 | Cornea or sclera, removal of imbedded foreign body from (excluding after-care) (AU 8) | 9.50 |
6820 | Corneal scars, removal of, by partial keratectomy (AU 8) .............. | 29.00 |
6822 | Cornea, tattooing of (AU 9) ................................. | 33.50 |
6824 | Cornea, epithelial debridement for dendritic ulcer (excluding after-care) (AU 8) | 9.50 |
6828 | Cornea, transplantation of, full thickness, including collection of implant (AU 13) | 205.00 |
6832 | Cornea, transplantation of, superficial or lamellar, including collection of transplant (AU 11) | 136.00 |
6835 | Conjunctiva, cautery of, including treatment of pannus—each attendance at which treatment is given (AU 4) | 8.20 |
6837 | Pterygium, removal of (AU 6) ............................... | 36.00 |
6842 | Pinguecula, removal of (AU 6) ............................... | 15.60 |
6846 | Limbic tumour, removal of (AU 7) ............................ | 39.00 |
6848 | Lens extraction (AU 11) ................................... | 180.00 |
6852 | Artificial lens, insertion of (AU 11) ............................ | 96.00 |
6857 | Artificial lens, removal of (AU 9) ............................. | 67.00 |
6859 | Cataract, juvenile, removal of, including subsequent needlings (AU 11).... | 180.00 |
6861 | Capsulectomy (AU 9) ..................................... | 79.00 |
6865 | Capuslotomy or needling (AU 7) .............................. | 46.00 |
6869 | Paracentesis in relation to eye, for diagnosis or relief of tension (AU 6)..... | 43.00 |
6871 | Anterior chamber, irrigation of blood from, as an independent procedure (AU 7 | 96.00 |
6873 | Glaucoma, filtering and allied operations in the treatment of (AU 10) | 144.00 |
6879 | Goniotomy (AU 10) ...................................... | 106.00 |
6881 | Division of anterior or posterior synechiae, as an independent procedure (AU 9) | 79.00 |
6885 | Iridectomy or iridotomy, as an independent procedure (AU 10) .......... | 30.00 |
6889 | Iris, light coagulation of (AU 6) .............................. | 51.00 |
6891 | Tumour of iris, excision of (AU 10) ............................ | 80.00 |
6894 | Tumour, involving ciliary body or ciliary body and iris, excision of (AU 12) . | 164.00 |
6898 | Cyclodiathermy or cyclocryotherapy (AU 8) ...................... | 43.00 |
6900 | Detached retina, diathermy operation for (AU 11) .................. | 136.00 |
6902 | Detached retina, resection of, or buckling operation for, or revision operation for (AU 15) | 180.00 |
6904 | Photocoagulation, each attendance at which treatment is given (AU 10)..... | 51.00 |
6906 | Detached retina, removal of encircling silicone band from (AU 8) ........ | 22.50 |
6908 | Retina, cryotherapy to, as an independent procedure (AU 13) ........... | 89.00 |
6912 | Cryopexy, with scleral resection or scleral infolding, for treatment of detached retina or pre-detachment disease of retina (AU 13) | 136.00 |
6914 | Retrobulbar transillumination, as an independent procedure (AU 5)....... | 11.80 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 6—continued | ||
6918 | Retrobulbar injection of alcohol or other drug as an independent procedure .. | 9.20 |
6922 | Squint, operation for, on one or both eyes, the operation involving a total of one or two muscles (AU 8) | 89.00 |
6924 | Squint, operation for, on one or both eyes, the operation involving a total of three or four muscles (AU 9) | 106.00 |
6928 | Squint, operation for, on one or both eyes, the operation involving a total of more than four muscles (AU 10) | 112.00 |
6930 | Squint, muscle transplant for (Hummelsheim typo, etc.) (AU 9) ......... | 106.00 |
6932 | Reattachment of ruptured medial palpebral ligament (AU 9) ............ | 59.00 |
6934 | Torn extra-ocular muscle, repair of (AU 9) ....................... | 59.00 |
6933 | Resuturing of wound following intra-ocular procedures with or without excision of prolapsed iris (AU 9) | 59.00 |
Division 7—Thoracic | ||
6940 | Thoracic cavity, aspiration or paracentesis of, or both (excluding after-care) . | 8.80 |
6942 | Pericardium, paracentesis of (excluding after-care) (AU 6) ............. | 14.40 |
6946 | Artificial pneumothorax—induction ........................... | 11.80 |
6948 | Artificial pneumothorax—each filling subsequent to induction .......... | 5.90 |
6953 | Intercostal drain, insertion of, not involving resection of rib (excluding after-care) (AU 7) | 14.40 |
6955 | Empyema, radical operation for, involving resection of rib (AU 13)....... | 69.00 |
6958 | Thoracotomy, exploratory, with or without biopsy (AU 11) ............ | 138.00 |
6962 | Thoracotomy with pulmonary decortication (AU 17) ................ | 210.00 |
6964 | Thoracotomy with pleurectomy or pleurodesis (AU 16) ............... | 152.00 |
6966 | Thoracoplasty (complete) (AU 21) ............................ | 210.00 |
6968 | Thoracoplasty (in stages)—each stage (AU 14) .................... | 108.00 |
6970 | Pectus excavatum or pectus carinatum, limited correction of (AU 13)...... | 61.00 |
6972 | Pectus excavatum or pectus carinatum, radical correction of (AU 16)...... | 182.00 |
6974 | Thoracoscopy, with or without division of pleural adhesions (AU 7)....... | 40.50 |
6976 | Thoracic duct cannulisation (AU 8) ............................ | 12.00 |
6978 | Phrenic avulsion or crush (AU 5) ............................. | 25.00 |
6980 | Pneumonectomy or lobectomy (AU 18) ......................... | 310.00 |
6982 | Hydatid cysts of lungs, enucleation of (AU 16) .................... | 152.00 |
6984 | Oesophagus, correction of atresia of (AU 23) ..................... | 210.00 |
6986 | Oesophagectomy with direct anastomosis or with stomach transposition (AU 23) | 210.00 |
6988 | Oesophagectomy with interposition of small or large bowel (AU 27)...... | 255.00 |
6990 | Mediastinal abscess, drainage of (AU 14) ........................ | 91.00 |
6992 | Mediastinum, cervical exploration of, with or without biopsy (AU 10)..... | 61.00 |
6995 | Pericardium, transthoracic drainage of (other than for treatment of constrictive pericarditis) (AU 14) | 152.00 |
6997 | Hernia, hiatus or other diaphragmatic, transthoracic repair of (AU 15)...... | 152.00 |
6999 | 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 (AU 28) | 210.00 |
7001 | Right heart catheterisation—including fluoroscopy, oximetry, dye dilution curves, cardiac output measurement by any method, shunt detection and exercise stress test (AU 12) | 64.00 |
7003 | Left heart catheterisation by percutaneous arterial puncture, arteriotomy or percutaneous left ventricular puncture—including fluoroscopy, oximetry, dye dilution curves, cardiac output measurements by any method, shunt detection and exercise stress test (AU 12) | 80.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 7—continued | ||
7006 | Right heart catheterisation with left heart catheterisation via the right heart or by any other procedure—including fluoroscopy, oximetry, dye dilution curves, cardiac output measurements by any method, shunt detection and exercise stress test (AU 14) | 144.00 |
7011 | Selective coronary arteriography—placement of catheters and injection of opaque material (AU 14) | 64.00 |
7013 | Selective coronary arteriography—placement of catheters and injection of opaque material with right or left heart catheterisation, or both (AU 16) | 112.00 |
7021 | Permanent internal pacemaker and myocardial electrodes, insertion or replacement of by thoracotomy (All 11) | 182.00 |
7023 | Permanent transvenous electrode and pacemaker, insertion or replacement of (AU 14) | 152.00 |
7028 | Permanent transvenous electrode, insertion or replacement of (AU 12)..... | 91.00 |
7033 | Permanent pacemaker, insertion or replacement of (AU 12)............ | 57.00 |
7042 | Temporary transvenous pacemaking electrode, insertion of (AU 11)....... | 44.00 |
7046 | Open heart surgery, single valve replacement (AU 32) ............... | 445.00 |
7050 | Open heart surgery for congenital heart disease (AU 32) .............. | 445.00 |
7057 | Open heart surgery on more than one valve or involving more than one chamber (AU 38) | 425.00 |
7062 | Open heart surgery not covered by any other item in this Part (AU 32)..... | 445.00 |
7066 | Coronary artery or arteries, direct surgery to, employing cardiopulmonary by-pass (AU 36) | 335.00 |
| Division 8—Neuro-surgical |
|
7068 | Local infiltration around nerve or in muscle with alcohol, novocaine or similar preparation—each attendance at which an injection is given | 3.30 |
7072 | Nerve blocking with alcohol or other agent following localisation by electrical stimulator | 7.80 |
7075 | Local anaesthetic infiltration of cranial nerve or sympathetic plexus....... | 9.50 |
7079 | Injection into trigeminal ganglion or primary branch of trigeminal nerve with alcohol | 38.50 |
7081 | Intrathecal injection of alcohol or phenol ........................ | 41.00 |
7085 | Lumbar puncture ........................................ | 9.50 |
7089 | Cisternal puncture ....................................... | 11.20 |
7093 | Spinal or epidural injection for neurological diagnosis or for therapeutic reasons | 10.40 |
7099 | Ventricular puncture (not including burr-hole) ..................... | 27.00 |
7106 | Cutaneous or digital nerve, primary suture of (G) (AU 8) .............. | 16.60 |
7111 | Cutaneous or digital nerve, primary suture of (S) (AU 8) .............. | 21.00 |
7112 | Cutaneous nerve (other than digital nerve) primary suture of by micro surgical techniques (AU 9) | 30.00 |
7116 | Repair of divided digital nerve to thumb or finger (G) (AU 8) ........... | 28.50 |
7117 | Repair of divided digital nerve to thumb or finger (S) (AU 8) ........... | 36.50 |
7120 | Repair of divided digital nerve to thumb or finger by micro surgical techniques, primary repair (AU 9) | 51.00 |
7121 | Repair of divided digital nerve to thumb or finger, by micro surgical techniques, secondary repair (AU 10) | 67.00 |
7124 | Nerve trunk, primary suture of (AU 8) .......................... | 64.00 |
7128 | Nerve trunk, primary suture of (D) (AU 8) ....................... | 64.00 |
7129 | Nerve trunk, primary suture of, by micro surgical techniques (AU 11)...... | 106.00 |
7132 | Nerve trunk, secondary suture of (AU 9) ......................... | 72.00 |
7134 | Nerve trunk, secondary suture of (D) (AU 9) ...................... | 72.00 |
7138 | Nerve trunk, secondary suture of, by micro surgical techniques (AU 12).... | 116.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 8—continued | ||
7139 | Nerve graft performed with magnification (AU 9) .................. | 130.00 |
7143 | Nerve, transposition of (AU 8) ............................... | 64.00 |
7146 | Nerve transposition of (D) (AU 8) ............................. | 64.00 |
7148 | Neurectomy, neurotomy, or removal of tumour from superficial peripheral nerve (G) (AU 8) | 25.50 |
7152 | Neurectomy, neurotomy, or removal of tumour from superficial peripheral nerve (S) (AU 8) | 47.00 |
7156 | Neurectomy, neurotomy, or removal of tumour from deep peripheral nerve (AU 10) | 64.00 |
7165 | Neurectomy, periarterial (AU 9) .............................. | 108.00 |
7170 | Neurectomy, intracranial or radical as in tic douloureux (AU 16) ......... | 176.00 |
7175 | Exploration of brachial plexus not covered by any other item in this Part (AU 11) | 55.00 |
7178 | Neurolysis by open operation, without transposition (G) (AU 7) ......... | 36.50 |
7182 | Neurolysis by open operation, without transposition (S) (AU 7) ......... | 46.50 |
7186 | Burr-hole, single preparatory to ventricular puncture or for inspection purpose—not included in any other items (AU 11) | 33.50 |
7192 | Intracranial tumour, biopsy of, or intracranial cyst, drainage of via burr-hole—including burr-hole (AU 10) | 69.00 |
7194 | Intracranial tumour, biopsy or decompression of via osteoplastic flap or biopsy and decompression of via osteoplastic flap (AU 18) | 152.00 |
7198 | Intracerebral tumour, craniotomy and removal (AU 25) ............... | 215.00 |
7203 | Intracranial extracerebral tumour, craniotomy and removal (AU 25)....... | 370.00 |
7208 | Intracranial haemorrhage, burr-hole craniotomy for—including burr-hole (G) (AU 11) | 55.00 |
7212 | Intracranial haemorrhage, burr-hole craniotomy for—including burr-hole (S) (AU 11) | 69.00 |
7216 | Intracranial haemorrhage, osteoplastic craniotomy or extensive craniectomy and removal of haematoma (AU 18) | 164.00 |
7220 | Fracture of skull, depressed or comminuted, operation for (G) (AU 12)..... | 86.00 |
7231 | Fracture of skull, depressed or comminuted, operation for (S) (AU 12)..... | 108.00 |
7236 | Fractured skull, compound, without dural penetration, operation for (G) (AU 12) | 112.00 |
7240 | Fractured skull, compound, without dural penetration, operation for (S)(AU 12) | 142.00 |
7244 | Fractured skull, compound or complicated, with dural penetration and brain damage, operation for (AU 14) | 164.00 |
7248 | Fractured skull with rhinorrhoea or otorrhea, cranioplasty and repair of (AU 16) | 164.00 |
7251 | Reconstructive cranioplasty (AU 16) ........................... | 136.00 |
7265 | Aneurysm or arteriovenous malformation, clipping, or reinforcement of sac (AU 28) | 370.00 |
7270 | Aneurysm, or arteriovenous malformation, intracranial proximal artery clipping (AU 24) | 196.00 |
7274 | Aneurysm, or arteriovenous fistula, cervical carotid ligation for (AU 10).... | 96.00 |
7279 | Craniotomy involving osteoplastic flap, for re-opening post-operatively for haemorrhage, swelling, etc. (AU 16) | 108.00 |
7283 | Intracranial abscess, excision of (AU 17) ........................ | 215.00 |
7287 | Intracranial infection, drainage of, via burr-hole—including burr-hole (AU 10) | 69.00 |
7291 | Craniectomy for osteomyelitis of skull (AU 10) .................... | 108.00 |
7298 | Leucotomy or lobotomy for psychiatric causes (AU 15) ............... | 136.00 |
7304 | Hemispherectomy (AU 23) ................................. | 370.00 |
7307 | Temporal lobectomy (AU 24) ................................ | 215.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 8—continued | ||
7312 | Chemopallidectomy, or other stereotactic procedure including burr-hole and air studies (AU 17) | 164.00 |
7331 | Laminectomy for exploration or removal of intervertebral disc or discs (AU 12) | 144.00 |
7336 | Laminectomy for recurrent disc lesion or spinal stenosis (AU 13) ........ | 144.00 |
7341 | Laminectomy for extradural tumour or abscess (AU 12) .............. | 144.00 |
7346 | Laminectomy for intradural lesion or open cordotomy (AU 13) .......... | 152.00 |
7353 | Laminectomy and radical excision of intra-medullary tumour or arteriovenous malformation (AU 14) | 182.00 |
7355 | Laminectomy followed by posterior fusion—not covered by items 7361 and 7365 (AU 18) | 164.00 |
7361 | Laminectomy followed by posterior fusion performed by neurosurgeon and orthopaedic surgeon operating together—laminectomy including after-care (AU 18) | 84.00 |
7365 | Laminectomy followed by posterior fusion performed by neurosurgeon and orthopaedic surgeon operating together—posterior fusion including after-care | 84.00 |
7370 | Spinal rhizolysis involving exposure of spinal nerve roots, with or without laminectomy (AU 16) | 144.00 |
7376 | Sympathectomy (cervical, lumbar, thoracic, sacral or presacral) (AU 10) ... | 108.00 |
7381 | Percutaneous cordotomy (AU 9) .............................. | 96.00 |
Division 9—Treatment of dislocations | ||
Dislocations not requiring open operation | ||
7397 | Mandible—first or second dislocation (AU 4) ..................... | 6.20 |
7402 | Mandible—first or second dislocation (D) (AU 4) .................. | 6.20 |
7406 | Mandible—third or subsequent dislocation (AU 4) .................. | 4.00 |
7408 | Mandible—third or subsequent dislocation (D) (AU 4) ............... | 4.00 |
7410 | Clavicle (AU 4) ......................................... | 9.90 |
7412 | Shoulder—first or second dislocation (AU 4) ..................... | 11.80 |
7416 | Shoulder—third or subsequent dislocation-requiring anaesthesia (AU 4) .... | 9.90 |
7419 | Shoulder—third or subsequent dislocation—not requiring anaesthesia | 7.80 |
7423 | Elbow (AU 4) .......................................... | 14.20 |
7426 | Carpus (AU 4) .......................................... | 9.20 |
7430 | Carpus on radius and ulna (G) (AU 4) .......................... | 18.60 |
7432 | Carpus on radius and ulna (S) (AU 4) ........................... | 24.50 |
7435 | Finger (AU 4) .......................................... | 4.00 |
7436 | Metacarpophalangeal joint of thumb (AU 4) ...................... | 11.80 |
7440 | Hip (G) (AU 5) ......................................... | 31.50 |
7443 | Hip (S) (AU 5) ......................................... | 43.00 |
7446 | Knee (G) (AU 4) ........................................ | 22.50 |
7451 | Knee (S) (AU 4) ........................................ | 29.00 |
7457 | Patella (AU 4) .......................................... | 9.20 |
7461 | Ankle (AU 5) .......................................... | 15.60 |
7464 | Toe (AU 4) ............................................ | 4.70 |
7468 | Tarsus (AU 4) .......................................... | 11.80 |
7472 | Spine (cervical), without fracture (AU 7) ........................ | 38.50 |
7476 | Spine (lumbar), without fracture (AU 7) ......................... | 38.50 |
Dislocations requiring open operation | ||
7480 | Treatment of a dislocation requiring open operation, being a dislocation referred to in item 7397, 7406, 7410, 7416, 7419, 7426, 7435, 7457 or 7464 | 16.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 9—continued | ||
7483 | Treatment of a dislocation requiring open operation, being a dislocation referred to in an item (other than an item referred to in item 7480 or an item that includes the symbol ‘(D)’ under the heading “Dislocations not requiring open operation” in this Division |
The amount shown in this column in the item (other than an item that includes the symbol ‘(D)’) in which the dislocation concerned is referred to, plus one-half of that amount |
7485 | Treatment of a dislocation requiring open operation, being a dislocation referred to in item 7402 or 7408 (D) | 16.00 |
Division 10—Treatment of fractures | ||
Simple and uncomplicated fractures not requiring open operation | ||
7505 | Terminal phalanx of finger or thumb (AU 4) ...................... | 5.70 |
7508 | Proximal phalanx of finger or thumb (G) (AU 4) ................... | 12.00 |
7512 | Proximal phalanx of finger or thumb (S) (AU 4) ................... | 17.60 |
7516 | Middle phalanx of finger (AU 4) .............................. | 8.20 |
7520 | One or more metacarpals, not involving base of first carpometacarpal joint (G) (AU 4) | 17.60 |
7524 | One or more metacarpals, not involving base of first carpometacarpal joint (S) (AU 4) | 26.00 |
7527 | First metacarpal involving carpometacarpal joint (Dennett’s fracture) (G) (AU 4) | 21.00 |
7530 | First metacarpal involving carpometacarpal joint (Dennett’s fracture) (S)(AU 4) | 30.00 |
7533 | Carpus (excluding navicular) (AU 5) ........................... | 9.20 |
7535 | Navicular or carpal scaphoid (G) (AU 5) ........................ | 17.60 |
7538 | Navicular or carpal scaphoid (S) (AU 5) ......................... | 21.50 |
7540 | Colles’ fracture of wrist (G) (AU 5) ............................ | 23.50 |
7544 | Colles’ fracture of wrist (S) (AU 5) ............................ | 34.00 |
7547 | Distal end of radius or ulna, involving wrist (AU 5) ................. | 17.60 |
7550 | Radius (G) (AU 5) ....................................... | 19.20 |
7557 | Radius (S) (AU 5) ....................................... | 26.00 |
7559 | Ulna (G) (AU 5) ........................................ | 18.60 |
7563 | Ulna (S) (AU 5) ......................................... | 23.50 |
7567 | Both shafts of forearm (G) (AU 6) ............................. | 30.00 |
7572 | Both shafts of forearm (S) (AU 6) ............................. | 46.50 |
7578 | Humerus (G) (AU 5) ...................................... | 30.00 |
7584 | Humerus (S) (AU 5) ...................................... | 46.50 |
7588 | Clavicle or sternum (G) (AU 6) ............................... | 12.60 |
7593 | Clavicle or sternum (S) (AU 6) ............................... | 17.60 |
7597 | Scapula (AU 6) ......................................... | 15.60 |
7601 | One or more ribs—each attendance (G) (AU 7) .................... | 3.30 |
7605 | One or more ribs—each attendance (S) (AU 7) .................... | 4.90 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 10—continued | ||
7608 | Pelvis (excluding symphysis pubis) or sacrum (G) (AU 8) ............. | 24.50 |
7610 | Pelvis (excluding symphysis pubis) or sacrum (S) (AU 8) ............. | 33.50 |
7615 | Symphysis pubis (G) (AU 7) ................................ | 17.60 |
7619 | Symphysis pubis (S) (AU 7) ................................. | 24.50 |
7624 | Femur (G) (AU 8) ....................................... | 59.00 |
7627 | Femur (S) (AU 8) ........................................ | 80.00 |
7632 | Fibula or tarsus (excepting os calcis or os talus) (G) (AU 6) ............ | 13.60 |
7637 | Fibula or tarsus (excepting os calcis or os talus) (S) (AU 6) ............ | 19.00 |
7641 | Tibia or patella (G) (AU 6) ................................. | 21.00 |
7643 | Tibia or patella (S) (AU 6) .................................. | 30.00 |
7647 | Both shafts of leg (G) (AU 7) ................................ | 38.00 |
7652 | Both shafts of leg (S) (AU 7) ................................ | 51.00 |
7657 | Ankle (Pott’s fracture), with or without dislocation of ankle (G) (AU 7) .... | 38.00 |
7662 | Ankle (Pott’s fracture), with or without dislocation of ankle (S) (AU 7) .... | 51.00 |
7666 | Os calcis (calcaneus) or os talus (G) (AU 5) ...................... | 38.00 |
7668 | Os calcis (calcaneus) or os talus (S) (AU 5) ....................... | 51.00 |
7673 | Metatarsals—one or more (G) (AU 5) .......................... | 12.40 |
7677 | Metatarsals—one or more (S) (AU 5) ........................... | 17.60 |
7681 | Phalanx of toe (other than great toe) (AU 4) ...................... | 4.90 |
7683 | More than one phalanx of toe (other than great toe) (AU 4) ............ | 7.80 |
7687 | Distal phalanx of great toe (AU 4) ............................. | 12.00 |
7691 | Proximal phalanx of great toe (AU 4) ........................... | 12.00 |
7694 | Skull, not requiring operation—each attendance (G) ................. | 3.30 |
7697 | Skull, not requiring operation—each attendance (S) ................. | 4.90 |
7701 | Nasal bones, not requiring reduction—each attendance (G) ............ | 3.30 |
7706 | Nasal bones, not requiring reduction—each attendance (S) ............. | 4.90 |
7709 | Nasal bones, requiring reduction (G) (AU 6) ...................... | 23.50 |
7712 | Nasal bones, requiring reduction (S) (AU 6) ...................... | 34.00 |
7715 | Nasal bones, requiring reduction and involving osteotomies (AU S)....... | 71.00 |
7718 | Maxilla—not requiring splinting (G) ........................... | 14.40 |
7721 | Maxilla—not requiring splinting (S) ........................... | 19.80 |
7724 | Maxilla—not requiring splinting (D) ........................... | 19.80 |
7727 | Maxilla—with wiring of teeth or internal fixation (AU 11) ............. | 46.50 |
7731 | Maxilla—with wiring of teeth or internal fixation (D) (AU 11) .......... | 46.50 |
7734 | Maxilla—with external fixation (AU 11) ........................ | 51.00 |
7737 | Maxilla—with external fixation (D) (AU 11) ...................... | 51.00 |
7739 | Mandible—not requiring splinting (G) .......................... | 17.60 |
7743 | Mandible—not requiring splinting (S) .......................... | 24.50 |
7745 | Mandible—not requiring splinting (D) .......................... | 24.50 |
7749 | Mandible—with wiring of teeth or internal fixation (AU 12) ........... | 64.00 |
7753 | Mandible—with wiring of teeth or internal fixation (D) (AU 12) ......... | 64.00 |
7757 | Mandible—skeletal pinning with external fixation (AU 12) ............ | 67.00 |
7761 | Mandible—skeletal pinning with external fixation (D) (AU 12) ......... | 67.00 |
7764 | Zygoma (G) (AU 7) ...................................... | 15.80 |
7766 | Zygoma (S) (AU 7) ...................................... | 21.50 |
7770 | Zygoma (D) (AU 7) ...................................... | 21.50 |
7774 | Spine (excluding sacrum), transverse process or bono other than vertebral body, not requiring immobilisation in plaster—each attendance (G) | 3.30 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 10—continued | ||
7777 | Spine (excluding sacrum), transverse process or bone other than vertebral body, not requiring immobilisation in plaster—each attendance (S) | 4.90 |
7781 | Spine (excluding sacrum), vertebral body, without involvement of cord, not requiring immobilisation in plaster—each attendance (G) | 3.30 |
7785 | Spine (excluding sacrum), vertebral body, without involvement of cord, not requiring immobilisation in plaster—each attendance (S) | 4.90 |
7789 | Spine (excluding sacrum), transverse process or bone other than vertebral body requiring immobilisation in plaster or traction by skull calipers (AU 9) | 29.00 |
7793 | Spine (excluding sacrum), vertebral body, without involvement of cord, requiring immobilisation in plaster or traction by skull calipers (AU 9) | 51.00 |
7798 | Spine (excluding sacrum), vertebral body, with involvement of cord (AU 9) . | 136.00 |
Simple, and uncomplicated fractures requiring open operation | ||
7802 | Treatment of a simple and uncomplicated fracture requiring open operation being a fracture referred to in item 7505, 7508, 7516, 7533, 7601, 7605, 7681, 7683, 7687, 7691, 7694, 7697, 7701, 7706, 7774, 7777, 7781 or 7785 | 16.00 |
7803 | Treatment of a simple and uncomplicated fracture requiring open operation, being a fracture referred to in an item (other than an item referred to in item 7802 or an item that includes the symbol ‘(D)’) under the heading “Simple and Uncomplicated Fractures not Requiring Open Operation” in this Division |
The amount shown in this column in the item (other than an item that includes the symbol ‘(D)’ in which the fracture concerned is referred to, plus one-third of that amount. |
7804 | Treatment of a simple and uncomplicated fracture requiring open operation, being a fracture referred to in item 7724, 7731, 7736, 7745, 7753, 7761 or 7770 (D) ... |
The amount shown in this column in the item (being an item that includes the symbol ‘D’) in which the fracture concerned is referred to, plus one-third of that amount. |
7808 | Treatment of a simple and uncomplicated fracture requiring internal fixation, being a fracture referred to in item 7505, 7516, 7533, 7601, 7605, 7681, 7683, 7694, 7697, 7701, 7706, 7774, 7777, 7781 or 7785 | 16.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10 Division 10—continued | ||
7809 | Treatment of a simple and uncomplicated fracture requiring internal fixation, being a fracture referred to in an item (other than an item referred to in item 7808 or an item that includes the symbol ‘(D)’) under the heading “Simple and uncomplicated fractures not requiring open operation” in this Division .. |
The amount shown in this column in the item (other than an item that includes the symbol ‘(D)’ in which the fracture concerned is referred to, plus one-half of that amount. |
7812 | Treatment of a simple and uncomplicated fracture requiring internal fixation being a fracture referred to in item 7724, 7731, 7736, 7745, 7753, 7761 or 7770 (D) |
|
Compound fractures requiring open operation | ||
7815 | Treatment of a compound fracture requiring open operation, being a fracture referred to in item 7505, 7516, 7533, 7601, 7605, 7681, 7683, 7694, 7697, 7701, 7706, 7774, 7777, 7781 or 7785 |
|
7817 | Treatment of a compound fracture requiring open operation, being a fracture referred to in an item (other than an item referred to in item 7815 or an item that includes the symbol ‘(D)’) under the heading “Simple and uncomplicated fractures not requiring open operation” in this Division |
|
Schedule 1 —continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 10—continued | ||
7818 | Treatment of a compound fracture requiring open operation, being a fracture referred to in item 7724, 7731, 7736, 7745, 7753, 7761 or 7770 (D) |
|
Complicated fractures requiring open operation | ||
7821 | Treatment of a complicated fracture involving viscera, blood vessels or nerves and requiring open operation, being a fracture referred to in item 7505, 7516, 7601, 7605, 7631, 7683, 7694, 7697, 7701, 7706, 7774, 7777, 7781 or 7785 | 16.00 |
7823 | Treatment of a complicated fracture involving viscera, blood vessels or nerves and requiring open operation, being a fracture referred to in an item (other than an item referred to in item 7871 or an item that includes the symbol ‘(D)’) under the heading “Simple and uncomplicated fractures not requiring open operation” in this Division |
|
7824 | Treatment of a complicated fracture involving viscera, blood vessels or nerves and requiring open operation, being a fracture referred to in item 7724, 7731, 7736, 7745, 7753, 7761 or 7770 (D) |
|
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 10—continued | ||
General | ||
7828 | 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 (other than an item that includes the symbol ‘(D)’) under the heading “Simple and uncomplicated fractures not requiring open operation” in this Division |
|
7831 | 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 (his item, be covered by item 7724, 7731, 7736, 7745, 7753, 7701 or 7770 (D) |
|
7834 | Each subsequent reduction (without full post-operative treatment) in a series (other than the final reduction), being a reduction that would, but for this item, be covered by an item (other than an item that includes the symbol ‘(D)’) under the heading “Simple and uncomplicated fractures not requiring open operation” in this Division |
|
7836 | Each subsequent reduction (without full post-operative treatment) in a series (other than the final reduction), being a reduction that would, but for this item, be covered by item 7724, 7731, 7736, 7745, 7753, 7701 or 7770 (D) .. |
|
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 10—continued | ||
7839 | Final reduction (including full-post-operative treatment) in a series, being a reduction that would, but for this item, be covered by an item (other than an item that includes the symbol ‘(D)’) under the heading “Simple and uncomplicated fractures not requiring open operation” in this Division |
The amount shown in this column in the item (other than an item that includes the symbol ‘(D)’) that would, but for this item, apply to the reduction concerned |
7841 | Final reduction (including full post-operative treatment) in a series, being a reduction that would, but for this item, be covered by item 7724, 7731, 7736, 7745, 7753, 7761 or 7770 (D) | The amount shown in this column in the item that would, but for this item, apply to the reduction concerned |
7844 | Treatment of avulsion of epiphysis of any part referred to in an item under the heading “Simple and uncomplicated fractures not requiring open operation” in this Division |
|
7847 | Treatment of a closed fracture, involving a joint surface, being a fracture referred to in an item (other than an item that includes the symbol ‘(D)’ under the heading “Simple and uncomplicated fractures not requiring open operation” in this Division |
|
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 10—continued | ||
7849 | Treatment of a closed fracture, involving a joint surface, being a fracture referred to in item 7724, 7731, 7736, 7745, 7753, 7761 or 7770 (D) |
|
| Division 11—Orthopaedic |
|
7853 | Accessory or sesamoid bone, removal of (AU 6) ................... | 40.50 |
7857 | Epicondylitis, open operation for (AU 6) ........................ | 40.50 |
7861 | Digital nail, removal of (AU 5) ............................... | 2.70 |
7864 | Incision of pulp space, paronychia or other acute infection of hands or feet, not covered by any other item in this Part (excluding after-care) (AU 5) | 4.00 |
7868 | Middle palmar, thenar or hypothenar spaces, drainage of (AU 6) ......... | 9.50 |
7872 | Ingrowing toenail, excision of nail bed (G) (AU 6) .................. | 22.50 |
7878 | Ingrowing toenail, excision of nail bed (S) (AU 6) .................. | 30.00 |
7883 | Insertion of orthopaedic pin or wire where no other surgical procedure is performed (AU 5) | 16.40 |
7888 | Insertion of orthopaedic pin or wire where no other surgical procedure is performed (D) (AU 5) | 16.40 |
7898 | Osteosynthesis by Smith-Petersen nail (AU 11) .................... | 152.00 |
7902 | Temporo-mandibular meniscectomy (AU 9) ...................... | 54.00 |
7907 | Temporo-mandibular meniscectomy (D) (AU 9) ................... | 54.00 |
7911 | Joint (other than spine), manipulation of, under general anaesthesia (G) (AU 4) | 14.80 |
7915 | Joint (other than spine), manipulation of, under general anaesthesia (S) (AU 4) | 18.60 |
7919 | Spine, manipulation of, under general anaesthesia (G) (AU 4) ........... | 19.20 |
7923 | Spine, manipulation of, under general anaesthesia (S) (AU 4) ........... | 26.00 |
7920 | Spine, application of plaster jacket (AU 6) ....................... | 25.00 |
7928 | Risser jacket, localiser or turn-buckle jacket, application of, body only ..... | 44.00 |
7932 | Risser jacket, localiser or turn-buckle jacket, application of, body and head .. | 44.00 |
7934 | Scoliosis, spinal fusion for (AU 23) ............................ | 235.00 |
7937 | Scoliosis, re-exploration for adjustment or removal of Harrington rods or similar devices (AU 12) | 75.00 |
7940 | Application of halo for spinal fusion in the treatment of scoliosis, not covered by item 7934 (AU 8) | 49.00 |
7942 | Bone graft to spine, posterior, not covered by item 7945, 7967 or 7969 in this Schedule (AU 14) | 108.00 |
7945 | Bone graft to spine, postero-lateral for spondylolisthesis (AU 14) ........ | 192.00 |
7947 | Anterior interbody spinal fusion to cervical spine—one level (AU 14)...... | 166.00 |
7951 | Anterior interbody spinal fusion to cervical spine—more than one level (AU 15) | 215.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 11—continued | ||
7957 | Anterior interbody spinal fusion to lumbar or thoracic spine—one level (AU 15) | 192.00 |
7961 | Anterior interbody spinal fusion to lumbar or thoracic spine—more than one level (AU 15) | 260.00 |
7967 | Bone graft to spine with laminectomy and posterior interbody fusion— one level (AU 15) | 190.00 |
7969 | Bone graft to spine with laminectomy and posterior interbody fusion— more than one level (AU 18) | 260.00 |
7975 | Bone graft to femur (AU 11) ................................ | 130.00 |
7977 | Bone graft to tibia. (AU 10) ................................. | 100.00 |
7983 | Bone graft to humerus (AU 10) ............................... | 130.00 |
7985 | Bone graft to radius and ulna (AU 10) .......................... | 130.00 |
7993 | Bone graft to radius or ulna (AU 8) ............................ | 93.00 |
7999 | Bone graft to scaphoid (AU 9) ............................... | 84.00 |
8001 | Bone graft to other bones—not covered by any other item in this Part (AU 8) | 75.00 |
8006 | Bone graft not covered by any other item in this Part (D) (AU 8) ......... | 75.00 |
8009 | Shoulder—removal of calcium deposit from cuff (AU 8) .............. | 40.50 |
8014 | Shoulder—arthrotomy (AU 7) ............................... | 44.00 |
8017 | Shoulder—arthroplasty or plastic reconstruction (AU 11) ............. | 118.00 |
8019 | Shoulder—arthrodesis or arthrectomy (AU 11) .................... | 138.00 |
8022 | Finger of other small joint—arthrodesis, arthrectomy, or arthroplasty (AU 5) . | 47.50 |
8026 | Small joint—arthrotomy (AU 5) .............................. | 12.00 |
8028 | Zygapophyseal joints, arthrectomy (AU 8) ....................... | 70.00 |
8032 | Sacro-iliac joint—arthrodesis (AU 12) .......................... | 79.00 |
8036 | Other large joint—arthrodesis, arthrectomy, arthoplasty or total synovectomy of (AU 10) | 70.00 |
8010 | Other large joint—arthrotomy (AU S) .......................... | 49.00 |
8044 | Hip—arthrodesis (AU 15) .................................. | 182.00 |
8048 | Hip—arthrectomy (AU 15) ................................. | 126.00 |
8053 | Hip—arthroplasty (Austin Moore, Girdlestone or similar procedure) (AU 10) | 126.00 |
8061 | Hip—arthroplasty, cup or mould (Smith-Petersen or similar procedure) (AU 10) | 158.00 |
8069 | Hip—arthroplasty, total replacement (McKee-Farrer, Charnley or similar procedure) (AU 17) | 235.00 |
8074 | Hip—arthrotomy including removal of prosthesis (AU 9) ............. | 93.00 |
8076 | Knee—arthroplasty, total replacement of (Freeman-Swanson or similar procedure) (AU 17) | 235.00 |
6079 | Knee—arthrodesis, arthrectomy, arthroplasty (not covered by item 8076) or total synovectomy of (AU 9) | 126.00 |
8081 | Knee—arthrotomy (AU 6) .................................. | 61.00 |
8084 | Knee—arthroscopy of, not associated with any other operative procedure on that knee (AU 5) | 31.00 |
8087 | Knee—operation for internal derangement (AU 7) .................. | 69.00 |
8089 | Knee—reconstruction of cruciate ligaments (AU 9) ................. | 93.00 |
8092 | Knee—reconstruction of capsular ligaments (AU 9) ................. | 44.00 |
8095 | Knee—excision of patella (G) (AU 7) .......................... | 66.00 |
8097 | Knee—excision of patella (S) (AU 7) ........................... | 84.00 |
8100 | Knee—operation for recurrent dislocation of patella (AU 9) ............ | 100.00 |
8103 | Elbow—arthroplasty, total replacement of (AU 17) ................. | 235.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10- Division 11—continued | ||
8105 | Joint, aspiration of, or intra-articular injection into, or both of these services (AU 5) | 6.50 |
8108 | Synovial cavity, aspiration of, or intra-synovial injection into, or both of these services (AU 5) | 4.50 |
8113 | Joint, repair of capsule or ligament of (AU 7) ..................... | 61.00 |
8116 | Foot or ankle region-triple arthrodesis (AU 9) ..................... | 93.00 |
8120 | Calcanean spur, removal of (AU 6) ............................ | 54.00 |
8124 | Hallux valgus, correction of (G) (AU 7) ......................... | 45.50 |
8127 | Hallux valgus, correction of (S) (AU 7) ......................... | 57.00 |
8131 | Hallux valgus, correction of, with osteotomy or osteectomy of phalanx or metatarsal (AU 7) | 78.00 |
8135 | Hallux valgus, correction of, with osteotomy or osteectomy of phalanx or metatarsal and transplantation of adductor hallucis tendon (AU 8) | 100.00 |
8140 | Hallux valgus and hammer toe, correction of, with subcutaneous tenotomy, one or more tendons (G) (AU 7) | 67.00 |
8143 | Hallux valgus and hammer toe, correction of, with subcutaneous tenotomy, one or more tendons (S) (AU 7) | 82.00 |
8148 | Hallux rigidus, correction of (AU 6) ........................... | 77.00 |
8151 | Hammer toe, correction of (G) (AU 6) .......................... | 31.00 |
8153 | Hammer toe, correction of (S) (AU 6) .......................... | 39.00 |
8158 | Cervical rib, removal of (AU 11) .............................. | 93.00 |
8161 | Scalenotomy (AU 8) ...................................... | 71.00 |
8166 | Acromion or coraco-acromion ligament, removal of (AU 7) ............ | 54.00 |
8169 | Excision of exostosis of small bone (G) (AU 6) .................... | 31.00 |
8173 | Excision of exostosis of small bone (S) (AU 6) .................... | 39.00 |
8175 | Excision of exostosis of small bone (D) (AU 6) .................... | 39.00 |
8179 | Excision of exostosis of large bone (G) (AU 6) .................... | 38.50 |
8182 | Excision of exostosis of large bono (S) (AU 6) ..................... | 49.00 |
8185 | Osteotomy or osteectomy of phalanx, metacarpal or metatarsal (AU 6)..... | 40.50 |
8187 | Osteotomy of phalanx, metacarpal or metatarsal, with internal fixation (AU 6) | 44.00 |
8190 | Osteotomy or osteectomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus (AU 7) | 44.00 |
8193 | Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, with internal fixation (AU 7) | 54.00 |
8195 | Osteotomy or osteectomy of tibia or humerus (AU 7) ................ | 61.00 |
8198 | Osteotomy or osteectomy of femur or pelvic bone (AU 8) ............. | 100.00 |
8201 | Osteotomy of tibia, humerus, femur or pelvic bone, with internal fixation (AU 11) | 152.00 |
8203 | Osteotomy, bilateral iliac, preliminary to repair of ectopic bladder (AU 14) .. | 84.00 |
8206 | Osteotomy of femur—sub-trochanteric (AU 11) .................... | 100.00 |
8209 | Osteectomy of vertebral bodies (AU 10) ......................... | 96.00 |
8211 | Osteotomy and distraction for lengthening of limb (AU 8) ............. | 100.00 |
8214 | Removal of distracting apparatus from limb, without internal fixation (AU 6) | 22.50 |
8217 | Removal of distracting apparatus from limb, with internal fixation (AU 7) .. | 49.00 |
8219 | Flexor tendon of hand, primary suture of (G) (AU 8) ................. | 41.50 |
8222 | Flexor tendon of hand, primary suture of (S) (AU 8) ................. | 54.00 |
8225 | Flexor tendon of hand, secondary suture of (AU 9) .................. | 61.00 |
8227 | Extensor of hand, primary suture of (G) (AU 8) .................... | 20.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 11—continued | ||
8230 | Extensor tendon of hand, primary suture of (S) (AU 8) ............... | 25.00 |
8233 | Extensor tendon of hand, secondary suture of (AU 9) ................ | 40.50 |
8235 | Achilles tendon or other large tendon, suture of (G) (AU 9) ............ | 52.00 |
8238 | Achilles tendon or other large tendon, suture of (S) (AU 9) ............ | 66.00 |
8241 | Tendon of foot, primary suture of (AU 8) ........................ | 16.40 |
8243 | Tendon of foot, secondary suture of (AU 8) ....................... | 25.00 |
8246 | Tenotomy, subcutaneous, one or more tendons (AU 4)................ | 14.80 |
8249 | Tenotomy, open, with or without tenoplasty (AU 7).................. | 39.00 |
8251 | Tendon or ligament transplantation not covered by any other item (AU 8) ... | 75.00 |
8254 | Iliopsoas tendon, transplantation of, to greater trochanter (AU 10) ........ | 205.00 |
8257 | Tendon graft (AU 8) ...................................... | 100.00 |
8259 | Insertion of artifical tendon prosthesis in preparation for tendon grafting (AU 10) | 76.00 |
8262 | Achilles tendon or other large tendon—operation for lengthening (AU 9) ... | 44.00 |
8265 | Tendon sheath, incision of (G) (AU 5) .......................... | 24.50 |
8267 | Tendon sheath, incision of (S) (AU 5) .......................... | 31.00 |
8271 | Stenosing tendovaginitis, open operation for (AU 6) ................. | 31.00 |
8275 | Tenolysis of flexor tendon following tendon injury, repair or graft— not covered by item 8271 (AU 8) | 46.50 |
8279 | Tenolysis of extensor tendon following tendon injury, repair or graft— not covered by item 8271 (AU 8) | 26.00 |
8282 | Tendon sheath of finger or thumb, synovectomy of (AU 8) ............ | 35.50 |
8283 | Synovectomy of metacarpophalangeal joint (AU 8) ................. | 46.50 |
8287 | Synovectomy of interphalangeal joint (AU 8) ..................... | 31.50 |
8290 | Synovectomy of wrist, carpometacarpal joint or inferior radioulnar joint (AU 11) | 81.00 |
8292 | Synovectomy of extensor or flexor tendons in wrist (AU 11) ........... | 81.00 |
8294 | Cicatricial flexion contracture of joint, correction of, involving tissues deeper than skin and subcutaneous tissue (AU 9) | 33.00 |
8296 | Dupuytren’s contracture, subcutaneous fasciotomy (AU 8) ............. | 25.00 |
8298 | Dupuytren’s contracture, radical operation for (AU 9) ................ | 66.00 |
8300 | Volkmann’s contracture, operation for (AU 10) .................... | 61.00 |
8302 | Fragmentation and rodding in fragilitas ossium—humerus, radius or ulna (AU 11) | 100.00 |
8304 | Fragmentation and rodding in fragilitas ossium—tibia (AU 10) .......... | 126.00 |
8306 | Fragmentation and rodding in fragilitas ossium—femur (AU 12) ......... | 166.00 |
8308 | Scapulopexy (AU 9) ...................................... | 126.00 |
8310 | Epiphyscodesis—femur (AU 7) .............................. | 61.00 |
8312 | Epiphyscodesis—tibia and fibula (AU 7) ........................ | 61.00 |
8314 | Epiphyscodesis—femur, tibia and fibula (AU 10) ................... | 84.00 |
8316 | Staple arrest of hemi-epiphysis (AU 7) .......................... | 84.00 |
8318 | Stripping of ilium (Soutter’s operation) (AU 8) .................... | 79.00 |
8320 | Radical plantar fasciotomy (Steindler’s operation) (AU 7) ............. | 79.00 |
8322 | Talipes equinovarus—posterior release procedure (AU 7) ............. | 74.00 |
8324 | Talipes equinovarus—medical release procedure (AU 7) .............. | 84.00 |
8326 | Subtalar arthrodesis (extra-articular) (AU 10) ..................... | 84.00 |
8328 | Calcaneal osteotomy (AU 8) ................................ | 61.00 |
8330 | Calcaneal osteotomy with bone graft (AU 10) ..................... | 84.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Division 12—Paediatric | ||
Manipulations and plaster work for correction of congenital abnormalities | ||
8332 | Congenital dislocation of hip—manipulation and plaster (one hip) (AU 6) .. | 27.50 |
8334 | Talipes equinovarus—manipulation under general anaesthesia (AU 5)..... | 6.40 |
8336 | Talipes equinovarus—manipulation and plaster under general anaesthesia (AU 6) | 7.40 |
8338 | Calcaneus valgus—manipulation under general anaesthesia (AU 5)....... | 6.40 |
8340 | Calcaneus valgus—manipulation and plaster under general anaesthesia (AU 6) | 8.20 |
8342 | Pes planus or metatarsus varus—manipulation under general anaesthesia (AU 5) | 6.40 |
8344 | Pes planus or metatarsus varus—manipulation and plaster under general anaesthesia (AU 6) | 9.90 |
8346 | Genu varum or genu valgum—manipulation under general anaesthesia (AU 5) | 6.40 |
8348 | Genu varum or genu valgum—manipulation and plaster under general anaesthesia (AU 5) | 12.00 |
8350 | Genu varum or genu valgum—manipulation and plaster with, osteoclasis (AU 5) | 35.50 |
8352 | Contractures, manipulation under general anaesthesia, not covered by any other item in this Part (AU 5) | 6.40 |
8354 | Contractures, manipulation and plaster under general anaesthesia, not covered by any other item in this Part (AU 5) | 9.90 |
8356 | Spastic paralysis—manipulation and plaster (one limb) (AU 5) .......... | 9.90 |
Operations for correction of congenital abnormalities | ||
8358 | Subdural haemorrhage, tap for, each tap (AU 6) .................... | 10.60 |
8360 | Subdural haemorrhage, osteoplastic flap and excision of (AU 16) ........ | 122.00 |
8362 | Ventriculo-cisternostomy (Torkildsen’s operation) (AU 15) ............ | 138.00 |
8364 | Ventriculo-jugular shunt (AU 13) ............................. | 138.00 |
8366 | Ventriculo-atrial shunt for hydrocephalus or other lesion (AU 14) ........ | 138.00 |
8368 | Ventriculo-atrial shunt, revision or removal of (AU 12) ............... | 71.00 |
8370 | Hydrocephalus, spino-ureteral, spino-peritoneal or spino-pleural anastomosis of, or ventricular spino-peritoneal or similar spinal shunt (AU 13) | 108.00 |
8372 | Craniostenosis, operation for—single, suture (AU 17) ................ | 108.00 |
8374 | Craniostenosis, operation for—more than one suture (AU 20) ........... | 154.00 |
8376 | Arachnoidal cyst, operation for (AU 15) ......................... | 138.00 |
8378 | Hypertelorism, correction of (AU 14) ........................... | 138.00 |
8380 | Choanal atresia, plastic repair of (AU 16) ........................ | 136.00 |
8382 | Choanal atresia, repair of by puncture and dilatation (AU 11) ........... | 31.00 |
8384 | Macrocheilia, macroglossia or macrostomia, operation for (AU 13) ....... | 71.00 |
8386 | Torticollis, operation for (AU 7) .............................. | 54.00 |
8388 | Oesophagus, radical correction of congenital stenosis of (AU 21) ........ | 166.00 |
8390 | Tracheo-oesophageal fistula (with or without atresia), ligation and division of (AU 20) | 166.00 |
8394 | Neonatal alimentary obstruction, laparotomy for, with or without resection (AU 15) | 144.00 |
8398 | Hirschsprung’s disease, rectosigmoidectomy for (AU 22) ............. | 138.00 |
8400 | Exomphalos or gastroschisis, operation for (AU 13) ................. | 96.00 |
8402 | Exomphalos or gastroschisis, operation for, by plastic flap (AU 14) ....... | 108.00 |
8406 | Ano-rectal malformation, perineal anoplasty (AU 10) ................ | 59.00 |
Schedule 1—combined
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 12—continued | ||
8408 | Ano-rectal malformation, rectoplasty not covered by item 8406 (AU 18) ... | 176.00 |
8410 | Contracted bladder neck (congenital), wedge excision or perurethral resection of (AU 11) | 93.00 |
8412 | Urachal fistula, operation for (AU 11) .......................... | 54.00 |
8414 | Ectopia vesicae, or ectopia cloacae (vesico-intestinal fissure) closure and sphincter reconstruction (AU 12) | 182.00 |
8416 | Pinhole urinary meatus—meatotomy (AU 5) ...................... | 16.40 |
8418 | Urethral valves or urethral membrane, open removal of (AU 12) ......... | 108.00 |
8420 | Incontinence of urine (congenital)—plastic operation to sphincter (AU 12) .. | 80.00 |
8422 | Lymphangiectasis of limb (Milroy’s disease)—limited excision of (AU 14) .. | 55.00 |
8424 | Lymphangiectasia of limb (Milroy’s disease)—radical excision of (AU 18) .. | 122.00 |
Operations for excision of congenital abnormalities | ||
8428 | Extra digit, ligation of pedicle (AU 4) .......................... | 6.30 |
8430 | Extra digit, amputation of (AU 6) ............................. | 16.40 |
8432 | Dermoid, periorbital, excision of (G) (AU 8) ...................... | 24.50 |
8434 | Dermoid, periorbital, excision of (S) (AU 8) ...................... | 31.50 |
8436 | Dermoid, orbital, excision of (AU 8) ........................... | 71.00 |
8438 | Dermoid of nose, superficial, excision of (AU 7) ................... | 16.40 |
8440 | Dermoid of nose, excision of, with intranasal extension (AU 8) .......... | 84.00 |
8442 | Myelomeningocele—excision of sac (AU 13) ..................... | 100.00 |
8444 | Myelomeningocele extensive, requiring formal repair with skin flaps or Z plasty (AU 15) | 154.00 |
Operations for acquired conditions | ||
8446 | Epiphysitis (Perthes’, Calve’s or Scheuermann’s) plaster for (AU 5) ...... | 13.20 |
8448 | Epiphysitis (Sever’s, Kohter’s Kienboch’s or Schlatter’s) plaster for (AU 5) . | 8.20 |
Division 13—Plastic and Reconstructive | ||
Meticulous plastic repair designed to obtain maximal functional or cosmetic results including the preparation of the defect requiring repair. | ||
8450 | Derma-fat fascia graft (including transplant or muscle flap) (AU 12) ...... | 69.00 |
8452 | Abrasive therapy, limited area (AU 6) .......................... | 24.50 |
8454 | Abrasive therapy, extensive area (AU 7) ......................... | 59.00 |
8456 | Electrolysis epilation, each treatment (AU 6) ...................... | 7.10 |
8458 | Angioma, cauterisation of or injection into, under general anaesthesia (AU 7) | 6.20 |
8460 | Angioma, cauterisation of or injection into, under general anaesthesia (D) (AU 7) | 6.20 |
8462 | Angioma of skin, and subcutaneous tissue or mucous surface, small, excision and repair of (AU 7) | 17.60 |
8464 | Angioma of skin and subcutaneous tissue or mucous surface, small, excision and repair of (D) (AU 7) | 17.60 |
8466 | Angioma of skin and subcutaneous tissue or mucous surface, large, excision and repair of (AU 9) | 21.50 |
8468 | Angioma of skin and subcutaneous tissue or mucous surface, large, excision and repair of (D) (AU 9) | 21.50 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 13—continued | ||
8470 | Angioma, involving deeper tissue, small, excision and repair of (AU 9)..... | 30.00 |
8472 | Angioma involving deeper tissue, largo, excision, and repair of (AU 10).... | 46.50 |
8474 | Haemangioma of neck, deep-seated, excision of (AU 10) .............. | 84.00 |
8476 | Major excision and grafting for lymphoedema (AU 15) ............... | 118.00 |
8478 | Foreign implants for contour reconstruction (AU 10) ................ | 69.00 |
8479 | Foreign implants for contour reconstruction (D) (AU 10) .............. | 69.00 |
Skin flap surgery | ||
8480 | Single stage local (lap repair, simple, small (AU 7) .................. | 40.50 |
8482 | Single stage local flap repair, simple, small (D) (AU 7) ............... | 40.50 |
8484 | Single stage local flap repair, complicated or large (AU 10) ............ | 61.00 |
8486 | Direct flap repair (cross leg or similar), first stage (AU 11) ............. | 69.00 |
8488 | Direct flap repair (cross leg or similar), second stage (AU 9) ........... | 33.00 |
8490 | Direct flap repair, small, first stage (AU 7) ....................... | 36.50 |
8492 | Direct flap repair, small, second stage (AU 7) ..................... | 15.60 |
8494 | Indirect flap or tubed pedicle, formation of (AU 10)................. | 65.00 |
8496 | Indirect flap or tubed pedicle, delay, intermediate transfer or detachment of (AU 8) | 33.00 |
8498 | Indirect flap or tubed pedicle, preparation of site and attachment to site (AU 10) | 69.00 |
8500 | Indirect flap or tubed pedicle, spreading of pedicle, as a separate procedure (AU 8) | 54.00 |
8502 | Direct, indirect or local flap repair, revision of graft (AU 7) ............ | 36.50 |
Free grafts | ||
8504 | Free grafts (split skin or pinch grafts) on granulating areas, small (AU 7) ... | 29.00 |
8506 | Free grafts (split skin or pinch grafts) on granulating areas, small (D) (AU 7) . | 29.00 |
8508 | Free grafts (split skin) on granulating areas, extensive (AU 11) .......... | 61.00 |
8510 | Free grafts (split skin) to extensive burns (AU 11) .................. | 106.00 |
8512 | Free grafts (split skin) including elective dissection, small (AU 8) ........ | 40.50 |
8514 | Free grafts (split skin) including elective dissection, small (D) (AU 8)...... | 40.50 |
8516 | Free grafts (split skin) including elective dissection, extensive (AU 11)..... | 89.00 |
8518 | Free full thickness grafts (AU 9) .............................. | 69.00 |
8520 | Free full thickness grafts (D) (AU 9) ........................... | 69.00 |
Other grafts and miscellaneous procedures | ||
8522 | Revision under general anaesthesia of facial or neck scar not more than 3 cm. in length (AU 8) | 30.00 |
8524 | Revision under general anaesthesia of facial or neck scar more than 3 cm. in length (AU 9) | 43.00 |
8526 | Cineplasty for amputation stump (AU 8) ......................... | 112.00 |
8528 | Mammaplasty, reduction or repositioning (unilateral) (AU 10) .......... | 136.00 |
8530 | Mammaplasty, augmentation, prosthetic (unilateral) (AU 10) ........... | 112.00 |
8532 | Mammaplasty, derma-fat fascia (unilateral) (AU 11) ................. | 136.00 |
8534 | Hair transplants, multiple punch or similar technique, involving not more than 40 punch grafts (AU 7) | 14.20 |
8536 | Hair transplants, multiple punch or similar techniques, involving more than 40, but not more than 100 punch grafts (AU 8) | 30.00 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 13—continued | ||
8538 | Hair transplants, multiple punch or similar technique, involving more than 100 punch grafts (AU 10) | 71.00 |
8540 | Digit, transplantation of—complete procedure (AU 16) ............... | 138.00 |
8542 | Neurovascular island flap, including repair of secondary defect (AU 15) .... | 196.00 |
8544 | Macrodactyly, plastic reduction of, each finger (AU 8) ............... | 47.50 |
8546 | Facial nerve paralysis, free fascia craft for (AU 12) .................. | 108.00 |
8548 | Facial nerve paralysis, muscle transfer or graft for (AU 13) ............ | 126.00 |
8550 | Melonoplasty (AU 17) .................................... | 205.00 |
8552 | Orbital cavity, reconstruction of floor or roof of (AU 12) .............. | 71.00 |
8554 | Maxilla, resection of (AU 17) ................................ | 136.00 |
8556 | Mandible, resection of (AU 15) ............................... | 106.00 |
8558 | Mandible, resection of (D) (AU 15) ............................ | 106.00 |
8560 | Mandible, segmental resection of, for tumours (AU 13) ............... | 89.00 |
8562 | Mandible, segmental resection of, for tumours (D) (AU 13) ............ | 89.00 |
8564 | Mandible, section-fixation for prognathism or retrognathism (AU 14)...... | 89.00 |
8566 | Mandible, section-fixation for prognathism or retrognathism (D) (AU 14) ... | 89.00 |
8568 | Mandible, hemi-mandibular reconstruction with bone graft, not associated with item 8566 (AU 15) | 122.00 |
8570 | Mandible, condylectomy (AU 11) ............................. | 69.00 |
8572 | Mandible, condylectomy (D) (AU 11) .......................... | 69.00 |
8574 | Osteotomy or osteectomy of mandible (other than alveolar margins) for congenital or post-traumatic malformation not covered by any other item in this Part (AU 11) | 76.00 |
8576 | Osteotomy or osteectomy of mandible (other than alveolar margins) for congenital or post-traumatic malformation not covered by any other item in this Part (D) (AU 11) | 76.00 |
8578 | Osteotomy or osteectomy of maxilla (other than alveolar margins) for congenital or post-traumatic malformation not covered by any other item in this Part (AU 11 | 89.00 |
8580 | Osteotomy or osteectomy of maxilla (other than alveolar margins) for congenital or post-traumatic malformation not covered by any other item in this Part (D) (AU 11) | 89.00 |
8582 | Whole thickness repair of eyelid (AU 10) ........................ | 89.00 |
8584 | Partial reconstruction of eyelid or socket (AU 12) ................... | 40.50 |
8586 | Correction of ptosis (unilateral) (AU 12) ......................... | 118.00 |
8588 | Ectropion or entropion, correction of (unilateral) (AU 9) .............. | 46.50 |
8590 | Reduction of eyelid or eyelids of one eye (AU 9) ................... | 69.00 |
8592 | Symblepharon, grafting for (AU 8) ............................ | 69.00 |
8594 | Rhinoplasty, correction of lateral or alar cartilages or both (AU 10) ....... | 76.00 |
8596 | Rhinoplasty, correction of bony vault only (AU 10) ................. | 89.00 |
8598 | Rhinoplasty, correction of bony vault and lateral and alar cartilages (AU 12) . | 195.00 |
8600 | Rhinoplasty, autogenous bone or costal cartilage graft (AU 13) .......... | 192.00 |
8602 | Rhinoplasty, secondary revision of (AU 10) ...................... | 19.80 |
8604 | Rhinophyma, correction of (AU 9) ............................ | 51.00 |
8606 | Composite graft to nose or ear (AU 11) ......................... | 51.00 |
8608 | Lop ear, bat ear or similar deformity, correction of (AU 8) ............. | 80.00 |
8610 | Pinna, amputation of, complete (AU 9) .......................... | 27.00 |
8612 | Congenital atresia, reconstruction of external auditory canal (AU 11)...... | 106.00 |
8614 | Full thickness wedge excision of lip with repair by direct sutures (AU 8).... | 46.50 |
8616 | Vermilionectomy (AU 8) ................................... | 46.50 |
Schedule 1—continued
Item No. | Medical Service | Basic Commonwealth benefit |
|
| $ |
Part 10—Division 13—continued | ||
8618 | Lip or eyelid reconstruction using full thickness (lap, first stage (AU 11).... | 79.00 |
8620 | Lip or eyelid reconstruction using full thickness flap, second stage (AU 4) .. | 21.50 |
8622 | Cleft lip, complete primary repair, unilateral (AU 12) ................ | 96.00 |
8624 | Cleft lip, complete primary repair, one stage, bilateral (AU 14) .......... | 130.00 |
8626 | Cleft lip, incomplete primary repair, unilateral (AU 11) ............... | 51.00 |
8628 | Cleft lip, secondary correction, partial or incomplete (AU 10) ........... | 38.50 |
8630 | Cleft lip, secondary correction, complete revision (AU 12) ............. | 76.00 |
8632 | Cleft lip, secondary correction, Abbe flap (AU 12) .................. | 180.00 |
8634 | Cleft lip, secondary correction of nostril or nasal tip (AU 10) ........... | 51.00 |
8636 | Cleft palate, primary repair, partial cleft (AU 13) ................... | 96.00 |
8638 | Cleft palate, primary repair, partial cleft (D) (AU 13) ................ | 96.00 |
8640 | Cleft palate, primary repair, complete cleft or cleft requiring major repair (AU 14) | 122.00 |
8642 | Cleft palate, primary repair, complete cleft or cleft requiring major repair (D) (AU 14) | 122.00 |
8644 | Cleft palate, secondary repair, closure of fistula (AU 13) .............. | 61.00 |
8646 | Cleft palate, secondary repair, closure of fistula (D) (AU 13) ........... | 61.00 |
8648 | Cleft palate, secondary repair, lengthening procedure (AU 12) .......... | 89.00 |
8650 | Cleft palate, secondary repair, lengthening procedure (D) (AU 12) ........ | 89.00 |
8652 | Cleft palate, partial repair, complex cleft (AU 13) ................... | 50.00 |
8654 | Cleft palate, partial repair, complex cleft (D) (AU 13) ................ | 50.00 |
8656 | Pharyngeal flap of pharyngoplasty (AU 15) ....................... | 112.00 |
SCHEDULE 2
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 |
| $ | $ |
| $ | $ |
3 .. | 2.85 | 0.65 | 273 .. | 1.75 | 0.65 |
4 .. | 4.75 | 1.15 | 278 .. | 5.15 | 2.05 |
14 .. | 3.75 | 0.90 | 284 .. | 7.85 | 3.15 |
19 .. | 5.70 | 1.40 | 290 .. | 5.65 | 2.25 |
25 .. | 7.05 | 1.75 | 295 .. | 5.65 | 2.25 |
26 .. | 9.15 | 2.25 | 298 .. | 10.20 | 4.10 |
33 .. | 10.65 | 2.65 | 354 .. | 5.65 | 2.25 |
35 .. | 12.55 | 3.15 | 360 .. | 24.00 | 5.00 |
43 .. | 4.20 | 1.00 | 362 .. | 8.30 | 3.30 |
44 .. | 6.15 | 1.50 | 365 .. | 27.00 | 5.00 |
51 .. | 5.55 | 1.35 | 368 .. | 41.00 | 5.00 |
53 .. | 7.60 | 1.85 | 374 .. | 5.65 | 2.25 |
57 .. | 9.00 | 2.25 | 383 .. | 5.95 | 4.55 |
59 .. | 10.90 | 2.70 | 401 .. | 1.00 | 0.50 |
65 .. | 12.60 | 3.15 | 403 .. | 2.10 | 1.00 |
66 .. | 14.30 | 3.60 | 404 .. | 3.10 | 1.50 |
69 .. | 5.55 | 1.35 | 405 .. | 4.25 | 2.05 |
71 .. | 7.60 | 1.85 | 406 .. | 5.25 | 2.55 |
73 .. | 3.75 | 0.90 | 407 .. | 6.25 | 3.05 |
79 .. | 2.85 | 0.65 | 408 .. | 8.40 | 3.60 |
82 .. | 3.75 | 0.90 | 409 .. | 10.40 | 4.10 |
85 .. | 6.35 | 1.35 | 443 .. | 11.35 | 4.65 |
88 .. | 11.55 | 2.75 | 450 .. | 12.70 | 5.00 |
94 .. | 5.85 | 1.35 | 453 .. | 13.70 | 5.00 |
100 .. | 16.45 | 3.95 | 454 .. | 15.00 | 5.00 |
103 .. | 10.85 | 2.55 | 457 .. | 16.50 | 5.00 |
110 .. | 18.40 | 4.70 | 458 .. | 15.50 | 5.00 |
116 .. | 9.05 | 2.35 | 459 .. | 16.50 | 5.00 |
122 .. | 24.50 | 5.00 | 460 .. | 18.00 | 5.00 |
128 .. | 13.40 | 3.50 | 461 .. | 19.00 | 5.00 |
134 .. | 5.85 | 1.35 | 462 .. | 20.50 | 5.00 |
136 .. | 11.55 | 2.75 | 463 .. | 21.50 | 5.00 |
138 .. | 16.90 | 4.10 | 464 .. | 23.00 | 5.00 |
140 .. | 23.00 | 5.00 | 465 .. | 24.00 | 5.00 |
142 .. | 30.00 | 5.00 | 466 .. | 25.00 | 5.00 |
144 .. | 10.85 | 2.55 | 467 .. | 26.50 | 5.00 |
146 .. | 16.45 | 3.95 | 468 .. | 27.50 | 5.00 |
148 .. | 21.90 | 5.00 | 469 .. | 29.00 | 5.00 |
150 .. | 29.00 | 5.00 | 470 .. | 30.00 | 5.00 |
152 .. | 36.00 | 5.00 | 471 .. | 32.00 | 5.00 |
160 .. | 15.80 | 3.80 | 472 .. | 33.00 | 5.00 |
161 .. | 26.60 | 5.00 | 473 .. | 34.00 | 5.00 |
162 .. | 38.00 | 5.00 | 474 .. | 35.00 | 5.00 |
163 .. | 50.00 | 5.00 | 475 .. | 38.00 | 5.00 |
164 .. | 61.00 | 5.00 | 476 .. | 43.00 | 5.00 |
190 .. | 2.30 | 0.90 | 477 .. | 45.00 | 5.00 |
192 .. | 9.00 | 5.00 | 478 .. | 46.00 | 5.00 |
194 .. | 24.00 | 5.00 | 479 .. | 2.65 | 1.25 |
196 .. | 31.00 | 5.00 | 480 .. | 6.25 | 3.05 |
198 .. | 24.00 | 5.00 | 481 .. | 7.40 | 3.60 |
200 .. | 31.00 | 5.00 | 482 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the dislocation concerned plus one-half of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the dislocation concerned plus one-half of that amount |
207 .. | 43.00 | 5.00 |
|
|
|
211 .. | 69.20 | 5.00 |
|
|
|
213 .. | 50.20 | 5.00 |
|
|
|
216 .. | 58.20 | 5.00 |
|
|
|
217 .. | 72.20 | 5.00 |
|
|
|
234 .. | 53.00 | 5.00 |
|
|
|
241 .. | 37.00 | 5.00 |
|
|
|
242 .. | 1.75 | 0.65 |
|
|
|
246 .. | 1.75 | 0.65 |
|
|
|
250 .. | 15.10 | 5.00 |
|
|
|
258 .. | 21.00 | 5.00 |
|
|
|
267 .. | 5.65 | 2.25 |
|
|
|
Schedule 2—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ | $ | $ | $ |
483 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus one-third of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus one-third of that amount | 541 .. 542 .. 543 .. 544 .. 545 .. 546 .. 547 .. 548 .. 549 .. 550 .. 551 .. 552 ..
| 37.00 39.00 40.00 41.00 43.00 46.00 52.00 55.00 57.00 3.15 7.65 8.85
| 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 1.55 3.75 4.35 |
484 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus one-half of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus one-half of that amount | 553. .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the dislocation concerned plus one-half of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the dislocation concerned plus one-half of that amount |
485 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus three-quarters of that amount
| The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus three-quarters of that amount
| 554 ..
| The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus one-third of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus one-third of that amount |
|
|
|
|
|
|
|
|
| 556 ..
| The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus one-third of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus one-half of that amount |
|
|
| 557 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of |
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Schedule 2—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
| the fracture concerned plus three-quarters of that amount | the fracture concerned plus three-quarters of that amount | 912 .. | 7.25 | 2.65 |
|
|
| 913 .. | 12.10 | 4.40 |
|
|
| 914 .. | 11.85 | 4.35 |
|
|
| 916 .. | 17.20 | 5.00 |
566 .. | 7.45 | 2.05 | 917 .. | 9.60 | 3.50 |
567 .. | 8.55 | 2.45 | 918 .. | 16.80 | 5.00 |
568 .. | 8.95 | 2.55 | 919 .. | 4.10 | 1.50 |
569 .. | 6.45 | 3.15 | 920 .. | 13.45 | 4.95 |
570 .. | 13.70 | 4.10 | 922 .. | 48.00 | 5.00 |
571 .. | 10.05 | 4.95 | 923 .. | 71.00 | 5.00 |
572 .. | 10.65 | 3.05 | 925 .. | 10.75 | 3.95 |
573 .. | 7.65 | 3.75 | 927 .. | 3.60 | 1.30 |
574 .. | 16.90 | 5.00 | 929 .. | 5.95 | 2.15 |
575 .. | 13.50 | 5.00 | 932 .. | 5.95 | 2.15 |
748 .. | 6.95 | 3.45 | 934 .. | 8.35 | 3.05 |
752 .. | 5.05 | 2.45 | 936 .. | 12.80 | 4.70 |
760 .. | 5.25 | 2.55 | 938 .. | 12.80 | 4.70 |
764 .. | 6.45 | 3.15 | 940 .. | 11.85 | 4.35 |
767 .. | 10.05 | 4.95 | 944 .. | 8.05 | 2.95 |
770 .. | 6.65 | 2.45 | 947 .. | 24.00 | 5.00 |
774 .. | 13.45 | 4.95 | 949 .. | 4.85 | 1.75 |
777 .. | 23.00 | 5.00 | 952 .. | 11.20 | 4.10 |
787 .. | 19.50 | 5.00 | 954 .. | 1.75 | 0.65 |
790 .. | 29.50 | 5.00 | 956 .. | 2.15 | 0.75 |
794 .. | 8.05 | 2.95 | 958 .. | 3.45 | 1.25 |
797 .. | 8.50 | 5.00 | 960 .. | 5.05 | 1.85 |
803 .. | 12.80 | 4.70 | 963 .. | 3.40 | 1.20 |
806 .. | 16.50 | 5.00 | 966 .. | 9.35 | 3.45 |
809 .. | 23.00 | 5.00 | 968 .. | 18.50 | 5.00 |
812 .. | 9.60 | 3.50 | 970 .. | 39.00 | 5.00 |
815 .. | 8.05 | 2.95 | 974 .. | 5.95 | 2.15 |
818 .. | 42.00 | 5.00 | 1001 .. | 0.90 | 0.40 |
821 .. | 6.00 | 5.00 | 1005 .. | 1.00 | 0.50 |
824 .. | 6.25 | 2.25 | 1013 .. | 1.55 | 0.65 |
827 .. | 30.50 | 5.00 | 1017 .. | 1.00 | 0.50 |
829 .. | 54.00 | 5.00 | 1023 .. | 0.90 | 0.40 |
833 .. | 23.00 | 5.00 | 1027 .. | 1.75 | 0.85 |
836 .. | 12.80 | 4.70 | 1031 .. | 3.40 | 1.70 |
839 .. | 7.25 | 2.65 | 1035 .. | 2.40 | 1.20 |
844 .. | 6.65 | 2.45 | 1039 .. | 3.40 | 1.70 |
849 .. | 6.25 | 1.45 | 1043 .. | 4.80 | 2.40 |
853 .. | 10.75 | 3.95 | 1047 .. | 0.90 | 0.40 |
856 .. | 7.05 | 2.55 | 1051 .. | 8.40 | 4.20 |
859 .. | 13.45 | 4.95 | 1055 .. | 0.90 | 0.40 |
863 .. | 2.60 | 0.90 | 1056 .. | 2.45 | 0.65 |
865 .. | 3.75 | 1.35 | 1058 .. | 1.00 | 0.50 |
870 .. | 5.00 | 1.80 | 1061 .. | 3.10 | 1.35 |
874 .. | 6.25 | 2.25 | 1067 .. | 3.10 | 1.35 |
877 .. | 3.75 | 1.35 | 1071 .. | 3.10 | 1.35 |
879 .. | 5.50 | 2.00 | 1075 .. | 1.65 | 0.85 |
882 .. | 4.35 | 1.55 | 1077 .. | 2.40 | 1.20 |
884 .. | 4.35 | 1.55 | 1079 .. | 2.75 | 1.35 |
886 .. | 5.35 | 1.95 | 1083 .. | 2.75 | 1.35 |
888 .. | 4.85 | 1.75 | 1086 .. | 2.45 | 1.20 |
890 .. | 5.15 | 1.85 | 1088 .. | 3.40 | 1.70 |
893 .. | 11.20 | 4.10 | 1091 .. | 1.35 | 0.65 |
895 .. | 5.35 | 1.95 | 1095 .. | 4.80 | 2.40 |
897 .. | 8.05 | 2.95 | 1099 .. | 3.40 | 1.70 |
899 .. | 5.35 | 1.95 | 1103 .. | 1.55 | 0.65 |
902 .. | 35.50 | 5.00 | 1107 .. | 0.90 | 0.40 |
904 .. | 29.50 | 5.00 | 1111 .. | 1.55 | 0.75 |
907 .. | 2.75 | 0.95 | 1115 .. | 0.70 | 0.30 |
908 .. | 4.85 | 1.75 | 1119 .. | 0.90 | 0.40 |
909 .. | 2.45 | 0.85 | 1123 .. | 2.10 | 1.00 |
910 .. | 2.45 | 0.85 | 1127 .. | 2.20 | 1.10 |
Schedule 2—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
1131 .. | 2.10 | 1.00 | 1369 .. | 2.40 | 1.20 |
1135 .. | 2.40 | 1.20 | 1371 .. | 4.35 | 1.55 |
1139 .. | 7.50 | 3.80 | 1373 .. | 2.05 | 0.65 |
1143 .. | 1.00 | 0.50 | 1375 .. | 2.10 | 0.90 |
1147 .. | 1.00 | 0.50 | 1377 .. | 3.05 | 1.55 |
1151 .. | 2.10 | 1.00 | 1379 .. | 4.25 | 2.15 |
1155 .. | 8.45 | 4.25 | 1383 .. | 4.25 | 2.15 |
1158 .. | 1.65 | 0.85 | 1386 .. | 6.75 | 3.45 |
1161 .. | 2.40 | 1.20 | 1390 .. | 8.45 | 4.25 |
1165 .. | 1.65 | 0.85 | 1396 .. | 3.05 | 1.55 |
1169 .. | 1.65 | 0.85 | 1400 .. | 4.25 | 2.15 |
1173 .. | 1.35 | 0.65 | 1403 .. | 2.45 | 1.20 |
1177 .. | 1.90 | 0.90 | 1406 .. | 1.65 | 0.85 |
1181 .. | 2.20 | 1.10 | 1409 .. | 2.75 | 1.35 |
1185 .. | 4.15 | 2.05 | 1412 .. | 4.25 | 2.15 |
1189 .. | 1.55 | 0.65 | 1415 .. | 1.20 | 0.60 |
1193 .. | 1.65 | 0.85 | 1418 .. | 2.40 | 1.20 |
1197 .. | 2.20 | 1.10 | 1422 .. | 4.15 | 2.05 |
1201 .. | 5.15 | 2.55 | 1426 .. | 5.45 | 2.75 |
1205 .. | 0.90 | 0.40 | 1429 .. | 6.75 | 3.45 |
1209 .. | 1.00 | 0.50 | 1433 .. | 8.20 | 4.10 |
1213 .. | 4.60 | 2.30 | 1437 .. | 2.40 | 1.20 |
1217 .. | 1.65 | 0.85 | 1440 .. | 3.75 | 1.85 |
1221 .. | 4.15 | 2.05 | 1443 .. | 2.40 | 1.20 |
1225 .. | 2.45 | 1.20 | 1446 .. | 4.15 | 2.05 |
1229 .. | 1.65 | 0.85 | 1449 .. | 5.45 | 2.75 |
1233 .. | 3.10 | 1.00 | 1451 .. | 6.75 | 3.45 |
1241 .. | 1.00 | 0.50 | 1454 .. | 3.05 | 1.55 |
1245 .. | 2.75 | 1.35 | 1457 .. | 8.45 | 4.25 |
1249 .. | 1.65 | 0.85 | 1460 .. | 1.65 | 0.85 |
1253 .. | 2.75 | 1.35 | 1464 .. | 2.40 | 1.20 |
1257 .. | 4.15 | 2.05 | 1467 .. | 4.15 | 2.05 |
1261 .. | 1.65 | 0.85 | 1471 .. | 5.45 | 2.75 |
1265 .. | 2.40 | 1.20 | 1475 .. | 6.75 | 3.45 |
1269 .. | 2.55 | 1.25 | 1477 .. | 8.20 | 4.10 |
1273 .. | 1.65 | 0.85 | 1480 .. | 3.40 | 1.70 |
1276 .. | 1.65 | 0.85 | 1483 .. | 4.80 | 2.40 |
1281 .. | 2.40 | 1.20 | 1486 .. | 2.40 | 1.20 |
1285 .. | 4.15 | 2.05 | 1489 .. | 1.65 | 0.85 |
1289 .. | 2.40 | 1.20 | 1498 .. | 4.05 | 2.05 |
1293 .. | 2.10 | 1.00 | 1503 .. | 2.40 | 1.20 |
1297 .. | 2.10 | 1.00 | 1507 .. | 4.15 | 2.05 |
1303 .. | 2.40 | 1.20 | 1510 .. | 5.45 | 2.75 |
1308 .. | 2.75 | 1.35 | 1518 .. | 6.75 | 3.45 |
1311 .. | 4.35 | 1.55 | 1524 .. | 8.20 | 4.10 |
1315 .. | 3.90 | 1.70 | 1528 .. | 2.40 | 1.20 |
1318 .. | 3.75 | 1.85 | 1532 .. | 1.65 | 0.85 |
1321 .. | 1.00 | 0.50 | 1535 .. | 0.70 | 0.30 |
1324 .. | 1.65 | 0.85 | 1538 .. | 0.35 | 0.15 |
1326 .. | 2.10 | 1.00 | 1542 .. | 3.95 | 1.95 |
1329 .. | 2.05 | 0.85 | 1547 .. | 1.55 | 0.65 |
1332 .. | 2.95 | 0.65 | 1552 .. | 1.00 | 0.50 |
1335 .. | 2.40 | 1.20 | 1555 .. | 1.65 | 0.85 |
1338 .. | 0.90 | 0.40 | 1558 .. | 4.25 | 2.15 |
1341 .. | 1.65 | 0.85 | 1561 .. | 2.75 | 1.35 |
1344 .. | 2.40 | 1.20 | 1565 .. | 4.45 | 2.25 |
1347 .. | 3.50 | 1.20 | 1569 .. | 6.05 | 3.05 |
1350 .. | 2.40 | 1.20 | 1572 .. | 5.15 | 2.55 |
1353 .. | 3.50 | 1.20 | 1574 .. | 6.75 | 3.45 |
1356 .. | 2.40 | 1.20 | 1576 .. | 2.95 | 1.45 |
1359 .. | 2.05 | 0.75 | 1578 .. | 3.05 | 1.55 |
1361 .. | 2.60 | 1.25 | 1581 .. | 3.05 | 1.55 |
1363 .. | 1.65 | 0.75 | 1585 .. | 2.10 | 1.00 |
1365 .. | 3.95 | 1.35 | 1591 .. | 2.40 | 0.60 |
1367 .. | 2.40 | 1.20 | 1593 .. | 1.55 | 0.65 |
Schedule 2—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
1595 .. | 2.55 | 1.25 | 1799 .. | 2.55 | 1.25 |
1597 .. | 4.30 | 2.10 | 1803 .. | 3.40 | 1.70 |
1599 .. | 5.35 | 2.65 | 1807 .. | 2.10 | 1.00 |
1602 .. | 3.40 | 1.70 | 1811 .. | 3.75 | 1.85 |
1605 .. | 5.15 | 2.55 | 1814 .. | 1.65 | 0.85 |
1608 .. | 6.20 | 3.10 | 1816 .. | 2.75 | 1.35 |
1612 .. | 1.00 | 0.50 | 1818 .. | 2.10 | 1.00 |
1617 .. | 2.75 | 1.35 | 1821 .. | 1.65 | 0.85 |
1619 .. | 0.90 | 0.40 | 1825 .. | 2.10 | 1.00 |
1624 .. | 1.65 | 0.85 | 1829 .. | 0.90 | 0.40 |
1628 .. | 1.20 | 0.60 | 1832 .. | 3.40 | 1.70 |
1632 .. | 3.50 | 1.20 | 1834 .. | 5.05 | 2.55 |
1635 .. | 1.65 | 0.85 | 1836 .. | 3.40 | 1.70 |
1637 .. | 2.75 | 0.85 | 1838 .. | 5.70 | 2.80 |
1639 .. | 2.75 | 1.35 | 1842 .. | 8.10 | 4.00 |
1642 .. | 1.65 | 0.85 | 1845 .. | 5.70 | 2.90 |
1646 .. | 2.10 | 1.00 | 1848 .. | 5.15 | 2.55 |
1650 .. | 2.10 | 1.00 | 1854 .. | 7.40 | 3.70 |
1654 .. | 3.40 | 1.70 | 1857 .. | 6.50 | 3.30 |
1656 .. | 2.10 | 1.00 | 1860 .. | 8.70 | 4.40 |
1658 .. | 4.25 | 2.15 | 1864 .. | 2.95 | 1.45 |
1660 .. | 8.45 | 4.25 | 1868 .. | 1.65 | 0.85 |
1663 .. | 2.40 | 1.20 | 1872 .. | 1.90 | 0.90 |
1666 .. | 2.75 | 1.35 | 1876 .. | 3.40 | 1.70 |
1669 .. | 8.45 | 4.25 | 1880 .. | 2.05 | 0.75 |
1672 .. | 2.95 | 1.45 | 1883 .. | 2.40 | 1.20 |
1675 .. | 2.45 | 1.20 | 1886 .. | 2.40 | 1.20 |
1677 .. | 4.25 | 2.15 | 1890 .. | 2.40 | 1.20 |
1679 .. | 3.75 | 1.85 | 1894 .. | 4.15 | 2.05 |
1681 .. | 2.45 | 1.20 | 1930 .. | 5.45 | 2.75 |
1685 .. | 3.05 | 1.55 | 1934 .. | 6.75 | 3.45 |
1689 .. | 2.40 | 1.20 | 1938 .. | 2.20 | 1.10 |
1692 .. | 4.15 | 2.05 | 1944 .. | 2.95 | 1.45 |
1695 .. | 5.45 | 2.75 | 2001 .. | 3.05 | 1.55 |
1699 .. | 6.75 | 3.45 | 2005 .. | 3.40 | 1.70 |
1704 .. | 2.45 | 0.85 | 2008 .. | 1.00 | 0.50 |
1708 .. | 2.40 | 1.20 | 2012 .. | 0.90 | 0.40 |
1711 .. | 3.40 | 1.70 | 2017 .. | 2.10 | 1.00 |
1715 .. | 8.45 | 4.25 | 2021 .. | 1.20 | 0.60 |
1719 .. | 6.75 | 3.45 | 2026 .. | 2.40 | 1.20 |
1723 .. | 3.60 | 1.80 | 2032 .. | 2.10 | 1.00 |
1727 .. | 2.95 | 1.45 | 2036 .. | 1.65 | 0.85 |
1731 .. | 2.95 | 1.45 | 2040 .. | 4.80 | 2.40 |
1735 .. | 9.35 | 3.45 | 2047 .. | 2.55 | 1.25 |
1739 .. | 3.60 | 1.80 | 2051 .. | 2.55 | 1.25 |
1742 .. | 3.60 | 1.80 | 2055 .. | 8.45 | 4.25 |
1745 .. | 2.45 | 0.85 | 2059 .. | 6.05 | 3.05 |
1749 .. | 6.75 | 3.45 | 2064 .. | 8.45 | 4.25 |
1751 .. | 8.45 | 4.25 | 2068 .. | 3.40 | 1.70 |
1753 .. | 1.00 | 0.50 | 2072 .. | 2.05 | 0.75 |
1755 .. | 1.65 | 0.85 | 2078 .. | 5.15 | 2.55 |
1757 .. | 3.75 | 1.85 | 2083 .. | 2.40 | 1.20 |
1759 .. | 3.40 | 1.70 | 2087 .. | 2.40 | 1.20 |
1762 .. | 0.90 | 0.40 | 2091 .. | 3.05 | 1.55 |
1765 .. | 1.00 | 0.50 | 2094 .. | 0.90 | 0.40 |
1768 .. | 1.00 | 0.50 | 2098 .. | 1.00 | 0.50 |
1771 .. | 2.10 | 1.00 | 2106 .. | 1.00 | 0.50 |
1774 .. | 1.65 | 0.75 | 2110 .. | 1.20 | 0.60 |
1777 .. | 0.85 | 0.85 | 2115 .. | 1.65 | 0.85 |
1780 .. | 1.55 | 0.75 | 2121 .. | 1.65 | 0.85 |
1783 .. | 2.60 | 1.25 | 2127 .. | 2.10 | 1.00 |
1786 .. | 3.60 | 1.80 | 2133 .. | 2.95 | 1.45 |
1788 .. | 4.30 | 2.10 | 2139 .. | 4.15 | 2.05 |
1791 .. | 5.25 | 2.65 | 2144 .. | 1.65 | 0.85 |
1795 .. | 3.95 | 2.65 | 2150 .. | 5.80 | 2.90 |
Schedule 2—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
2154 .. | 1.65 | 0.85 | 2383 .. | 5.15 | 2.55 |
2158 .. | 1.65 | 0.85 | 2385 .. | 5.15 | 2.55 |
2168 .. | 2.75 | 1.35 | 2387 .. | 4.80 | 2.40 |
2172 .. | 0.90 | 0.40 | 2389 .. | 3.95 | 1.95 |
2176 .. | 2.45 | 1.20 | 2391 .. | 3.40 | 1.70 |
2180 .. | 2.45 | 1.20 | 2393 .. | 3.40 | 1.70 |
2184 .. | 1.00 | 0.50 | 2395 .. | 12.00 | 5.00 |
2188 .. | 3.05 | 1.55 | 2397 .. | 1.65 | 0.85 |
2190 .. | 6.05 | 3.05 | 2399 .. | 3.75 | 1.85 |
2192 .. | 9.15 | 4.65 | 2402 .. | 5.15 | 2.55 |
2194 .. | 1.65 | 0.85 | 2404 .. | 2.40 | 1.20 |
2196 .. | 3.40 | 1.70 | 2406 .. | 3.40 | 1.70 |
2197 .. | 5.15 | 2.55 | 2408 .. | 3.40 | 1.70 |
2198 .. | 3.40 | 1.70 | 2411 .. | 5.15 | 2.55 |
2200 .. | 1.00 | 0.50 | 2413 .. | 4.25 | 2.15 |
2207 .. | 2.45 | 0.85 | 2415 .. | 6.05 | 3.05 |
2209 .. | 6.75 | 3.45 | 2417 .. | 2.10 | 1.00 |
2214 .. | 1.00 | 0.50 | 2419 .. | 2.20 | 1.10 |
2218 .. | 2.40 | 1.20 | 2422 .. | 6.05 | 3.05 |
2224 .. | 1.00 | 0.50 | 2424 .. | 7.20 | 3.60 |
2229 .. | 2.40 | 1.20 | 2427 .. | 8.20 | 4.10 |
2233 .. | 2.40 | 1.20 | 2430 .. | 9.85 | 4.95 |
2237 .. | 1.35 | 0.65 | 2432 .. | 3.95 | 1.95 |
2242 .. | 2.40 | 1.20 | 2434 .. | 3.95 | 1.95 |
2246 .. | 1.00 | 0.50 | 2436 .. | 4.35 | 2.15 |
2251 .. | 2.40 | 1.20 | 2438 .. | 7.95 | 3.95 |
2253 .. | 3.95 | 1.35 | 2441 .. | 2.75 | 1.35 |
2258 .. | 4.15 | 2.05 | 2443 .. | 3.95 | 1.95 |
2260 .. | 2.05 | 0.75 | 2446 .. | 3.95 | 1.95 |
2261 .. | 2.05 | 0.75 | 2448 .. | 4.35 | 2.15 |
2263 .. | 2.05 | 0.75 | 2451 .. | 12.00 | 5.00 |
2266 .. | 1.65 | 0.85 | 2454 .. | 20.00 | 5.00 |
2271 .. | 1.65 | 0.85 | 2457 .. | 7.95 | 3.95 |
2276 .. | 3.40 | 1.70 | 2462 .. | 6.75 | 3.35 |
2280 .. | 3.40 | 1.70 | 2470 .. | 5.15 | 2.55 |
2284 .. | 1.65 | 0.85 | 2473 .. | 6.25 | 3.15 |
2288 .. | 1.20 | 0.60 | 2474 .. | 12.50 | 5.00 |
2290 .. | 3.60 | 1.80 | 2476 .. | 12.00 | 5.00 |
2293 .. | 5.15 | 2.55 | 2477 .. | 6.25 | 3.15 |
2297 .. | 2.45 | 1.20 | 2479 .. | 22.50 | 5.00 |
2301 .. | 5.15 | 2.55 | 2480 .. | 9.40 | 4.70 |
2305 .. | 2.45 | 1.20 | 2481 .. | 12.00 | 5.00 |
2309 .. | 2.45 | 1.20 | 2483 .. | 6.75 | 3.35 |
2313 .. | 4.15 | 2.05 | 2484 .. | 7.95 | 3.95 |
2317 .. | 6.05 | 3.05 | 2486 .. | 12.50 | 5.00 |
2321 .. | 10.80 | 4.10 | 2487 .. | 4.75 | 2.35 |
2325 .. | 8.20 | 4.10 | 2489 .. | 13.00 | 5.00 |
2329 .. | 10.30 | 5.00 | 2491 .. | 12.00 | 5.00 |
2333 .. | 12.00 | 5.00 | 2493 .. | 7.95 | 3.95 |
2337 .. | 16.50 | 5.00 | 2495 .. | 12.00 | 5.00 |
2341 .. | 4.80 | 2.40 | 2496 .. | 12.00 | 5.00 |
2345 .. | 3.40 | 1.70 | 2498 .. | 7.95 | 3.95 |
2349 .. | 3.40 | 1.70 | 2499 .. | 7.95 | 3.95 |
2353 .. | 4.15 | 2.05 | 2500 .. | 6.75 | 3.35 |
2356 .. | 4.15 | 2.05 | 2502 .. | 3.75 | 1.85 |
2358 .. | 6.75 | 3.45 | 2505 .. | 4.35 | 2.15 |
2361 .. | 2.45 | 2.55 | 2508 .. | 3.75 | 1.85 |
2364 .. | 6.05 | 3.05 | 2512 .. | 4.35 | 2.15 |
2368 .. | 4.45 | 2.25 | 2516 .. | 5.15 | 2.55 |
2370 .. | 5.15 | 2.55 | 2520 .. | 5.75 | 2.85 |
2373 .. | 14.50 | 5.00 | 2524 .. | 3.75 | 1.85 |
2375 .. | 4.80 | 2.40 | 2528 .. | 4.75 | 2.35 |
2377 .. | 4.15 | 2.05 | 2532 .. | 5.45 | 2.75 |
2379 .. | 6.75 | 3.45 | 2537 .. | 7.00 | 3.50 |
2381 .. | 14.50 | 5.00 |
|
|
|
Schedule 2—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
2539 .. | 5.15 | 2.55 | 2730 .. | 7.00 | 3.50 |
2541 .. | 5.75 | 2.85 | 2732 .. | 2.15 | 1.05 |
2543 .. | 4.15 | 2.05 | 2734 .. | 8.65 | 4.35 |
2545 .. | 4.75 | 2.35 | 2736 .. | 5.15 | 2.55 |
2548 .. | 5.15 | 2.55 | 2738 .. | 4.75 | 2.35 |
2551 .. | 6.50 | 3.30 | 2740 .. | 9.40 | 4.70 |
2554 .. | 6.50 | 3.30 | 2742 .. | 7.00 | 3.50 |
2557 .. | 10.70 | 5.00 | 2744 .. | 8.65 | 4.35 |
2560 .. | 6.50 | 3.30 | 2746 .. | 12.00 | 5.00 |
2563 .. | 5.15 | 2.55 | 2748 .. | 12.00 | 5.00 |
2566 .. | 6.50 | 3.30 | 2750 .. | 12.00 | 5.00 |
2569 .. | 6.50 | 3.30 | 2751 .. | 35.00 | 5.00 |
2573 .. | 5.15 | 2.55 | 2752 .. | 7.00 | 3.50 |
2576 .. | 5.15 | 2.55 | 2754 .. | 5.15 | 2.55 |
2579 .. | 5.15 | 2.55 | 2756 .. | 11.00 | 5.00 |
2581 .. | 4.35 | 2.15 | 2758 .. | 8.65 | 4.35 |
2583 .. | 4.35 | 2.15 | 2760 .. | 9.40 | 4.70 |
2585 .. | 5.45 | 2.75 | 2762 .. | 7.25 | 3.65 |
2587 .. | 3.55 | 1.75 | 2764 .. | 10.70 | 5.00 |
2589 .. | 8.65 | 4.35 | 2766 .. | 10.70 | 5.00 |
2591 .. | 6.75 | 3.45 | 2768 .. | 10.70 | 5.00 |
2593 .. | 5.45 | 2.75 | 2770 .. | 10.70 | 5.00 |
2595 .. | 4.75 | 2.35 | 2772 .. | 10.70 | 5.00 |
2597 .. | 6.75 | 3.45 | 2774 .. | 13.50 | 5.00 |
2599 .. | 5.85 | 2.95 | 2776 .. | 10.70 | 5.00 |
2601 .. | 8.20 | 4.10 | 2778 .. | 7.25 | 3.65 |
2604 .. | 4.85 | 2.45 | 2780 .. | 7.25 | 3.65 |
2607 .. | 10.40 | 5.00 | 2782 .. | 2.35 | 1.15 |
2609 .. | 14.50 | 5.00 | 2784 .. | 5.45 | 2.75 |
2611 .. | 2.15 | 1.05 | 2786 .. | 4.55 | 2.25 |
2614 .. | 5.15 | 2.55 | 2788 .. | 5.45 | 2.75 |
2617 .. | 4.35 | 2.15 | 2790 .. | 9.15 | 4.55 |
2621 .. | 9.40 | 4.70 | 2792 .. | 7.00 | 3.50 |
2625 .. | 4.15 | 2.05 | 2794 .. | 6.50 | 3.30 |
2627 .. | 4.75 | 2.35 | 2796 .. | 6.50 | 3.30 |
2630 .. | 6.50 | 3.30 | 2798 .. | 1.35 | 0.65 |
2634 .. | 4.35 | 2.15 | 2800 .. | 4.75 | 2.35 |
2638 .. | 2.35 | 1.15 | 2802 .. | 3.15 | 1.55 |
2642 .. | 5.45 | 2.75 | 2804 .. | 2.75 | 1.35 |
2646 .. | 6.50 | 3.30 | 2806 .. | 0.55 | 0.25 |
2650 .. | 4.15 | 2.05 | 2808 .. | 3.35 | 1.65 |
2654 .. | 4.75 | 2.35 | 2810 .. | 0.70 | 0.30 |
2659 .. | 5.15 | 2.55 | 2812 .. | 6.75 | 3.35 |
2662 .. | 6.05 | 3.05 | 2814 .. | 1.35 | 0.65 |
2665 .. | 4.75 | 2.35 | 2816 .. | 3.75 | 1.85 |
2672 .. | 15.00 | 5.00 | 2818 .. | 3.35 | 1.65 |
2676 .. | 13.50 | 5.00 | 2820 .. | 0.70 | 0.30 |
2681 .. | 17.50 | 5.00 | 2822 .. | 3.95 | 1.95 |
2687 .. | 10.70 | 5.00 | 2824 .. | 0.75 | 0.35 |
2690 .. | 7.00 | 3.50 | 2826 .. | 8.65 | 4.35 |
2694 .. | 8.65 | 4.35 | 2828 .. | 1.75 | 0.85 |
2697 .. | 5.15 | 2.55 | 2830 .. | 5.15 | 2.55 |
2699 .. | 4.15 | 2.05 | 2832 .. | 1.00 | 0.50 |
2703 .. | 4.75 | 2.35 | 2834 .. | 6.75 | 3.45 |
2706 .. | 7.25 | 3.65 | 2836 .. | 1.35 | 0.65 |
2709 .. | 9.40 | 4.70 | 2838 .. | 12.00 | 5.00 |
2711 .. | 11.50 | 5.00 | 2840 .. | 2.35 | 1.15 |
2714 .. | 8.65 | 4.35 | 2842 .. | 21.50 | 5.00 |
2716 .. | 9.40 | 4.70 | 2844 .. | 14.50 | 5.00 |
2718 .. | 11.50 | 5.00 | 2846 .. | 30.00 | 5.00 |
2720 .. | 7.45 | 3.75 | 2848 .. | 47.00 | 5.00 |
2722 .. | 7.50 | 3.80 | 2850 .. | 35.00 | 5.00 |
2724 .. | 11.50 | 5.00 | 2852 .. | 21.50 | 5.00 |
2726 .. | 8.20 | 4.10 | 2854 .. | 8.20 | 4.10 |
2728 .. | 14.50 | 5.00 | 2856 .. | 13.00 | 5.00 |
Schedule 2—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
2858 .. | 5.45 | 2.75 |
| the operation or series or combination of operations. |
|
2860 .. | 4.15 | 2.05 |
|
|
|
2862 .. | 14.00 | 5.00 |
|
|
|
2864 .. | 4.15 | 2.05 |
|
|
|
2866 .. | 8.20 | 4.10 | 3006 .. | 3.70 | 0.90 |
2868 .. | 9.85 | 4.95 | 3012 .. | 5.85 | 1.65 |
2870 .. | 2.75 | 1.35 | 3016 .. | 4.75 | 2.25 |
2872 .. | 2.95 | 1.45 | 3022 .. | 5.75 | 2.75 |
2874 .. | 12.00 | 5.00 | 3027 .. | 10.00 | 4.70 |
2876 .. | 4.85 | 2.45 | 3033 .. | 12.50 | 5.00 |
2878 .. | 4.85 | 2.45 | 3038 .. | 27.50 | 5.00 |
2880 .. | 16.00 | 5.00 | 3039 .. | 57.00 | 5.00 |
2882 .. | 13.50 | 5.00 | 3041 .. | 27.50 | 5.00 |
2884 .. | 13.50 | 5.00 | 3046 .. | 8.75 | 1.95 |
2886 .. | 19.00 | 5.00 | 3050 .. | 6.90 | 3.30 |
2888 .. | 4.35 | 2.15 | 3058 .. | 13.35 | 2.95 |
2890 .. | 6.50 | 3.30 | 3059 .. | 13.35 | 2.95 |
2892 .. | 6.50 | 3.30 | 3063 .. | 9.05 | 4.35 |
2894 .. | 5.15 | 2.55 | 3068 .. | 9.05 | 4.35 |
2896 .. | 5.15 | 2.55 | 3073 .. | 14.70 | 3.30 |
2898 .. | 4.15 | 2.05 | 3082 .. | 11.30 | 5.00 |
2900 .. | 5.15 | 2.55 | 3087 .. | 15.00 | 5.00 |
2903 .. | 4.15 | 2.05 | 3092 .. | 9.05 | 4.35 |
2906 .. | 4.15 | 2.05 | 3095 .. | 9.05 | 4.35 |
2909 .. | 6.50 | 3.30 | 3098 .. | 12.00 | 5.00 |
2912 .. | 5.35 | 2.65 | 3101 .. | 15.00 | 5.00 |
2916 .. | 5.35 | 2.65 | 3106 .. | 5.75 | 2.75 |
2918 .. | 3.35 | 1.65 | 3109 .. | 15.00 | 5.00 |
2921 .. | 6.50 | 3.30 | 3113 .. | 1.85 | 0.85 |
2923 .. | 4.35 | 2.15 | 3114 .. | 1.85 | 0.85 |
2925 .. | 4.35 | 2.15 | 3116 .. | 8.35 | 3.95 |
2927 .. | 13.50 | 5.00 | 3117 .. | 8.35 | 3.95 |
2930 .. | 8.65 | 4.35 | 3120 .. | 18.00 | 5.00 |
2932 .. | 2.15 | 1.05 | 3124 .. | 23.00 | 5.00 |
2934 .. | 13.50 | 5.00 | 3128 .. | 23.00 | 5.00 |
2936 .. | 6.50 | 3.30 | 3130 .. | 4.15 | 1.95 |
2938 .. | 8.65 | 4.35 | 3134 .. | 4.15 | 1.95 |
2940 .. | 13.50 | 5.00 | 3135 .. | 9.05 | 4.35 |
2950 .. | 8.95 | 3.15 | 3142 .. | 12.00 | 5.00 |
2955 .. | The amount by which— one-fifth of the aggregate of the basic Commonwealth benefit, the fund benefit, and the specified excess, in respect of the operation or series or combination of operations, exceeds— the aggregate of the Commonwealth benefit and the specified excess in respect of the assistance at | Whichever of— (a) three per centum of the aggregate of the basic Commonwealth benefit, the fund benefit, and the specified excess, in respect of the operation or series or combination or operations; or (b) $5 is the less. | 3147 .. | 12.00 | 5.00 |
|
|
| 3148 .. | 3.75 | 1.75 |
|
|
| 3157 .. | 8.35 | 3.95 |
|
|
| 3160 .. | 2.35 | 1.05 |
|
|
| 3163 .. | 2.35 | 1.05 |
|
|
| 3168 .. | 15.00 | 5.00 |
|
|
| 3173 .. | 6.90 | 3.30 |
|
|
| 3175 .. | 6.90 | 3.30 |
|
|
| 3178 .. | 12.00 | 5.00 |
|
|
| 3183 .. | 15.00 | 5.00 |
|
|
| 3187 .. | 15.00 | 5.00 |
|
|
| 3189 .. | 2.70 | 1.30 |
|
|
| 3194 .. | 12.50 | 5.00 |
|
|
| 3199 .. | 18.00 | 5.00 |
|
|
| 3208 .. | 23.50 | 5.00 |
|
|
| 3213 .. | 32.00 | 5.00 |
|
|
| 3217 .. | 32.00 | 5.00 |
|
|
| 3219 .. | 16.85 | 3.65 |
|
|
| 3228 .. | 9.05 | 4.95 |
|
|
| 3229 .. | 9.05 | 4.95 |
|
|
| 3233 .. | 10.90 | 5.00 |
|
|
| 3237 .. | 5.00 | 5.00 |
|
|
| 3245 .. | 5.00 | 5.00 |
|
|
| 3247 .. | 27.50 | 5.00 |
|
|
| 3253 .. | 20.50 | 5.00 |
|
|
| 3258 .. | 20.50 | 5.00 |
Schedule 2—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in first Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
3261 .. | 22.50 | 5.00 | 3532 .. | 52.00 | 5.00 |
3265 .. | 27.50 | 5.00 | 3542 .. | 88.00 | 5.00 |
3271 .. | 34.00 | 5.00 | 3547 .. | 99.00 | 5.00 |
3276 .. | 74.00 | 5.00 | 3555 .. | 110.00 | 5.00 |
3281 .. | 44.00 | 5.00 | 3563 .. | 61.00 | 5.00 |
3284 .. | 44.00 | 5.00 | 3569 .. | 65.00 | 5.00 |
3289 .. | 52.00 | 5.00 | 3576 .. | 44.00 | 5.00 |
3290 .. | 52.00 | 5.00 | 3581 .. | 34.00 | 5.00 |
3295 .. | 74.00 | 5.00 | 3591 .. | 44.00 | 5.00 |
3301 .. | 34.00 | 5.00 | 3597 .. | 38.00 | 5.00 |
3308 .. | 59.00 | 5.00 | 3603 .. | 29.00 | 5.00 |
3314 .. | 10.45 | 4.95 | 3616 .. | 155.00 | 5.00 |
3320 .. | 6.90 | 1.70 | 3618 .. | 32.00 | 5.00 |
3330 .. | 4.15 | 1.95 | 3622 .. | 88.00 | 5.00 |
3331 .. | 4.15 | 1.95 | 3634 .. | 20.50 | 5.00 |
3332 .. | 5.45 | 2.55 | 3638 .. | 65.00 | 5.00 |
3338 .. | 11.85 | 3.15 | 3643 .. | 16.50 | 5.00 |
3342 .. | 7.15 | 3.45 | 3647 .. | 27.50 | 5.00 |
3346 .. | 17.55 | 3.95 | 3652 .. | 37.00 | 5.00 |
3356 .. | 1.55 | 1.55 | 3654 .. | 16.50 | 5.00 |
3363 .. | 13.00 | 5.00 | 3664 .. | 22.50 | 5.00 |
3366 .. | 1.85 | 0.85 | 3668 .. | 21.50 | 5.00 |
3371 .. | 0.95 | 0.85 | 3673 .. | 27.50 | 5.00 |
3379 .. | 14.65 | 4.35 | 3678 .. | 21.50 | 5.00 |
3384 .. | 13.00 | 5.00 | 3683 .. | 27.50 | 5.00 |
3386 .. | 13.00 | 5.00 | 3698 .. | 52.00 | 5.00 |
3389 .. | 9.55 | 4.55 | 3702 .. | 75.00 | 5.00 |
3391 .. | 12.00 | 5.00 | 3707 .. | 12.00 | 5.00 |
3395 .. | 18.00 | 5.00 | 3713 .. | 30.00 | 5.00 |
3399 .. | 22.50 | 5.00 | 3718 .. | 38.00 | 5.00 |
3401 .. | 14.00 | 5.00 | 3724 .. | 38.00 | 5.00 |
3404 .. | 18.00 | 5.00 | 3733 .. | 52.00 | 5.00 |
3407 .. | 25.00 | 5.00 | 3739 .. | 45.00 | 5.00 |
3411 .. | 9.55 | 4.55 | 3745 .. | 57.00 | 5.00 |
3417 .. | 12.00 | 5.00 | 3750 .. | 47.00 | 5.00 |
3425 .. | 30.00 | 5.00 | 3754 .. | 52.00 | 5.00 |
3427 .. | 30.00 | 5.00 | 3759 .. | 135.00 | 5.00 |
3431 .. | 30.00 | 5.00 | 3764 .. | 47.00 | 5.00 |
3437 .. | 67.00 | 5.00 | 3777 .. | 52.00 | 5.00 |
3444 .. | 110.00 | 5.00 | 3783 .. | 52.00 | 5.00 |
3450 .. | 74.00 | 5.00 | 3789 .. | 9.55 | 4.55 |
3455 .. | 30.00 | 5.00 | 3793 .. | 52.00 | 5.00 |
3456 .. | 30.00 | 5.00 | 3798 .. | 67.00 | 5.00 |
3459 .. | 16.50 | 5.00 | 3802 .. | 38.00 | 5.00 |
3462 .. | 16.30 | 5.00 | 3809 .. | 47.00 | 5.00 |
3465 .. | 4.65 | 2.15 | 3815 .. | 79.00 | 5.00 |
3466 .. | 4.65 | 2.15 | 3820 .. | 75.00 | 5.00 |
3468 .. | 9.05 | 4.35 | 3825 .. | 54.00 | 5.00 |
3472 .. | 12.00 | 5.00 | 3831 .. | 86.00 | 5.00 |
3475 .. | 12.00 | 5.00 | 3834 .. | 135.00 | 5.00 |
3477 .. | 12.00 | 5.00 | 3841 .. | 135.00 | 5.00 |
3480 .. | 25.00 | 5.00 | 3846 .. | 15.00 | 5.00 |
3483 .. | 25.00 | 5.00 | 3855 .. | 18.00 | 5.00 |
3490 .. | 61.00 | 5.00 | 3864 .. | 47.00 | 5.00 |
3493 .. | 63.00 | 5.00 | 3870 .. | 49.00 | 5.00 |
3495 .. | 155.00 | 5.00 | 3875 .. | 52.00 | 5.00 |
3496 .. | 3.55 | 1.65 | 3882 .. | 61.00 | 5.00 |
3500 .. | 3.55 | 1.65 | 3889 .. | 74.00 | 5.00 |
3505 .. | 9.30 | 4.40 | 3894 .. | 47.00 | 5.00 |
3507 .. | 9.30 | 4.40 | 3898 .. | 61.00 | 5.00 |
3509 .. | 12.50 | 5.00 | 3902 .. | 61.00 | 5.00 |
3516 .. | 17.00 | 5.00 | 3910 .. | 38.00 | 5.00 |
3521 .. | 17.00 | 5.00 | 3916 .. | 47.00 | 5.00 |
3526 .. | 34.00 | 5.00 | 3922 .. | 88.00 | 5.00 |
3530 .. | 44.00 | 5.00 |
|
|
|
Schedule 2—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
3930 .. | 110.00 | 5.00 | 4249 .. | 30.00 | 5.00 |
3938 .. | 135.00 | 5.00 | 4251 .. | 26.00 | 5.00 |
3946 .. | 47.00 | 5.00 | 4254 .. | 35.00 | 5.00 |
3952 .. | 38.00 | 5.00 | 4258 .. | 38.00 | 5.00 |
3958 .. | 38.00 | 5.00 | 4262 .. | 47.00 | 5.00 |
3962 .. | 47.00 | 5.00 | 4265 .. | 2.70 | 1.30 |
3965 .. | 61.00 | 5.00 | 4269 .. | 18.00 | 5.00 |
3968 .. | 38.00 | 5.00 | 4273 .. | 22.50 | 5.00 |
3970 .. | 47.00 | 5.00 | 4282 .. | 19.50 | 5.00 |
3976 .. | 26.00 | 5.00 | 4285 .. | 25.00 | 5.00 |
3981 .. | 33.00 | 5.00 | 4288 .. | 26.00 | 5.00 |
3986 .. | 47.00 | 5.00 | 4293 .. | 35.00 | 5.00 |
3990 .. | 47.00 | 5.00 | 4296 .. | 47.00 | 5.00 |
3996 .. | 31.00 | 5.00 | 4299 .. | 74.00 | 5.00 |
4000 .. | 39.00 | 5.00 | 4307 .. | 47.00 | 5.00 |
4003 .. | 19.50 | 5.00 | 4313 .. | 8.60 | 4.10 |
4009 .. | 44.00 | 5.00 | 4319 .. | 3.55 | 1.65 |
4012 .. | 75.00 | 5.00 | 4327 .. | 8.35 | 3.95 |
4018 .. | 79.00 | 5.00 | 4338 .. | 12.00 | 5.00 |
4020 .. | 38.00 | 5.00 | 4345 .. | 15.00 | 5.00 |
4021 .. | 47.00 | 5.00 | 4351 .. | 3.70 | 1.70 |
4027 .. | 38.00 | 5.00 | 4354 .. | 4.15 | 1.95 |
4032 .. | 47.00 | 5.00 | 4362 .. | 6.25 | 2.95 |
4039 .. | 59.00 | 5.00 | 4365 .. | 16.50 | 5.00 |
4043 .. | 75.00 | 5.00 | 4370 .. | 27.60 | 5.00 |
4046 .. | 88.00 | 5.00 | 4375 .. | 28.60 | 5.00 |
4048 .. | 110.00 | 5.00 | 4380 .. | 13.00 | 5.00 |
4052 .. | 133.00 | 5.00 | 4387 .. | 15.00 | 5.00 |
4054 .. | 113.00 | 5.00 | 4393 .. | 18.00 | 5.00 |
4059 .. | 37.00 | 5.00 | 4397 .. | 34.00 | 5.00 |
4068 .. | 110.00 | 5.00 | 4407 .. | 52.00 | 5.00 |
4074 .. | 30.00 | 5.00 | 4413 .. | 83.00 | 5.00 |
4080 .. | 14.00 | 5.00 | 4427 .. | 2.70 | 1.30 |
4084 .. | 9.55 | 4.55 | 4434 .. | 11.00 | 5.00 |
4087 .. | 34.00 | 5.00 | 4442 .. | 15.00 | 5.00 |
4093 .. | 43.00 | 5.00 | 4455 .. | 2.95 | 1.35 |
4099 .. | 14.00 | 5.00 | 4461 .. | 12.00 | 5.00 |
4104 .. | 6.90 | 3.30 | 4467 .. | 9.05 | 4.35 |
4109 .. | 105.00 | 5.00 | 4473 .. | 6.45 | 3.05 |
4115 .. | 155.00 | 5.00 | 4482 .. | 33.00 | 5.00 |
4118 .. | 175.00 | 5.00 | 4490 .. | 10.45 | 4.95 |
4124 .. | 36.00 | 5.00 | 4497 .. | 2.05 | 0.95 |
4130 .. | 45.00 | 5.00 | 4509 .. | 4.65 | 2.15 |
4133 .. | 110.00 | 5.00 | 4521 .. | 4.15 | 1.95 |
4138 .. | 47.00 | 5.00 | 4523 .. | 25.00 | 5.00 |
4141 .. | 61.00 | 5.00 | 4527 .. | 32.00 | 5.00 |
4144 .. | 67.00 | 5.00 | 4534 .. | 7.85 | 3.75 |
4149 .. | 41.00 | 5.00 | 4537 .. | 18.00 | 5.00 |
4158 .. | 52.00 | 5.00 | 4514 .. | 23.00 | 5.00 |
4165 .. | 99.00 | 5.00 | 4552 .. | 18.50 | 5.00 |
4173 .. | 75.00 | 5.00 | 4557 .. | 25.00 | 5.00 |
4179 .. | 75.00 | 5.00 | 4568 .. | 27.50 | 5.00 |
4185 .. | 40.00 | 5.00 | 4573 .. | 34.00 | 5.00 |
4191 .. | 12.00 | 5.00 | 4578 .. | 9.05 | 4.35 |
4197 .. | 4.15 | 1.95 | 4585 .. | 12.00 | 5.00 |
4202 .. | 110.00 | 5.00 | 4590 .. | 61.00 | 5.00 |
4209 .. | 91.00 | 5.00 | 4594 .. | 27.50 | 5.00 |
4214 .. | 37.00 | 5.00 | 4602 .. | 5.45 | 2.55 |
4216 .. | 54.00 | 5.00 | 4606 .. | 30.00 | 5.00 |
4222 .. | 30.00 | 5.00 | 4611 .. | 25.50 | 5.00 |
4227 .. | 37.00 | 5.00 | 4617 .. | 33.00 | 5.00 |
4233 .. | 47.00 | 5.00 | 4622 .. | 7.40 | 3.50 |
4238 .. | 69.00 | 5.00 | 4629 .. | 2.75 | 1.25 |
4241 .. | 170.00 | 5.00 | 4633 .. | 7.85 | 3.75 |
4246 .. | 22.00 | 5.00 | 4637 .. | 16.50 | 5.00 |
Schedule 2—continued
Number of item in first Schedule | Fund medical benefit | Specified excess | Number of item in first Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
4640 .. | 67.00 | 5.00 | 4969 .. | 18.50 | 5.00 |
4643 .. | 31.00 | 5.00 | 4972 .. | 18.50 | 5.00 |
4649 .. | 92.00 | 5.00 | 4976 .. | 25.00 | 5.00 |
4651 .. | 27.50 | 5.00 | 4979 .. | 30.00 | 5.00 |
4615 .. | 21.00 | 5.00 | 4983 .. | 52.00 | 5.00 |
4658 .. | 16.50 | 5.00 | 4987 .. | 105.00 | 5.00 |
4662 .. | 44.00 | 5.00 | 4990 .. | 9.05 | 4.35 |
4665 .. | 71.00 | 5.00 | 4993 .. | 11.30 | 5.00 |
4670 .. | 3.95 | 1.85 | 4995 .. | 14.00 | 5.00 |
4676 .. | 42.00 | 5.00 | 4997 .. | 18.00 | 5.00 |
4678 .. | 29.00 | 5.00 | 4999 .. | 17.00 | 5.00 |
4690 .. | 44.00 | 5.00 | 5002 .. | 21.00 | 5.00 |
4693 .. | 65.00 | 5.00 | 5006 .. | 19.50 | 5.00 |
4696 .. | 88.00 | 5.00 | 5009 .. | 24.50 | 5.00 |
4699 .. | 105.00 | 5.00 | 5015 .. | 22.00 | 5.00 |
4702 .. | 65.00 | 5.00 | 5018 .. | 27.50 | 5.00 |
4705 .. | 105.00 | 5.00 | 5024 .. | 11.30 | 5.00 |
4709 .. | 96.00 | 5.00 | 5029 .. | 15.00 | 5.00 |
4715 .. | 47.00 | 5.00 | 5034 .. | 30.00 | 5.00 |
4721 .. | 61.00 | 5.00 | 5038 .. | 25.00 | 5.00 |
4733 .. | 52.00 | 5.00 | 5045 .. | 40.00 | 5.00 |
4738 .. | 65.00 | 5.00 | 5048 .. | 57.00 | 5.00 |
4744 .. | 120.00 | 5.00 | 5051 .. | 65.00 | 5.00 |
4749 .. | 114.00 | 5.00 | 5055 .. | 135.00 | 5.00 |
4754 .. | 120.00 | 5.00 | 5059 .. | 6.25 | 2.95 |
4762 .. | 105.00 | 5.00 | 5062 .. | 20.00 | 5.00 |
4766 .. | 105.00 | 5.00 | 5066 .. | 11.30 | 5.00 |
4778 .. | 61.00 | 5.00 | 5068 .. | 13.00 | 5.00 |
4784 .. | 79.00 | 5.00 | 5072 .. | 83.00 | 5.00 |
4789 .. | 57.00 | 5.00 | 5075 .. | 111.00 | 5.00 |
4791 .. | 135.00 | 5.00 | 5078 .. | 86.00 | 5.00 |
4794 .. | 155.00 | 5.00 | 5081 .. | 96.00 | 5.00 |
4798 .. | 110.00 | 5.00 | 5085 .. | 105.00 | 5.00 |
4801 .. | 37.00 | 5.00 | 5087 .. | 47.00 | 5.00 |
4804 .. | 75.00 | 5.00 | 5091 .. | 59.00 | 5.00 |
4808 .. | 20.00 | 5.00 | 5095 .. | 200.00 | 5.00 |
4812 .. | 15.00 | 5.00 | 5098 .. | 105.00 | 5.00 |
4817 .. | 88.00 | 5.00 | 5100 .. | 310.00 | 5.00 |
4822 .. | 47.00 | 5.00 | 5102 .. | 105.00 | 5.00 |
4828 .. | 4.65 | 2.15 | 5104 .. | 120.00 | 5.00 |
4832 .. | 9.55 | 4.55 | 5106 .. | 92.00 | 5.00 |
4838 .. | 17.00 | 5.00 | 5108 .. | 220.00 | 5.00 |
4841 .. | 17.00 | 5.00 | 5112 .. | 220.00 | 5.00 |
4844 .. | 30.00 | 5.00 | 5116 .. | 105.00 | 5.00 |
4848 .. | 25.00 | 5.00 | 5122 .. | 135.00 | 5.00 |
4853 .. | 30.00 | 5.00 | 5127 .. | 105.00 | 5.00 |
4856 .. | 9.55 | 4.55 | 5131 .. | 52.00 | 5.00 |
4860 .. | 30.00 | 5.00 | 5138 .. | 96.00 | 5.00 |
4862 .. | 30.00 | 5.00 | 5143 .. | 61.00 | 5.00 |
4864 .. | 30.00 | 5.00 | 5147 .. | 96.00 | 5.00 |
4867 .. | 52.00 | 5.00 | 5152 .. | 71.00 | 5.00 |
4869 .. | 40.00 | 5.00 | 5158 .. | 105.00 | 5.00 |
4874 .. | 30.00 | 5.00 | 5162 .. | 7.65 | 3.65 |
4877 .. | 52.00 | 5.00 | 5166 .. | 37.00 | 5.00 |
4927 .. | 12.50 | 5.00 | 5172 .. | 20.00 | 5.00 |
4930 .. | 15.50 | 5.00 | 5176 .. | 3.70 | 1.70 |
4934 .. | 19.00 | 5.00 | 5181 .. | 13.55 | 3.95 |
4940 .. | 24.50 | 5.00 | 5185 .. | 8.35 | 3.95 |
4943 .. | 23.00 | 5.00 | 5192 .. | 5.65 | 2.65 |
4948 .. | 29.00 | 5.00 | 5196 .. | 9.55 | 4.55 |
4950 .. | 26.50 | 5.00 | 5201 .. | 5.95 | 2.85 |
4954 .. | 33.00 | 5.00 | 5205 .. | 6.25 | 2.95 |
4957 .. | 30.00 | 5.00 | 5210 .. | 13.50 | 5.00 |
4961 .. | 37.00 | 5.00 | 5214 .. | 18.00 | 5.00 |
4965 .. | 15.00 | 5.00 | 5217 .. | 37.00 | 5.00 |
Schedule 2—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
5221 .. | 42.25 | 5.00 | 5503 .. | 120.00 | 5.00 |
5225 .. | 43.50 | 5.00 | 5508 .. | 120.00 | 5.00 |
5229 .. | 7.65 | 3.65 | 5520 .. | 15.00 | 5.00 |
5233 .. | 13.00 | 5.00 | 5524 .. | 18.00 | 5.00 |
5237 .. | 10.45 | 4.95 | 5530 .. | 20.00 | 5.00 |
5241 .. | 14.00 | 5.00 | 5534 .. | 24.50 | 5.00 |
5245 .. | 2.45 | 1.15 | 5540 .. | 35.00 | 5.00 |
5249 .. | 2.45 | 1.15 | 5545 .. | 52.00 | 5.00 |
5254 .. | 7.15 | 3.35 | 5556 .. | 52.00 | 5.00 |
5259 .. | 7.15 | 3.35 | 5566 .. | 86.00 | 5.00 |
5264 .. | 2.05 | 0.95 | 5568 .. | 74.00 | 5.00 |
5268 .. | 37.00 | 5.00 | 5572 .. | 15.00 | 5.00 |
5270 .. | 71.00 | 5.00 | 5598 .. | 20.00 | 5.00 |
5274 .. | 71.00 | 5.00 | 5601 .. | 14.00 | 5.00 |
5277 .. | 57.00 | 5.00 | 5605 .. | 14.00 | 5.00 |
5280 .. | 22.50 | 5.00 | 5611 .. | 19.50 | 5.00 |
5282 .. | 22.50 | 5.00 | 5613 .. | 31.00 | 5.00 |
5284 .. | 9.05 | 4.35 | 5619 .. | 20.50 | 5.00 |
5286 .. | 9.05 | 4.35 | 5624 .. | 9.55 | 4.55 |
5288 .. | 52.00 | 5.00 | 5630 .. | 69.00 | 5.00 |
5291 .. | 52.00 | 5.00 | 5636 .. | 75.00 | 5.00 |
5295 .. | 69.00 | 5.00 | 5642 .. | 135.00 | 5.00 |
5298 .. | 91.00 | 5.00 | 5647 .. | 71.00 | 5.00 |
5301 .. | 32.00 | 5.00 | 5651 .. | 96.00 | 5.00 |
5305 .. | 4.65 | 2.15 | 5654 .. | 69.00 | 5.00 |
5308 .. | 29.00 | 5.00 | 5661 .. | 86.00 | 5.00 |
5318 .. | 69.00 | 5.00 | 5665 .. | 96.00 | 5.00 |
5320 .. | 54.00 | 5.00 | 5669 .. | 96.00 | 5.00 |
5325 .. | 4.65 | 2.15 | 5675 .. | 108.00 | 5.00 |
5330 .. | 25.00 | 5.00 | 5679 .. | 96.00 | 5.00 |
5333 .. | 52.00 | 5.00 | 5683 .. | 67.00 | 5.00 |
5337 .. | 71.00 | 5.00 | 5691 .. | 86.00 | 5.00 |
5339 .. | 96.00 | 5.00 | 5694 .. | 96.00 | 5.00 |
5343 .. | 3.15 | 1.45 | 5699 .. | 99.00 | 5.00 |
5345 .. | 9.05 | 4.35 | 5705 .. | 75.00 | 5.00 |
5348 .. | 9.55 | 4.55 | 5715 .. | 69.00 | 5.00 |
5351 .. | 86.00 | 5.00 | 5721 .. | 52.00 | 5.00 |
5354 .. | 61.00 | 5.00 | 5724 .. | 59.00 | 5.00 |
5357 .. | 52.00 | 5.00 | 5726 .. | 13.50 | 5.00 |
5360 .. | 61.00 | 5.00 | 5729 .. | 30.00 | 5.00 |
5363 .. | 18.00 | 5.00 | 5732 .. | 42.00 | 5.00 |
5366 .. | 25.00 | 5.00 | 5734 .. | 86.00 | 5.00 |
5370 .. | 22.25 | 5.00 | 5737 .. | 96.00 | 5.00 |
5374 .. | 29.25 | 5.00 | 5741 .. | 86.00 | 5.00 |
5378 .. | 22.25 | 5.00 | 5744 .. | 86.00 | 5.00 |
5383 .. | 29.25 | 5.00 | 5747 .. | 69.00 | 5.00 |
5389 .. | 23.00 | 5.00 | 5753 .. | 120.00 | 5.00 |
5392 .. | 32.00 | 5.00 | 5757 .. | 155.00 | 5.00 |
5396 .. | 8.60 | 4.10 | 5763 .. | 69.00 | 5.00 |
5401 .. | 11.30 | 5.00 | 5769 .. | 86.00 | 5.00 |
5407 .. | 9.05 | 4.35 | 5773 .. | 75.00 | 5.00 |
5411 .. | 13.00 | 5.00 | 5777 .. | 96.00 | 5.00 |
5415 .. | 13.25 | 5.00 | 5780 .. | 86.00 | 5.00 |
5424 .. | 17.25 | 5.00 | 5785 .. | 86.00 | 5.00 |
5431 .. | 6.90 | 3.30 | 5792 .. | 104.00 | 5.00 |
5445 .. | 5.45 | 2.55 | 5799 .. | 86.00 | 5.00 |
5449 .. | 2.70 | 1.30 | 5804 .. | 104.00 | 5.00 |
5456 .. | 30.00 | 5.00 | 5807 .. | 120.00 | 5.00 |
5464 .. | 15.00 | 5.00 | 5812 .. | 59.00 | 5.00 |
5470 .. | 31.00 | 5.00 | 5816 .. | 69.00 | 5.00 |
5474 .. | 14.00 | 5.00 | 5821 .. | 69.00 | 5.00 |
5480 .. | 18.00 | 5.00 | 5827 .. | 86.00 | 5.00 |
5486 .. | 30.00 | 5.00 | 5831 .. | 67.00 | 5.00 |
5490 .. | 4.15 | 1.95 | 5836 .. | 86.00 | 5.00 |
5498 .. | 114.00 | 5.00 | 5837 .. | 40.00 | 5.00 |
Schedule 2—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
5840 .. | 2.35 | 1.05 | 6118 .. | 123.00 | 5.00 |
5845 .. | 11.70 | 5.00 | 6122 .. | 24.50 | 5.00 |
5847 .. | 15.00 | 5.00 | 6130 .. | 52.00 | 5.00 |
5851 .. | 15.50 | 5.00 | 6135 .. | 86.00 | 5.00 |
5853 .. | 20.00 | 5.00 | 6140 .. | 15.50 | 5.00 |
5857 .. | 7.40 | 3.50 | 6146 .. | 15.50 | 5.00 |
5861 .. | 7.40 | 3.50 | 6152 .. | 42.00 | 5.00 |
5864 .. | 24.50 | 5.00 | 6157 .. | 69.00 | 5.00 |
5868 .. | 20.00 | 5.00 | 6162 .. | 6.25 | 2.95 |
5871 .. | 29.00 | 5.00 | 6166 .. | 69.00 | 5.00 |
5875 .. | 65.00 | 5.00 | 6170 .. | 9.05 | 4.35 |
5878 .. | 22.50 | 5.00 | 6175 .. | 33.00 | 5.00 |
5881 .. | 42.00 | 5.00 | 6179 .. | 42.00 | 5.00 |
5885 .. | 30.00 | 5.00 | 6184 .. | 86.00 | 5.00 |
5888 .. | 42.00 | 5.00 | 6189 .. | 42.00 | 5.00 |
5891 .. | 52.00 | 5.00 | 6194 .. | 86.00 | 5.00 |
5894 .. | 65.00 | 5.00 | 6199 .. | 3.75 | 1.75 |
5897 .. | 30.00 | 5.00 | 6204 .. | 42.00 | 5.00 |
5901 .. | 37.00 | 5.00 | 6208 .. | 79.00 | 5.00 |
5905 .. | 96.00 | 5.00 | 6212 .. | 25.00 | 5.00 |
5916 .. | 65.00 | 5.00 | 6216 .. | 15.50 | 5.00 |
5919 .. | 65.00 | 5.00 | 6218 .. | 15.50 | 5.00 |
5929 .. | 69.00 | 5.00 | 6221 .. | 19.00 | 5.00 |
5935 .. | 37.00 | 5.00 | 6224 .. | 24.50 | 5.00 |
5941 .. | 75.00 | 5.00 | 6228 .. | 24.50 | 5.00 |
5947 .. | 59.00 | 5.00 | 6230 .. | 86.00 | 5.00 |
5956 .. | 69.00 | 5.00 | 6233 .. | 30.00 | 5.00 |
5964 .. | 3.75 | 1.75 | 6236 .. | 27.50 | 5.00 |
5968 .. | 42.00 | 5.00 | 6238 .. | 52.00 | 5.00 |
5973 .. | 42.00 | 5.00 | 6241 .. | 59.00 | 5.00 |
5977 .. | 69.00 | 5.00 | 6244 .. | 46.00 | 5.00 |
5981 .. | 155.00 | 5.00 | 6246 .. | 15.50 | 5.00 |
5984 .. | 86.00 | 5.00 | 6249 .. | 32.50 | 5.00 |
5993 .. | 104.00 | 5.00 | 6253 .. | 20.00 | 5.00 |
6001 .. | 96.00 | 5.00 | 6258 .. | 6.25 | 2.95 |
6005 .. | 25.00 | 5.00 | 6262 .. | 4.15 | 1.95 |
6010 .. | 42.00 | 5.00 | 6267 .. | 6.25 | 2.95 |
6017 .. | 105.00 | 5.00 | 6271 .. | 6.90 | 3.30 |
6022 .. | 25.00 | 5.00 | 6274 .. | 12.00 | 5.00 |
6027 .. | 37.00 | 5.00 | 6277 .. | 15.00 | 5.00 |
6030 .. | 11.30 | 5.00 | 6278 .. | 9.05 | 4.35 |
6033 .. | 42.00 | 5.00 | 6280 .. | 11.70 | 5.00 |
6036 .. | 3.75 | 1.75 | 6284 .. | 4.65 | 2.15 |
6039 .. | 6.25 | 2.95 | 6286 .. | 6.90 | 3.30 |
6041 .. | 86.00 | 5.00 | 6290 .. | 4.65 | 2.15 |
6044 .. | 24.50 | 5.00 | 6292 .. | 9.05 | 4.35 |
6047 .. | 11.70 | 5.00 | 6296 .. | 11.70 | 5.00 |
6053 .. | 29.00 | 5.00 | 6299 .. | 22.50 | 5.00 |
6056 .. | 20.00 | 5.00 | 6302 .. | 30.00 | 5.00 |
6061 .. | 14.00 | 5.00 | 6306 .. | 108.00 | 5.00 |
6066 .. | 7.40 | 3.50 | 6308 .. | 61.00 | 5.00 |
6069 .. | 20.00 | 5.00 | 6313 .. | 3.40 | 1.60 |
6073 .. | 20.00 | 5.00 | 6321 .. | 18.00 | 5.00 |
6077 .. | 59.00 | 5.00 | 6325 .. | 61.00 | 5.00 |
6079 .. | 52.00 | 5.00 | 6327 .. | 61.00 | 5.00 |
6083 .. | 69.00 | 5.00 | 6332 .. | 35.00 | 5.00 |
6086 .. | 69.00 | 5.00 | 6336 .. | 13.00 | 5.00 |
6089 .. | 65.00 | 5.00 | 6342 .. | 9.55 | 4.55 |
6092 .. | 65.00 | 5.00 | 6347 .. | 29.00 | 5.00 |
6095 .. | 24.50 | 5.00 | 6352 .. | 37.00 | 5.00 |
6098 .. | 15.00 | 5.00 | 6358 .. | 37.00 | 5.00 |
6105 .. | 33.00 | 5.00 | 6363 .. | 47.00 | 5.00 |
6107 .. | 42.00 | 5.00 | 6367 .. | 46.00 | 5.00 |
6110 .. | 65.00 | 5.00 | 6373 .. | 57.00 | 5.00 |
6114 .. | 67.00 | 5.00 | 6379 .. | 52.50 | 5.00 |
Schedule 2—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
6384 .. | 134.00 | 5.00 | 6705 .. | 36.00 | 5.00 |
6389 .. | 14.00 | 5.00 | 6707 .. | 57.00 | 5.00 |
6396 .. | 47.00 | 5.00 | 6709 .. | 35.00 | 5.00 |
6401 .. | 61.00 | 5.00 | 6713 .. | 59.00 | 5.00 |
6406 .. | 59.00 | 5.00 | 6715 .. | 74.00 | 5.00 |
6409 .. | 4.95 | 2.35 | 6718 .. | 82.00 | 5.00 |
6412 .. | 4.95 | 2.35 | 6722 .. | 92.00 | 5.00 |
6415 .. | 12.15 | 2.55 | 6724 .. | 44.00 | 5.00 |
6418 .. | 13.50 | 5.00 | 6728 .. | 57.00 | 5.00 |
6424 .. | 18.00 | 5.00 | 6730 .. | 67.00 | 5.00 |
6428 .. | 20.00 | 5.00 | 6736 .. | 92.00 | 5.00 |
6434 .. | 25.50 | 5.00 | 6740 .. | 36.00 | 5.00 |
6436 .. | 11.30 | 5.00 | 6742 .. | 47.00 | 5.00 |
6441 .. | 14.00 | 5.00 | 6744 .. | 67.00 | 5.00 |
6446 .. | 6.25 | 2.95 | 6747 .. | 92.00 | 5.00 |
6451 .. | 8.35 | 3.95 | 6732 .. | 9.05 | 4.35 |
6460 .. | 10.45 | 4.95 | 6754 .. | 6.45 | 3.05 |
6464 .. | 13.50 | 5.00 | 6758 .. | 40.00 | 5.00 |
6469 .. | 18.00 | 5.00 | 6762 .. | 9.05 | 4.35 |
6476 .. | 20.90 | 5.00 | 6766 .. | 23.00 | 5.00 |
6481 .. | 16.40 | 5.00 | 6768 .. | 29.00 | 5.00 |
6486 .. | 13.40 | 5.00 | 6772 .. | 17.00 | 5.00 |
6491 .. | 16.40 | 5.00 | 6774 .. | 44.00 | 5.00 |
6501 .. | 14.85 | 5.00 | 6778 .. | 61.00 | 5.00 |
6506 .. | 17.85 | 5.00 | 6782 .. | 52.00 | 5.00 |
6508 .. | 47.00 | 5.00 | 6786 .. | 67.00 | 5.00 |
6513 .. | 47.00 | 5.00 | 6790 .. | 67.00 | 5.00 |
6517 .. | 59.00 | 5.00 | 6792 .. | 57.00 | 5.00 |
6519 .. | 47.00 | 5.00 | 6796 .. | 40.00 | 5.00 |
6523 .. | 59.00 | 5.00 | 6799 .. | 11.30 | 5.00 |
6528 .. | 53.50 | 5.00 | 6802 .. | 3.75 | 1.75 |
6530 .. | 6.00 | 5.00 | 6805 .. | 11.30 | 4.95 |
6534 .. | 67.00 | 5.00 | 6807 .. | 9.05 | 4.35 |
6536 .. | 100.00 | 5.00 | 6810 .. | 33.00 | 5.00 |
6542 .. | 71.00 | 5.00 | 6814 .. | 9.55 | 4.55 |
6546 .. | 53.00 | 5.00 | 6816 .. | 2.00 | 0.90 |
6553 .. | 37.00 | 5.00 | 6818 .. | 5.65 | 2.65 |
6557 .. | 47.00 | 5.00 | 6820 .. | 17.00 | 5.00 |
6561 .. | 37.00 | 5.00 | 6822 .. | 19.50 | 5.00 |
6563 .. | 47.00 | 5.00 | 6824 .. | 5.65 | 2.65 |
6570 .. | 52.00 | 5.00 | 6828 .. | 120.00 | 5.00 |
6585 .. | 30.00 | 5.00 | 6832 .. | 79.00 | 5.00 |
6594 .. | 5.00 | 5.00 | 6835 .. | 4.75 | 2.25 |
6599 .. | 2.35 | 2.45 | 6837 .. | 21.00 | 5.00 |
6604 .. | 18.00 | 5.00 | 6842 .. | 9.05 | 4.35 |
6613 .. | 66.00 | 5.00 | 6846 .. | 23.00 | 5.00 |
6631 .. | 57.00 | 5.00 | 6848 .. | 105.00 | 5.00 |
6636 .. | 4.95 | 2.35 | 6852 .. | 57.00 | 5.00 |
6641 .. | 3.35 | 1.55 | 6857 .. | 40.00 | 5.00 |
6645 .. | 31.00 | 5.00 | 6859 .. | 105.00 | 5.00 |
6650 .. | 40.00 | 5.00 | 6861 .. | 46.00 | 5.00 |
6661 .. | 37.50 | 5.00 | 6865 .. | 27.00 | 5.00 |
6665 .. | 18.00 | 5.00 | 6869 .. | 25.00 | 5.00 |
6669 .. | 57.00 | 5.00 | 6871 .. | 57.00 | 5.00 |
6672 .. | 37.00 | 5.00 | 6873 .. | 86.00 | 5.00 |
6674 .. | 21.00 | 5.00 | 6879 .. | 61.00 | 5.00 |
6677 .. | 31.00 | 5.00 | 6881 .. | 46.00 | 5.00 |
6681 .. | 40.00 | 5.00 | 6885 .. | 97.00 | 5.00 |
6686 .. | 8.10 | 3.80 | 6889 .. | 30.00 | 5.00 |
6688 .. | 42.00 | 5.00 | 6891 .. | 47.00 | 5.00 |
6692 .. | 54.00 | 5.00 | 6894 .. | 96.00 | 5.00 |
6697 .. | 42.00 | 5.00 | 6898 .. | 25.00 | 5.00 |
6699 .. | 54.00 | 5.00 | 6900 .. | 79.00 | 5.00 |
6701 .. | 30.00 | 5.00 | 6902 .. | 105.00 | 5.00 |
6703 .. | 17.00 | 5.00 | 6904 .. | 30.00 | 5.00 |
Schedule 2—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
6906 .. | 13.50 | 5.00 | 7116 .. | 16.50 | 5.00 |
6908 .. | 52.00 | 5.00 | 7117 .. | 21.50 | 5.00 |
6912 .. | 79.00 | 5.00 | 7120 .. | 30.00 | 5.00 |
6914 .. | 6.90 | 3.30 | 7121 .. | 40.00 | 5.00 |
6918 .. | 5.45 | 2.55 | 7124 .. | 37.00 | 5.00 |
6922 .. | 52.00 | 5.00 | 7128 .. | 37.00 | 5.00 |
6924 .. | 61.00 | 5.00 | 7129 .. | 63.00 | 5.00 |
6928 .. | 67.00 | 5.00 | 7132 .. | 43.00 | 5.00 |
6930 .. | 61.00 | 5.00 | 7134 .. | 43.00 | 5.00 |
6932 .. | 35.00 | 5.00 | 7138 .. | 69.00 | 5.00 |
6934 .. | 34.00 | 5.00 | 7139 .. | 75.00 | 5.00 |
6938 .. | 35.00 | 5.00 | 7143 .. | 37.00 | 5.00 |
6940 .. | 5.15 | 2.45 | 7148 .. | 15.00 | 5.00 |
6942 .. | 8.55 | 4.05 | 7152 .. | 5.00 | 5.00 |
6946 .. | 6.90 | 3.30 | 7156 .. | 37.00 | 5.00 |
6948 .. | 3.45 | 1.65 | 7165 .. | 65.00 | 5.00 |
6953 .. | 8.55 | 4.05 | 7170 .. | 104.00 | 5.00 |
6955 .. | 40.00 | 5.00 | 7175 .. | 32.00 | 5.00 |
6958 .. | 82.00 | 5.00 | 7178 .. | 21.50 | 5.00 |
6962 .. | 120.00 | 5.00 | 7182 .. | 27.50 | 5.00 |
6964 .. | 88.00 | 5.00 | 7186 .. | 19.50 | 5.00 |
6966 .. | 120.00 | 5.00 | 7192 .. | 40.00 | 5.00 |
6968 .. | 63.00 | 5.00 | 7194 .. | 88.00 | 5.00 |
6970 .. | 36.00 | 5.00 | 7198 .. | 130.00 | 5.00 |
6972 .. | 108.00 | 5.00 | 7203 .. | 220.00 | 5.00 |
6974 .. | 23.50 | 5.00 | 7208 .. | 32.00 | 5.00 |
6976 .. | 7.15 | 3.35 | 7212 .. | 40.00 | 5.00 |
6978 .. | 15.00 | 5.00 | 7216 .. | 96.00 | 5.00 |
6980 .. | 20.00 | 5.00 | 7220 .. | 51.00 | 5.00 |
6982 .. | 88.00 | 5.00 | 7231 .. | 65.00 | 5.00 |
6984 .. | 120.00 | 5.00 | 7236 .. | 67.00 | 5.00 |
6986 .. | 120.00 | 5.00 | 7240 .. | 83.00 | 5.00 |
6988 .. | 150.00 | 5.00 | 7244 .. | 96.00 | 5.00 |
6990 .. | 54.00 | 5.00 | 7248 .. | 96.00 | 5.00 |
6992 .. | 36.00 | 5.00 | 7251 .. | 79.00 | 5.00 |
6995 .. | 88.00 | 5.00 | 7265 .. | 220.00 | 5.00 |
6997 .. | 88.00 | 5.00 | 7270 .. | 114.00 | 5.00 |
6999 .. | 120.00 | 5.00 | 7274 .. | 57.00 | 5.00 |
7001 .. | 37.00 | 5.00 | 7279 .. | 65.00 | 5.00 |
7003 .. | 47.00 | 5.00 | 7283 .. | 130.00 | 5.00 |
7006 .. | 9.00 | 5.00 | 7287 .. | 40.00 | 5.00 |
7011 .. | 37.00 | 5.00 | 7291 .. | 65.00 | 5.00 |
7013 .. | 67.00 | 5.00 | 7298 .. | 79.00 | 5.00 |
7021 .. | 108.00 | 5.00 | 7304 .. | 220.00 | 5.00 |
7023 .. | 88.00 | 5.00 | 7307 .. | 130.00 | 5.00 |
7028 .. | 54.00 | 5.00 | 7312 .. | 96.00 | 5.00 |
7033 .. | 33.00 | 5.00 | 7331 .. | 86.00 | 5.00 |
7042 .. | 26.00 | 5.00 | 7336 .. | 86.00 | 5.00 |
7046 .. | 25.00 | 5.00 | 7341 .. | 86.00 | 5.00 |
7050 .. | 25.00 | 5.00 | 7346 .. | 88.00 | 5.00 |
7057 .. | 250.00 | 5.00 | 7353 .. | 108.00 | 5.00 |
7052 .. | 25.00 | 5.00 | 7355 .. | 96.00 | 5.00 |
7066 .. | 200.00 | 5.00 | 7361 .. | 49.00 | 5.00 |
7068 .. | 2.00 | 0.90 | 7365 .. | 49.00 | 5.00 |
7072 .. | 4.65 | 2.15 | 7370 .. | 86.00 | 5.00 |
7075 .. | 5.65 | 2.65 | 7376 .. | 63.00 | 5.00 |
7079 .. | 22.50 | 5.00 | 7381 .. | 57.00 | 5.00 |
7081 .. | 24.00 | 5.00 | 7397 .. | 3.70 | 1.70 |
7085 .. | 5.65 | 2.65 | 7402 .. | 3.70 | 1.70 |
7089 .. | 6.65 | 3.15 | 7406 .. | 2.30 | 1.10 |
7093 .. | 5.95 | 2.85 | 7408 .. | 2.30 | 1.10 |
7099 .. | 15.50 | 5.00 | 7410 .. | 5.75 | 2.75 |
7106 .. | 9.75 | 4.65 | 7412 .. | 6.90 | 3.30 |
7111 .. | 12.50 | 5.00 | 7416 .. | 5.75 | 2.75 |
7112 .. | 18.00 | 5.00 | 7419 .. | 4.65 | 2.15 |
Schedule 2—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
7423 .. | 8.35 | 3.95 | 7610 .. | 19.50 | 5.00 |
7426 .. | 5.45 | 2.55 | 7615 .. | 10.45 | 4.95 |
7430 .. | 10.90 | 5.00 | 7619 .. | 14.00 | 5.00 |
7432 .. | 14.00 | 5.00 | 7624 .. | 35.00 | 5.00 |
7435 .. | 2.30 | 1.10 | 7627 .. | 47.00 | 5.00 |
7436 .. | 6.90 | 3.30 | 7632 .. | 8.10 | 3.80 |
7440 .. | 18.50 | 5.00 | 7637 .. | 11.00 | 5.00 |
7443 .. | 25.00 | 5.00 | 7641 .. | 12.50 | 5.00 |
7446 .. | 13.50 | 5.00 | 7643 .. | 18.00 | 5.00 |
7451 .. | 17.00 | 5.00 | 7647 .. | 22.00 | 5.00 |
7457 .. | 5.45 | 2.55 | 7652 .. | 30.00 | 5.00 |
7461 .. | 9.05 | 4.35 | 7657 .. | 22.00 | 5.00 |
7464 .. | 2.70 | 1.30 | 7662 .. | 30.00 | 5.00 |
7468 .. | 6.90 | 3.30 | 7666 .. | 22.00 | 5.00 |
7472 .. | 22.50 | 5.00 | 7668 .. | 30.00 | 5.00 |
7476 .. | 22.50 | 5.00 | 7673 .. | 7.15 | 3.45 |
7480 .. | 9.50 | 4.50 | 7677 .. | 10.45 | 4.95 |
7483 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the dislocation concerned, plus one-half of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the dislocation concerned, plus one-half of that amount | 7681 .. | 2.95 | 1.35 |
|
|
| 7683 .. | 4.65 | 2.15 |
|
|
| 7687 .. | 7.15 | 3.35 |
|
|
| 7691 .. | 7.15 | 3.35 |
|
|
| 7694 .. | 2.00 | 0.90 |
|
|
| 7697 .. | 2.95 | 1.35 |
|
|
| 7701 .. | 2.00 | 0.90 |
|
|
| 7706 .. | 2.95 | 1.35 |
|
|
| 7709 .. | 13.50 | 5.00 |
|
|
| 7712 .. | 20.00 | 5.00 |
|
|
| 7715 .. | 42.00 | 5.00 |
|
|
| 7718 .. | 8.55 | 4.05 |
|
|
| 7721 .. | 11.70 | 5.00 |
|
|
| 7724 .. | 11.70 | 5.00 |
|
|
| 7727 .. | 27.50 | 5.00 |
|
|
| 7731 .. | 27.50 | 5.00 |
|
|
| 7734 .. | 30.00 | 5.00 |
|
|
| 7737 .. | 30.00 | 5.00 |
|
|
| 7739 .. | 10.45 | 4.95 |
7485 .. | 9.50 | 4.50 | 7743 .. | 14.00 | 5.00 |
7505 .. | 3.35 | 1.55 | 7745 .. | 14.00 | 5.00 |
7508 .. | 7.15 | 3.35 | 7749 .. | 37.00 | 5.00 |
7512 .. | 10.45 | 4.95 | 7753 .. | 37.00 | 5.00 |
7516 .. | 4.75 | 2.25 | 7757 .. | 40.00 | 5.00 |
7520 .. | 10.45 | 4.95 | 7761 .. | 40.00 | 5.00 |
7524 .. | 15.00 | 5.00 | 7764 .. | 9.30 | 4.40 |
7527 .. | 12.50 | 5.00 | 7766 .. | 13.00 | 5.00 |
7530 .. | 18.00 | 5.00 | 7770 .. | 13.00 | 5.00 |
7533 .. | 5.45 | 2.55 | 7774 .. | 2.00 | 0.90 |
7535 .. | 10.45 | 4.95 | 7777 .. | 2.95 | 1.35 |
7538 .. | 13.00 | 5.00 | 7781 .. | 2.00 | 0.90 |
7540 .. | 13.50 | 5.00 | 7785 .. | 2.95 | 1.35 |
7544 .. | 20.00 | 5.00 | 7789 .. | 17.00 | 5.00 |
7547 .. | 10.45 | 4.95 | 7793 .. | 30.00 | 5.00 |
7550 .. | 11.30 | 5.00 | 7798 .. | 79.00 | 5.00 |
7552 .. | 15.00 | 5.00 | 7802 .. | 9.50 | 4.50 |
7559 .. | 10.90 | 5.00 |
|
|
|
7563 .. | 13.50 | 5.00 | 7803 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the |
7567 .. | 18.00 | 5.00 |
|
|
|
7572 .. | 27.50 | 5.00 |
|
|
|
7578 .. | 18.00 | 5.00 |
|
|
|
7584 .. | 27.50 | 5.00 |
|
|
|
7588 .. | 7.40 | 3.50 |
|
|
|
7593 .. | 10.45 | 4.95 |
|
|
|
7597 .. | 9.05 | 4.35 |
|
|
|
7601 .. | 2.00 | 0.90 |
|
|
|
7605 .. | 2.95 | 1.35 |
|
|
|
7608 .. | 14.00 | 5.00 |
|
|
|
Schedule 2—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in first Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
| symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount |
| column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount | column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
7804 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 7818 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
7808 .. | 9.50 | 4.50 |
|
|
|
7809 .. | The amount shown in this column in the item (other than an item relating to in item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 7821 .. | 9.50 | 4.50 |
|
|
| 7823 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus three-quarters of that amount | The amount shown in this column in the item (other than an item relating loan item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus three-quarters of that amount |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
7812 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 7824 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
7815 .. | 9.50 | 4.50 |
|
|
|
7817 .. | The amount shown in this | The amount shown in this |
|
|
|
Schedule 2—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in first Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
| the symbol ‘(D)’) relating to the fracture concerned, plus three-quarters of that amount | the symbol ‘(D)’) relating to the fracture concerned, plus three-quarters of that amount | 7836 .. | One-half of the amount shown in this column in the item that would, but for item 7836 in the table of Commonwealth medical benefits apply to the reduction concerned | One-half of the amount shown in this column in the item that would, but for item 7836 in the table of Commonwealth medical benefits apply to the reduction concerned |
7828 .. | One-half of the amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7828 in the table of Commonwealth medical benefits apply to the reduction concerned | One-half of the amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7828 in the table of Commonwealth medical benefits apply to the reduction concerned |
|
|
|
|
|
| 7839 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7839 in the table of Commonwealth medical benefits apply to the reduction concerned | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7839 in the table of Commonwealth medical benefits apply to the reduction concerned |
7831 .. | One-half of the amount shown in this column in the item that would, but for item 7831 in the table of Commonwealth medical benefits apply to the reduction concerned | One-half of the amount shown in this column in the item that would, but for item 7831 in the table of Commonwealth medical benefits apply to the reduction concerned |
|
|
|
|
|
| 7841 .. | The amount shown in this column in the item that would, but for item 7841 in the table of Commonwealth medical benefits apply to the reduction concerned | The amount shown in this column in the item that would, but for item 7841 in the table of Commonwealth medical benefits apply to the reduction concerned |
7834 .. | One-half of the amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7834 in the table of Commonwealth medical benefits apply to the reduction concerned | One-half of the amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7834 in the table of Commonwealth medical benefits apply to the reduction concerned |
|
|
|
|
|
| 7844 .. | 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 |
|
|
| 7847 .. | The amount shown in this column in the item (other than an item | The amount shown in this column in the tern (other than an item |
Schedule 2—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
| relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount’ | relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | 7999 .. | 49.00 | 5.00 |
|
|
| 8001 .. | 44.00 | 5.00 |
|
|
| 8006 .. | 44.00 | 5.00 |
|
|
| 8009 .. | 23.50 | 5.00 |
|
|
| 8014 .. | 26.00 | 5.00 |
|
|
| 8017 .. | 69.00 | 5.00 |
|
|
| 8019 .. | 82.00 | 5.00 |
|
|
| 8022 .. | 27.50 | 5.00 |
|
|
| 8026 .. | 7.15 | 3.35 |
|
|
| 8028 .. | 41.00 | 5.00 |
|
|
| 8032 .. | 46.00 | 5.00 |
|
|
| 8036 .. | 41.00 | 5.00 |
|
|
| 8040 .. | 29.00 | 5.00 |
7849 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | 8044 .. | 108.00 | 5.00 |
|
|
| 8048 .. | 74.00 | 5.00 |
|
|
| 8053 .. | 74.00 | 5.00 |
|
|
| 8061 .. | 92.00 | 5.00 |
|
|
| 8069 .. | 135.00 | 5.00 |
|
|
| 8074 .. | 54.00 | 5.00 |
|
|
| 8076 .. | 135.00 | 5.00 |
|
|
| 8079 .. | 74.00 | 5.00 |
|
|
| 8081 .. | 36.00 | 5.00 |
|
|
| 8084 .. | 18.00 | 5.00 |
|
|
| 8087 .. | 40.00 | 5.00 |
|
|
| 8089 .. | 54.00 | 5.00 |
|
|
| 8092 .. | 67.00 | 5.00 |
|
|
| 8095 .. | 39.00 | 5.00 |
|
|
| 8097 .. | 49.00 | 5.00 |
|
|
| 8100 .. | 59.00 | 5.00 |
|
|
| 8103 .. | 135.00 | 5.00 |
7853 .. | 23.50 | 5.00 | 8105 .. | 0.25 | 1.15 |
7857 .. | 23.50 | 5.00 | 8108 .. | 2.65 | 1.25 |
7861 .. | 4.70 | 1.30 | 8113 .. | 36.00 | 5.00 |
7864 .. | 2.30 | 1.10 | 8116 .. | 54.00 | 5.00 |
7868 .. | 5.65 | 2.65 | 8120 .. | 31.00 | 5.00 |
7872 .. | 13.50 | 5.00 | 8124 .. | 26.50 | 5.00 |
7878 .. | 18.00 | 5.00 | 8127 .. | 33.00 | 5.00 |
7883 .. | 9.55 | 4.55 | 8131 .. | 46.50 | 5.00 |
7888 .. | 9.55 | 4.55 | 8135 .. | 59.00 | 5.00 |
7898 .. | 88.00 | 5.00 | 8140 .. | 38.90 | 5.00 |
7902 .. | 31.00 | 5.00 | 8143 .. | 48.40 | 5.00 |
7907 .. | 31.00 | 5.00 | 8148 .. | 46.00 | 5.00 |
7911 .. | 8.60 | 4.10 | 8151 .. | 18.00 | 5.00 |
7915 .. | 10.90 | 5.00 | 8153 .. | 23.00 | 5.00 |
7919 .. | 11.30 | 5.00 | 8158 .. | 54.00 | 5.00 |
7923 .. | 15.00 | 5.00 | 8161 .. | 42.00 | 5.00 |
7926 .. | 15.00 | 5.00 | 8166 .. | 31.00 | 5.00 |
7928 .. | 26.00 | 5.00 | 8169 .. | 18.00 | 5.00 |
7932 .. | 26.00 | 5.00 | 8173 .. | 23.00 | 5.00 |
7934 .. | 135.00 | 5.00 | 8175 .. | 23.00 | 5.00 |
7937 .. | 44.00 | 5.00 | 8179 .. | 22.50 | 5.00 |
7940 .. | 29.00 | 5.00 | 8182 .. | 29.00 | 5.00 |
7942 .. | 65.00 | 5.00 | 8185 .. | 23.50 | 5.00 |
7945 .. | 113.00 | 5.00 | 8187 .. | 26.00 | 5.00 |
7947 .. | 99.00 | 5.00 | 8190 .. | 26.00 | 5.00 |
7951 .. | 125.00 | 5.00 | 8193 .. | 31.00 | 5.00 |
7957 .. | 113.00 | 5.00 | 8195 .. | 36.00 | 5.00 |
7961 .. | 150.00 | 5.00 | 8198 .. | 59.00 | 5.00 |
7967 .. | 110.00 | 5.00 | 8201 .. | 88.00 | 5.00 |
7969 .. | 150.00 | 5.00 | 8203 .. | 49.00 | 5.00 |
7975 .. | 75.00 | 5.00 | 8206 .. | 59.00 | 5.00 |
7977 .. | 59.00 | 5.00 | 8209 .. | 57.00 | 5.00 |
7983 .. | 75.00 | 5.00 | 8211 .. | 59.00 | 5.00 |
7985 .. | 75.00 | 5.00 | 8214 .. | 13.50 | 5.00 |
7993 .. | 54.00 | 5.00 | 8217 .. | 29.00 | 5.00 |
Schedule 2—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
8219 .. | 24.50 | 5.00 | 8370 .. | 65.00 | 5.00 |
8222 .. | 31.00 | 5.00 | 8372 .. | 65.00 | 5.00 |
8225 .. | 36.00 | 5.00 | 8374 .. | 91.00 | 5.00 |
8227 .. | 12.00 | 5.00 | 8376 .. | 82.00 | 5.00 |
8230 .. | 15.00 | 5.00 | 8378 .. | 82.00 | 5.00 |
8233 .. | 23.50 | 5.00 | 8380 .. | 79.00 | 5.00 |
8235 .. | 31.00 | 5.00 | 8382 .. | 18.00 | 5.00 |
8238 .. | 39.00 | 5.00 | 8384 .. | 42.00 | 5.00 |
8241 .. | 9.55 | 4.55 | 8386 .. | 31.00 | 5.00 |
8243 .. | 15.00 | 5.00 | 8388 .. | 99.00 | 5.00 |
8246 .. | 8.60 | 4.10 | 8390 .. | 99.00 | 5.00 |
8249 .. | 23.00 | 5.00 | 8394 .. | 86.00 | 5.00 |
8251 .. | 44.00 | 5.00 | 8398 .. | 82.00 | 5.00 |
8254 .. | 120.00 | 5.00 | 8400 .. | 57.00 | 5.00 |
8257 .. | 59.00 | 5.00 | 8402 .. | 65.00 | 5.00 |
8259 .. | 45.00 | 5.00 | 8406 .. | 35.00 | 5.00 |
8262 .. | 26.00 | 5.00 | 8408 .. | 104.00 | 5.00 |
8265 .. | 14.00 | 5.00 | 8410 .. | 54.00 | 5.00 |
8267 .. | 18.00 | 5.00 | 8412 .. | 31.00 | 5.00 |
8271 .. | 18.00 | 5.00 | 8414 .. | 108.00 | 5.00 |
8275 .. | 27.50 | 5.00 | 8416 .. | 9.55 | 4.55 |
8279 .. | 15.00 | 5.00 | 8418 .. | 65.00 | 5.00 |
8282 .. | 20.50 | 5.00 | 8420 .. | 47.00 | 5.00 |
8283 .. | 27.50 | 5.00 | 8422 .. | 32.00 | 5.00 |
8287 .. | 18.50 | 5.00 | 8424 .. | 71.00 | 5.00 |
8290 .. | 48.00 | 5.00 | 8428 .. | 3.75 | 1.75 |
8292 .. | 48.00 | 5.00 | 8430 .. | 9.55 | 4.55 |
8294 .. | 52.00 | 5.00 | 8432 .. | 14.00 | 5.00 |
8296 .. | 15.00 | 5.00 | 8434 .. | 18.50 | 5.00 |
8298 .. | 39.00 | 5.00 | 8436 .. | 42.00 | 5.00 |
8300 .. | 36.00 | 5.00 | 8438 .. | 9.55 | 4.55 |
8302 .. | 59.00 | 5.00 | 8440 .. | 49.00 | 5.00 |
8304 .. | 74.00 | 5.00 | 8442 .. | 59.00 | 5.00 |
8306 .. | 99.00 | 5.00 | 8444 .. | 91.00 | 5.00 |
8308 .. | 74.00 | 5.00 | 8446 .. | 7.65 | 3.65 |
8310 .. | 36.00 | 5.00 | 8448 .. | 4.75 | 2.25 |
8312 .. | 36.00 | 5.00 | 8450 .. | 40.00 | 5.00 |
8314 .. | 49.00 | 5.00 | 8452 .. | 14.00 | 5.00 |
8316 .. | 49.00 | 5.00 | 8454 .. | 34.00 | 5.00 |
8318 .. | 46.00 | 5.00 | 8456 .. | 4.15 | 1.95 |
8320 .. | 46.00 | 5.00 | 8458 .. | 3.70 | 1.70 |
8322 .. | 43.00 | 5.00 | 8460 .. | 3.70 | 1.70 |
8324 .. | 49.00 | 5.00 | 8462 .. | 10.45 | 4.95 |
8326 .. | 49.00 | 5.00 | 8464 .. | 10.45 | 4.95 |
8328 .. | 36.00 | 5.00 | 8466 .. | 13.00 | 5.00 |
8330 .. | 49.00 | 5.00 | 8468 .. | 13.00 | 5.00 |
8332 .. | 16.50 | 5.00 | 8470 .. | 18.00 | 5.00 |
8334 .. | 3.80 | 1.80 | 8472 .. | 27.50 | 5.00 |
8336 .. | 4.35 | 2.05 | 8474 .. | 49.00 | 5.00 |
8338 .. | 3.80 | 1.80 | 8476 .. | 69.00 | 5.00 |
8340 .. | 4.75 | 2.25 | 8478 .. | 40.00 | 5.00 |
8342 .. | 3.80 | 1.80 | 8480 .. | 23.50 | 5.00 |
8344 .. | 5.75 | 2.75 | 8482 .. | 23.50 | 5.00 |
8346 .. | 3.80 | 1.80 | 8484 .. | 36.00 | 5.00 |
8348 .. | 7.15 | 3.35 | 8486 .. | 40.00 | 5.00 |
8350 .. | 20.50 | 5.00 | 8488 .. | 19.00 | 5.00 |
8352 .. | 3.80 | 1.80 | 8490 .. | 21.50 | 5.00 |
8354 .. | 5.75 | 2.75 | 8492 .. | 9.05 | 4.35 |
8356 .. | 5.75 | 2.75 | 8494 .. | 38.00 | 5.00 |
8358 .. | 6.25 | 2.95 | 8496 .. | 19.00 | 5.00 |
8360 .. | 71.00 | 5.00 | 8498 .. | 40.00 | 5.00 |
8362 .. | 82.00 | 5.00 | 8500 .. | 32.00 | 5.00 |
8364 .. | 82.00 | 5.00 | 8502 .. | 21.50 | 5.00 |
8366 .. | 82.00 | 5.00 | 8504 .. | 17.00 | 5.00 |
8368 .. | 42.00 | 5.00 | 8506 .. | 17.00 | 5.00 |
Schedule 2—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
8508 .. | 36.00 | 5.00 | 8584 .. | 23.50 | 5.00 |
8510 .. | 61.00 | 5.00 | 8586 .. | 69.00 | 5.00 |
8512 .. | 23.50 | 5.00 | 8588 .. | 27.50 | 5.00 |
8514 .. | 23.50 | 5.00 | 8590 .. | 5.00 | 5.00 |
8516 .. | 52.00 | 5.00 | 8592 .. | 40.00 | 5.00 |
8518 .. | 40.00 | 5.00 | 8594 .. | 45.00 | 5.00 |
8520 .. | 40.00 | 5.00 | 8596 .. | 52.00 | 5.00 |
8522 .. | 18.00 | 5.00 | 8598 .. | 9.00 | 5.00 |
8524 .. | 25.00 | 5.00 | 8600 .. | 113.00 | 5.00 |
8526 .. | 67.00 | 5.00 | 8602 .. | 11.70 | 5.00 |
8528 .. | 79.00 | 5.00 | 8604 .. | 30.00 | 5.00 |
8530 .. | 67.00 | 5.00 | 8606 .. | 30.00 | 5.00 |
8532 .. | 79.00 | 5.00 | 8608 .. | 47.00 | 5.00 |
8534 .. | 8.35 | 3.95 | 8610 .. | 15.50 | 5.00 |
8536 .. | 18.00 | 5.00 | 8612 .. | 61.00 | 5.00 |
8538 .. | 42.00 | 5.00 | 8614 .. | 27.50 | 5.00 |
8540 .. | 82.00 | 5.00 | 8616 .. | 27.50 | 5.00 |
8542 .. | 114.00 | 5.00 | 8618 .. | 46.00 | 5.00 |
8544 .. | 27.50 | 5.00 | 8620 .. | 13.00 | 5.00 |
8546 .. | 65.00 | 5.00 | 8622 .. | 57.00 | 5.00 |
8548 .. | 74.00 | 5.00 | 8624 .. | 75.00 | 5.00 |
8550 .. | 120.00 | 5.00 | 8626 .. | 30.00 | 5.00 |
8552 .. | 42.00 | 5.00 | 8628 .. | 22.50 | 5.00 |
8554 .. | 79.00 | 5.00 | 8630 .. | 45.00 | 5.00 |
8556 .. | 61.00 | 5.00 | 8632 .. | 105.00 | 5.00 |
8558 .. | 61.00 | 5.00 | 8634 .. | 30.00 | 5.00 |
8560 .. | 52.00 | 5.00 | 8636 .. | 57.00 | 5.00 |
8562 .. | 52.00 | 5.00 | 8638 .. | 57.00 | 5.00 |
8564 .. | 52.00 | 5.00 | 8640 .. | 71.00 | 5.00 |
8566 .. | 52.00 | 5.00 | 8642 .. | 71.00 | 5.00 |
8568 .. | 71.00 | 5.00 | 8644 .. | 36.00 | 5.00 |
8570 .. | 40.00 | 5.00 | 8646 .. | 36.00 | 5.00 |
8572 .. | 40.00 | 5.00 | 8648 .. | 52.00 | 5.00 |
8574 .. | 45.00 | 5.00 | 8650 .. | 52.00 | 5.00 |
8576 .. | 45.00 | 5.00 | 8652 .. | 91.00 | 5.00 |
8578 .. | 52.00 | 5.00 | 8654 .. | 91.00 | 5.00 |
8580 .. | 52.00 | 5.00 | 8656 .. | 67.00 | 5.00 |
8582 .. | 52.00 | 5.00 |
|
|
|
SCHEDULE 3
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 |
| $ | $ |
| $ | $ |
3 .. | 2.50 | 0.60 | 273 .. | 1.40 | 0.60 |
4 .. | 4.40 | 1.10 | 278 .. | 5.15 | 2.05 |
14 .. | 3.30 | 0.85 | 284 .. | 7.85 | 3.15 |
19 .. | 5.25 | 1.35 | 290 .. | 5.65 | 2.25 |
25 .. | 6.35 | 1.65 | 295 .. | 5.65 | 2.25 |
26 .. | 8.30 | 2.10 | 298 .. | 10.20 | 4.10 |
33 .. | 9.45 | 2.45 | 354 .. | 5.65 | 2.25 |
35 .. | 11.55 | 2.95 | 360 .. | 24.00 | 5.00 |
43 .. | 3.70 | 0.90 | 362 .. | 4.25 | 2.55 |
44 .. | 5.65 | 1.40 | 365 .. | 27.00 | 5.00 |
51 .. | 4.95 | 1.25 | 368 .. | 41.00 | 5.00 |
53 .. | 6.90 | 1.75 | 374 .. | 5.65 | 2.25 |
57 .. | 8.70 | 2.13 | 383 .. | 5.95 | 4.55 |
59 .. | 10.55 | 2.65 | 401 .. | 1.00 | 0.50 |
65 .. | 11.75 | 3.00 | 403 .. | 1.90 | 1.00 |
66 .. | 13.90 | 3.50 | 404 .. | 2.90 | 1.50 |
69 .. | 4.95 | 1.25 | 405 .. | 3.90 | 2.00 |
71 .. | 6.90 | 1.75 | 406 .. | 4.90 | 2.50 |
73 .. | 3.30 | 0.85 | 407 .. | 5.80 | 3.00 |
79 .. | 2.50 | 0.60 | 408 .. | 8.00 | 3.50 |
82 .. | 3.30 | 0.85 | 409 .. | 9.95 | 4.05 |
85 .. | 5.85 | 1.25 | 443 .. | 10.50 | 4.50 |
88 .. | 10.55 | 2.55 | 450 .. | 11.70 | 5.00 |
94 .. | 5.35 | 1.25 | 453 .. | 13.20 | 5.00 |
100 .. | 15.15 | 3.75 | 454 .. | 14.50 | 5.00 |
103 .. | 10.15 | 2.45 | 457 .. | 15.50 | 5.00 |
110 .. | 16.25 | 4.35 | 458 .. | 14.50 | 5.00 |
116 .. | 9.05 | 2.35 | 459 .. | 15.50 | 5.00 |
122 .. | 22.00 | 5.00 | 460 .. | 17.00 | 5.00 |
128 .. | 13.40 | 3.50 | 461 .. | 18.00 | 5.00 |
134 .. | 5.35 | 1.25 | 462 .. | 18.50 | 5.00 |
136 .. | 10.55 | 2.55 | 463 .. | 20.50 | 5.00 |
138 .. | 15.20 | 3.80 | 464 .. | 21.00 | 5.00 |
140 .. | 20.50 | 5.00 | 465 .. | 23.00 | 5.00 |
142 .. | 27.00 | 5.00 | 466 .. | 24.00 | 5.00 |
144 .. | 10.15 | 2.45 | 467 .. | 24.50 | 5.00 |
146 .. | 15.15 | 3.75 | 468 .. | 26.50 | 5.00 |
148 .. | 19.90 | 5.00 | 469 .. | 27.00 | 5.00 |
150 .. | 26.00 | 5.00 | 470 .. | 28.00 | 5.00 |
152 .. | 33.00 | 5.00 | 471 .. | 30.00 | 5.00 |
160 .. | 15.80 | 3.80 | 472 .. | 31.00 | 5.00 |
161 .. | 26.60 | 5.00 | 473 .. | 32.00 | 5.00 |
162 .. | 38.00 | 5.00 | 474 .. | 33.00 | 5.00 |
163 .. | 50.00 | 5.00 | 475 .. | 36.00 | 5.00 |
164 .. | 61.00 | 5.00 | 476 .. | 39.00 | 5.00 |
190 .. | 1.85 | 0.85 | 477 .. | 43.00 | 5.00 |
192 .. | 4.00 | 5.00 | 478 .. | 44.00 | 5.00 |
194 .. | 18.00 | 5.00 | 479 .. | 2.45 | 1.25 |
196 .. | 11.00 | 5.00 | 480 .. | 5.80 | 3.00 |
198 .. | 18.00 | 5.00 | 481 .. | 7.00 | 3.50 |
200 .. | 24.00 | 5.00 | 482 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the dislocation concerned, plus one-half of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the dislocation concerned, plus one-half of that amount |
207 .. | 23.00 | 5.00 |
|
|
|
211 .. | 62.20 | 5.00 |
|
|
|
213 .. | 30.20 | 5.00 |
|
|
|
216 .. | 51.20 | 5.00 |
|
|
|
217 .. | 52.20 | 5.00 |
|
|
|
234 .. | 53.00 | 5.00 |
|
|
|
241 .. | 19.00 | 5.00 |
|
|
|
242 .. | 1.40 | 0.60 |
|
|
|
246 .. | 1.40 | 0.60 |
|
|
|
250 .. | 15.10 | 5.00 |
|
|
|
258 .. | 21.00 | 5.00 |
|
|
|
267 .. | 5.65 | 2.23 |
|
|
|
Schedule 3—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
483 .. | The amount shown in this column in the item relating to this administration of an anaesthetic in connection with the treatment of the fracture concerned, plus one-third of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus one-third of that amount | 539 .. | 32.00 | 5.00 |
|
|
| 540 .. | 34.00 | 5.00 |
|
|
| 541 .. | 35.00 | 5.00 |
|
|
| 542 .. | 37.00 | 5.00 |
|
|
| 543 .. | 38.00 | 5.00 |
|
|
| 544 .. | 39.00 | 5.00 |
|
|
| 545 .. | 41.00 | 5.00 |
|
|
| 546 .. | 44.00 | 5.00 |
|
|
| 547 .. | 50.00 | 5.00 |
|
|
| 548 .. | 53.00 | 5.00 |
|
|
| 549 .. | 55.00 | 5.00 |
|
|
| 550 .. | 3.00 | 1.50 |
|
|
| 551 .. | 7.25 | 3.65 |
|
|
| 552 .. | 8.45 | 4.25 |
484 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus one-half of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus one-half of that amount |
|
|
|
|
|
| 553 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the dislocation concerned plus, one-half of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the dislocation concerned plus, one-half of that amount |
485 | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus three-quarters of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus three-quarters of that amount |
|
|
|
|
|
| 554 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus, one-third of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus, one-third of that amount |
500 .. | 1.30 | 0.60 |
|
|
|
505 .. | 2.50 | 1.20 |
|
|
|
506 .. | 3.60 | 1.80 |
|
|
|
509 .. | 4.85 | 2.45 |
|
|
|
510 .. | 6.25 | 3.05 |
|
|
|
513 .. | 7.25 | 3.65 |
|
|
|
514 .. | 8.45 | 4.25 |
|
|
|
517 .. | 9.65 | 4.85 |
|
|
|
518 .. | 11.00 | 5.00 | 556 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus, one-half of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus, one-half of that amount |
521 .. | 12.50 | 5.00 |
|
|
|
522 .. | 14.00 | 5.00 |
|
|
|
523 .. | 15.00 | 5.00 |
|
|
|
524 .. | 16.50 | 5.00 |
|
|
|
525 .. | 18.00 | 5.00 |
|
|
|
526 .. | 19.50 | 5.00 |
|
|
|
527 .. | 21.00 | 5.00 |
|
|
|
528 .. | 23.00 | 5.00 |
|
|
|
529 .. | 24.00 | 5.00 |
|
|
|
531 .. | 25.50 | 5.00 |
|
|
|
533 .. | 27.00 | 5.00 |
|
|
|
535 .. | 29.00 | 5.00 |
|
|
|
537 .. | 30.00 | 5.00 |
|
|
|
538 .. | 31.00 | 5.00 |
|
|
|
Schedule 3—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
557 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus three-quarters of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus three-quarters of that amount | 888 .. | 4.85 | 1.75 |
|
|
| 890 .. | 4.30 | 1.70 |
|
|
| 893 .. | 9.50 | 3.80 |
|
|
| 895 .. | 5.35 | 1.95 |
|
|
| 897 .. | 8.05 | 2.95 |
|
|
| 899 .. | 5.35 | 1.95 |
|
|
| 902 .. | 35.50 | 5.00 |
|
|
| 904 .. | 29.50 | 5.00 |
|
|
| 907 .. | 2.75 | 0.95 |
|
|
| 908 .. | 4.85 | 1.75 |
|
|
| 909 .. | 2.45 | 0.85 |
|
|
| 910 .. | 2.45 | 0.85 |
|
|
| 912 .. | 7.25 | 2.65 |
|
|
| 913 .. | 12.10 | 4.40 |
|
|
| 914 .. | 11.85 | 4.35 |
|
|
| 916 .. | 17.20 | 5.00 |
566 .. | 6.95 | 1.95 | 917 .. | 9.60 | 3.50 |
567 .. | 8.55 | 2.45 | 918 .. | 16.80 | 5.00 |
568 .. | 8.95 | 2.55 | 919 .. | 4.10 | 1.50 |
569 .. | 6.05 | 3.05 | 920 .. | 13.45 | 4.95 |
570 .. | 12.85 | 3.65 | 922 .. | 48.00 | 5.00 |
571 .. | 10.05 | 4.95 | 923 .. | 71.00 | 5.00 |
572 .. | 10.65 | 3.05 | 925 .. | 10.75 | 3.95 |
573 .. | 7.25 | 3.65 | 927 .. | 3.60 | 1.30 |
574 .. | 16.90 | 5.00 | 929 .. | 5.95 | 2.15 |
575 .. | 12.50 | 5.00 | 932 .. | 5.95 | 2.15 |
748 .. | 6.93 | 3.45 | 934 .. | 8.35 | 3.05 |
752 .. | 5.05 | 2.45 | 936 .. | 12.80 | 4.70 |
760 .. | 5.25 | 2.55 | 938 .. | 12.80 | 4.70 |
764 .. | 6.45 | 3.15 | 940 .. | 11.85 | 4.35 |
767 .. | 10.05 | 4.95 | 944 .. | 8.05 | 2.95 |
770 .. | 6.65 | 2.45 | 947 .. | 24.00 | 5.00 |
774 .. | 13.45 | 4.95 | 949 .. | 4.85 | 1.75 |
777 .. | 23.00 | 5.00 | 952 .. | 11.20 | 4.10 |
787 .. | 19.50 | 5.00 | 954 .. | 1.75 | 0.65 |
790 .. | 29.50 | 5.00 | 956 .. | 2.15 | 0.75 |
794 .. | 8.05 | 2.95 | 958 .. | 3.45 | 1.25 |
797 .. | 8.50 | 5.00 | 960 .. | 5.05 | 1.85 |
803 .. | 12.80 | 4.70 | 963 .. | 3.40 | 1.20 |
806 .. | 16.50 | 5.00 | 966 .. | 9.35 | 3.45 |
809 .. | 23.00 | 5.00 | 968 .. | 18.50 | 5.00 |
812 .. | 9.60 | 3.50 | 970 .. | 39.00 | 5.00 |
815 .. | 8.05 | 2.95 | 974 .. | 5.95 | 2.15 |
818 .. | 42.00 | 5.00 | 1001 .. | 1.30 | 0.50 |
821 .. | 6.00 | 5.00 | 1005 .. | 1.00 | 0.50 |
824 .. | 6.25 | 2.25 | 1013 .. | 1.55 | 0.65 |
827 .. | 30.50 | 5.00 | 1017 .. | 1.00 | 0.50 |
829 .. | 54.00 | 5.00 | 1023 .. | 0.90 | 0.40 |
833 .. | 23.00 | 5.00 | 1027 .. | 2.20 | 0.90 |
836 .. | 12.80 | 4.70 | 1031 .. | 3.80 | 1.80 |
839 .. | 7.25 | 2.65 | 1035 .. | 2.85 | 1.25 |
844 .. | 4.45 | 2.05 | 1039 .. | 3.40 | 1.70 |
849 .. | 6.25 | 1.45 | 1043 .. | 4.80 | 2.40 |
853 .. | 10.75 | 3.95 | 1017 .. | 0.90 | 0.40 |
856 .. | 7.05 | 2.55 | 1051 .. | 6.55 | 3.85 |
859 .. | 13.45 | 4.95 | 1055 .. | 0.90 | 0.40 |
863 .. | 2.60 | 0.90 | 1056 .. | 2.45 | 0.65 |
865 .. | 3.75 | 1.35 | 1058 .. | 0.60 | 0.40 |
870 .. | 5.00 | 1.80 | 1061 .. | 3.10 | 1.35 |
874 .. | 6.25 | 2.25 | 1067 .. | 3.10 | 1.35 |
877 .. | 3.75 | 1.35 | 1071 .. | 3.10 | 1.35 |
879 .. | 5.50 | 2.00 | 1075 .. | 1.65 | 0.85 |
882 .. | 4.35 | 1.55 | 1077 .. | 2.40 | 1.20 |
884 .. | 4.35 | 1.55 | 1079 .. | 2.75 | 1.35 |
886 .. | 5.35 | 1.95 | 1083 .. | 2.75 | 1.35 |
Schedule 3—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
1086 .. | 3.00 | 1.25 | 1338 .. | 0.90 | 0.40 |
1088 .. | 3.40 | 1.70 | 1341 .. | 1.65 | 0.85 |
1093 .. | 1.35 | 0.65 | 1344 .. | 2.40 | 1.20 |
1095 .. | 4.80 | 2.40 | 1347 .. | 3.50 | 1.20 |
1099 .. | 3.40 | 1.70 | 1350 .. | 2.95 | 1.25 |
1103 .. | 0.50 | 0.50 | 1353 .. | 3.50 | 1.20 |
1107 .. | 1.30 | 0.50 | 1356 .. | 1.50 | 1.00 |
1111 .. | 1.95 | 0.85 | 1359 .. | 1.00 | 0.60 |
1115 .. | 0.70 | 0.30 | 1361 .. | 2.60 | 1.25 |
1119 .. | 1.30 | 0.50 | 1363 .. | 0.60 | 0.60 |
1123 .. | 2.10 | 1.00 | 1365 .. | 3.95 | 1.35 |
1127 .. | 2.20 | 1.10 | 1367 .. | 3.45 | 1.35 |
1131 .. | 2.10 | 1.00 | 1369 .. | 2.40 | 1.20 |
1135 .. | 2.40 | 1.20 | 1371 .. | 4.35 | 1.55 |
1139 .. | 7.50 | 3.80 | 1373 .. | 2.05 | 0.65 |
1143 .. | 1.00 | 0.50 | 1375 .. | 2.10 | 0.90 |
1147 .. | 1.00 | 0.50 | 1377 .. | 3.05 | 1.55 |
1151 .. | 2.10 | 1.00 | 1379 .. | 4.25 | 2.15 |
1155 .. | 8.45 | 4.25 | 1383 .. | 4.25 | 2.15 |
1158 .. | 1.65 | 0.85 | 1386 .. | 6.75 | 3.45 |
1161 .. | 2.40 | 1.20 | 1390 .. | 8.45 | 4.25 |
1165 .. | 1.65 | 0.85 | 1396 .. | 3.05 | 1.55 |
1169 .. | 1.25 | 0.75 | 1400 .. | 4.25 | 2.15 |
1173 .. | 0.80 | 0.60 | 1403 .. | 2.45 | 1.20 |
1177 .. | 0.95 | 0.75 | 1406 .. | 1.65 | 0.85 |
1181 .. | 1.20 | 0.90 | 1409 .. | 2.75 | 1.35 |
1185 .. | 2.20 | 1.70 | 1412 .. | 4.25 | 2.15 |
1189 .. | 0.50 | 0.50 | 1415 .. | 0.30 | 0.40 |
1193 .. | 0.20 | 0.60 | 1418 .. | 2.40 | 1.20 |
1197 .. | 1.20 | 0.90 | 1422 .. | 4.15 | 2.05 |
1201 .. | 5.15 | 2.55 | 1426 .. | 5.45 | 2.75 |
1205 .. | 0.90 | 0.40 | 1429 .. | 6.75 | 3.45 |
1209 .. | 1.00 | 0.50 | 1433 .. | 8.20 | 4.10 |
1213 .. | 4.20 | 2.20 | 1437 .. | 2.40 | 1.20 |
1217 .. | 1.65 | 0.85 | 1440 .. | 3.75 | 1.85 |
1221 .. | 4.15 | 2.05 | 1443 .. | 2.40 | 1.20 |
1225 .. | 2.45 | 1.20 | 1446 .. | 4.15 | 2.05 |
1229 .. | 1.65 | 0.85 | 1449 .. | 5.45 | 2.75 |
1233 .. | 3.10 | 1.00 | 1451 .. | 6.75 | 3.45 |
1241 .. | 1.25 | 0.55 | 1454 .. | 3.90 | 1.70 |
1245 .. | 2.75 | 1.35 | 1457 .. | 8.45 | 4.25 |
1249 .. | 1.65 | 0.85 | 1460 .. | 1.65 | 0.85 |
1253 .. | 2.75 | 1.35 | 1464 .. | 2.40 | 1.20 |
1257 .. | 4.15 | 2.05 | 1467 .. | 4.15 | 2.05 |
1261 .. | 1.25 | 0.75 | 1471 .. | 5.45 | 2.75 |
1265 .. | 2.95 | 1.25 | 1473 .. | 6.75 | 3.45 |
1269 .. | 1.10 | 1.00 | 1477 .. | 8.20 | 4.10 |
1273 .. | 1.65 | 0.85 | 1480 .. | 3.40 | 1.70 |
1276 .. | 1.65 | 0.85 | 1483 .. | 4.80 | 2.40 |
1281 .. | 2.40 | 1.20 | 1486 .. | 2.40 | 1.20 |
1285 .. | 4.13 | 2.05 | 1489 .. | 1.65 | 0.85 |
1289 .. | 2.40 | 1.20 | 1498 .. | 4.05 | 2.05 |
1293 .. | 2.10 | 1.00 | 1503 .. | 2.40 | 1.20 |
1297 .. | 2.10 | 1.00 | 1507 .. | 4.15 | 2.05 |
1303 .. | 3.45 | 1.35 | 1510 .. | 5.45 | 2.75 |
1308 .. | 2.75 | 1.35 | 1518 .. | 6.75 | 3.45 |
1311 .. | 5.20 | 1.70 | 1524 .. | 8.20 | 4.10 |
1315 .. | 4.95 | 1.85 | 1528 .. | 2.40 | 1.20 |
1318 .. | 3.75 | 1.85 | 1532 .. | 1.65 | 0.85 |
1321 .. | 1.00 | 0.50 | 1535 .. | 0.70 | 0.30 |
1324 .. | 2.20 | 0.90 | 1538 .. | 0.35 | 0.15 |
1326 .. | 2.10 | 1.00 | 1542 .. | 4.45 | 2.05 |
1329 .. | 2.05 | 0.85 | 1547 .. | 1.55 | 0.65 |
1332 .. | 2.95 | 0.65 | 1552 .. | 1.00 | 0.50 |
1335 .. | 3.45 | 1.35 | 1555 .. | 2.20 | 0.90 |
Schedule 3—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
1558 .. | 4.25 | 2.15 | 1762 .. | 0.90 | 0.40 |
1561 .. | 2.75 | 1.35 | 1765 .. | 1.00 | 0.50 |
1565 .. | 4.45 | 2.25 | 1768 .. | 1.00 | 0.50 |
1569 .. | 6.05 | 3.05 | 1771 .. | 2.10 | 1.00 |
1572 .. | 5.15 | 2.55 | 1774 .. | 1.65 | 0.75 |
1574 .. | 6.75 | 3.45 | 1777 .. | 0.85 | 0.85 |
1576 .. | 2.95 | 1.45 | 1780 .. | 1.55 | 0.75 |
1578 .. | 3.05 | 1.55 | 1783 .. | 2.60 | 1.25 |
1581 .. | 3.90 | 1.70 | 1786 .. | 3.60 | 1.80 |
1585 .. | 2.10 | 1.00 | 1788 .. | 4.30 | 2.10 |
1591 .. | 2.40 | 0.60 | 1791 .. | 5.25 | 2.65 |
1593 .. | 1.55 | 0.65 | 1795 .. | 3.95 | 2.65 |
1595 .. | 2.55 | 1.25 | 1799 .. | 2.55 | 1.25 |
1597 .. | 4.80 | 2.20 | 1803 .. | 3.40 | 1.70 |
1599 .. | 5.85 | 2.75 | 1807 .. | 2.10 | 1.00 |
1602 .. | 3.40 | 1.70 | 1811 .. | 3.75 | 1.85 |
1605 .. | 5.65 | 2.65 | 1814 .. | 1.65 | 0.85 |
1608 .. | 6.75 | 3.15 | 1816 .. | 2.75 | 1.35 |
1612 .. | 1.00 | 0.50 | 1818 .. | 2.10 | 1.00 |
1617 .. | 2.75 | 1.35 | 1821 .. | 1.65 | 0.85 |
1619 .. | 0.90 | 0.40 | 1825 .. | 2.10 | 1.00 |
1624 .. | 1.65 | 0.85 | 1829 .. | 0.90 | 0.40 |
1628 .. | 1.20 | 0.60 | 1832 .. | 3.40 | 1.70 |
1632 .. | 3.50 | 1.20 | 1834 .. | 5.05 | 2.55 |
1635 .. | 1.65 | 0.85 | 1836 .. | 3.40 | 1.70 |
1637 .. | 3.30 | 0.90 | 1838 .. | 5.70 | 2.80 |
1639 .. | 3.25 | 1.45 | 1842 .. | 8.10 | 4.00 |
1642 .. | 1.65 | 0.85 | 1845 .. | 5.70 | 2.90 |
1646 .. | 2.10 | 1.00 | 1848 .. | 5.15 | 2.55 |
1650 .. | 2.10 | 1.00 | 1854 .. | 7.40 | 3.70 |
1654 .. | 3.40 | 1.70 | 1857 .. | 6.50 | 3.30 |
1656 .. | 2.10 | 1.00 | 1860 .. | 8.70 | 4.40 |
1658 .. | 4.25 | 2.15 | 1864 .. | 2.95 | 1.45 |
1660 .. | 8.45 | 4.25 | 1868 .. | 1.65 | 0.85 |
1663 .. | 2.40 | 1.20 | 1872 .. | 1.35 | 0.85 |
1666 .. | 2.75 | 1.35 | 1876 .. | 2.55 | 1.55 |
1669 .. | 8.45 | 4.25 | 1880 .. | 1.55 | 0.65 |
1672 .. | 2.95 | 1.45 | 1883 .. | 2.40 | 1.20 |
1675 .. | 2.45 | 1.20 | 1886 .. | 2.40 | 1.20 |
1677 .. | 4.25 | 2.15 | 1890 .. | 2.40 | 1.20 |
1679 .. | 3.75 | 1.85 | 1894 .. | 4.15 | 2.05 |
1681 .. | 2.45 | 1.20 | 1930 .. | 5.45 | 2.75 |
1685 .. | 3.05 | 1.55 | 1934 .. | 6.75 | 3.45 |
1689 .. | 2.40 | 1.20 | 1938 .. | 2.20 | 1.10 |
1692 .. | 4.15 | 2.05 | 1944 .. | 2.95 | 1.45 |
1695 .. | 5.45 | 2.75 | 2001 .. | 3.05 | 1.55 |
1699 .. | 6.75 | 3.45 | 2005 .. | 3.40 | 1.70 |
1704 .. | 2.45 | 0.85 | 2008 .. | 1.00 | 0.50 |
1708 .. | 2.00 | 1.10 | 2012 .. | 0.90 | 0.40 |
1711 .. | 3.40 | 1.70 | 2017 .. | 2.10 | 1.00 |
1715 .. | 8.45 | 4.25 | 2021 .. | 1.20 | 0.60 |
1719 .. | 6.75 | 3.45 | 2026 .. | 2.40 | 1.20 |
1723 .. | 3.60 | 1.80 | 2032 .. | 2.10 | 1.00 |
1727 .. | 2.95 | 1.45 | 2036 .. | 1.65 | 0.85 |
1731 .. | 2.95 | 1.45 | 2040 .. | 4.80 | 2.40 |
1735 .. | 9.35 | 3.45 | 2047 .. | 2.55 | 1.25 |
1739 .. | 3.60 | 1.80 | 2051 .. | 2.55 | 1.25 |
1742 .. | 3.60 | 1.80 | 2055 .. | 8.45 | 4.25 |
1745 .. | 2.45 | 0.85 | 2059 .. | 6.05 | 3.05 |
1749 .. | 6.75 | 3.45 | 2064 .. | 8.45 | 4.25 |
1751 .. | 8.45 | 4.25 | 2068 .. | 3.40 | 1.70 |
1753 .. | 1.00 | 0.50 | 2072 .. | 1.00 | 0.60 |
1755 .. | 2.20 | 0.90 | 2078 .. | 5.15 | 2.55 |
1757 .. | 3.75 | 1.85 | 2083 .. | 2.40 | 1.20 |
1759 .. | 3.40 | 1.70 | 2087 .. | 2.40 | 1.20 |
Schedule 3—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
2089 .. | 3.05 | 1.55 | 2353 .. | 4.15 | 2.05 |
2094 .. | 1.80 | 0.60 | 2356 .. | 4.15 | 2.05 |
2098 .. | 1.00 | 0.50 | 2358 .. | 6.75 | 3.45 |
2106 .. | 1.00 | 0.50 | 2361 .. | 2.45 | 2.55 |
2110 .. | 1.20 | 0.60 | 2364 .. | 6.05 | 3.05 |
2115 .. | 1.65 | 0.85 | 2368 .. | 4.45 | 2.25 |
2121 .. | 1.65 | 0.85 | 2370 .. | 5.15 | 2.55 |
2127 .. | 1.05 | 0.85 | 2373 .. | 14.50 | 5.00 |
2133 .. | 2.85 | 1.45 | 2375 .. | 4.80 | 2.40 |
2139 .. | 4.05 | 2.05 | 2377 .. | 4.15 | 2.05 |
2144 .. | 1.65 | 0.85 | 2379 .. | 6.75 | 3.45 |
2150 .. | 5.70 | 2.90 | 2381 .. | 14.50 | 5.00 |
2154 .. | 1.65 | 0.85 | 2383 .. | 5.15 | 2.55 |
2158 .. | 1.65 | 0.85 | 2385 .. | 5.15 | 2.55 |
2168 .. | 2.75 | 1.35 | 2387 .. | 4.80 | 2.40 |
2172 .. | 0.90 | 0.40 | 2389 .. | 3.95 | 1.95 |
2176 .. | 2.45 | 1.20 | 2391 .. | 3.40 | 1.70 |
2180 .. | 2.45 | 1.20 | 2393 .. | 3.40 | 1.70 |
2184 .. | 1.00 | 0.50 | 2395 .. | 12.00 | 5.00 |
2188 .. | 3.05 | 1.55 | 2397 .. | 1.65 | 0.85 |
2190 .. | 6.05 | 3.05 | 2399 .. | 3.75 | 1.85 |
2192 .. | 9.15 | 4.65 | 2402 .. | 5.15 | 2.55 |
2194 .. | 1.65 | 0.85 | 2404 .. | 2.40 | 1.20 |
2196 .. | 3.40 | 1.70 | 2406 .. | 3.40 | 1.70 |
2197 .. | 5.15 | 2.55 | 2408 .. | 3.40 | 1.70 |
2198 .. | 3.40 | 1.70 | 2411 .. | 5.15 | 2.55 |
2200 .. | 0.60 | 0.40 | 2413 .. | 4.25 | 2.15 |
2207 .. | 2.45 | 0.85 | 2415 .. | 6.05 | 3.05 |
2209 .. | 6.75 | 3.45 | 2417 .. | 2.10 | 1.00 |
2214 .. | 1.00 | 0.50 | 2419 .. | 2.20 | 1.10 |
2218 .. | 2.40 | 1.20 | 2422 .. | 6.05 | 3.05 |
2224 .. | 1.00 | 0.50 | 2424 .. | 7.20 | 3.60 |
2229 .. | 2.40 | 1.20 | 2427 .. | 8.20 | 4.10 |
2233 .. | 2.40 | 1.20 | 2430 .. | 9.85 | 4.95 |
2237 .. | 1.35 | 0.65 | 2432 .. | 3.95 | 1.95 |
2242 .. | 2.40 | 1.20 | 2434 .. | 3.95 | 1.95 |
2246 .. | 1.00 | 0.50 | 2436 .. | 3.15 | 1.95 |
2251 .. | 2.40 | 1.20 | 2438 .. | 7.95 | 3.95 |
2253 .. | 3.95 | 1.35 | 2441 .. | 2.75 | 1.35 |
2258 .. | 4.15 | 2.05 | 2443 .. | 3.95 | 1.95 |
2260 .. | 1.55 | 0.65 | 2446 .. | 3.95 | 1.95 |
2261 .. | 1.55 | 0.65 | 2448 .. | 4.35 | 2.15 |
2263 .. | 1.55 | 0.65 | 2451 .. | 12.00 | 5.00 |
2266 .. | 1.65 | 0.85 | 2454 .. | 20.00 | 5.00 |
2271 .. | 1.65 | 0.85 | 2457 .. | 7.95 | 3.95 |
2276 .. | 3.40 | 1.70 | 2462 .. | 6.75 | 3.35 |
2280 .. | 3.40 | 1.70 | 2470 .. | 5.15 | 2.55 |
2284 .. | 1.65 | 0.85 | 2473 .. | 6.25 | 3.15 |
2288 .. | 1.20 | 0.60 | 2474 .. | 12.50 | 5.00 |
2290 .. | 3.60 | 1.80 | 2476 .. | 12.00 | 5.00 |
2293 .. | 5.15 | 2.55 | 2477 .. | 6.25 | 3.15 |
2297 .. | 2.45 | 1.20 | 2479 .. | 22.50 | 5.00 |
2301 .. | 5.15 | 2.55 | 2480 .. | 9.40 | 4.70 |
2305 .. | 2.45 | 1.20 | 2481 .. | 12.00 | 5.00 |
2309 .. | 2.45 | 1.20 | 2483 .. | 6.75 | 3.35 |
2313 .. | 4.15 | 2.05 | 2484 .. | 7.95 | 3.95 |
2317 .. | 6.05 | 3.05 | 2486 .. | 12.50 | 5.00 |
2321 .. | 10.80 | 4.10 | 2487 .. | 4.75 | 2.35 |
2325 .. | 8.20 | 4.10 | 2489 .. | 13.00 | 5.00 |
2329 .. | 10.30 | 5.00 | 2491 .. | 12.00 | 5.00 |
2333 .. | 12.00 | 5.00 | 2493 .. | 7.95 | 3.95 |
2337 .. | 16.50 | 5.00 | 2495 .. | 12.00 | 5.00 |
2341 .. | 4.80 | 2.40 | 2496 .. | 12.00 | 5.00 |
2345 .. | 3.40 | 1.70 | 2498 .. | 7.95 | 3.95 |
2349 .. | 3.40 | 1.70 | 2499 .. | 7.95 | 3.95 |
Schedule 3—continued
Number of item in First Schedule. | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
2500 .. | 6.75 | 3.35 | 2706 .. | 7.25 | 3.65 |
2502 .. | 3.75 | 1.85 | 2709 .. | 10.65 | 4.95 |
2505 .. | 4.35 | 2.15 | 2711 .. | 12.50 | 5.00 |
2508 .. | 3.75 | 1.85 | 2714 .. | 8.65 | 4.35 |
2512 .. | 4.35 | 2.15 | 2716 .. | 10.65 | 4.95 |
2516 .. | 5.15 | 2.55 | 2718 .. | 12.50 | 5.00 |
2520 .. | 5.75 | 2.85 | 2720 .. | 10.85 | 4.35 |
2524 .. | 3.75 | 1.85 | 2722 .. | 9.20 | 4.10 |
2528 .. | 4.75 | 2.35 | 2724 .. | 12.50 | 5.00 |
2532 .. | 5.45 | 2.75 | 2726 .. | 11.60 | 4.70 |
2537 .. | 7.00 | 3.50 | 2728 .. | 21.50 | 5.00 |
2539 .. | 5.15 | 2.55 | 2730 .. | 7.00 | 3.50 |
2541 .. | 5.75 | 2.85 | 2732 .. | 2.15 | 1.05 |
2543 .. | 4.15 | 2.05 | 2734 .. | 8.65 | 4.35 |
2545 .. | 4.75 | 2.35 | 2736 .. | 5.15 | 2.55 |
2548 .. | 5.15 | 2.55 | 2738 .. | 6.45 | 2.65 |
2551 .. | 6.50 | 3.30 | 2740 .. | 9.40 | 4.70 |
2554 .. | 6.50 | 3.30 | 2742 .. | 7.00 | 3.50 |
2557 .. | 10.70 | 5.00 | 2744 .. | 8.65 | 4.35 |
2560 .. | 7.35 | 3.45 | 2746 .. | 12.00 | 5.00 |
2563 .. | 5.15 | 2.55 | 2748 .. | 12.00 | 5.00 |
2566 .. | 7.35 | 3.45 | 2750 .. | 12.00 | 5.00 |
2569 .. | 7.35 | 3.45 | 2751 .. | 35.00 | 5.00 |
2573 .. | 5.15 | 2.55 | 2752 .. | 8.70 | 3.80 |
2576 .. | 5.15 | 2.55 | 2754 .. | 5.15 | 2.55 |
2579 .. | 5.15 | 2.55 | 2756 .. | 11.00 | 5.00 |
2581 .. | 6.55 | 2.55 | 2758 .. | 8.65 | 4.35 |
2583 .. | 6.55 | 2.55 | 2760 .. | 9.40 | 4.70 |
2585 .. | 5.45 | 2.75 | 2762 .. | 7.25 | 3.65 |
2587 .. | 3.55 | 1.75 | 2764 .. | 10.70 | 5.00 |
2589 .. | 8.65 | 4.35 | 2766 .. | 10.70 | 5.00 |
2591 .. | 6.75 | 3.45 | 2768 .. | 10.70 | 5.00 |
2593 .. | 5.45 | 2.75 | 2770 .. | 10.70 | 5.00 |
2595 .. | 4.75 | 2.35 | 2772 .. | 10.70 | 5.00 |
2597 .. | 6.75 | 3.45 | 2774 .. | 13.50 | 5.00 |
2599 .. | 5.85 | 2.95 | 2776 .. | 10.70 | 5.00 |
2601 .. | 8.20 | 4.10 | 2778 .. | 7.25 | 3.65 |
2604 .. | 4.85 | 2.45 | 2780 .. | 7.25 | 3.65 |
2607 .. | 10.40 | 5.00 | 2782 .. | 2.35 | 1.15 |
2609 .. | 14.50 | 5.00 | 2784 .. | 5.45 | 2.75 |
2611 .. | 2.15 | 1.05 | 2786 .. | 4.55 | 2.25 |
2614 .. | 5.15 | 2.55 | 2788 .. | 5.45 | 2.75 |
2617 .. | 4.35 | 2.15 | 2790 .. | 9.15 | 4.55 |
2621 .. | 9.40 | 4.70 | 2792 .. | 7.00 | 3.50 |
2625 .. | 5.35 | 2.25 | 2794 .. | 6.50 | 3.30 |
2627 .. | 5.95 | 2.55 | 2796 .. | 6.50 | 3.30 |
2630 .. | 6.50 | 3.30 | 2798 .. | 1.35 | 0.65 |
2634 .. | 4.35 | 2.15 | 2800 .. | 4.75 | 2.35 |
2638 .. | 2.35 | 1.15 | 2802 .. | 3.15 | 1.55 |
2642 .. | 5.45 | 2.75 | 2804 .. | 2.75 | 1.35 |
2646 .. | 6.50 | 3.30 | 2806 .. | 0.55 | 0.25 |
2650 .. | 5.35 | 2.25 | 2808 .. | 3.35 | 1.65 |
2654 .. | 5.95 | 2.55 | 2810 .. | 0.70 | 0.30 |
2659 .. | 6.15 | 2.75 | 2812 .. | 6.75 | 3.35 |
2662 .. | 7.30 | 3.30 | 2814 .. | 1.35 | 0.65 |
2665 .. | 5.95 | 2.55 | 2816 .. | 3.75 | 1.85 |
2672 .. | 15.00 | 5.00 | 2818 .. | 3.35 | 1.65 |
2676 .. | 13.50 | 5.00 | 2820 .. | 0.70 | 0.30 |
2681 .. | 17.50 | 5.00 | 2822 .. | 3.95 | 1.95 |
2687 .. | 10.70 | 5.00 | 2824 .. | 0.75 | 0.35 |
2690 .. | 7.00 | 3.50 | 2826 .. | 8.65 | 4.35 |
2694 .. | 8.65 | 4.35 | 2828 .. | 1.75 | 0.85 |
2697 .. | 6.15 | 2.75 | 2830 .. | 5.15 | 2.55 |
2699 .. | 5.35 | 2.25 | 2832 .. | 1.00 | 0.50 |
2703 .. | 5.95 | 2.55 | 2834 .. | 6.75 | 3.45 |
Schedule 3—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
2836 .. | 1.35 | 0.65 |
| combination of operations, exceeds— the aggregate of the Commonwealth benefit and the specified excess in respect of the assistance at the operation or series or combination of operations. | the operation or series or combination or operations; or (b)$5 is the less, |
2838 .. | 12.00 | 5.00 |
|
|
|
2840 .. | 2.35 | 1.15 |
|
|
|
2842 .. | 21.50 | 5.00 |
|
|
|
2844 .. | 14.50 | 5.00 |
|
|
|
2846 .. | 30.00 | 5.00 |
|
|
|
2848 .. | 47.00 | 5.00 |
|
|
|
2850 .. | 35.00 | 5.00 |
|
|
|
2852 .. | 21.50 | 5.00 |
|
|
|
2854 .. | 8.20 | 4.10 |
|
|
|
2856 .. | 13.00 | 5.00 |
|
|
|
2858 .. | 5.45 | 2.75 |
|
|
|
2860 .. | 4.15 | 2.05 |
|
|
|
2862 .. | 14.00 | 5.00 |
|
|
|
2864 .. | 4.15 | 2.05 |
|
|
|
2866 .. | 8.20 | 4.10 |
|
|
|
2868 .. | 9.85 | 4.95 |
|
|
|
2870 .. | 2.75 | 1.35 | 3006 .. | 3.25 | 0.85 |
2872 .. | 2.95 | 1.45 | 3012 .. | 5.85 | 1.65 |
2874 .. | 12.00 | 5.00 | 3016 .. | 4.75 | 2.25 |
2876 .. | 4.85 | 2.45 | 3022 .. | 5.75 | 2.75 |
2878 .. | 4.85 | 2.45 | 3027 .. | 10.00 | 4.70 |
2880 .. | 30.00 | 5.00 | 3033 .. | 12.50 | 5.00 |
2882 .. | 13.50 | 5.00 | 3038 .. | 27.50 | 5.00 |
2884 .. | 13.50 | 5.00 | 3039 .. | 57.00 | 5.00 |
2886 .. | 13.00 | 5.00 | 3041 .. | 27.50 | 5.00 |
2888 .. | 4.35 | 2.15 | 3046 .. | 8.75 | 1.95 |
2890 .. | 6.50 | 3.30 | 3050 .. | 3.85 | 2.75 |
2892 .. | 6.50 | 3.30 | 3058 .. | 9.95 | 2.35 |
2894 .. | 5.15 | 2.55 | 3059 .. | 9.95 | 2.35 |
2896 .. | 5.15 | 2.55 | 3063 .. | 9.05 | 4.35 |
2898 .. | 4.15 | 2.05 | 3068 .. | 9.05 | 4.35 |
2900 .. | 5.15 | 2.55 | 3073 .. | 12.85 | 2.95 |
2903 .. | 4.15 | 2.05 | 3082 .. | 11.30 | 5.00 |
2906 .. | 4.15 | 2.05 | 3087 .. | 15.00 | 5.00 |
2909 .. | 6.50 | 3.30 | 3092 .. | 9.05 | 4.35 |
2912 .. | 5.35 | 2.65 | 3095 .. | 9.05 | 4.35 |
2916 .. | 5.35 | 2.65 | 3098 .. | 12.00 | 5.00 |
2918 .. | 3.35 | 1.65 | 3101 .. | 15.00 | 5.00 |
2921 .. | 6.50 | 3.30 | 3106 .. | 5.75 | 2.75 |
2923 .. | 4.35 | 2.15 | 3109 .. | 15.00 | 5.00 |
2925 .. | 4.35 | 2.15 | 3113 .. | 1.45 | 0.75 |
2927 .. | 13.50 | 5.00 | 3114 .. | 1.45 | 0.75 |
2930 .. | 8.65 | 4.35 | 3116 .. | 8.35 | 3.95 |
2932 .. | 2.15 | 1.05 | 3117 .. | 8.35 | 3.95 |
2934 .. | 13.50 | 5.00 | 3120 .. | 18.00 | 5.00 |
2936 .. | 6.50 | 3.30 | 3124 .. | 23.00 | 5.00 |
2938 .. | 8.65 | 4.35 | 3128 .. | 23.00 | 5.00 |
2940 .. | 13.50 | 5.00 | 3330 .. | 3.45 | 1.85 |
2950 .. | 8.95 | 3.15 | 3134 .. | 3.45 | 1.85 |
|
|
| 3135 .. | 7.80 | 4.10 |
2955 .. | The amount by which— one-fifth of the aggregate of the basic Commonwealth benefit, the fund benefit, and the specified excess, in respect of the operation or series or | Whichever of— (a) three per centum of the aggregate of the basic Commonwealth benefit, the fund benefit, and the specified excess, in respect of | 3142 .. | 9.50 | 5.00 |
|
|
| 3147 .. | 9.50 | 5.00 |
|
|
| 3148 .. | 3.75 | 1.75 |
|
|
| 3157 .. | 8.35 | 3.95 |
|
|
| 3160 .. | 2.35 | 1.05 |
|
|
| 3163 .. | 2.35 | 1.05 |
|
|
| 3168 .. | 15.00 | 5.00 |
|
|
| 3173 .. | 6.90 | 3.30 |
|
|
| 3175 .. | 6.90 | 3.30 |
|
|
| 3178 .. | 12.00 | 5.00 |
|
|
| 3183 .. | 15.00 | 5.00 |
|
|
| 3187 .. | 15.00 | 5.00 |
|
|
| 3189 .. | 2.70 | 1.30 |
|
|
| 3194 .. | 12.50 | 5.00 |
Schedule 3—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
3199 .. | 18.00 | 5.00 | 3483 .. | 25.00 | 5.00 |
3208 .. | 8.50 | 5.00 | 3490 .. | 61.00 | 5.00 |
3213 .. | 7.00 | 5.00 | 3493 .. | 61.00 | 5.00 |
3217 .. | 32.00 | 5.00 | 3495 .. | 155.00 | 5.00 |
3219 .. | 16.85 | 3.65 | 3496 .. | 3.55 | 1.65 |
3228 .. | 9.05 | 4.95 | 3500 .. | 3.55 | 1.65 |
3229 .. | 9.05 | 4.95 | 3505 .. | 9.30 | 4.40 |
3233 .. | 10.90 | 5.00 | 3507 .. | 9.30 | 4.40 |
3237 .. | 5.00 | 5.00 | 3509 .. | 12.50 | 5.00 |
3245 .. | 5.00 | 5.00 | 3516 .. | 17.00 | 5.00 |
3247 .. | 27.50 | 5.00 | 3521 .. | 17.00 | 5.00 |
3253 .. | 20.50 | 5.00 | 3526 .. | 34.00 | 5.00 |
3258 .. | 20.50 | 5.00 | 3530 .. | 44.00 | 5.00 |
3261 .. | 35.50 | 5.00 | 3532 .. | 52.00 | 5.00 |
3265 .. | 40.50 | 5.00 | 3542 .. | 88.00 | 5.00 |
3271 .. | 34.00 | 5.00 | 3547 .. | 99.00 | 5.00 |
3276 .. | 74.00 | 5.00 | 3555 .. | 110.00 | 5.00 |
3281 .. | 44.00 | 5.00 | 3563 .. | 73.00 | 5.00 |
3284 .. | 44.00 | 5.00 | 3569 .. | 71.00 | 5.00 |
3289 .. | 52.00 | 5.00 | 3576 .. | 52.00 | 5.00 |
3290 .. | 52.00 | 5.00 | 3581 .. | 34.00 | 5.00 |
3295 .. | 74.00 | 5.00 | 3591 .. | 44.00 | 5.00 |
3301 .. | 34.00 | 5.00 | 3597 .. | 38.00 | 5.00 |
3308 .. | 59.00 | 5.00 | 3603 .. | 29.00 | 5.00 |
3314 .. | 10.45 | 4.95 | 3616 .. | 155.00 | 5.00 |
3320 .. | 6.05 | 1.55 | 3618 .. | 32.00 | 5.00 |
3330 .. | 6.35 | 2.35 | 3622 .. | 88.00 | 5.00 |
3331 .. | 6.35 | 2.35 | 3634 .. | 20.50 | 5.00 |
3332 .. | 5.45 | 2.55 | 3638 .. | 65.00 | 5.00 |
3338 .. | 10.85 | 2.95 | 3643 .. | 16.50 | 5.00 |
3342 .. | 5.45 | 3.15 | 3647 .. | 27.50 | 5.00 |
3346 .. | 15.00 | 3.50 | 3652 .. | 37.00 | 5.00 |
3356 .. | 1.55 | 1.55 | 3654 .. | 20.50 | 5.00 |
3363 .. | 13.00 | 5.00 | 3664 .. | 22.50 | 5.00 |
3366 .. | 2.55 | 0.95 | 3668 .. | 21.50 | 5.00 |
3371 .. | 1.65 | 0.95 | 3673 .. | 27.50 | 5.00 |
3379 .. | 14.65 | 4.35 | 3678 .. | 21.50 | 5.00 |
3384 .. | 13.00 | 5.00 | 3683 .. | 27.50 | 5.00 |
3386 .. | 13.00 | 5.00 | 3698 .. | 52.00 | 5.00 |
3389 .. | 9.55 | 4.55 | 3702 .. | 75.00 | 5.00 |
3391 .. | 12.00 | 5.00 | 3707 .. | 12.00 | 5.00 |
3395 .. | 18.00 | 5.00 | 3713 .. | 30.00 | 5.00 |
3399 .. | 22.50 | 5.00 | 3718 .. | 48.00 | 5.00 |
3401 .. | 14.00 | 5.00 | 3724 .. | 38.00 | 5.00 |
3404 .. | 18.00 | 5.00 | 3733 .. | 52.00 | 5.00 |
3407 .. | 25.00 | 5.00 | 3739 .. | 45.00 | 5.00 |
3411 .. | 9.55 | 4.55 | 3745 .. | 57.00 | 5.00 |
3417 .. | 12.00 | 5.00 | 3750 .. | 47.00 | 5.00 |
3425 .. | 30.00 | 5.00 | 3754 .. | 52.00 | 5.00 |
3427 .. | 30.00 | 5.00 | 3759 .. | 135.00 | 5.00 |
3431 .. | 30.00 | 5.00 | 3764 .. | 47.00 | 5.00 |
3437 .. | 67.00 | 5.00 | 3777 .. | 52.00 | 5.00 |
3444 .. | 110.00 | 5.00 | 3783 .. | 52.00 | 5.00 |
3450 .. | 74.00 | 5.00 | 3789 .. | 9.55 | 4.55 |
3455 .. | 50.00 | 5.00 | 3793 .. | 44.00 | 5.00 |
3456 .. | 50.00 | 5.00 | 3798 .. | 67.00 | 5.00 |
3459 .. | 16.50 | 5.00 | 3802 .. | 38.00 | 5.00 |
3462 .. | 16.50 | 5.00 | 3809 .. | 47.00 | 5.00 |
3465 .. | 4.65 | 2.15 | 3815 .. | 79.00 | 5.00 |
3466 .. | 4.65 | 2.15 | 3820 .. | 75.00 | 5.00 |
3468 .. | 9.05 | 4.35 | 3825 .. | 54.00 | 5.00 |
3472 .. | 12.00 | 5.00 | 3831 .. | 86.00 | 5.00 |
3475 .. | 12.00 | 5.00 | 3834 .. | 135.00 | 5.00 |
3477 .. | 12.00 | 5.00 | 3841 .. | 135.00 | 5.00 |
3480 .. | 25.00 | 5.00 | 3846 .. | 15.00 | 5.00 |
Schedule 3—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in first Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
3855 .. | 18.00 | 5.00 | 4191 .. | 12.00 | 5.00 |
3864 .. | 47.00 | 5.00 | 4197 .. | 4.15 | 1.95 |
3870 .. | 49.00 | 5.00 | 4202 .. | 110.00 | 5.00 |
3875 .. | 52.00 | 5.00 | 4209 .. | 91.00 | 5.00 |
3882 .. | 61.00 | 5.00 | 4214 .. | 37.00 | 5.00 |
3889 .. | 74.00 | 5.00 | 4216 .. | 54.00 | 5.00 |
3894 .. | 47.00 | 5.00 | 4222 .. | 30.00 | 5.00 |
3898 .. | 61.00 | 5.00 | 4227 .. | 37.00 | 5.00 |
3902 .. | 61.00 | 5.00 | 4233 .. | 47.00 | 5.00 |
3910 .. | 38.00 | 5.00 | 4238 .. | 69.00 | 5.00 |
3916 .. | 47.00 | 5.00 | 4241 .. | 155.00 | 5.00 |
3922 .. | 88.00 | 5.00 | 4246 .. | 22.00 | 5.00 |
3930 .. | 110.00 | 5.00 | 4249 .. | 30.00 | 5.00 |
3938 .. | 135.00 | 5.00 | 4251 .. | 26.00 | 5.00 |
3946 .. | 47.00 | 5.00 | 4254 .. | 35.00 | 5.00 |
3952 .. | 38.00 | 5.00 | 4258 .. | 38.00 | 5.00 |
3958 .. | 38.00 | 5.00 | 4262 .. | 47.00 | 5.00 |
3962 .. | 47.00 | 5.00 | 4265 .. | 2.70 | 1.30 |
3965 .. | 61.00 | 5.00 | 4269 .. | 31.00 | 5.00 |
3968 .. | 38.00 | 5.00 | 4273 .. | 35.50 | 5.00 |
3970 .. | 47.00 | 5.00 | 4282 .. | 19.50 | 5.00 |
3976 .. | 26.00 | 5.00 | 4285 .. | 25.00 | 5.00 |
3981 .. | 33.00 | 5.00 | 4288 .. | 26.00 | 5.00 |
3986 .. | 47.00 | 5.00 | 4293 .. | 35.00 | 5.00 |
3990 .. | 47.00 | 5.00 | 4296 .. | 47.00 | 5.00 |
3996 .. | 31.00 | 5.00 | 4299 .. | 74.00 | 5.00 |
4000 .. | 39.00 | 5.00 | 4307 .. | 47.00 | 5.00 |
4003 .. | 19.50 | 5.00 | 4313 .. | 8.60 | 4.10 |
4009 .. | 44.00 | 5.00 | 4319 .. | 3.55 | 1.65 |
4012 .. | 100.00 | 5.00 | 4327 .. | 8.35 | 3.95 |
4018 .. | 79.00 | 5.00 | 4338 .. | 12.00 | 5.00 |
4020 .. | 38.00 | 5.00 | 4345 .. | 15.00 | 5.00 |
4021 .. | 47.00 | 5.00 | 4351 .. | 3.70 | 1.70 |
4027 .. | 38.00 | 5.00 | 4354 .. | 4.15 | 1.95 |
4032 .. | 47.00 | 5.00 | 4362 .. | 6.25 | 2.95 |
4039 .. | 73.00 | 5.00 | 4365 .. | 16.50 | 5.00 |
4043 .. | 100.00 | 5.00 | 4370 .. | 33.60 | 5.00 |
4846 .. | 88.00 | 5.00 | 4375 .. | 48.60 | 5.00 |
4048 .. | 110.00 | 5.00 | 4380 .. | 13.00 | 5.00 |
4052 .. | 133.00 | 5.00 | 4387 .. | 15.00 | 5.00 |
4054 .. | 113.00 | 5.00 | 4393 .. | 18.00 | 5.00 |
4059 .. | 37.00 | 5.00 | 4397 .. | 34.00 | 5.00 |
4068 .. | 110.00 | 5.00 | 4407 .. | 52.00 | 5.00 |
4074 .. | 23.00 | 5.00 | 4413 .. | 83.00 | 5.00 |
4080 .. | 21.00 | 5.00 | 4427 .. | 2.70 | 1.30 |
4084 .. | 9.55 | 4.55 | 4434 .. | 11.00 | 5.00 |
4087 .. | 34.00 | 5.00 | 4442 .. | 15.00 | 5.00 |
4093 .. | 43.00 | 5.00 | 4455 .. | 2.95 | 1.35 |
4099 .. | 14.00 | 5.00 | 4461 .. | 12.00 | 5.00 |
4104 .. | 6.90 | 3.30 | 4467 .. | 9.05 | 4.35 |
4109 .. | 105.00 | 5.00 | 4473 .. | 6.45 | 3.05 |
4115 .. | 155.00 | 5.00 | 4482 .. | 33.00 | 5.00 |
4118 .. | 175.00 | 5.00 | 4490 .. | 10.45 | 4.95 |
4124 .. | 36.00 | 5.00 | 4497 .. | 2.05 | 0.95 |
4130 .. | 45.00 | 5.00 | 4509 .. | 3.45 | 1.95 |
4133 .. | 110.00 | 5.00 | 4521 .. | 4.15 | 1.95 |
4138 .. | 49.00 | 5.00 | 4523 .. | 31.00 | 5.00 |
4141 .. | 67.00 | 5.00 | 4527 .. | 52.00 | 5.00 |
4144 .. | 67.00 | 5.00 | 4534 .. | 7.85 | 3.75 |
4149 .. | 41.00 | 5.00 | 4537 .. | 18.00 | 5.00 |
4158 .. | 52.00 | 5.00 | 4544 .. | 35.00 | 5.00 |
4165 .. | 99.00 | 5.00 | 4552 .. | 18.50 | 5.00 |
4173 .. | 75.00 | 5.00 | 4557 .. | 25.00 | 5.00 |
4179 .. | 75.00 | 5.00 | 4568 .. | 27.50 | 5.00 |
4185 .. | 40.00 | 5.00 | 4573 .. | 34.00 | 5.00 |
Schedule 3—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
4578 .. | 9.05 | 4.35 | 4877 .. | 52.00 | 5.00 |
4585 .. | 12.00 | 5.00 | 4927 .. | 12.50 | 5.00 |
4590 .. | 61.00 | 5.00 | 4930 .. | 15.50 | 5.00 |
4594 .. | 27.50 | 5.00 | 4934 .. | 19.00 | 5.00 |
4602 .. | 5.45 | 2.55 | 4940 .. | 24.50 | 5.00 |
4606 .. | 50.00 | 5.00 | 4943 .. | 23.00 | 5.00 |
4611 .. | 25.50 | 5.00 | 4948 .. | 29.00 | 5.00 |
4617 .. | 33.00 | 5.00 | 4950 .. | 26.50 | 5.00 |
4622 .. | 6.55 | 3.35 | 4954 .. | 33.00 | 5.00 |
4629 .. | 2.75 | 1.25 | 4957 .. | 30.00 | 5.00 |
4633 .. | 7.85 | 3.75 | 4961 .. | 37.00 | 5.00 |
4637 .. | 16.50 | 5.00 | 4965 .. | 15.00 | 5.00 |
4640 .. | 67.00 | 5.00 | 4969 .. | 18.50 | 5.00 |
4643 .. | 31.00 | 5.00 | 4972 .. | 18.50 | 5.00 |
4649 .. | 92.00 | 5.00 | 4976 .. | 25.00 | 5.00 |
4651 .. | 27.50 | 5.00 | 4979 .. | 30.00 | 5.00 |
4655 .. | 21.00 | 5.00 | 4983 .. | 52.00 | 5.00 |
4658 .. | 16.50 | 5.00 | 4987 .. | 105.00 | 5.00 |
4662 .. | 44.00 | 5.00 | 4990 .. | 9.05 | 4.35 |
4665 .. | 71.00 | 5.00 | 4993 .. | 11.30 | 5.00 |
4670 .. | 3.95 | 1.85 | 4995 .. | 14.00 | 5.00 |
4676 .. | 42.00 | 5.00 | 4997 .. | 18.00 | 5.00 |
4678 .. | 29.00 | 5.00 | 4999 .. | 17.00 | 5.00 |
4690 .. | 44.00 | 5.00 | 5002 .. | 21.00 | 5.00 |
4693 .. | 65.00 | 5.00 | 5006 .. | 19.50 | 5.00 |
4696 .. | 88.00 | 5.00 | 5009 .. | 24.50 | 5.00 |
4699 .. | 105.00 | 5.00 | 5015 .. | 22.00 | 5.00 |
4702 .. | 65.00 | 5.00 | 5018 .. | 27.50 | 5.00 |
4705 .. | 105.00 | 5.00 | 5024 .. | 11.30 | 5.00 |
4709 .. | 96.00 | 5.00 | 5029 .. | 15.00 | 5.00 |
4715 .. | 47.00 | 5.00 | 5034 .. | 30.00 | 5.00 |
4721 .. | 61.00 | 5.00 | 5038 .. | 25.00 | 5.00 |
4733 .. | 52.00 | 5.00 | 5045 .. | 40.00 | 5.00 |
4738 .. | 65.00 | 5.00 | 5048 .. | 57.00 | 5.00 |
4744 .. | 120.00 | 5.00 | 5051 .. | 65.00 | 5.00 |
4749 .. | 114.00 | 5.00 | 5055 .. | 135.00 | 5.00 |
4754 .. | 120.00 | 5.00 | 5059 .. | 6.25 | 2.95 |
4762 .. | 105.00 | 5.00 | 5062 .. | 20.00 | 5.00 |
4766 .. | 105.00 | 5.00 | 5066 .. | 11.30 | 5.00 |
4778 .. | 61.00 | 5.00 | 5068 .. | 13.00 | 5.00 |
4784 .. | 79.00 | 5.00 | 5072 .. | 83.00 | 5.00 |
4789 .. | 57.00 | 5.00 | 5075 .. | 111.00 | 5.00 |
4791 .. | 135.00 | 5.00 | 5078 .. | 86.00 | 5.00 |
4794 .. | 155.00 | 5.00 | 5081 .. | 96.00 | 5.00 |
4798 .. | 110.00 | 5.00 | 5085 .. | 105.00 | 5.00 |
4801 .. | 37.00 | 5.00 | 5087 .. | 47.00 | 5.00 |
4804 .. | 75.00 | 5.00 | 5091 .. | 59.00 | 5.00 |
4808 .. | 20.00 | 5.00 | 5095 .. | 200.00 | 5.00 |
4812 .. | 15.00 | 5.00 | 5098 .. | 105.00 | 5.00 |
4817 .. | 88.00 | 5.00 | 5100 .. | 310.00 | 5.00 |
4822 .. | 47.00 | 5.00 | 5102 .. | 105.00 | 5.00 |
4828 .. | 4.65 | 2.15 | 5104 .. | 120.00 | 5.00 |
4832 .. | 9.55 | 4.55 | 5106 .. | 92.00 | 5.00 |
4838 .. | 17.00 | 5.00 | 5108 .. | 220.00 | 5.00 |
4841 .. | 17.00 | 5.00 | 5112 .. | 220.00 | 5.00 |
4844 .. | 30.00 | 5.00 | 5116 .. | 105.00 | 5.00 |
4848 .. | 25.00 | 5.00 | 5122 .. | 135.00 | 5.00 |
4853 .. | 30.00 | 5.00 | 5127 .. | 105.00 | 5.00 |
4856 .. | 9.55 | 4.55 | 5131 .. | 52.00 | 5.00 |
4860 .. | 30.00 | 5.00 | 5138 .. | 96.00 | 5.00 |
4862 .. | 30.00 | 5.00 | 5143 .. | 61.00 | 5.00 |
4864 .. | 30.00 | 5.00 | 5147 .. | 96.00 | 5.00 |
4867 .. | 52.00 | 5.00 | 5152 .. | 71.00 | 5.00 |
4870 .. | 40.00 | 5.00 | 5158 .. | 105.00 | 5.00 |
4874 .. | 30.00 | 5.00 | 5162 .. | 17.30 | 5.00 |
Schedule 3—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
5166 .. | 63.00 | 5.00 | 5415 .. | 19.25 | 5.00 |
5172 .. | 14.00 | 5.00 | 5424 .. | 17.50 | 5.00 |
5176 .. | 3.70 | 1.70 | 5431 .. | 6.90 | 3.30 |
5181 .. | 13.55 | 3.95 | 5445 .. | 5.45 | 2.55 |
5185 .. | 8.35 | 3.95 | 5449 .. | 2.70 | 1.30 |
5192 .. | 5.65 | 2.65 | 5456 .. | 30.00 | 5.00 |
5196 .. | 9.55 | 4.55 | 5464 .. | 15.00 | 5.00 |
5201 .. | 5.95 | 2.85 | 5470 .. | 31.00 | 5.00 |
5205 .. | 6.25 | 2.95 | 5474 .. | 14.00 | 5.00 |
5210 .. | 13.50 | 5.00 | 5480 .. | 18.00 | 5.00 |
5214 .. | 18.00 | 5.00 | 5486 .. | 30.00 | 5.00 |
5217 .. | 49.00 | 5.00 | 5490 .. | 4.15 | 1.95 |
5221 .. | 57.25 | 5.00 | 5498 .. | 114.00 | 5.00 |
5225 .. | 55.50 | 5.00 | 5503 .. | 120.00 | 5.00 |
5229 .. | 12.75 | 4.55 | 5508 .. | 120.00 | 5.00 |
5233 .. | 13.00 | 5.00 | 5520 .. | 15.00 | 5.00 |
5237 .. | 10.45 | 4.95 | 5524 .. | 31.00 | 5.00 |
5241 .. | 14.00 | 5.00 | 5530 .. | 34.00 | 5.00 |
5245 .. | 2.45 | 1.15 | 5534 .. | 24.50 | 5.00 |
5249 .. | 2.45 | 1.15 | 5540 .. | 35.00 | 5.00 |
5254 .. | 7.15 | 3.35 | 5545 .. | 52.00 | 5.00 |
5259 .. | 7.15 | 3.35 | 5556 .. | 52.00 | 5.00 |
5264 .. | 2.05 | 0.95 | 5566 .. | 86.00 | 5.00 |
5268 .. | 37.00 | 5.00 | 5568 .. | 74.00 | 5.00 |
5270 .. | 97.00 | 5.00 | 5572 .. | 15.00 | 5.00 |
5274 .. | 97.00 | 5.00 | 5598 .. | 20.00 | 5.00 |
5277 .. | 57.00 | 5.00 | 5601 .. | 14.00 | 5.00 |
5280 .. | 22.50 | 5.00 | 5605 .. | 14.00 | 5.00 |
5282 .. | 22.50 | 5.00 | 5611 .. | 19.50 | 5.00 |
5284 .. | 9.05 | 4.35 | 5613 .. | 31.00 | 5.00 |
5286 .. | 9.05 | 4.35 | 5619 .. | 20.50 | 5.00 |
5288 .. | 52.00 | 5.00 | 5624 .. | 9.55 | 4.55 |
5291 .. | 52.00 | 5.00 | 5630 .. | 69.00 | 5.00 |
5295 .. | 69.00 | 5.00 | 5636 .. | 75.00 | 5.00 |
5298 .. | 91.00 | 5.00 | 5642 .. | 135.00 | 5.00 |
5701 .. | 58.00 | 5.00 | 5647 .. | 71.00 | 5.00 |
5305 .. | 4.65 | 2.15 | 5651 .. | 96.00 | 5.00 |
5308 .. | 29.00 | 5.00 | 5654 .. | 69.00 | 5.00 |
5318 .. | 69.00 | 5.00 | 5661 .. | 86.00 | 5.00 |
5320 .. | 54.00 | 5.00 | 5665 .. | 96.00 | 5.00 |
5325 .. | 4.65 | 2.15 | 5669 .. | 96.00 | 5.00 |
5330 .. | 25.00 | 5.00 | 5675 .. | 108.00 | 5.00 |
5333 .. | 52.00 | 5.00 | 5679 .. | 96.00 | 5.00 |
5337 .. | 71.00 | 5.00 | 5683 .. | 67.00 | 5.00 |
5339 .. | 96.00 | 5.00 | 5691 .. | 86.00 | 5.00 |
5343 .. | 4.25 | 1.65 | 5694 .. | 96.00 | 5.00 |
5345 .. | 9.05 | 4.35 | 5699 .. | 99.00 | 5.00 |
5348 .. | 9.55 | 4.55 | 5705 .. | 75.00 | 5.00 |
5351 .. | 86.00 | 5.00 | 5715 .. | 69.00 | 5.00 |
5354 .. | 61.00 | 5.00 | 5721 .. | 52.00 | 5.00 |
5357 .. | 52.00 | 5.00 | 5724 .. | 59.00 | 5.00 |
5360 .. | 61.00 | 5.00 | 5726 .. | 13.50 | 5.00 |
5363 .. | 18.00 | 5.00 | 5729 .. | 30.00 | 5.00 |
5366 .. | 18.00 | 5.00 | 5732 .. | 42.00 | 5.00 |
5370 .. | 27.75 | 5.00 | 5734 .. | 86.00 | 5.00 |
5374 .. | 27.75 | 5.00 | 5737 .. | 96.00 | 5.00 |
5378 .. | 25.25 | 5.00 | 5741 .. | 86.00 | 5.00 |
5383 .. | 25.25 | 5.00 | 5744 .. | 86.00 | 5.00 |
5389 .. | 23.00 | 5.00 | 5747 .. | 69.00 | 5.00 |
5392 .. | 32.00 | 5.00 | 5753 .. | 120.00 | 5.00 |
5396 .. | 8.60 | 4.10 | 5757 .. | 155.00 | 5.00 |
5401 .. | 11.30 | 5.00 | 5763 .. | 69.00 | 5.00 |
|
|
| 5769 .. | 86.00 | 5.00 |
5407 .. | 4.40 | 3.50 | 5773 .. | 75.00 | 5.00 |
5411 .. | 6.55 | 4.95 | 5777 .. | 96.00 | 5.00 |
Schedule 3—continued
Number of Item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
5780 .. | 86.00 | 5.00 | 6073 .. | 20.00 | 5.00 |
5785 .. | 86.00 | 5.00 | 6077 .. | 59.00 | 5.00 |
5792 .. | 104.00 | 5.00 | 6079 .. | 52.00 | 5.00 |
5799 .. | 86.00 | 5.00 | 6083 .. | 69.00 | 5.00 |
5804 .. | 104.00 | 5.00 | 6086 .. | 69.00 | 5.00 |
5807 .. | 120.00 | 5.00 | 6089 .. | 65.00 | 5.00 |
5812 .. | 59.00 | 5.00 | 6092 .. | 65.00 | 5.00 |
5816 .. | 69.00 | 5.00 | 6095 .. | 24.50 | 5.00 |
5821 .. | 69.00 | 5.00 | 6098 .. | 15.00 | 5.00 |
5827 .. | 86.00 | 5.00 | 6105 .. | 33.00 | 5.00 |
5831 .. | 67.00 | 5.00 | 6107 .. | 42.00 | 5.00 |
5836 .. | 86.00 | 5.00 | 6110 .. | 65.00 | 5.00 |
5837 .. | 40.00 | 5.00 | 6114 .. | 67.00 | 5.00 |
5840 .. | 2.85 | 1.15 | 6118 .. | 123.00 | 5.00 |
5845 .. | 10.70 | 5.00 | 6122 .. | 24.50 | 5.00 |
5847 .. | 15.00 | 5.00 | 6130 .. | 52.00 | 5.00 |
5851 .. | 21.00 | 5.00 | 6135 .. | 86.00 | 5.00 |
5853 .. | 20.00 | 5.00 | 6140 .. | 15.50 | 5.00 |
5857 .. | 7.40 | 3.50 | 6146 .. | 15.50 | 5.00 |
5861 .. | 7.40 | 3.50 | 6152 .. | 42.00 | 5.00 |
5864 .. | 24.50 | 5.00 | 6157 .. | 69.00 | 5.00 |
5868 .. | 20.00 | 5.00 | 6162 .. | 6.25 | 2.95 |
5871 .. | 29.00 | 5.00 | 6166 .. | 69.00 | 5.00 |
5875 .. | 65.00 | 5.00 | 6170 .. | 9.05 | 4.35 |
5878 .. | 22.50 | 5.00 | 6175 .. | 33.00 | 5.00 |
5881 .. | 42.00 | 5.00 | 6179 .. | 42.00 | 5.00 |
5885 .. | 50.00 | 5.00 | 6184 .. | 86.00 | 5.00 |
5888 .. | 42.00 | 5.00 | 6189 .. | 42.00 | 5.00 |
5891 .. | 52.00 | 5.00 | 6194 .. | 86.00 | 5.00 |
5894 .. | 65.00 | 5.00 | 6199 .. | 3.75 | 1.75 |
5897 .. | 30.00 | 5.00 | 6204 .. | 42.00 | 5.00 |
5901 .. | 37.00 | 5.00 | 6208 .. | 79.00 | 5.00 |
5905 .. | 96.00 | 5.00 | 6212 .. | 25.00 | 5.00 |
5916 .. | 65.00 | 5.00 | 6216 .. | 15.50 | 5.00 |
5919 .. | 65.00 | 5.00 | 6218 .. | 15.50 | 5.00 |
5929 .. | 69.00 | 5.00 | 6221 .. | 19.00 | 5.00 |
5935 .. | 37.00 | 5.00 | 6224 .. | 24.50 | 5.00 |
5941 .. | 75.00 | 5.00 | 6228 .. | 24.50 | 5.00 |
5947 .. | 59.00 | 5.00 | 6230 .. | 86.00 | 5.00 |
5956 .. | 39.00 | 5.00 | 6233 .. | 30.00 | 5.00 |
5964 .. | 3.75 | 1.75 | 6236 .. | 27.50 | 5.00 |
5968 .. | 42.00 | 5.00 | 6238 .. | 52.00 | 5.00 |
5973 .. | 42.00 | 5.00 | 6241 .. | 59.00 | 5.00 |
5977 .. | 69.00 | 5.00 | 6244 .. | 46.00 | 5.00 |
5981 .. | 155.00 | 5.00 | 6246 .. | 15.50 | 5.00 |
5984 .. | 86.00 | 5.00 | 6249 .. | 32.50 | 5.00 |
5993 .. | 104.00 | 5.00 | 6253 .. | 20.00 | 5.00 |
6001 .. | 96.00 | 5.00 | 6258 .. | 6.25 | 2.95 |
6005 .. | 50.00 | 5.00 | 6262 .. | 4.15 | 1.95 |
6010 .. | 42.00 | 5.00 | 6267 .. | 6.25 | 2.95 |
6017 .. | 105.00 | 5.00 | 6271 .. | 6.90 | 3.30 |
6022 .. | 25.00 | 5.00 | 6274 .. | 12.00 | 5.00 |
6027 .. | 37.00 | 5.00 | 6277 .. | 15.00 | 5.00 |
6030 .. | 11.30 | 5.00 | 6278 .. | 9.05 | 4.35 |
6033 .. | 42.00 | 5.00 | 6280 .. | 11.70 | 5.00 |
6036 .. | 3.75 | 1.75 | 6284 .. | 4.65 | 2.15 |
6039 .. | 5.75 | 2.85 | 6286 .. | 6.90 | 3.30 |
6041 .. | 86.00 | 5.00 | 6290 .. | 4.65 | 2.15 |
6044 .. | 24.50 | 5.00 | 6292 .. | 9.05 | 4.35 |
6047 .. | 11.70 | 5.00 | 6296 .. | 11.70 | 5.00 |
6053 .. | 29.00 | 5.00 | 6299 .. | 22.50 | 5.00 |
6056 .. | 20.00 | 5.00 | 6302 .. | 30.00 | 5.00 |
6061 .. | 14.00 | 5.00 | 6306 .. | 108.00 | 5.00 |
6066 .. | 7.40 | 3.50 | 6308 .. | 61.00 | 5.00 |
6069 .. | 20.00 | 5.00 | 6313 .. | 3.40 | 1.60 |
Schedule 3—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
6321 .. | 18.00 | 5.00 | 6665 .. | 26.00 | 5.00 |
6325 .. | 61.00 | 5.00 | 6669 .. | 57.00 | 5.00 |
6327 .. | 61.00 | 5.00 | 6672 .. | 28.00 | 5.00 |
6332 .. | 35.00 | 5.00 | 6674 .. | 7.00 | 5.00 |
6336 .. | 13.00 | 5.00 | 6677 .. | 31.00 | 5.00 |
6342 .. | 9.55 | 4.55 | 6681 .. | 40.00 | 5.00 |
6347 .. | 19.00 | 5.00 | 6686 .. | 8.10 | 3.80 |
6352 .. | 25.00 | 5.00 | 6688 .. | 42.00 | 5.00 |
6358 .. | 37.00 | 5.00 | 6692 .. | 54.00 | 5.00 |
6363 .. | 47.00 | 5.00 | 6697 .. | 42.00 | 5.00 |
6367 .. | 46.00 | 5.00 | 6699 .. | 54.00 | 5.00 |
6373 .. | 57.00 | 5.00 | 6701 .. | 30.00 | 5.00 |
6379 .. | 52.50 | 5.00 | 6703 .. | 17.00 | 5.00 |
6384 .. | 136.00 | 5.00 | 6705 .. | 36.00 | 5.00 |
6389 .. | 14.00 | 5.00 | 6707 .. | 57.00 | 5.00 |
6396 .. | 47.00 | 5.00 | 6709 .. | 35.00 | 5.00 |
6401 .. | 61.00 | 5.00 | 6713 .. | 59.00 | 5.00 |
6406 .. | 59.00 | 5.00 | 6715 .. | 74.00 | 5.00 |
6409 .. | 4.95 | 2.35 | 6718 .. | 82.00 | 5.00 |
6412 .. | 4.95 | 2.35 | 6722 .. | 92.00 | 5.00 |
6415 .. | 12.15 | 2.55 | 6724 .. | 44.00 | 5.00 |
6418 .. | 13.50 | 5.00 | 6728 .. | 57.00 | 5.00 |
6424 .. | 18.00 | 5.00 | 6730 .. | 67.00 | 5.00 |
6428 .. | 20.00 | 5.00 | 6736 .. | 92.00 | 5.00 |
6434 .. | 27.50 | 5.00 | 6740 .. | 36.00 | 5.00 |
6436 .. | 11.30 | 5.00 | 6742 .. | 47.00 | 5.00 |
6441 .. | 14.00 | 5.00 | 6744 .. | 67.00 | 5.00 |
6446 .. | 6.25 | 2.95 | 6747 .. | 92.00 | 5.00 |
6451 .. | 8.35 | 3.95 | 6752 .. | 9.05 | 4.35 |
6460 .. | 10.45 | 4.95 | 6754 .. | 6.45 | 3.05 |
6464 .. | 17.50 | 5.00 | 6758 .. | 40.00 | 5.00 |
6469 .. | 18.00 | 5.00 | 6762 .. | 9.05 | 4.35 |
6476 .. | 20.90 | 5.00 | 6766 .. | 23.00 | 5.00 |
6481 .. | 20.40 | 5.00 | 6768 .. | 29.00 | 5.00 |
6486 .. | 13.40 | 5.00 | 6772 .. | 17.00 | 5.00 |
6491 .. | 20.40 | 5.00 | 6774 .. | 44.00 | 5.00 |
6501 .. | 14.85 | 5.00 | 6778 .. | 61.00 | 5.00 |
6506 .. | 21.85 | 5.00 | 6782 .. | 52.00 | 5.00 |
6508 .. | 47.00 | 5.00 | 6786 .. | 67.00 | 5.00 |
6513 .. | 47.00 | 5.00 | 6790 .. | 67.00 | 5.00 |
6517 .. | 59.00 | 5.00 | 6792 .. | 57.00 | 5.00 |
6519 .. | 47.00 | 5.00 | 6796 .. | 40.00 | 5.00 |
6523 .. | 59.00 | 5.00 | 6799 .. | 11.30 | 5.00 |
6528 .. | 53.50 | 5.00 | 6802 .. | 3.75 | 1.75 |
6530 .. | 8.00 | 5.00 | 6805 .. | 6.65 | 4.10 |
6534 .. | 67.00 | 5.00 | 6807 .. | 9.05 | 4.35 |
6536 .. | 100.00 | 5.00 | 6810 .. | 33.00 | 5.00 |
6542 .. | 71.00 | 5.00 | 6814 .. | 9.55 | 4.55 |
6546 .. | 39.00 | 5.00 | 6816 .. | 1.55 | 0.85 |
6553 .. | 37.00 | 5.00 | 6818 .. | 5.65 | 2.65 |
6557 .. | 47.00 | 5.00 | 6820 .. | 17.00 | 5.00 |
6561 .. | 37.00 | 5.00 | 6822 .. | 19.50 | 5.00 |
6563 .. | 47.00 | 5.00 | 6824 .. | 5.65 | 2.65 |
6570 .. | 52.00 | 5.00 | 6828 .. | 120.00 | 5.00 |
6585 .. | 30.00 | 5.00 | 6832 .. | 79.00 | 5.00 |
6594 .. | 17.00 | 5.00 | 6835 .. | 4.75 | 2.25 |
6599 .. | 2.35 | 2.45 | 6837 .. | 25.00 | 5.00 |
6604 .. | 18.00 | 5.00 | 6842 .. | 9.05 | 4.35 |
6613 .. | 66.00 | 5.00 | 6846 .. | 23.00 | 5.00 |
6631 .. | 57.00 | 5.00 | 6848 .. | 80.00 | 5.00 |
6636 .. | 4.95 | 2.35 | 6852 .. | 57.00 | 5.00 |
6641 .. | 3.35 | 1.55 | 6857 .. | 40.00 | 5.00 |
6645 .. | 36.00 | 5.00 | 6859 .. | 105.00 | 5.00 |
6650 .. | 46.00 | 5.00 | 6861 .. | 46.00 | 5.00 |
6661 .. | 42.50 | 5.00 | 6865 .. | 27.00 | 5.00 |
Schedule—3 continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
6869 .. | 25.00 | 5.00 | 7066 .. | 200.00 | 5.00 |
6871 .. | 57.00 | 5.00 | 7068 .. | 1.55 | 0.85 |
6873 .. | 71.00 | 5.00 | 7072 .. | 4.65 | 2.15 |
6879 .. | 61.00 | 5.00 | 7075 .. | 5.65 | 2.65 |
6881 .. | 46.00 | 5.00 | 7079 .. | 22.50 | 5.00 |
6885 .. | 97.00 | 5.00 | 7081 .. | 24.00 | 5.00 |
6889 .. | 30.00 | 5.00 | 7085 .. | 5.65 | 2.65 |
6891 .. | 47.00 | 5.00 | 7089 .. | 6.65 | 3.15 |
6894 .. | 96.00 | 5.00 | 7093 .. | 5.95 | 2.85 |
6898 .. | 25.00 | 5.00 | 7099 .. | 15.50 | 5.00 |
6900 .. | 79.00 | 5.00 | 7106 .. | 9.75 | 4.65 |
6902 .. | 145.00 | 5.00 | 7111 .. | 12.50 | 5.00 |
6904 .. | 30.00 | 5.00 | 7112 .. | 18.00 | 5.00 |
6906 .. | 13.50 | 5.00 | 7116 .. | 16.50 | 5.00 |
6908 .. | 52.00 | 5.00 | 7117 .. | 21.50 | 5.00 |
6912 .. | 79.00 | 5.00 | 7120 .. | 30.00 | 5.00 |
6914 .. | 6.90 | 3.30 | 7121 .. | 40.00 | 5.00 |
6918 .. | 5.45 | 2.55 | 7124 .. | 37.00 | 5.00 |
6922 .. | 52.00 | 5.00 | 7128 .. | 37.00 | 5.00 |
6924 .. | 61.00 | 5.00 | 7129 .. | 63.00 | 5.00 |
6928 .. | 67.00 | 5.00 | 7132 .. | 43.00 | 5.00 |
6930 .. | 61.00 | 5.00 | 7134 .. | 43.00 | 5.00 |
6932 .. | 35.00 | 5.00 | 7138 .. | 69.00 | 5.00 |
6934 .. | 34.00 | 5.00 | 7139 .. | 75.00 | 5.00 |
6938 .. | 35.00 | 5.00 | 7143 .. | 37.00 | 5.00 |
6940 .. | 5.15 | 2.45 | 7148 .. | 15.00 | 5.00 |
6942 .. | 8.55 | 4.05 | 7152 .. | 5.00 | 5.00 |
6946 .. | 6.90 | 3.30 | 7156 .. | 37.00 | 5.00 |
6948 .. | 3.45 | 1.65 | 7165 .. | 65.00 | 5.00 |
6953 .. | 8.55 | 4.05 | 7170 .. | 104.00 | 5.00 |
6955 .. | 40.00 | 5.00 | 7175 .. | 32.00 | 5.00 |
6958 .. | 82.00 | 5.00 | 7178 .. | 21.50 | 5.00 |
6962 .. | 120.00 | 5.00 | 7182 .. | 27.50 | 5.00 |
6964 .. | 88.00 | 5.00 | 7186 .. | 19.50 | 5.00 |
6966 .. | 120.00 | 5.00 | 7192 .. | 40.00 | 5.00 |
6968 .. | 63.00 | 5.00 | 7194 .. | 88.00 | 5.00 |
6970 .. | 36.00 | 5.00 | 7198 .. | 130.00 | 5.00 |
6972 .. | 108.00 | 5.00 | 7203 .. | 220.00 | 5.00 |
6974 .. | 23.50 | 5.00 | 7208 .. | 32.00 | 5.00 |
6976 .. | 7.15 | 3.35 | 7212 .. | 40.00 | 5.00 |
6978 .. | 15.00 | 5.00 | 7216 .. | 96.00 | 5.00 |
6980 .. | 20.00 | 5.00 | 7220 .. | 51.00 | 5.00 |
6982 .. | 88.00 | 5.00 | 7231 .. | 65.00 | 5.00 |
6984 .. | 120.00 | 5.00 | 7236 .. | 67.00 | 5.00 |
6986 .. | 120.00 | 5.00 | 7240 .. | 83.00 | 5.00 |
6988 .. | 150.00 | 5.00 | 7244 .. | 96.00 | 5.00 |
6990 .. | 54.00 | 5.00 | 7248 .. | 96.00 | 5.00 |
6992 .. | 36.00 | 5.00 | 7251 .. | 79.00 | 5.00 |
6995 .. | 88.00 | 5.00 | 7265 .. | 220.00 | 5.00 |
6997 .. | 88.00 | 5.00 | 7270 .. | 114.00 | 5.00 |
6999 .. | 120.00 | 5.00 | 7274 .. | 57.00 | 5.00 |
7001 .. | 37.00 | 5.00 | 7279 .. | 65.00 | 5.00 |
7003 .. | 47.00 | 5.00 | 7283 .. | 130.00 | 5.00 |
7006 .. | 9.00 | 5.00 | 7287 .. | 40.00 | 5.00 |
7011 .. | 37.00 | 5.00 | 7291 .. | 65.00 | 5.00 |
7013 .. | 67.00 | 5.00 | 7298 .. | 79.00 | 5.00 |
7021 .. | 108.00 | 5.00 | 7304 .. | 220.00 | 5.00 |
7023 .. | 88.00 | 5.00 | 7307 .. | 130.00 | 5.00 |
7028 .. | 54.00 | 5.00 | 7312 .. | 96.00 | 5.00 |
7033 .. | 33.00 | 5.00 | 7331 .. | 86.00 | 5.00 |
7042 .. | 26.00 | 5.00 | 7336 .. | 86.00 | 5.00 |
7046 .. | 25.00 | 5.00 | 7341 .. | 86.00 | 5.00 |
7050 .. | 25.00 | 5.00 | 7346 .. | 88.00 | 5.00 |
7057 .. | 250.00 | 5.00 | 7353 .. | 108.00 | 5.00 |
7062 .. | 25.00 | 5.00 | 7355 .. | 96.00 | 5.00 |
Schedule 3—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
7361 .. | 49.00 | 5.00 | 7559 .. | 10.90 | 5.00 |
7365 .. | 49.00 | 5.00 | 7563 .. | 13.50 | 5.00 |
7370 .. | 86.00 | 5.00 | 7567 .. | 14.00 | 5.00 |
7376 .. | 63.00 | 5.00 | 7572 .. | 14.50 | 5.00 |
7381 .. | 57.00 | 5.00 | 7578 .. | 14.00 | 5.00 |
7397 .. | 3.70 | 1.70 | 7584 .. | 14.50 | 5.00 |
7402 .. | 3.70 | 1.70 | 7588 .. | 7.40 | 3.50 |
7406 .. | 2.30 | 1.10 | 7593 .. | 9.20 | 4.70 |
7408 .. | 2.30 | 1.10 | 7597 .. | 9.05 | 4.35 |
7410 .. | 5.75 | 2.75 | 7601 .. | 1.55 | 0.85 |
7412 .. | 6.90 | 3.30 | 7605 .. | 2.45 | 1.25 |
7416 .. | 5.75 | 2.75 | 7608 .. | 14.00 | 5.00 |
7419 .. | 4.65 | 2.15 | 7610 .. | 19.50 | 5.00 |
7423 .. | 8.35 | 3.95 | 7615 .. | 10.45 | 4.95 |
7426 .. | 5.45 | 2.55 | 7619 .. | 14.00 | 5.00 |
7430 .. | 10.90 | 5.00 | 7624 .. | 35.00 | 5.00 |
7432 .. | 14.00 | 5.00 | 7627 .. | 47.00 | 5.00 |
7435 .. | 2.30 | 1.10 | 7632 .. | 8.10 | 3.80 |
7436 .. | 6.90 | 3.30 | 7637 .. | 12.50 | 5.00 |
7440 .. | 18.50 | 5.00 | 7641 .. | 13.50 | 5.00 |
7443 .. | 25.00 | 5.00 | 7643 .. | 18.00 | 5.00 |
7446 .. | 13.50 | 5.00 | 7647 .. | 22.00 | 5.00 |
7451 .. | 17.00 | 5.00 | 7652 .. | 30.00 | 5.00 |
7457 .. | 5.45 | 2.55 | 7657 .. | 22.00 | 5.00 |
7461 .. | 9.05 | 4.35 | 7662 .. | 30.00 | 5.00 |
7464 .. | 2.70 | 1.30 | 7666 .. | 22.00 | 5.00 |
7468 .. | 6.90 | 3.30 | 7668 .. | 30.00 | 5.00 |
7472 .. | 22.50 | 5.00 | 7673 .. | 7.15 | 3.45 |
7476 .. | 22.50 | 5.00 | 7677 .. | 10.45 | 4.95 |
7480 .. | 9.50 | 4.50 | 7681 .. | 2.95 | 1.35 |
7483 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the dislocation concerned, plus one-half of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the dislocation concerned, plus one-half of that amount | 7683 .. | 4.65 | 2.15 |
|
|
| 7687 .. | 7.15 | 3.35 |
|
|
| 7691 .. | 7.15 | 3.35 |
|
|
| 7694 .. | 1.55 | 0.85 |
|
|
| 7697 .. | 2.45 | 1.25 |
|
|
| 7701 .. | 1.55 | 0.85 |
|
|
| 7706 .. | 2.45 | 1.25 |
|
|
| 7709 .. | 13.50 | 5.00 |
|
|
| 7712 .. | 20.00 | 5.00 |
|
|
| 7715 .. | 42.00 | 5.00 |
|
|
| 7718 .. | 8.55 | 4.05 |
|
|
| 7721 .. | 11.70 | 5.00 |
|
|
| 7724 .. | 11.70 | 5.00 |
|
|
| 7727 .. | 27.50 | 5.00 |
|
|
| 7731 .. | 27.50 | 5.00 |
|
|
| 7734 .. | 30.00 | 5.00 |
|
|
| 7737 .. | 30.00 | 5.00 |
|
|
| 7739 .. | 10.45 | 4.95 |
7485 .. | 9.50 | 4.50 | 7743 .. | 14.00 | 5.00 |
7505 .. | 3.35 | 1.55 | 7745 .. | 14.00 | 5.00 |
7508 .. | 7.15 | 3.35 | 7749 .. | 37.00 | 5.00 |
7512 .. | 10.45 | 4.95 | 7753 .. | 37.00 | 5.00 |
7516 .. | 4.75 | 2.25 | 7757 .. | 40.00 | 5.00 |
7520 .. | 10.45 | 4.95 | 7761 .. | 40.00 | 5.00 |
7524 .. | 15.00 | 5.00 | 7764 .. | 9.30 | 4.40 |
7527 .. | 12.50 | 5.00 | 7766 .. | 13.00 | 5.00 |
7530 .. | 18.00 | 5.00 | 7770 .. | 13.00 | 5.00 |
7533 .. | 5.45 | 2.55 | 7774 .. | 1.55 | 0.85 |
7535 .. | 10.45 | 4.95 | 7777 .. | 2.45 | 1.25 |
7538 .. | 13.00 | 5.00 | 7781 .. | 1.55 | 0.85 |
7540 .. | 13.50 | 5.00 | 7785 .. | 2.45 | 1.25 |
7544 .. | 14.00 | 5.00 | 7789 .. | 17.00 | 5.00 |
7547 .. | 10.45 | 4.95 | 7793 .. | 30.00 | 5.00 |
7550 .. | 14.30 | 5.00 | 7798 .. | 79.00 | 5.00 |
7552 .. | 22.00 | 5.00 | 7802 .. | 9.50 | 4.50 |
Schedule 3—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
7803 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount |
| the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount | the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount |
|
|
| 7815 .. | 9.50 | 4.50 |
|
|
| 7817 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount |
7804 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount |
|
|
|
|
|
| 7818 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount |
7808 .. | 9.50 | 4.50 |
|
|
|
7809 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount |
|
|
|
|
|
| 7821 .. | 9.50 | 4.50 |
|
|
| 7823 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus three-quarters of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus three-quarters of that amount |
7812 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes |
|
|
|
Schedule 3—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
7824 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus three-quarters of that amount | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus three-quarters of that amount |
| Commonwealth medical benefit that includes the symbol ‘(D)’) that would, but for item 7834 in the table of Commonwealth medical benefits apply to the reduction concerned | Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7834 in the table of Commonwealth medical benefits apply to the reduction concerned |
|
|
| 7836 .. | One-half of the amount shown in this column in the item that would, but for item 7836 in the table of Commonwealth medical benefits apply to the reduction concerned | One-half of the amount shown in this column in the item that would, but for item 7836 in the table of Commonwealth medical benefits apply to the reduction concerned |
7828 .. | One-half of the amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7828 in the table of Commonwealth medical benefits apply to the reduction concerned | One-half of the amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7828 in the table of Commonwealth medical benefits apply to the reduction concerned |
|
|
|
|
|
| 7839 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7839 in the table of Commonwealth medical benefits apply to the reduction concerned | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7839 in the table of Commonwealth medical benefits apply to the reduction concerned |
7831 .. | One-half of the amount shown in this column in the item that would, but for item 7831 in the table of Commonwealth medical benefits apply to the reduction concerned | One-half of the amount shown in this column in the item that would, but for item 7831 in the table of Commonwealth medical benefits apply to the reduction concerned |
|
|
|
|
|
| 7841 .. | The amount shown in this column in the item that would, but for item 7841 in the table of Commonwealth medical benefits apply to the reduction concerned | The amount shown in this column in the item that would, but for item 7841 in the table of Commonwealth medical benefits apply to the reduction concerned |
7834 .. | One-half of the amount shown in thin column in the item (other than an item relating to an item in the table of | One-half of the amount shown in this column in the item (other than an item relating to an item in the table of |
|
|
|
|
|
| 7844 .. | The amount shown in this | The amount shown in this |
Schedule 3—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
| column in the item that would apply in the case of a simple and uncomplicated fracture of the part concerned | column in the item that would apply in the case of a simple and uncomplicated fracture of the part concerned | 7940 .. | 29.00 | 5.00 |
|
|
| 7942 .. | 65.00 | 5.00 |
|
|
| 7945 .. | 113.00 | 5.00 |
|
|
| 7947 .. | 99.00 | 5.00 |
|
|
| 7951 .. | 125.00 | 5.00 |
|
|
| 7957 .. | 113.00 | 5.00 |
|
|
| 7961 .. | 150.00 | 5.00 |
|
|
| 7967 .. | 110.00 | 5.00 |
|
|
| 7969 .. | 150.00 | 5.00 |
7847 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | 7975 .. | 75.00 | 5.00 |
|
|
| 7977 .. | 59.00 | 5.00 |
|
|
| 7983 .. | 75.00 | 5.00 |
|
|
| 7985 .. | 75.00 | 5.00 |
|
|
| 7993 .. | 54.00 | 5.00 |
|
|
| 7999 .. | 49.00 | 5.00 |
|
|
| 8001 .. | 44.00 | 5.00 |
|
|
| 8006 .. | 44.00 | 5.00 |
|
|
| 8009 .. | 23.50 | 5.00 |
|
|
| 8014 .. | 26.00 | 5.00 |
|
|
| 8017 .. | 69.00 | 5.00 |
|
|
| 8019 .. | 82.00 | 5.00 |
|
|
| 8022 .. | 27.50 | 5.00 |
|
|
| 8026 .. | 7.15 | 3.35 |
|
|
| 8028 .. | 41.00 | 5.00 |
|
|
| 8032 .. | 46.00 | 5.00 |
|
|
| 8036 .. | 41.00 | 5.00 |
|
|
| 8040 .. | 29.00 | 5.00 |
7849 .. | The amount Shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | 8044 .. | 108.00 | 5.00 |
|
|
| 8048 .. | 74.00 | 5.00 |
|
|
| 8053 .. | 74.00 | 5.00 |
|
|
| 8061 .. | 92.00 | 5.00 |
|
|
| 8069 .. | 135.00 | 5.00 |
|
|
| 8074 .. | 54.00 | 5.00 |
|
|
| 8076 .. | 135.00 | 5.00 |
|
|
| 8079 .. | 74.00 | 5.00 |
|
|
| 8081 .. | 36.00 | 5.00 |
|
|
| 8084 .. | 18.00 | 5.00 |
|
|
| 8087 .. | 48.00 | 5.00 |
|
|
| 8089 .. | 54.00 | 5.00 |
|
|
| 8092 .. | 67.00 | 5.00 |
|
|
| 8095 .. | 39.00 | 5.00 |
|
|
| 8097 .. | 49.00 | 5.00 |
|
|
| 8100 .. | 59.00 | 5.00 |
|
|
| 8103 .. | 135.00 | 5.00 |
7853 .. | 23.50 | 5.00 | 8105 .. | 0.25 | 1.15 |
7857 .. | 23.50 | 5.00 | 8108 .. | 2.65 | 1.25 |
7861 .. | 4.70 | 1.30 | 8113 .. | 36.00 | 5.00 |
7864 .. | 2.30 | 1.10 | 8116 .. | 66.00 | 5.00 |
7868 .. | 5.65 | 2.65 | 8120 .. | 31.00 | 5.00 |
7872 .. | 3.45 | 4.55 | 8124 .. | 26.50 | 5.00 |
7878 .. | 4.50 | 5.00 | 8127 .. | 33.00 | 5.00 |
7883 .. | 9.55 | 4.55 | 8131 .. | 46.50 | 5.00 |
7888 .. | 9.55 | 4.55 | 8135 .. | 53.00 | 5.00 |
7898 .. | 88.00 | 5.00 | 8140 .. | 38.90 | 5.00 |
7902 .. | 31.00 | 5.00 | 8143 .. | 48.40 | 5.00 |
7907 .. | 31.00 | 5.00 | 8148 .. | 46.00 | 5.00 |
7911 .. | 8.60 | 4.10 | 8151 .. | 18.00 | 5.00 |
7915 .. | 10.90 | 5.00 | 8153 .. | 23.00 | 5.00 |
7919 .. | 6.75 | 4.55 | 8158 .. | 54.00 | 5.00 |
7923 .. | 6.00 | 5.00 | 8161 .. | 42.00 | 5.00 |
7926 .. | 15.00 | 5.00 | 8166 .. | 31.00 | 5.00 |
7928 .. | 26.00 | 5.00 | 8169 .. | 18.00 | 5.00 |
7932 .. | 26.00 | 5.00 | 8173 .. | 23.00 | 5.00 |
7934 .. | 135.00 | 5.00 | 8175 .. | 23.00 | 5.00 |
7937 .. | 44.00 | 5.00 | 8179 .. | 22.50 | 5.00 |
Schedule 3—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
8182 .. | 29.00 | 5.00 | 8342 .. | 3.80 | 1.80 |
8185 .. | 23.50 | 5.00 | 8344 .. | 5.75 | 2.75 |
8187 .. | 26.00 | 5.00 | 8346 .. | 3.80 | 1.80 |
8190 .. | 26.00 | 5.00 | 8348 .. | 7.15 | 3.35 |
8193 .. | 31.00 | 5.00 | 8350 .. | 20.50 | 5.00 |
8195 .. | 36.00 | 5.00 | 8352 .. | 3.80 | 1.80 |
8198 .. | 59.00 | 5.00 | 8354 .. | 5.75 | 2.75 |
8201 .. | 88.00 | 5.00 | 8356 .. | 5.75 | 2.75 |
8203 .. | 49.00 | 5.00 | 8358 .. | 6.25 | 2.95 |
8206 .. | 59.00 | 5.00 | 8360 .. | 71.00 | 5.00 |
8209 .. | 57.00 | 5.00 | 8362 .. | 82.00 | 5.00 |
8211 .. | 59.00 | 5.00 | 8364 .. | 82.00 | 5.00 |
8214 .. | 13.50 | 5.00 | 8366 .. | 82.00 | 5.00 |
8217 .. | 29.00 | 5.00 | 8368 .. | 42.00 | 5.00 |
8219 .. | 24.50 | 5.00 | 8370 .. | 65.00 | 5.00 |
8222 .. | 31.00 | 5.00 | 8372 .. | 65.00 | 5.00 |
8225 .. | 36.00 | 5.00 | 8374 .. | 91.00 | 5.00 |
8227 .. | 12.00 | 5.00 | 8376 .. | 82.00 | 5.00 |
8230 .. | 15.00 | 5.00 | 8378 .. | 82.00 | 5.00 |
8233 .. | 23.50 | 5.00 | 8380 .. | 79.00 | 5.00 |
8235 .. | 31.00 | 5.00 | 8382 .. | 18.00 | 5.00 |
8238 .. | 39.00 | 5.00 | 8384 .. | 42.00 | 5.00 |
8241 .. | 9.55 | 4.55 | 8386 .. | 31.00 | 5.00 |
8243 .. | 15.00 | 5.00 | 8388 .. | 99.00 | 5.00 |
8246 .. | 8.60 | 4.10 | 8390 .. | 99.00 | 5.00 |
8249 .. | 23.00 | 5.00 | 8394 .. | 86.00 | 5.00 |
8251 .. | 44.00 | 5.00 | 8398 .. | 82.00 | 5.00 |
8254 .. | 120.00 | 5.00 | 8400 .. | 57.00 | 5.00 |
8257 .. | 59.00 | 5.00 | 8402 .. | 65.00 | 5.00 |
8259 .. | 45.00 | 5.00 | 8406 .. | 35.00 | 5.00 |
8262 .. | 26.00 | 5.00 | 8408 .. | 104.00 | 5.00 |
8265 .. | 14.00 | 5.00 | 8410 .. | 54.00 | 5.00 |
8267 .. | 18.00 | 5.00 | 8412 .. | 31.00 | 5.00 |
8271 .. | 18.00 | 5.00 | 8414 .. | 108.00 | 5.00 |
8275 .. | 27.50 | 5.00 | 8416 .. | 9.55 | 4.55 |
8279 .. | 15.00 | 5.00 | 8418 .. | 65.00 | 5.00 |
8282 .. | 20.50 | 5.00 | 8420 .. | 47.00 | 5.00 |
8283 .. | 27.50 | 5.00 | 8422 .. | 32.00 | 5.00 |
8287 .. | 18.50 | 5.00 | 8424 .. | 71.00 | 5.00 |
8290 .. | 48.00 | 5.00 | 8428 .. | 3.75 | 1.75 |
8292 .. | 48.00 | 5.00 | 8430 .. | 9.55 | 4.55 |
8294 .. | 52.00 | 5.00 | 8432 .. | 14.00 | 5.00 |
8296 .. | 15.00 | 5.00 | 8434 .. | 18.50 | 5.00 |
8298 .. | 39.00 | 5.00 | 8436 .. | 42.00 | 5.00 |
8300 .. | 36.00 | 5.00 | 8438 .. | 9.55 | 4.55 |
8302 .. | 59.00 | 5.00 | 8440 .. | 49.00 | 5.00 |
8304 .. | 74.00 | 5.00 | 8442 .. | 59.00 | 5.00 |
8306 .. | 99.00 | 5.00 | 8444 .. | 91.00 | 5.00 |
8308 .. | 74.00 | 5.00 | 8446 .. | 7.65 | 3.65 |
8310 .. | 36.00 | 5.00 | 8448 .. | 4.75 | 2.25 |
8312 .. | 36.00 | 5.00 | 8450 .. | 40.00 | 5.00 |
8314 .. | 49.00 | 5.00 | 8452 .. | 14.00 | 5.00 |
8316 .. | 49.00 | 5.00 | 8454 .. | 34.00 | 5.00 |
8318 .. | 46.00 | 5.00 | 8456 .. | 2.60 | 1.70 |
8320 .. | 46.00 | 5.00 | 8458 .. | 3.70 | 1.70 |
8322 .. | 43.00 | 5.00 | 8460 .. | 3.70 | 1.70 |
8324 .. | 49.00 | 5.00 | 8462 .. | 10.45 | 4.95 |
8326 .. | 49.00 | 5.00 | 8464 .. | 10.45 | 4.95 |
8328 .. | 36.00 | 5.00 | 8466 .. | 13.00 | 5.00 |
8330 .. | 49.00 | 5.00 | 8468 .. | 13.00 | 5.00 |
8332 .. | 3.00 | 5.00 | 8470 .. | 18.00 | 5.00 |
8334 .. | 3.80 | 1.80 | 8472 .. | 27.50 | 5.00 |
8336 .. | 4.35 | 2.05 | 8474 .. | 49.00 | 5.00 |
8338 .. | 3.80 | 1.80 | 8476 .. | 69.00 | 5.00 |
8340 .. | 4.75 | 2.25 | 8478 .. | 40.00 | 5.00 |
Schedule 3—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
8480 .. | 23.50 | 5.00 | 8570 | 40.00 | 5.00 |
8482 .. | 23.50 | 5.00 | 8572 | 40.00 | 5.00 |
8484 .. | 36.00 | 5.00 | 8574 | 45.00 | 5.00 |
8486 .. | 40.00 | 5.00 | 8576 | 45.00 | 5.00 |
8488 .. | 19.00 | 5.00 | 8578 | 52.00 | 5.00 |
8490 .. | 21.50 | 5.00 | 8580 | 52.00 | 5.00 |
8492 .. | 9.05 | 4.35 | 8582 | 52.00 | 5.00 |
8494 .. | 38.00 | 5.00 | 8584 | 23.50 | 5.00 |
8496 .. | 19.00 | 5.00 | 8586 | 41.00 | 5.00 |
8498 .. | 40.00 | 5.00 | 8588 | 27.50 | 5.00 |
8500 .. | 32.00 | 5.00 | 8590 | 5.00 | 5.00 |
8502 .. | 21.50 | 5.00 | 8592 | 40.00 | 5.00 |
8504 .. | 17.00 | 5.00 | 8594 | 45.00 | 5.00 |
8506 .. | 17.00 | 5.00 | 8596 | 52.00 | 5.00 |
8508 .. | 36.00 | 5.00 | 8598 | 9.00 | 5.00 |
8510 .. | 61.00 | 5.00 | 8600 | 113.00 | 5.00 |
8512 .. | 23.50 | 5.00 | 8602 | 11.70 | 5.00 |
8514 .. | 23.50 | 5.00 | 8604 | 30.00 | 5.00 |
8516 .. | 52.00 | 5.00 | 8606 | 30.00 | 5.00 |
8518 .. | 40.00 | 5.00 | 8608 | 47.00 | 5.00 |
8520 .. | 40.00 | 5.00 | 8610 | 15.50 | 5.00 |
8522 .. | 18.00 | 5.00 | 8612 | 61.00 | 5.00 |
8524 .. | 25.00 | 5.00 | 8614 | 27.50 | 5.00 |
8526 .. | 67.00 | 5.00 | 8616 | 27.50 | 5.00 |
8528 .. | 79.00 | 5.00 | 8618 | 46.00 | 5.00 |
8530 .. | 67.00 | 5.00 | 8620 | 13.00 | 5.00 |
8532 .. | 79.00 | 5.00 | 8622 | 57.00 | 5.00 |
8534 .. | 8.35 | 3.95 | 8624 | 75.00 | 5.00 |
8536 .. | 18.00 | 5.00 | 8626 | 30.00 | 5.00 |
8538 .. | 42.00 | 5.00 | 8628 | 22.50 | 5.00 |
8540 .. | 82.00 | 5.00 | 8630 | 45.00 | 5.00 |
8542 .. | 114.00 | 5.00 | 8632 | 105.00 | 5.00 |
8544 .. | 27.50 | 5.00 | 8634 | 30.00 | 5.00 |
8546 .. | 65.00 | 5.00 | 8636 | 57.00 | 5.00 |
8548 .. | 74.00 | 5.00 | 8638 | 57.00 | 5.00 |
8550 .. | 120.00 | 5.00 | 8640 | 71.00 | 5.00 |
8552 .. | 42.00 | 5.00 | 8642 | 71.00 | 5.00 |
8554 .. | 79.00 | 5.00 | 8644 | 36.00 | 5.00 |
8556 .. | 61.00 | 5.00 | 8646 | 36.00 | 5.00 |
8558 .. | 61.00 | 5.00 | 8648 | 52.00 | 5.00 |
8560 .. | 52.00 | 5.00 | 8650 | 52.00 | 5.00 |
8562 .. | 52.00 | 5.00 |
|
| |
8564 .. | 52.00 | 5.00 | 8654 | 91.00 | 5.00 |
8566 .. | 52.00 | 5.00 | 8656 | 67.00 | 5.00 |
8568 .. | 71.00 | 5.00 |
|
|
|
SCHEDULE 4
TABLE OF FUND MEDICAL BENEFITS IN RESPECT OF QUEENSLAND
Number of item in Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
3 .. | 2.50 | 0.60 | 273 .. | 1.40 | 0.60 |
4 .. | 4.40 | 1.10 | 278 .. | 5.15 | 2.05 |
14 .. | 3.15 | 0.80 | 284 .. | 7.85 | 3.15 |
19 .. | 5.10 | 1.30 | 290 .. | 5.65 | 2.25 |
25 .. | 6.05 | 1.55 | 295 .. | 5.65 | 2.25 |
26 .. | 8.10 | 2.10 | 298 .. | 10.20 | 4.10 |
33 .. | 9.10 | 2.40 | 354 .. | 5.65 | 2.25 |
35 .. | 11.20 | 2.90 | 360 .. | 24.00 | 5.00 |
43 .. | 3.70 | 0.90 | 362 .. | 4.25 | 2.55 |
44 .. | 5.65 | 1.40 | 365 .. | 27.00 | 5.00 |
51 .. | 4.80 | 1.20 | 368 .. | 41.00 | 5.00 |
53 .. | 6.75 | 1.70 | 374 .. | 5.65 | 2.25 |
57 .. | 8.35 | 2.10 | 383 .. | 5.95 | 4.55 |
59 .. | 10.20 | 2.60 | 401 .. | 1.00 | 0.50 |
65 .. | 11.60 | 2.95 | 403 .. | 1.90 | 1.00 |
66 .. | 13.45 | 3.45 | 404 .. | 2.90 | 1.50 |
69 .. | 4.80 | 1.20 | 405 .. | 3.90 | 2.00 |
71 .. | 6.75 | 1.70 | 406 .. | 4.90 | 2.50 |
73 .. | 3.15 | 0.80 | 407 .. | 5.80 | 3.00 |
79 .. | 2.50 | 0.60 | 408 .. | 8.00 | 3.50 |
82 .. | 3.15 | 0.80 | 409 .. | 9.95 | 4.05 |
85 .. | 5.85 | 1.25 | 443 .. | 10.50 | 4.50 |
88 .. | 10.35 | 2.55 | 450 .. | 11.70 | 5.00 |
94 .. | 5.35 | 1.25 | 453 .. | 13.20 | 5.00 |
100 .. | 15.15 | 3.75 | 454 .. | 14.50 | 5.00 |
103 .. | 10.15 | 2.45 | 457 .. | 15.50 | 5.00 |
110 .. | 16.25 | 4.35 | 458 .. | 14.50 | 5.00 |
116 .. | 9.05 | 2.35 | 459 .. | 15.50 | 5.00 |
122 .. | 22.00 | 5.00 | 460 .. | 17.00 | 5.00 |
128 .. | 13.40 | 3.50 | 461 .. | 18.00 | 5.00 |
134 .. | 5.35 | 1.25 | 462 .. | 18.50 | 5.00 |
136 .. | 10.55 | 2.55 | 463 .. | 20.50 | 5.00 |
138 .. | 15.20 | 3.80 | 464 .. | 21.00 | 5.00 |
140 .. | 20.50 | 5.00 | 465 .. | 23.00 | 5.00 |
142 .. | 27.00 | 5.00 | 466 .. | 24.00 | 5.00 |
144 .. | 10.15 | 2.45 | 467 .. | 24.50 | 5.00 |
146 .. | 15.15 | 3.75 | 468 .. | 26.50 | 5.00 |
148 .. | 19.90 | 5.00 | 469 .. | 27.00 | 5.00 |
150 .. | 20.00 | 5.00 | 470 .. | 28.00 | 5.00 |
152 .. | 33.00 | 5.00 | 471 .. | 30.00 | 5.00 |
160 .. | 15.80 | 3.80 | 472 .. | 31.00 | 5.00 |
161 .. | 26.60 | 5.00 | 473 .. | 32.00 | 5.00 |
162 .. | 38.00 | 5.00 | 474 .. | 33.00 | 5.00 |
163 .. | 50.00 | 5.00 | 475 .. | 36.00 | 5.00 |
164 .. | 61.00 | 5.00 | 476 .. | 39.00 | 5.00 |
190 .. | 1.70 | 0.80 | 477 .. | 43.00 | 5.00 |
192 .. | 2.00 | 5.00 | 478 .. | 44.00 | 5.00 |
194 .. | 18.00 | 5.00 | 479 .. | 2.45 | 1.25 |
196 .. | 11.00 | 5.00 | 480 .. | 5.80 | 3.00 |
198 .. | 18.00 | 5.00 | 481 .. | 7.00 | 3.50 |
200 .. | 18.00 | 5.00 | 482 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the dislocation concerned, plus one-half of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the dislocation concerned, plus one-half of that amount |
207 .. | 10.00 | 5.00 |
|
|
|
211 .. | 56.20 | 5.00 |
|
|
|
213 .. | 17.20 | 5.00 |
|
|
|
216 .. | 45.20 | 5.00 |
|
|
|
217 .. | 39.20 | 5.00 |
|
|
|
234 .. | 45.00 | 5.00 |
|
|
|
241 .. | 19.00 | 5.00 |
|
|
|
242 .. | 1.40 | 0.60 |
|
|
|
246 .. | 1.40 | 0.60 |
|
|
|
250 .. | 15.10 | 5.00 |
|
|
|
258 .. | 21.00 | 5.00 |
|
|
|
267 .. | 5.65 | 2.25 |
|
|
|
Schedule 4 —continued
Number of item in First Schedule | Fund medical benefit | Specified extras | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
483 .. | The amount shown in this column in the item relating to the administration of an Anaesthetic in connection with the treatment of the fracture concerned, plus one-third of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus one-third of (hat amount | 539 .. | 32.00 | 5.00 |
|
|
| 540 .. | 34.00 | 5.00 |
|
|
| 541 .. | 35.00 | 5.00 |
|
|
| 542 .. | 37.00 | 5.00 |
|
|
| 543 .. | 38.00 | 5.00 |
|
|
| 544 .. | 39.00 | 5.00 |
|
|
| 545 .. | 41.00 | 5.00 |
|
|
| 546 .. | 44.00 | 5.00 |
|
|
| 547 .. | 50.00 | 5.00 |
|
|
| 548 .. | 53.00 | 5.00 |
|
|
| 549 .. | 55.00 | 5.00 |
|
|
| 550 .. | 3.00 | 1.50 |
|
|
| 551 .. | 7.25 | 3.65 |
|
|
| 552 .. | 8.45 | 4.25 |
484 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus one-half of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus one-half of that amount | 553 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the dislocation concerned plus one-half of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the dislocation concerned plus one-half of that amount |
485 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection will the treatment of the fracture concerned, plus three-quarters of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus three-quarters of that amount |
|
|
|
|
|
| 554 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus one-third of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus one-third of that amount |
500 .. | 1.30 | 0.60 |
|
|
|
505 .. | 2.50 | 1.20 |
|
|
|
506 .. | 3.60 | 1.80 |
|
|
|
509 .. | 4.85 | 2.45 |
|
|
|
510 .. | 6.25 | 3.05 |
|
|
|
513 .. | 7.25 | 3.65 |
|
|
|
514 .. | 8.45 | 4.25 |
|
|
|
517 .. | 9.65 | 4.85 |
|
|
|
518 .. | 11.00 | 5.00 | 556 .. | The amount shown in this column in the item relating to the Administration of an anaesthetic in connection with the treatment of the fracture concerned plus one-half of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus one-half of that amount |
521 .. | 12.50 | 5.00 |
|
|
|
522 .. | 14.00 | 5.00 |
|
|
|
523 .. | 15.00 | 5.00 |
|
|
|
524 .. | 16.50 | 5.00 |
|
|
|
525 .. | 18.00 | 5.00 |
|
|
|
526 .. | 19.50 | 5.00 |
|
|
|
527 .. | 21.00 | 5.00 |
|
|
|
528 .. | 23.00 | 5.00 |
|
|
|
529 .. | 24.00 | 5.00 |
|
|
|
531 .. | 25.50 | 5.00 |
|
|
|
533 .. | 27.00 | 5.00 |
|
|
|
535 .. | 29.00 | 5.00 |
|
|
|
537 .. | 30.00 | 5.00 |
|
|
|
538 .. | 31.00 | 5.00 |
|
|
|
Schedule 4—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
557 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus three-quarters of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus three-quarters of that amount | 888 .. | 4.85 | 1.75 |
|
|
| 890 .. | 4.30 | 1.70 |
|
|
| 893 .. | 9.50 | 3.80 |
|
|
| 895 .. | 5.35 | 1.95 |
|
|
| 897 .. | 8.05 | 2.95 |
|
|
| 899 .. | 5.35 | 1.95 |
|
|
| 902 .. | 35.50 | 5.00 |
|
|
| 904 .. | 29.50 | 5.00 |
|
|
| 907 .. | 2.75 | 0.95 |
|
|
| 908 .. | 4.85 | 1.75 |
|
|
| 909 .. | 2.45 | 0.85 |
|
|
| 910 .. | 2.45 | 0.85 |
|
|
| 912 .. | 7.25 | 2.65 |
|
|
| 913 .. | 12.10 | 4.40 |
|
|
| 914 .. | 11.85 | 4.35 |
|
|
| 916 .. | 17.20 | 5.00 |
566 .. | 6.95 | 1.95 | 917 .. | 9.60 | 3.50 |
567 .. | 8.55 | 2.45 | 918 .. | 16.80 | 5.00 |
568 .. | 8.95 | 2.55 | 919 .. | 4.10 | 1.50 |
569 .. | 6.05 | 3.05 | 920 .. | 13.45 | 4.95 |
570 .. | 12.85 | 3.95 | 922 .. | 48.00 | 5.00 |
571 .. | 10.05 | 4.95 | 923 .. | 71.00 | 5.00 |
572 .. | 10.65 | 3.05 | 925 .. | 10.75 | 3.95 |
573 .. | 7.25 | 3.65 | 927 .. | 3.60 | 1.30 |
574 .. | 16.90 | 5.00 | 929 .. | 5.95 | 2.15 |
575 .. | 12.50 | 5.00 | 932 .. | 5.95 | 2.15 |
748 .. | 6.95 | 3.45 | 934 .. | 8.35 | 3.05 |
752 .. | 5.05 | 2.45 | 936 .. | 12.80 | 4.70 |
760 .. | 5.25 | 2.55 | 938 .. | 12.80 | 4.70 |
764 .. | 6.45 | 3.15 | 940 .. | 11.85 | 4.35 |
767 .. | 10.05 | 4.95 | 914 .. | 8.05 | 2.95 |
770 .. | 6.65 | 2.45 | 947 .. | 24.00 | 5.00 |
774 .. | 13.45 | 4.95 | 949 .. | 4.85 | 1.75 |
777 .. | 23.00 | 5.00 | 952 .. | 11.20 | 4.10 |
787 .. | 19.50 | 5.00 | 954 .. | 1.75 | 0.65 |
790 .. | 29.50 | 5.00 | 956 .. | 2.15 | 0.75 |
794 .. | 8.05 | 2.95 | 958 .. | 3.45 | 1.25 |
797 .. | 8.50 | 5.00 | 960 .. | 5.05 | 1.85 |
803 .. | 12.80 | 4.70 | 963 .. | 3.40 | 1.20 |
806 .. | 16.50 | 5.00 | 966 .. | 9.35 | 3.45 |
809 .. | 23.00 | 5.00 | 968 .. | 18.50 | 5.00 |
812 .. | 9.60 | 3.50 | 970 .. | 39.00 | 5.00 |
815 .. | 8.05 | 2.95 | 974 .. | 5.95 | 2.15 |
818 .. | 42.00 | 5.00 | 1001 .. | 0.40 | 0.30 |
821 .. | 6.00 | 5.00 | 1005 .. | 1.00 | 0.50 |
824 .. | 6.25 | 2.25 | 1013 .. | 0.50 | 0.50 |
827 .. | 30.50 | 5.00 | 1017 .. | 1.00 | 0.50 |
829 .. | 54.00 | 5.00 | 1023 .. | 0.40 | 0.30 |
833 .. | 23.00 | 5.00 | 1027 .. | 0.75 | 0.65 |
836 .. | 12.80 | 4.70 | 1031 .. | 2.40 | 1.50 |
839 .. | 7.25 | 2.65 | 1035 .. | 1.40 | 1.00 |
844 .. | 6.65 | 2.45 | 1039 .. | 2.40 | 1.50 |
849 .. | 6.25 | 1.45 | 1043 .. | 2.75 | 2.05 |
853 .. | 10.75 | 3.95 | 1047 .. | 0.90 | 0.40 |
856 .. | 7.05 | 2.55 | 1051 .. | 5.00 | 3.60 |
859 .. | 13.45 | 4.95 | 1055 .. | 0.40 | 0.30 |
863 .. | 2.60 | 0.90 | 1056 .. | 1.40 | 0.50 |
865 .. | 3.75 | 1.35 | 1058 .. | 1.00 | 0.50 |
870 .. | 5.00 | 1.80 | 1061 .. | 2.60 | 1.25 |
874 .. | 6.25 | 2.25 | 1067 .. | 2.60 | 1.25 |
877 .. | 3.75 | 1.35 | 1071 .. | 2.60 | 1.25 |
879 .. | 5.50 | 2.00 | 1075 .. | 1.65 | 0.85 |
882 .. | 4.35 | 1.55 | 1077 .. | 2.40 | 1.20 |
884 .. | 4.35 | 1.55 | 1079 .. | 2.75 | 1.35 |
886 .. | 5.35 | 1.95 | 1083 .. | 2.75 | 1.35 |
Schedule 4—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
1086 .. | 0.50 | 0.85 | 1338 .. | 0.90 | 0.40 |
1088 .. | 3.40 | 1.70 | 1341 .. | 1.65 | 0.85 |
1093 .. | 1.35 | 0.65 | 1344 .. | 2.40 | 1.20 |
1095 .. | 4.80 | 2.40 | 1347 .. | 1.55 | 0.85 |
1099 .. | 3.40 | 1.70 | 1350 .. | 1.00 | 0.90 |
1103 .. | 0.50 | 0.50 | 1353 .. | 3.50 | 1.20 |
1107 .. | 0.40 | 0.30 | 1356 .. | 1.00 | 0.90 |
1111 .. | 1.05 | 0.65 | 1359 .. | 0.50 | 0.50 |
1115 .. | 0.70 | 0.30 | 1361 .. | 0.65 | 0.90 |
1119 .. | 0.90 | 0.40 | 1363 .. | 0.10 | 0.50 |
1123 .. | 2.10 | 1.00 | 1365 .. | 2.00 | 1.00 |
1127 .. | 1.70 | 1.00 | 1367 .. | 1.50 | 1.00 |
1131 .. | 1.05 | 0.85 | 1369 .. | 1.00 | 0.90 |
1135 .. | 2.40 | 1.20 | 1371 .. | 2.85 | 1.25 |
1139 .. | 7.50 | 3.80 | 1373 .. | 1.00 | 0.50 |
1143 .. | 1.00 | 0.50 | 1375 .. | 1.15 | 0.75 |
1147 .. | 1.00 | 0.50 | 1377 .. | 3.05 | 1.55 |
1151 .. | 2.10 | 1.00 | 1379 .. | 4.25 | 2.15 |
1155 .. | 8.45 | 4.25 | 1383 .. | 4.25 | 2.15 |
1158 .. | 1.65 | 0.85 | 1386 .. | 6.75 | 3.45 |
1161 .. | 2.40 | 1.20 | 1390 .. | 8.45 | 4.25 |
1165 .. | 1.65 | 0.85 | 1396 .. | 3.05 | 1.55 |
1169 .. | 1.65 | 0.85 | 1400 .. | 4.25 | 2.15 |
1173 .. | 0.80 | 0.60 | 1403 .. | 2.45 | 1.20 |
1177 .. | 0.95 | 0.75 | 1406 .. | 1.65 | 0.85 |
1181 .. | 1.20 | 0.90 | 1409 .. | 2.75 | 1.35 |
1185 .. | 2.20 | 1.70 | 1412 .. | 4.25 | 2.15 |
1189 .. | 0.50 | 0.50 | 1415 .. | 0.70 | 0.50 |
1193 .. | 0.20 | 0.60 | 1418 .. | 1.00 | 0.90 |
1197 .. | 1.20 | 0.90 | 1422 .. | 2.60 | 1.80 |
1201 .. | 5.15 | 2.55 | 1426 .. | 3.95 | 2.45 |
1205 .. | 0.90 | 0.40 | 1429 .. | 5.50 | 3.20 |
1209 .. | 0.60 | 0.40 | 1433 .. | 6.90 | 3.90 |
1213 .. | 4.20 | 2.20 | 1437 .. | 2.40 | 1.20 |
1217 .. | 1.65 | 0.85 | 1440 .. | 3.75 | 1.85 |
1221 .. | 4.15 | 2.05 | 1443 .. | 1.00 | 0.90 |
1225 .. | 1.05 | 0.90 | 1446 .. | 2.60 | 1.80 |
1229 .. | 1.65 | 0.85 | 1449 .. | 3.95 | 2.45 |
1233 .. | 3.10 | 1.00 | 1451 .. | 5.50 | 3.20 |
1241 .. | 1.00 | 0.50 | 1454 .. | 2.55 | 1.45 |
1245 .. | 2.75 | 1.35 | 1457 .. | 8.45 | 4.25 |
1249 .. | 1.65 | 0.85 | 1460 .. | 1.65 | 0.85 |
1253 .. | 2.75 | 1.35 | 1464 .. | 1.00 | 0.90 |
1257 .. | 4.15 | 2.05 | 1467 .. | 2.60 | 1.80 |
1261 .. | 1.65 | 0.85 | 1471 .. | 3.95 | 2.45 |
1265 .. | 2.10 | 1.10 | 1473 .. | 5.50 | 3.20 |
1269 .. | 1.10 | 1.00 | 1477 .. | 6.90 | 3.90 |
1273 .. | 1.65 | 0.85 | 1480 .. | 3.40 | 1.70 |
1276 .. | 1.65 | 0.85 | 1433 .. | 3.45 | 2.15 |
1281 .. | 2.40 | 1.20 | 1486 .. | 1.00 | 0.90 |
1285 .. | 4.15 | 2.05 | 1489 .. | 1.65 | 0.85 |
1289 .. | 2.40 | 1.20 | 1498 .. | 2.60 | 1.80 |
1293 .. | 2.10 | 1.00 | 1503 .. | 1.00 | 0.90 |
1297 .. | 2.10 | 1.00 | 1507 .. | 2.60 | 1.80 |
1303 .. | 0.45 | 0.85 | 1510 .. | 3.95 | 2.45 |
1308 .. | 2.25 | 1.25 | 1518 .. | 5.50 | 3.20 |
1311 .. | 3.85 | 1.45 | 1524 .. | 6.90 | 3.90 |
1315 .. | 1.00 | 1.20 | 1528 .. | 1.00 | 0.90 |
1318 .. | 2.35 | 1.65 | 1532 .. | 1.65 | 0.85 |
1321 .. | 1.00 | 0.50 | 1535 .. | 0.70 | 0.30 |
1324 .. | 1.65 | 0.85 | 1538 .. | 0.35 | 0.15 |
1326 .. | 1.60 | 0.90 | 1542 .. | 2.90 | 1.80 |
1329 .. | 0.60 | 0.60 | 1547 .. | 0.50 | 0.50 |
1332 .. | 1.50 | 0.40 | 1552 .. | 0.85 | 0.45 |
1335 .. | 1.50 | 1.00 | 1555 .. | 2.20 | 0.90 |
Schedule 4—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
1558 .. | 2.20 | 1.80 | 1762 .. | 0.90 | 0.40 |
1561 .. | 1.30 | 1.10 | 1765 .. | 0.60 | 0.40 |
1565 .. | 2.95 | 1.95 | 1763 .. | 0.60 | 0.40 |
1569 .. | 4.75 | 2.85 | 1771 .. | 2.10 | 1.00 |
1572 .. | 2.25 | 2.05 | 1774 .. | 1.65 | 0.75 |
1574 .. | 6.75 | 3.45 | 1777 .. | 0.85 | 0.85 |
1576 .. | 2.95 | 1.45 | 1780 .. | 1.55 | 0.75 |
1578 .. | 3.05 | 1.55 | 1783 .. | 2.15 | 1.20 |
1581 .. | 2.55 | 1.45 | 1786 .. | 2.75 | 1.65 |
1585 .. | 1.60 | 0.90 | 1788 .. | 3.85 | 2.05 |
1591 .. | 1.50 | 0.40 | 1791 .. | 4.40 | 2.50 |
1593 .. | 0.50 | 0.50 | 1795 .. | 3.55 | 2.55 |
1595 .. | 0.85 | 0.95 | 1799 .. | 2.10 | 1.20 |
1597 .. | 2.60 | 1.80 | 1803 .. | 3.40 | 1.70 |
1599 .. | 3.65 | 2.35 | 1807 .. | 2.10 | 1.00 |
1602 .. | 1.70 | 1.40 | 1811 .. | 3.75 | 1.85 |
1605 .. | 3.45 | 2.25 | 1814 .. | 1.65 | 0.85 |
1608 .. | 4.50 | 2.80 | 1816 .. | 2.75 | 1.35 |
1612 .. | 0.60 | 0.40 | 1818 .. | 2.10 | 1.00 |
1617 .. | 2.35 | 1.25 | 1821 .. | 1.65 | 0.85 |
1619 .. | 0.90 | 0.40 | 1825 .. | 1.60 | 0.90 |
1624 .. | 1.65 | 0.85 | 1829 .. | 0.90 | 0.40 |
1628 .. | 0.55 | 0.45 | 1832 .. | 3.05 | 1.65 |
1632 .. | 1.90 | 0.90 | 1834 .. | 4.70 | 2.50 |
1635 .. | 1.65 | 0.85 | 1836 .. | 1.55 | 1.35 |
1637 .. | 2.75 | 0.85 | 1838 .. | 2.80 | 2.30 |
1639 .. | 2.75 | 1.35 | 1842 .. | 3.75 | 3.25 |
1642 .. | 1.65 | 0.85 | 1845 .. | 2.40 | 2.30 |
1646 .. | 2.10 | 1.00 | 1848 .. | 3.25 | 2.25 |
1650 .. | 1.60 | 0.90 | 1854 .. | 4.55 | 3.15 |
1654 .. | 3.40 | 1.70 | 1857 .. | 4.50 | 2.90 |
1656 .. | 1.60 | 0.90 | 1860 .. | 5.65 | 3.85 |
1658 .. | 4.25 | 2.15 | 1864 .. | 1.95 | 1.25 |
1660 .. | 8.45 | 4.25 | 1868 .. | 1.65 | 0.85 |
1663 .. | 2.40 | 1.20 | 1872 .. | 1.35 | 0.85 |
1666 .. | 2.75 | 1.35 | 1876 .. | 2.55 | 1.55 |
1669 .. | 8.45 | 4.25 | 1880 .. | 0.50 | 0.50 |
1672 .. | 2.95 | 1.45 | 1883 .. | 1.00 | 0.90 |
1675 .. | 2.05 | 1.10 | 1886 .. | 2.40 | 1.20 |
1677 .. | 4.25 | 2.15 | 1890 .. | 1.00 | 0.90 |
1679 .. | 3.20 | 1.80 | 1894 .. | 2.60 | 1.80 |
1681 .. | 2.05 | 1.10 | 1930 .. | 3.95 | 2.45 |
1685 .. | 2.05 | 1.35 | 1934 .. | 5.50 | 3.20 |
1689 .. | 1.50 | 1.00 | 1938 .. | 1.20 | 0.90 |
1692 .. | 3.15 | 1.85 | 1944 .. | 2.95 | 1.45 |
1695 .. | 4.45 | 2.55 | 2001 .. | 2.05 | 1.35 |
1699 .. | 5.90 | 3.30 | 2005 .. | 2.55 | 1.55 |
1704 .. | 1.00 | 0.60 | 2008 .. | 0.60 | 0.40 |
1708 .. | 1.50 | 1.00 | 2012 .. | 0.90 | 0.40 |
1711 .. | 3.40 | 1.70 | 2017 .. | 1.60 | 0.90 |
1715 .. | 8.45 | 4.25 | 2021 .. | 1.20 | 0.60 |
1719 .. | 6.75 | 3.45 | 2026 .. | 2.40 | 1.20 |
1723 .. | 3.10 | 1.70 | 2032 .. | 2.10 | 1.00 |
1727 .. | 2.95 | 1.45 | 2036 .. | 1.25 | 0.75 |
1731 .. | 2.95 | 1.45 | 2040 .. | 4.80 | 2.40 |
1735 .. | 9.35 | 3.45 | 2047 .. | 2.55 | 1.25 |
1739 .. | 3.10 | 1.70 | 2051 .. | 2.55 | 1.25 |
1742 .. | 3.10 | 1.70 | 2055 .. | 8.45 | 4.25 |
1745 .. | 0.10 | 0.40 | 2059 .. | 6.05 | 3.05 |
1749 .. | 6.75 | 3.45 | 2064 .. | 8.45 | 4.25 |
1751 .. | 8.45 | 4.25 | 2068 .. | 3.40 | 1.70 |
1753 .. | 1.00 | 0.50 | 2072 .. | 0.50 | 0.50 |
1755 .. | 1.65 | 0.85 | 2078 .. | 5.15 | 2.55 |
1757 .. | 3.20 | 1.80 | 2083 .. | 0.45 | 0.85 |
1759 .. | 2.55 | 1.55 | 2087 .. | 2.40 | 1.20 |
Schedule 4—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
2089 .. | 3.05 | 1.55 | 2353 .. | 3.15 | 1.85 |
2094 .. | 0.90 | 0.40 | 2356 .. | 3.15 | 1.85 |
2098 .. | 0.60 | 0.40 | 2358 .. | 6.75 | 3.45 |
2106 .. | 0.60 | 0.40 | 2361 .. | 1.40 | 2.40 |
2110 .. | 1.20 | 0.60 | 2364 .. | 5.30 | 2.90 |
2115 .. | 1.65 | 0.85 | 2368 .. | 3.45 | 2.05 |
2121 .. | 1.65 | 0.85 | 2370 .. | 5.15 | 2.55 |
2127 .. | 0.65 | 0.75 | 2373 .. | 14.50 | 5.00 |
2133 .. | 1.50 | 1.20 | 2375 .. | 3.45 | 2.15 |
2139 .. | 2.70 | 1.80 | 2377 .. | 4.15 | 2.05 |
2144 .. | 1.65 | 0.85 | 2379 .. | 6.75 | 3.45 |
2150 .. | 4.35 | 2.65 | 2381 .. | 14.50 | 5.00 |
2154 .. | 1.65 | 0.85 | 2383 .. | 5.15 | 2.55 |
2158 .. | 1.65 | 0.85 | 2385 .. | 5.15 | 2.55 |
2168 .. | 2.75 | 1.35 | 2387 .. | 3.45 | 2.15 |
2172 .. | 0.90 | 0.40 | 2389 .. | 2.05 | 1.65 |
2176 .. | 1.55 | 1.00 | 2391 .. | 1.55 | 1.35 |
2180 .. | 1.55 | 1.00 | 2393 .. | 3.40 | 1.70 |
2184 .. | 1.00 | 0.50 | 2395 .. | 12.00 | 5.00 |
2188 .. | 1.55 | 1.25 | 2397 .. | 1.65 | 0.85 |
2190 .. | 3.25 | 2.55 | 2399 .. | 3.20 | 1.80 |
2192 .. | 4.90 | 3.90 | 2402 .. | 5.15 | 2.55 |
2194 .. | 1.65 | 0.85 | 2404 .. | 1.50 | 1.00 |
2196 .. | 3.40 | 1.70 | 2406 .. | 2.55 | 1.55 |
2197 .. | 5.15 | 2.55 | 2408 .. | 2.55 | 1.55 |
2198 .. | 3.40 | 1.70 | 2411 .. | 4.10 | 2.40 |
2200 .. | 0.10 | 0.30 | 2413 .. | 3.25 | 1.95 |
2207 .. | 0.10 | 0.40 | 2415 .. | 5.30 | 2.90 |
2209 .. | 6.75 | 3.45 | 2417 .. | 1.05 | 0.85 |
2214 .. | 1.00 | 0.50 | 2419 .. | 1.20 | 0.90 |
2218 .. | 1.00 | 0.90 | 2422 .. | 6.05 | 3.05 |
2224 .. | 1.00 | 0.50 | 2424 .. | 7.20 | 3.60 |
2229 .. | 1.00 | 0.90 | 2427 .. | 8.20 | 4.10 |
2233 .. | 1.00 | 0.90 | 2430 .. | 9.85 | 4.95 |
2237 .. | 1.35 | 0.65 | 2432 .. | 3.95 | 1.95 |
2242 .. | 2.40 | 1.20 | 2434 .. | 3.95 | 1.95 |
2246 .. | 1.00 | 0.50 | 2436 .. | 3.15 | 1.95 |
2251 .. | 1.50 | 1.00 | 2438 .. | 7.95 | 3.95 |
2253 .. | 3.95 | 1.35 | 2441 .. | 2.75 | 1.35 |
2258 .. | 4.15 | 2.05 | 2443 .. | 3.95 | 1.95 |
2260 .. | 0.10 | 0.40 | 2446 .. | 3.95 | 1.95 |
2261 .. | 0.10 | 0.40 | 2448 .. | 4.35 | 2.15 |
2263 .. | 0.10 | 0.40 | 2451 .. | 12.00 | 5.00 |
2266 .. | 1.65 | 0.85 | 2454 .. | 20.00 | 5.00 |
2271 .. | 1.65 | 0.85 | 2457 .. | 7.95 | 3.95 |
2276 .. | 3.40 | 1.70 | 2462 .. | 6.75 | 3.35 |
2280 .. | 3.40 | 1.70 | 2470 .. | 5.15 | 2.55 |
2284 .. | 1.65 | 0.85 | 2473 .. | 6.25 | 3.15 |
2288 .. | 1.20 | 0.60 | 2474 .. | 12.50 | 5.00 |
2290 .. | 3.10 | 1.70 | 2476 .. | 12.00 | 5.00 |
2293 .. | 4.65 | 2.45 | 2477 .. | 6.25 | 3.15 |
2297 .. | 2.45 | 1.20 | 2479 .. | 22.50 | 5.00 |
2301 .. | 5.15 | 2.55 | 2480 .. | 9.40 | 4.70 |
2305 .. | 2.45 | 1.20 | 2481 .. | 12.00 | 5.00 |
2309 .. | 0.50 | 0.85 | 2483 .. | 6.75 | 3.35 |
2313 .. | 2.10 | 1.70 | 2484 .. | 7.95 | 3.95 |
2317 .. | 4.25 | 2.75 | 2486 .. | 12.50 | 5.00 |
2321 .. | 9.10 | 3.80 | 2487 .. | 4.75 | 2.35 |
2325 .. | 4.35 | 3.45 | 2489 .. | 13.00 | 5.00 |
2329 .. | 6.30 | 4.50 | 2491 .. | 12.00 | 5.00 |
2333 .. | 12.00 | 5.00 | 2493 .. | 7.95 | 3.95 |
2337 .. | 16.50 | 5.00 | 2495 .. | 12.00 | 5.00 |
2341 .. | 3.45 | 2.15 | 2496 .. | 12.00 | 5.00 |
2345 .. | 3.40 | 1.70 | 2498 .. | 7.95 | 3.95 |
2349 .. | 1.55 | 1.35 | 2499 .. | 7.95 | 3.95 |
Schedule 4—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
2500 .. | 6.75 | 3.35 | 2706 .. | 5.10 | 3.30 |
2502 .. | 1.45 | 1.45 | 2709 .. | 7.25 | 4.35 |
2505 .. | 1.95 | 1.75 | 2711 .. | 7.50 | 5.00 |
2508 .. | 1.45 | 1.45 | 2714 .. | 8.65 | 4.35 |
2512 .. | 1.95 | 1.75 | 2716 .. | 7.25 | 4.35 |
2510 .. | 2.95 | 2.15 | 2718 .. | 8.50 | 5.00 |
2520 .. | 3.35 | 2.45 | 2720 .. | 6.20 | 3.50 |
2524 .. | 2.55 | 1.65 | 2722 .. | 6.65 | 3.65 |
2528 .. | 2.55 | 1.95 | 2724 .. | 8.50 | 5.00 |
2532 .. | 3.25 | 2.35 | 2726 .. | 6.50 | 3.80 |
2537 .. | 2.65 | 2.75 | 2728 .. | 12.00 | 5.00 |
2539 .. | 2.95 | 2.15 | 2730 .. | 7.00 | 3.50 |
2541 .. | 3.35 | 2.45 | 2712 .. | 2.15 | 1.05 |
2543 .. | 1.95 | 1.65 | 2734 .. | 8.65 | 4.35 |
2545 .. | 2.55 | 1.95 | 2736 .. | 5.15 | 2.55 |
2548 .. | 2.95 | 2.15 | 2738 .. | 3.75 | 2.15 |
2551 .. | 0.75 | 2.25 | 2740 .. | 2.60 | 3.50 |
2554 .. | 0.75 | 2.25 | 2742 .. | 7.00 | 3.50 |
2557 .. | 10.70 | 5.00 | 2744 .. | 8.65 | 4.35 |
2560 .. | 3.45 | 2.75 | 2746 .. | 12.00 | 5.00 |
2563 .. | 3.45 | 2.25 | 2748 .. | 12.00 | 5.00 |
2566 .. | 3.45 | 2.75 | 2750 .. | 12.00 | 5.00 |
2569 .. | 3.45 | 2.75 | 2751 .. | 35.00 | 5.00 |
2573 .. | 3.45 | 2.25 | 2752 .. | 5.70 | 3.30 |
2576 .. | 3.45 | 2.25 | 2754 .. | 5.15 | 2.55 |
2579 .. | 3.45 | 2.25 | 2756 .. | 11.00 | 5.00 |
2581 .. | 3.15 | 1.95 | 2758 .. | 8.65 | 4.35 |
2583 .. | 3.15 | 1.95 | 2760 .. | 9.40 | 4.70 |
2585 .. | 3.75 | 2.45 | 2762 .. | 2.75 | 2.85 |
2587 .. | 2.55 | 1.55 | 2764 .. | 4.85 | 4.35 |
2589 .. | 7.40 | 4.10 | 2766 .. | 4.85 | 4.35 |
2591 .. | 6.75 | 3.45 | 2768 .. | 4.85 | 4.35 |
2593 .. | 5.45 | 2.75 | 2770 .. | 4.85 | 4.35 |
2595 .. | 2.55 | 1.95 | 2772 .. | 4.85 | 4.35 |
2597 .. | 3.55 | 2.85 | 2774 .. | 13.50 | 5.00 |
2599 .. | 2.95 | 2.45 | 2776 .. | 4.85 | 4.35 |
2601 .. | 3.95 | 3.35 | 2778 .. | 7.25 | 3.65 |
2604 .. | 2.65 | 2.05 | 2780 .. | 7.25 | 3.65 |
2607 .. | 5.50 | 4.40 | 2782 .. | 2.35 | 1.15 |
2609 .. | 6.50 | 5.00 | 2784 .. | 5.45 | 2.75 |
2611 .. | 2.15 | 1.05 | 2786 .. | 4.55 | 2.25 |
2614 .. | 5.15 | 2.55 | 2788 .. | 5.45 | 2.75 |
2617 .. | 1.95 | 1.75 | 2790 .. | 9.15 | 4.55 |
2621 .. | 9.40 | 4.70 | 2792 .. | 7.00 | 3.50 |
2625 .. | 3.15 | 1.85 | 2794 .. | 4.65 | 2.95 |
2627 .. | 3.75 | 2.15 | 2796 .. | 6.50 | 3.30 |
2630 .. | 2.95 | 2.65 | 2798 .. | 1.35 | 0.65 |
2634 .. | 3.15 | 1.95 | 2800 .. | 4.75 | 2.35 |
2638 .. | 1.85 | 1.05 | 2802 .. | 3.15 | 1.55 |
2642 .. | 3.25 | 2.35 | 2804 .. | 2.75 | 1.35 |
2646 .. | 4.15 | 2.85 | 2806 .. | 0.55 | 0.25 |
2650 .. | 3.15 | 1.85 | 2808 .. | 3.35 | 1.65 |
2654 .. | 3.75 | 2.15 | 2810 .. | 0.70 | 0.30 |
2659 .. | 3.95 | 2.35 | 2812 .. | 6.75 | 3.35 |
2662 .. | 4.95 | 2.85 | 2814 .. | 1.35 | 0.65 |
2665 .. | 3.75 | 2.15 | 2816 .. | 3.75 | 1.85 |
2672 .. | 15.00 | 5.00 | 2818 .. | 3.35 | 1.65 |
2676 .. | 11.00 | 5.00 | 2820 .. | 0.70 | 0.30 |
2681 .. | 13.50 | 5.00 | 2822 .. | 3.95 | 1.95 |
2687 .. | 9.70 | 5.00 | 2824 .. | 0.75 | 0.35 |
2690 .. | 6.55 | 3.45 | 7826 .. | 8.65 | 4.35 |
2694 .. | 8.65 | 4.35 | 2828 .. | 1.75 | 0.85 |
2697 .. | 3.95 | 2.35 | 2830 .. | 5.15 | 2.55 |
2699 .. | 3.15 | 1.85 | 2832 .. | 1.00 | 0.50 |
2703 .. | 3.75 | 2.15 | 2834 .. | 6.75 | 3.45 |
Schedule 4—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
2836 .. | 1.35 | 0.65 |
| The amount by which— one-fifth of the aggregate of the basic Commonwealth benefit, the fund benefit, and the specified excess, in respect of the operation or series or combination of operations, exceeds— the aggregate of the Commonwealth benefit and the specified excess in respect of the assistance at the operation or series or combination of operations. | Whichever of— (a) three per centum of the aggregate of the basic Commonwealth benefit, the fund benefit, and the specified excess, in respect of the operation or series or combination of operations; or (b) $5 is the less. |
2838 .. | 12.00 | 5.00 |
| ||
2840 .. | 2.35 | 1.15 |
| ||
2842 .. | 21.50 | 5.00 |
| ||
2844 .. | 14.50 | 5.00 |
| ||
2846 .. | 30.00 | 5.00 |
| ||
2848 .. | 47.00 | 5.00 |
| ||
2850 .. | 35.00 | 5.00 |
| ||
2852 .. | 21.50 | 5.00 |
| ||
2854 .. | 8.20 | 4.10 |
| ||
2856 .. | 13.00 | 5.00 |
| ||
2858 .. | 5.45 | 2.75 |
| ||
2860 .. | 4.15 | 2.05 |
| ||
2862 .. | 14.00 | 5.00 |
| ||
2864 .. | 4.15 | 2.05 |
| ||
2866 .. | 8.20 | 4.10 |
| ||
2868 .. | 9.85 | 4.95 |
| ||
2870 .. | 2.75 | 1.35 |
| ||
2872 .. | 2.95 | 1.45 |
| ||
2874 .. | 12.00 | 5.00 |
| ||
2876 .. | 4.85 | 2.45 |
| ||
2378 .. | 4.85 | 2.45 |
| ||
2880 .. | 16.00 | 5.00 |
| ||
2882 .. | 13.50 | 5.00 |
| ||
2884 .. | 13.50 | 5.00 | 3006 .. | 3.10 | 0.80 |
2886 .. | 13.00 | 5.00 | 3012 .. | 5.85 | 1.65 |
2888 .. | 4.35 | 2.15 | 3016 .. | 4.75 | 2.25 |
2890 .. | 6.50 | 3.30 | 3022 .. | 5.75 | 2.75 |
2892 .. | 6.50 | 3.30 | 3027 .. | 10.00 | 4.70 |
2894 .. | 5.15 | 2.55 | 3033 .. | 12.50 | 5.00 |
2896 .. | 5.15 | 2.55 | 3038 .. | 27.50 | 5.00 |
2898 .. | 4.15 | 2.05 | 3039 .. | 57.00 | 5.00 |
2900 .. | 5.15 | 2.55 | 3041 .. | 27.50 | 5.00 |
2903 .. | 4.15 | 2.05 | 3046 .. | 8.75 | 1.95 |
2906 .. | 4.15 | 2.05 | 3050 .. | 4.55 | 2.85 |
2909 .. | 6.50 | 3.30 | 3058 .. | 9.95 | 2.35 |
2912 .. | 5.35 | 2.65 | 3059 .. | 9.95 | 2.35 |
2916 .. | 5.35 | 2.65 | 3063 .. | 9.05 | 4.35 |
2918 .. | 3.35 | 1.65 | 3068 .. | 9.05 | 4.35 |
2921 .. | 6.50 | 3.30 | 3073 .. | 11.65 | 2.75 |
2923 .. | 4.35 | 2.15 | 3082 .. | 11.30 | 5.00 |
2525 .. | 4.35 | 2.15 | 3087 .. | 15.00 | 5.00 |
2927 .. | 13.50 | 5.00 | 3092 .. | 9.05 | 4.35 |
2930 .. | 8.65 | 4.35 | 3095 .. | 9.05 | 4.35 |
2932 .. | 2.15 | 1.05 | 3098 .. | 12.00 | 5.00 |
2934 .. | 13.50 | 5.00 | 3101 .. | 15.00 | 5.00 |
2936 .. | 6.50 | 3.30 | 3106 .. | 5.75 | 2.75 |
2938 .. | 8.65 | 4.35 | 3109 .. | 15.00 | 5.00 |
2940 .. | 13.50 | 5.00 | 3113 .. | 1.10 | 0.70 |
2950 .. | 8.95 | 3.15 | 3114 .. | 1.10 | 0.70 |
|
|
| 3116 .. | 8.35 | 3.95 |
|
|
| 3117 .. | 8.35 | 3.95 |
|
|
| 3120 .. | 18.00 | 5.00 |
|
|
| 3124 .. | 23.00 | 5.00 |
|
|
| 3128 .. | 23.00 | 5.00 |
|
|
| 3130 .. | 4.15 | 1.95 |
|
|
| 3134 .. | 4.15 | 1.95 |
|
|
| 3135 .. | 7.80 | 4.10 |
|
|
| 3142 .. | 9.50 | 5.00 |
Schedule 4—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
3147 .. | 9.50 | 5.00 | 3444 .. | 110.00 | 5.00 |
3148 .. | 3.75 | 1.75 | 3450 .. | 74.00 | 5.00 |
3157 .. | 8.35 | 3.95 | 3455 .. | 30.00 | 5.00 |
3160 .. | 2.35 | 1.05 | 3456 .. | 30.00 | 5.00 |
3163 .. | 2.35 | 1.05 | 3459 .. | 16.50 | 5.00 |
3168 .. | 15.00 | 5.00 | 3462 .. | 16.50 | 5.00 |
3173 .. | 6.90 | 3.30 | 3465 .. | 4.65 | 2.15 |
3175 .. | 6.90 | 3.30 | 3466 .. | 4.65 | 2.15 |
3178 .. | 12.00 | 5.00 | 3468 .. | 9.05 | 4.35 |
3183 .. | 15.00 | 5.00 | 3472 .. | 12.00 | 5.00 |
3187 .. | 15.00 | 5.00 | 3475 .. | 12.00 | 5.00 |
3189 .. | 2.70 | 1.30 | 3477 .. | 12.00 | 5.00 |
3194 .. | 12.50 | 5.00 | 3480 .. | 25.00 | 5.00 |
3199 .. | 10.00 | 5.00 | 3483 .. | 25.00 | 5.00 |
3208 .. | 8.50 | 5.00 | 3490 .. | 61.00 | 5.00 |
3213 .. | 7.00 | 5.00 | 3493 .. | 61.00 | 5.00 |
3217 .. | 32.00 | 5.00 | 3495 .. | 155.00 | 5.00 |
3219 .. | 15.15 | 3.35 | 3496 .. | 3.55 | 1.65 |
3228 .. | 3.55 | 3.95 | 3500 .. | 3.55 | 1.65 |
3229 .. | 3.55 | 3.95 | 3505 .. | 9.30 | 4.40 |
3233 .. | 8.20 | 4.70 | 3507 .. | 9.30 | 4.40 |
3237 .. | 1.50 | 5.00 | 3509 .. | 12.50 | 5.00 |
3245 .. | 1.50 | 5.00 | 3516 .. | 17.00 | 5.00 |
3247 .. | 22.00 | 5.00 | 3521 .. | 17.00 | 5.00 |
3253 .. | 14.50 | 5.00 | 3526 .. | 34.00 | 5.00 |
3258 .. | 14.50 | 5.00 | 3530 .. | 44.00 | 5.00 |
3261 .. | 22.50 | 5.00 | 3532 .. | 52.00 | 5.00 |
3265 .. | 27.50 | 5.00 | 3542 .. | 88.00 | 5.00 |
3271 .. | 34.00 | 5.00 | 3547 .. | 99.00 | 5.00 |
3276 .. | 74.00 | 5.00 | 3555 .. | 110.00 | 5.00 |
3281 .. | 44.00 | 5.00 | 3563 .. | 61.00 | 5.00 |
3284 .. | 44.00 | 5.00 | 3569 .. | 65.00 | 5.00 |
3289 .. | 52.00 | 5.00 | 3576 .. | 44.00 | 5.00 |
3290 .. | 52.00 | 5.00 | 3581 .. | 34.00 | 5.00 |
3295 .. | 74.00 | 5.00 | 3591 .. | 44.00 | 5.00 |
3301 .. | 34.00 | 5.00 | 3597 .. | 38.00 | 5.00 |
3308 .. | 59.00 | 5.00 | 3603 .. | 29.00 | 5.00 |
3314 .. | 10.45 | 4.95 | 3616 .. | 155.00 | 5.00 |
3320 .. | 6.05 | 1.55 | 3618 .. | 32.00 | 5.00 |
3330 .. | 2.95 | 1.75 | 3622 .. | 88.00 | 5.00 |
3331 .. | 2.95 | 1.75 | 3634 .. | 20.50 | 5.00 |
3332 .. | 2.05 | 1.95 | 3638 .. | 65.00 | 5.00 |
3338 .. | 10.85 | 2.95 | 3643 .. | 16.50 | 5.00 |
3342 .. | 5.45 | 3.15 | 3647 .. | 27.50 | 5.00 |
3346 .. | 15.00 | 3.50 | 3652 .. | 37.00 | 5.00 |
3356 .. | 1.55 | 1.55 | 3654 .. | 9.50 | 5.00 |
3363 .. | 13.00 | 5.00 | 3664 .. | 15.50 | 5.00 |
3366 .. | 0.85 | 0.65 | 3668 .. | 21.50 | 5.00 |
3371 .. | 0.85 | 0.85 | 3673 .. | 27.50 | 5.00 |
3379 .. | 10.85 | 3.65 | 3678 .. | 21.50 | 5.00 |
3384 .. | 6.55 | 4.95 | 3683 .. | 27.50 | 5.00 |
3386 .. | 6.55 | 4.95 | 3698 .. | 52.00 | 5.00 |
3389 .. | 9.55 | 4.55 | 3702 .. | 75.00 | 5.00 |
3391 .. | 12.00 | 5.00 | 3707 .. | 12.00 | 5.00 |
3395 .. | 18.00 | 5.00 | 3713 .. | 30.00 | 5.00 |
3399 .. | 22.50 | 5.00 | 3718 .. | 38.00 | 5.00 |
3401 .. | 14.00 | 5.00 | 3724 .. | 38.00 | 5.00 |
3404 .. | 18.00 | 5.00 | 3733 .. | 52.00 | 5.00 |
3407 .. | 25.00 | 5.00 | 3739 .. | 45.00 | 5.00 |
3411 .. | 9.55 | 4.55 | 3745 .. | 57.00 | 5.00 |
3417 .. | 12.00 | 5.00 | 3750 .. | 47.00 | 5.00 |
3425 .. | 30.00 | 5.00 | 3754 .. | 52.00 | 5.00 |
3427 .. | 30.00 | 5.00 | 3759 .. | 135.00 | 5.00 |
3431 .. | 30.00 | 5.00 | 3764 .. | 47.00 | 5.00 |
3437 .. | 67.00 | 5.00 | 3777 .. | 52.00 | 5.00 |
Schedule 4—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
3783 .. | 52.00 | 5.00 | 4118 .. | 175.00 | 5.00 |
3789 .. | 9.55 | 4.55 | 4124 .. | 36.00 | 5.00 |
3793 .. | 44.00 | 5.00 | 4130 .. | 45.00 | 5.00 |
3798 .. | 67.00 | 5.00 | 4133 .. | 110.00 | 5.00 |
3802 .. | 38.00 | 5.00 | 4138 .. | 47.00 | 5.00 |
3809 .. | 47.00 | 5.00 | 4141 .. | 61.00 | 5.00 |
3815 .. | 79.00 | 5.00 | 4144 .. | 67.00 | 5.00 |
3820 .. | 75.00 | 5.00 | 4149 .. | 41.00 | 5.00 |
3825 .. | 54.00 | 5.00 | 4158 .. | 52.00 | 5.00 |
3831 .. | 86.00 | 5.00 | 4165 .. | 99.00 | 5.00 |
3834 .. | 135.00 | 5.00 | 4173 .. | 75.00 | 5.00 |
3841 .. | 135.00 | 5.00 | 4179 .. | 75.00 | 5.00 |
3846 .. | 15.00 | 5.00 | 4185 .. | 40.00 | 5.00 |
3855 .. | 18.00 | 5.00 | 4191 .. | 12.00 | 5.00 |
3864 .. | 47.00 | 5.00 | 4197 .. | 4.15 | 1.95 |
3870 .. | 49.00 | 5.00 | 4202 .. | 110.00 | 5.00 |
3875 .. | 52.00 | 5.00 | 4209 .. | 91.00 | 5.00 |
3882 .. | 61.00 | 5.00 | 4214 .. | 37.00 | 5.00 |
3889 .. | 74.00 | 5.00 | 4216 .. | 54.00 | 5.00 |
3894 .. | 47.00 | 5.00 | 4222 .. | 27.00 | 5.00 |
3898 .. | 61.00 | 5.00 | 4227 .. | 37.00 | 5.00 |
3902 .. | 61.00 | 5.00 | 4233 .. | 47.00 | 5.00 |
3910 .. | 38.00 | 5.00 | 4238 .. | 69.00 | 5.00 |
3916 .. | 47.00 | 5.00 | 4241 .. | 155.00 | 5.00 |
3922 .. | 88.00 | 5.00 | 4246 .. | 22.00 | 5.00 |
3930 .. | 110.00 | 5.00 | 4249 .. | 30.00 | 5.00 |
3938 .. | 135.00 | 5.00 | 4251 .. | 26.00 | 5.00 |
3946 .. | 47.00 | 5.00 | 4254 .. | 35.00 | 5.00 |
3952 .. | 38.00 | 5.00 | 4258 .. | 38.00 | 5.00 |
3958 .. | 38.00 | 5.00 | 4262 .. | 47.00 | 5.00 |
3962 .. | 47.00 | 5.00 | 4265 .. | 2.70 | 1.30 |
3965 .. | 61.00 | 5.00 | 4269 .. | 24.00 | 5.00 |
3968 .. | 38.00 | 5.00 | 4273 .. | 35.50 | 5.00 |
3970 .. | 47.00 | 5.00 | 4282 .. | 19.50 | 5.00 |
3976 .. | 26.00 | 5.00 | 4285 .. | 25.00 | 5.00 |
3981 .. | 33.00 | 5.00 | 4288 .. | 26.00 | 5.00 |
3986 .. | 47.00 | 5.00 | 4293 .. | 35.00 | 5.00 |
3990 .. | 47.00 | 5.00 | 4296 .. | 47.00 | 5.00 |
3996 .. | 31.00 | 5.00 | 4299 .. | 74.00 | 5.00 |
4000 .. | 39.00 | 5.00 | 4307 .. | 39.00 | 5.00 |
4003 .. | 19.50 | 5.00 | 4313 .. | 8.60 | 4.10 |
4009 .. | 44.00 | 5.00 | 4319 .. | 3.55 | 1.65 |
4012 .. | 75.00 | 5.00 | 4327 .. | 6.65 | 3.65 |
4018 .. | 79.00 | 5.00 | 4338 .. | 12.00 | 5.00 |
4020 .. | 38.00 | 5.00 | 4345 .. | 15.00 | 5.00 |
4021 .. | 47.00 | 5.00 | 4351 .. | 3.70 | 1.70 |
4027 .. | 38.00 | 5.00 | 4354 .. | 4.15 | 1.95 |
4032 .. | 47.00 | 5.00 | 4362 .. | 6.25 | 2.95 |
4039 .. | 59.00 | 5.00 | 4365 .. | 16.50 | 5.00 |
4043 .. | 75.00 | 5.00 | 4370 .. | 20.60 | 5.00 |
4046 .. | 88.00 | 5.00 | 4375 .. | 15.60 | 5.00 |
4048 .. | 110.00 | 5.00 | 4380 .. | 13.00 | 5.00 |
4052 .. | 133.00 | 5.00 | 4387 .. | 15.00 | 5.00 |
4054 .. | 113.00 | 5.00 | 4393 .. | 18.00 | 5.00 |
4059 .. | 37.00 | 5.00 | 4397 .. | 34.00 | 5.00 |
4068 .. | 110.00 | 5.00 | 4407 .. | 52.00 | 5.00 |
4074 .. | 23.00 | 5.00 | 4413 .. | 83.00 | 5.00 |
4080 .. | 21.00 | 5.00 | 4427 .. | 2.70 | 1.30 |
4084 .. | 9.55 | 4.55 | 4434 .. | 11.00 | 5.00 |
4087 .. | 34.00 | 5.00 | 4442 .. | 15.00 | 5.00 |
4093 .. | 43.00 | 5.00 | 4455 .. | 2.95 | 1.35 |
4099 .. | 14.00 | 5.00 | 4461 .. | 12.00 | 5.00 |
4104 .. | 6.90 | 3.30 | 4467 .. | 9.05 | 4.35 |
4109 .. | 105.00 | 5.00 | 4473 .. | 6.45 | 3.05 |
4115 .. | 155.00 | 5.00 | 4482 .. | 33.00 | 5.00 |
Schedule 4—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
4490 .. | 10.45 | 4.95 | 4832 .. | 9.55 | 4.55 |
4497 .. | 0.95 | 0.75 | 4838 .. | 17.00 | 5.00 |
4509 .. | 3.95 | 2.05 | 4841 .. | 17.00 | 5.00 |
4521 .. | 4.15 | 1.95 | 4844 .. | 30.00 | 5.00 |
4523 .. | 18.00 | 5.00 | 4848 .. | 25.00 | 5.00 |
4527 .. | 19.00 | 5.00 | 4853 .. | 30.00 | 5.00 |
4534 .. | 7.85 | 3.75 | 4856 .. | 9.55 | 4.55 |
4537 .. | 18.00 | 5.00 | 4860 .. | 30.00 | 5.00 |
4544 .. | 23.00 | 5.00 | 4862 .. | 30.00 | 5.00 |
4552 .. | 18.50 | 5.00 | 4864 .. | 30.00 | 5.00 |
4557 .. | 25.00 | 5.00 | 4867 .. | 52.00 | 5.00 |
4568 .. | 27.50 | 5.00 | 4870 .. | 40.00 | 5.00 |
4571 .. | 34.00 | 5.00 | 4874 .. | 30.00 | 5.00 |
4578 .. | 9.05 | 4.35 | 4877 .. | 52.00 | 5.00 |
4585 .. | 12.00 | 5.00 | 4927 .. | 12.50 | 5.00 |
4590 .. | 61.00 | 5.00 | 4930 .. | 15.50 | 5.00 |
4594 .. | 27.50 | 5.00 | 4934 .. | 19.00 | 5.00 |
4602 .. | 5.45 | 2.55 | 4940 .. | 24.50 | 5.00 |
4606 .. | 30.00 | 5.00 | 4943 .. | 23.00 | 5.00 |
4611 .. | 21.50 | 5.00 | 4948 .. | 29.00 | 5.00 |
4617 .. | 26.00 | 5.00 | 4950 .. | 26.50 | 5.00 |
4622 .. | 6.55 | 3.35 | 4954 .. | 33.00 | 5.00 |
4629 .. | 2.75 | 1.25 | 4957 .. | 30.00 | 5.00 |
4633 .. | 7.85 | 3.75 | 4961 .. | 37.00 | 5.00 |
4637 .. | 16.50 | 5.00 | 4965 .. | 15.00 | 5.00 |
4640 .. | 67.00 | 5.00 | 4969 .. | 18.50 | 5.00 |
4643 .. | 31.00 | 5.00 | 4972 .. | 18.50 | 5.00 |
4649 .. | 92.00 | 5.00 | 4976 .. | 25.00 | 5.00 |
4651 .. | 27.50 | 5.00 | 4979 .. | 30.00 | 5.00 |
4655 .. | 21.00 | 5.00 | 4983 .. | 52.00 | 5.00 |
4658 .. | 16.50 | 5.00 | 4987 .. | 105.00 | 5.00 |
4662 .. | 44.00 | 5.00 | 4990 .. | 9.05 | 4.35 |
4665 .. | 71.00 | 5.00 | 4993 .. | 11.30 | 5.00 |
4670 .. | 3.95 | 1.85 | 4995 .. | 14.00 | 5.00 |
4676 .. | 42.00 | 5.00 | 4997 .. | 18.00 | 5.00 |
4678 .. | 29.00 | 5.00 | 4999 .. | 17.00 | 5.00 |
4690 .. | 44.00 | 5.00 | 5002 .. | 21.00 | 5.00 |
4693 .. | 65.00 | 5.00 | 5006 .. | 19.50 | 5.00 |
4696 .. | 88.00 | 5.00 | 5009 .. | 24.50 | 5.00 |
4699 .. | 105.00 | 5.00 | 5015 .. | 22.00 | 5.00 |
4702 .. | 65.00 | 5.00 | 5018 .. | 27.50 | 5.00 |
4705 .. | 105.00 | 5.00 | 5024 .. | 11.30 | 5.00 |
4709 .. | 96.00 | 5.00 | 5029 .. | 15.00 | 5.00 |
4715 .. | 47.00 | 5.00 | 5034 .. | 30.00 | 5.00 |
4721 .. | 61.00 | 5.00 | 5038 .. | 25.00 | 5.00 |
4733 .. | 52.00 | 5.00 | 5045 .. | 40.00 | 5.00 |
4738 .. | 65.00 | 5.00 | 5048 .. | 57.00 | 5.00 |
4744 .. | 120.00 | 5.00 | 5051 .. | 65.00 | 5.00 |
4749 .. | 114.00 | 5.00 | 5055 .. | 135.00 | 5.00 |
4754 .. | 120.00 | 5.00 | 5059 .. | 6.25 | 2.95 |
4762 .. | 105.00 | 5.00 | 5062 .. | 20.00 | 5.00 |
4766 .. | 105.00 | 5.00 | 5066 .. | 11.30 | 5.00 |
4778 .. | 61.00 | 5.00 | 5068 .. | 13.00 | 5.00 |
4784 .. | 79.00 | 5.00 | 5072 .. | 83.00 | 5.00 |
4789 .. | 57.00 | 5.00 | 5075 .. | 111.00 | 5.00 |
4791 .. | 135.00 | 5.00 | 5078 .. | 86.00 | 5.00 |
4794 .. | 155.00 | 5.00 | 5081 .. | 96.00 | 5.00 |
4798 .. | 110.00 | 5.00 | 5085 .. | 105.00 | 5.00 |
4801 .. | 37.00 | 5.00 | 5087 .. | 47.00 | 5.00 |
4804 .. | 75.00 | 5.00 | 5091 .. | 59.00 | 5.00 |
4808 .. | 20.00 | 5.00 | 5095 .. | 200.00 | 5.00 |
4812 .. | 15.00 | 5.00 | 5098 .. | 105.00 | 5.00 |
4817 .. | 88.00 | 5.00 | 5100 .. | 310.00 | 5.00 |
4822 .. | 47.00 | 5.00 | 5102 .. | 105.00 | 5.00 |
4828 .. | 4.65 | 2.15 | 5104 .. | 120.00 | 5.00 |
Schedule 4—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
5106 .. | 92.00 | 5.00 | 5363 .. | 11.00 | 5.00 |
5108 .. | 220.00 | 5.00 | 5366 .. | 10.00 | 5.00 |
5112 .. | 220.00 | 5.00 | 5370 .. | 15.25 | 5.00 |
5116 .. | 105.00 | 5.00 | 5374 .. | 14.25 | 5.00 |
5122 .. | 135.00 | 5.00 | 5378 .. | 18.25 | 5.00 |
5127 .. | 105.00 | 5.00 | 5383 .. | 17.25 | 5.00 |
5131 .. | 52.00 | 5.00 | 5389 .. | 13.00 | 5.00 |
5138 .. | 96.00 | 5.00 | 5392 .. | 10.00 | 5.00 |
5143 .. | 61.00 | 5.00 | 5396 .. | 8.60 | 4.10 |
5147 .. | 96.00 | 5.00 | 5401 .. | 11.30 | 5.00 |
5152 .. | 71.00 | 5.00 | 5407 .. | 4.40 | 3.50 |
5158 .. | 105.00 | 5.00 | 5411 .. | 6.55 | 4.95 |
5162 .. | 7.65 | 3.65 | 5415 .. | 8.25 | 5.00 |
5166 .. | 37.00 | 5.00 | 5424 .. | 10.75 | 5.00 |
5172 .. | 3.00 | 5.00 | 5431 .. | 6.90 | 3.30 |
5176 .. | 3.70 | 1.70 | 5445 .. | 5.45 | 2.55 |
5181 .. | 13.55 | 3.95 | 5449 .. | 2.70 | 1.30 |
5185 .. | 8.35 | 3.95 | 5456 .. | 30.00 | 5.00 |
5192 .. | 5.65 | 2.65 | 5464 .. | 15.00 | 5.00 |
5196 .. | 9.55 | 4.55 | 5470 .. | 31.00 | 5.00 |
5201 .. | 5.95 | 2.85 | 5474 .. | 14.00 | 5.00 |
5205 .. | 6.25 | 2.95 | 5480 .. | 18.00 | 5.00 |
5210 .. | 6.00 | 5.00 | 5486 .. | 30.00 | 5.00 |
5214 .. | 7.00 | 5.00 | 5490 .. | 4.15 | 1.95 |
5217 .. | 10.00 | 5.00 | 5498 .. | 114.00 | 5.00 |
5221 .. | 18.25 | 5.00 | 5503 .. | 120.00 | 5.00 |
5225 .. | 16.50 | 5.00 | 5508 .. | 120.00 | 5.00 |
5229 .. | 12.75 | 4.55 | 5520 .. | 15.00 | 5.00 |
5233 .. | 13.00 | 5.00 | 5524 .. | 18.00 | 5.00 |
5237 .. | 10.45 | 4.95 | 5530 .. | 20.00 | 5.00 |
5241 .. | 14.00 | 5.00 | 5534 .. | 24.50 | 5.00 |
5245 .. | 2.45 | 1.15 | 5540 .. | 35.00 | 5.00 |
5249 .. | 2.45 | 1.15 | 5545 .. | 52.00 | 5.00 |
5254 .. | 7.15 | 3.35 | 5556 .. | 52.00 | 5.00 |
5259 .. | 7.15 | 3.35 | 5566 .. | 86.00 | 5.00 |
5264 .. | 2.05 | 0.95 | 5568 .. | 74.00 | 5.00 |
5268 .. | 37.00 | 5.00 | 5572 .. | 15.00 | 5.00 |
5270 .. | 71.00 | 5.00 | 5598 .. | 20.00 | 5.00 |
5274 .. | 71.00 | 5.00 | 5601 .. | 14.00 | 5.00 |
5277 .. | 57.00 | 5.00 | 5605 .. | 14.00 | 5.00 |
5280 .. | 29.50 | 5.00 | 5611 .. | 19.50 | 5.00 |
5282 .. | 29.50 | 5.00 | 5613 .. | 31.00 | 5.00 |
5284 .. | 9.05 | 4.35 | 5619 .. | 20.50 | 5.00 |
5286 .. | 9.05 | 4.35 | 5624 .. | 9.55 | 4.55 |
5288 .. | 52.00 | 5.00 | 5630 .. | 69.00 | 5.00 |
5291 .. | 52.00 | 5.00 | 5636 .. | 75.00 | 5.00 |
5295 .. | 69.00 | 5.00 | 5642 .. | 135.00 | 5.00 |
5298 .. | 91.00 | 5.00 | 5647 .. | 71.00 | 5.00 |
5301 .. | 32.00 | 5.00 | 5651 .. | 96.00 | 5.00 |
5305 .. | 4.65 | 2.15 | 5654 .. | 69.00 | 5.00 |
5308 .. | 29.00 | 5.00 | 5661 .. | 86.00 | 5.00 |
5318 .. | 69.00 | 5.00 | 5665 .. | 96.00 | 5.00 |
5320 .. | 54.00 | 5.00 | 5669 .. | 96.00 | 5.00 |
5325 .. | 4.65 | 2.15 | 5675 .. | 108.00 | 5.00 |
5330 .. | 25.00 | 5.00 | 5679 .. | 96.00 | 5.00 |
5333 .. | 52.00 | 5.00 | 5683 .. | 67.00 | 5.00 |
5337 .. | 71.00 | 5.00 | 5691 .. | 86.00 | 5.00 |
5339 .. | 96.00 | 5.00 | 5694 .. | 96.00 | 5.00 |
5343 .. | 2.55 | 1.35 | 5699 .. | 99.00 | 5.00 |
5345 .. | 9.05 | 4.35 | 5705 .. | 75.00 | 5.00 |
5348 .. | 9.55 | 4.55 | 5715 .. | 69.00 | 5.00 |
5351 .. | 86.00 | 5.00 | 5721 .. | 52.00 | 5.00 |
5354 .. | 61.00 | 5.00 | 5724 .. | 59.00 | 5.00 |
5357 .. | 52.00 | 5.00 | 5726 .. | 13.50 | 5.00 |
5360 .. | 61.00 | 5.00 | 5729 .. | 30.00 | 5.00 |
Schedule 4—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
5732 .. | 42.00 | 5.00 | 6030 .. | 11.30 | 5.00 |
5734 .. | 86.00 | 5.00 | 6033 .. | 42.00 | 5.00 |
5737 .. | 96.00 | 5.00 | 6036 .. | 3.75 | 1.75 |
5741 .. | 86.00 | 5.00 | 6039 .. | 6.25 | 2.95 |
5744 .. | 86.00 | 5.00 | 6041 .. | 86.00 | 5.00 |
5747 .. | 69.00 | 5.00 | 6044 .. | 24.50 | 5.00 |
5753 .. | 120.00 | 5.00 | 6047 .. | 11.70 | 5.00 |
5757 .. | 155.00 | 5.00 | 6053 .. | 29.00 | 5.00 |
5763 .. | 69.00 | 5.00 | 6056 .. | 20.00 | 5.00 |
5769 .. | 86.00 | 5.00 | 6061 .. | 14.00 | 5.00 |
5773 .. | 75.00 | 5.00 | 6066 .. | 7.40 | 3.50 |
5777 .. | 96.00 | 5.00 | 6069 .. | 20.00 | 5.00 |
5780 .. | 86.00 | 5.00 | 6073 .. | 20.00 | 5.00 |
5785 .. | 86.00 | 5.00 | 6077 .. | 59.00 | 5.00 |
5792 .. | 104.00 | 5.00 | 6079 .. | 52.00 | 5.00 |
5799 .. | 86.00 | 5.00 | 6083 .. | 69.00 | 5.00 |
5804 .. | 104.00 | 5.00 | 6086 .. | 69.00 | 5.00 |
5807 .. | 120.00 | 5.00 | 6089 .. | 65.00 | 5.00 |
5812 .. | 59.00 | 5.00 | 6092 .. | 65.00 | 5.00 |
5816 .. | 69.00 | 5.00 | 6095 .. | 24.50 | 5.00 |
5821 .. | 69.00 | 5.00 | 6098 .. | 15.00 | 5.00 |
5827 .. | 86.00 | 5.00 | 6105 .. | 33.00 | 5.00 |
5831 .. | 67.00 | 5.00 | 6107 .. | 42.00 | 5.00 |
5836 .. | 86.00 | 5.00 | 6110 .. | 65.00 | 5.00 |
5837 .. | 40.00 | 5.00 | 6114 .. | 67.00 | 5.00 |
5840 .. | 2.35 | 1.05 | 6118 .. | 123.00 | 5.00 |
5845 .. | 10.70 | 5.00 | 6122 .. | 24.50 | 5.00 |
5847 .. | 15.00 | 5.00 | 6130 .. | 52.00 | 5.00 |
5851 .. | 15.50 | 5.00 | 6135 .. | 86.00 | 5.00 |
5853 .. | 20.00 | 5.00 | 6140 .. | 15.50 | 5.00 |
5857 .. | 7.40 | 3.50 | 6146 .. | 15.50 | 5.00 |
5861 .. | 7.40 | 3.50 | 6152 .. | 42.00 | 5.00 |
5864 .. | 24.50 | 5.00 | 6157 .. | 69.00 | 5.00 |
5868 .. | 20.00 | 5.00 | 6162 .. | 6.25 | 2.95 |
5871 .. | 29.00 | 5.00 | 6166 .. | 69.00 | 5.00 |
5875 .. | 65.00 | 5.00 | 6170 .. | 9.05 | 4.35 |
5878 .. | 22.50 | 5.00 | 6175 .. | 33.00 | 5.00 |
5881 .. | 42.00 | 5.00 | 6179 .. | 42.00 | 5.00 |
5885 .. | 30.00 | 5.00 | 6184 .. | 86.00 | 5.00 |
5888 .. | 42.00 | 5.00 | 6189 .. | 42.00 | 5.00 |
5891 .. | 52.00 | 5.00 | 6194 .. | 86.00 | 5.00 |
5894 .. | 65.00 | 5.00 | 6199 .. | 3.75 | 1.75 |
5897 .. | 30.00 | 5.00 | 6204 .. | 42.00 | 5.00 |
5901 .. | 37.00 | 5.00 | 6208 .. | 79.00 | 5.00 |
5905 .. | 96.00 | 5.00 | 6212 .. | 25.00 | 5.00 |
5916 .. | 65.00 | 5.00 | 6216 .. | 15.50 | 5.00 |
5919 .. | 65.00 | 5.00 | 6218 .. | 15.50 | 5.00 |
5929 .. | 69.00 | 5.00 | 6221 .. | 19.00 | 5.00 |
5935 .. | 37.00 | 5.00 | 6224 .. | 24.50 | 5.00 |
5941 .. | 75.00 | 5.00 | 6278 .. | 24.50 | 5.00 |
5947 .. | 59.00 | 5.00 | 6230 .. | 86.00 | 5.00 |
5956 .. | 69.00 | 5.00 | 6233 .. | 30.00 | 5.00 |
5964 .. | 3.75 | 1.75 | 6236 .. | 27.50 | 5.00 |
5968 .. | 42.00 | 5.00 | 6238 .. | 52.00 | 5.00 |
5973 .. | 42.00 | 5.00 | 6241 .. | 59.00 | 5.00 |
5977 .. | 69.00 | 5.00 | 6244 .. | 46.00 | 5.00 |
5981 .. | 155.00 | 5.00 | 6246 .. | 15.50 | 5.00 |
5984 .. | 86.00 | 5.00 | 6249 .. | 32.50 | 5.00 |
5993 .. | 104.00 | 5.00 | 6253 .. | 20.00 | 5.00 |
6001 .. | 81.00 | 5.00 | 6258 .. | 6.25 | 2.95 |
6005 .. | 25.00 | 5.00 | 6262 .. | 4.15 | 1.95 |
6010 .. | 42.00 | 5.00 | 6267 .. | 6.25 | 2.95 |
6017 .. | 105.00 | 5.00 | 6271 .. | 6.90 | 3.30 |
6022 .. | 25.00 | 5.00 | 6274 .. | 12.00 | 5.00 |
6027 .. | 37.00 | 5.00 | 6277 .. | 15.00 | 5.00 |
Schedule 4—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
6278 .. | 9.05 | 4.35 | 6570 .. | 52.00 | 5.00 |
6280 .. | 11.70 | 5.00 | 6585 .. | 23.00 | 5.00 |
6284 .. | 4.65 | 2.15 | 6594 .. | 5.00 | 5.00 |
6286 .. | 6.90 | 3.30 | 6599 .. | 2.35 | 2.45 |
6290 .. | 4.65 | 2.15 | 6604 .. | 18.00 | 5.00 |
6292 .. | 9.05 | 4.35 | 6613 .. | 66.00 | 5.00 |
6296 .. | 11.70 | 5.00 | 6631 .. | 57.00 | 5.00 |
6299 .. | 22.50 | 5.00 | 6636 .. | 4.95 | 2.35 |
6302 .. | 30.00 | 5.00 | 6641 .. | 3.35 | 1.55 |
6306 .. | 108.00 | 5.00 | 6645 .. | 31.00 | 5.00 |
6308 .. | 61.00 | 5.00 | 6650 .. | 40.00 | 5.00 |
6313 .. | 3.40 | 1.60 | 6661 .. | 37.50 | 5.00 |
6321 .. | 18.00 | 5.00 | 6665 .. | 18.00 | 5.00 |
6325 .. | 61.00 | 5.00 | 6669 .. | 57.00 | 5.00 |
6327 .. | 61.00 | 5.00 | 6672 .. | 28.00 | 5.00 |
6332 .. | 35.00 | 5.00 | 6674 .. | 7.00 | 5.00 |
6336 .. | 13.00 | 5.00 | 6677 .. | 31.00 | 5.00 |
6342 .. | 9.55 | 4.55 | 6681 .. | 40.00 | 5.00 |
6347 .. | 19.00 | 5.00 | 6686 .. | 8.10 | 3.80 |
6352 .. | 25.00 | 5.00 | 6688 .. | 42.00 | 5.00 |
6358 .. | 37.00 | 5.00 | 6692 .. | 54.00 | 5.00 |
6363 .. | 47.00 | 5.00 | 6697 .. | 42.00 | 5.00 |
6367 .. | 46.00 | 5.00 | 6699 .. | 54.00 | 5.00 |
6373 .. | 57.00 | 5.00 | 6701 .. | 30.00 | 5.00 |
6379 .. | 52.50 | 5.00 | 6703 .. | 17.00 | 5.00 |
6384 .. | 134.00 | 5.00 | 6705 .. | 36.00 | 5.00 |
6389 .. | 14.00 | 5.00 | 6707 .. | 57.00 | 5.00 |
6396 .. | 47.00 | 5.00 | 6709 .. | 35.00 | 5.00 |
6401 .. | 61.00 | 5.00 | 6713 .. | 59.00 | 5.00 |
6406 .. | 59.00 | 5.00 | 6715 .. | 74.00 | 5.00 |
6409 .. | 4.95 | 2.35 | 6718 .. | 82.00 | 5.00 |
6412 .. | 4.95 | 2.35 | 6722 .. | 92.00 | 5.00 |
6415 .. | 12.15 | 2.55 | 6724 .. | 44.00 | 5.00 |
6418 .. | 13.50 | 5.00 | 6728 .. | 57.00 | 5.00 |
6424 .. | 18.00 | 5.00 | 6730 .. | 67.00 | 5.00 |
6428 .. | 20.00 | 5.00 | 6736 .. | 92.00 | 5.00 |
6434 .. | 25.50 | 5.00 | 6740 .. | 36.00 | 5.00 |
6436 .. | 11.30 | 5.00 | 6742 .. | 47.00 | 5.00 |
6441 .. | 14.00 | 5.00 | 6744 .. | 67.00 | 5.00 |
6446 .. | 6.25 | 2.95 | 6747 .. | 92.00 | 5.00 |
6451 .. | 8.35 | 3.95 | 6752 .. | 9.05 | 4.35 |
6460 .. | 10.45 | 4.95 | 6754 .. | 6.45 | 3.05 |
6464 .. | 13.50 | 5.00 | 6758 .. | 40.00 | 5.00 |
6469 .. | 18.00 | 5.00 | 6762 .. | 9.05 | 4.35 |
6476 .. | 20.90 | 5.00 | 6766 .. | 23.00 | 5.00 |
6481 .. | 16.40 | 5.00 | 6768 .. | 29.00 | 5.00 |
6486 .. | 13.40 | 5.00 | 6772 .. | 17.00 | 5.00 |
6491 .. | 16.40 | 5.00 | 6774 .. | 44.00 | 5.00 |
6501 .. | 14.85 | 5.00 | 6778 .. | 61.00 | 5.00 |
6506 .. | 17.85 | 5.00 | 6782 .. | 52.00 | 5.00 |
6508 .. | 47.00 | 5.00 | 6786 .. | 67.00 | 5.00 |
6513 .. | 47.00 | 5.00 | 6790 .. | 67.00 | 5.00 |
6517 .. | 59.00 | 5.00 | 6792 .. | 57.00 | 5.00 |
6519 .. | 47.00 | 5.00 | 6796 .. | 40.00 | 5.00 |
6523 .. | 59.00 | 5.00 | 6799 .. | 1.65 | 3.65 |
6528 .. | 53.50 | 5.00 | 6802 .. | 3.75 | 1.75 |
6530 .. | 6.00 | 5.00 | 6805 .. | 0.10 | 2.95 |
6534 .. | 67.00 | 5.00 | 6807 .. | 9.05 | 4.35 |
6536 .. | 100.00 | 5.00 | 6810 .. | 33.00 | 5.00 |
6542 .. | 71.00 | 5.00 | 6814 .. | 9.55 | 4.55 |
6546 .. | 39.00 | 5.00 | 6816 .. | 1.40 | 0.80 |
6553 .. | 37.00 | 5.00 | 6818 .. | 5.65 | 2.65 |
6557 .. | 47.00 | 5.00 | 6820 .. | 17.00 | 5.00 |
6561 .. | 37.00 | 5.00 | 6822 .. | 19.50 | 5.00 |
6563 .. | 47.00 | 5.00 | 6824 .. | 5.65 | 2.65 |
Schedule 4—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
6828 .. | 120.00 | 5.00 | 7006 .. | 9.00 | 5.00 |
6832 .. | 79.00 | 5.00 | 7011 .. | 37.00 | 5.00 |
6835 .. | 4.75 | 2.25 | 7013 .. | 67.00 | 5.00 |
6837 .. | 16.00 | 5.00 | 7021 .. | 108.00 | 5.00 |
6842 .. | 9.05 | 4.35 | 7023 .. | 88.00 | 5.00 |
6846 .. | 23.00 | 5.00 | 7028 .. | 54.00 | 5.00 |
6848 .. | 60.00 | 5.00 | 7033 .. | 33.00 | 5.00 |
6852 .. | 57.00 | 5.00 | 7042 .. | 26.00 | 5.00 |
6857 .. | 40.00 | 5.00 | 7046 .. | 25.00 | 5.00 |
6859 .. | 105.00 | 5.00 | 7050 .. | 25.00 | 5.00 |
6861 .. | 46.00 | 5.00 | 7057 .. | 250.00 | 5.00 |
6865 .. | 27.00 | 5.00 | 7062 .. | 25.00 | 5.00 |
6869 .. | 25.00 | 5.00 | 7066 .. | 200.00 | 5.00 |
6871 .. | 57.00 | 5.00 | 7068 .. | 1.40 | 0.80 |
6873 .. | 71.00 | 5.00 | 7072 .. | 4.65 | 2.15 |
6879 .. | 61.00 | 5.00 | 7075 .. | 5.65 | 2.65 |
6881 .. | 46.00 | 5.00 | 7079 .. | 22.50 | 5.00 |
6885 .. | 97.00 | 5.00 | 7081 .. | 24.00 | 5.00 |
6889 .. | 30.00 | 5.00 | 7085 .. | 5.65 | 2.65 |
6891 .. | 47.00 | 5.00 | 7089 .. | 6.65 | 3.15 |
6894 .. | 96.00 | 5.00 | 7093 .. | 5.95 | 2.85 |
6898 .. | 25.00 | 5.00 | 7099 .. | 15.50 | 5.00 |
6900 .. | 79.00 | 5.00 | 7106 .. | 9.75 | 4.65 |
6902 .. | 105.00 | 5.00 | 7111 .. | 12.50 | 5.00 |
6904 .. | 30.00 | 5.00 | 7112 .. | 18.00 | 5.00 |
6906 .. | 13.50 | 5.00 | 7116 .. | 16.50 | 5.00 |
6908 .. | 52.00 | 5.00 | 7117 .. | 21.50 | 5.00 |
6912 .. | 79.00 | 5.00 | 7120 .. | 30.00 | 5.00 |
6914 .. | 6.90 | 3.30 | 7121 .. | 40.00 | 5.00 |
6918 .. | 5.45 | 2.55 | 7124 .. | 37.00 | 5.00 |
6922 .. | 36.00 | 5.00 | 7128 .. | 37.00 | 5.00 |
6924 .. | 41.00 | 5.00 | 7129 .. | 63.00 | 5.00 |
6928 .. | 55.00 | 5.00 | 7132 .. | 43.00 | 5.00 |
6930 .. | 35.00 | 5.00 | 7134 .. | 43.00 | 5.00 |
6932 .. | 35.00 | 5.00 | 7138 .. | 69.00 | 5.00 |
6934 .. | 34.00 | 5.00 | 7139 .. | 75.00 | 5.00 |
6938 .. | 35.00 | 5.00 | 7143 .. | 37.00 | 5.00 |
6940 .. | 5.15 | 2.45 | 7148 .. | 15.00 | 5.00 |
6942 .. | 8.55 | 4.05 | 7152 .. | 5.00 | 5.00 |
6946 .. | 6.90 | 3.30 | 7156 .. | 37.00 | 5.00 |
6948 .. | 3.45 | 1.65 | 7165 .. | 65.00 | 5.00 |
6953 .. | 8.55 | 4.05 | 7170 .. | 104.00 | 5.00 |
6955 .. | 40.00 | 5.00 | 7175 .. | 32.00 | 5.00 |
6958 .. | 82.00 | 5.00 | 7178 .. | 11.50 | 5.00 |
6962 .. | 120.00 | 5.00 | 7182 .. | 14.50 | 5.00 |
6964 .. | 88.00 | 5.00 | 7186 .. | 19.50 | 5.00 |
6966 .. | 120.00 | 5.00 | 7192 .. | 40.00 | 5.00 |
6968 .. | 63.00 | 5.00 | 7194 .. | 88.00 | 5.00 |
6970 .. | 36.00 | 5.00 | 7198 .. | 130.00 | 5.00 |
6972 .. | 108.00 | 5.00 | 7203 .. | 220.00 | 5.00 |
6974 .. | 23.50 | 5.00 | 7208 .. | 32.00 | 5.00 |
6976 .. | 7.15 | 3.35 | 7212 .. | 40.00 | 5.00 |
6978 .. | 15.00 | 5.00 | 7216 .. | 96.00 | 5.00 |
6980 .. | 20.00 | 5.00 | 7220 .. | 51.00 | 5.00 |
6982 .. | 88.00 | 5.00 | 7231 .. | 65.00 | 5.00 |
6984 .. | 120.00 | 5.00 | 7236 .. | 67.00 | 5.00 |
6986 .. | 120.00 | 5.00 | 7240 .. | 83.00 | 5.00 |
6988 .. | 150.00 | 5.00 | 7244 .. | 96.00 | 5.00 |
6990 .. | 54.00 | 5.00 | 7248 .. | 96.00 | 5.00 |
6992 .. | 36.00 | 5.00 | 7251 .. | 79.00 | 5.00 |
6995 .. | 88.00 | 5.00 | 7265 .. | 220.00 | 5.00 |
6997 .. | 88.00 | 5.00 | 7270 .. | 114.00 | 5.00 |
6999 .. | 120.00 | 5.00 | 7274 .. | 57.00 | 5.00 |
7001 .. | 37.00 | 5.00 | 7279 .. | 65.00 | 5.00 |
7003 .. | 47.00 | 5.00 | 7283 .. | 130.00 | 5.00 |
Schedule 4—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
7287 .. | 40.00 | 5.00 | 7516 .. | 4.75 | 2.25 |
7291 .. | 65.00 | 5.00 | 7520 .. | 10.45 | 4.95 |
7298 .. | 79.00 | 5.00 | 7524 .. | 15.00 | 5.00 |
7304 .. | 220.00 | 5.00 | 7527 .. | 12.50 | 5.00 |
7307 .. | 130.00 | 5.00 | 7530 .. | 18.00 | 5.00 |
7312 .. | 96.00 | 5.00 | 7533 .. | 5.45 | 2.55 |
7331 .. | 86.00 | 5.00 | 7535 .. | 10.45 | 4.95 |
7336 .. | 86.00 | 5.00 | 7538 .. | 13.00 | 5.00 |
7341 .. | 86.00 | 5.00 | 7540 .. | 16.50 | 5.00 |
7346 .. | 88.00 | 5.00 | 7544 .. | 27.00 | 5.00 |
7353 .. | 108.00 | 5.00 | 7547 .. | 10.45 | 4.95 |
7355 .. | 96.00 | 5.00 | 7550 .. | 11.30 | 5.00 |
7361 .. | 49.00 | 5.00 | 7552 .. | 11.00 | 5.00 |
7365 .. | 49.00 | 5.00 | 7559 .. | 10.90 | 5.00 |
7370 .. | 86.00 | 5.00 | 7563 .. | 13.50 | 5.00 |
7376 .. | 63.00 | 5.00 | 7567 .. | 14.00 | 5.00 |
7381 .. | 57.00 | 5.00 | 7572 .. | 14.50 | 5.00 |
7397 .. | 3.70 | 1.70 | 7578 .. | 14.00 | 5.00 |
7402 .. | 3.70 | 1.70 | 7584 .. | 14.50 | 5.00 |
7406 .. | 2.30 | 1.10 | 7588 .. | 7.40 | 3.50 |
7408 .. | 2.30 | 1.10 | 7593 .. | 10.45 | 4.95 |
7410 .. | 5.75 | 2.75 | 7597 .. | 9.05 | 4.35 |
7412 .. | 6.90 | 3.30 | 7601 .. | 1.40 | 0.80 |
7416 .. | 5.75 | 2.75 | 7605 .. | 2.45 | 1.25 |
7419 .. | 4.65 | 2.15 | 7608 .. | 14.00 | 5.00 |
7423 .. | 8.35 | 3.95 | 7610 .. | 19.50 | 5.00 |
7426 .. | 5.45 | 2.55 | 7615 .. | 10.45 | 4.95 |
7430 .. | 10.90 | 5.00 | 7619 .. | 14.00 | 5.00 |
7432 .. | 14.00 | 5.00 | 7624 .. | 35.00 | 5.00 |
7435 .. | 2.30 | 1.10 | 7627 .. | 47.00 | 5.00 |
7436 .. | 6.90 | 3.30 | 7632 .. | 8.10 | 3.80 |
7440 .. | 18.50 | 5.00 | 7637 .. | 7.80 | 4.70 |
7443 .. | 25.00 | 5.00 | 7641 .. | 9.00 | 5.00 |
7446 .. | 13.50 | 5.00 | 7643 .. | 11.00 | 5.00 |
7453 .. | 17.00 | 5.00 | 7647 .. | 22.00 | 5.00 |
7457 .. | 5.45 | 2.55 | 7652 .. | 30.00 | 5.00 |
7461 .. | 9.05 | 4.35 | 7657 .. | 22.00 | 5.00 |
7464 .. | 2.70 | 1.30 | 7662 .. | 30.00 | 5.00 |
7468 .. | 6.90 | 3.30 | 7666 .. | 22.00 | 5.00 |
7472 .. | 22.50 | 5.00 | 7668 .. | 30.00 | 5.00 |
7476 .. | 22.50 | 5.00 | 7673 .. | 7.15 | 3.45 |
7480 .. | 9.50 | 4.50 | 7677 .. | 10.45 | 4.95 |
7383 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the dislocation concerned, plus one-half of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the dislocation concerned, plus one-half of that amount | 7681 .. | 2.95 | 1.35 |
|
|
| 7683 .. | 4.65 | 2.15 |
|
|
| 7687 .. | 7.15 | 3.35 |
|
|
| 7691 .. | 7.15 | 3.35 |
|
|
| 7694 .. | 1.40 | 0.80 |
|
|
| 7697 .. | 2.45 | 1.25 |
|
|
| 7701 .. | 1.40 | 0.80 |
|
|
| 7706 .. | 2.45 | 1.25 |
|
|
| 7709 .. | 13.50 | 5.00 |
|
|
| 7712 .. | 14.00 | 5.00 |
|
|
| 7715 .. | 42.00 | 5.00 |
|
|
| 7718 .. | 8.55 | 4.05 |
|
|
| 7721 .. | 11.70 | 5.00 |
|
|
| 7724 .. | 11.70 | 5.00 |
|
|
| 7727 .. | 27.50 | 5.00 |
|
|
| 7731 .. | 27.50 | 5.00 |
|
|
| 7734 .. | 30.00 | 5.00 |
|
|
| 7737 .. | 30.00 | 5.00 |
|
|
| 7739 .. | 10.45 | 4.95 |
7485 .. | 9.50 | 4.50 | 7743 .. | 14.00 | 5.00 |
7505 .. | 3.35 | 1.55 | 7745 .. | 14.00 | 5.00 |
7508 .. | 7.15 | 3.35 | 7749 .. | 37.00 | 5.00 |
7512 .. | 10.45 | 4.95 | 7753 .. | 37.00 | 5.00 |
Schedule 4—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number or item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
7757 .. | 40.00 | 5.00 |
| ‘(D)’) relating to the fracture concerned, plus one-half of that amount | ‘(D)’) relating to the fracture concerned, plus one-half of that amount |
7761 .. | 40.00 | 5.00 |
|
|
|
7764 .. | 9.30 | 4.40 |
|
|
|
7766 .. | 13.00 | 5.00 |
|
|
|
7770 .. | 13.00 | 5.00 |
|
|
|
7774 .. | 1.40 | 0.80 |
|
|
|
7777 .. | 2.45 | 1.25 | 7812 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount |
7781 .. | 1.40 | 0.80 |
|
|
|
7785 .. | 2.45 | 1.25 |
|
|
|
7789 .. | 17.00 | 5.00 |
|
|
|
7793 .. | 30.00 | 5.00 |
|
|
|
7798 .. | 79.00 | 5.00 |
|
|
|
7802 .. | 9.50 | 4.50 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
7803 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 7815 .. | 9.50 | 4.50 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 7817 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
7804 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 7818 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount | The amount shown in this column in the item (being an item relating to, an item, in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount |
|
|
|
|
|
|
|
|
|
|
|
|
7808 .. | 9.50 | 4.50 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
7809 .. | The amount Shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 7821 .. | 9.50 | 4.50 |
Schedule 4—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
7823 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus three-quarters of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus three-quarters of that amount |
| item that would, but for item 7831 in the table of Commonwealth medical benefits apply to the reduction concerned | item that would, but for item 7831 in the table of Commonwealth medical benefits apply to the reduction concerned |
|
|
| 7834 .. | One-half of the amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7834 in the table of Commonwealth medical benefits apply to the reduction concerned | One-half of the amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7834 in the table of Commonwealth medical benefits apply to the reduction concerned, |
7824 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus three-quarters of that amount | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus three-quarters of that amount |
|
|
|
|
|
| 7836 .. | One-half of the amount shown in this column in the item that would, but for item 7836 in the table of Commonwealth medical benefits apply to the reduction concerned | One-half of the amount shown in this column in the item that would, but for item 7836 in the table of Commonwealth medical benefits apply to the reduction concerned |
7828 .. | One-half of the amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7828 in the table of Commonwealth medical benefits apply to the reduction concerned | One-half of the amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7828 in the table of Commonwealth medical benefits apply to the reduction concerned |
|
|
|
|
|
| 7839 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefit; that includes the symbol ‘(D)’) that would, but for item 7839 in the table of Commonwealth medical benefits | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7839 in the table of Commonwealth medical benefits |
7831 .. | One-half of the amount shown in this column in the | One-half of the amount shown in this column in the |
|
|
|
Schedule 4—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
| apply to the reduction concerned | apply to the reduction concerned | 7861 .. | 3.20 | 1.00 |
|
|
| 7864 .. | 2.30 | 1.10 |
|
|
| 7868 .. | 5.65 | 2.63 |
|
|
| 7872 .. | 3.45 | 4.55 |
7841 .. | The amount shown in this column in the item that would, but for item 7841 in the table of Commonwealth medical benefits apply to the reduction concerned | The amount shown in this column in the item that would, but for item 7841 in the table of Commonwealth medical benefits apply to the reduction concerned | 7878 .. | 4.50 | 5.00 |
|
|
| 7883 .. | 9.55 | 4.55 |
|
|
| 7888 .. | 9.55 | 4.55 |
|
|
| 7898 .. | 88.00 | 5.00 |
|
|
| 7902 .. | 31.00 | 5.00 |
|
|
| 7907 .. | 31.00 | 5.00 |
|
|
| 7911 .. | 8.60 | 4.10 |
|
|
| 7915 .. | 10.90 | 5.00 |
|
|
| 7919 .. | 6.75 | 4.55 |
|
|
| 7923 .. | 6.00 | 5.00 |
|
|
| 7926 .. | 15.00 | 5.00 |
|
|
| 7928 .. | 26.00 | 5.00 |
|
|
| 7932 .. | 26.00 | 5.00 |
7844 .. | 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 | 7934 .. | 135.00 | 5.00 |
|
|
| 7937 .. | 44.00 | 5.00 |
|
|
| 7940 .. | 29.00 | 5.00 |
|
|
| 7942 .. | 65.00 | 5.00 |
|
|
| 7945 .. | 113.00 | 5.00 |
|
|
| 7947 .. | 99.00 | 5.00 |
|
|
| 7951 .. | 125.00 | 5.00 |
|
|
| 7957 .. | 113.00 | 5.00 |
|
|
| 7961 .. | 150.00 | 5.00 |
|
|
| 7967 .. | 110.00 | 5.00 |
|
|
| 7969 .. | 150.00 | 5.00 |
7847 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | 7975 .. | 75.00 | 5.00 |
|
|
| 7977 .. | 59.00 | 5.00 |
|
|
| 7983 .. | 75.00 | 5.00 |
|
|
| 7985 .. | 75.00 | 5.00 |
|
|
| 7993 .. | 54.00 | 5.00 |
|
|
| 7999 .. | 49.00 | 5.00 |
|
|
| 8001 .. | 44.00 | 5.00 |
|
|
| 8006 .. | 44.00 | 5.00 |
|
|
| 8009 .. | 23.50 | 5.00 |
|
|
| 8014 .. | 26.00 | 5.00 |
|
|
| 8017 .. | 69.00 | 5.00 |
|
|
| 8019 .. | 82.00 | 5.00 |
|
|
| 8022 .. | 14.50 | 5.00 |
|
|
| 8026 .. | 7.15 | 3.35 |
|
|
| 8028 .. | 41.00 | 5.00 |
|
|
| 8032 .. | 46.00 | 5.00 |
|
|
| 8036 .. | 41.00 | 5.00 |
|
|
| 8040 .. | 29.00 | 5.00 |
7849 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | 8044 .. | 108.00 | 5.00 |
|
|
| 8048 .. | 74.00 | 5.00 |
|
|
| 8053 .. | 74.00 | 5.00 |
|
|
| 8061 .. | 92.00 | 5.00 |
|
|
| 8069 .. | 135.00 | 5.00 |
|
|
| 8074 .. | 54.00 | 5.00 |
|
|
| 8076 .. | 135.00 | 5.00 |
|
|
| 8079 .. | 74.00 | 5.00 |
|
|
| 8081 .. | 36.00 | 5.00 |
|
|
| 8084 .. | 18.00 | 5.00 |
|
|
| 8087 .. | 40.00 | 5.00 |
|
|
| 8089 .. | 54.00 | 5.00 |
|
|
| 8092 .. | 67.00 | 5.00 |
|
|
| 8095 .. | 39.00 | 5.00 |
|
|
| 8097 .. | 49.00 | 5.00 |
|
|
| 8100 .. | 59.00 | 5.00 |
|
|
| 8103 .. | 135.00 | 5.00 |
7853 .. | 23.50 | 5.00 | 8105 .. | 0.25 | 1.15 |
7857 .. | 23.50 | 5.00 | 8108 .. | 2.65 | 1.25 |
Schedule 4—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
8113 .. | 36.00 | 5.00 | 8304 .. | 74.00 | 5.00 |
8116 .. | 54.00 | 5.00 | 8306 .. | 99.00 | 5.00 |
8120 .. | 31.00 | 5.00 | 8308 .. | 74.00 | 5.00 |
8124 .. | 15.50 | 5.00 | 8310 .. | 36.00 | 5.00 |
8127 .. | 21.00 | 5.00 | 8312 .. | 36.00 | 5.00 |
8131 .. | 31.50 | 5.00 | 8314 .. | 49.00 | 5.00 |
8135 .. | 41.00 | 5.00 | 8316 .. | 49.00 | 5.00 |
8140 .. | 27.90 | 5.00 | 8318 .. | 46.00 | 5.00 |
8143 .. | 36.40 | 5.00 | 8320 .. | 46.00 | 5.00 |
8148 .. | 46.00 | 5.00 | 8322 .. | 43.00 | 5.00 |
8151 .. | 18.00 | 5.00 | 8324 .. | 49.00 | 5.00 |
8153 .. | 23.00 | 5.00 | 8326 .. | 49.00 | 5.00 |
8158 .. | 54.00 | 5.00 | 8328 .. | 36.00 | 5.00 |
8161 .. | 42.00 | 5.00 | 8330 .. | 49.00 | 5.00 |
8166 .. | 31.00 | 5.00 | 8332 .. | 3.00 | 5.00 |
8169 .. | 18.00 | 5.00 | 8334 .. | 3.80 | 1.80 |
8173 .. | 23.00 | 5.00 | 8336 .. | 4.35 | 2.05 |
8175 .. | 23.00 | 5.00 | 8338 .. | 3.80 | 1.80 |
8179 .. | 22.50 | 5.00 | 8340 .. | 4.75 | 2.25 |
8182 .. | 29.00 | 5.00 | 8342 .. | 3.80 | 1.80 |
8185 .. | 17.50 | 5.00 | 8344 .. | 5.75 | 2.75 |
8187 .. | 26.00 | 5.00 | 8346 .. | 3.80 | 1.80 |
8190 .. | 26.00 | 5.00 | 8348 .. | 7.15 | 3.35 |
8193 .. | 31.00 | 5.00 | 8350 .. | 20.50 | 5.00 |
8195 .. | 36.00 | 5.00 | 8352 .. | 3.80 | 1.80 |
8198 .. | 59.00 | 5.00 | 8354 .. | 5.75 | 2.75 |
8201 .. | 88.00 | 5.00 | 8356 .. | 5.75 | 2.75 |
8203 .. | 49.00 | 5.00 | 8358 .. | 6.25 | 2.95 |
8206 .. | 59.00 | 5.00 | 8360 .. | 71.00 | 5.00 |
8209 .. | 57.00 | 5.00 | 8362 .. | 82.00 | 5.00 |
8211 .. | 59.00 | 5.00 | 8364 .. | 82.00 | 5.00 |
8214 .. | 13.50 | 5.00 | 8366 .. | 82.00 | 5.00 |
8217 .. | 29.00 | 5.00 | 8368 .. | 42.00 | 5.00 |
8219 .. | 24.50 | 5.00 | 8370 .. | 65.00 | 5.00 |
8222 .. | 31.00 | 5.00 | 8372 .. | 65.00 | 5.00 |
8225 .. | 36.00 | 5.00 | 8374 .. | 91.00 | 5.00 |
8227 .. | 12.00 | 5.00 | 8376 .. | 82.00 | 5.00 |
8230 .. | 15.00 | 5.00 | 8378 .. | 82.00 | 5.00 |
8233 .. | 23.50 | 5.00 | 8380 .. | 79.00 | 5.00 |
8235 .. | 31.00 | 5.00 | 8382 .. | 18.00 | 5.00 |
8238 .. | 39.00 | 5.00 | 8334 .. | 42.00 | 5.00 |
8241 .. | 9.55 | 4.55 | 8386 .. | 31.00 | 5.00 |
8243 .. | 15.00 | 5.00 | 8388 .. | 99.00 | 5.00 |
8246 .. | 8.60 | 4.10 | 8390 .. | 99.00 | 5.00 |
8249 .. | 23.00 | 5.00 | 8394 .. | 86.00 | 5.00 |
8251 .. | 44.00 | 5.00 | 8398 .. | 82.00 | 5.00 |
8254 .. | 120.00 | 5.00 | 8400 .. | 57.00 | 5.00 |
8257 .. | 59.00 | 5.00 | 8402 .. | 65.00 | 5.00 |
8259 .. | 45.00 | 5.00 | 8406 .. | 35.00 | 5.00 |
8262 .. | 26.00 | 5.00 | 8408 .. | 104.00 | 5.00 |
8265 .. | 14.00 | 5.00 | 8410 .. | 54.00 | 5.00 |
8267 .. | 18.00 | 5.00 | 8412 .. | 31.00 | 5.00 |
8271 .. | 18.00 | 5.00 | 8414 .. | 108.00 | 5.00 |
8275 .. | 27.50 | 5.00 | 8416 .. | 9.55 | 4.55 |
8279 .. | 15.00 | 5.00 | 8418 .. | 65.00 | 5.00 |
8282 .. | 20.50 | 5.00 | 8420 .. | 47.00 | 5.00 |
8283 .. | 27.50 | 5.00 | 8422 .. | 32.00 | 5.00 |
8287 .. | 18.50 | 5.00 | 8424 .. | 71.00 | 5.00 |
8290 .. | 48.00 | 5.00 | 8428 .. | 3.75 | 1.75 |
8292 .. | 48.00 | 5.00 | 8430 .. | 9.55 | 4.55 |
8294 .. | 52.00 | 5.00 | 8432 .. | 14.00 | 5.00 |
8296 .. | 15.00 | 5.00 | 8434 .. | 18.50 | 5.00 |
8298 .. | 39.00 | 5.00 | 8436 .. | 42.00 | 5.00 |
8300 .. | 36.00 | 5.00 | 8438 .. | 9.55 | 4.55 |
8302 .. | 59.00 | 5.00 | 8440 .. | 49.00 | 5.00 |
Schedule 4—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
8442 .. | 59.00 | 5.00 | 8550 .. | 120.00 | 5.00 |
8444 .. | 91.00 | 5.00 | 8552 .. | 42.00 | 5.00 |
8446 .. | 7.65 | 3.65 | 8554 .. | 79.00 | 5.00 |
8448 .. | 4.75 | 2.25 | 8556 .. | 61.00 | 5.00 |
8450 .. | 40.00 | 5.00 | 8558 .. | 61.00 | 5.00 |
8452 .. | 14.00 | 5.00 | 8560 .. | 52.00 | 5.00 |
8454 .. | 34.00 | 5.00 | 8562 .. | 52.00 | 5.00 |
8456 .. | 2.60 | 1.70 | 8564 .. | 52.00 | 5.00 |
8458 .. | 3.70 | 1.70 | 8566 .. | 52.00 | 5.00 |
8460 .. | 3.70 | 1.70 | 8568 .. | 71.00 | 5.00 |
8462 .. | 4.95 | 3.95 | 8570 .. | 40.00 | 5.00 |
8464 .. | 4.95 | 3.95 | 8572 .. | 40.00 | 5.00 |
8466 .. | 13.00 | 5.00 | 8574 .. | 45.00 | 5.00 |
8468 .. | 13.00 | 5.00 | 8576 .. | 45.00 | 5.00 |
8470 .. | 18.00 | 5.00 | 8578 .. | 52.00 | 5.00 |
8472 .. | 27.50 | 5.00 | 8580 .. | 52.00 | 5.00 |
8474 .. | 49.00 | 5.00 | 8582 .. | 52.00 | 5.00 |
8476 .. | 69.00 | 5.00 | 8584 .. | 23.50 | 5.00 |
8478 .. | 40.00 | 5.00 | 8586 .. | 41.00 | 5.00 |
8480 .. | 23.50 | 5.00 | 8588 .. | 27.50 | 5.00 |
8482 .. | 23.50 | 5.00 | 8590 .. | 5.00 | 5.00 |
8484 .. | 36.00 | 5.00 | 8592 .. | 40.00 | 5.00 |
8486 .. | 40.00 | 5.00 | 8594 .. | 45.00 | 5.00 |
8488 .. | 19.00 | 5.00 | 8596 .. | 52.00 | 5.00 |
8490 .. | 21.50 | 5.00 | 8598 .. | 9.00 | 5.00 |
8492 .. | 9.05 | 4.35 | 8600 .. | 113.00 | 5.00 |
8494 .. | 38.00 | 5.00 | 8602 .. | 11.70 | 5.00 |
8496 .. | 19.00 | 5.00 | 8604 .. | 30.00 | 5.00 |
8498 .. | 40.00 | 5.00 | 8606 .. | 30.00 | 5.00 |
8500 .. | 32.00 | 5.00 | 8608 .. | 47.00 | 5.00 |
8502 .. | 21.50 | 5.00 | 8610 .. | 15.50 | 5.00 |
8504 .. | 17.00 | 5.00 | 8612 .. | 61.00 | 5.00 |
8506 .. | 17.00 | 5.00 | 8614 .. | 27.50 | 5.00 |
8508 .. | 36.00 | 5.00 | 8616 .. | 27.50 | 5.00 |
8510 .. | 61.00 | 5.00 | 8618 .. | 46.00 | 5.00 |
8512 .. | 23.50 | 5.00 | 8620 .. | 13.00 | 5.00 |
8514 .. | 23.50 | 5.00 | 8622 .. | 57.00 | 5.00 |
8516 .. | 52.00 | 5.00 | 8624 .. | 75.00 | 5.00 |
8518 .. | 40.00 | 5.00 | 8626 .. | 30.00 | 5.00 |
8520 .. | 40.00 | 5.00 | 8628 .. | 22.50 | 5.00 |
8522 .. | 18.00 | 5.00 | 8630 .. | 45.00 | 5.00 |
8524 .. | 25.00 | 5.00 | 8632 .. | 105.00 | 5.00 |
8526 .. | 67.00 | 5.00 | 8634 .. | 30.00 | 5.00 |
8528 .. | 79.00 | 5.00 | 8636 .. | 57.00 | 5.00 |
8530 .. | 67.00 | 5.00 | 8638 .. | 57.00 | 5.00 |
8532 .. | 79.00 | 5.00 | 8640 .. | 71.00 | 5.00 |
8534 .. | 8.35 | 3.95 | 8642 .. | 71.00 | 5.00 |
8536 .. | 18.00 | 5.00 | 8644 .. | 36.00 | 5.00 |
8538 .. | 42.00 | 5.00 | 8646 .. | 36.00 | 5.00 |
8540 .. | 82.00 | 5.00 | 8648 .. | 52.00 | 5.00 |
8542 .. | 114.00 | 5.00 | 8650 .. | 52.00 | 5.00 |
8544 .. | 27.50 | 5.00 | 8652 .. | 91.00 | 5.00 |
8546 .. | 65.00 | 5.00 | 8654 .. | 91.00 | 5.00 |
8548 .. | 74.00 | 5.00 | 8656 .. | 67.00 | 5.00 |
SCHEDULE 5
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 |
| $ | $ |
| $ | $ |
3 .. | 2.50 | 0.60 | 273 .. | 1.40 | 0.60 |
4 .. | 4.40 | 1.10 | 278 .. | 5.15 | 2.05 |
14 .. | 3.15 | 0.80 | 284 .. | 7.85 | 3.15 |
19 .. | 5.10 | 1.30 | 290 .. | 5.65 | 2.25 |
25 .. | 6.05 | 1.55 | 295 .. | 5.65 | 2.25 |
26 .. | 8.10 | 2.10 | 298 .. | 10.20 | 4.10 |
33 .. | 9.10 | 2.40 | 354 .. | 5.65 | 2.25 |
35 .. | 11.20 | 2.90 | 360 .. | 24.00 | 5.00 |
43 .. | 3.70 | 0.90 | 362 .. | 4.25 | 2.55 |
44 .. | 5.65 | 1.40 | 365 .. | 27.00 | 5.00 |
51 .. | 4.80 | 1.20 | 368 .. | 41.00 | 5.00 |
53 .. | 6.75 | 1.70 | 374 .. | 5.65 | 2.25 |
57 .. | 8.35 | 2.10 | 383 .. | 5.95 | 4.55 |
59 .. | 10.20 | 2.60 | 401 .. | 0.95 | 0.45 |
65 .. | 11.60 | 2.95 | 403 .. | 1.85 | 0.95 |
66 .. | 13.45 | 3.45 | 404 .. | 2.85 | 1.45 |
69 .. | 4.80 | 1.20 | 405 .. | 3.75 | 1.95 |
71 .. | 6.75 | 1.70 | 406 .. | 4.55 | 2.45 |
73 .. | 3.15 | 0.80 | 407 .. | 5.65 | 2.95 |
79 .. | 2.50 | 0.60 | 408 .. | 7.55 | 3.45 |
82 .. | 3.15 | 0.80 | 409 .. | 9.55 | 3.95 |
85 .. | 5.85 | 1.25 | 443 .. | 10.10 | 4.40 |
88 .. | 10.55 | 2.55 | 450 .. | 11.25 | 4.95 |
94 .. | 5.35 | 1.25 | 453 .. | 12.70 | 5.00 |
100 .. | 15.15 | 3.75 | 454 .. | 13.50 | 5.00 |
103 .. | 10.15 | 2.45 | 457 .. | 15.00 | 5.00 |
110 .. | 16.25 | 4.35 | 458 .. | 13.50 | 5.00 |
116 .. | 9.05 | 2.35 | 459 .. | 15.00 | 5.00 |
122 .. | 22.00 | 5.00 | 460 .. | 16.00 | 5.00 |
128 .. | 13.40 | 3.50 | 461 .. | 17.00 | 5.00 |
134 .. | 5.35 | 1.25 | 462 .. | 17.50 | 5.00 |
136 .. | 10.55 | 2.55 | 463 .. | 19.50 | 5.00 |
138 .. | 15.20 | 3.80 | 464 .. | 20.00 | 5.00 |
140 .. | 20.50 | 5.00 | 465 .. | 21.00 | 5.00 |
142 .. | 27.00 | 5.00 | 466 .. | 23.00 | 5.00 |
144 .. | 10.15 | 2.45 | 467 .. | 23.50 | 5.00 |
146 .. | 15.15 | 3.75 | 468 .. | 24.50 | 5.00 |
148 .. | 19.90 | 5.00 | 469 .. | 25.00 | 5.00 |
150 .. | 26.00 | 5.00 | 470 .. | 27.00 | 5.00 |
152 .. | 33.00 | 5.00 | 471 .. | 28.00 | 5.00 |
160 .. | 15.80 | 3.80 | 472 .. | 29.00 | 5.00 |
161 .. | 26.60 | 5.00 | 473 .. | 31.00 | 5.00 |
162 .. | 38.00 | 5.00 | 474 .. | 32.00 | 5.00 |
163 .. | 50.00 | 5.00 | 475 .. | 34.00 | 5.00 |
164 .. | 61.00 | 5.00 | 476 .. | 37.00 | 5.00 |
190 .. | 1.70 | 0.80 | 477 .. | 41.00 | 5.00 |
192 .. | 2.00 | 5.00 | 478 .. | 40.00 | 5.00 |
194 .. | 11.00 | 5.00 | 479 .. | 2.40 | 1.20 |
196 .. | 4.00 | 5.00 | 480 .. | 5.65 | 2.95 |
198 .. | 18.00 | 5.00 | 481 .. | 6.55 | 3.45 |
200 .. | 11.00 | 5.00 |
|
|
|
207 .. | 23.00 | 5.00 | 482 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the dislocation concerned, plus one-half of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the dislocation concerned, plus one-half of that amount |
211 .. | 49.20 | 5.00 |
|
|
|
213 .. | 30.20 | 5.00 |
|
|
|
216 .. | 38.20 | 5.00 |
|
|
|
217 .. | 52.20 | 5.00 |
|
|
|
231 .. | 45.00 | 5.00 |
|
|
|
241 .. | 19.00 | 5.00 |
|
|
|
242 .. | 1.40 | 0.60 |
|
|
|
246 .. | 1.40 | 0.60 |
|
|
|
250 .. | 15.10 | 5.00 |
|
|
|
258 .. | 21.00 | 5.00 |
|
|
|
267 .. | 5.65 | 2.25 |
|
|
|
Schedule 5—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
483 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus one-third or that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus one-third of that amount | 539 .. | 30.00 | 5.00 |
|
|
| 540 .. | 32.00 | 5.00 |
|
|
| 541 .. | 33.00 | 5.00 |
|
|
| 542 .. | 35.00 | 5.00 |
|
|
| 543 .. | 36.00 | 5.00 |
|
|
| 514 .. | 37.00 | 5.00 |
|
|
| 545 .. | 39.00 | 5.00 |
|
|
| 546 .. | 42.00 | 5.00 |
|
|
| 547 .. | 46.00 | 5.00 |
|
|
| 548 .. | 49.00 | 5.00 |
|
|
| 549 .. | 51.00 | 5.00 |
|
|
| 550 .. | 2.80 | 1.50 |
|
|
| 551 .. | 6.80 | 3.60 |
|
|
| 552 .. | 8.00 | 4.20 |
484 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus one-half of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus one-half of that amount |
|
|
|
|
|
|
|
|
|
|
|
| 553 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the dislocation concerned plus one-half of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the dislocation concerned plus one-half of that amount |
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|
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|
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|
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|
|
|
|
|
|
|
|
|
|
|
|
|
485 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus three-quarters of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus three-quarters of that amount |
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|
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| 554 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus one-third of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus one-third of that amount |
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500 .. | 1.20 | 0.60 |
|
|
|
505 .. | 2.30 | 1.20 |
|
|
|
506 .. | 3.40 | 1.80 |
|
|
|
509 .. | 4.50 | 2.40 |
|
|
|
510 .. | 5.80 | 3.00 |
|
|
|
513 .. | 6.80 | 3.60 |
|
|
|
514 .. | 8.00 | 4.20 |
|
|
|
517 .. | 9.20 | 4.80 |
|
|
|
518 .. | 10.00 | 5.00 | 556 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus one-half of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus one-half of that amount |
521 .. | 11.50 | 5.00 |
|
|
|
522 .. | 13.00 | 5.00 |
|
|
|
523 .. | 14.00 | 5.00 |
|
|
|
524 .. | 15.50 | 5.00 |
|
|
|
525 .. | 17.00 | 5.00 |
|
|
|
526 .. | 18.50 | 5.00 |
|
|
|
527 .. | 20.00 | 5.00 |
|
|
|
528 .. | 71.00 | 5.00 |
|
|
|
529 .. | 22.00 | 5.00 |
|
|
|
531 .. | 23.50 | 5.00 |
|
|
|
533 .. | 25.00 | 5.00 |
|
|
|
535 .. | 27.00 | 5.00 |
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|
|
537 .. | 28.00 | 5.00 |
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|
538 .. | 29.00 | 5.00 |
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|
|
Schedule 5—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
557 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus three-quarters of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus three-quarters of that amount | 888 .. | 4.85 | 1.75 |
|
|
| 890 .. | 4.30 | 1.70 |
|
|
| 893 .. | 9.50 | 3.80 |
|
|
| 895 .. | 5.35 | 1.95 |
|
|
| 897 .. | 8.05 | 2.95 |
|
|
| 899 .. | 5.35 | 1.95 |
|
|
| 902 .. | 35.50 | 5.00 |
|
|
| 904 .. | 29.50 | 5.00 |
|
|
| 907 .. | 2.75 | 0.95 |
|
|
| 908 .. | 4.85 | 1.75 |
|
|
| 909 .. | 2.45 | 0.85 |
|
|
| 910 .. | 2.45 | 0.85 |
|
|
| 912 .. | 7.25 | 2.65 |
|
|
| 913 .. | 12.10 | 4.40 |
|
|
| 914 .. | 11.85 | 4.35 |
|
|
| 916 .. | 17.20 | 5.00 |
566 .. | 6.95 | 1.95 | 917 .. | 9.60 | 3.50 |
567 .. | 8.05 | 2.35 | 918 .. | 16.80 | 5.00 |
568 .. | 8.25 | 2.45 | 919 .. | 4.10 | 1.50 |
569 .. | 6.00 | 3.05 | 920 .. | 13.45 | 4.95 |
570 .. | 12.85 | 3.95 | 922 .. | 48.00 | 5.00 |
571 .. | 8.80 | 4.70 | 921 .. | 71.00 | 5.00 |
572 .. | 10.05 | 2.95 | 925 .. | 10.75 | 3.95 |
573 .. | 7.25 | 3.65 | 927 .. | 3.60 | 1.30 |
574 .. | 15.45 | 4.95 | 929 .. | 5.95 | 2.15 |
575 .. | 12.50 | 5.00 | 932 .. | 5.95 | 2.15 |
748 .. | 6.95 | 3.45 | 934 .. | 8.35 | 3.05 |
752 .. | 5.05 | 2.45 | 936 .. | 12.80 | 4.70 |
760 .. | 5.25 | 2.55 | 938 .. | 12.80 | 4.70 |
764 .. | 6.45 | 3.15 | 940 .. | 11.85 | 4.35 |
767 .. | 10.05 | 4.95 | 944 .. | 8.05 | 2.95 |
770 .. | 6.15 | 2.35 | 947 .. | 24.00 | 5.00 |
774 .. | 13.45 | 4.95 | 949 .. | 4.85 | 1.75 |
777 .. | 23.00 | 5.00 | 952 .. | 11.20 | 4.10 |
787 .. | 19.50 | 5.00 | 954 .. | 1.75 | 0.65 |
790 .. | 29.50 | 5.00 | 956 .. | 2.15 | 0.75 |
794 .. | 8.05 | 2.95 | 958 .. | 3.45 | 1.25 |
797 .. | 8.50 | 5.00 | 960 .. | 5.05 | 1.85 |
803 .. | 12.80 | 4.70 | 963 .. | 3.40 | 1.20 |
806 .. | 16.50 | 5.00 | 966 .. | 9.35 | 3.45 |
809 .. | 23.00 | 5.00 | 968 .. | 18.50 | 5.00 |
812 .. | 9.60 | 3.50 | 970 .. | 39.00 | 5.00 |
815 .. | 8.05 | 2.95 | 974 .. | 5.95 | 2.15 |
818 .. | 42.00 | 5.00 | 1001 .. | 0.40 | 0.30 |
821 .. | 6.00 | 5.00 | 1005 .. | 0.10 | 0.30 |
824 .. | 6.25 | 2.25 | 1013 .. | 0.10 | 0.40 |
827 .. | 30.50 | 5.00 | 1017 .. | 1.00 | 0.50 |
829 .. | 54.00 | 5.00 | 1023 .. | 0.40 | 0.30 |
833 .. | 23.00 | 5.00 | 1027 .. | 0.75 | 0.65 |
836 .. | 12.80 | 4.70 | 1031 .. | 1.95 | 1.45 |
839 .. | 7.25 | 2.65 | 1035 .. | 1.40 | 1.00 |
844 .. | 6.65 | 2.45 | 1039 .. | 1.45 | 1.35 |
849 .. | 6.25 | 1.45 | 1043 .. | 0.90 | 1.70 |
853 .. | 10.75 | 3.95 | 1047 .. | 0.90 | 0.40 |
856 .. | 7.05 | 2.55 | 1051 .. | 3.65 | 3.35 |
859 .. | 13.45 | 4.95 | 1055 .. | 0.40 | 0.30 |
863 .. | 2.60 | 0.90 | 1056 .. | 0.50 | 0.30 |
865 .. | 3.75 | 1.35 | 1058 .. | 0.10 | 0.30 |
870 .. | 5.00 | 1.80 | 1061 .. | 0.10 | 0.85 |
874 .. | 6.25 | 2.25 | 1067 .. | 0.10 | 0.85 |
877 .. | 3.75 | 1.35 | 1071 .. | 0.10 | 0.85 |
879 .. | 5.50 | 2.00 | 1075 .. | 1.65 | 0.85 |
882 .. | 4.35 | 1.55 | 1077 .. | 2.40 | 1.20 |
884 .. | 4.35 | 1.55 | 1079 .. | 2.75 | 1.35 |
886 .. | 5.35 | 1.95 | 1083 .. | 2.75 | 1.35 |
Schedule 5—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
1086 .. | 0.50 | 0.85 | 1338 .. | 0.90 | 0.40 |
1088 .. | 3.40 | 1.70 | 1341 .. | 1.65 | 0.85 |
1093 .. | 1.35 | 0.65 | 1344 .. | 2.40 | 1.20 |
1095 .. | 4.80 | 2.40 | 1347 .. | 1.55 | 0.85 |
1099 .. | 1.05 | 1.25 | 1350 .. | 0.45 | 0.85 |
1103 .. | 0.10 | 0.40 | 1353 .. | 3.50 | 1.20 |
1107 .. | 0.40 | 0.30 | 1356 .. | 0.45 | 0.85 |
1111 .. | 1.05 | 0.65 | 1359 .. | 0.10 | 0.40 |
1115 .. | 0.70 | 0.30 | 1361 .. | 0.10 | 0.85 |
1119 .. | 0.90 | 0.40 | 1363 .. | 0.60 | 0.60 |
1123 .. | 2.10 | 1.00 | 1365 .. | 2.90 | 1.20 |
1127 .. | 0.65 | 0.85 | 1367 .. | 1.50 | 1.00 |
1131 .. | 1.05 | 0.85 | 1369 .. | 0.45 | 0.85 |
1135 .. | 2.40 | 1.20 | 1371 .. | 2.30 | 1.20 |
1139 .. | 7.50 | 3.80 | 1371 .. | 0.60 | 0.40 |
1143 .. | 1.00 | 0.50 | 1375 .. | 0.65 | 0.65 |
1147 .. | 0.10 | 0.30 | 1377 .. | 3.05 | 1.55 |
1151 .. | 2.10 | 1.00 | 1370 .. | 4.25 | 2.15 |
1155 .. | 8.45 | 4.25 | 1383 .. | 4.25 | 2.15 |
1158 .. | 1.25 | 0.75 | 1386 .. | 6.75 | 3.45 |
1161 .. | 2.40 | 1.20 | 1390 .. | 3.45 | 4.25 |
1165 .. | 1.65 | 0.85 | 1396 .. | 3.05 | 1.55 |
1169 .. | 1.25 | 0.75 | 1400 .. | 4.25 | 2.15 |
1173 .. | 0.80 | 0.60 | 1403 .. | 0.50 | 0.85 |
1177 .. | 0.95 | 0.75 | 1406 .. | 1.65 | 0.85 |
1181 .. | 1.20 | 0.90 | 1404 .. | 2.75 | 1.35 |
1185 .. | 2.20 | 1.70 | 1412 .. | 4.25 | 2.15 |
1189 .. | 0.10 | 0.40 | 1415 .. | 0.30 | 0.40 |
1193 .. | 0.20 | 0.60 | 1418 .. | 0.45 | 0.85 |
1197 .. | 1.20 | 0.90 | 1422 .. | 2.10 | 1.70 |
1201 .. | 2.25 | 2.05 | 1426 .. | 3.40 | 2.40 |
1205 .. | 0.40 | 0.30 | 1429 .. | 4.65 | 3.05 |
1209 .. | 0.10 | 0.30 | 1433 .. | 6.50 | 3.80 |
1213 .. | 1.30 | 1.70 | 1437 .. | 2.40 | 1.20 |
1217 .. | 0.20 | 0.60 | 1440 .. | 3.75 | 1.85 |
1221 .. | 4.15 | 2.05 | 1443 .. | 0.45 | 0.85 |
1225 .. | 0.50 | 0.85 | 1446 .. | 2.10 | 1.70 |
1229 .. | 1.65 | 0.85 | 1449 .. | 3.40 | 2.40 |
1233 .. | 3.10 | 1.00 | 1451 .. | 4.65 | 1.05 |
1241 .. | 0.10 | 0.30 | 1454 .. | 2.55 | 1.45 |
1245 .. | 2.75 | 1.35 | 1453 .. | 8.45 | 4.25 |
1249 .. | 1.65 | 0.85 | 1460 .. | 1.65 | 0.85 |
1253 .. | 2.75 | 1.35 | 1464 .. | 0.45 | 0.85 |
1257 .. | 4.15 | 2.05 | 1467 .. | 2.10 | 1.70 |
1261 .. | 0.75 | 0.65 | 1471 .. | 3.40 | 2.40 |
1265 .. | 1.50 | 1.00 | 1473 .. | 4.65 | 3.05 |
1269 .. | 1.10 | 1.00 | 1477 .. | 6.50 | 3.80 |
1273 .. | 1.65 | 0.85 | 1480 .. | 3.40 | 1.70 |
1276 .. | 1.65 | 0.85 | 1483 .. | 2.45 | 1.95 |
1281 .. | 1.50 | 1.00 | 1486 .. | 0.45 | 0.85 |
1285 .. | 2.10 | 1.70 | 1489 .. | 1.65 | 0.85 |
1289 .. | 2.40 | 1.20 | 1498 .. | 2.10 | 1.70 |
1293 .. | 2.10 | 1.00 | 1503 .. | 0.45 | 0.85 |
1297 .. | 2.10 | 1.00 | 1507 .. | 2.10 | 1.70 |
1303 .. | 0.45 | 0.85 | 1510 .. | 3.40 | 2.40 |
1308 .. | 0.80 | 1.00 | 1518 .. | 4.65 | 3.05 |
1311 .. | 3.85 | 1.45 | 1524 .. | 6.50 | 3.80 |
1315 .. | 3.05 | 1.55 | 1528 .. | 0.45 | 0.85 |
1318 .. | 2.70 | 1.70 | 1532 .. | 1.65 | 0.85 |
1321 .. | 1.00 | 0.50 | 1535 .. | 0.70 | 0.30 |
1324 .. | 1.65 | 0.85 | 1538 .. | 0.35 | 0.15 |
1326 .. | 1.05 | 0.85 | 1542 .. | 2.40 | 1.70 |
1329 .. | 0.10 | 0.50 | 1547 .. | 0.10 | 0.40 |
1332 .. | 1.00 | 0.30 | 1552 .. | 0.69 | 0.40 |
1335 .. | 1.50 | 1.00 | 1555 .. | 1.65 | 0.85 |
Schedule 5—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
1558 .. | 1.70 | 1.70 | 1762 .. | 0.40 | 0.30 |
1561 .. | 0.80 | 1.00 | 1765 .. | 0.10 | 0.30 |
1565 .. | 2.45 | 1.85 | 1768 .. | 0.10 | 0.30 |
1569 .. | 4.25 | 2.75 | 1771 .. | 1.05 | 0.85 |
1572 .. | 1.25 | 1.85 | 1774 .. | 0.10 | 0.50 |
1574 .. | 6.75 | 3.45 | 1777 .. | 0.85 | 0.85 |
1576 .. | 2.95 | 1.45 | 1780 .. | 1.55 | 0.75 |
1578 .. | 3.05 | 1.55 | 1783 .. | 0.10 | 0.85 |
1581 .. | 2.55 | 1.45 | 1786 .. | 0.20 | 1.20 |
1585 .. | 1.05 | 0.85 | 1788 .. | 1.40 | 1.60 |
1591 .. | 1.00 | 0.30 | 1791 .. | 1.45 | 1.95 |
1593 .. | 0.10 | 0.40 | 1795 .. | 1.00 | 2.10 |
1595 .. | 0.15 | 0.85 | 1799 .. | 1.60 | 1.10 |
1597 .. | 1.45 | 1.65 | 1803 .. | 3.40 | 1.70 |
1599 .. | 2.45 | 2.15 | 1807 .. | 2.10 | 1.00 |
1602 .. | 1.00 | 1.30 | 1811 .. | 3.75 | 1.85 |
1605 .. | 2.35 | 2.05 | 1814 .. | 1.25 | 0.75 |
1608 .. | 3.35 | 2.55 | 1816 .. | 2.25 | 1.25 |
1612 .. | 0.60 | 0.40 | 1818 .. | 2.10 | 1.00 |
1617 .. | 1.90 | 1.20 | 1821 .. | 1.65 | 0.85 |
1619 .. | 0.90 | 0.40 | 1825 .. | 1.05 | 0.85 |
1624 .. | 1.65 | 0.85 | 1829 .. | 0.40 | 0.30 |
1628 .. | 0.30 | 0.40 | 1832 .. | 0.50 | 1.20 |
1632 .. | 1.15 | 0.75 | 1834 .. | 1.75 | 1.95 |
1635 .. | 1.25 | 0.75 | 1836 .. | 1.05 | 1.25 |
1637 .. | 2.35 | 0.75 | 1838 .. | 1.80 | 2.10 |
1639 .. | 2.25 | 1.25 | 1842 .. | 2.20 | 3.00 |
1642 .. | 1.65 | 0.85 | 1845 .. | 1.40 | 2.10 |
1646 .. | 2.10 | 1.00 | 1848 .. | 2.75 | 2.15 |
1650 .. | 1.05 | 0.85 | 1854 .. | 3.50 | 3.00 |
1654 .. | 3.40 | 1.70 | 1857 .. | 3.95 | 2.85 |
1656 .. | 1.05 | 0.85 | 1860 .. | 4.60 | 3.70 |
1658 .. | 4.25 | 2.15 | 1864 .. | 1.00 | 1.10 |
1660 .. | 8.45 | 4.25 | 1868 .. | 1.65 | 0.85 |
1663 .. | 2.40 | 1.20 | 1872 .. | 0.95 | 0.75 |
1666 .. | 2.75 | 1.35 | 1876 .. | 2.55 | 1.55 |
1669 .. | 8.45 | 4.25 | 1880 .. | 0.10 | 0.40 |
1672 .. | 2.95 | 1.45 | 1883 .. | 0.45 | 0.85 |
1675 .. | 0.50 | 0.85 | 1886 .. | 2.40 | 1.20 |
1677 .. | 4.25 | 2.15 | 1890 .. | 0.45 | 0.85 |
1679 .. | 2.70 | 1.70 | 1894 .. | 2.10 | 1.70 |
1681 .. | 1.05 | 0.90 | 1930 .. | 3.40 | 2.40 |
1685 .. | 2.05 | 1.35 | 1934 .. | 4.65 | 3.05 |
1689 .. | 0.45 | 0.85 | 1938 .. | 0.65 | 0.85 |
1692 .. | 2.10 | 1.70 | 1944 .. | 2.95 | 1.45 |
1695 .. | 3.40 | 2.40 | 2001 .. | 2.05 | 1.35 |
1699 .. | 4.65 | 3.05 | 2005 .. | 2.55 | 1.55 |
1704 .. | 0.10 | 0.40 | 2008 .. | 0.60 | 0.40 |
1708 .. | 1.50 | 1.00 | 2012 .. | 0.40 | 0.30 |
1711 .. | 3.40 | 1.70 | 2017 .. | 1.05 | 0.85 |
1715 .. | 8.45 | 4.25 | 2021 .. | 1.20 | 0.60 |
1719 .. | 6.75 | 3.45 | 2026 .. | 2.40 | 1.20 |
1723 .. | 0.73 | 1.25 | 2032 .. | 2.10 | 1.00 |
1727 .. | 1.95 | 1.25 | 2036 .. | 1.25 | 0.75 |
1731 .. | 2.95 | 1.45 | 2040 .. | 4.80 | 2.40 |
1735 .. | 9.35 | 3.45 | 2047 .. | 2.55 | 1.25 |
1739 .. | 0.75 | 1.25 | 2051 .. | 2.55 | 1.25 |
1742 .. | 0.75 | 1.25 | 2055 .. | 8.45 | 4.25 |
1745 .. | 0.10 | 0.40 | 2059 .. | 6.05 | 3.05 |
1749 .. | 6.75 | 3.45 | 2064 .. | 8.45 | 4.25 |
1751 .. | 8.45 | 4.25 | 2068 .. | 3.40 | 1.70 |
1753 .. | 1.00 | 0.50 | 2072 .. | 0.10 | 11.40 |
1755 .. | 1.65 | 0.85 | 2078 .. | 5.15 | 2.55 |
1757 .. | 2.70 | 1.70 | 2083 .. | 0.45 | 0.85 |
1759 .. | 2.55 | 1.55 | 2087 .. | 2.40 | 1.20 |
Schedule 5—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
2089 .. | 3.05 | 1.55 | 2353 .. | 2.10 | 1.70 |
2094 .. | 0.40 | 0.30 | 2356 .. | 2.10 | 1.70 |
2098 .. | 0.10 | 0.30 | 2358 .. | 6.75 | 3.45 |
2106 .. | 0.60 | 0.40 | 2361 .. | 0.55 | 2.25 |
2110 .. | 1.20 | 0.60 | 2364 .. | 4.25 | 2.75 |
2115 .. | 1.65 | 0.85 | 2368 .. | 2.45 | 1.85 |
2124 .. | 1.65 | 0.85 | 2370 .. | 5.15 | 2.55 |
2127 .. | 0.65 | 0.75 | 2373 .. | 14.50 | 5.00 |
2133 .. | 1.00 | 1.10 | 2375 .. | 2.45 | 1.95 |
2139 .. | 2.20 | 1.70 | 2377 .. | 4.15 | 2.05 |
2144 .. | 1.65 | 0.85 | 2379 .. | 6.75 | 3.45 |
2150 .. | 3.85 | 2.55 | 2381 .. | 14.50 | 5.00 |
2154 .. | 1.65 | 0.85 | 2383 .. | 5.15 | 2.55 |
2158 .. | 1.25 | 0.75 | 2385 .. | 5.15 | 2.55 |
2168 .. | 2.25 | 1.25 | 2387 .. | 2.45 | 1.95 |
2172 .. | 0.90 | 0.40 | 2389 .. | 1.05 | 1.45 |
2176 .. | 0.50 | 0.85 | 2391 .. | 0.50 | 1.20 |
2180 .. | 0.50 | 0.85 | 2393 .. | 3.40 | 1.70 |
2184 .. | 1.00 | 0.50 | 2395 .. | 12.00 | 5.00 |
2188 .. | 1.55 | 1.25 | 2397 .. | 1.25 | 0.75 |
2190 .. | 3.25 | 2.55 | 2399 .. | 2.70 | 1.70 |
2192 .. | 4.90 | 3.90 | 2402 .. | 5.15 | 2.55 |
2194 .. | 1.65 | 0.85 | 2404 .. | 1.50 | 1.00 |
2196 .. | 3.40 | 1.70 | 2406 .. | 2.55 | 1.55 |
2197 .. | 5.15 | 2.55 | 2408 .. | 2.55 | 1.55 |
2198 .. | 3.40 | 1.70 | 2411 .. | 4.10 | 2.40 |
2200 .. | 0.10 | 0.30 | 2413 .. | 3.25 | 1.95 |
2207 .. | 0.10 | 0.40 | 2415 .. | 5.30 | 2.90 |
2209 .. | 6.75 | 3.45 | 2417 .. | 1.05 | 0.85 |
2214 .. | 1.00 | 0.50 | 2419 .. | 1.20 | 0.90 |
2218 .. | 0.45 | 0.85 | 2422 .. | 6.05 | 3.05 |
2224 .. | 1.00 | 0.50 | 2424 .. | 7.20 | 3.60 |
2229 .. | 0.45 | 0.85 | 2427 .. | 8.20 | 4.10 |
2233 .. | 0.45 | 0.85 | 2430 .. | 9.85 | 4.95 |
2237 .. | 0.80 | 0.60 | 2432 .. | 3.95 | 1.95 |
2242 .. | 1.50 | 1.00 | 2434 .. | 3.95 | 1.95 |
2246 .. | 1.00 | 0.50 | 2436 .. | 3.15 | 1.95 |
2251 .. | 0.45 | 0.85 | 2438 .. | 7.95 | 3.95 |
2253 .. | 3.95 | 1.35 | 2441 .. | 2.75 | 1.35 |
2258 .. | 4.15 | 2.05 | 2443 .. | 3.95 | 1.95 |
2260 .. | 0.10 | 0.40 | 2446 .. | 3.95 | 1.95 |
2261 .. | 0.10 | 0.40 | 2448 .. | 4.35 | 2.15 |
2263 .. | 0.10 | 0.40 | 2451 .. | 12.00 | 5.00 |
2266 .. | 1.65 | 0.85 | 2454 .. | 20.00 | 5.00 |
2271 .. | 1.25 | 0.75 | 2457 .. | 7.95 | 3.95 |
2276 .. | 3.00 | 1.60 | 2462 .. | 6.75 | 3.35 |
2280 .. | 3.40 | 1.70 | 2470 .. | 5.15 | 2.55 |
2284 .. | 1.65 | 0.85 | 2473 .. | 6.25 | 3.15 |
2288 .. | 1.20 | 0.60 | 2474 .. | 12.50 | 5.00 |
2290 .. | 1.25 | 1.35 | 2476 .. | 12.00 | 5.00 |
2293 .. | 2.75 | 2.15 | 2477 .. | 6.25 | 3.15 |
2297 .. | 0.50 | 0.85 | 2479 .. | 22.50 | 5.00 |
2301 .. | 1.25 | 1.85 | 2480 .. | 9.40 | 4.70 |
2305 .. | 0.50 | 0.85 | 2481 .. | 12.00 | 5.00 |
2309 .. | 0.10 | 0.75 | 2483 .. | 6.75 | 3.35 |
2313 .. | 2.10 | 1.70 | 2484 .. | 7.95 | 3.95 |
2317 .. | 4.25 | 2.75 | 2486 .. | 12.50 | 5.00 |
2321 .. | 9.10 | 3.80 | 2187 .. | 4.75 | 2.35 |
2325 .. | 4.35 | 3.45 | 2489 .. | 13.00 | 5.00 |
2329 .. | 6.30 | 4.50 | 2491 .. | 12.00 | 5.00 |
2333 .. | 12.00 | 5.00 | 2493 .. | 7.95 | 3.95 |
2337 .. | 16.50 | 5.00 | 2495 .. | 12.00 | 5.00 |
2341 .. | 2.45 | 1.95 | 2496 .. | 12.00 | 5.00 |
2345 .. | 3.40 | 1.70 | 2498 .. | 7.95 | 3.95 |
2349 .. | 1.55 | 1.35 | 2499 .. | 7.95 | 3.95 |
Schedule 5—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in first Schedule. | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
2500 .. | 6.75 | 3.35 | 2706 .. | 5.10 | 3.30 |
2502 .. | 1.45 | 1.45 | 2709 .. | 7.25 | 4.35 |
2505 .. | 1.95 | 1.75 | 2711 .. | 7.50 | 5.00 |
2508 .. | 1.45 | 1.45 | 2714 .. | 8.65 | 4.35 |
2512 .. | 1.95 | 1.75 | 2716 .. | 7.25 | 4.35 |
2516 .. | 2.95 | 2.15 | 2718 .. | 8.50 | 5.00 |
2520 .. | 3.35 | 2.45 | 2720 .. | 6.20 | 3.50 |
2524 .. | 2.55 | 1.65 | 2722 .. | 6.65 | 3.65 |
2528 .. | 2.55 | 1.95 | 2724 .. | 8.50 | 5.00 |
2532 .. | 3.25 | 2.35 | 2726 .. | 6.50 | 3.80 |
2537 .. | 2.65 | 2.75 | 2728 .. | 12.00 | 5.00 |
2539 .. | 2.95 | 2.15 | 2730 .. | 7.00 | 3.50 |
2541 .. | 3.35 | 2.45 | 2732 .. | 2.15 | 1.05 |
2543 .. | 1.95 | 1.65 | 2734 .. | 8.65 | 4.35 |
2545 .. | 2.55 | 1.95 | 2736 .. | 5.15 | 2.55 |
2548 .. | 2.95 | 2.15 | 2738 .. | 3.75 | 2.15 |
2551 .. | 0.75 | 2.25 | 2740 .. | 2.60 | 3.50 |
2554 .. | 0.75 | 2.25 | 2742 .. | 7.00 | 3.50 |
2557 .. | 10.70 | 5.00 | 2744 .. | 8.65 | 4.35 |
2560 .. | 3.45 | 2.75 | 2746 .. | 12.00 | 5.00 |
2563 .. | 3.45 | 2.25 | 2748 .. | 12.00 | 5.00 |
2566 .. | 3.45 | 2.75 | 2750 .. | 12.00 | 5.00 |
2569 .. | 3.45 | 2.75 | 2751 .. | 35.00 | 5.00 |
2573 .. | 3.45 | 2.25 | 2752 .. | 5.70 | 3.30 |
2576 .. | 5.15 | 2.55 | 2754 .. | 5.15 | 2.55 |
2579 .. | 5.15 | 2.55 | 2756 .. | 11.00 | 5.00 |
2581 .. | 3.15 | 1.95 | 2758 .. | 8.65 | 4.35 |
2583 .. | 3.15 | 1.95 | 2760 .. | 9.40 | 4.70 |
2585 .. | 5.45 | 2.75 | 2762 .. | 5.10 | 3.30 |
2587 .. | 3.55 | 1.75 | 2764 .. | 4.85 | 4.35 |
2589 .. | 8.65 | 4.35 | 2766 .. | 4.85 | 4.35 |
2591 .. | 6.75 | 3.45 | 2768 .. | 4.85 | 4.35 |
2593 .. | 5.45 | 2.75 | 2770 .. | 4.85 | 4.35 |
2595 .. | 2.55 | 1.95 | 2772 .. | 4.85 | 4.35 |
2597 .. | 3.55 | 2.85 | 2774 .. | 13.50 | 5.00 |
2599 .. | 2.95 | 2.45 | 2776 .. | 4.85 | 4.35 |
2601 .. | 3.95 | 3.35 | 2778 .. | 7.25 | 3.65 |
2604 .. | 2.65 | 2.05 | 2780 .. | 7.25 | 3.65 |
2607 .. | 5.50 | 4.40 | 2782 .. | 2.35 | 1.15 |
2609 .. | 6.50 | 5.00 | 2784 .. | 5.45 | 2.75 |
2611 .. | 2.15 | 1.05 | 2786 .. | 4.55 | 2.25 |
2614 .. | 5.15 | 2.55 | 2788 .. | 5.45 | 2.75 |
2617 .. | 1.95 | 1.75 | 2790 .. | 9.15 | 4.55 |
2621 .. | 9.40 | 4.70 | 2792 .. | 7.00 | 3.50 |
2625 .. | 3.15 | 1.85 | 2794 .. | 4.65 | 2.95 |
2627 .. | 3.75 | 2.15 | 2796 .. | 6.50 | 3.30 |
2630 .. | 2.95 | 2.65 | 2798 .. | 1.35 | 0.65 |
2634 .. | 4.35 | 2.15 | 2800 .. | 4.75 | 2.35 |
2638 .. | 1.85 | 1.05 | 2802 .. | 3.15 | 1.55 |
2642 .. | 3.25 | 2.35 | 2804 .. | 2.75 | 1.35 |
2646 .. | 4.15 | 2.85 | 2806 .. | 0.55 | 0.25 |
2650 .. | 3.15 | 1.85 | 2808 .. | 3.35 | 1.65 |
2654 .. | 3.75 | 2.15 | 2810 .. | 0.70 | 0.30 |
2659 .. | 3.95 | 2.35 | 2812 .. | 6.75 | 3.35 |
2662 .. | 4.95 | 2.85 | 2814 .. | 1.35 | 0.65 |
2665 .. | 3.75 | 2.15 | 2816 .. | 3.75 | 1.85 |
2672 .. | 15.00 | 5.00 | 2818 .. | 3.35 | 1.65 |
2676 .. | 11.00 | 5.00 | 2820 .. | 0.70 | 0.30 |
2681 .. | 13.50 | 5.00 | 2822 .. | 3.95 | 1.95 |
2687 .. | 9.70 | 5.00 | 2824 .. | 0.75 | 0.35 |
2690 .. | 6.55 | 3.45 | 2826 .. | 8.65 | 4.35 |
2694 .. | 8.65 | 4.35 | 2828 .. | 1.75 | 0.85 |
2697 .. | 3.95 | 2.35 | 2830 .. | 5.15 | 2.55 |
2699 .. | 3.15 | 1.85 | 2832 .. | 1.00 | 0.50 |
2703 .. | 3.75 | 2.15 | 2834 .. | 6.75 | 3.45 |
Schedule 5—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in first Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
2836 .. | 1.35 | 0.65 |
| combination of operations, exceeds — the aggregate of the Commonwealth benefit and the specified excess in respect of the assistance at the operation or series or combination of operations. | the operation or series or combination of operations; or (b) $5 is the less. |
2838 .. | 12.00 | 5.00 |
|
|
|
2840 .. | 2.35 | 1.15 |
|
|
|
2842 .. | 21.50 | 5.00 |
|
|
|
2844 .. | 14.50 | 5.00 |
|
|
|
2846 .. | 30.00 | 5.00 |
|
|
|
2848 .. | 47.00 | 5.00 |
|
|
|
2850 .. | 35.00 | 5.00 |
|
|
|
2852 .. | 21.50 | 5.00 |
|
|
|
2854 .. | 8.20 | 4.10 |
|
|
|
2856 .. | 13.00 | 5.00 |
|
|
|
2858 .. | 5.45 | 2.75 |
|
|
|
2860 .. | 4.15 | 2.05 |
|
|
|
2862 .. | 14.00 | 5.00 |
|
|
|
2864 .. | 4.15 | 2.05 |
|
|
|
2866 .. | 8.20 | 4.10 |
|
|
|
2868 .. | 9.85 | 4.95 | 3006 .. | 3.10 | 0.80 |
2870 .. | 2.75 | 1.35 | 3012 .. | 5.85 | 1.65 |
2872 .. | 2.95 | 1.45 | 3016 .. | 1.75 | 2.25 |
2874 .. | 12.00 | 5.00 | 3022 .. | 5.75 | 2.75 |
2876 .. | 4.85 | 2.45 | 3027 .. | 10.00 | 4.70 |
2878 .. | 4.85 | 2.45 | 3033 .. | 12.50 | 5.00 |
2880 .. | 16.00 | 5.00 | 3038 .. | 27.50 | 5.00 |
2882 .. | 13.50 | 5.00 | 3039 .. | 57.00 | 5.00 |
2884 .. | 13.50 | 5.00 | 3041 .. | 27.50 | 5.00 |
2886 .. | 13.00 | 5.00 | 3046 .. | 8.75 | 1.95 |
2888 .. | 4.35 | 2.15 | 3050 .. | 3.85 | 2.75 |
2890 .. | 6.50 | 3.30 | 3058 .. | 9.95 | 2.35 |
2892 .. | 6.50 | 3.30 | 3059 .. | 9.95 | 2.35 |
2894 .. | 5.15 | 2.55 | 3063 .. | 9.05 | 4.35 |
2896 .. | 5.15 | 2.55 | 3068 .. | 9.05 | 4.35 |
2898 .. | 4.15 | 2.05 | 3073 .. | 11.65 | 2.75 |
2900 .. | 5.15 | 2.55 | 3082 .. | 11.30 | 5.00 |
2903 .. | 4.15 | 2.05 | 3087 .. | 15.00 | 5.00 |
2906 .. | 4.15 | 2.05 | 3092 .. | 9.05 | 4.35 |
2909 .. | 6.50 | 3.30 | 3095 .. | 9.05 | 4.35 |
2912 .. | 5.35 | 2.65 | 3098 .. | 12.00 | 5.00 |
2916 .. | 5.35 | 2.65 | 3101 .. | 15.00 | 5.00 |
2918 .. | 3.35 | 1.65 | 3106 .. | 5.75 | 2.75 |
2921 .. | 6.50 | 3.30 | 3109 .. | 15.00 | 5.00 |
2923 .. | 4.33 | 2.15 | 3113 .. | 1.10 | 0.70 |
2925 .. | 4.35 | 2.15 | 3114 .. | 1.10 | 0.70 |
2927 .. | 13.50 | 5.00 | 3116 .. | 8.35 | 3.95 |
2930 .. | 8.65 | 4.35 | 3117 .. | 8.35 | 3.95 |
2932 .. | 2.15 | 1.05 | 3120 .. | 13.00 | 5.00 |
2934 .. | 13.50 | 5.00 | 3124 .. | 18.00 | 5.00 |
2936 .. | 6.50 | 3.30 | 3128 .. | 18.00 | 5.00 |
2938 .. | 8.65 | 4.35 | 3130 .. | 3.45 | 1.85 |
2940 .. | 13.50 | 5.00 | 3134 .. | 3.45 | 1.85 |
2950 .. | 8.95 | 3.15 | 3135 .. | 7.80 | 4.10 |
|
|
| 3142 .. | 9.50 | 5.00 |
2955 .. | The amount by which— one-fifth of the aggregate of the basic Commonwealth benefit, the fund benefit, and the specified excess, in respect of the operation or series or | Whichever of— (a) three per centum of the aggregate of the basic Commonwealth benefit, the fund benefit, and the specified excess, in respect of | 3147 .. | 9.50 | 5.00 |
|
|
| 3148 .. | 3.75 | 1.75 |
|
|
| 3157 .. | 8.35 | 3.95 |
|
|
| 3160 .. | 2.35 | 1.05 |
|
|
| 3163 .. | 2.35 | 1.05 |
|
|
| 3168 .. | 15.00 | 5.00 |
|
|
| 3173 .. | 6.90 | 3.30 |
|
|
| 3175 .. | 6.90 | 3.30 |
|
|
| 3178 .. | 12.00 | 5.00 |
|
|
| 3183 .. | 15.00 | 5.00 |
|
|
| 3187 .. | 15.00 | 5.00 |
|
|
| 3189 .. | 2.70 | 1.30 |
|
|
| 3194 .. | 12.50 | 5.00 |
|
|
| 3199 .. | 10.00 | 5.00 |
Schedule 5—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
3208 .. | 8.50 | 5.00 | 3490 .. | 61.00 | 5.00 |
3213 .. | 7.00 | 5.00 | 3493 .. | 61.00 | 5.00 |
3217 .. | 32.00 | 5.00 | 3495 .. | 155.00 | 5.00 |
3219 .. | 15.15 | 3.35 | 3496 .. | 3.55 | 1.65 |
3228 .. | 3.55 | 3.95 | 3500 .. | 3.55 | 1.65 |
3229 .. | 3.55 | 3.95 | 3505 .. | 9.30 | 4.40 |
3233 .. | 8.20 | 4.70 | 3507 .. | 9.30 | 4.40 |
3237 .. | 1.50 | 5.00 | 3509 .. | 12.50 | 5.00 |
3245 .. | 1.50 | 5.00 | 3516 .. | 17.00 | 5.00 |
3247 .. | 22.00 | 5.00 | 3521 .. | 17.00 | 5.00 |
3253 .. | 14.50 | 5.00 | 3526 .. | 34.00 | 5.00 |
3258 .. | 14.50 | 5.00 | 3530 .. | 44.00 | 5.00 |
3261 .. | 22.50 | 5.00 | 3532 .. | 52.00 | 5.00 |
3265 .. | 27.50 | 5.00 | 3542 .. | 88.00 | 5.00 |
3271 .. | 34.00 | 5.00 | 3547 .. | 99.00 | 5.00 |
3276 .. | 74.00 | 5.00 | 3555 .. | 110.00 | 5.00 |
3281 .. | 44.00 | 5.00 | 3563 .. | 61.00 | 5.00 |
3284 .. | 44.00 | 5.00 | 3569 .. | 65.00 | 5.00 |
3289 .. | 52.00 | 5.00 | 3576 .. | 44.00 | 5.00 |
3290 .. | 52.00 | 5.00 | 3581 .. | 34.00 | 5.00 |
3295 .. | 74.00 | 5.00 | 3591 .. | 44.00 | 5.00 |
3301 .. | 34.00 | 5.00 | 3597 .. | 38.00 | 5.00 |
3308 .. | 59.00 | 5.00 | 3603 .. | 29.00 | 5.00 |
3314 .. | 10.85 | 4.95 | 3616 .. | 155.00 | 5.00 |
3320 .. | 6.05 | 1.55 | 3618 .. | 32.00 | 5.00 |
3330 .. | 2.95 | 1.75 | 3622 .. | 88.00 | 5.00 |
3331 .. | 2.95 | 1.75 | 3634 .. | 20.50 | 5.00 |
3332 .. | 2.05 | 1.95 | 3638 .. | 65.00 | 5.00 |
3338 .. | 10.85 | 2.95 | 3643 .. | 16.50 | 5.00 |
3342 .. | 5.45 | 3.15 | 3647 .. | 27.50 | 5.00 |
3346 .. | 15.00 | 3.50 | 3652 .. | 37.00 | 5.00 |
3356 .. | 1.55 | 1.55 | 3654 .. | 8.50 | 5.00 |
3363 .. | 13.00 | 5.00 | 3664 .. | 6.50 | 5.00 |
3366 .. | 0.85 | 0.65 | 3668 .. | 21.50 | 5.00 |
3371 .. | 0.85 | 0.85 | 3673 .. | 27.50 | 5.00 |
3379 .. | 10.85 | 3.65 | 3678 .. | 21.50 | 5.00 |
3384 .. | 4.45 | 4.55 | 3683 .. | 27.50 | 5.00 |
3386 .. | 4.45 | 4.55 | 3698 .. | 52.00 | 5.00 |
3389 .. | 9.55 | 4.55 | 3702 .. | 75.00 | 5.00 |
3391 .. | 12.00 | 5.00 | 3707 .. | 12.00 | 5.00 |
3395 .. | 18.00 | 5.00 | 3713 .. | 30.00 | 5.00 |
3399 .. | 22.50 | 5.00 | 3718 .. | 38.00 | 5.00 |
3401 .. | 14.00 | 5.00 | 3724 .. | 38.00 | 5.00 |
3404 .. | 18.00 | 5.00 | 3733 .. | 52.00 | 5.00 |
3407 .. | 25.00 | 5.00 | 3739 .. | 45.00 | 5.00 |
3411 .. | 9.55 | 4.55 | 3745 .. | 57.00 | 5.00 |
3417 .. | 12.00 | 5.00 | 3750 .. | 47.00 | 5.00 |
3425 .. | 30.00 | 5.00 | 3754 .. | 52.00 | 5.00 |
3427 .. | 30.00 | 5.00 | 3759 .. | 135.00 | 5.00 |
3431 .. | 30.00 | 5.00 | 3764 .. | 47.00 | 5.00 |
3437 .. | 67.00 | 5.00 | 3777 .. | 52.00 | 5.00 |
3444 .. | 110.00 | 5.00 | 3783 .. | 52.00 | 5.00 |
3450 .. | 74.00 | 5.00 | 3789 .. | 9.55 | 4.55 |
3455 .. | 30.00 | 5.00 | 3793 .. | 38.00 | 5.00 |
3456 .. | 30.00 | 5.00 | 3798 .. | 41.00 | 5.00 |
3459 .. | 16.50 | 5.00 | 3803 .. | 38.00 | 5.00 |
3462 .. | 16.50 | 5.00 | 3809 .. | 47.00 | 5.00 |
3465 .. | 4.65 | 2.15 | 3815 .. | 79.00 | 5.00 |
3466 .. | 4.65 | 2.15 | 3820 .. | 63.00 | 5.00 |
3468 .. | 9.05 | 4.35 | 3825 .. | 54.00 | 5.00 |
3472 .. | 12.00 | 5.00 | 3831 .. | 86.00 | 5.00 |
3475 .. | 12.00 | 5.00 | 3834 .. | 135.00 | 5.00 |
3477 .. | 12.00 | 5.00 | 3841 .. | 135.00 | 5.00 |
3480 .. | 25.00 | 5.00 | 3846 .. | 15.00 | 5.00 |
3483 .. | 25.00 | 5.00 | 3855 .. | 18.00 | 5.00 |
Schedule 5—continued
Number of item in First Schedule | Fund medical benefit | Specifics excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
3864 .. | 47.00 | 5.00 | 4197 .. | 4.15 | 1.95 |
3870 .. | 49.00 | 5.00 | 4202 .. | 110.00 | 5.00 |
3875 .. | 52.00 | 5.00 | 4209 .. | 91.00 | 5.00 |
3882 .. | 61.00 | 5.00 | 4214 .. | 37.00 | 5.00 |
3889 .. | 74.00 | 5.00 | 4216 .. | 54.00 | 5.00 |
3894 .. | 47.00 | 5.00 | 4222 .. | 27.00 | 5.00 |
3898 .. | 61.00 | 5.00 | 4227 .. | 33.00 | 5.00 |
3902 .. | 61.00 | 5.00 | 4233 .. | 47.00 | 5.00 |
3910 .. | 38.00 | 5.00 | 4238 .. | 69.00 | 5.00 |
3916 .. | 47.00 | 5.00 | 4241 .. | 155.00 | 5.00 |
3922 .. | 88.00 | 5.00 | 4246 .. | 22.00 | 5.00 |
3930 .. | 110.00 | 5.00 | 4249 .. | 30.00 | 5.00 |
3938 .. | 135.00 | 5.00 | 4251 .. | 26.00 | 5.00 |
3946 .. | 47.00 | 5.00 | 4254 .. | 35.00 | 5.00 |
3952 .. | 38.00 | 5.00 | 4258 .. | 38.00 | 5.00 |
3958 .. | 38.00 | 5.00 | 4262 .. | 47.00 | 5.00 |
3962 .. | 47.00 | 5.00 | 4265 .. | 2.70 | 1.30 |
3965 .. | 61.00 | 5.00 | 4269 .. | 18.00 | 5.00 |
3968 .. | 38.00 | 5.00 | 4273 .. | 22.50 | 5.00 |
3970 .. | 47.00 | 5.00 | 4282 .. | 19.50 | 5.00 |
3976 .. | 26.00 | 5.00 | 4285 .. | 25.00 | 5.00 |
3981 .. | 33.00 | 5.00 | 4288 .. | 26.00 | 5.00 |
3986 .. | 47.00 | 5.00 | 4293 .. | 35.00 | 5.00 |
3990 .. | 47.00 | 5.00 | 4296 .. | 47.00 | 5.00 |
3996 .. | 31.00 | 5.00 | 4399 .. | 74.00 | 5.00 |
4000 .. | 39.00 | 5.00 | 4307 .. | 39.00 | 5.00 |
4003 .. | 19.50 | 5.00 | 4313 .. | 8.60 | 4.10 |
4009 .. | 44.00 | 5.00 | 4319 .. | 3.55 | 1.65 |
4012 .. | 75.00 | 5.00 | 4327 .. | 6.65 | 3.65 |
4018 .. | 79.00 | 5.00 | 4338 .. | 12.00 | 5.00 |
4020 .. | 38.00 | 5.00 | 4345 .. | 15.00 | 5.00 |
4021 .. | 47.00 | 5.00 | 4351 .. | 3.70 | 1.70 |
4027 .. | 38.00 | 5.00 | 4354 .. | 4.15 | 1.95 |
4032 .. | 47.00 | 5.00 | 4362 .. | 6.25 | 2.95 |
4039 .. | 59.00 | 5.00 | 4365 .. | 16.50 | 5.00 |
4043 .. | 75.00 | 5.00 | 4370 .. | 8.60 | 5.00 |
4046 .. | 88.00 | 5.00 | 4375 .. | 3.60 | 5.00 |
4048 .. | 110.00 | 5.00 | 4380 .. | 13.00 | 5.00 |
4052 .. | 133.00 | 5.00 | 4387 .. | 15.00 | 5.00 |
4054 .. | 113.00 | 5.00 | 4393 .. | 18.00 | 5.00 |
4059 .. | 37.00 | 5.00 | 4397 .. | 34.00 | 5.00 |
4068 .. | 110.00 | 5.00 | 4407 .. | 52.00 | 5.00 |
4074 .. | 23.00 | 5.00 | 4413 .. | 83.00 | 5.00 |
4080 .. | 7.00 | 5.00 | 4427 .. | 2.70 | 1.30 |
4084 .. | 9.55 | 4.55 | 4434 .. | 11.00 | 5.00 |
4087 .. | 34.00 | 5.00 | 4442 .. | 15.00 | 5.00 |
4093 .. | 43.00 | 5.00 | 4455 .. | 2.95 | 1.35 |
4099 .. | 14.00 | 5.00 | 4461 .. | 12.00 | 5.00 |
4104 .. | 6.90 | 3.30 | 4467 .. | 9.05 | 4.35 |
4109 .. | 105.00 | 5.00 | 4473 .. | 6.45 | 3.05 |
4115 .. | 155.00 | 5.00 | 4482 .. | 33.00 | 5.00 |
4118 .. | 175.00 | 5.00 | 4490 .. | 10.45 | 4.95 |
4124 .. | 26.00 | 5.00 | 4497 .. | 0.95 | 0.75 |
4130 .. | 45.00 | 5.00 | 4509 .. | 3.45 | 1.95 |
4133 .. | 110.00 | 5.00 | 4521 .. | 4.15 | 1.95 |
4138 .. | 47.00 | 5.00 | 4523 .. | 6.00 | 5.00 |
4141 .. | 61.00 | 5.00 | 4527 .. | 7.00 | 5.00 |
4144 .. | 67.00 | 5.00 | 4534 .. | 7.85 | 3.75 |
4149 .. | 41.00 | 5.00 | 4537 .. | 9.00 | 5.00 |
4158 .. | 52.00 | 5.00 | 4544 .. | 13.00 | 5.00 |
4165 .. | 99.00 | 5.00 | 4552 .. | 18.50 | 5.00 |
4173 .. | 75.00 | 5.00 | 4557 .. | 25.00 | 5.00 |
4179 .. | 75.00 | 5.00 | 4568 .. | 27.50 | 5.00 |
4185 .. | 40.00 | 5.00 | 4573 .. | 34.00 | 5.00 |
4191 .. | 12.00 | 5.00 | 4578 .. | 9.05 | 4.35 |
Schedule 5—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
4585 .. | 12.00 | 5.00 | 4927 .. | 12.50 | 5.00 |
4590 .. | 61.00 | 5.00 | 4930 .. | 15.50 | 5.00 |
4594 .. | 27.50 | 5.00 | 4934 .. | 19.00 | 5.00 |
4602 .. | 5.45 | 2.55 | 4940 .. | 24.50 | 5.00 |
4606 .. | 30.00 | 5.00 | 4943 .. | 23.00 | 5.00 |
4611 .. | 21.50 | 5.00 | 4948 .. | 29.00 | 5.00 |
4617 .. | 26.00 | 5.00 | 4950 .. | 26.50 | 5.00 |
4622 .. | 6.55 | 3.35 | 4954 .. | 33.00 | 5.00 |
4629 .. | 2.75 | 1.25 | 4957 .. | 30.00 | 5.00 |
4633 .. | 7.85 | 3.75 | 4961 .. | 37.00 | 5.00 |
4637 .. | 16.50 | 5.00 | 4965 .. | 15.00 | 5.00 |
4640 .. | 67.00 | 5.00 | 4969 .. | 18.50 | 5.00 |
4643 .. | 31.00 | 5.00 | 4972 .. | 18.50 | 5.00 |
4649 .. | 92.00 | 5.00 | 4976 .. | 25.00 | 5.00 |
4651 .. | 27.50 | 5.00 | 4979 .. | 30.00 | 5.00 |
4655 .. | 21.00 | 5.00 | 4983 .. | 52.00 | 5.00 |
4658 .. | 16.50 | 5.00 | 4987 .. | 105.00 | 5.00 |
4662 .. | 44.00 | 5.00 | 4990 .. | 9.05 | 4.35 |
4665 .. | 71.00 | 5.00 | 4993 .. | 11.30 | 5.00 |
4670 .. | 3.95 | 1.85 | 4995 .. | 14.00 | 5.00 |
4676 .. | 42.00 | 5.00 | 4997 .. | 18.00 | 5.00 |
4678 .. | 29.00 | 5.00 | 4999 .. | 17.00 | 5.00 |
4690 .. | 44.00 | 5.00 | 5002 .. | 21.00 | 5.00 |
4693 .. | 65.00 | 5.00 | 5006 .. | 19.50 | 5.00 |
4696 .. | 88.00 | 5.00 | 5009 .. | 24.50 | 5.00 |
4699 .. | 105.00 | 5.00 | 5015 .. | 22.00 | 5.00 |
4702 .. | 65.00 | 5.00 | 5018 .. | 27.50 | 5.00 |
4705 .. | 105.00 | 5.00 | 5024 .. | 11.30 | 5.00 |
4709 .. | 96.00 | 5.00 | 5029 .. | 15.00 | 5.00 |
4715 .. | 47.00 | 5.00 | 5034 .. | 30.00 | 5.00 |
4721 .. | 61.00 | 5.00 | 5038 .. | 25.00 | 5.00 |
4733 .. | 52.00 | 5.00 | 5045 .. | 40.00 | 5.00 |
4738 .. | 65.00 | 5.00 | 5048 .. | 57.00 | 5.00 |
4744 .. | 120.00 | 5.00 | 5051 .. | 65.00 | 5.00 |
4749 .. | 114.00 | 5.00 | 5055 .. | 135.00 | 5.00 |
4754 .. | 120.00 | 5.00 | 5059 .. | 6.25 | 2.95 |
4762 .. | 105.00 | 5.00 | 5062 .. | 20.00 | 5.00 |
4766 .. | 105.00 | 5.00 | 5066 .. | 11.30 | 5.00 |
4778 .. | 61.00 | 5.00 | 5068 .. | 13.00 | 5.00 |
4784 .. | 79.00 | 5.00 | 5072 .. | 83.00 | 5.00 |
4789 .. | 57.00 | 5.00 | 5075 .. | 111.00 | 5.00 |
4791 .. | 135.00 | 5.00 | 5078 .. | 86.00 | 5.00 |
4794 .. | 155.00 | 5.00 | 5081 .. | 96.00 | 5.00 |
4798 .. | 110.00 | 5.00 | 5085 .. | 105.00 | 5.00 |
4801 .. | 37.00 | 5.00 | 5087 .. | 47.00 | 5.00 |
4804 .. | 75.00 | 5.00 | 5091 .. | 59.00 | 5.00 |
4808 .. | 20.00 | 5.00 | 5095 .. | 200.00 | 5.00 |
4812 .. | 15.00 | 5.00 | 5098 .. | 105.00 | 5.00 |
4817 .. | 88.00 | 5.00 | 5100 .. | 310.00 | 5.00 |
4822 .. | 47.00 | 5.00 | 5102 .. | 105.00 | 5.00 |
4828 .. | 4.65 | 2.15 | 5104 .. | 120.00 | 5.00 |
4832 .. | 9.55 | 4.55 | 5106 .. | 92.00 | 5.00 |
4838 .. | 17.00 | 5.00 | 5108 .. | 220.00 | 5.00 |
4841 .. | 17.00 | 5.00 | 5112 .. | 720.00 | 5.00 |
4844 .. | 30.00 | 5.00 | 5116 .. | 105.00 | 5.00 |
4848 .. | 25.00 | 5.00 | 5122 .. | 135.00 | 5.00 |
4853 .. | 30.00 | 5.00 | 5127 .. | 105.00 | 5.00 |
4856 .. | 9.55 | 4.55 | 5131 .. | 52.00 | 5.00 |
4860 .. | 30.00 | 5.00 | 5138 .. | 96.00 | 5.00 |
4862 .. | 30.00 | 5.00 | 5143 .. | 61.00 | 5.00 |
4864 .. | 30.00 | 5.00 | 5147 .. | 96.00 | 5.00 |
4867 .. | 52.00 | 5.00 | 5152 .. | 71.00 | 5.00 |
4870 .. | 40.00 | 5.00 | 5158 .. | 105.00 | 5.00 |
4874 .. | 30.00 | 5.00 | 5162 .. | 7.65 | 3.65 |
4877 .. | 52.00 | 5.00 | 5166 .. | 37.00 | 5.00 |
Schedule 5—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
5172 .. | 3.00 | 5.00 | 5431 .. | 6.90 | 3.30 |
5176 .. | 3.70 | 1.70 | 5445 .. | 5.45 | 2.55 |
5181 .. | 13.55 | 3.95 | 5449 .. | 2.70 | 1.30 |
5185 .. | 8.35 | 3.95 | 5456 .. | 30.00 | 5.00 |
5192 .. | 5.65 | 2.65 | 5464 .. | 15.00 | 5.00 |
5196 .. | 9.55 | 4.55 | 5470 .. | 31.00 | 5.00 |
5201 .. | 5.95 | 2.85 | 5474 .. | 14.00 | 5.00 |
5205 .. | 6.25 | 2.95 | 5480 .. | 18.00 | 5.00 |
5210 .. | 6.00 | 5.00 | 5486 .. | 30.00 | 5.00 |
5214 .. | 7.00 | 5.00 | 5490 .. | 4.15 | 1.95 |
5217 .. | 10.00 | 5.00 | 5498 .. | 114.00 | 5.00 |
5221 .. | 15.25 | 5.00 | 5503 .. | 120.00 | 5.00 |
5225 .. | 16.50 | 5.00 | 5508 .. | 120.00 | 5.00 |
5229 .. | 7.65 | 3.65 | 5520 .. | 15.00 | 5.00 |
5233 .. | 13.00 | 5.00 | 5524 .. | 18.00 | 5.00 |
5237 .. | 10.45 | 4.95 | 5530 .. | 20.00 | 5.00 |
5241 .. | 14.00 | 5.00 | 5534 .. | 24.50 | 5.00 |
5245 .. | 2.45 | 1.15 | 5540 .. | 35.00 | 5.00 |
5249 .. | 2.45 | 1.15 | 5545 .. | 52.00 | 5.00 |
5254 .. | 7.15 | 3.35 | 5556 .. | 52.00 | 5.00 |
5259 .. | 7.15 | 3.35 | 5566 .. | 86.00 | 5.00 |
5264 .. | 2.05 | 0.95 | 5568 .. | 74.00 | 5.00 |
5268 .. | 37.00 | 5.00 | 5572 .. | 15.00 | 5.00 |
5270 .. | 71.00 | 5.00 | 5598 .. | 20.00 | 5.00 |
5274 .. | 71.00 | 5.00 | 5601 .. | 14.00 | 5.00 |
5277 .. | 57.00 | 5.00 | 5605 .. | 14.00 | 5.00 |
5280 .. | 9.50 | 5.00 | 5611 .. | 19.50 | 5.00 |
5282 .. | 9.50 | 5.00 | 5613 .. | 31.00 | 5.00 |
5284 .. | 9.05 | 4.35 | 5619 .. | 20.50 | 5.00 |
5286 .. | 9.05 | 4.35 | 5624 .. | 9.55 | 4.55 |
5288 .. | 52.00 | 5.00 | 5630 .. | 69.00 | 5.00 |
5291 .. | 52.00 | 5.00 | 5636 .. | 75.00 | 5.00 |
5295 .. | 69.00 | 5.00 | 5642 .. | 135.00 | 5.00 |
5298 .. | 91.00 | 5.00 | 5647 .. | 71.00 | 5.00 |
5301 .. | 32.00 | 5.00 | 5651 .. | 96.00 | 5.00 |
5305 .. | 4.65 | 2.15 | 5654 .. | 69.00 | 5.00 |
5308 .. | 29.00 | 5.00 | 5661 .. | 86.00 | 5.00 |
5318 .. | 69.00 | 5.00 | 5665 .. | 96.00 | 5.00 |
5320 .. | 54.00 | 5.00 | 5669 .. | 96.00 | 5.00 |
5325 .. | 4.65 | 2.15 | 5675 .. | 108.00 | 5.00 |
5330 .. | 25.00 | 5.00 | 5679 .. | 96.00 | 5.00 |
5333 .. | 52.00 | 5.00 | 5683 .. | 67.00 | 5.00 |
5337 .. | 71.00 | 5.00 | 5691 .. | 86.00 | 5.00 |
5339 .. | 96.00 | 5.00 | 5694 .. | 96.00 | 5.00 |
5343 .. | 2.10 | 1.30 | 5699 .. | 99.00 | 5.00 |
5345 .. | 9.05 | 4.35 | 5705 .. | 75.00 | 5.00 |
5348 .. | 9.55 | 4.55 | 5715 .. | 69.00 | 5.00 |
5351 .. | 86.00 | 5.00 | 5721 .. | 52.00 | 5.00 |
5354 .. | 61.00 | 5.00 | 5724 .. | 59.00 | 5.00 |
5357 .. | 52.00 | 5.00 | 5726 .. | 13.50 | 5.00 |
5360 .. | 61.00 | 5.00 | 5729 .. | 30.00 | 5.00 |
5363 .. | 11.00 | 5.00 | 5732 .. | 42.00 | 5.00 |
5366 .. | 10.00 | 5.00 | 5734 .. | 86.00 | 5.00 |
5370 .. | 15.25 | 5.00 | 5737 .. | 96.00 | 5.00 |
5374 .. | 14.25 | 5.00 | 5741 .. | 86.00 | 5.00 |
5378 .. | 15.25 | 5.00 | 5744 .. | 86.00 | 5.00 |
5383 .. | 14.25 | 5.00 | 5747 .. | 69.00 | 5.00 |
5389 .. | 13.00 | 5.00 | 5753 .. | 120.00 | 5.00 |
5392 .. | 10.00 | 5.00 | 5757 .. | 153.00 | 5.00 |
5396 .. | 8.60 | 4.10 | 5763 .. | 69.00 | 5.00 |
5401 .. | 11.30 | 5.00 | 5769 .. | 86.00 | 5.00 |
5407 .. | 4.40 | 3.50 | 5773 .. | 75.00 | 5.00 |
5411 .. | 6.55 | 4.95 | 5777 .. | 96.00 | 5.00 |
5415 .. | 8.25 | 5.00 | 5780 .. | 86.00 | 5.00 |
5424 .. | 10.75 | 5.00 | 5785 .. | 86.00 | 5.00 |
Schedule 5—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
5792 .. | 104.00 | 5.00 | 6079 .. | 52.00 | 5.00 |
5799 .. | 86.00 | 5.00 | 6083 .. | 69.00 | 5.00 |
5804 .. | 104.00 | 5.00 | 6086 .. | 69.00 | 5.00 |
5807 .. | 120.00 | 5.00 | 6089 .. | 65.00 | 5.00 |
5812 .. | 59.00 | 5.00 | 6092 .. | 65.00 | 5.00 |
5816 .. | 69.00 | 5.00 | 6095 .. | 24.50 | 5.00 |
5821 .. | 69.00 | 5.00 | 6098 .. | 15.00 | 5.00 |
5827 .. | 86.00 | 5.00 | 6105 .. | 33.00 | 5.00 |
5831 .. | 67.00 | 5.00 | 6107 .. | 42.00 | 5.00 |
5836 .. | 86.00 | 5.00 | 6110 .. | 65.00 | 5.00 |
5837 .. | 40.00 | 5.00 | 6114 .. | 67.00 | 5.00 |
5840 .. | 2.35 | 1.05 | 6118 .. | 123.00 | 5.00 |
5845 .. | 10.70 | 5.00 | 6122 .. | 24.50 | 5.00 |
5847 .. | 15.00 | 5.00 | 6130 .. | 52.00 | 5.00 |
5851 .. | 15.50 | 5.00 | 6135 .. | 86.00 | 5.00 |
5853 .. | 20.00 | 5.00 | 6140 .. | 15.50 | 5.00 |
5857 .. | 7.40 | 3.50 | 6146 .. | 15.50 | 5.00 |
5861 .. | 7.40 | 3.50 | 6152 .. | 42.00 | 5.00 |
5864 .. | 24.50 | 5.00 | 6157 .. | 69.00 | 5.00 |
5868 .. | 20.00 | 5.00 | 6162 .. | 6.25 | 2.95 |
5871 .. | 29.00 | 5.00 | 6166 .. | 69.00 | 5.00 |
5875 .. | 65.00 | 5.00 | 6170 .. | 9.05 | 4.35 |
5378 .. | 22.50 | 5.00 | 6175 .. | 33.00 | 5.00 |
5881 .. | 42.00 | 5.00 | 6179 .. | 42.00 | 5.00 |
5885 .. | 30.00 | 5.00 | 6184 .. | 86.00 | 5.00 |
5888 .. | 42.00 | 5.00 | 6189 .. | 42.00 | 5.00 |
5891 .. | 52.00 | 5.00 | 6194 .. | 86.00 | 5.00 |
5894 .. | 65.00 | 5.00 | 6199 .. | 3.75 | 1.75 |
5897 .. | 30.00 | 5.00 | 6204 .. | 42.00 | 5.00 |
5901 .. | 37.00 | 5.00 | 6208 .. | 79.00 | 5.00 |
5905 .. | 96.00 | 5.00 | 6212 .. | 25.00 | 5.00 |
5916 .. | 65.00 | 5.00 | 6216 .. | 15.50 | 5.00 |
5919 .. | 65.00 | 5.00 | 6218 .. | 15.50 | 5.00 |
5929 .. | 69.00 | 5.00 | 6221 .. | 19.00 | 5.00 |
5935 .. | 37.00 | 5.00 | 6224 .. | 24.50 | 5.00 |
5941 .. | 75.00 | 5.00 | 6228 .. | 24.50 | 5.00 |
5947 .. | 59.00 | 5.00 | 6230 .. | 86.00 | 5.00 |
5956 .. | 69.00 | 5.00 | 6233 .. | 30.00 | 5.00 |
5964 .. | 3.75 | 1.75 | 6236 .. | 27.50 | 5.00 |
5968 .. | 42.00 | 5.00 | 6238 .. | 52.00 | 5.00 |
5973 .. | 42.00 | 5.00 | 6241 .. | 59.00 | 5.00 |
5977 .. | 59.00 | 5.00 | 6244 .. | 46.00 | 5.00 |
5981 .. | 155.00 | 5.00 | 6246 .. | 15.50 | 5.00 |
5984 .. | 86.00 | 5.00 | 6249 .. | 32.50 | 5.00 |
5993 .. | 104.00 | 5.00 | 6253 .. | 20.00 | 5.00 |
6001 .. | 81.00 | 5.00 | 6258 .. | 6.25 | 2.95 |
6005 .. | 25.00 | 5.00 | 6262 .. | 4.15 | 1.95 |
6010 .. | 42.00 | 5.00 | 6267 .. | 6.25 | 2.95 |
6017 .. | 105.00 | 5.00 | 6271 .. | 6.90 | 3.30 |
6022 .. | 25.00 | 5.00 | 6274 .. | 12.00 | 5.00 |
6027 .. | 37.00 | 5.00 | 6277 .. | 15.00 | 5.00 |
6030 .. | 11.30 | 5.00 | 6278 .. | 9.05 | 4.35 |
6033 .. | 42.00 | 5.00 | 6280 .. | 11.70 | 5.00 |
6036 .. | 3.75 | 1.75 | 6284 .. | 4.65 | 2.15 |
6039 .. | 6.25 | 2.95 | 6286 .. | 6.90 | 3.30 |
6041 .. | 86.00 | 5.00 | 6290 .. | 4.65 | 2.15 |
6044 .. | 24.50 | 5.00 | 6292 .. | 9.05 | 4.35 |
6047 .. | 11.70 | 5.00 | 6296 .. | 11.70 | 5.00 |
6053 .. | 29.00 | 5.00 | 6299 .. | 22.50 | 5.00 |
6056 .. | 20.00 | 5.00 | 6302 .. | 30.00 | 5.00 |
6061 .. | 14.00 | 5.00 | 6306 .. | 108.00 | 5.00 |
6066 .. | 7.40 | 3.50 | 6308 .. | 61.00 | 5.00 |
6069 .. | 20.00 | 5.00 | 6313 .. | 3.40 | 1.60 |
6073 .. | 20.00 | 5.00 | 6321 .. | 18.00 | 5.00 |
6077 .. | 59.00 | 5.00 | 6325 .. | 61.00 | 5.00 |
Schedule 5—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
6327 .. | 61.00 | 5.00 | 6672 .. | 28.00 | 5.00 |
6332 .. | 35.00 | 5.00 | 6674 .. | 7.00 | 5.00 |
6336 .. | 13.00 | 5.00 | 6677 .. | 31.00 | 5.00 |
6342 .. | 9.55 | 4.55 | 6681 .. | 40.00 | 5.00 |
6347 .. | 19.00 | 5.00 | 6686 .. | 8.10 | 3.80 |
6352 .. | 25.00 | 5.00 | 6688 .. | 42.00 | 5.00 |
6358 .. | 37.00 | 5.00 | 6692 .. | 54.00 | 5.00 |
6363 .. | 47.00 | 5.00 | 6697 .. | 42.00 | 5.00 |
6367 .. | 46.00 | 5.00 | 6699 .. | 54.00 | 5.00 |
6373 .. | 57.00 | 5.00 | 6701 .. | 30.00 | 5.00 |
6379 .. | 52.50 | 5.00 | 6703 .. | 17.00 | 5.00 |
6384 .. | 134.00 | 5.00 | 6705 .. | 36.00 | 5.00 |
6389 .. | 14.00 | 5.00 | 6707 .. | 57.00 | 5.00 |
6396 .. | 47.00 | 5.00 | 6709 .. | 35.00 | 5.00 |
6401 .. | 61.00 | 5.00 | 6713 .. | 59.00 | 5.00 |
6406 .. | 59.00 | 5.00 | 6715 .. | 74.00 | 5.00 |
6409 .. | 4.95 | 2.35 | 6718 .. | 82.00 | 5.00 |
6412 .. | 4.95 | 2.35 | 6722 .. | 92.00 | 5.00 |
6415 .. | 9.25 | 2.05 | 6724 .. | 44.00 | 5.00 |
6418 .. | 13.50 | 5.00 | 6728 .. | 57.00 | 5.00 |
6424 .. | 18.00 | 5.00 | 6730 .. | 67.00 | 5.00 |
6428 .. | 20.00 | 5.00 | 6736 .. | 92.00 | 5.00 |
6434 .. | 25.50 | 5.00 | 6740 .. | 36.00 | 5.00 |
6436 .. | 11.30 | 5.00 | 6742 .. | 47.00 | 5.00 |
6441 .. | 14.00 | 5.00 | 6744 .. | 67.00 | 5.00 |
6446 .. | 6.25 | 2.95 | 6747 .. | 92.00 | 5.00 |
6451 .. | 8.35 | 3.95 | 6752 .. | 9.05 | 4.35 |
6460 .. | 10.45 | 4.95 | 6754 .. | 6.45 | 3.05 |
6464 .. | 13.50 | 5.00 | 6758 .. | 40.00 | 5.00 |
6469 .. | 18.00 | 5.00 | 6762 .. | 9.05 | 4.35 |
6476 .. | 20.90 | 5.00 | 6766 .. | 23.00 | 5.00 |
6481 .. | 16.40 | 5.00 | 6768 .. | 29.00 | 5.00 |
6486 .. | 13.40 | 5.00 | 6772 .. | 17.00 | 5.00 |
6491 .. | 16.40 | 5.00 | 6774 .. | 44.00 | 5.00 |
6501 .. | 14.85 | 5.00 | 6778 .. | 61.00 | 5.00 |
6506 .. | 17.85 | 5.00 | 6782 .. | 52.00 | 5.00 |
6508 .. | 47.00 | 5.00 | 6786 .. | 67.00 | 5.00 |
6513 .. | 47.00 | 5.00 | 6790 .. | 67.00 | 5.00 |
6517 .. | 59.00 | 5.00 | 6792 .. | 37.00 | 5.00 |
6519 .. | 47.00 | 5.00 | 6796 .. | 40.00 | 5.00 |
6523 .. | 59.00 | 5.00 | 6799 .. | 1.65 | 3.65 |
6528 .. | 53.50 | 5.00 | 6802 .. | 3.75 | 1.75 |
6530 .. | 6.00 | 5.00 | 6805 .. | 0.10 | 2.95 |
6534 .. | 67.00 | 5.00 | 6807 .. | 9.05 | 4.35 |
6536 .. | 100.00 | 5.00 | 6810 .. | 33.00 | 5.00 |
6542 .. | 71.00 | 5.00 | 6814 .. | 9.55 | 4.55 |
6546 .. | 53.00 | 5.00 | 6816 .. | 1.40 | 0.80 |
6553 .. | 37.00 | 5.00 | 6818 .. | 5.65 | 2.65 |
6557 .. | 47.00 | 5.00 | 6820 .. | 17.00 | 5.00 |
6561 .. | 37.00 | 5.00 | 6822 .. | 19.50 | 5.00 |
6563 .. | 47.00 | 5.00 | 6824 .. | 5.65 | 2.65 |
6570 .. | 52.00 | 5.00 | 6828 .. | 120.00 | 5.00 |
6585 .. | 30.00 | 5.00 | 6832 .. | 79.00 | 5.00 |
6594 .. | 5.00 | 5.00 | 6835 .. | 4.75 | 2.25 |
6599 .. | 2.35 | 2.45 | 6837 .. | 16.00 | 5.00 |
6604 .. | 18.00 | 5.00 | 6842 .. | 9.05 | 4.35 |
6613 .. | 66.00 | 5.00 | 6846 .. | 23.00 | 5.00 |
6631 .. | 57.00 | 5.00 | 6848 .. | 50.00 | 5.00 |
6636 .. | 4.95 | 2.35 | 6852 .. | 57.00 | 5.00 |
6641 .. | 3.35 | 1.55 | 6857 .. | 40.00 | 5.00 |
6645 .. | 31.00 | 5.00 | 6859 .. | 105.00 | 5.00 |
6650 .. | 40.00 | 5.00 | 6861 .. | 46.00 | 5.00 |
6661 .. | 37.50 | 5.00 | 6865 .. | 27.00 | 5.00 |
6665 .. | 18.00 | 5.00 | 6869 .. | 25.00 | 5.00 |
6669 .. | 57.00 | 5.00 | 6871 .. | 57.00 | 5.00 |
Schedule 5—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
6873 .. | 71.00 | 5.00 | 7072 .. | 4.65 | 2.15 |
6879 .. | 61.00 | 5.00 | 7075 .. | 5.65 | 2.65 |
6881 .. | 46.00 | 5.00 | 7079 .. | 22.50 | 5.00 |
6885 .. | 97.00 | 5.00 | 7081 .. | 24.00 | 5.00 |
6889 .. | 30.00 | 5.00 | 7085 .. | 5.65 | 2.65 |
6891 .. | 47.00 | 5.00 | 7089 .. | 6.65 | 3.15 |
6894 .. | 96.00 | 5.00 | 7093 .. | 5.95 | 2.85 |
6898 .. | 25.00 | 5.00 | 7099 .. | 15.50 | 5.00 |
6900 .. | 79.00 | 5.00 | 7106 .. | 9.75 | 4.65 |
6902 .. | 105.00 | 5.00 | 7111 .. | 12.50 | 5.00 |
6904 .. | 30.00 | 5.00 | 7112 .. | 18.00 | 5.00 |
6906 .. | 13.50 | 5.00 | 7116 .. | 16.50 | 5.00 |
6908 .. | 52.00 | 5.00 | 7117 .. | 21.50 | 5.00 |
6912 .. | 79.00 | 5.00 | 7120 .. | 30.00 | 5.00 |
6914 .. | 6.90 | 3.30 | 7121 .. | 40.00 | 5.00 |
6918 .. | 5.45 | 2.55 | 7124 .. | 37.00 | 5.00 |
6922 .. | 36.00 | 5.00 | 7128 .. | 37.00 | 5.00 |
6924 .. | 41.00 | 5.00 | 7129 .. | 63.00 | 5.00 |
6928 .. | 55.00 | 5.00 | 7132 .. | 43.00 | 5.00 |
6930 .. | 21.00 | 5.00 | 7134 .. | 43.00 | 5.00 |
6932 .. | 35.00 | 5.00 | 7138 .. | 69.00 | 5.00 |
6934 .. | 34.00 | 5.00 | 7139 .. | 75.00 | 5.00 |
6938 .. | 35.00 | 5.00 | 7143 .. | 37.00 | 5.00 |
6940 .. | 5.15 | 2.45 | 7148 .. | 15.00 | 5.00 |
6942 .. | 8.55 | 4.05 | 7152 .. | 5.00 | 5.00 |
6946 .. | 6.90 | 3.30 | 7156 .. | 37.00 | 5.00 |
6948 .. | 3.45 | 1.65 | 7165 .. | 65.00 | 5.00 |
6953 .. | 8.55 | 4.05 | 7170 .. | 104.00 | 5.00 |
6955 .. | 40.00 | 5.00 | 7175 .. | 32.00 | 5.00 |
6958 .. | 82.00 | 5.00 | 7178 .. | 11.50 | 5.00 |
6962 .. | 120.00 | 5.00 | 7182 .. | 14.50 | 5.00 |
6964 .. | 88.00 | 5.00 | 7186 .. | 19.50 | 5.00 |
6966 .. | 120.00 | 5.00 | 7192 .. | 40.00 | 5.00 |
6968 .. | 63.00 | 5.00 | 7194 .. | 88.00 | 5.00 |
6970 .. | 36.00 | 5.00 | 7198 .. | 130.00 | 5.00 |
6972 .. | 108.00 | 5.00 | 7203 .. | 220.00 | 5.00 |
6974 .. | 23.50 | 5.00 | 7208 .. | 32.00 | 5.00 |
6976 .. | 7.15 | 3.35 | 7212 .. | 40.00 | 5.00 |
6978 .. | 15.00 | 5.00 | 7216 .. | 96.00 | 5.00 |
6980 .. | 20.00 | 5.00 | 7220 .. | 51.00 | 5.00 |
6982 .. | 88.00 | 5.00 | 7231 .. | 65.00 | 5.00 |
6984 .. | 120.00 | 5.00 | 7236 .. | 67.00 | 5.00 |
6986 .. | 120.00 | 5.00 | 7240 .. | 83.00 | 5.00 |
6988 .. | 150.00 | 5.00 | 7244 .. | 96.00 | 5.00 |
6990 .. | 54.00 | 5.00 | 7248 .. | 96.00 | 5.00 |
6992 .. | 36.00 | 5.00 | 7251 .. | 79.00 | 5.00 |
6995 .. | 88.00 | 5.00 | 7265 .. | 220.00 | 5.00 |
6997 .. | 88.00 | 5.00 | 7270 .. | 114.00 | 5.00 |
6999 .. | 120.00 | 5.00 | 7274 .. | 57.00 | 5.00 |
7001 .. | 37.00 | 5.00 | 7279 .. | 65.00 | 5.00 |
7003 .. | 47.00 | 5.00 | 7283 .. | 130.00 | 5.00 |
7006 .. | 9.00 | 5.00 | 7287 .. | 40.00 | 5.00 |
7011 .. | 37.00 | 5.00 | 7291 .. | 65.00 | 5.00 |
7013 .. | 67.00 | 5.00 | 7298 .. | 79.00 | 5.00 |
7021 .. | 108.00 | 5.00 | 7304 .. | 220.00 | 5.00 |
7023 .. | 88.00 | 5.00 | 7307 .. | 130.00 | 5.00 |
7028 .. | 54.00 | 5.00 | 7312 .. | 96.00 | 5.00 |
7033 .. | 33.00 | 5.00 | 7331 .. | 86.00 | 5.00 |
7042 .. | 26.00 | 5.00 | 7336 .. | 86.00 | 5.00 |
7046 .. | 25.00 | 5.00 | 7341 .. | 86.00 | 5.00 |
7050 .. | 25.00 | 5.00 | 7346 .. | 88.00 | 5.00 |
7057 .. | 250.00 | 5.00 | 7353 .. | 108.00 | 5.00 |
7062 .. | 25.00 | 5.00 | 7355 .. | 96.00 | 5.00 |
7066 .. | 200.00 | 5.00 | 7361 .. | 49.00 | 3.00 |
7068 .. | 1.40 | 0.80 |
|
|
|
Schedule 5—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
7365 .. | 49.00 | 5.00 | 7559 .. | 10.90 | 5.00 |
7370 .. | 86.00 | 5.00 | 7563 .. | 13.50 | 5.00 |
7376 .. | 63.00 | 5.00 | 7567 .. | 14.00 | 5.00 |
7381 .. | 57.00 | 5.00 | 7572 .. | 14.50 | 5.00 |
7397 .. | 3.70 | 1.70 | 7578 .. | 14.00 | 5.00 |
7402 .. | 3.70 | 1.70 | 7584 .. | 14.50 | 5.00 |
7406 .. | 2.30 | 1.10 | 7588 .. | 7.40 | 3.50 |
7408 .. | 2.30 | 1.10 | 7593 .. | 7.05 | 4.35 |
7410 .. | 5.75 | 2.75 | 7597 .. | 9.05 | 4.35 |
7412 .. | 6.90 | 3.30 | 7601 .. | 1.40 | 0.80 |
7416 .. | 5.75 | 2.75 | 7605 .. | 2.45 | 1.25 |
7419 .. | 4.65 | 2.15 | 7608 .. | 14.00 | 5.00 |
7423 .. | 8.35 | 3.95 | 7610 .. | 19.50 | 5.00 |
7426 .. | 5.45 | 2.55 | 7615 .. | 10.45 | 4.95 |
7430 .. | 10.90 | 5.00 | 7619 .. | 14.00 | 5.00 |
7432 .. | 14.00 | 5.00 | 7624 .. | 35.00 | 5.00 |
7435 .. | 2.30 | 1.10 | 7627 .. | 47.00 | 5.00 |
7436 .. | 6.90 | 3.30 | 7632 .. | 8.10 | 3.80 |
7440 .. | 18.50 | 5.00 | 7637 .. | 9.05 | 4.95 |
7443 .. | 25.00 | 5.00 | 7641 .. | 7.05 | 4.95 |
7446 .. | 13.50 | 5.00 | 7643 .. | 11.00 | 5.00 |
7451 .. | 17.00 | 5.00 | 7647 .. | 22.00 | 5.00 |
7457 .. | 5.45 | 2.55 | 7652 .. | 30.00 | 5.00 |
7461 .. | 9.05 | 4.35 | 7657 .. | 22.00 | 5.00 |
7464 .. | 2.70 | 1.30 | 7662 .. | 30.00 | 5.00 |
7468 .. | 6.90 | 3.30 | 7666 .. | 22.00 | 5.00 |
7472 .. | 22.50 | 5.00 | 7668 .. | 30.00 | 5.00 |
7476 .. | 22.50 | 5.00 | 7673 .. | 7.15 | 3.45 |
7480 .. | 9.50 | 4.50 | 7677 .. | 10.45 | 4.95 |
7483 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relative to the dislocation concerned, plus one-half of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the dislocation concerned, plus one-half of that amount | 7681 .. | 2.95 | 1.35 |
|
|
| 7683 .. | 4.65 | 2.15 |
|
|
| 7687 .. | 7.15 | 3.35 |
|
|
| 7691 .. | 7.15 | 3.35 |
|
|
| 7694 .. | 1.40 | 0.80 |
|
|
| 7697 .. | 2.45 | 1.25 |
|
|
| 7701 .. | 1.40 | 0.80 |
|
|
| 7706 .. | 2.45 | 1.25 |
|
|
| 7709 .. | 4.55 | 4.95 |
|
|
| 7712 .. | 3.00 | 5.00 |
|
|
| 7715 .. | 42.00 | 5.00 |
|
|
| 7718 .. | 8.55 | 4.05 |
|
|
| 7721 .. | 11.70 | 5.00 |
|
|
| 7724 .. | 11.70 | 5.00 |
|
|
| 7727 .. | 27.50 | 5.00 |
|
|
| 7731 .. | 27.50 | 5.00 |
|
|
| 7734 .. | 30.00 | 5.00 |
|
|
| 7737 .. | 30.00 | 5.00 |
|
|
| 7739 .. | 10.45 | 4.95 |
7485 .. | 9.50 | 4.50 | 7743 .. | 14.00 | 5.00 |
7505 .. | 3.35 | 1.55 | 7745 .. | 14.00 | 5.00 |
7508 .. | 7.15 | 3.35 | 7749 .. | 37.00 | 5.00 |
7512 .. | 10.43 | 4.95 | 7753 .. | 37.00 | 5.00 |
7516 .. | 4.75 | 2.25 | 7757 .. | 40.00 | 5.00 |
7520 .. | 10.45 | 4.95 | 7761 .. | 40.00 | 5.00 |
7524 .. | 15.00 | 5.00 | 7764 .. | 9.30 | 4.40 |
7527 .. | 12.50 | 5.00 | 7766 .. | 13.00 | 5.00 |
7530 .. | 18.00 | 5.00 | 7770 .. | 13.00 | 5.00 |
7533 .. | 5.45 | 2.55 | 7774 .. | 1.40 | 0.80 |
7535 .. | 10.45 | 4.95 | 7777 .. | 2.45 | 1.25 |
7538 .. | 13.00 | 5.00 | 7781 .. | 1.40 | 0.80 |
7540 .. | 13.50 | 5.00 | 7785 .. | 2.45 | 1.25 |
7544 .. | 20.00 | 5.00 | 7789 .. | 17.00 | 5.00 |
7547 .. | 10.45 | 4.95 | 7793 .. | 30.00 | 5.00 |
7550 .. | 11.30 | 5.00 | 7798 .. | 79.00 | 5.00 |
7552 .. | 11.00 | 5.00 | 7802 .. | 9.50 | 4.50 |
Schedule 5—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
7803 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-thud of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount |
| the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount | the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount |
|
|
| 7815 .. | 9.50 | 4.50 |
|
|
| 7817 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount |
7804 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount |
|
|
|
|
|
| 7818 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount |
7808 .. | 9.50 | 4.50 |
|
|
|
7809 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount |
|
|
|
|
|
| 7821 .. | 9.50 | 4.50 |
|
|
| 7823 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus three-quarters of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus three-quarters of that amount |
7812 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes |
|
|
|
Schedule 5—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
7824 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus three-quarters of that amount | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus three-quarters of that amount |
| Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7834 in the table of Commonwealth medical benefit apply to the reduction concerned | Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7834 in the table of Commonwealth medical benefits apply to the reduction concerned |
|
|
| 7836 .. | One-half of the amount shown in this column in the item that would, but for item 7836 in the table of Commonwealth medical benefits apply to the reduction concerned | One-half of the amount shown in this column in the item that would, but for item 7836 in the table of Commonwealth medical benefits apply to the reduction concerned |
7828 .. | One-half of the amount shown in this column in the item (other than an item relating in an item in the table of | One-half of the amount shown in this column in the item (other than an item relating to an item in the table of |
|
|
|
| Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7828 in the table of medical benefits apply to the reduction concerned | Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7828 in the table of Commonwealth medical benefits apply to the reduction concerned | 7839 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7839 in the table of Commonwealth medical benefits apply to the reduction concerned | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, hut for item 7839 in the table of Commonwealth medical benefits apply to the reduction concerned |
7831 .. | One-half of the amount shown in this column in the item that would, but for item 7831 in the table of Commonwealth medical benefits apply to the reduction concerned | One-half of the amount shown in this column in the item that would, but for item 7831 in the table of Commonwealth medical benefits apply to the reduction concerned |
|
|
|
|
|
| 7841 .. | The amount shown in this column in the item that would, but for item 7841 in the table of Commonwealth medical benefits apply to the reduction concerned | The amount shown in this column in the item that would, but for item 7841 in the table of Commonwealth medical benefits apply to the reduction concerned |
7834 .. | One-half of the amount shown in this column in the item (other than an item relating to an item in the table of | One-half of the amount shown in this column in the item (other than an item relating to an item in the table of |
|
|
|
|
|
| 7844 .. | The amount shown in this | The amount shown in this |
Schedule 5—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
| column in the item that would apply in the case of a simple and uncomplicated fracture of the part concerned | column in the item that would apply in the case of a simple and uncomplicated fracture of the part concerned | 7910 .. | 29.00 | 5.00 |
|
|
| 7942 .. | 65.00 | 5.00 |
|
|
| 7945 .. | 113.00 | 5.00 |
|
|
| 7947 .. | 99.00 | 5.00 |
|
|
| 7951 .. | 125.00 | 5.00 |
|
|
| 7957 .. | 113.00 | 5.00 |
|
|
| 7961 .. | 150.00 | 5.00 |
|
|
| 7967 .. | 110.00 | 5.00 |
|
|
| 7969 .. | 150.00 | 5.00 |
7847 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | 7975 .. | 75.00 | 5.00 |
|
|
| 7977 .. | 59.00 | 5.00 |
|
|
| 7983 .. | 75.00 | 5.00 |
|
|
| 7985 .. | 75.00 | 5.00 |
|
|
| 7993 .. | 54.00 | 5.00 |
|
|
| 7999 .. | 49.00 | 5.00 |
|
|
| 8001 .. | 44.00 | 5.00 |
|
|
| 8006 .. | 44.00 | 5.00 |
|
|
| 8009 .. | 23.50 | 5.00 |
|
|
| 8014 .. | 26.00 | 5.00 |
|
|
| 8017 .. | 69.00 | 5.00 |
|
|
| 8019 .. | 82.00 | 5.00 |
|
|
| 8022 .. | 8.50 | 5.00 |
|
|
| 8026 .. | 7.15 | 3.35 |
|
|
| 8028 .. | 41.00 | 5.00 |
|
|
| 8032 .. | 46.00 | 5.00 |
|
|
| 8036 .. | 41.00 | 5.00 |
|
|
| 8040 .. | 29.00 | 5.00 |
7849 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | 8044 .. | 108.00 | 5.00 |
|
|
| 8048 .. | 74.00 | 5.00 |
|
|
| 8053 .. | 74.00 | 5.00 |
|
|
| 8061 .. | 92.00 | 5.00 |
|
|
| 8069 .. | 135.00 | 5.00 |
|
|
| 8074 .. | 54.00 | 5.00 |
|
|
| 8076 .. | 135.00 | 5.00 |
|
|
| 8079 .. | 74.00 | 5.00 |
|
|
| 8081 .. | 36.00 | 5.00 |
|
|
| 8084 .. | 18.00 | 5.00 |
|
|
| 8087 .. | 58.00 | 5.00 |
|
|
| 8089 .. | 54.00 | 5.00 |
|
|
| 8092 .. | 67.00 | 5.00 |
|
|
| 8095 .. | 39.00 | 5.00 |
|
|
| 8097 .. | 49.00 | 5.00 |
|
|
| 8100 .. | 59.00 | 5.00 |
|
|
| 8103 .. | 35.00 | 5.00 |
7853 .. | 23.50 | 5.00 | 8105 .. | 0.25 | 1.15 |
7857 .. | 23.50 | 5.00 | 8108 .. | 2.65 | 1.25 |
7861 .. | 3.20 | 1.00 | 8113 .. | 36.00 | 5.00 |
7864 .. | 2.30 | 1.10 | 8116 .. | 54.00 | 5.00 |
7868 .. | 5.65 | 2.65 | 8120 .. | 31.00 | 5.00 |
7872 .. | 3.45 | 4.55 | 8124 .. | 15.50 | 5.00 |
7878 .. | 3.50 | 5.00 | 8127 .. | 21.00 | 5.00 |
7883 .. | 9.55 | 4.55 | 8131 .. | 31.50 | 5.00 |
7888 .. | 9.55 | 4.55 | 8135 .. | 41.00 | 5.00 |
7898 .. | 88.00 | 5.00 | 8140 .. | 27.90 | 5.00 |
7902 .. | 31.00 | 5.00 | 8143 .. | 36.40 | 5.00 |
7907 .. | 31.00 | 5.00 | 8148 .. | 46.00 | 5.00 |
7911 .. | 8.60 | 4.10 | 8151 .. | 18.00 | 5.00 |
7915 .. | 10.90 | 5.00 | 8153 .. | 23.00 | 5.00 |
7919 .. | 6.75 | 4.55 | 8158 .. | 54.00 | 5.00 |
7923 .. | 6.00 | 5.00 | 8161 .. | 42.00 | 5.00 |
7926 .. | 15.00 | 5.00 | 8166 .. | 31.00 | 5.00 |
7928 .. | 26.00 | 5.00 | 8169 .. | 18.00 | 5.00 |
7932 .. | 26.00 | 5.00 | 8173 .. | 23.00 | 5.00 |
7934 .. | 135.00 | 5.00 | 8175 .. | 23.00 | 5.00 |
7937 .. | 41.00 | 5.00 | 8179 .. | 22.50 | 5.00 |
Schedule 5—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
8182 .. | 29.00 | 5.00 | 8340 .. | 4.75 | 2.25 |
8185 .. | 17.50 | 5.00 | 8342 .. | 3.80 | 1.80 |
8187 .. | 26.00 | 5.00 | 8344 .. | 5.75 | 2.75 |
8190 .. | 26.00 | 5.00 | 8346 .. | 3.80 | 1.80 |
8193 .. | 31.00 | 5.00 | 8348 .. | 7.15 | 3.35 |
8195 .. | 36.00 | 5.00 | 8350 .. | 20.50 | 5.00 |
8198 .. | 59.00 | 5.00 | 8352 .. | 3.80 | 1.80 |
8201 .. | 88.00 | 5.00 | 8354 .. | 5.75 | 2.75 |
8203 .. | 49.00 | 5.00 | 8356 .. | 5.75 | 2.75 |
8206 .. | 59.00 | 5.00 | 8358 .. | 6.25 | 2.95 |
8209 .. | 57.00 | 5.00 | 8360 .. | 71.00 | 5.00 |
8211 .. | 59.00 | 5.00 | 8362 .. | 82.00 | 5.00 |
8214 .. | 13.50 | 5.00 | 8364 .. | 82.00 | 5.00 |
8217 .. | 29.00 | 5.00 | 8366 .. | 82.00 | 5.00 |
8219 .. | 24.50 | 5.00 | 8368 .. | 42.00 | 5.00 |
8222 .. | 31.00 | 5.00 | 8370 .. | 65.00 | 5.00 |
8225 .. | 36.00 | 5.00 | 8372 .. | 65.00 | 5.00 |
8227 .. | 12.00 | 5.00 | 8374 .. | 91.00 | 5.00 |
8230 .. | 15.00 | 5.00 | 8376 .. | 82.00 | 5.00 |
8233 .. | 23.50 | 5.00 | 8378 .. | 82.00 | 5.00 |
8235 .. | 31.00 | 5.00 | 8380 .. | 79.00 | 5.00 |
8238 .. | 39.00 | 5.00 | 8382 .. | 18.00 | 5.00 |
8241 .. | 9.55 | 4.55 | 8384 .. | 42.00 | 5.00 |
8243 .. | 15.00 | 5.00 | 8386 .. | 31.00 | 5.00 |
8246 .. | 8.60 | 4.10 | 8388 .. | 99.00 | 5.00 |
8249 .. | 23.00 | 5.00 | 8390 .. | 99.00 | 5.00 |
8251 .. | 44.00 | 5.00 | 8394 .. | 86.00 | 5.00 |
8254 .. | 120.00 | 5.00 | 8398 .. | 82.00 | 5.00 |
8257 .. | 59.00 | 5.00 | 8400 .. | 57.00 | 5.00 |
8259 .. | 45.00 | 5.00 | 8402 .. | 65.00 | 5.00 |
8262 .. | 26.00 | 5.00 | 8406 .. | 35.00 | 5.00 |
8265 .. | 14.00 | 5.00 | 8408 .. | 104.00 | 5.00 |
8267 .. | 18.00 | 5.00 | 8410 .. | 54.00 | 5.00 |
8271 .. | 18.00 | 5.00 | 8412 .. | 31.00 | 5.00 |
8275 .. | 27.50 | 5.00 | 8414 .. | 108.00 | 5.00 |
8279 .. | 15.00 | 5.00 | 8416 .. | 9.55 | 4.55 |
8282 .. | 20.50 | 5.00 | 8418 .. | 65.00 | 5.00 |
8283 .. | 27.50 | 5.00 | 8420 .. | 47.00 | 5.00 |
8287 .. | 18.50 | 5.00 | 8422 .. | 32.00 | 5.00 |
8290 .. | 48.00 | 5.00 | 8424 .. | 71.00 | 5.00 |
8292 .. | 48.00 | 5.00 | 8428 .. | 3.75 | 1.75 |
8294 .. | 52.00 | 5.00 | 8430 .. | 9.55 | 4.55 |
8296 .. | 15.00 | 5.00 | 8432 .. | 14.00 | 5.00 |
8298 .. | 39.00 | 5.00 | 8434 .. | 18.50 | 5.00 |
8300 .. | 36.00 | 5.00 | 8436 .. | 42.00 | 5.00 |
8302 .. | 59.00 | 5.00 | 8438 .. | 9.55 | 4.55 |
8304 .. | 74.00 | 5.00 | 8440 .. | 49.00 | 5.00 |
8306 .. | 99.00 | 5.00 | 8442 .. | 59.00 | 5.00 |
8308 .. | 74.00 | 5.00 | 8444 .. | 91.00 | 5.00 |
8310 .. | 36.00 | 5.00 | 8446 .. | 7.65 | 3.65 |
8312 .. | 36.00 | 5.00 | 8448 .. | 4.75 | 2.25 |
8314 .. | 49.00 | 5.00 | 8450 .. | 40.00 | 5.00 |
8316 .. | 49.00 | 5.00 | 8452 .. | 14.00 | 5.00 |
8318 .. | 46.00 | 5.00 | 8454 .. | 34.00 | 5.00 |
8320 .. | 46.00 | 5.00 | 8456 .. | 2.60 | 1.70 |
8322 .. | 43.00 | 5.00 | 8458 .. | 3.70 | 1.70 |
8324 .. | 49.00 | 5.00 | 8460 .. | 3.70 | 1.70 |
8326 .. | 49.00 | 5.00 | 8462 .. | 4.95 | 3.95 |
8328 .. | 36.00 | 5.00 | 8464 .. | 4.95 | 3.95 |
8330 .. | 49.00 | 5.00 | 8466 .. | 13.00 | 5.00 |
8332 .. | 3.00 | 5.00 | 8468 .. | 13.00 | 5.00 |
8334 .. | 3.80 | 1.80 | 8470 .. | 18.00 | 5.00 |
|
|
| 8472 .. | 27.50 | 5.00 |
8336 .. | 4.35 | 2.05 | 8474 .. | 49.00 | 5.00 |
8338 .. | 3.80 | 1.80 | 8476 .. | 69.00 | 5.00 |
Schedule 5—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
8478 .. | 40.00 | 5.00 | 8568 .. | 71.00 | 5.00 |
8480 .. | 23.50 | 5.00 | 8570 .. | 40.00 | 5.00 |
8482 .. | 23.50 | 5.00 | 8572 .. | 40.00 | 5.00 |
8484 .. | 36.00 | 5.00 | 8574 .. | 45.00 | 5.00 |
8486 .. | 40.00 | 5.00 | 8576 .. | 45.00 | 5.00 |
8483 .. | 19.00 | 5.00 | 8578 .. | 52.00 | 5.00 |
8490 .. | 21.50 | 5.00 | 8580 .. | 52.00 | 5.00 |
8492 .. | 9.05 | 4.35 | 8582 .. | 52.00 | 5.00 |
8494 .. | 38.00 | 5.00 | 8584 .. | 23.50 | 5.00 |
8496 .. | 19.00 | 5.00 | 8586 .. | 41.00 | 5.00 |
8498 .. | 40.00 | 5.00 | 8588 .. | 27.50 | 5.00 |
8500 .. | 32.00 | 5.00 | 8590 .. | 5.00 | 5.00 |
8502 .. | 21.50 | 5.00 | 8592 .. | 40.00 | 5.00 |
8504 .. | 17.00 | 5.00 | 8594 .. | 45.00 | 5.00 |
8506 .. | 17.00 | 5.00 | 8596 .. | 52.00 | 5.00 |
8508 .. | 36.00 | 5.00 | 8598 .. | 9.00 | 5.00 |
8510 .. | 61.00 | 5.00 | 8600 .. | 113.00 | 5.00 |
8512 .. | 23.50 | 5.00 | 8602 .. | 11.70 | 5.00 |
8514 .. | 23.50 | 5.00 | 8604 .. | 30.00 | 5.00 |
8516 .. | 52.00 | 5.00 | 8606 .. | 30.00 | 5.00 |
8518 .. | 40.00 | 5.00 | 8608 .. | 47.00 | 5.00 |
8520 .. | 40.00 | 5.00 | 8610 .. | 15.50 | 5.00 |
8522 .. | 18.00 | 5.00 | 8612 .. | 61.00 | 5.00 |
8524 .. | 25.00 | 5.00 | 8614 .. | 27.50 | 5.00 |
8526 .. | 67.00 | 5.00 | 8616 .. | 27.50 | 5.00 |
8528 .. | 79.00 | 5.00 | 8618 .. | 46.00 | 5.00 |
8530 .. | 67.00 | 5.00 | 8620 .. | 13.00 | 5.00 |
8532 .. | 79.00 | 5.00 | 8622 .. | 57.00 | 5.00 |
8534 .. | 8.35 | 3.95 | 8624 .. | 75.00 | 5.00 |
8536 .. | 18.00 | 5.00 | 8626 .. | 30.00 | 5.00 |
8538 .. | 42.00 | 5.00 | 8628 .. | 22.50 | 5.00 |
8540 .. | 82.00 | 5.00 | 8630 .. | 45.00 | 5.00 |
8542 .. | 114.00 | 5.00 | 8632 .. | 105.00 | 5.00 |
8544 .. | 27.50 | 5.00 | 8634 .. | 30.00 | 5.00 |
8546 .. | 65.00 | 5.00 | 8636 .. | 57.00 | 5.00 |
8548 .. | 74.00 | 5.00 | 8638 .. | 57.00 | 5.00 |
8550 .. | 120.00 | 5.00 | 8640 .. | 71.00 | 5.00 |
8552 .. | 42.00 | 5.00 | 8642 .. | 71.00 | 5.00 |
8554 .. | 79.00 | 5.00 | 8644 .. | 36.00 | 5.00 |
8556 .. | 61.00 | 5.00 | 8646 .. | 36.00 | 5.00 |
8558 .. | 61.00 | 5.00 | 8618 .. | 52.00 | 5.00 |
8560 .. | 52.00 | 5.00 | 8650 .. | 52.00 | 5.00 |
8562 .. | 52.00 | 5.00 | 8652 .. | 91.00 | 5.00 |
8564 .. | 52.00 | 5.00 | 8654 .. | 91.00 | 5.00 |
8566 .. | 52.00 | 5.00 | 8656 .. | 67.00 | 5.00 |
SCHEDULE 6
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 Fund Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
3 .. | 2.50 | 0.60 | 278 .. | 5.15 | 2.05 |
4 .. | 4.40 | 1.10 | 284 .. | 7.85 | 3.15 |
14 .. | 3.15 | 0.80 | 290 .. | 5.55 | 2.25 |
19 .. | 5.10 | 1.30 | 295 .. | 5.65 | 2.25 |
25 .. | 6.05 | 1.55 | 298 .. | 10.20 | 4.10 |
26 .. | 8.10 | 2.10 | 354 .. | 5.65 | 2.25 |
33 .. | 9.10 | 2.40 | 360 .. | 24.00 | 5.00 |
35 .. | 11.20 | 2.90 | 362 .. | 4.25 | 2.55 |
43 .. | 3.70 | 0.90 | 365 .. | 27.00 | 5.00 |
44 .. | 5.65 | 1.40 | 368 .. | 41.00 | 5.00 |
51 .. | 4.80 | 1.20 | 374 .. | 5.65 | 2.25 |
53 .. | 6.75 | 1.70 | 383 .. | 5.95 | 4.55 |
57 .. | 8.35 | 2.10 | 401 .. | 0.95 | 0.45 |
59 .. | 10.20 | 2.60 | 403 .. | 1.85 | 0.95 |
65 .. | 11.60 | 2.95 | 404 .. | 2.85 | 1.45 |
66 .. | 13.45 | 3.45 | 405 .. | 3.75 | 1.95 |
69 .. | 4.80 | 1.20 | 406 .. | 4.55 | 2.45 |
71 .. | 6.75 | 1.70 | 407 .. | 5.65 | 2.95 |
73 .. | 3.15 | 0.80 | 408 .. | 7.55 | 3.45 |
79 .. | 2.50 | 0.60 | 409 .. | 9.55 | 3.95 |
82 .. | 3.15 | 0.80 | 443 .. | 10.10 | 4.40 |
85 .. | 5.85 | 1.25 | 450 .. | 11.25 | 4.95 |
88 .. | 10.55 | 2.55 | 453 .. | 12.70 | 5.00 |
94 .. | 5.35 | 1.25 | 454 .. | 13.50 | 5.00 |
100 .. | 15.15 | 3.75 | 457 .. | 15.00 | 5.00 |
103 .. | 10.15 | 2.45 | 458 .. | 13.50 | 5.00 |
110 .. | 16.25 | 4.35 | 459 .. | 15.00 | 5.00 |
116 .. | 9.05 | 2.35 | 460 .. | 16.00 | 5.00 |
122 .. | 22.00 | 5.00 | 461 .. | 17.00 | 5.00 |
128 .. | 13.40 | 3.50 | 462 .. | 17.50 | 5.00 |
134 .. | 5.35 | 1.25 | 463 .. | 19.50 | 5.00 |
136 .. | 10.55 | 2.55 | 464 .. | 20.00 | 5.00 |
138 .. | 15.20 | 3.80 | 465 .. | 21.00 | 5.00 |
140 .. | 20.50 | 5.00 | 466 .. | 23.00 | 5.00 |
142 .. | 27.00 | 5.00 | 467 .. | 23.50 | 5.00 |
144 .. | 10.15 | 2.45 | 468 .. | 24.50 | 5.00 |
146 .. | 15.15 | 3.75 | 469 .. | 25.00 | 5.00 |
148 .. | 19.90 | 5.00 | 470 .. | 27.00 | 5.00 |
150 .. | 26.00 | 5.00 | 471 .. | 28.00 | 5.00 |
152 .. | 33.00 | 5.00 | 472 .. | 29.00 | 5.00 |
160 .. | 15.80 | 3.80 | 473 .. | 31.00 | 5.00 |
161 .. | 26.60 | 5.00 | 474 .. | 32.00 | 5.00 |
162 .. | 38.00 | 5.00 | 475 .. | 34.00 | 5.00 |
163 .. | 50.00 | 5.00 | 476 .. | 37.00 | 5.00 |
164 .. | 61.00 | 5.00 | 477 .. | 41.00 | 5.00 |
190 .. | 1.70 | 0.80 | 478 .. | 40.00 | 5.00 |
192 .. | 2.00 | 5.00 | 479 .. | 2.40 | 1.20 |
194 .. | 11.00 | 5.00 |
|
|
|
196 .. | 4.00 | 5.00 | 480 .. | 5.65 | 2.95 |
198 .. | 18.00 | 5.00 | 481 .. | 6.55 | 3.45 |
200 .. | 11.00 | 5.00 |
|
|
|
207 .. | 10.00 | 5.00 | 482 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the dislocation concerned, plus one-half of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the dislocation concerned, plus one-half of that amount |
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Schedule 6—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in first Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
483 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus one-third of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus one-third of that amount | 539 .. | 30.00 | 5.00 |
|
|
| 540 .. | 32.00 | 5.00 |
|
|
| 541 .. | 33.00 | 5.00 |
|
|
| 542 .. | 35.00 | 5.00 |
|
|
| 513 .. | 36.00 | 5.00 |
|
|
| 544 .. | 37.00 | 5.00 |
|
|
| 545 .. | 39.00 | 5.00 |
|
|
| 546 .. | 42.00 | 5.00 |
|
|
| 547 .. | 46.00 | 5.00 |
|
|
| 548 .. | 49.00 | 5.00 |
|
|
| 549 .. | 51.00 | 5.00 |
|
|
| 550 .. | 2.80 | 1.50 |
|
|
| 551 .. | 6.80 | 3.60 |
|
|
| 552 .. | 8.00 | 4.20 |
484 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus one-half of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus one-half of that amount | 553 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the dislocation concerned plus one-half of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the dislocation concerned plus one-third of that amount |
485 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus three-quarters of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus three-quarters of that amount |
|
|
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|
|
| 554 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus one-third of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus one-third of that amount |
500 .. | 1.20 | 0.60 |
|
|
|
505 .. | 2.30 | 1.20 |
|
|
|
506 .. | 3.40 | 1.80 |
|
|
|
509 .. | 4.50 | 2.40 |
|
|
|
510 .. | 5.80 | 3.00 |
|
|
|
513 .. | 6.80 | 3.00 |
|
|
|
514 .. | 8.00 | 4.20 |
|
|
|
517 .. | 9.20 | 4.80 |
|
|
|
518 .. | 10.00 | 5.00 | 556 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus one-half of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus one-half of that amount |
521 .. | 11.50 | 5.00 |
|
|
|
522 .. | 13.00 | 5.00 |
|
|
|
523 .. | 14.00 | 5.00 |
|
|
|
524 .. | 15.50 | 5.00 |
|
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|
525 .. | 17.00 | 5.00 |
|
|
|
526 .. | 18.50 | 5.00 |
|
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|
527 .. | 20.00 | 5.00 |
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528 .. | 21.00 | 5.00 |
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529 .. | 22.00 | 5.00 |
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531 .. | 23.50 | 5.00 |
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533 .. | 25.00 | 5.00 |
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535 .. | 27.00 | 5.00 |
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537 .. | 28.00 | 5.00 |
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538 .. | 29.00 | 5.00 |
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Schedule 6—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule. | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
557 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus three-quarters of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus three-quarters of that amount | 888 .. | 4.85 | 1.75 |
|
|
| 890 .. | 4.30 | 1.70 |
|
|
| 893 .. | 9.50 | 3.80 |
|
|
| 895 .. | 5.35 | 1.95 |
|
|
| 897 .. | 8.05 | 2.95 |
|
|
| 899 .. | 5.35 | 1.95 |
|
|
| 902 .. | 35.50 | 5.00 |
|
|
| 904 .. | 29.50 | 5.00 |
|
|
| 907 .. | 2.75 | 0.95 |
|
|
| 908 .. | 4.85 | 1.75 |
|
|
| 909 .. | 2.45 | 0.85 |
|
|
| 910 .. | 2.45 | 0.85 |
|
|
| 912 .. | 7.25 | 2.65 |
|
|
| 913 .. | 12.10 | 4.40 |
|
|
| 914 .. | 11.85 | 4.35 |
|
|
| 916 .. | 17.20 | 5.00 |
566 .. | 6.95 | 1.95 | 917 .. | 9.60 | 3.50 |
567 .. | 8.05 | 2.35 | 918 .. | 16.80 | 5.00 |
568 .. | 8.25 | 2.45 | 919 .. | 4.10 | 1.50 |
569 .. | 6.05 | 3.05 | 920 .. | 13.45 | 4.95 |
570 .. | 12.85 | 3.95 | 922 .. | 48.00 | 5.00 |
571 .. | 8.80 | 4.70 | 923 .. | 71.00 | 5.00 |
572 .. | 10.05 | 2.95 | 925 .. | 10.75 | 3.95 |
573 .. | 7.25 | 3.65 | 927 .. | 3.60 | 1.30 |
574 .. | 15.45 | 4.95 | 929 .. | 5.95 | 2.15 |
575 .. | 12.50 | 5.00 | 932 .. | 5.95 | 2.15 |
748 .. | 6.95 | 3.45 | 934 .. | 8.35 | 3.05 |
752 .. | 5.05 | 2.45 | 936 .. | 12.80 | 4.70 |
760 .. | 5.25 | 2.55 | 938 .. | 12.80 | 4.70 |
764 .. | 6.45 | 3.15 | 940 .. | 11.85 | 4.35 |
767 .. | 10.05 | 4.95 | 944 .. | 8.05 | 2.95 |
770 .. | 6.15 | 2.35 | 947 .. | 24.00 | 5.00 |
774 .. | 13.45 | 4.95 | 949 .. | 4.85 | 1.75 |
777 .. | 23.00 | 5.00 | 952 .. | 11.20 | 4.10 |
787 .. | 19.50 | 5.00 | 954 .. | 1.75 | 0.65 |
790 .. | 29.50 | 5.00 | 956 .. | 2.15 | 0.75 |
794 .. | 8.05 | 2.95 | 958 .. | 3.45 | 1.25 |
797 .. | 8.50 | 5.00 | 960 .. | 5.05 | 1.85 |
803 .. | 12.80 | 4.70 | 963 .. | 3.40 | 1.20 |
806 .. | 16.50 | 5.00 | 966 .. | 9.35 | 3.45 |
809 .. | 23.00 | 5.00 | 968 .. | 18.50 | 5.00 |
812 .. | 9.60 | 3.50 | 970 .. | 39.00 | 5.00 |
815 .. | 8.05 | 2.95 | 974 .. | 5.95 | 2.15 |
818 .. | 42.00 | 5.00 | 1001 .. | 0.40 | 0.30 |
821 .. | 6.00 | 5.00 | 1005 .. | 0.60 | 0.40 |
824 .. | 6.25 | 2.25 | 1013 .. | 0.10 | 0.40 |
827 .. | 30.50 | 5.00 | 1017 .. | 1.00 | 0.50 |
829 .. | 54.00 | 5.00 | 1023 .. | 0.40 | 0.30 |
833 .. | 23.00 | 5.00 | 1027 .. | 0.75 | 0.65 |
836 .. | 12.80 | 4.70 | 1031 .. | 1.95 | 1.45 |
839 .. | 7.25 | 2.65 | 1035 .. | 1.40 | 1.00 |
844 .. | 4.45 | 2.05 | 1039 .. | 1.95 | 1.45 |
849 .. | 6.25 | 1.45 | 1043 .. | 1.90 | 1.90 |
853 .. | 10.75 | 3.95 | 1047 .. | 0.90 | 0.40 |
856 .. | 7.05 | 2.55 | 1051 .. | 5.10 | 3.60 |
859 .. | 13.45 | 4.95 | 1055 .. | 0.40 | 0.30 |
863 .. | 2.60 | 0.90 | 1056 .. | 1.00 | 0.40 |
865 .. | 3.75 | 1.35 | 1058 .. | 0.60 | 0.40 |
870 .. | 5.00 | 1.80 | 1061 .. | 1.65 | 1.10 |
874 .. | 6.25 | 2.25 | 1067 .. | 1.65 | 1.10 |
877 .. | 3.75 | 1.35 | 1071 .. | 1.65 | 1.10 |
879 .. | 5.50 | 2.00 | 1075 .. | 1.65 | 0.85 |
882 .. | 4.35 | 1.55 | 1077 .. | 2.40 | 1.20 |
884 .. | 4.35 | 1.55 | 1079 .. | 2.75 | 1.35 |
886 .. | 5.35 | 1.95 | 1083 .. | 2.75 | 1.35 |
Schedule 6—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
1086 .. | 0.10 | 0.75 | 1338 .. | 0.90 | 0.40 |
1088 .. | 3.40 | 1.70 | 1341 .. | 1.65 | 0.85 |
1093 .. | 1.35 | 0.65 | 1344 .. | 2.40 | 1.20 |
1095 .. | 4.80 | 2.40 | 1347 .. | 1.55 | 0.85 |
1099 .. | 0.10 | 1.10 | 1350 .. | 0.45 | 0.85 |
1103 .. | 0.10 | 0.40 | 1353 .. | 3.50 | 1.20 |
1107 .. | 0.40 | 0.30 | 1356 .. | 0.45 | 0.85 |
1111 .. | 1.05 | 0.65 | 1359 .. | 0.10 | 0.40 |
1115 .. | 0.70 | 0.30 | 1361 .. | 0.10 | 0.85 |
1119 .. | 0.90 | 0.40 | 1363 .. | 0.60 | 0.60 |
1123 .. | 2.10 | 1.00 | 1365 .. | 2.90 | 1.20 |
1127 .. | 0.65 | 0.85 | 1367 .. | 1.50 | 1.00 |
1131 .. | 1.05 | 0.85 | 1369 .. | 0.45 | 0.85 |
1135 .. | 2.40 | 1.20 | 1371 .. | 2.30 | 1.20 |
1139 .. | 7.50 | 3.80 | 1373 .. | 0.10 | 0.30 |
1143 .. | 1.00 | 0.50 | 1375 .. | 0.10 | 0.60 |
1147 .. | 0.60 | 0.40 | 1377 .. | 3.05 | 1.55 |
1151 .. | 2.10 | 1.00 | 1379 .. | 4.25 | 2.15 |
1155 .. | 3.75 | 3.45 | 1383 .. | 4.25 | 2.15 |
1158 .. | 1.25 | 0.75 | 1386 .. | 6.75 | 3.45 |
1161 .. | 2.40 | 1.20 | 1390 .. | 8.45 | 4.25 |
1165 .. | 1.65 | 0.85 | 1396 .. | 3.05 | 1.55 |
1169 .. | 1.65 | 0.85 | 1400 .. | 4.25 | 2.15 |
1173 .. | 0.80 | 0.60 | 1403 .. | 0.10 | 0.75 |
1177 .. | 0.95 | 0.75 | 1406 .. | 1.65 | 0.85 |
1181 .. | 1.20 | 0.90 | 1409 .. | 2.75 | 1.35 |
1185 .. | 2.20 | 1.70 | 1412 .. | 4.25 | 2.15 |
1189 .. | 0.10 | 0.40 | 1415 .. | 0.30 | 0.40 |
1193 .. | 1.25 | 0.75 | 1418 .. | 0.45 | 0.85 |
1197 .. | 1.20 | 0.90 | 1422 .. | 2.10 | 1.70 |
1201 .. | 2.25 | 2.05 | 1426 .. | 3.40 | 2.40 |
1205 .. | 0.40 | 0.30 | 1429 .. | 4.65 | 3.05 |
1209 .. | 0.10 | 0.30 | 1433 .. | 6.50 | 3.80 |
1213 .. | 2.30 | 1.90 | 1437 .. | 2.40 | 1.20 |
1217 .. | 0.75 | 0.65 | 1440 .. | 3.75 | 1.85 |
1221 .. | 4.15 | 2.05 | 1443 .. | 0.45 | 0.85 |
1225 .. | 0.10 | 0.75 | 1446 .. | 2.10 | 1.70 |
1229 .. | 1.65 | 0.35 | 1449 .. | 3.40 | 2.40 |
1233 .. | 3.10 | 1.00 | 1451 .. | 4.65 | 3.05 |
1241 .. | 0.60 | 0.40 | 1454 .. | 1.55 | 1.25 |
1245 .. | 2.75 | 1.35 | 1457 .. | 8.45 | 4.25 |
1249 .. | 1.65 | 0.85 | 1460 .. | 1.65 | 0.85 |
1253 .. | 2.75 | 1.35 | 1464 .. | 0.45 | 0.85 |
1257 .. | 4.15 | 2.05 | 1467 .. | 2.10 | 1.70 |
1261 .. | 1.25 | 0.75 | 1471 .. | 3.40 | 2.40 |
1265 .. | 1.50 | 1.00 | 1473 .. | 4.65 | 3.05 |
1259 .. | 1.10 | 1.00 | 1477 .. | 6.50 | 3.80 |
1273 .. | 0.75 | 0.65 | 1480 .. | 3.40 | 1.70 |
1276 .. | 0.75 | 0.65 | 1483 .. | 2.45 | 1.95 |
1281 .. | 1.50 | 1.00 | 1486 .. | 0.45 | 0.85 |
1285 .. | 2.10 | 1.70 | 1489 .. | 1.25 | 0.75 |
1289 .. | 2.40 | 1.20 | 1498 .. | 1.70 | 1.60 |
1293 .. | 2.10 | 1.00 | 1503 .. | 0.45 | 0.85 |
1297 .. | 2.10 | 1.00 | 1507 .. | 2.10 | 1.70 |
1303 .. | 0.45 | 0.85 | 1510 .. | 3.40 | 2.40 |
1308 .. | 0.30 | 0.90 | 1518 .. | 4.65 | 3.05 |
1311 .. | 2.85 | 1.25 | 1524 .. | 6.50 | 3.80 |
1315 .. | 0.10 | 1.00 | 1528 .. | 0.45 | 0.85 |
1318 .. | 2.70 | 1.70 | 1532 .. | 1.65 | 0.85 |
1321 .. | 1.00 | 0.50 | 1535 .. | 0.70 | 0.30 |
1324 .. | 1.25 | 0.75 | 1538 .. | 0.35 | 0.15 |
1326 .. | 0.65 | 0.75 | 1542 .. | 2.40 | 1.70 |
1329 .. | 0.10 | 0.50 | 1547 .. | 0.10 | 0.40 |
1332 .. | 1.00 | 0.30 | 1552 .. | 0.60 | 0.40 |
1335 .. | 1.50 | 1.00 | 1555 .. | 1.25 | 0.75 |
Schedule 6—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule. | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
1558 .. | 1.35 | 1.65 | 1762 .. | 0.40 | 0.30 |
1561 .. | 0.80 | 1.00 | 1765 .. | 0.10 | 0.30 |
1565 .. | 2.45 | 1.85 | 1768 .. | 0.10 | 0.30 |
1569 .. | 4.25 | 2.75 | 1771 .. | 1.05 | 0.85 |
1572 .. | 1.25 | 1.85 | 1774 .. | 0.10 | 0.50 |
1574 .. | 6.75 | 3.45 | 1777 .. | 0.85 | 0.85 |
1576 .. | 2.95 | 1.45 | 1780 .. | 1.55 | 0.75 |
1578 .. | 3.05 | 1.55 | 1783 .. | 0.10 | 0.85 |
1581 .. | 1.55 | 1.25 | 1786 .. | 0.20 | 1.20 |
1585 .. | 0.65 | 0.75 | 1788 .. | 1.40 | 1.60 |
1591 .. | 1.00 | 0.30 | 1791 .. | 1.45 | 1.95 |
1593 .. | 0.10 | 0.40 | 1795 .. | 1.00 | 2.10 |
1595 .. | 0.15 | 0.85 | 1799 .. | 1.60 | 1.10 |
1597 .. | 1.45 | 1.65 | 1803 .. | 3.40 | 1.70 |
1599 .. | 2.45 | 2.15 | 1807 .. | 2.10 | 1.00 |
1602 .. | 1.00 | 1.30 | 1811 .. | 3.75 | 1.85 |
1605 .. | 2.35 | 2.05 | 1814 .. | 1.25 | 0.75 |
1608 .. | 3.35 | 2.55 | 1816 .. | 2.25 | 1.25 |
1612 .. | 0.60 | 0.40 | 1818 .. | 2.10 | 1.00 |
1617 .. | 1.90 | 1.20 | 1821 .. | 1.65 | 0.85 |
1619 .. | 0.90 | 0.40 | 1825 .. | 0.65 | 0.75 |
1624 .. | 1.65 | 0.85 | 1829 .. | 0.40 | 0.30 |
1628 .. | 0.30 | 0.40 | 1832 .. | 0.50 | 1.20 |
1632 .. | 1.15 | 0.75 | 1834 .. | 1.75 | 1.95 |
1635 .. | 1.25 | 0.75 | 1836 .. | 1.05 | 1.25 |
1637 .. | 2.35 | 0.75 | 1838 .. | 1.80 | 2.10 |
1639 .. | 2.25 | 1.25 | 1842 .. | 2.20 | 3.00 |
1642 .. | 1.65 | 0.85 | 1845 .. | 1.40 | 2.10 |
1646 .. | 2.10 | 1.00 | 1848 .. | 2.75 | 2.15 |
1650 .. | 0.65 | 0.75 | 1854 .. | 3.50 | 3.00 |
1654 .. | 3.40 | 1.70 | 1857 .. | 3.95 | 2.85 |
1656 .. | 1.05 | 0.85 | 1860 .. | 4.60 | 3.70 |
1658 .. | 4.25 | 2.15 | 1864 .. | 1.00 | 1.10 |
1660 .. | 8.45 | 4.25 | 1868 .. | 1.65 | 0.85 |
1663 .. | 2.40 | 1.20 | 1872 .. | 0.95 | 0.75 |
1666 .. | 2.75 | 1.35 | 1876 .. | 2.55 | 1.55 |
1669 .. | 8.45 | 4.25 | 1880 .. | 0.10 | 0.40 |
1672 .. | 2.95 | 1.45 | 1883 .. | 0.45 | 0.85 |
1675 .. | 0.10 | 0.75 | 1886 .. | 2.40 | 1.20 |
1677 .. | 4.25 | 2.15 | 1890 .. | 0.45 | 0.85 |
1679 .. | 2.70 | 1.70 | 1894 .. | 2.10 | 1.70 |
1681 .. | 0.10 | 0.75 | 1930 .. | 3.40 | 2.40 |
1685 .. | 2.05 | 1.35 | 1934 .. | 4.65 | 3.05 |
1689 .. | 0.45 | 0.85 | 1938 .. | 0.65 | 0.85 |
1692 .. | 2.10 | 1.70 | 1944 .. | 2.95 | 1.45 |
1695 .. | 3.40 | 2.40 | 2001 .. | 2.05 | 1.35 |
1699 .. | 4.65 | 3.05 | 2005 .. | 2.55 | 1.55 |
1704 .. | 0.10 | 0.40 | 2008 .. | 0.60 | 0.40 |
1708 .. | 1.50 | 1.00 | 2012 .. | 0.40 | 0.30 |
1711 .. | 3.40 | 1.70 | 2017 .. | 0.65 | 0.75 |
1715 .. | 8.45 | 4.25 | 2021 .. | 1.20 | 0.60 |
1719 .. | 6.75 | 3.45 | 2026 .. | 2.40 | 1.20 |
1723 .. | 0.75 | 1.25 | 2032 .. | 2.10 | 1.00 |
1727 .. | 1.95 | 1.25 | 2036 .. | 1.25 | 0.75 |
1731 .. | 2.95 | 1.45 | 2040 .. | 4.80 | 2.40 |
1735 .. | 9.35 | 3.45 | 2047 .. | 2.55 | 1.25 |
1739 .. | 0.75 | 1.25 | 2051 .. | 2.55 | 1.25 |
1742 .. | 0.75 | 1.25 | 2055 .. | 8.45 | 4.25 |
1745 .. | 0.10 | 0.40 | 2059 .. | 6.05 | 3.05 |
1749 .. | 6.75 | 3.45 | 2064 .. | 8.45 | 4.25 |
1751 .. | 8.45 | 4.25 | 2068 .. | 3.40 | 1.70 |
1753 .. | 1.00 | 0.50 | 2072 .. | 0.10 | 0.40 |
1755 .. | 1.25 | 0.75 | 2078 .. | 5.15 | 2.55 |
1757 .. | 2.70 | 1.70 | 2083 .. | 0.45 | 0.85 |
1759 .. | 2.55 | 1.55 | 2087 .. | 2.40 | 1.20 |
Schedule 6—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
2089 .. | 3.05 | 1.55 | 2353 .. | 2.10 | 1.70 |
2094 .. | 0.40 | 0.30 | 2356 .. | 2.10 | 1.70 |
2098 .. | 0.10 | 0.30 | 2358 .. | 6.75 | 3.45 |
2106 .. | 0.60 | 0.40 | 2361 .. | 0.55 | 2.25 |
2110 .. | 1.20 | 0.60 | 2364 .. | 4.25 | 2.75 |
2115 .. | 1.65 | 0.85 | 2368 .. | 1.40 | 1.70 |
2121 .. | 1.65 | 0.85 | 2370 .. | 5.15 | 2.55 |
2127 .. | 1.05 | 0.85 | 2373 .. | 14.50 | 5.00 |
2133 .. | 1.40 | 1.20 | 2375 .. | 2.45 | 1.95 |
2139 .. | 2.60 | 1.80 | 2377 .. | 4.15 | 2.05 |
2144 .. | 1.65 | 0.85 | 2379 .. | 6.75 | 3.45 |
2150 .. | 4.25 | 2.65 | 2381 .. | 14.50 | 5.00 |
2154 .. | 1.65 | 0.85 | 2383 .. | 5.15 | 2.55 |
2158 .. | 1.25 | 0.75 | 2385 .. | 5.15 | 2.55 |
2168 .. | 2.25 | 1.25 | 2387 .. | 2.45 | 1.95 |
2172 .. | 0.90 | 0.40 | 2389 .. | 1.05 | 1.45 |
2176 .. | 0.10 | 0.75 | 2391 .. | 0.50 | 1.20 |
2180 .. | 0.10 | 0.75 | 2393 .. | 3.40 | 1.70 |
2184 .. | 1.00 | 0.50 | 2395 .. | 12.00 | 5.00 |
2188 .. | 1.55 | 1.25 | 2397 .. | 1.25 | 0.75 |
2190 .. | 3.25 | 2.55 | 2399 .. | 2.70 | 1.70 |
2192 .. | 4.90 | 3.90 | 2402 .. | 5.15 | 2.55 |
2194 .. | 1.65 | 0.85 | 2404 .. | 1.50 | 1.00 |
2196 .. | 3.40 | 1.70 | 2406 .. | 2.55 | 1.55 |
2197 .. | 5.15 | 2.55 | 2408 .. | 2.55 | 1.55 |
2198 .. | 3.40 | 1.70 | 2411 .. | 4.10 | 2.40 |
2200 .. | 0.10 | 0.30 | 2413 .. | 3.25 | 1.95 |
2207 .. | 0.10 | 0.40 | 2415 .. | 5.30 | 2.90 |
2209 .. | 6.75 | 3.45 | 2417 .. | 1.05 | 0.85 |
2214 .. | 1.00 | 0.50 | 2419 .. | 1.20 | 0.90 |
2218 .. | 0.45 | 0.85 | 2422 .. | 6.05 | 3.05 |
2224 .. | 1.00 | 0.50 | 2424 .. | 7.20 | 3.60 |
2229 .. | 0.45 | 0.85 | 2427 .. | 8.20 | 4.10 |
2233 .. | 0.45 | 0.85 | 2430 .. | 9.85 | 4.95 |
2237 .. | 0.80 | 0.60 | 2432 .. | 2.75 | 1.75 |
2242 .. | 1.50 | 1.00 | 2434 .. | 2.75 | 1.75 |
2246 .. | 1.00 | 0.50 | 2436 .. | 3.15 | 1.95 |
2251 .. | 0.45 | 0.85 | 2438 .. | 7.95 | 3.95 |
2253 .. | 3.95 | 1.35 | 2441 .. | 2.75 | 1.35 |
2258 .. | 4.15 | 2.05 | 2443 .. | 3.95 | 1.95 |
2260 .. | 0.10 | 0.40 | 2446 .. | 3.95 | 1.95 |
2261 .. | 0.10 | 0.40 | 2448 .. | 4.35 | 2.15 |
2263 .. | 0.10 | 0.40 | 2451 .. | 12.00 | 5.00 |
2266 .. | 1.65 | 0.85 | 2454 .. | 20.00 | 5.00 |
2271 .. | 1.25 | 0.75 | 2457 .. | 7.95 | 3.95 |
2276 .. | 3.00 | 1.60 | 2462 .. | 6.75 | 3.35 |
2280 .. | 3.40 | 1.70 | 2470 .. | 5.15 | 2.55 |
2284 .. | 1.65 | 0.85 | 2473 .. | 6.25 | 3.15 |
2288 .. | 1.20 | 0.60 | 2474 .. | 12.50 | 5.00 |
2290 .. | 2.25 | 1.55 | 2476 .. | 12.00 | 5.00 |
2293 .. | 3.80 | 2.30 | 2477 .. | 6.25 | 3.15 |
2297 .. | 0.10 | 0.75 | 2479 .. | 22.50 | 5.00 |
2301 .. | 0.20 | 1.70 | 2480 .. | 9.40 | 4.70 |
2305 .. | 0.10 | 0.75 | 2481 .. | 12.00 | 5.00 |
2309 .. | 0.10 | 0.75 | 2483 .. | 6.75 | 3.35 |
2313 .. | 2.10 | 1.70 | 2484 .. | 7.95 | 3.95 |
2317 .. | 4.25 | 2.75 | 2486 .. | 12.50 | 5.00 |
2321 .. | 9.10 | 3.80 | 2487 .. | 4.75 | 2.35 |
2325 .. | 4.35 | 3.45 | 2489 .. | 13.00 | 5.00 |
2329 .. | 6.30 | 4.50 | 2491 .. | 12.00 | 5.00 |
2333 .. | 12.00 | 5.00 | 2493 .. | 7.95 | 3.95 |
2337 .. | 16.50 | 5.00 | 2495 .. | 12.00 | 5.00 |
2341 .. | 2.45 | 1.95 | 2496 .. | 12.00 | 5.00 |
2345 .. | 3.40 | 1.70 | 2498 .. | 7.95 | 3.95 |
2349 .. | 1.55 | 1.35 | 2499 .. | 7.95 | 3.95 |
Schedule 6—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
2500 .. | 6.75 | 3.35 | 2706 .. | 5.10 | 3.30 |
2502 .. | 1.45 | 1.45 | 2709 .. | 7.25 | 4.35 |
2505 .. | 1.95 | 1.75 | 2711 .. | 7.50 | 5.00 |
2508 .. | 1.45 | 1.45 | 2714 .. | 8.65 | 4.35 |
2512 .. | 1.95 | 1.75 | 2716 .. | 7.25 | 4.35 |
2516 .. | 2.95 | 2.15 | 2718 .. | 8.50 | 5.00 |
2520 .. | 3.35 | 2.45 | 2720 .. | 6.20 | 3.50 |
2524 .. | 2.55 | 1.65 | 2722 .. | 5.35 | 3.45 |
2528 .. | 2.55 | 1.95 | 2724 .. | 8.50 | 5.00 |
2532 .. | 3.25 | 2.35 | 2726 .. | 6.50 | 3.80 |
2537 .. | 2.65 | 2.75 | 2728 .. | 12.00 | 5.00 |
2539 .. | 2.95 | 2.15 | 2730 .. | 7.00 | 3.50 |
2541 .. | 3.35 | 2.45 | 2732 .. | 2.15 | 1.05 |
2543 .. | 1.95 | 1.65 | 2734 .. | 8.65 | 4.35 |
2545 .. | 2.55 | 1.95 | 2736 .. | 5.15 | 2.55 |
2548 .. | 2.95 | 2.15 | 2738 .. | 3.75 | 2.15 |
2551 .. | 0.75 | 2.25 | 2740 .. | 2.60 | 3.50 |
2554 .. | 0.75 | 2.25 | 2742 .. | 7.00 | 3.50 |
2557 .. | 10.70 | 5.00 | 2744 .. | 8.65 | 4.35 |
2560 .. | 3.45 | 2.75 | 2746 .. | 12.00 | 5.00 |
2563 .. | 3.45 | 2.25 | 2748 .. | 12.00 | 5.00 |
2566 .. | 3.45 | 2.75 | 2750 .. | 12.00 | 5.00 |
2569 .. | 3.45 | 2.75 | 2751 .. | 35.00 | 5.00 |
2573 .. | 3.45 | 2.25 | 2752 .. | 8.70 | 3.80 |
2576 .. | 3.45 | 2.25 | 2754 .. | 5.15 | 2.55 |
2579 .. | 3.45 | 2.25 | 2756 .. | 11.00 | 5.00 |
2581 .. | 3.15 | 1.95 | 2758 .. | 8.65 | 4.35 |
2583 .. | 3.15 | 1.95 | 2760 .. | 9.40 | 4.70 |
2585 .. | 3.75 | 2.45 | 2762 .. | 2.75 | 2.85 |
2587 .. | 2.55 | 1.55 | 2764 .. | 4.85 | 4.35 |
2589 .. | 7.40 | 4.10 | 2766 .. | 4.85 | 4.35 |
2591 .. | 6.75 | 3.45 | 2768 .. | 4.85 | 4.35 |
2593 .. | 5.45 | 2.75 | 2770 .. | 4.85 | 4.35 |
2595 .. | 3.05 | 2.05 | 2772 .. | 4.85 | 4.35 |
2597 .. | 3.55 | 2.85 | 2774 .. | 13.50 | 5.00 |
2599 .. | 2.95 | 2.45 | 2776 .. | 4.85 | 4.35 |
2601 .. | 3.95 | 3.35 | 2778 .. | 7.25 | 3.65 |
2604 .. | 2.65 | 2.05 | 2780 .. | 7.25 | 3.65 |
2607 .. | 5.50 | 4.40 | 2782 .. | 2.35 | 1.15 |
2609 .. | 6.50 | 5.00 | 2784 .. | 5.45 | 2.75 |
2611 .. | 2.15 | 1.05 | 2786 .. | 4.55 | 2.25 |
2614 .. | 5.15 | 2.55 | 2788 .. | 5.45 | 2.75 |
2617 .. | 1.95 | 1.75 | 2790 .. | 9.15 | 4.55 |
2621 .. | 9.40 | 4.70 | 2792 .. | 7.00 | 3.50 |
2625 .. | 3.15 | 1.85 | 2794 .. | 4.65 | 2.95 |
2627 .. | 3.75 | 2.15 | 2796 .. | 6.50 | 3.30 |
2630 .. | 2.95 | 2.65 | 2798 .. | 1.35 | 0.65 |
2634 .. | 4.35 | 2.15 | 2800 .. | 4.75 | 2.35 |
2638 .. | 1.85 | 1.05 | 2802 .. | 3.15 | 1.55 |
2642 .. | 3.25 | 2.35 | 2804 .. | 2.75 | 1.35 |
2646 .. | 4.15 | 2.85 | 2806 .. | 0.55 | 0.25 |
2650 .. | 3.15 | 1.85 | 2808 .. | 3.35 | 1.65 |
2654 .. | 3.75 | 2.15 | 2810 .. | 0.70 | 0.30 |
2659 .. | 3.95 | 2.35 | 2812 .. | 6.75 | 3.35 |
2662 .. | 4.95 | 2.85 | 2814 .. | 1.35 | 0.65 |
2665 .. | 3.75 | 2.15 | 2816 .. | 3.75 | 1.85 |
2672 .. | 15.00 | 5.00 | 2818 .. | 3.35 | 1.65 |
2676 .. | 11.00 | 5.00 | 2820 .. | 0.70 | 0.30 |
2681 .. | 13.50 | 5.00 | 2822 .. | 3.95 | 1.95 |
2687 .. | 9.70 | 5.00 | 2824 .. | 0.75 | 0.35 |
2690 .. | 6.55 | 3.45 | 2826 .. | 8.65 | 4.35 |
2694 .. | 8.65 | 4.35 | 2828 .. | 1.75 | 0.85 |
2697 .. | 3.95 | 2.35 | 2830 .. | 5.15 | 2.55 |
2699 .. | 3.15 | 1.85 | 2832 .. | 1.00 | 0.50 |
2703 .. | 3.75 | 2.15 | 2834 .. | 6.75 | 3.45 |
Schedule 6—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
2836 .. | 1.35 | 0.65 |
| combination of operations, exceeds— the aggregate of the Commonwealth benefit and the specified excess in respect of the assistance at the operation or series or combination of operations. | the operation or series or combination of operations; or (b)$5 is the less. |
2838 .. | 12.00 | 5.00 |
|
|
|
2840 .. | 2.35 | 1.15 |
|
|
|
2842 .. | 21.50 | 5.00 |
|
|
|
2844 .. | 14.50 | 5.00 |
|
|
|
2846 .. | 30.00 | 5.00 |
|
|
|
2848 .. | 47.00 | 5.00 |
|
|
|
2850 .. | 35.00 | 5.00 |
|
|
|
2852 .. | 21.50 | 5.00 |
|
|
|
2854 .. | 3.20 | 4.10 |
|
|
|
2856 .. | 13.00 | 5.00 |
|
|
|
2858 .. | 5.45 | 2.75 |
|
|
|
2860 .. | 4.15 | 2.05 |
|
|
|
2862 .. | 14.00 | 5.00 |
|
|
|
2864 .. | 4.15 | 2.05 |
|
|
|
2866 .. | 8.20 | 4.10 |
|
|
|
2868 .. | 9.85 | 4.95 |
|
|
|
2870 .. | 2.75 | 1.35 | 3006 .. | 3.10 | 0.80 |
2872 .. | 2.95 | 1.45 | 3012 .. | 5.85 | 1.65 |
2874 .. | 12.00 | 5.00 | 3016 .. | 4.75 | 2.25 |
2876 .. | 4.35 | 2.45 | 3022 .. | 5.75 | 2.75 |
2878 .. | 4.85 | 2.45 | 3027 .. | 10.00 | 4.70 |
2880 .. | 16.00 | 5.00 | 3033 .. | 12.50 | 5.00 |
2882 .. | 13.50 | 5.00 | 3038 .. | 27.50 | 5.00 |
2884 .. | 13.50 | 5.00 | 3039 .. | 57.00 | 5.00 |
2886 .. | 13.00 | 5.00 | 3041 .. | 27.50 | 5.00 |
2888 .. | 4.35 | 2.15 | 3046 .. | 8.75 | 1.95 |
2830 .. | 6.50 | 3.30 | 3050 .. | 3.85 | 2.75 |
2892 .. | 6.50 | 3.30 | 3058 .. | 9.95 | 2.35 |
2894 .. | 5.15 | 2.55 | 3059 .. | 9.95 | 2.35 |
2896 .. | 5.15 | 2.55 | 3063 .. | 9.05 | 4.35 |
2898 .. | 4.15 | 2.05 | 3068 .. | 9.05 | 4.35 |
2900 .. | 5.15 | 2.55 | 3073 .. | 11.65 | 2.75 |
2903 .. | 4.15 | 2.05 | 3082 .. | 11.30 | 5.00 |
2906 .. | 4.15 | 2.05 | 3087 .. | 15.00 | 5.00 |
2909 .. | 6.50 | 3.30 | 3092 .. | 9.05 | 4.35 |
2912 .. | 5.35 | 2.65 | 3095 .. | 9.05 | 4.35 |
2916 .. | 5.35 | 2.65 | 3098 .. | 12.00 | 5.00 |
2918 .. | 3.35 | 1.65 | 3101 .. | 15.00 | 5.00 |
2921 .. | 6.50 | 3.30 | 3106 .. | 5.75 | 2.75 |
2923 .. | 4.35 | 2.15 | 3109 .. | 15.00 | 5.00 |
2925 .. | 4.35 | 2.15 | 3113 .. | 1.10 | 0.70 |
2927 .. | 13.50 | 5.00 | 3114 .. | 1.10 | 0.70 |
2930 .. | 8.65 | 4.35 | 3116 .. | 8.35 | 3.95 |
2932 .. | 2.15 | 1.05 | 3117 .. | 8.35 | 3.95 |
2934 .. | 13.50 | 5.00 | 3120 .. | 13.00 | 5.00 |
2936 .. | 6.50 | 3.30 | 3124 .. | 18.00 | 5.00 |
2938 .. | 8.65 | 4.35 | 3128 .. | 18.00 | 5.00 |
2940 .. | 13.50 | 5.00 | 3130 .. | 3.45 | 1.85 |
2950 .. | 8.95 | 3.15 | 3134 .. | 3.45 | 1.85 |
|
|
| 3135 .. | 7.80 | 4.10 |
2955 .. | The amount by which— one-fifth of the aggregate of the basic Commonwealth benefit, the fund benefit, and the specified excess, in respect of the operation or series or | Whichever of— (a) three per centum of the aggregate of the basic Commonwealth benefit, the fund benefit, and the specified excess, in respect of | 3142 .. | 9.50 | 5.00 |
|
|
| 3147 .. | 9.50 | 5.00 |
|
|
| 3148 .. | 3.75 | 1.75 |
|
|
| 3157 .. | 8.35 | 3.95 |
|
|
| 3160 .. | 2.35 | 1.05 |
|
|
| 3163 .. | 2.35 | 1.05 |
|
|
| 3168 .. | 15.00 | 5.00 |
|
|
| 3173 .. | 6.90 | 3.30 |
|
|
| 3175 .. | 6.90 | 3.30 |
|
|
| 3178 .. | 12.00 | 5.00 |
|
|
| 3183 .. | 15.00 | 5.00 |
|
|
| 3187 .. | 13.00 | 5.00 |
|
|
| 3189 .. | 2.70 | 1.30 |
|
|
| 3194 .. | 4.95 | 4.55 |
Schedule 6—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
3199 .. | 4.50 | 5.00 | 3483 .. | 25.00 | 5.00 |
3208 .. | 8.50 | 5.00 | 3490 .. | 61.00 | 5.00 |
3213 .. | 7.00 | 5.00 | 3493 .. | 61.00 | 5.00 |
3217 .. | 32.00 | 5.00 | 3495 .. | 155.00 | 5.00 |
3219 .. | 15.15 | 3.35 | 3496 .. | 3.55 | 1.65 |
3228 .. | 3.55 | 3.95 | 3500 .. | 3.55 | 1.65 |
3229 .. | 3.55 | 3.95 | 3505 .. | 9.30 | 4.40 |
3233 .. | 8.20 | 4.70 | 3507 .. | 9.30 | 4.40 |
3237 .. | 1.50 | 5.00 | 3509 .. | 12.50 | 5.00 |
3245 .. | 1.50 | 5.00 | 3516 .. | 17.00 | 5.00 |
3247 .. | 22.00 | 5.00 | 3521 .. | 17.00 | 5.00 |
3253 .. | 14.50 | 5.00 | 3576 .. | 34.00 | 5.00 |
3258 .. | 14.50 | 5.00 | 3530 .. | 44.00 | 5.00 |
3261 .. | 22.50 | 5.00 | 3532 .. | 52.00 | 5.00 |
3265 .. | 27.50 | 5.00 | 3542 .. | 88.00 | 5.00 |
3271 .. | 34.00 | 5.00 | 3547 .. | 99.00 | 5.00 |
3276 .. | 74.00 | 5.00 | 3555 .. | 110.00 | 5.00 |
3281 .. | 44.00 | 5.00 | 3563 .. | 61.00 | 5.00 |
3284 .. | 44.00 | 5.00 | 3569 .. | 65.00 | 5.00 |
3289 .. | 52.00 | 5.00 | 3576 .. | 44.00 | 5.00 |
3290 .. | 52.00 | 5.00 | 3581 .. | 34.00 | 5.00 |
3295 .. | 74.00 | 5.00 | 3591 .. | 44.00 | 5.00 |
3301 .. | 34.00 | 5.00 | 3597 .. | 38.00 | 5.00 |
3308 .. | 59.00 | 5.00 | 3603 .. | 29.00 | 5.00 |
3314 .. | 10.45 | 4.95 | 3616 .. | 155.00 | 5.00 |
3320 .. | 6.05 | 1.55 | 3618 .. | 32.00 | 5.00 |
3330 .. | 2.95 | 1.75 | 3622 .. | 88.00 | 5.00 |
3331 .. | 2.95 | 1.75 | 3634 .. | 20.50 | 5.00 |
3332 .. | 2.05 | 1.95 | 3638 .. | 65.00 | 5.00 |
3338 .. | 10.85 | 2.95 | 3643 .. | 16.50 | 5.00 |
3342 .. | 5.45 | 3.15 | 3647 .. | 27.50 | 5.00 |
3346 .. | 15.00 | 3.50 | 3652 .. | 37.00 | 5.00 |
3356 .. | 1.55 | 1.55 | 3654 .. | 8.50 | 5.00 |
3363 .. | 13.00 | 5.00 | 3664 .. | 6.50 | 5.00 |
3366 .. | 0.75 | 0.65 | 3668 .. | 21.50 | 5.00 |
3371 .. | 0.85 | 0.85 | 3673 .. | 27.50 | 5.00 |
3379 .. | 10.85 | 3.65 | 3678 .. | 21.50 | 5.00 |
3384 .. | 4.45 | 4.55 | 3683 .. | 27.50 | 5.00 |
3386 .. | 4.45 | 4.55 | 3698 .. | 52.00 | 5.00 |
3389 .. | 9.55 | 4.55 | 3702 .. | 75.00 | 5.00 |
3391 .. | 12.00 | 5.00 | 3707 .. | 12.00 | 5.00 |
3395 .. | 18.00 | 5.00 | 3713 .. | 30.00 | 5.00 |
3399 .. | 22.50 | 5.00 | 3718 .. | 38.00 | 5.00 |
3401 .. | 14.00 | 5.00 | 3724 .. | 38.00 | 5.00 |
3404 .. | 18.00 | 5.00 | 3733 .. | 52.00 | 5.00 |
3407 .. | 25.00 | 5.00 | 3739 .. | 45.00 | 5.00 |
3411 .. | 9.55 | 4.55 | 3745 .. | 57.00 | 5.00 |
3417 .. | 12.00 | 5.00 | 3750 .. | 47.00 | 5.00 |
3425 .. | 30.00 | 5.00 | 3754 .. | 52.00 | 5.00 |
3427 .. | 30.00 | 5.00 | 3759 .. | 135.00 | 5.00 |
3431 .. | 30.00 | 5.00 | 3764 .. | 47.00 | 5.00 |
3437 .. | 67.00 | 5.00 | 3777 .. | 52.00 | 5.00 |
3444 .. | 110.00 | 5.00 | 3783 .. | 52.00 | 5.00 |
3450 .. | 74.00 | 5.00 | 3789 .. | 9.55 | 4.55 |
3455 .. | 30.00 | 5.00 | 3793 .. | 32.00 | 5.00 |
3456 .. | 30.00 | 5.00 | 3798 .. | 47.00 | 5.00 |
3459 .. | 16.50 | 5.00 | 3802 .. | 38.00 | 5.00 |
3462 .. | 16.50 | 5.00 | 3809 .. | 47.00 | 5.00 |
3465 .. | 4.05 | 2.15 | 3815 .. | 79.00 | 5.00 |
3466 .. | 4.65 | 2.15 | 3820 .. | 63.00 | 5.00 |
3468 .. | 9.05 | 4.35 | 3825 .. | 54.00 | 5.00 |
3472 .. | 12.00 | 5.00 | 3831 .. | 86.00 | 5.00 |
3475 .. | 12.00 | 5.00 | 3834 .. | 135.00 | 5.00 |
3477 .. | 12.00 | 5.00 | 3841 .. | 135.00 | 5.00 |
3480 .. | 25.00 | 5.00 | 3846 .. | 15.00 | 5.00 |
Schedule 6—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
3855 .. | 18.00 | 5.00 | 4191 .. | 12.00 | 5.00 |
3864 .. | 47.00 | 5.00 | 4197 .. | 4.15 | 1.95 |
3870 .. | 49.00 | 5.00 | 4202 .. | 110.00 | 5.00 |
3875 .. | 52.00 | 5.00 | 4209 .. | 91.00 | 5.00 |
3882 .. | 61.00 | 5.00 | 4214 .. | 37.00 | 5.00 |
3889 .. | 74.00 | 5.00 | 4216 .. | 54.00 | 5.00 |
3894 .. | 47.00 | 5.00 | 4222 .. | 27.00 | 5.00 |
3898 .. | 61.00 | 5.00 | 4227 .. | 43.00 | 5.00 |
3902 .. | 61.00 | 5.00 | 4233 .. | 47.00 | 5.00 |
3910 .. | 38.00 | 5.00 | 4238 .. | 69.00 | 5.00 |
3916 .. | 47.00 | 5.00 | 4241 .. | 155.00 | 5.00 |
3922 .. | 88.00 | 5.00 | 4246 .. | 22.00 | 5.00 |
3930 .. | 110.00 | 5.00 | 4249 .. | 30.00 | 5.00 |
3938 .. | 135.00 | 5.00 | 4251 .. | 26.00 | 5.00 |
3946 .. | 47.00 | 5.00 | 4254 .. | 35.00 | 5.00 |
3952 .. | 38.00 | 5.00 | 4258 .. | 38.00 | 5.00 |
3958 .. | 38.00 | 5.00 | 4262 .. | 47.00 | 5.00 |
3962 .. | 47.00 | 5.00 | 4265 .. | 2.70 | 1.30 |
3965 .. | 61.00 | 5.00 | 4269 .. | 18.00 | 5.00 |
3968 .. | 38.00 | 5.00 | 4273 .. | 22.50 | 5.00 |
3970 .. | 47.00 | 5.00 | 4282 .. | 19.50 | 5.00 |
3976 .. | 26.00 | 5.00 | 4285 .. | 25.00 | 5.00 |
3981 .. | 33.00 | 5.00 | 4288 .. | 26.00 | 5.09 |
3986 .. | 47.00 | 5.00 | 4293 .. | 35.00 | 5.00 |
3990 .. | 47.00 | 5.00 | 4296 .. | 47.00 | 5.00 |
3996 .. | 31.00 | 5.00 | 4299 .. | 74.00 | 5.00 |
4000 .. | 39.00 | 5.00 | 4307 .. | 39.00 | 5.00 |
4003 .. | 19.50 | 5.00 | 4313 .. | 8.60 | 4.10 |
4009 .. | 44.00 | 5.00 | 4319 .. | 3.55 | 1.65 |
4012 .. | 75.00 | 5.00 | 4327 .. | 6.65 | 3.65 |
4018 .. | 79.00 | 5.00 | 4338 .. | 12.00 | 5.00 |
4020 .. | 38.00 | 5.00 | 4345 .. | 15.00 | 5.00 |
4021 .. | 47.00 | 5.00 | 4351 .. | 3.70 | 1.70 |
4027 .. | 38.00 | 5.00 | 4354 .. | 4.15 | 1.95 |
4032 .. | 47.00 | 5.00 | 4362 .. | 6.25 | 2.95 |
4039 .. | 59.00 | 5.00 | 4365 .. | 16.50 | 5.00 |
4043 .. | 75.00 | 5.00 | 4370 .. | 8.60 | 5.00 |
4046 .. | 88.00 | 5.00 | 4375 .. | 3.60 | 5.00 |
4048 .. | 110.00 | 5.00 | 4380 .. | 13.00 | 5.00 |
4052 .. | 133.00 | 5.00 | 4387 .. | 15.00 | 5.00 |
4054 .. | 113.00 | 5.00 | 4393 .. | 18.00 | 5.00 |
4059 .. | 37.00 | 5.00 | 4397 .. | 34.00 | 5.00 |
4068 .. | 110.00 | 5.00 | 4407 .. | 52.00 | 5.00 |
4074 .. | 23.00 | 5.00 | 4413 .. | 83.00 | 5.00 |
4080 .. | 14.00 | 5.00 | 4427 .. | 2.70 | 1.30 |
4084 .. | 9.55 | 4.55 | 4434 .. | 11.00 | 5.00 |
4087 .. | 34.00 | 5.00 | 4442 .. | 15.00 | 5.00 |
4093 .. | 43.00 | 5.00 | 4455 .. | 2.95 | 1.35 |
4099 .. | 14.00 | 5.00 | 4461 .. | 12.00 | 5.00 |
4104 .. | 6.90 | 3.30 | 4467 .. | 9.05 | 4.35 |
4109 .. | 105.00 | 5.00 | 4473 .. | 6.45 | 3.05 |
4115 .. | 155.00 | 5.00 | 4482 .. | 33.00 | 5.00 |
4118 .. | 175.00 | 5.00 | 4490 .. | 10.45 | 4.95 |
4124 .. | 36.00 | 5.00 | 4497 .. | 0.60 | 0.70 |
4130 .. | 45.00 | 5.00 | 4509 .. | 3.45 | 1.95 |
4133 .. | 110.00 | 5.00 | 4521 .. | 4.15 | 1.95 |
4138 .. | 47.00 | 5.00 | 4523 .. | 6.00 | 5.00 |
4141 .. | 61.00 | 5.00 | 4527 .. | 7.00 | 5.00 |
4144 .. | 67.00 | 5.00 | 4534 .. | 7.85 | 3.75 |
4149 .. | 41.00 | 5.00 | 4537 .. | 9.00 | 5.00 |
4158 .. | 52.00 | 5.00 | 4544 .. | 13.00 | 5.00 |
4165 .. | 99.00 | 5.00 | 4552 .. | 18.50 | 5.00 |
4173 .. | 75.00 | 5.00 | 4557 .. | 25.00 | 5.00 |
4179 .. | 75.00 | 5.00 | 4568 .. | 27.50 | 5.00 |
4185 .. | 40.00 | 5.00 | 4573 .. | 34.00 | 5.00 |
Schedule 6—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
4578 .. | 9.05 | 4.35 | 4877 .. | 52.00 | 5.00 |
4585 .. | 12.00 | 5.00 | 4927 .. | 12.50 | 5.00 |
4590 .. | 61.00 | 5.00 | 4930 .. | 15.50 | 5.00 |
4594 .. | 27.50 | 5.00 | 4934 .. | 19.00 | 5.00 |
4602 .. | 5.45 | 2.55 | 4940 .. | 24.50 | 5.00 |
4606 .. | 30.00 | 5.00 | 4943 .. | 23.00 | 5.00 |
4611 .. | 21.50 | 5.00 | 4948 .. | 29.00 | 5.00 |
4617 .. | 26.00 | 5.00 | 4950 .. | 26.50 | 5.00 |
4622 .. | 6.55 | 3.35 | 4954 .. | 33.00 | 5.00 |
4629 .. | 2.75 | 1.25 | 4957 .. | 30.00 | 5.00 |
4633 .. | 7.85 | 3.75 | 4961 .. | 37.00 | 5.00 |
4637 .. | 16.50 | 5.00 | 4965 .. | 15.00 | 5.00 |
4640 .. | 67.00 | 5.00 | 4969 .. | 18.50 | 5.00 |
4643 .. | 31.00 | 5.00 | 4972 .. | 18.50 | 5.00 |
4649 .. | 92.00 | 5.00 | 4976 .. | 25.00 | 5.00 |
4651 .. | 27.50 | 5.00 | 4979 .. | 30.00 | 5.00 |
4655 .. | 21.00 | 5.00 | 4983 .. | 52.00 | 5.00 |
4658 .. | 16.50 | 5.00 | 4987 .. | 105.00 | 5.00 |
4662 .. | 44.00 | 5.00 | 4990 .. | 9.05 | 4.35 |
4665 .. | 71.00 | 5.00 | 4993 .. | 11.30 | 5.00 |
4670 .. | 3.95 | 1.85 | 4993 .. | 14.00 | 5.00 |
4676 .. | 42.00 | 5.00 | 4997 .. | 18.00 | 5.00 |
4678 .. | 29.00 | 5.00 | 4999 .. | 17.00 | 5.00 |
4690 .. | 44.00 | 5.00 | 5002 .. | 21.00 | 5.00 |
4693 .. | 65.00 | 5.00 | 5006 .. | 19.50 | 5.00 |
4696 .. | 88.00 | 5.00 | 5009 .. | 24.50 | 5.00 |
4699 .. | 105.00 | 5.00 | 5015 .. | 22.00 | 5.00 |
4702 .. | 65.00 | 5.00 | 5018 .. | 27.50 | 5.00 |
4705 .. | 105.00 | 5.00 | 5024 .. | 11.30 | 5.00 |
4709 .. | 96.00 | 5.00 | 5029 .. | 15.00 | 5.00 |
4715 .. | 47.00 | 5.00 | 5034 .. | 30.00 | 5.00 |
4721 .. | 61.00 | 5.00 | 5038 .. | 25.00 | 5.00 |
4733 .. | 52.00 | 5.00 | 5045 .. | 40.00 | 5.00 |
4738 .. | 65.00 | 5.00 | 5048 .. | 57.00 | 5.00 |
4744 .. | 120.00 | 5.00 | 5051 .. | 65.00 | 5.00 |
4749 .. | 114.00 | 5.00 | 5055 .. | 135.00 | 5.00 |
4754 .. | 120.00 | 5.00 | 5059 .. | 6.25 | 2.95 |
4762 .. | 105.00 | 5.00 | 5062 .. | 20.00 | 5.00 |
4766 .. | 105.00 | 5.00 | 5066 .. | 11.30 | 5.00 |
4778 .. | 61.00 | 5.00 | 5068 .. | 13.00 | 5.00 |
4784 .. | 79.00 | 5.00 | 5072 .. | 83.00 | 5.00 |
4789 .. | 57.00 | 5.00 | 5075 .. | 111.00 | 5.00 |
4791 .. | 135.00 | 5.00 | 5078 .. | 86.00 | 5.00 |
4794 .. | 155.00 | 5.00 | 5081 .. | 96.00 | 5.00 |
4798 .. | 110.00 | 5.00 | 5085 .. | 105.00 | 5.00 |
4801 .. | 37.00 | 5.00 | 5087 .. | 47.00 | 5.00 |
4804 .. | 75.00 | 5.00 | 5091 .. | 59.00 | 5.00 |
4808 .. | 20.00 | 5.00 | 5095 .. | 200.00 | 5.00 |
4812 .. | 15.00 | 5.00 | 5098 .. | 105.00 | 5.00 |
4817 .. | 88.00 | 5.00 | 5100 .. | 310.00 | 5.00 |
4822 .. | 47.00 | 5.00 | 5102 .. | 105.00 | 5.00 |
4828 .. | 4.65 | 2.15 | 5104 .. | 120.00 | 5.00 |
4832 .. | 9.55 | 4.55 | 5106 .. | 92.00 | 5.00 |
4838 .. | 17.00 | 5.00 | 5108 .. | 220.00 | 5.00 |
4841 .. | 17.00 | 5.00 | 5112 .. | 220.00 | 5.00 |
4844 .. | 30.00 | 5.00 | 5116 .. | 105.00 | 5.00 |
4848 .. | 25.00 | 5.00 | 5122 .. | 135.00 | 5.00 |
4853 .. | 30.00 | 5.00 | 5127 .. | 105.00 | 5.00 |
4856 .. | 9.55 | 4.55 | 5131 .. | 52.00 | 5.00 |
4860 .. | 30.00 | 5.00 | 5138 .. | 96.00 | 5.00 |
4862 .. | 30.00 | 5.00 | 5143 .. | 61.00 | 5.00 |
4864 .. | 30.00 | 5.00 | 5147 .. | 96.00 | 5.00 |
4867 .. | 52.00 | 5.00 | 5152 .. | 71.00 | 5.00 |
4870 .. | 40.00 | 5.00 | 5158 .. | 105.00 | 5.00 |
4874 .. | 30.00 | 5.00 | 5162 .. | 7.65 | 3.65 |
Schedule 6—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
5166 .. | 37.00 | 5.00 | 5424 .. | 10.75 | 5.00 |
5172 .. | 3.00 | 5.00 | 5431 .. | 6.90 | 3.30 |
5176 .. | 3.70 | 1.70 | 5445 .. | 5.45 | 2.55 |
5181 .. | 13.55 | 3.95 | 5449 .. | 2.70 | 1.30 |
5185 .. | 8.35 | 3.95 | 5456 .. | 30.00 | 5.00 |
5192 .. | 5.65 | 2.65 | 5464 .. | 15.00 | 5.00 |
5196 .. | 9.55 | 4.55 | 5470 .. | 31.00 | 5.00 |
5201 .. | 5.95 | 2.85 | 5474 .. | 14.00 | 5.00 |
5205 .. | 6.25 | 2.95 | 5480 .. | 18.00 | 5.00 |
5210 .. | 13.50 | 5.00 | 5486 .. | 30.00 | 5.00 |
5214 .. | 18.00 | 5.00 | 5490 .. | 4.15 | 1.95 |
5217 .. | 37.00 | 5.00 | 5498 .. | 114.00 | 5.00 |
5221 .. | 39.20 | 5.00 | 5503 .. | 120.00 | 5.00 |
5225 .. | 43.50 | 5.00 | 5508 .. | 120.00 | 5.00 |
5229 .. | 2.45 | 2.75 | 5520 .. | 15.00 | 5.00 |
5233 .. | 13.00 | 5.00 | 5524 .. | 18.00 | 5.00 |
5237 .. | 10.45 | 4.95 | 5530 .. | 20.00 | 5.00 |
5241 .. | 14.00 | 5.00 | 5534 .. | 24.50 | 5.00 |
5245 .. | 2.45 | 1.15 | 5540 .. | 35.00 | 5.00 |
5249 .. | 2.45 | 1.15 | 5545 .. | 52.00 | 5.00 |
5254 .. | 7.15 | 3.35 | 5556 .. | 52.00 | 5.00 |
5259 .. | 7.15 | 3.35 | 5566 .. | 86.00 | 5.00 |
5264 .. | 2.05 | 0.95 | 5568 .. | 74.00 | 5.00 |
5268 .. | 37.00 | 5.00 | 5572 .. | 15.00 | 5.00 |
5270 .. | 71.00 | 5.00 | 5598 .. | 20.00 | 5.00 |
5274 .. | 71.00 | 5.00 | 5601 .. | 14.00 | 5.00 |
5277 .. | 57.00 | 5.00 | 5605 .. | 14.00 | 5.00 |
5280 .. | 9.50 | 5.00 | 5611 .. | 19.50 | 5.00 |
5282 .. | 9.50 | 5.00 | 5613 .. | 31.00 | 5.00 |
5284 .. | 9.05 | 4.35 | 5619 .. | 20.50 | 5.00 |
5286 .. | 9.05 | 4.35 | 5624 .. | 9.55 | 4.55 |
5288 .. | 52.00 | 5.00 | 5630 .. | 69.00 | 5.00 |
5291 .. | 52.00 | 5.00 | 5636 .. | 75.00 | 5.00 |
5295 .. | 69.00 | 5.00 | 5642 .. | 135.00 | 5.00 |
5298 .. | 91.00 | 5.00 | 5647 .. | 71.00 | 5.00 |
5301 .. | 32.00 | 5.00 | 5651 .. | 96.00 | 5.00 |
5305 .. | 4.65 | 2.15 | 5654 .. | 69.00 | 5.00 |
5303 .. | 29.00 | 5.00 | 5661 .. | 86.00 | 5.00 |
5318 .. | 69.00 | 5.00 | 5665 .. | 96.00 | 5.00 |
5320 .. | 54.00 | 5.00 | 5669 .. | 96.00 | 5.00 |
5325 .. | 4.65 | 2.15 | 5675 .. | 108.00 | 5.00 |
5330 .. | 25.00 | 5.00 | 5679 .. | 96.00 | 5.00 |
5333 .. | 52.00 | 5.00 | 5683 .. | 67.00 | 5.00 |
5337 .. | 71.00 | 5.00 | 5691 .. | 86.00 | 5.00 |
5339 .. | 96.00 | 5.00 | 5694 .. | 96.00 | 5.00 |
5343 .. | 2.10 | 1.30 | 5699 .. | 99.00 | 5.00 |
5345 .. | 9.05 | 4.35 | 5705 .. | 75.00 | 5.00 |
5348 .. | 9.55 | 4.55 | 5715 .. | 69.00 | 5.00 |
5351 .. | 86.00 | 5.00 | 5721 .. | 52.00 | 5.00 |
5354 .. | 61.00 | 5.00 | 5724 .. | 59.00 | 5.00 |
5357 .. | 52.00 | 5.00 | 5726 .. | 13.50 | 5.00 |
5360 .. | 61.00 | 5.00 | 5729 .. | 30.00 | 5.00 |
5363 .. | 11.00 | 5.00 | 5732 .. | 42.00 | 5.00 |
5366 .. | 10.00 | 5.00 | 5734 .. | 86.00 | 5.00 |
5370 .. | 15.25 | 5.00 | 5737 .. | 96.00 | 5.00 |
5374 .. | 14.25 | 5.00 | 5741 .. | 86.00 | 5.00 |
5373 .. | 12.20 | 5.00 | 5744 .. | 86.00 | 5.00 |
5383 .. | 11.20 | 3.00 | 5747 .. | 69.00 | 5.00 |
5389 .. | 13.00 | 5.00 | 5753 .. | 120.00 | 5.00 |
5392 .. | 10.00 | 5.00 | 5757 .. | 155.00 | 5.00 |
5396 .. | 8.60 | 1.10 | 5763 .. | 69.00 | 5.00 |
5401 .. | 11.30 | 5.00 | 5769 .. | 86.00 | 5.00 |
5407 .. | 4.40 | 3.50 | 5773 .. | 75.00 | 5.00 |
5411 .. | 6.55 | 4.95 | 5777 .. | 96.00 | 5.00 |
5415 .. | 8.25 | 5.00 | 5780 .. | 86.00 | 5.00 |
Schedule 6—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
5785 .. | 86.00 | 5.00 | 6077 .. | 59.00 | 5.00 |
5792 .. | 104.00 | 5.00 | 6079 .. | 52.00 | 5.00 |
5799 .. | 86.00 | 5.00 | 6083 .. | 69.00 | 5.00 |
5804 .. | 104.00 | 5.00 | 6086 .. | 69.00 | 5.00 |
5807 .. | 120.00 | 5.00 | 6089 .. | 65.00 | 5.00 |
5812 .. | 59.00 | 5.00 | 6092 .. | 65.00 | 5.00 |
5816 .. | 69.00 | 5.00 | 6095 .. | 24.50 | 5.00 |
5821 .. | 69.00 | 5.00 | 6098 .. | 15.00 | 5.00 |
5827 .. | 86.00 | 5.00 | 6105 .. | 33.00 | 5.00 |
5831 .. | 67.00 | 5.00 | 6107 .. | 42.00 | 5.00 |
5836 .. | 86.00 | 5.00 | 6110 .. | 65.00 | 5.00 |
5837 .. | 40.00 | 5.00 | 6114 .. | 67.00 | 5.00 |
5840 .. | 2.85 | 1.15 | 6118 .. | 123.00 | 5.00 |
5845 .. | 10.70 | 5.00 | 6122 .. | 24.50 | 5.00 |
5847 .. | 15.00 | 5.00 | 6130 .. | 52.00 | 5.00 |
5851 .. | 15.50 | 5.00 | 6135 .. | 86.00 | 5.00 |
5853 .. | 20.00 | 5.00 | 6140 .. | 15.50 | 5.00 |
5857 .. | 7.40 | 3.50 | 6146 .. | 15.50 | 5.00 |
5861 .. | 7.40 | 3.50 | 6152 .. | 42.00 | 5.00 |
5864 .. | 24.50 | 5.00 | 6157 .. | 69.00 | 5.00 |
5868 .. | 20.00 | 5.00 | 6162 .. | 6.25 | 2.95 |
5871 .. | 29.00 | 5.00 | 6166 .. | 69.00 | 5.00 |
5875 .. | 65.00 | 5.00 | 6170 .. | 9.05 | 4.35 |
5878 .. | 22.50 | 5.00 | 6175 .. | 33.00 | 5.00 |
5881 .. | 42.00 | 5.00 | 6179 .. | 42.00 | 5.00 |
5885 .. | 30.00 | 5.00 | 6184 .. | 86.00 | 5.00 |
5888 .. | 42.00 | 5.00 | 6189 .. | 42.00 | 5.00 |
5891 .. | 52.00 | 5.00 | 6194 .. | 86.00 | 5.00 |
5894 .. | 65.00 | 5.00 | 6199 .. | 3.75 | 1.75 |
5897 .. | 30.00 | 5.00 | 6204 .. | 42.00 | 5.00 |
5901 .. | 37.00 | 5.00 | 6208 .. | 79.00 | 5.00 |
5905 .. | 96.00 | 5.00 | 6212 .. | 25.00 | 5.00 |
5916 .. | 65.00 | 5.00 | 6216 .. | 15.50 | 5.00 |
5959 .. | 65.00 | 5.00 | 6218 .. | 15.50 | 5.00 |
5929 .. | 69.00 | 5.00 | 6221 .. | 19.00 | 5.00 |
5935 .. | 37.00 | 5.00 | 6224 .. | 24.50 | 5.00 |
5941 .. | 75.00 | 5.00 | 6228 .. | 24.50 | 5.00 |
5947 .. | 59.00 | 5.00 | 6230 .. | 86.00 | 5.00 |
5956 .. | 69.00 | 5.00 | 6233 .. | 30.00 | 5.00 |
5964 .. | 3.75 | 1.75 | 6236 .. | 27.50 | 5.00 |
5968 .. | 42.00 | 5.00 | 6238 .. | 52.00 | 5.00 |
5973 .. | 42.00 | 5.00 | 6241 .. | 59.00 | 5.00 |
5977 .. | 69.00 | 5.00 | 6244 .. | 46.00 | 5.00 |
5981 .. | 155.00 | 5.00 | 6246 .. | 15.50 | 5.00 |
5984 .. | 86.00 | 5.00 | 6249 .. | 32.50 | 5.00 |
5993 .. | 104.00 | 5.00 | 6253 .. | 20.00 | 5.00 |
6001 .. | 81.00 | 5.00 | 6258 .. | 6.25 | 2.95 |
6005 .. | 25.00 | 5.00 | 6262 .. | 4.15 | 1.95 |
6010 .. | 42.00 | 5.00 | 6267 .. | 6.25 | 2.95 |
6017 .. | 105.00 | 5.00 | 6271 .. | 6.90 | 3.30 |
6022 .. | 25.00 | 5.00 | 6274 .. | 12.00 | 5.00 |
6027 .. | 37.00 | 5.00 | 6277 .. | 15.00 | 5.00 |
6030 .. | 11.30 | 5.00 | 6278 .. | 9.05 | 4.35 |
6033 .. | 42.00 | 5.00 | 6280 .. | 11.70 | 5.00 |
6036 .. | 3.75 | 1.75 | 6284 .. | 4.65 | 2.15 |
6039 .. | 6.25 | 2.95 | 6286 .. | 6.90 | 3.30 |
6041 .. | 86.00 | 5.00 | 6290 .. | 4.65 | 2.15 |
6044 .. | 24.50 | 5.00 | 6297 .. | 9.05 | 4.35 |
6047 .. | 11.70 | 5.00 | 6296 .. | 11.70 | 5.00 |
6053 .. | 29.00 | 5.00 | 6299 .. | 22.50 | 5.00 |
6056 .. | 20.00 | 5.00 | 6302 .. | 30.00 | 5.00 |
6061 .. | 14.00 | 5.00 | 6306 .. | 108.00 | 5.00 |
6066 .. | 7.40 | 3.50 | 6308 .. | 61.00 | 5.00 |
6069 .. | 20.00 | 5.00 | 6313 .. | 3.40 | 1.60 |
6073 .. | 20.00 | 5.00 | 6321 .. | 18.00 | 5.00 |
Schedule 6—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
6325 .. | 61.00 | 5.00 | 6669 .. | 57.00 | 5.00 |
6327 .. | 61.00 | 5.00 | 6672 .. | 28.00 | 5.00 |
6332 .. | 35.00 | 5.00 | 6674 .. | 7.00 | 5.00 |
6336 .. | 13.00 | 5.00 | 6677 .. | 31.00 | 5.00 |
6342 .. | 9.55 | 4.55 | 6681 .. | 40.00 | 5.00 |
6347 .. | 19.00 | 5.00 | 6686 .. | 8.10 | 3.80 |
6352 .. | 25.00 | 5.00 | 6688 .. | 42.00 | 5.00 |
6358 .. | 37.00 | 5.00 | 6692 .. | 54.00 | 5.00 |
6363 .. | 47.00 | 5.00 | 6697 .. | 42.00 | 5.00 |
6367 .. | 46.00 | 5.00 | 6699 .. | 54.00 | 5.00 |
6373 .. | 63.00 | 5.00 | 6701 .. | 30.00 | 5.00 |
6379 .. | 52.50 | 5.00 | 6703 .. | 17.00 | 5.00 |
6384 .. | 140.00 | 5.00 | 6705 .. | 36.00 | 5.00 |
6389 .. | 14.00 | 5.00 | 6707 .. | 57.00 | 5.00 |
6396 .. | 47.00 | 5.00 | 6709 .. | 35.00 | 5.00 |
6401 .. | 61.00 | 5.00 | 6713 .. | 59.00 | 5.00 |
6406 .. | 59.00 | 5.00 | 6715 .. | 74.00 | 5.00 |
6409 .. | 4.95 | 2.35 | 6718 .. | 82.00 | 5.00 |
6412 .. | 4.95 | 2.35 | 6722 .. | 92.00 | 5.00 |
6415 .. | 9.25 | 2.05 | 6724 .. | 44.00 | 5.00 |
6418 .. | 13.50 | 5.00 | 6728 .. | 57.00 | 5.00 |
6424 .. | 18.00 | 5.00 | 6730 .. | 67.00 | 5.00 |
6428 .. | 20.00 | 5.00 | 6736 .. | 92.00 | 5.00 |
6434 .. | 25.50 | 5.00 | 6740 .. | 36.00 | 5.00 |
6436 .. | 11.30 | 5.00 | 6742 .. | 47.00 | 5.00 |
6441 .. | 14.00 | 5.00 | 6744 .. | 67.00 | 5.00 |
6446 .. | 6.25 | 2.95 | 6747 .. | 92.00 | 5.00 |
6451 .. | 8.35 | 3.95 | 6752 .. | 9.05 | 4.35 |
6460 .. | 10.45 | 4.95 | 6754 .. | 6.45 | 3.05 |
6464 .. | 13.50 | 5.00 | 6758 .. | 40.00 | 5.00 |
6469 .. | 18.00 | 5.00 | 6762 .. | 9.05 | 4.35 |
6476 .. | 20.90 | 5.00 | 6766 .. | 23.00 | 5.00 |
6481 .. | 16.40 | 5.00 | 6768 .. | 29.00 | 5.00 |
6486 .. | 13.40 | 5.00 | 6772 .. | 17.00 | 5.00 |
6491 .. | 16.40 | 5.00 | 6774 .. | 44.00 | 5.00 |
6501 .. | 14.85 | 5.00 | 6778 .. | 61.00 | 5.00 |
6506 .. | 17.85 | 5.00 | 6782 .. | 52.00 | 5.00 |
6508 .. | 47.00 | 5.00 | 6786 .. | 67.00 | 5.00 |
6513 .. | 47.00 | 5.00 | 6790 .. | 67.00 | 5.00 |
6517 .. | 59.00 | 5.00 | 6792 .. | 57.00 | 5.00 |
6519 .. | 47.00 | 5.00 | 6796 .. | 40.00 | 5.00 |
6523 .. | 59.00 | 5.00 | 6799 .. | 1.65 | 3.65 |
6528 .. | 53.50 | 5.00 | 6802 .. | 3.75 | 1.75 |
6530 .. | 6.00 | 5.00 | 6805 .. | 0.10 | 2.95 |
6534 .. | 67.00 | 5.00 | 6807 .. | 9.05 | 4.35 |
6536 .. | 100.00 | 5.00 | 6810 .. | 33.00 | 5.00 |
6542 .. | 71.00 | 5.00 | 6814 .. | 9.55 | 4.55 |
6546 .. | 39.00 | 5.00 | 6816 .. | 1.40 | 0.80 |
6553 .. | 37.00 | 5.00 | 6818 .. | 5.65 | 2.65 |
6557 .. | 47.00 | 5.00 | 6820 .. | 17.00 | 5.00 |
6561 .. | 37.00 | 5.00 | 6822 .. | 19.50 | 5.00 |
6563 .. | 47.00 | 5.00 | 6824 .. | 5.65 | 2.65 |
6570 .. | 52.00 | 5.00 | 6828 .. | 120.00 | 5.00 |
6585 .. | 23.00 | 5.00 | 6832 .. | 79.00 | 5.00 |
6594 .. | 5.00 | 5.00 | 6835 .. | 4.75 | 2.25 |
6599 .. | 2.35 | 2.45 | 6837 .. | 16.00 | 5.00 |
6604 .. | 18.00 | 5.00 | 6842 .. | 9.05 | 4.35 |
6613 .. | 66.00 | 5.00 | 6846 .. | 23.00 | 5.00 |
6631 .. | 57.00 | 5.00 | 6848 .. | 50.00 | 5.00 |
6636 .. | 4.95 | 2.35 | 6852 .. | 57.00 | 5.00 |
6641 .. | 3.35 | 1.55 | 6857 .. | 40.00 | 5.00 |
6645 .. | 31.00 | 5.00 | 6859 .. | 105.00 | 5.00 |
6650 .. | 40.00 | 5.00 | 6861 .. | 46.00 | 5.00 |
6661 .. | 37.50 | 5.00 | 6865 .. | 27.00 | 5.00 |
6665 .. | 18.00 | 5.00 | 6869 .. | 25.00 | 5.00 |
Schedule 6—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
6871 .. | 57.00 | 5.00 | 7068 .. | 1.40 | 0.80 |
6873 .. | 71.00 | 5.00 | 7072 .. | 4.65 | 2.15 |
6879 .. | 61.00 | 5.00 | 7075 .. | 5.65 | 2.65 |
6881 .. | 46.00 | 5.00 | 7079 .. | 22.50 | 5.00 |
6885 .. | 97.00 | 5.00 | 7081 .. | 24.00 | 5.00 |
6889 .. | 30.00 | 5.00 | 7085 .. | 5.65 | 2.65 |
6891 .. | 47.00 | 5.00 | 7089 .. | 6.65 | 3.15 |
6894 .. | 96.00 | 5.00 | 7093 .. | 5.95 | 2.85 |
6898 .. | 25.00 | 5.00 | 7099 .. | 15.50 | 5.00 |
6900 .. | 79.00 | 5.00 | 7106 .. | 9.75 | 4.65 |
6902 .. | 105.00 | 5.00 | 7111 .. | 12.50 | 5.00 |
6904 .. | 30.00 | 5.00 | 7112 .. | 18.00 | 5.00 |
6906 .. | 13.50 | 5.00 | 7116 .. | 16.50 | 5.00 |
6908 .. | 52.00 | 5.00 | 7117 .. | 21.00 | 5.00 |
6912 .. | 79.00 | 5.00 | 7120 .. | 30.00 | 5.00 |
6914 .. | 6.90 | 3.30 | 7121 .. | 40.00 | 5.00 |
6918 .. | 5.45 | 2.55 | 7124 .. | 37.00 | 5.00 |
6922 .. | 36.00 | 5.00 | 7128 .. | 37.00 | 5.00 |
6924 .. | 41.00 | 5.00 | 7129 .. | 63.00 | 5.00 |
6928 .. | 55.00 | 5.00 | 7132 .. | 43.00 | 5.00 |
6930 .. | 41.00 | 5.00 | 7134 .. | 43.00 | 5.00 |
6932 .. | 35.00 | 5.00 | 7138 .. | 69.00 | 5.00 |
6934 .. | 34.00 | 5.00 | 7139 .. | 75.00 | 5.00 |
6938 .. | 35.00 | 5.00 | 7143 .. | 37.00 | 5.00 |
6940 .. | 5.15 | 2.45 | 7148 .. | 15.00 | 5.00 |
6942 .. | 8.55 | 4.05 | 7152 .. | 5.00 | 5.00 |
6946 .. | 6.90 | 3.30 | 7156 .. | 37.00 | 5.00 |
6948 .. | 3.45 | 1.65 | 7165 .. | 65.00 | 5.00 |
6953 .. | 8.55 | 4.05 | 7170 .. | 104.00 | 5.00 |
6955 .. | 40.00 | 5.00 | 7175 .. | 32.00 | 5.00 |
6958 .. | 82.00 | 5.00 | 7178 .. | 11.50 | 5.00 |
6962 .. | 120.00 | 5.00 | 7182 .. | 14.50 | 5.00 |
6964 .. | 88.00 | 5.00 | 7186 .. | 19.50 | 5.00 |
6966 .. | 120.00 | 5.00 | 7192 .. | 40.00 | 5.00 |
6968 .. | 63.00 | 5.00 | 7194 .. | 88.00 | 5.00 |
6970 .. | 36.00 | 5.00 | 7198 .. | 130.00 | 5.00 |
6972 .. | 108.00 | 5.00 | 7203 .. | 220.00 | 5.00 |
6974 .. | 23.50 | 5.00 | 7208 .. | 32.00 | 5.00 |
6976 .. | 7.15 | 3.35 | 7212 .. | 40.00 | 5.00 |
6978 .. | 15.00 | 5.00 | 7216 .. | 96.00 | 5.00 |
6980 .. | 20.00 | 5.00 | 7220 .. | 51.00 | 5.00 |
6982 .. | 88.00 | 5.00 | 7231 .. | 65.00 | 5.00 |
6984 .. | 120.00 | 5.00 | 7236 .. | 67.00 | 5.00 |
6986 .. | 120.00 | 5.00 | 7240 .. | 83.00 | 5.00 |
6988 .. | 150.00 | 5.00 | 7244 .. | 96.00 | 5.00 |
6990 .. | 54.00 | 5.00 | 7248 .. | 96.00 | 5.00 |
6992 .. | 36.00 | 5.00 | 7251 .. | 79.00 | 5.00 |
6995 .. | 88.00 | 5.00 | 7265 .. | 220.00 | 5.00 |
6997 .. | 88.00 | 5.00 | 7270 .. | 114.00 | 5.00 |
6999 .. | 120.00 | 5.00 | 7274 .. | 57.00 | 5.00 |
7001 .. | 37.00 | 5.00 | 7279 .. | 65.00 | 5.00 |
7003 .. | 47.00 | 5.00 | 7283 .. | 130.00 | 5.00 |
7006 .. | 9.00 | 5.00 | 7287 .. | 40.00 | 5.00 |
7011 .. | 37.00 | 5.00 | 7291 .. | 65.00 | 5.00 |
7013 .. | 67.00 | 5.00 | 7298 .. | 79.00 | 5.00 |
7021 .. | 108.00 | 5.00 | 7304 .. | 220.00 | 5.00 |
7023 .. | 88.00 | 5.00 | 7307 .. | 130.00 | 5.00 |
7028 .. | 54.00 | 5.00 | 7312 .. | 96.00 | 5.00 |
7033 .. | 33.00 | 5.00 | 7331 .. | 86.00 | 5.00 |
7042 .. | 26.00 | 5.00 | 7336 .. | 86.00 | 5.00 |
7046 .. | 25.00 | 5.00 | 7341 .. | 86.00 | 5.00 |
7050 .. | 25.00 | 5.00 | 7346 .. | 88.00 | 5.00 |
7057 .. | 250.00 | 5.00 | 7353 .. | 108.00 | 5.00 |
7062 .. | 25.00 | 5.00 | 7355 .. | 96.00 | 5.00 |
7066 .. | 200.00 | 5.00 | 7361 .. | 49.00 | 5.00 |
Schedule 6—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
7365 .. | 49.00 | 5.00 | 7559 .. | 10.90 | 5.00 |
7370 .. | 80.00 | 5.00 | 7563 .. | 13.50 | 5.00 |
7376 .. | 63.00 | 5.00 | 7567 .. | 14.00 | 5.00 |
7381 .. | 57.00 | 5.00 | 7572 .. | 7.50 | 5.00 |
7397 .. | 3.70 | 1.70 | 7578 .. | 14.00 | 5.00 |
7402 .. | 3.70 | 1.70 | 7584 .. | 7.50 | 5.00 |
7406 .. | 2.30 | 1.10 | 7588 .. | 7.40 | 3.50 |
7408 .. | 2.30 | 1.10 | 7593 .. | 7.05 | 4.35 |
7410 .. | 5.75 | 2.75 | 7597 .. | 9.05 | 4.35 |
7412 .. | 6.90 | 3.30 | 7601 .. | 1.40 | 0.80 |
7416 .. | 5.75 | 2.75 | 7605 .. | 2.45 | 1.25 |
7419 .. | 4.65 | 2.15 | 7608 .. | 14.00 | 5.00 |
7423 .. | 8.35 | 3.95 | 7610 .. | 19.50 | 5.00 |
7426 .. | 5.45 | 2.55 | 7615 .. | 10.45 | 4.95 |
7430 .. | 10.90 | 5.00 | 7619 .. | 14.00 | 5.00 |
7432 .. | 14.00 | 5.00 | 7624 .. | 35.00 | 5.00 |
7435 .. | 2.30 | 1.10 | 7627 .. | 47.00 | 5.00 |
7436 .. | 6.90 | 3.30 | 7632 .. | 8.10 | 3.80 |
7440 .. | 18.50 | 5.00 | 7637 .. | 9.05 | 4.95 |
7443 .. | 25.00 | 5.00 | 7641 .. | 11.00 | 5.00 |
7446 .. | 13.50 | 5.00 | 7643 .. | 11.00 | 5.00 |
7451 .. | 17.00 | 5.00 | 7647 .. | 22.00 | 5.00 |
7457 .. | 5.45 | 2.55 | 7652 .. | 30.00 | 5.00 |
7461 .. | 9.05 | 4.35 | 7657 .. | 22.00 | 5.00 |
7464 .. | 2.70 | 1.30 | 7662 .. | 30.00 | 5.00 |
7468 .. | 6.90 | 3.30 | 7666 .. | 22.00 | 5.00 |
7472 .. | 22.50 | 5.00 | 7668 .. | 30.00 | 5.00 |
7476 .. | 22.50 | 5.00 | 7673 .. | 7.15 | 3.45 |
7480 .. | 9.50 | 4.50 | 7677 .. | 10.45 | 4.95 |
7483 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the dislocation concerned, plus one-half of that amount | The amount shown in this column in the item (other than no item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the dislocation concerned, plus one-half of that amount | 7681 .. | 2.95 | 1.35 |
|
|
| 7683 .. | 4.65 | 2.15 |
|
|
| 7687 .. | 7.15 | 3.35 |
|
|
| 7691 .. | 7.15 | 3.35 |
|
|
| 7694 .. | 1.40 | 0.80 |
|
|
| 7697 .. | 7.45 | 1.25 |
|
|
| 7701 .. | 1.40 | 0.80 |
|
|
| 7706 .. | 2.45 | 1.25 |
|
|
| 7709 .. | 4.55 | 4.95 |
|
|
| 7712 .. | 3.00 | 5.00 |
|
|
| 7715 .. | 42.00 | 5.00 |
|
|
| 7718 .. | 8.55 | 4.05 |
|
|
| 7721 .. | 11.70 | 5.00 |
|
|
| 7724 .. | 11.70 | 5.00 |
|
|
| 7727 .. | 27.50 | 5.00 |
|
|
| 7731 .. | 27.50 | 5.00 |
|
|
| 7734 .. | 30.00 | 5.00 |
|
|
| 7736 .. | 30.00 | 5.00 |
|
|
| 7739 .. | 10.45 | 4.95 |
7485 .. | 9.50 | 4.50 | 7743 .. | 14.00 | 5.00 |
7505 .. | 3.35 | 1.55 | 7745 .. | 14.00 | 5.00 |
7508 .. | 7.15 | 3.35 | 7749 .. | 37.00 | 5.00 |
7512 .. | 10.45 | 4.95 | 7753 .. | 37.00 | 5.00 |
7516 .. | 4.75 | 2.25 | 7757 .. | 40.00 | 5.00 |
7520 .. | 10.45 | 4.95 | 7761 .. | 40.00 | 5.00 |
7524 .. | 15.00 | 5.00 | 7764 .. | 9.30 | 4.40 |
7527 .. | 12.50 | 5.00 | 7766 .. | 13.00 | 5.00 |
7530 .. | 18.00 | 5.00 | 7770 .. | 13.00 | 5.00 |
7533 .. | 5.45 | 2.55 | 7774 .. | 1.40 | 0.80 |
7535 .. | 10.45 | 4.95 | 7777 .. | 2.45 | 1.25 |
7538 .. | 13.00 | 5.00 | 7781 .. | 1.40 | 0.80 |
7540 .. | 13.50 | 5.00 | 7785 .. | 2.45 | 1.25 |
7544 .. | 20.00 | 5.00 | 7789 .. | 17.00 | 5.00 |
7547 .. | 10.45 | 4.95 | 7793 .. | 30.00 | 5.00 |
7550 .. | 14.30 | 5.00 | 7798 .. | 79.00 | 5.00 |
7552 .. | 22.00 | 5.00 | 7802 .. | 9.50 | 4.50 |
Schedule 6—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
7803 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned plus one-third of that amount |
| the symbol ‘(D)’) relating to the fracture concerned plus one-half of that amount | the symbol ‘(D)’) relating to the fracture concerned plus one-half of that amount |
|
|
| 7815 .. | 9.50 | 4.50 |
|
|
| 7817 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount |
7804 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount |
|
|
|
|
|
| 7818 .. | The amount shown in this column in the item (being an stern relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount |
7808 .. | 9.50 | 4.50 |
|
|
|
7809 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount |
|
|
|
|
|
| 7821 .. | 9.50 | 4.50 |
|
|
| 7823 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus three-quarters of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus three-quarters of that amount |
7812 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes |
|
|
|
Schedule 6—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
7824 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus three-quarters of that amount | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus three-quarters of that amount |
| Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7834 in the table of Commonwealth medical benefits apply to the reduction concerned | Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7834 in the table of Commonwealth medical benefits apply to the reduction concerned |
|
|
| 7836 .. | One-half of the amount shown in this column in the item that would, but for item 7836 in the table of Commonwealth medical benefits apply to the reduction concerned | One-half of the amount shown in this column in the item that would, but for item 7836 in the table of Commonwealth medical benefits apply to the reduction concerned |
7828 .. | One-half of the amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7828 in the table of Commonwealth medical benefits apply to the reduction concerned | One-half of the amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7828 in the table of Commonwealth medical benefits apply to the reduction concerned |
|
|
|
|
|
| 7839 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7839 in the table of Commonwealth medical benefits apply to the reduction concerned | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7839 in the table of Commonwealth medical benefits apply to the reduction concerned |
7831 .. | One-half of the amount shown in this column in the item that would, but for item 7831 in the table of Commonwealth medical benefits apply to the reduction concerned | One-half of the amount shown in this column in the item that would, but for item 7831 in the table of Commonwealth medical benefits apply to the reduction concerned |
|
|
|
|
|
| 7841 .. | The amount shown in this column in the item that would, but for item 7841 in the table of Commonwealth medical benefits apply to the reduction concerned | The amount shown in this column in the item that would, but for item 7841 in the table of Commonwealth medical benefits apply to the reduction concerned |
7834 .. | One-half of the amount shown in this column in the item (other than an item relating to an item in the table of | One-half of the amount shown in this column in the item (other than an item relating to an item in the table of |
|
|
|
Schedule 6—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in Fund Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
7844 .. | 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 | 7934 .. | 135.00 | 5.00 |
|
|
| 7937 .. | 14.00 | 5.00 |
|
|
| 7940 .. | 29.00 | 5.00 |
|
|
| 7942 .. | 65.00 | 5.00 |
|
|
| 7945 .. | 113.00 | 5.00 |
|
|
| 7947 .. | 99.00 | 5.00 |
|
|
| 7951 .. | 125.00 | 5.00 |
|
|
| 7957 .. | 113.00 | 5.00 |
|
|
| 7961 .. | 150.00 | 5.00 |
|
|
| 7967 .. | 110.00 | 5.00 |
|
|
| 7969 .. | 150.00 | 5.00 |
7847 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | 7975 .. | 75.00 | 5.00 |
|
|
| 7977 .. | 59.00 | 5.00 |
|
|
| 7983 .. | 75.00 | 5.00 |
|
|
| 7985 .. | 75.00 | 5.00 |
|
|
| 7993 .. | 54.00 | 5.00 |
|
|
| 7999 .. | 49.00 | 5.00 |
|
|
| 8001 .. | 44.00 | 5.00 |
|
|
| 8006 .. | 44.00 | 5.00 |
|
|
| 8009 .. | 23.50 | 5.00 |
|
|
| 8014 .. | 26.00 | 5.00 |
|
|
| 8017 .. | 69.00 | 5.00 |
|
|
| 8019 .. | 82.00 | 5.00 |
|
|
| 8022 .. | 8.50 | 5.00 |
|
|
| 8026 .. | 7.15 | 3.35 |
|
|
| 8028 .. | 11.00 | 5.00 |
|
|
| 8032 .. | 46.00 | 5.00 |
|
|
| 8036 .. | 41.00 | 5.00 |
|
|
| 8040 .. | 29.00 | 5.00 |
7849 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D’)) relating to the fracture concerned, plus one-third of that amount | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | 8044 .. | 108.00 | 5.00 |
|
|
| 8048 .. | 74.00 | 5.00 |
|
|
| 8053 .. | 74.00 | 5.00 |
|
|
| 8061 .. | 92.00 | 5.00 |
|
|
| 8069 .. | 135.00 | 5.00 |
|
|
| 8074 .. | 54.00 | 5.00 |
|
|
| 8076 .. | 135.00 | 5.00 |
|
|
| 8079 .. | 74.00 | 5.00 |
|
|
| 8081 .. | 36.00 | 5.00 |
|
|
| 8084 .. | 18.00 | 5.00 |
|
|
| 8087 .. | 40.00 | 5.00 |
|
|
| 8089 .. | 54.00 | 5.00 |
|
|
| 8092 .. | 67.00 | 5.00 |
|
|
| 8095 .. | 39.00 | 5.00 |
|
|
| 8097 .. | 49.00 | 5.00 |
|
|
| 8100 .. | 59.00 | 5.00 |
|
|
| 3103 .. | 135.00 | 5.00 |
7853 .. | 23.50 | 5.00 | 8105 .. | 0.25 | 1.15 |
7857 .. | 23.50 | 5.00 | 8108 .. | 2.65 | 1.25 |
7861 .. | 3.20 | 1.00 | 8113 .. | 36.00 | 5.00 |
7864 .. | 2.30 | 1.10 | 8116 .. | 54.00 | 5.00 |
7868 .. | 5.65 | 2.65 | 8120 .. | 31.00 | 5.00 |
7872 .. | 3.15 | 4.55 | 8124 .. | 15.50 | 5.00 |
7878 .. | 4.50 | 5.00 | 8127 .. | 21.00 | 5.00 |
7883 .. | 9.55 | 4.55 | 8131 .. | 34.50 | 5.00 |
7888 .. | 9.55 | 4.55 | 8135 .. | 11.00 | 5.00 |
7898 .. | 88.00 | 5.00 | 8110 .. | 27.90 | 5.00 |
7902 .. | 31.00 | 5.00 | 8143 .. | 36.40 | 5.00 |
7907 .. | 31.00 | 5.00 | 8148 .. | 46.00 | 5.00 |
7911 .. | 8.60 | 4.10 | 8151 .. | 18.00 | 5.00 |
7915 .. | 10.90 | 5.00 | 8153 .. | 23.00 | 5.00 |
7919 .. | 5.75 | 4.55 | 8158 .. | 54.00 | 5.00 |
7923 .. | 6.00 | 5.00 | 8161 .. | 42.00 | 5.00 |
7926 .. | 15.00 | 5.00 | 8166 .. | 31.00 | 5.00 |
7928 .. | 26.00 | 5.00 | 8169 .. | 18.00 | 5.00 |
7932 .. | 26.00 | 5.00 | 8173 .. | 23.00 | 5.00 |
Schedule 6—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
8175 .. | 23.00 | 5.00 | 8338 .. | 3.80 | 1.80 |
8179 .. | 22.50 | 5.00 | 8340 .. | 4.75 | 2.25 |
8182 .. | 29.00 | 5.00 | 8342 .. | 3.80 | 1.80 |
8185 .. | 23.50 | 5.00 | 8344 .. | 5.75 | 2.75 |
8187 .. | 26.00 | 5.00 | 8346 .. | 3.80 | 1.80 |
8190 .. | 26.00 | 5.00 | 8348 .. | 7.15 | 3.35 |
8193 .. | 31.00 | 5.00 | 8350 .. | 20.50 | 5.00 |
8195 .. | 36.00 | 5.00 | 8352 .. | 3.80 | 1.80 |
8198 .. | 59.00 | 5.00 | 8354 .. | 5.75 | 2.75 |
8201 .. | 88.00 | 5.00 | 8356 .. | 5.75 | 2.75 |
8203 .. | 49.00 | 5.00 | 8358 .. | 6.25 | 2.95 |
8206 .. | 59.00 | 5.00 | 8360 .. | 71.00 | 5.00 |
8209 .. | 57.00 | 5.00 | 8362 .. | 82.00 | 5.00 |
8211 .. | 59.00 | 5.00 | 8364 .. | 82.00 | 5.00 |
8214 .. | 13.50 | 5.00 | 8366 .. | 82.00 | 5.00 |
8217 .. | 29.00 | 5.00 | 8368 .. | 42.00 | 5.00 |
8219 .. | 24.50 | 5.00 | 8370 .. | 65.00 | 5.00 |
8222 .. | 31.00 | 5.00 | 8372 .. | 65.00 | 5.00 |
8225 .. | 36.00 | 5.00 | 8374 .. | 91.00 | 5.00 |
8227 .. | 12.00 | 5.00 | 8376 .. | 82.00 | 5.00 |
8230 .. | 15.00 | 5.00 | 8378 .. | 82.00 | 5.00 |
8233 .. | 23.50 | 5.00 | 8380 .. | 79.00 | 5.00 |
8235 .. | 31.00 | 5.00 | 8382 .. | 18.00 | 5.00 |
8258 .. | 39.00 | 5.00 | 8384 .. | 42.00 | 5.00 |
8241 .. | 9.55 | 4.55 | 8386 .. | 31.00 | 5.00 |
8243 .. | 15.00 | 5.00 | 8388 .. | 99.00 | 5.00 |
8246 .. | 8.60 | 4.10 | 8390 .. | 99.00 | 5.00 |
8249 .. | 23.00 | 5.00 | 8394 .. | 86.00 | 5.00 |
8251 .. | 44.00 | 5.00 | 8398 .. | 82.00 | 5.00 |
8254 .. | 120.00 | 5.00 | 8400 .. | 57.00 | 5.00 |
8257 .. | 59.00 | 5.00 | 8402 .. | 65.00 | 5.00 |
8259 .. | 45.00 | 5.00 | 8406 .. | 35.00 | 5.00 |
8262 .. | 26.00 | 5.00 | 8408 .. | 104.00 | 5.00 |
8265 .. | 14.00 | 5.00 | 8410 .. | 54.00 | 5.00 |
8267 .. | 18.00 | 5.00 | 8412 .. | 31.00 | 5.00 |
8271 .. | 18.00 | 5.00 | 8414 .. | 103.00 | 5.00 |
8275 .. | 27.50 | 5.00 | 8416 .. | 9.55 | 4.55 |
8279 .. | 15.00 | 5.00 | 8418 .. | 65.00 | 5.00 |
8282 .. | 20.50 | 5.00 | 8420 .. | 47.00 | 5.00 |
8283 .. | 27.50 | 5.00 | 8422 .. | 32.00 | 5.00 |
8287 .. | 13.50 | 5.00 | 8424 .. | 71.00 | 5.00 |
8290 .. | 48.00 | 5.00 | 8428 .. | 3.75 | 1.75 |
8292 .. | 48.00 | 5.00 | 8430 .. | 9.55 | 4.55 |
8294 .. | 52.00 | 5.00 | 8432 .. | 14.00 | 5.00 |
8296 .. | 15.00 | 5.00 | 8434 .. | 18.50 | 5.00 |
8298 .. | 39.00 | 5.00 | 8436 .. | 12.00 | 5.00 |
8300 .. | 36.00 | 5.00 | 8438 .. | 9.55 | 4.55 |
8302 .. | 59.00 | 5.00 | 8440 .. | 49.00 | 5.00 |
8304 .. | 74.00 | 5.00 | 8442 .. | 59.00 | 5.00 |
8306 .. | 99.00 | 5.00 | 8444 .. | 91.00 | 5.00 |
8308 .. | 74.00 | 5.00 | 8446 .. | 7.65 | 3.65 |
8310 .. | 36.00 | 5.00 | 8448 .. | 4.75 | 2.25 |
8312 .. | 36.00 | 5.00 | 8450 .. | 40.00 | 5.00 |
8314 .. | 49.00 | 5.00 | 8452 .. | 14.00 | 5.00 |
8316 .. | 49.00 | 5.00 | 8454 .. | 34.00 | 5.00 |
8318 .. | 46.00 | 5.00 | 8456 .. | 2.60 | 1.70 |
8320 .. | 46.00 | 5.00 | 8458 .. | 3.70 | 1.70 |
8322 .. | 43.00 | 5.00 | 8460 .. | 3.70 | 1.70 |
8324 .. | 49.00 | 5.00 | 8467 .. | 4.95 | 3.95 |
8326 .. | 49.00 | 5.00 | 8464 .. | 4.95 | 3.95 |
8328 .. | 36.00 | 5.00 | 8466 .. | 13.00 | 5.00 |
8330 .. | 49.00 | 5.00 | 8468 .. | 13.00 | 5.00 |
8332 .. | 3.00 | 5.00 | 8470 .. | 18.00 | 5.00 |
8334 .. | 3.80 | 1.80 | 8472 .. | 27.50 | 5.00 |
8336 .. | 4.35 | 2.05 | 8471 .. | 41.00 | 5.00 |
Schedule 6—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
8476 .. | 69.00 | 5.00 | 8568 .. | 71.00 | 5.00 |
8473 .. | 40.00 | 5.00 | 8570 .. | 40.00 | 5.00 |
8480 .. | 23.50 | 5.00 | 8572 .. | 40.00 | 5.00 |
8482 .. | 23.50 | 5.00 | 8574 .. | 45.00 | 5.00 |
8484 .. | 36.00 | 5.00 | 8576 .. | 45.00 | 5.00 |
8486 .. | 40.00 | 5.00 | 8578 .. | 52.00 | 5.00 |
8488 .. | 19.00 | 5.00 | 8580 .. | 52.00 | 5.00 |
8490 .. | 21.50 | 5.00 | 8582 .. | 52.00 | 5.00 |
8492 .. | 9.05 | 4.35 | 8584 .. | 23.50 | 5.00 |
8494 .. | 38.00 | 5.00 | 8586 .. | 41.00 | 5.00 |
8496 .. | 19.00 | 5.00 | 8588 .. | 27.50 | 5.00 |
8498 .. | 40.00 | 5.00 | 8590 .. | 5.00 | 5.00 |
8500 .. | 32.00 | 5.00 | 8592 .. | 40.00 | 5.00 |
8502 .. | 21.50 | 5.00 | 8594 .. | 45.00 | 5.00 |
8504 .. | 17.00 | 5.00 | 8596 .. | 52.00 | 5.00 |
8306 .. | 17.00 | 5.00 | 8598 .. | 9.00 | 5.00 |
8508 .. | 36.00 | 5.00 | 8600 .. | 113.00 | 5.00 |
8510 .. | 61.00 | 5.00 | 8602 .. | 11.70 | 5.00 |
8512 .. | 23.50 | 5.00 | 8604 .. | 30.00 | 5.00 |
8514 .. | 23.50 | 5.00 | 8606 .. | 30.00 | 5.00 |
8516 .. | 52.00 | 5.00 | 8608 .. | 47.00 | 5.00 |
8518 .. | 40.00 | 5.00 | 8610 .. | 15.50 | 5.00 |
8520 .. | 10.00 | 5.00 | 8612 .. | 61.00 | 5.00 |
8522 .. | 18.00 | 5.00 | 8614 .. | 27.50 | 5.00 |
8524 .. | 25.00 | 5.00 | 8616 .. | 27.50 | 5.00 |
8526 .. | 67.00 | 5.00 | 8618 .. | 46.00 | 5.00 |
8528 .. | 79.00 | 5.00 | 8620 .. | 13.00 | 5.00 |
8530 .. | 67.00 | 5.00 | 8622 .. | 57.00 | 5.00 |
8532 .. | 79.00 | 5.00 | 8624 .. | 75.00 | 5.00 |
8534 .. | 8.35 | 3.95 | 8626 .. | 30.00 | 5.00 |
8536 .. | 18.00 | 5.00 | 8628 .. | 22.50 | 5.00 |
8538 .. | 42.00 | 5.00 | 8630 .. | 45.00 | 5.00 |
8540 .. | 82.00 | 5.00 | 8632 .. | 105.00 | 5.00 |
8542 .. | 114.00 | 5.00 | 8634 .. | 30.00 | 5.00 |
8544 .. | 27.50 | 5.00 | 8636 .. | 57.00 | 5.00 |
8546 .. | 65.00 | 5.00 | 8638 .. | 57.00 | 5.00 |
8548 .. | 74.00 | 5.00 | 8640 .. | 71.00 | 5.00 |
8550 .. | 120.00 | 5.00 | 8642 .. | 71.00 | 5.00 |
8552 .. | 42.00 | 5.00 | 8644 .. | 36.00 | 5.00 |
8554 .. | 79.00 | 5.00 | 8646 .. | 36.00 | 5.00 |
8556 .. | 61.00 | 5.00 | 8643 .. | 52.00 | 5.00 |
8558 .. | 61.00 | 5.00 | 8650 .. | 52.00 | 5.00 |
8560 .. | 52.00 | 5.00 | 8652 .. | 91.00 | 5.00 |
8562 .. | 52.00 | 5.00 |
|
|
|
8564 .. | 52.00 | 5.00 | 8654 .. | 91.00 | 5.00 |
8566 .. | 52.00 | 5.00 | 8656 .. | 67.00 | 5.00 |
SCHEDULE 7
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 |
| $ | $ |
| $ | $ |
3 .. | 2.50 | 0.60 | 278 .. | 5.15 | 2.05 |
4 .. | 4.40 | 1.10 | 284 .. | 7.85 | 3.15 |
14 .. | 3.30 | 0.85 | 290 .. | 5.65 | 2.25 |
19 .. | 5.25 | 1.35 | 295 .. | 5.65 | 2.25 |
25 .. | 6.35 | 1.65 | 298 .. | 10.20 | 4.10 |
26 .. | 8.30 | 2.10 | 354 .. | 5.65 | 2.25 |
33 .. | 9.15 | 2.45 | 360 .. | 24.00 | 5.00 |
35 .. | 11.55 | 7.95 | 362 .. | 4.25 | 2.55 |
43 .. | 3.70 | 0.90 | 365 .. | 27.00 | 5.00 |
44 .. | 5.65 | 1.40 | 368 .. | 41.00 | 5.00 |
51 .. | 4.95 | 1.25 | 374 .. | 5.65 | 2.25 |
53 .. | 6.90 | 1.75 | 383 .. | 5.95 | 4.55 |
57 .. | 8.70 | 2.15 | 401 .. | 0.60 | 0.40 |
59 .. | 10.55 | 2.65 | 403 .. | 1.15 | 0.85 |
65 .. | 11.75 | 3.00 | 404 .. | 1.80 | 1.30 |
66 .. | 13.90 | 3.50 | 405 .. | 2.40 | 1.70 |
69 .. | 4.95 | 1.25 | 406 .. | 2.85 | 2.15 |
71 .. | 6.90 | 1.75 | 407 .. | 3.60 | 2.60 |
73 .. | 3.30 | 0.85 | 408 .. | 5.45 | 3.05 |
79 .. | 1.50 | 0.60 | 409 .. | 6.55 | 3.45 |
82 .. | 3.30 | 0.85 | 443 .. | 7.10 | 3.90 |
85 .. | 5.00 | 1.10 | 450 .. | 7.85 | 4.35 |
88 .. | 8.85 | 2.25 | 453 .. | 8.40 | 4.80 |
94 .. | 4.50 | 1.10 | 454 .. | 9.00 | 5.00 |
100 .. | 13.45 | 3.45 | 457 .. | 9.50 | 5.00 |
103 .. | 9.30 | 2.30 | 458 .. | 8.00 | 5.00 |
110 .. | 16.25 | 4.35 | 459 .. | 3.00 | 5.00 |
116 .. | 9.05 | 2.35 | 460 .. | 9.50 | 5.00 |
122 .. | 22.00 | 5.00 | 461 .. | 10.50 | 5.00 |
128 .. | 13.40 | 3.50 | 462 .. | 10.50 | 5.00 |
134 .. | 4.50 | 1.10 | 463 .. | 11.50 | 5.00 |
136 .. | 8.85 | 2.25 | 464 .. | 12.00 | 5.00 |
138 .. | 13.05 | 3.45 | 465 .. | 13.00 | 5.00 |
140 .. | 16.95 | 4.55 | 466 .. | 14.00 | 5.00 |
142 .. | 22.00 | 5.00 | 467 .. | 14.50 | 5.00 |
144 .. | 9.30 | 2.30 | 468 .. | 15.50 | 5.00 |
146 .. | 13.45 | 3.45 | 469 .. | 15.00 | 5.00 |
148 .. | 17.35 | 4.55 | 470 .. | 16.00 | 5.00 |
150 .. | 22.50 | 5.00 | 471 .. | 17.00 | 5.00 |
152 .. | 28.00 | 5.00 | 472 .. | 18.00 | 5.00 |
160 .. | 15.80 | 3.80 | 473 .. | 19.00 | 5.00 |
161 .. | 26.60 | 5.00 | 474 .. | 20.00 | 5.00 |
162 .. | 38.00 | 5.00 | 475 .. | 21.00 | 5.00 |
163 .. | 50.00 | 5.00 | 476 .. | 23.00 | 5.00 |
164 .. | 61.00 | 5.00 | 477 .. | 25.00 | 5.00 |
190 .. | 1.85 | 0.85 | 478 .. | 26.00 | 5.00 |
192 .. | 4.00 | 5.00 | 479 .. | 1.55 | 1.05 |
194 .. | 11.00 | 5.00 | 480 .. | 3.60 | 2.60 |
196 .. | 4.00 | 5.00 | 481 .. | 4.45 | 3.05 |
198 .. | 18.00 | 5.00 |
|
|
|
200 .. | 11.00 | 5.00 |
|
|
|
207 .. | 3.00 | 5.00 | 482 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the dislocation concerned plus one-half of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the dislocation concerned plus one-half of that amount |
211 .. | 49.20 | 5.00 |
|
|
|
213 .. | 10.20 | 5.00 |
|
|
|
216 .. | 38.20 | 5.00 |
|
|
|
217 .. | 32.20 | 5.00 |
|
|
|
234 .. | 39.00 | 5.00 |
|
|
|
241 .. | 5.00 | 5.00 |
|
|
|
242 .. | 1.40 | 0.60 |
|
|
|
246 .. | 1.40 | 0.60 |
|
|
|
250 .. | 15.10 | 5.00 |
|
|
|
258 .. | 21.00 | 5.00 |
|
|
|
267 .. | 5.65 | 2.25 |
|
|
|
273 .. | 1.40 | 0.60 |
|
|
|
Schedule 7—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
483 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus one-third of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus one-third of that amount | 539 .. | 21.00 | 5.00 |
|
|
| 540 .. | 23.00 | 5.00 |
|
|
| 541 .. | 23.00 | 5.00 |
|
|
| 542 .. | 25.00 | 5.00 |
|
|
| 543 .. | 26.00 | 5.00 |
|
|
| 544 .. | 27.00 | 5.00 |
|
|
| 545 .. | 27.00 | 5.00 |
|
|
| 546 .. | 30.00 | 5.00 |
|
|
| 547 .. | 32.00 | 5.00 |
|
|
| 548 .. | 35.00 | 5.00 |
|
|
| 549 .. | 37.00 | 5.00 |
|
|
| 550 .. | 2.05 | 1.35 |
|
|
| 551 .. | 5.10 | 3.30 |
|
|
| 552 .. | 5.90 | 3.80 |
484 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus one-half of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus one-half of that amount | 553 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the dislocation concerned plus one-half of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the dislocation concerned plus one-half of that amount |
485 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus three-quarters of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned, plus three-quarters of that amount |
|
|
|
|
|
| 554 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus one-third of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus one-third of that amount |
500 .. | 0.90 | 0.50 |
|
|
|
505 .. | 1.75 | 1.05 |
|
|
|
506 .. | 2.40 | 1.60 |
|
|
|
509 .. | 3.35 | 2.15 |
|
|
|
510 .. | 4.30 | 2.70 |
|
|
|
513 .. | 5.10 | 3.30 |
|
|
|
514 .. | 5.90 | 3.80 |
|
|
|
517 .. | 6.65 | 4.35 |
|
|
|
518 .. | 6.65 | 4.85 | 556 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus one-half of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus one-half of that amount |
521 .. | 8.00 | 5.00 |
|
|
|
522 .. | 9.00 | 5.00 |
|
|
|
523 .. | 9.50 | 5.00 |
|
|
|
524 .. | 10.50 | 5.00 |
|
|
|
525 .. | 12.00 | 5.00 |
|
|
|
526 .. | 12.50 | 5.00 |
|
|
|
527 .. | 14.00 | 5.00 |
|
|
|
528 .. | 15.00 | 5.00 |
|
|
|
529 .. | 15.00 | 5.00 |
|
|
|
531 .. | 16.50 | 5.00 |
|
|
|
533 .. | 18.00 | 5.00 |
|
|
|
535 .. | 19.00 | 5.00 |
|
|
|
537 .. | 20.00 | 5.00 |
|
|
|
538 .. | 20.00 | 5.00 |
|
|
|
Schedule 7—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
557 .. | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus three-quarters of that amount | The amount shown in this column in the item relating to the administration of an anaesthetic in connection with the treatment of the fracture concerned plus three-quarters of that amount | 888 .. | 4.85 | 1.75 |
|
|
| 890 .. | 3.10 | 1.50 |
|
|
| 893 .. | 7.35 | 3.45 |
|
|
| 895 .. | 5.35 | 1.95 |
|
|
| 897 .. | 8.05 | 2.95 |
|
|
| 899 .. | 5.35 | 1.95 |
|
|
| 902 .. | 35.50 | 5.00 |
|
|
| 904 .. | 29.50 | 5.00 |
|
|
| 907 .. | 2.75 | 0.95 |
|
|
| 908 .. | 4.85 | 1.75 |
|
|
| 909 .. | 2.45 | 0.85 |
|
|
| 910 .. | 2.45 | 0.85 |
|
|
| 912 .. | 7.25 | 2.65 |
|
|
| 913 .. | 12.10 | 4.40 |
|
|
| 914 .. | 11.85 | 4.35 |
|
|
| 916 .. | 17.20 | 5.00 |
566 .. | 5.60 | 1.70 | 917 .. | 9.60 | 3.50 |
567 .. | 7.05 | 2.15 | 918 .. | 16.80 | 5.00 |
568 .. | 6.75 | 2.15 | 919 .. | 4.10 | 1.50 |
560 .. | 4.25 | 2.75 | 920 .. | 13.45 | 4.95 |
570 .. | 9.85 | 3.45 | 922 .. | 48.00 | 5.00 |
571 .. | 6.65 | 4.35 | 923 .. | 71.00 | 5.00 |
572 .. | 7.85 | 2.55 | 925 .. | 10.75 | 3.95 |
573 .. | 5.10 | 3.30 | 927 .. | 3.60 | 1.30 |
574 .. | 12.05 | 4.35 | 929 .. | 5.95 | 2.15 |
575 .. | 8.50 | 5.00 | 932 .. | 5.95 | 2.15 |
748 .. | 6.95 | 3.45 | 934 .. | 8.35 | 3.05 |
752 .. | 5.05 | 2.45 | 936 .. | 12.80 | 4.70 |
760 .. | 5.25 | 2.53 | 938 .. | 12.80 | 4.70 |
764 .. | 6.45 | 3.15 | 940 .. | 11.85 | 4.35 |
767 .. | 10.05 | 4.95 | 944 .. | 8.05 | 2.95 |
770 .. | 5.15 | 2.15 | 947 .. | 24.00 | 5.00 |
774 .. | 13.45 | 4.95 | 949 .. | 4.85 | 1.75 |
777 .. | 23.00 | 5.00 | 952 .. | 11.20 | 4.10 |
787 .. | 19.50 | 5.00 | 934 .. | 1.75 | 0.65 |
790 .. | 29.50 | 5.00 | 956 .. | 2.15 | 0.75 |
794 .. | 8.05 | 2.95 | 958 .. | 3.45 | 1.25 |
797 .. | 8.50 | 5.00 | 960 .. | 5.05 | 1.85 |
803 .. | 12.80 | 4.70 | 963 .. | 3.40 | 1.20 |
806 .. | 16.50 | 5.00 | 966 .. | 9.35 | 3.45 |
809 .. | 23.00 | 5.00 | 968 .. | 18.50 | 5.00 |
812 .. | 9.60 | 3.50 | 970 .. | 39.00 | 5.00 |
815 .. | 8.05 | 2.95 | 974 .. | 5.95 | 2.15 |
818 .. | 42.00 | 5.00 | 1001 .. | 0.40 | 0.30 |
821 .. | 6.00 | 5.00 | 1005 .. | 0.60 | 0.40 |
824 .. | 6.25 | 2.25 | 1012 .. | 0.10 | 0.40 |
827 .. | 30.50 | 5.00 | 1017 .. | 1.00 | 0.50 |
829 .. | 54.00 | 5.00 | 1023 .. | 0.40 | 0.30 |
833 .. | 23.00 | 5.00 | 1027 .. | 0.75 | 0.65 |
836 .. | 12.80 | 4.70 | 1031 .. | 1.95 | 1.45 |
839 .. | 7.25 | 2.65 | 1035 .. | 1.40 | 1.00 |
844 .. | 4.45 | 2.05 | 1039 .. | 1.95 | 1.45 |
849 .. | 6.25 | 1.45 | 1043 .. | 1.90 | 1.90 |
853 .. | 10.75 | 3.95 | 1047 .. | 0.90 | 0.40 |
856 .. | 7.05 | 2.55 | 1051 .. | 4.60 | 3.50 |
859 .. | 13.45 | 4.95 | 1055 .. | 0.40 | 0.30 |
863 .. | 2.60 | 0.90 | 1056 .. | 1.00 | 0.40 |
865 .. | 3.75 | 1.35 | 1058 .. | 0.60 | 0.40 |
870 .. | 5.00 | 1.80 | 1061 .. | 1.15 | 1.00 |
874 .. | 6.25 | 2.25 | 1067 .. | 1.15 | 1.00 |
877 .. | 3.75 | 1.35 | 1071 .. | 1.15 | 1.00 |
879 .. | 5.50 | 2.00 | 1075 .. | 1.65 | 0.85 |
882 .. | 4.35 | 1.55 | 1077 .. | 2.40 | 1.20 |
884 .. | 4.35 | 1.55 | 1079 .. | 2.75 | 1.35 |
886 .. | 5.35 | 1.95 | 1083 .. | 2.75 | 1.35 |
Schedule 7—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
1086 .. | 0.10 | 0.75 | 1338 .. | 0.90 | 0.40 |
1088 .. | 3.40 | 1.70 | 1341 .. | 1.65 | 0.85 |
1093 .. | 1.35 | 0.65 | 1344 .. | 2.40 | 1.20 |
1095 .. | 4.80 | 2.40 | 1347 .. | 1.55 | 0.85 |
1099 .. | 0.50 | 1.20 | 1350 .. | 0.45 | 0.85 |
1103 .. | 0.10 | 0.40 | 1353 .. | 3.50 | 1.20 |
1107 .. | 0.40 | 0.30 | 1356 .. | 0.45 | 0.85 |
1111 .. | 1.05 | 0.65 | 1359 .. | 0.10 | 0.40 |
1115 .. | 0.70 | 0.30 | 1361 .. | 0.10 | 0.85 |
1119 .. | 0.90 | 0.40 | 1363 .. | 0.60 | 0.60 |
1123 .. | 2.10 | 1.00 | 1365 .. | 2.50 | 1.20 |
1127 .. | 0.65 | 0.85 | 1367 .. | 1.50 | 1.00 |
1131 .. | 1.05 | 0.85 | 1369 .. | 0.45 | 0.85 |
1135 .. | 2.40 | 1.20 | 1371 .. | 2.30 | 1.20 |
1139 .. | 7.50 | 3.80 | 1373 .. | 0.60 | 0.40 |
1143 .. | 1.00 | 0.50 | 1375 .. | 0.65 | 0.65 |
1147 .. | 0.60 | 0.40 | 1377 .. | 3.05 | 1.55 |
1151 .. | 2.10 | 1.00 | 1379 .. | 4.25 | 2.15 |
1155 .. | 3.75 | 3.45 | 1383 .. | 4.25 | 2.15 |
1158 .. | 1.25 | 0.75 | 1386 .. | 6.75 | 3.45 |
1161 .. | 2.40 | 1.20 | 1390 .. | 8.45 | 4.25 |
1165 .. | 1.65 | 0.85 | 1395 .. | 3.05 | 1.55 |
1169 .. | 1.65 | 0.85 | 1400 .. | 4.25 | 2.15 |
1173 .. | 0.80 | 0.60 | 1403 .. | 0.10 | 0.75 |
1177 .. | 0.95 | 0.75 | 1406 .. | 1.65 | 0.85 |
1181 .. | 1.20 | 0.90 | 1409 .. | 2.75 | 1.35 |
1185 .. | 2.20 | 1.70 | 1412 .. | 4.25 | 2.15 |
1189 .. | 0.10 | 0.40 | 1415 .. | 0.30 | 0.40 |
1193 .. | 0.75 | 0.65 | 1418 .. | 0.45 | 0.85 |
1197 .. | 1.20 | 0.90 | 1422 .. | 2.10 | 1.70 |
1201 .. | 2.25 | 2.05 | 1426 .. | 3.40 | 2.40 |
1205 .. | 0.40 | 0.30 | 1429 .. | 4.65 | 3.05 |
1209 .. | 0.10 | 0.30 | 1433 .. | 6.50 | 3.80 |
1213 .. | 2.30 | 1.90 | 1437 .. | 2.40 | 1.20 |
1217 .. | 0.75 | 0.65 | 1440 .. | 3.75 | 1.85 |
1221 .. | 4.15 | 2.05 | 1413 .. | 0.45 | 0.85 |
1225 .. | 0.50 | 0.85 | 1446 .. | 2.10 | 1.70 |
1229 .. | 1.65 | 0.85 | 1449 .. | 3.40 | 2.40 |
1233 .. | 3.10 | 1.00 | 1451 .. | 4.65 | 3.05 |
1241 .. | 0.60 | 0.40 | 1454 .. | 2.05 | 1.35 |
1245 .. | 2.75 | 1.35 | 1457 .. | 8.45 | 4.25 |
1249 .. | 1.65 | 0.85 | 1460 .. | 1.65 | 0.85 |
1253 .. | 2.75 | 1.35 | 1464 .. | 0.45 | 0.85 |
1257 .. | 4.15 | 2.05 | 1467 .. | 2.10 | 1.70 |
1261 .. | 1.25 | 0.75 | 1471 .. | 3.40 | 2.40 |
1265 .. | 1.50 | 1.00 | 1473 .. | 4.65 | 3.05 |
1269 .. | 1.10 | 1.00 | 1477 .. | 6.50 | 3.80 |
1273 .. | 1.25 | 0.75 | 1480 .. | 3.40 | 1.70 |
1276 .. | 1.25 | 0.75 | 1483 .. | 2.45 | 1.95 |
1281 .. | 1.50 | 1.00 | 1486 .. | 0.45 | 0.85 |
1285 .. | 2.10 | 1.70 | 1489 .. | 1.25 | 0.75 |
1289 .. | 2.40 | 1.20 | 1498 .. | 1.70 | 1.60 |
1293 .. | 2.10 | 1.00 | 1503 .. | 0.45 | 0.85 |
1297 .. | 2.10 | 1.00 | 1507 .. | 2.10 | 1.70 |
1303 .. | 0.45 | 0.85 | 1510 .. | 3.40 | 2.40 |
1308 .. | 0.80 | 1.00 | 1518 .. | 4.65 | 3.05 |
1311 .. | 3.35 | 1.35 | 1524 .. | 6.50 | 3.80 |
1315 .. | 2.05 | 1.35 | 1528 .. | 0.45 | 0.85 |
1318 .. | 1.85 | 1.55 | 1532 .. | 1.65 | 0.85 |
1321 .. | 1.00 | 0.50 | 1535 .. | 0.70 | 0.30 |
1324 .. | 1.25 | 0.75 | 1538 .. | 0.35 | 0.15 |
1326 .. | 0.65 | 0.75 | 1542 .. | 2.40 | 1.70 |
1329 .. | 0.10 | 0.50 | 1547 .. | 0.10 | 0.40 |
1332 .. | 1.00 | 0.30 | 1552 .. | 0.60 | 0.40 |
1335 .. | 1.50 | 1.00 | 1555 .. | 1.65 | 0.25 |
Schedule 7—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specific excess |
| $ | $ |
| $ | $ |
1558 .. | 2.20 | 1.80 | 1762 .. | 0.40 | 0.30 |
1561 .. | 0.80 | 1.00 | 1765 .. | 0.10 | 0.30 |
1565 .. | 2.45 | 1.85 | 1768 .. | 0.10 | 0.30 |
1569 .. | 4.25 | 2.75 | 1771 .. | 1.05 | 0.85 |
1572 .. | 1.25 | 1.85 | 1774 .. | 0.10 | 0.50 |
1574 .. | 6.75 | 3.45 | 1777 .. | 0.85 | 0.85 |
1576 .. | 2.95 | 1.45 | 1780 .. | 1.55 | 0.75 |
1578 .. | 3.05 | 1.55 | 1783 .. | 0.10 | 0.85 |
1581 .. | 2.05 | 1.35 | 1786 .. | 0.20 | 1.20 |
1585 .. | 0.65 | 0.75 | 1788 .. | 1.40 | 1.60 |
1591 .. | 1.50 | 0.40 | 1791 .. | 1.45 | 1.95 |
1593 .. | 0.50 | 0.50 | 1795 .. | 1.00 | 2.10 |
1595 .. | 0.60 | 0.90 | 1799 .. | 1.60 | 1.10 |
1597 .. | 1.90 | 1.70 | 1803 .. | 3.40 | 1.70 |
1599 .. | 2.90 | 2.20 | 1807 .. | 2.10 | 1.00 |
1602 .. | 1.45 | 1.35 | 1811 .. | 3.75 | 1.85 |
1605 .. | 2.75 | 2.15 | 1814 .. | 1.25 | 0.75 |
1608 .. | 3.75 | 2.65 | 1816 .. | 2.25 | 1.25 |
1612 .. | 0.60 | 0.40 | 1818 .. | 2.10 | 1.00 |
1617 .. | 1.90 | 1.20 | 1821 .. | 1.65 | 0.85 |
1619 .. | 0.90 | 0.40 | 1825 .. | 0.65 | 0.75 |
1624 .. | 1.65 | 0.85 | 1829 .. | 0.40 | 0.30 |
1628 .. | 0.30 | 0.40 | 1832 .. | 0.50 | 1.20 |
1632 .. | 1.65 | 0.85 | 1834 .. | 1.75 | 1.95 |
1635 .. | 1.25 | 0.75 | 1836 .. | 1.05 | 1.25 |
1637 .. | 2.35 | 0.75 | 1838 .. | 1.80 | 2.10 |
1639 .. | 2.25 | 1.25 | 1842 .. | 2.20 | 3.00 |
1642 .. | 1.65 | 0.85 | 1845 .. | 1.40 | 2.10 |
1646 .. | 2.10 | 1.00 | 1848 .. | 2.75 | 2.15 |
1650 .. | 0.65 | 0.75 | 1854 .. | 3.50 | 3.00 |
1654 .. | 3.40 | 1.70 | 1857 .. | 3.95 | 2.85 |
1656 .. | 1.05 | 0.85 | 1860 .. | 4.60 | 3.70 |
1658 .. | 4.25 | 2.15 | 1864 .. | 1.00 | 1.10 |
1660 .. | 8.45 | 4.25 | 1868 .. | 1.65 | 0.85 |
1663 .. | 2.40 | 1.20 | 1872 .. | 0.95 | 0.75 |
1666 .. | 2.75 | 1.35 | 1876 .. | 2.55 | 1.55 |
1669 .. | 8.45 | 4.25 | 1880 .. | 0.10 | 0.40 |
1672 .. | 2.95 | 1.45 | 1883 .. | 0.45 | 0.85 |
1675 .. | 0.10 | 0.75 | 1886 .. | 2.40 | 1.20 |
1677 .. | 4.25 | 2.15 | 1890 .. | 0.45 | 0.85 |
1679 .. | 2.70 | 1.70 | 1894 .. | 2.10 | 1.70 |
1681 .. | 1.05 | 0.90 | 1930 .. | 3.40 | 2.40 |
1685 .. | 2.05 | 1.35 | 1934 .. | 4.65 | 3.05 |
1689 .. | 0.45 | 0.85 | 1938 .. | 0.65 | 0.85 |
1692 .. | 2.10 | 1.70 | 1944 .. | 2.95 | 1.45 |
1695 .. | 3.40 | 2.40 | 2001 .. | 2.05 | 1.35 |
1699 .. | 4.65 | 3.05 | 2005 .. | 2.55 | 1.55 |
1704 .. | 0.10 | 0.40 | 2008 .. | 0.60 | 0.40 |
1708 .. | 1.50 | 1.00 | 2012 .. | 0.40 | 0.30 |
1711 .. | 3.40 | 1.70 | 2017 .. | 0.65 | 0.75 |
1715 .. | 8.45 | 4.25 | 2021 .. | 1.20 | 0.60 |
1719 .. | 6.75 | 3.45 | 2026 .. | 2.40 | 1.20 |
1723 .. | 0.75 | 1.25 | 2032 .. | 2.10 | 1.00 |
1727 .. | 1.95 | 1.25 | 2036 .. | 1.25 | 0.75 |
1731 .. | 2.95 | 1.45 | 2040 .. | 4.80 | 2.40 |
1735 .. | 9.35 | 3.45 | 2047 .. | 2.55 | 1.25 |
1739 .. | 0.75 | 1.25 | 2051 .. | 2.55 | 1.25 |
1742 .. | 0.75 | 1.25 | 2055 .. | 8.45 | 4.25 |
1745 .. | 0.10 | 0.40 | 2059 .. | 6.05 | 3.05 |
1749 .. | 6.75 | 3.45 | 2064 .. | 8.45 | 4.25 |
1751 .. | 8.45 | 4.25 | 2068 .. | 3.40 | 1.70 |
1753 .. | 1.00 | 0.50 | 2072 .. | 0.10 | 0.40 |
1755 .. | 1.25 | 0.75 | 2078 .. | 5.15 | 2.55 |
1757 .. | 2.70 | 1.70 | 2083 .. | 0.45 | 0.85 |
1759 .. | 2.55 | 1.55 | 2087 .. | 2.40 | 1.20 |
Schedule 7—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
2089 .. | 3.05 | 1.55 | 2353 .. | 2.10 | 1.70 |
2094 .. | 0.40 | 0.30 | 2356 .. | 2.10 | 1.70 |
2098 .. | 0.10 | 0.30 | 2358 .. | 6.75 | 3.45 |
2106 .. | 0.60 | 0.40 | 2361 .. | 0.55 | 2.25 |
2110 .. | 1.20 | 0.60 | 2364 .. | 4.25 | 2.76 |
2115 .. | 1.65 | 0.85 | 2368 .. | 1.90 | 1.80 |
2121 .. | 1.65 | 0.85 | 2370 .. | 5.15 | 2.55 |
2127 .. | 1.05 | 0.85 | 2373 .. | 14.50 | 5.00 |
2133 .. | 1.40 | 1.20 | 2375 .. | 2.45 | 1.95 |
2139 .. | 2.60 | 1.80 | 2377 .. | 4.15 | 2.05 |
2144 .. | 1.65 | 0.85 | 2379 .. | 6.75 | 3.45 |
2150 .. | 4.25 | 2.65 | 2381 .. | 14.50 | 5.00 |
2154 .. | 1.65 | 0.85 | 2383 .. | 5.15 | 2.55 |
2158 .. | 1.25 | 0.75 | 2385 .. | 5.15 | 2.55 |
2168 .. | 2.25 | 1.25 | 2387 .. | 2.45 | 1.95 |
2172 .. | 0.90 | 0.40 | 2389 .. | 1.05 | 1.45 |
2176 .. | 0.50 | 0.85 | 2391 .. | 0.50 | 1.20 |
2180 .. | 0.50 | 0.85 | 2393 .. | 3.40 | 1.70 |
2184 .. | 1.00 | 0.50 | 2395 .. | 12.00 | 5.00 |
2188 .. | 1.55 | 1.25 | 2397 .. | 1.25 | 0.75 |
2190 .. | 3.25 | 2.55 | 2399 .. | 2.70 | 1.70 |
2192 .. | 4.90 | 3.90 | 2402 .. | 5.15 | 2.55 |
2194 .. | 1.65 | 0.85 | 2404 .. | 1.50 | 1.00 |
2190 .. | 3.40 | 1.70 | 2406 .. | 2.55 | 1.55 |
2197 .. | 5.15 | 2.55 | 2408 .. | 2.55 | 1.55 |
2198 .. | 3.40 | 1.70 | 2411 .. | 4.10 | 2.40 |
2200 .. | 0.10 | 0.30 | 2413 .. | 3.25 | 1.95 |
2207 .. | 0.10 | 0.40 | 2415 .. | 5.30 | 2.90 |
2209 .. | 6.75 | 3.45 | 2417 .. | 1.05 | 0.85 |
2214 .. | 1.00 | 0.50 | 2419 .. | 1.20 | 0.90 |
2218 .. | 0.45 | 0.85 | 2422 .. | 6.05 | 3.05 |
2224 .. | 1.00 | 0.50 | 2424 .. | 7.20 | 3.60 |
2229 .. | 0.45 | 0.85 | 2427 .. | 8.20 | 4.10 |
2233 .. | 0.45 | 0.85 | 2430 .. | 9.85 | 4.95 |
2237 .. | 0.80 | 0.60 | 2432 .. | 3.95 | 1.95 |
2242 .. | 1.50 | 1.00 | 2434 .. | 2.75 | 1.75 |
2246 .. | 1.00 | 0.50 | 2436 .. | 3.15 | 1.95 |
2251 .. | 0.45 | 0.85 | 2438 .. | 7.95 | 3.95 |
2253 .. | 3.95 | 1.35 | 2441 .. | 2.75 | 1.35 |
2258 .. | 4.15 | 2.05 | 2443 .. | 3.95 | 1.95 |
2260 .. | 0.10 | 0.40 | 2446 .. | 3.95 | 1.95 |
2261 .. | 0.10 | 0.40 | 2448 .. | 4.35 | 2.15 |
2263 .. | 0.10 | 0.40 | 2451 .. | 12.00 | 5.00 |
2266 .. | 1.65 | 0.85 | 2454 .. | 20.00 | 5.00 |
2271 .. | 1.25 | 0.75 | 2457 .. | 7.95 | 3.95 |
2276 .. | 3.00 | 1.60 | 2462 .. | 6.75 | 3.35 |
2280 .. | 3.40 | 1.70 | 2470 .. | 5.15 | 2.55 |
2284 .. | 1.65 | 0.85 | 2473 .. | 6.25 | 3.15 |
2288 .. | 1.20 | 0.60 | 2474 .. | 12.50 | 5.00 |
2290 .. | 1.25 | 1.35 | 2476 .. | 12.00 | 5.00 |
2293 .. | 2.75 | 2.15 | 2477 .. | 6.25 | 3.15 |
2297 .. | 0.10 | 0.75 | 2479 .. | 22.50 | 5.00 |
2301 .. | 0.20 | 1.70 | 2480 .. | 9.40 | 4.70 |
2305 .. | 0.10 | 0.75 | 2481 .. | 12.00 | 5.00 |
2309 .. | 0.10 | 0.75 | 2483 .. | 6.75 | 3.35 |
2313 .. | 2.10 | 1.70 | 2484 .. | 7.95 | 3.95 |
2317 .. | 4.25 | 2.75 | 2486 .. | 12.50 | 5.00 |
2321 .. | 9.10 | 3.80 | 2487 .. | 4.75 | 2.35 |
2325 .. | 4.35 | 3.45 | 2489 .. | 13.00 | 5.00 |
2329 .. | 6.30 | 4.50 | 2491 .. | 12.00 | 5.00 |
2333 .. | 12.00 | 5.00 | 2493 .. | 7.95 | 3.95 |
2337 .. | 16.50 | 5.00 | 2495 .. | 12.00 | 5.00 |
2341 .. | 2.45 | 1.95 | 2496 .. | 12.00 | 5.00 |
2345 .. | 3.40 | 1.70 | 2498 .. | 7.95 | 3.95 |
2349 .. | 1.55 | 1.35 | 2499 .. | 7.95 | 3.95 |
Schedule 7— continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in first Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
2500 .. | 6.75 | 3.35 | 2706 .. | 5.10 | 3.30 |
2502 .. | 1.45 | 1.45 | 2709 .. | 7.75 | 4.35 |
2505 .. | 1.95 | 1.75 | 2711 .. | 7.50 | 5.00 |
2508 .. | 1.45 | 1.45 | 2714 .. | 8.65 | 4.35 |
2512 .. | 1.95 | 1.75 | 2716 .. | 7.25 | 4.35 |
2516 .. | 2.95 | 2.15 | 2718 .. | 8.50 | 5.00 |
2520 .. | 3.35 | 2.45 | 2720 .. | 6.20 | 3.50 |
2524 .. | 2.55 | 1.65 | 2722 .. | 5.35 | 3.45 |
2528 .. | 2.55 | 1.95 | 2724 .. | 8.50 | 5.00 |
2532 .. | 3.25 | 2.35 | 2726 .. | 6.50 | 3.80 |
2537 .. | 2.65 | 2.75 | 2728 .. | 12.00 | 5.00 |
2539 .. | 2.95 | 2.15 | 2730 .. | 7.00 | 3.50 |
2541 .. | 3.35 | 2.45 | 2732 .. | 2.15 | 1.05 |
2543 .. | 1.95 | 1.65 | 2734 .. | 8.65 | 4.35 |
2545 .. | 2.55 | 1.95 | 2736 .. | 5.15 | 2.55 |
2548 .. | 2.95 | 2.15 | 2738 .. | 3.75 | 2.15 |
2551 .. | 0.75 | 2.25 | 2740 .. | 2.60 | 3.50 |
2554 .. | 0.75 | 2.25 | 2742 .. | 7.00 | 3.50 |
2557 .. | 10.70 | 5.00 | 2744 .. | 8.65 | 4.35 |
2560 .. | 3.45 | 2.75 | 2746 .. | 12.00 | 5.00 |
2563 .. | 3.45 | 2.75 | 2748 .. | 12.00 | 5.00 |
2566 .. | 3.45 | 2.75 | 2750 .. | 12.00 | 5.00 |
2569 .. | 3.45 | 2.75 | 2751 .. | 35.00 | 5.00 |
2573 .. | 3.45 | 2.25 | 2752 .. | 7.00 | 3.50 |
2576 .. | 3.45 | 2.25 | 2754 .. | 5.15 | 2.55 |
2579 .. | 3.45 | 2.25 | 2756 .. | 11.00 | 5.00 |
2581 .. | 3.15 | 1.95 | 2758 .. | 8.65 | 4.35 |
2583 .. | 3.15 | 1.95 | 2760 .. | 9.40 | 4.70 |
2585 .. | 3.75 | 2.45 | 2762 .. | 2.75 | 2.85 |
2587 .. | 2.55 | 1.55 | 2764 .. | 4.85 | 4.35 |
2589 .. | 7.40 | 4.10 | 2766 .. | 4.85 | 4.35 |
2591 .. | 6.75 | 3.45 | 2768 .. | 4.85 | 4.35 |
2593 .. | 5.45 | 2.75 | 2770 .. | 4.85 | 4.35 |
2595 .. | 2.55 | 1.95 | 2772 .. | 4.85 | 4.35 |
2597 .. | 3.55 | 2.85 | 2774 .. | 13.50 | 5.00 |
2599 .. | 2.95 | 2.45 | 2776 .. | 4.85 | 4.35 |
2601 .. | 3.95 | 3.35 | 2778 .. | 7.25 | 3.65 |
2604 .. | 2.65 | 2.05 | 2780 .. | 7.25 | 3.65 |
2607 .. | 5.50 | 4.40 | 2782 .. | 2.35 | 1.15 |
2609 .. | 6.50 | 5.00 | 2784 .. | 5.45 | 2.75 |
2611 .. | 2.15 | 1.06 | 2786 .. | 4.55 | 2.25 |
2614 .. | 5.15 | 2.55 | 2788 .. | 5.45 | 2.75 |
2617 .. | 1.95 | 1.75 | 2790 .. | 9.15 | 4.55 |
2621 .. | 9.40 | 4.70 | 2792 .. | 7.00 | 3.50 |
2625 .. | 3.15 | 1.85 | 2794 .. | 4.15 | 2.85 |
2627 .. | 3.75 | 2.15 | 2796 .. | 6.50 | 3.30 |
2630 .. | 2.95 | 2.65 | 2798 .. | 1.35 | 0.65 |
2634 .. | 3.65 | 2.05 | 2800 .. | 4.75 | 2.35 |
2638 .. | 1.85 | 1.05 | 2802 .. | 3.15 | 1.55 |
2642 .. | 3.25 | 2.35 | 2804 .. | 2.75 | 1.35 |
2646 .. | 4.15 | 2.85 | 2806 .. | 0.55 | 0.25 |
2650 .. | 3.15 | 1.85 | 2808 .. | 3.35 | 1.65 |
2654 .. | 3.75 | 2.15 | 2810 .. | 0.70 | 0.30 |
2659 .. | 3.95 | 2.35 | 2812 .. | 6.75 | 3.35 |
2662 .. | 4.95 | 2.85 | 2814 .. | 1.35 | 0.65 |
2665 .. | 3.75 | 2.15 | 2816 .. | 3.75 | 1.85 |
2672 .. | 15.00 | 5.00 | 2818 .. | 3.35 | 1.65 |
2676 .. | 11.00 | 5.00 | 2820 .. | 0.70 | 0.30 |
2681 .. | 13.50 | 5.00 | 2822 .. | 3.95 | 1.95 |
2697 .. | 9.70 | 5.00 | 2824 .. | 0.75 | 0.35 |
2690 .. | 6.55 | 3.45 | 2826 .. | 8.65 | 4.35 |
2694 .. | 8.65 | 4.35 | 2828 .. | 1.75 | 0.85 |
2697 .. | 3.45 | 2.25 | 2830 .. | 5.15 | 2.55 |
2699 .. | 3.15 | 1.85 | 2832 .. | 1.00 | 0.50 |
2703 .. | 3.75 | 2.15 | 2834 .. | 6.75 | 3.45 |
Schedule 7—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
2836 .. | 1.35 | 0.65 | 2955 .. | The amount by which— one-fifth of the aggregate of the basic Commonwealth benefit, the fund benefit, and the specified excess, in respect of the operation or series or combination of operations, exceeds— the aggregate of the Commonwealth benefit and the specified excess in respect of the assistance at the operation or series or combination of operations. | Whichever of— (a) three per centum of the aggregate of the basic Commonwealth benefit, the fund benefit, and the specified excess, in respect of the operation or series or combination of operations; or (b) 55 is the less. |
2838 .. | 12.00 | 5.00 |
| ||
2840 .. | 2.35 | 1.15 |
| ||
2842 .. | 21.50 | 5.00 |
| ||
2844 .. | 14.50 | 5.00 |
| ||
2846 .. | 30.00 | 5.00 |
| ||
2848 .. | 47.00 | 5.00 |
| ||
2850 .. | 35.00 | 5.00 |
| ||
2852 .. | 21.50 | 5.00 |
| ||
2854 .. | 8.20 | 4.10 |
| ||
2856 .. | 13.00 | 5.00 |
| ||
2858 .. | 5.45 | 2.75 |
| ||
2860 .. | 4.15 | 2.05 |
| ||
2862 .. | 14.00 | 5.00 |
| ||
2864 .. | 4.35 | 2.05 |
| ||
2866 .. | 8.20 | 4.10 | 3006 .. | 3.25 | 0.85 |
2868 .. | 9.85 | 4.95 | 3012 .. | 5.85 | 1.65 |
2870 .. | 2.75 | 1.35 | 3016 .. | 4.75 | 2.25 |
2872 .. | 2.95 | 1.45 | 3022 .. | 5.75 | 2.75 |
2874 .. | 12.00 | 5.00 | 3027 .. | 10.00 | 4.70 |
2876 .. | 4.85 | 2.45 | 3033 .. | 12.50 | 5.00 |
2878 .. | 4.85 | 2.45 | 3038 .. | 27.50 | 5.00 |
2880 .. | 16.00 | 5.00 | 3039 .. | 57.00 | 5.00 |
2882 .. | 13.50 | 5.00 | 3041 .. | 27.50 | 5.00 |
2884 .. | 13.50 | 5.00 | 3046 .. | 8.75 | 1.95 |
2886 .. | 13.00 | 5.00 | 3050 .. | 3.35 | 2.65 |
2888 .. | 4.35 | 2.15 | 3058 .. | 9.95 | 2.35 |
2890 .. | 6.50 | 3.30 | 3059 .. | 9.95 | 2.35 |
2892 .. | 6.50 | 3.30 | 3063 .. | 9.05 | 4.35 |
2894 .. | 5.15 | 2.55 | 3068 .. | 9.05 | 4.35 |
2896 .. | 5.15 | 2.55 | 3073 .. | 11.65 | 2.75 |
2898 .. | 4.15 | 2.05 | 3082 .. | 11.30 | 5.00 |
2900 .. | 5.15 | 2.55 | 3087 .. | 15.00 | 5.00 |
2903 .. | 4.15 | 2.05 | 3092 .. | 9.05 | 4.35 |
2906 .. | 4.15 | 2.05 | 3095 .. | 9.05 | 4.35 |
2909 .. | 6.50 | 3.30 | 3098 .. | 12.00 | 5.00 |
2912 .. | 5.35 | 2.65 | 3101 .. | 15.00 | 5.00 |
2916 .. | 5.35 | 2.65 | 3106 .. | 5.75 | 2.75 |
2918 .. | 3.35 | 1.65 | 3109 .. | 15.00 | 5.00 |
2921 .. | 6.50 | 3.30 | 3113 .. | 1.10 | 0.70 |
2923 .. | 4.35 | 2.15 | 3114 .. | 1.10 | 0.70 |
2925 .. | 4.35 | 2.15 | 3116 .. | 8.35 | 3.95 |
2927 .. | 13.50 | 5.00 | 3117 .. | 8.35 | 3.95 |
2930 .. | 8.65 | 4.35 | 3120 .. | 13.00 | 5.00 |
2932 .. | 2.15 | 1.05 | 3124 .. | 18.00 | 5.00 |
2934 .. | 13.50 | 5.00 | 3128 .. | 18.00 | 5.00 |
2936 .. | 6.50 | 3.30 | 3130 .. | 3.45 | 1.85 |
2938 .. | 8.65 | 4.35 | 3134 .. | 3.45 | 1.85 |
2940 .. | 13.50 | 5.00 | 3135 .. | 7.80 | 4.10 |
2950 .. | 8.95 | 3.15 | 3142 .. | 9.50 | 5.00 |
Schedule 7—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
3147 .. | 9.50 | 5.00 | 3444 .. | 110.00 | 5.00 |
3148 .. | 3.75 | 1.75 | 3450 .. | 74.00 | 5.00 |
3157 .. | 8.35 | 3.95 | 3455 .. | 30.00 | 5.00 |
3160 .. | 2.35 | 1.05 | 3456 .. | 30.00 | 5.00 |
3163 .. | 2.35 | 1.05 | 3459 .. | 16.50 | 5.00 |
3168 .. | 15.00 | 5.00 | 3463 .. | 16.50 | 5.00 |
3173 .. | 6.90 | 3.30 | 3465 .. | 4.65 | 2.15 |
3175 .. | 6.90 | 3.30 | 3466 .. | 4.65 | 2.15 |
3178 .. | 12.00 | 5.00 | 3468 .. | 9.05 | 4.35 |
3183 .. | 15.00 | 5.00 | 3472 .. | 12.00 | 5.00 |
3187 .. | 15.00 | 5.00 | 3475 .. | 12.00 | 5.00 |
3189 .. | 2.70 | 1.30 | 3477 .. | 12.00 | 5.00 |
3194 .. | 4.95 | 4.55 | 3480 .. | 25.00 | 5.00 |
3199 .. | 4.50 | 5.00 | 3483 .. | 25.00 | 5.00 |
3208 .. | 8.50 | 5.00 | 3490 .. | 61.00 | 5.00 |
3213 .. | 7.00 | 5.00 | 3493 .. | 61.00 | 5.00 |
3217 .. | 32.00 | 5.00 | 3495 .. | 155.00 | 5.00 |
3219 .. | 15.15 | 3.35 | 3496 .. | 3.55 | 1.65 |
3228 .. | 1.85 | 3.65 | 3500 .. | 3.55 | 1.65 |
3229 .. | 1.85 | 3.65 | 3505 .. | 9.30 | 4.40 |
3233 .. | 8.20 | 4.70 | 3507 .. | 9.30 | 4.40 |
3237 .. | 1.50 | 5.00 | 3509 .. | 12.50 | 5.00 |
3245 .. | 1.50 | 5.00 | 3516 .. | 17.00 | 5.00 |
3247 .. | 22.00 | 5.00 | 3521 .. | 17.00 | 5.00 |
3253 .. | 14.50 | 5.00 | 3526 .. | 34.00 | 5.00 |
3258 .. | 14.50 | 5.00 | 3530 .. | 44.00 | 5.00 |
3261 .. | 14.50 | 5.00 | 3532 .. | 52.00 | 5.00 |
3265 .. | 21.50 | 5.00 | 3542 .. | 88.00 | 5.00 |
3271 .. | 34.00 | 5.00 | 3547 .. | 99.00 | 5.00 |
3276 .. | 74.00 | 5.00 | 3555 .. | 110.00 | 5.00 |
3281 .. | 44.00 | 5.00 | 3563 .. | 61.00 | 5.00 |
3284 .. | 44.00 | 5.00 | 3569 .. | 65.00 | 5.00 |
3289 .. | 52.00 | 5.00 | 3576 .. | 44.00 | 5.00 |
3290 .. | 52.00 | 5.00 | 3581 .. | 34.00 | 5.00 |
3295 .. | 74.00 | 5.00 | 3591 .. | 44.00 | 5.00 |
3301 .. | 34.00 | 5.00 | 3597 .. | 38.00 | 5.00 |
3308 .. | 59.00 | 5.00 | 3603 .. | 29.00 | 5.00 |
3314 .. | 10.45 | 4.95 | 3616 .. | 155.00 | 5.00 |
3320 .. | 6.05 | 1.55 | 3618 .. | 32.00 | 5.00 |
3330 .. | 2.95 | 1.75 | 3622 .. | 88.00 | 5.00 |
3331 .. | 2.95 | 1.75 | 3634 .. | 20.50 | 5.00 |
3332 .. | 2.05 | 1.95 | 3638 .. | 65.00 | 5.00 |
3338 .. | 10.85 | 2.95 | 3643 .. | 16.50 | 5.00 |
3342 .. | 5.45 | 3.15 | 3647 .. | 27.50 | 5.00 |
3346 .. | 15.00 | 3.50 | 3652 .. | 37.00 | 5.00 |
3356 .. | 1.55 | 1.55 | 3654 .. | 8.50 | 5.00 |
3363 .. | 13.00 | 5.00 | 3664 .. | 6.50 | 5.00 |
3366 .. | 0.85 | 0.65 | 3668 .. | 21.50 | 5.00 |
3371 .. | 0.85 | 0.85 | 3673 .. | 27.50 | 5.00 |
3379 .. | 10.85 | 3.65 | 3678 .. | 21.50 | 5.00 |
3384 .. | 4.45 | 4.55 | 3683 .. | 27.50 | 5.00 |
3386 .. | 4.45 | 4.55 | 3698 .. | 52.00 | 5.00 |
3389 .. | 9.55 | 4.55 | 3702 .. | 75.00 | 5.00 |
3391 .. | 12.00 | 5.00 | 3707 .. | 12.00 | 5.00 |
3395 .. | 18.00 | 5.00 | 3713 .. | 30.00 | 5.00 |
3399 .. | 22.50 | 5.00 | 3718 .. | 38.00 | 5.00 |
3401 .. | 14.00 | 5.00 | 3724 .. | 38.00 | 5.00 |
3404 .. | 18.00 | 5.00 | 3733 .. | 52.00 | 5.00 |
3407 .. | 25.00 | 5.00 | 3739 .. | 45.00 | 5.00 |
3411 .. | 9.55 | 4.55 | 3745 .. | 57.00 | 5.00 |
3417 .. | 12.00 | 5.00 | 3750 .. | 47.00 | 5.00 |
3425 .. | 30.00 | 5.00 | 3754 .. | 52.00 | 5.00 |
3427 .. | 30.00 | 5.00 | 3759 .. | 135.00 | 5.00 |
3431 .. | 30.00 | 5.00 | 3764 .. | 47.00 | 5.00 |
3437 .. | 67.00 | 5.00 | 3777 .. | 52.00 | 5.00 |
Schedule 7—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
3783 .. | 52.00 | 5.00 | 4118 .. | 175.00 | 5.00 |
3789 .. | 9.55 | 4.55 | 4124 .. | 36.00 | 5.00 |
3793 .. | 32.00 | 5.00 | 4130 .. | 45.00 | 5.00 |
3798 .. | 41.00 | 5.00 | 4133 .. | 110.00 | 5.00 |
3802 .. | 38.00 | 5.00 | 4138 .. | 47.00 | 5.00 |
3809 .. | 47.00 | 5.00 | 4141 .. | 61.00 | 5.00 |
3815 .. | 79.00 | 5.00 | 4144 .. | 67.00 | 5.00 |
3820 .. | 63.00 | 5.00 | 4149 .. | 41.00 | 5.00 |
3825 .. | 54.00 | 5.00 | 4158 .. | 52.00 | 5.00 |
3831 .. | 86.00 | 5.00 | 4165 .. | 99.00 | 5.00 |
3834 .. | 135.00 | 5.00 | 4173 .. | 75.00 | 5.00 |
3841 .. | 135.00 | 5.00 | 4179 .. | 75.00 | 5.00 |
3846 .. | 15.00 | 5.00 | 4185 .. | 40.00 | 5.00 |
3855 .. | 18.00 | 5.00 | 4191 .. | 12.00 | 5.00 |
3864 .. | 47.00 | 5.00 | 4197 .. | 4.15 | 1.95 |
3870 .. | 49.00 | 5.00 | 4202 .. | 110.00 | 5.00 |
3875 .. | 52.00 | 5.00 | 4209 .. | 91.00 | 5.00 |
3882 .. | 61.00 | 5.00 | 4214 .. | 37.00 | 5.00 |
3889 .. | 74.00 | 5.00 | 4216 .. | 54.00 | 5.00 |
3894 .. | 47.00 | 5.00 | 4222 .. | 18.00 | 5.00 |
3898 .. | 61.00 | 5.00 | 4227 .. | 23.00 | 5.00 |
3902 .. | 61.00 | 5.00 | 4233 .. | 47.00 | 5.00 |
3910 .. | 38.00 | 5.00 | 4238 .. | 69.00 | 5.00 |
3916 .. | 47.00 | 5.00 | 4241 .. | 155.00 | 5.00 |
3922 .. | 88.00 | 5.00 | 4246 .. | 22.00 | 5.00 |
3930 .. | 110.00 | 5.00 | 4249 .. | 30.00 | 5.00 |
3938 .. | 135.00 | 5.00 | 4251 .. | 26.00 | 5.00 |
3946 .. | 47.00 | 5.00 | 4254 .. | 35.00 | 5.00 |
3952 .. | 38.00 | 5.00 | 4258 .. | 38.00 | 5.00 |
3958 .. | 38.00 | 5.00 | 4262 .. | 47.00 | 5.00 |
3962 .. | 47.00 | 5.00 | 4265 .. | 2.70 | 1.30 |
3965 .. | 61.00 | 5.00 | 4269 .. | 18.00 | 5.00 |
3968 .. | 38.00 | 5.00 | 4273 .. | 22.50 | 5.00 |
3970 .. | 47.00 | 5.00 | 4282 .. | 19.50 | 5.00 |
3976 .. | 26.00 | 5.00 | 4285 .. | 25.00 | 5.00 |
3981 .. | 33.00 | 5.00 | 4288 .. | 26.00 | 5.00 |
3986 .. | 47.00 | 5.00 | 4293 .. | 35.00 | 5.00 |
3990 .. | 47.00 | 5.00 | 4296 .. | 47.00 | 5.00 |
3996 .. | 31.00 | 5.00 | 4299 .. | 74.00 | 5.00 |
4000 .. | 39.00 | 5.00 | 4307 .. | 39.00 | 5.00 |
4003 .. | 19.50 | 5.00 | 4313 .. | 8.60 | 4.10 |
4009 .. | 44.00 | 5.00 | 4319 .. | 3.55 | 1.65 |
4012 .. | 75.00 | 5.00 | 4327 .. | 6.65 | 3.65 |
4018 .. | 79.00 | 5.00 | 4338 .. | 12.00 | 5.00 |
4020 .. | 38.00 | 5.00 | 4345 .. | 15.00 | 5.00 |
4021 .. | 47.00 | 5.00 | 4351 .. | 3.70 | 1.70 |
4027 .. | 38.00 | 5.00 | 4354 .. | 4.15 | 1.95 |
4032 .. | 47.00 | 5.00 | 4362 .. | 6.25 | 2.95 |
4039 .. | 59.00 | 5.00 | 4365 .. | 16.50 | 5.00 |
4043 .. | 75.00 | 5.00 | 4370 .. | 8.60 | 5.00 |
4046 .. | 88.00 | 5.00 | 4375 .. | 3.60 | 5.00 |
4048 .. | 110.00 | 5.00 | 4380 .. | 13.00 | 5.00 |
4052 .. | 133.00 | 5.00 | 4387 .. | 15.00 | 5.00 |
4054 .. | 113.00 | 5.00 | 4393 .. | 18.00 | 5.00 |
4059 .. | 37.00 | 5.00 | 4397 .. | 34.00 | 5.00 |
4068 .. | 110.00 | 5.00 | 4407 .. | 52.00 | 5.00 |
4074 .. | 17.00 | 5.00 | 4413 .. | 83.00 | 5.00 |
4080 .. | 1.00 | 5.00 | 4427 .. | 2.70 | 1.30 |
4084 .. | 9.55 | 4.55 | 4434 .. | 11.00 | 5.00 |
4087 .. | 34.00 | 5.00 | 4442 .. | 15.00 | 5.00 |
4093 .. | 43.00 | 5.00 | 4455 .. | 2.95 | 1.35 |
4099 .. | 14.00 | 5.00 | 4461 .. | 12.00 | 5.00 |
4104 .. | 6.90 | 3.30 | 4467 .. | 9.05 | 4.35 |
4109 .. | 105.00 | 5.00 | 4473 .. | 6.45 | 3.05 |
4115 .. | 155.00 | 5.00 | 4482 .. | 33.00 | 5.00 |
Schedule 7—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in Fund Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
4490 .. | 10.45 | 4.95 | 4832 .. | 9.55 | 4.55 |
4497 .. | 0.95 | 0.75 | 4838 .. | 17.00 | 5.00 |
4509 .. | 3.45 | 1.95 | 4841 .. | 17.00 | 5.00 |
4521 .. | 4.15 | 1.95 | 4844 .. | 30.00 | 5.00 |
4523 .. | 6.00 | 5.00 | 4848 .. | 25.00 | 5.00 |
4527 .. | 7.00 | 5.00 | 4853 .. | 30.00 | 5.00 |
4534 .. | 7.85 | 3.75 | 4856 .. | 9.55 | 4.55 |
4537 .. | 9.00 | 5.00 | 4860 .. | 30.00 | 5.00 |
4544 .. | 13.00 | 5.00 | 4862 .. | 30.00 | 5.00 |
4552 .. | 18.50 | 5.00 | 4864 .. | 30.00 | 5.00 |
4557 .. | 25.00 | 5.00 | 4867 .. | 52.00 | 5.00 |
4568 .. | 27.50 | 5.00 | 4870 .. | 40.00 | 5.00 |
4573 .. | 34.00 | 5.00 | 4874 .. | 30.00 | 5.00 |
4578 .. | 9.05 | 4.35 | 4877 .. | 52.00 | 5.00 |
4585 .. | 12.00 | 5.00 | 4927 .. | 12.50 | 5.00 |
4590 .. | 61.00 | 5.00 | 4930 .. | 15.50 | 5.00 |
4594 .. | 27.50 | 5.00 | 4934 .. | 19.00 | 5.00 |
4602 .. | 5.45 | 2.55 | 4940 .. | 24.50 | 5.00 |
4606 .. | 30.00 | 5.00 | 4943 .. | 23.00 | 5.00 |
4611 .. | 21.50 | 5.00 | 4948 .. | 29.00 | 5.00 |
4617 .. | 26.00 | 5.00 | 4950 .. | 26.50 | 5.00 |
4622 .. | 6.55 | 3.35 | 4954 .. | 33.00 | 5.00 |
4629 .. | 2.75 | 1.25 | 4957 .. | 30.00 | 5.00 |
4633 .. | 7.85 | 3.75 | 4961 .. | 37.00 | 5.00 |
4637 .. | 16.50 | 5.00 | 4965 .. | 15.00 | 5.00 |
4640 .. | 67.00 | 5.00 | 4969 .. | 18.50 | 5.00 |
4643 .. | 31.00 | 5.00 | 4972 .. | 18.50 | 5.00 |
4649 .. | 92.00 | 5.00 | 4976 .. | 25.00 | 5.00 |
4651 .. | 27.50 | 5.00 | 4979 .. | 30.00 | 5.00 |
4655 .. | 21.00 | 5.00 | 4983 .. | 52.00 | 5.00 |
4658 .. | 16.50 | 5.00 | 4987 .. | 105.00 | 5.00 |
4662 .. | 44.00 | 5.00 | 4990 .. | 9.05 | 4.35 |
4665 .. | 71.00 | 5.00 | 4993 .. | 11.30 | 5.00 |
4670 .. | 3.95 | 1.85 | 4995 .. | 14.00 | 5.00 |
4676 .. | 42.00 | 5.00 | 4997 .. | 18.00 | 5.00 |
4678 .. | 29.00 | 5.00 | 4999 .. | 17.00 | 5.00 |
4690 .. | 44.00 | 5.00 | 5002 .. | 21.00 | 5.00 |
4693 .. | 65.00 | 5.00 | 5006 .. | 19.50 | 5.00 |
4696 .. | 88.00 | 5.00 | 5009 .. | 24.50 | 5.00 |
4699 .. | 105.00 | 5.00 | 5015 .. | 22.00 | 5.00 |
4702 .. | 65.00 | 5.00 | 5018 .. | 27.50 | 5.00 |
4705 .. | 105.00 | 5.00 | 5024 .. | 11.30 | 5.00 |
4709 .. | 96.00 | 5.00 | 5029 .. | 15.00 | 5.00 |
4715 .. | 47.00 | 5.00 | 5034 .. | 30.00 | 5.00 |
4721 .. | 61.00 | 5.00 | 5038 .. | 25.00 | 5.00 |
4733 .. | 52.00 | 5.00 | 5045 .. | 40.00 | 5.00 |
4738 .. | 65.00 | 5.00 | 5048 .. | 57.00 | 5.00 |
4744 .. | 120.00 | 5.00 | 5051 .. | 65.00 | 5.00 |
4749 .. | 114.00 | 5.00 | 5055 .. | 135.00 | 5.00 |
4754 .. | 120.00 | 5.00 | 5059 .. | 6.25 | 2.95 |
4762 .. | 105.00 | 5.00 | 5062 .. | 20.00 | 5.00 |
4766 .. | 105.00 | 5.00 | 5066 .. | 11.30 | 5.00 |
4778 .. | 61.00 | 5.00 | 5068 .. | 13.00 | 5.00 |
4784 .. | 79.00 | 5.00 | 5072 .. | 83.00 | 5.00 |
4789 .. | 57.00 | 5.00 | 5075 .. | 111.00 | 5.00 |
4791 .. | 135.00 | 5.00 | 5078 .. | 86.00 | 5.00 |
4794 .. | 155.00 | 5.00 | 5081 .. | 96.00 | 5.00 |
4798 .. | 110.00 | 5.00 | 5085 .. | 105.00 | 5.00 |
4801 .. | 37.00 | 5.00 | 5087 .. | 47.00 | 5.00 |
4804 .. | 75.00 | 5.00 | 5091 .. | 59.00 | 5.00 |
4808 .. | 20.00 | 5.00 | 5095 .. | 200.00 | 5.00 |
4812 .. | 15.00 | 5.00 | 5078 .. | 105.00 | 5.00 |
4817 .. | 88.00 | 5.00 | 5100 .. | 310.00 | 5.00 |
4822 .. | 47.00 | 5.00 | 5102 .. | 105.00 | 5.00 |
4828 .. | 4.65 | 2.15 | 5104 .. | 120.00 | 5.00 |
Schedule 7—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
5106 .. | 92.00 | 5.00 | 5363 .. | 11.00 | 5.00 |
5108 .. | 220.00 | 5.00 | 5366 .. | 10.00 | 5.00 |
5112 .. | 220.00 | 5.00 | 5370 .. | 15.25 | 5.00 |
5116 .. | 105.00 | 5.00 | 5374 .. | 14.25 | 5.00 |
5122 .. | 135.00 | 5.00 | 5378 .. | 12.20 | 5.00 |
5127 .. | 105.00 | 5.00 | 5383 .. | 11.20 | 5.00 |
5131 .. | 52.00 | 5.00 | 5389 .. | 13.00 | 5.00 |
5138 .. | 96.00 | 5.00 | 5392 .. | 10.00 | 5.00 |
5143 .. | 61.00 | 5.00 | 5396 .. | 8.60 | 4.10 |
5147 .. | 96.00 | 5.00 | 5401 .. | 11.30 | 5.00 |
5152 .. | 71.00 | 5.00 | 5407 .. | 4.40 | 3.50 |
5158 .. | 105.00 | 5.00 | 5411 .. | 4.45 | 4.55 |
5162 .. | 7.65 | 3.65 | 5415 .. | 8.25 | 5.00 |
5166 .. | 37.00 | 5.00 | 5424 .. | 8.25 | 5.00 |
5172 .. | 3.00 | 5.00 | 5431 .. | 6.90 | 3.30 |
5176 .. | 3.70 | 1.70 | 5445 .. | 5.45 | 2.55 |
5186 .. | 13.55 | 3.95 | 5449 .. | 2.70 | 1.30 |
5185 .. | 8.35 | 3.95 | 5456 .. | 30.00 | 5.00 |
5192 .. | 5.65 | 2.65 | 5464 .. | 15.00 | 5.00 |
5196 .. | 9.55 | 4.55 | 5470 .. | 31.00 | 5.00 |
5201 .. | 5.95 | 2.85 | 5474 .. | 14.00 | 5.00 |
5205 .. | 6.25 | 2.95 | 5480 .. | 18.00 | 5.00 |
5210 .. | 6.00 | 5.00 | 5486 .. | 30.00 | 5.00 |
5214 .. | 7.00 | 5.00 | 5190 .. | 4.15 | 1.95 |
5217 .. | 10.00 | 5.00 | 5498 .. | 114.00 | 5.00 |
5221 .. | 12.20 | 5.00 | 5503 .. | 120.00 | 5.00 |
5225 .. | 16.50 | 5.00 | 5508 .. | 120.00 | 5.00 |
5229 .. | 2.45 | 2.75 | 5520 .. | 15.00 | 5.00 |
5233 .. | 13.00 | 5.00 | 5524 .. | 18.00 | 5.00 |
5239 .. | 10.45 | 4.95 | 5530 .. | 20.00 | 5.00 |
5241 .. | 14.00 | 5.00 | 5534 .. | 24.50 | 5.00 |
5245 .. | 2.45 | 1.15 | 5540 .. | 35.00 | 5.00 |
5249 .. | 2.45 | 1.15 | 5545 .. | 52.00 | 5.00 |
5254 .. | 7.15 | 3.35 | 5556 .. | 52.00 | 5.00 |
5259 .. | 7.15 | 3.35 | 5566 .. | 86.00 | 5.00 |
5264 .. | 2.05 | 0.95 | 5568 .. | 74.00 | 5.00 |
5268 .. | 37.00 | 5.00 | 5572 .. | 15.00 | 5.00 |
5270 .. | 71.00 | 5.00 | 5598 .. | 20.00 | 5.00 |
5274 .. | 71.00 | 5.00 | 5601 .. | 14.00 | 5.00 |
5277 .. | 57.00 | 5.00 | 5605 .. | 14.00 | 5.00 |
5280 .. | 9.50 | 5.00 | 5611 .. | 19.50 | 5.00 |
5282 .. | 9.50 | 5.00 | 5613 .. | 31.00 | 5.00 |
5284 .. | 9.05 | 4.35 | 5619 .. | 20.50 | 5.00 |
5286 .. | 9.05 | 4.35 | 5624 .. | 9.55 | 4.55 |
5288 .. | 52.00 | 5.00 | 5630 .. | 69.00 | 5.00 |
5291 .. | 52.00 | 5.00 | 5636 .. | 75.00 | 5.00 |
5295 .. | 69.00 | 5.00 | 5642 .. | 135.00 | 5.00 |
5298 .. | 91.00 | 5.00 | 5647 .. | 71.00 | 5.00 |
5301 .. | 32.00 | 5.00 | 5651 .. | 96.00 | 5.00 |
5305 .. | 4.65 | 2.15 | 5654 .. | 69.00 | 5.00 |
5308 .. | 29.00 | 5.00 | 5661 .. | 86.00 | 5.00 |
5318 .. | 69.00 | 5.00 | 5665 .. | 96.00 | 5.00 |
5320 .. | 54.00 | 5.00 | 5669 .. | 96.00 | 5.00 |
5325 .. | 4.65 | 2.15 | 5675 .. | 108.00 | 5.00 |
5330 .. | 25.00 | 5.00 | 5679 .. | 96.00 | 5.00 |
5333 .. | 52.00 | 5.00 | 5683 .. | 67.00 | 5.00 |
5337 .. | 71.00 | 5.00 | 5691 .. | 86.00 | 5.00 |
5339 .. | 96.00 | 5.00 | 5694 .. | 96.00 | 5.00 |
5343 .. | 2.10 | 1.30 | 5699 .. | 99.00 | 5.00 |
5345 .. | 9.05 | 4.35 | 5705 .. | 75.00 | 5.00 |
5348 .. | 9.55 | 4.55 | 5715 .. | 69.00 | 5.00 |
5351 .. | 86.00 | 5.00 | 5721 .. | 52.00 | 5.00 |
5354 .. | 61.00 | 5.00 | 5724 .. | 59.00 | 5.00 |
5357 .. | 52.00 | 5.00 | 5726 .. | 13.50 | 5.00 |
5360 .. | 61.00 | 5.00 | 5729 .. | 30.00 | 5.00 |
Schedule 7—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
5732 .. | 42.00 | 5.00 | 6030 .. | 11.30 | 5.00 |
5734 .. | 86.00 | 5.00 | 6033 .. | 42.00 | 5.00 |
5737 .. | 96.00 | 5.00 | 6036 .. | 3.75 | 1.75 |
5741 .. | 86.00 | 5.00 | 6039 .. | 6.25 | 2.95 |
5744 .. | 86.00 | 5.00 | 6041 .. | 86.00 | 5.00 |
5747 .. | 69.00 | 5.00 | 6044 .. | 24.50 | 5.00 |
5753 .. | 120.00 | 5.00 | 6047 .. | 11.70 | 5.00 |
5757 .. | 155.00 | 5.00 | 6053 .. | 29.00 | 5.00 |
5763 .. | 69.00 | 5.00 | 6056 .. | 20.00 | 5.00 |
5769 .. | 86.00 | 5.00 | 6061 .. | 14.00 | 5.00 |
5773 .. | 75.00 | 5.00 | 6066 .. | 7.40 | 3.50 |
5777 .. | 96.00 | 5.00 | 6069 .. | 20.00 | 5.00 |
5780 .. | 86.00 | 5.00 | 6073 .. | 20.00 | 5.00 |
5785 .. | 86.00 | 5.00 | 6077 .. | 59.00 | 5.00 |
5792 .. | 104.00 | 5.00 | 6079 .. | 52.00 | 5.00 |
5799 .. | 86.00 | 5.00 | 6083 .. | 69.00 | 5.00 |
5804 .. | 104.00 | 5.00 | 6086 .. | 69.00 | 5.00 |
5807 .. | 120.00 | 5.00 | 6089 .. | 65.00 | 5.00 |
5812 .. | 59.00 | 5.00 | 6092 .. | 65.00 | 5.00 |
5816 .. | 69.00 | 5.00 | 6095 .. | 24.50 | 5.00 |
5821 .. | 69.00 | 5.00 | 6098 .. | 15.00 | 5.00 |
5827 .. | 86.00 | 5.00 | 6105 .. | 33.00 | 5.00 |
5831 .. | 67.00 | 5.00 | 6107 .. | 42.00 | 5.00 |
5836 .. | 86.00 | 5.00 | 6110 .. | 65.00 | 5.00 |
5837 .. | 40.00 | 5.00 | 6114 .. | 67.00 | 5.00 |
5840 .. | 2.15 | 1.05 | 6118 .. | 123.00 | 5.00 |
5845 .. | 10.70 | 5.00 | 6122 .. | 24.50 | 5.00 |
5847 .. | 15.00 | 5.00 | 6130 .. | 52.00 | 5.00 |
5851 .. | 15.50 | 5.00 | 6135 .. | 86.00 | 5.00 |
5853 .. | 20.00 | 5.00 | 6140 .. | 15.50 | 5.00 |
5857 .. | 7.40 | 3.50 | 6146 .. | 15.50 | 5.00 |
5861 .. | 7.40 | 3.50 | 6152 .. | 42.00 | 5.00 |
5864 .. | 24.50 | 5.00 | 6157 .. | 69.00 | 5.00 |
5868 .. | 20.00 | 5.00 | 6162 .. | 6.25 | 2.95 |
5871 .. | 29.00 | 5.00 | 6166 .. | 69.00 | 5.00 |
5875 .. | 65.00 | 5.00 | 6170 .. | 9.05 | 4.35 |
5878 .. | 22.50 | 5.00 | 6175 .. | 33.00 | 5.00 |
5881 .. | 42.00 | 5.00 | 6179 .. | 42.00 | 5.00 |
5885 .. | 30.00 | 5.00 | 6184 .. | 86.00 | 5.00 |
5888 .. | 42.00 | 5.00 | 6189 .. | 42.00 | 5.00 |
5891 .. | 52.00 | 5.00 | 6194 .. | 86.00 | 5.00 |
5894 .. | 65.00 | 5.00 | 6199 .. | 3.75 | 1.75 |
5897 .. | 30.00 | 5.00 | 6204 .. | 42.00 | 5.00 |
5901 .. | 37.00 | 5.00 | 6208 .. | 79.00 | 5.00 |
5905 .. | 96.00 | 5.00 | 6212 .. | 25.00 | 5.00 |
5916 .. | 65.00 | 5.00 | 6216 .. | 15.50 | 5.00 |
5919 .. | 65.00 | 5.00 | 6218 .. | 15.50 | 5.00 |
5929 .. | 69.00 | 5.00 | 6221 .. | 19.00 | 5.00 |
5935 .. | 37.00 | 5.00 | 6224 .. | 24.50 | 5.00 |
5941 .. | 75.00 | 5.00 | 6228 .. | 24.50 | 5.00 |
5947 .. | 59.00 | 5.00 | 6230 .. | 86.00 | 5.00 |
5956 .. | 69.00 | 5.00 | 6233 .. | 30.00 | 5.00 |
5964 .. | 3.75 | 1.75 | 6236 .. | 27.50 | 5.00 |
5968 .. | 42.00 | 5.00 | 6238 .. | 52.00 | 5.00 |
5973 .. | 42.00 | 5.00 | 6241 .. | 59.00 | 5.00 |
5977 .. | 69.00 | 5.00 | 6244 .. | 46.00 | 5.00 |
5981 .. | 155.00 | 5.00 | 6246 .. | 15.50 | 5.00 |
5984 .. | 86.00 | 5.00 | 6249 .. | 32.50 | 5.00 |
5993 .. | 104.00 | 5.00 | 6253 .. | 20.00 | 5.00 |
6001 .. | 81.00 | 5.00 | 6258 .. | 6.25 | 2.95 |
6005 .. | 45.00 | 5.00 | 6262 .. | 4.15 | 1.95 |
6010 .. | 42.00 | 5.00 | 6267 .. | 6.25 | 2.95 |
6017 .. | 105.00 | 5.00 | 6271 .. | 6.90 | 3.30 |
6022 .. | 25.00 | 5.00 | 6274 .. | 12.00 | 5.00 |
6027 .. | 37.00 | 5.00 | 6277 .. | 15.00 | 5.00 |
Schedule 7—continued
Number of item in First Schedule | Fund medical benefits | Specified excels | Number of item in Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
6278 .. | 9.05 | 4.35 | 6570 .. | 52.00 | 5.00 |
6280 .. | 11.70 | 5.00 | 6585 .. | 23.00 | 5.00 |
6284 .. | 4.65 | 2.15 | 6594 .. | 5.00 | 5.00 |
6286 .. | 6.90 | 3.30 | 6599 .. | 2.35 | 2.45 |
6290 .. | 4.65 | 2.15 | 6604 .. | 18.00 | 5.00 |
6292 .. | 9.05 | 4.35 | 6613 .. | 66.00 | 5.00 |
6296 .. | 11.70 | 5.00 | 6631 .. | 57.00 | 5.00 |
6299 .. | 22.50 | 5.00 | 6636 .. | 4.95 | 2.35 |
6302 .. | 30.00 | 5.00 | 6641 .. | 3.35 | 1.55 |
6306 .. | 108.00 | 5.00 | 6645 .. | 31.00 | 5.00 |
6308 .. | 61.00 | 5.00 | 6650 .. | 40.00 | 5.00 |
6313 .. | 3.40 | 1.60 | 6661 .. | 37.50 | 5.00 |
6321 .. | 18.00 | 5.00 | 6665 .. | 18.00 | 5.00 |
6325 .. | 61.00 | 5.00 | 6669 .. | 57.00 | 5.00 |
6327 .. | 61.00 | 5.00 | 6672 .. | 28.00 | 5.00 |
6332 .. | 35.00 | 5.00 | 6674 .. | 7.00 | 5.00 |
6336 .. | 13.00 | 5.00 | 6677 .. | 31.00 | 5.00 |
6342 .. | 9.55 | 4.55 | 6681 .. | 40.00 | 5.00 |
6347 .. | 19.00 | 5.00 | 6686 .. | 8.10 | 3.80 |
6352 .. | 25.00 | 5.00 | 6688 .. | 42.00 | 5.00 |
6358 .. | 37.00 | 5.00 | 6692 .. | 54.00 | 5.00 |
6363 .. | 47.00 | 5.00 | 6697 .. | 42.00 | 5.00 |
6367 .. | 46.00 | 5.00 | 6699 .. | 54.00 | 5.00 |
6373 .. | 57.00 | 5.00 | 6701 .. | 30.00 | 5.00 |
6379 .. | 52.50 | 5.00 | 6703 .. | 17.00 | 5.00 |
6384 .. | 134.00 | 5.00 | 6705 .. | 36.00 | 5.00 |
6389 .. | 14.00 | 5.00 | 6707 .. | 57.00 | 5.00 |
6396 .. | 47.00 | 5.00 | 6709 .. | 35.00 | 5.00 |
6401 .. | 61.00 | 5.00 | 6713 .. | 59.00 | 5.00 |
6406 .. | 59.00 | 5.00 | 6715 .. | 74.00 | 5.00 |
6409 .. | 4.95 | 2.35 | 6718 .. | 82.00 | 5.00 |
6412 .. | 4.95 | 2.35 | 6722 .. | 92.00 | 5.00 |
6415 .. | 9.25 | 2.05 | 6724 .. | 44.00 | 5.00 |
6418 .. | 13.50 | 5.00 | 6728 .. | 57.00 | 5.00 |
6424 .. | 18.00 | 5.00 | 6730 .. | 67.00 | 5.00 |
6428 .. | 20.00 | 5.00 | 6736 .. | 92.00 | 5.00 |
6434 .. | 25.50 | 5.00 | 6740 .. | 36.00 | 5.00 |
6436 .. | 11.30 | 5.00 | 6742 .. | 47.00 | 5.00 |
6441 .. | 14.00 | 5.00 | 6744 .. | 67.00 | 5.00 |
6446 .. | 6.25 | 2.95 | 6747 .. | 92.00 | 5.00 |
6451 .. | 8.35 | 3.95 | 6752 .. | 9.05 | 4.35 |
6460 .. | 10.45 | 4.95 | 6754 .. | 6.45 | 3.05 |
6464 .. | 13.50 | 5.00 | 6758 .. | 40.00 | 5.00 |
6469 .. | 18.00 | 5.00 | 6762 .. | 9.05 | 4.35 |
6476 .. | 20.90 | 5.00 | 6766 .. | 23.00 | 5.00 |
6481 .. | 16.40 | 5.00 | 6768 .. | 29.00 | 5.00 |
6486 .. | 13.40 | 5.00 | 6772 .. | 17.00 | 5.00 |
6491 .. | 16.40 | 5.00 | 6774 .. | 44.00 | 5.00 |
6501 .. | 14.85 | 5.00 | 6778 .. | 61.00 | 5.00 |
6506 .. | 17.85 | 5.00 | 6782 .. | 52.00 | 5.00 |
6503 .. | 47.00 | 5.00 | 6786 .. | 67.00 | 5.00 |
6513 .. | 47.00 | 5.00 | 6790 .. | 67.00 | 5.00 |
6517 .. | 59.00 | 5.00 | 6792 .. | 57.00 | 5.00 |
6519 .. | 47.00 | 5.00 | 6796 .. | 40.00 | 5.00 |
6523 .. | 59.00 | 5.00 | 6799 .. | 1.65 | 3.65 |
6528 .. | 53.50 | 5.00 | 6802 .. | 3.75 | 1.75 |
6530 .. | 6.00 | 5.00 | 6805 .. | 0.10 | 2.95 |
6534 .. | 67.00 | 5.00 | 6807 .. | 9.05 | 4.35 |
6536 .. | 100.00 | 5.00 | 6810 .. | 33.00 | 5.00 |
6542 .. | 71.00 | 5.00 | 6814 .. | 9.55 | 4.55 |
6546 .. | 39.00 | 5.00 | 6816 .. | 1.55 | 0.85 |
6553 .. | 37.00 | 5.00 | 6818 .. | 5.65 | 2.65 |
6557 .. | 47.00 | 5.00 | 6820 .. | 17.00 | 5.00 |
6561 .. | 37.00 | 5.00 | 6822 .. | 19.50 | 5.00 |
6563 .. | 47.00 | 5.00 | 6824 .. | 5.65 | 2.65 |
Schedule 7—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
6828 .. | 120.00 | 5.00 | 7006 .. | 9.00 | 5.00 |
6832 .. | 79.00 | 5.00 | 7011 .. | 37.00 | 5.00 |
6835 .. | 4.75 | 2.25 | 7013 .. | 67.00 | 5.00 |
6837 .. | 16.00 | 5.00 | 7021 .. | 108.00 | 5.00 |
6842 .. | 9.05 | 4.35 | 7023 .. | 88.00 | 5.00 |
6846 .. | 23.00 | 5.00 | 7028 .. | 54.00 | 5.00 |
6848 .. | 50.00 | 5.00 | 7033 .. | 33.00 | 5.00 |
6852 .. | 57.00 | 5.00 | 7042 .. | 26.00 | 5.00 |
6857 .. | 40.00 | 5.00 | 7046 .. | 25.00 | 5.00 |
6859 .. | 105.00 | 5.00 | 7050 .. | 25.00 | 5.00 |
6861 .. | 46.00 | 5.00 | 7057 .. | 250.00 | 5.00 |
6865 .. | 27.00 | 5.00 | 7062 .. | 25.00 | 5.00 |
6869 .. | 25.00 | 5.00 | 7066 .. | 200.00 | 5.00 |
6871 .. | 57.00 | 5.00 | 7068 .. | 1.55 | 0.85 |
6873 .. | 71.00 | 5.00 | 7072 .. | 4.65 | 2.15 |
6879 .. | 61.00 | 5.00 | 7075 .. | 5.65 | 2.65 |
6881 .. | 46.00 | 5.00 | 7079 .. | 22.50 | 5.00 |
6885 .. | 97.00 | 5.00 | 7081 .. | 24.00 | 5.00 |
6889 .. | 30.00 | 5.00 | 7085 .. | 5.65 | 2.65 |
6891 .. | 47.00 | 5.00 | 7089 .. | 6.65 | 3.15 |
6894 .. | 96.00 | 5.00 | 7093 .. | 5.95 | 2.85 |
6898 .. | 25.00 | 5.00 | 7099 .. | 15.50 | 5.00 |
6900 .. | 79.00 | 5.00 | 7106 .. | 9.75 | 4.65 |
6902 .. | 105.00 | 5.00 | 7111 .. | 12.50 | 5.00 |
6904 .. | 30.00 | 5.00 | 7112 .. | 18.00 | 5.00 |
6906 .. | 13.50 | 5.00 | 7116 .. | 16.50 | 5.00 |
6908 .. | 52.00 | 5.00 | 7117 .. | 21.50 | 5.00 |
6912 .. | 79.00 | 5.00 | 7120 .. | 30.00 | 5.00 |
6914 .. | 6.90 | 3.30 | 7121 .. | 40.00 | 5.00 |
6918 .. | 5.45 | 2.55 | 7124 .. | 37.00 | 5.00 |
6922 .. | 36.00 | 5.00 | 7128 .. | 37.00 | 5.00 |
6924 .. | 41.00 | 5.00 | 7129 .. | 63.00 | 5.00 |
6928 .. | 55.00 | 5.00 | 7132 .. | 43.00 | 5.00 |
6930 .. | 21.00 | 5.00 | 7134 .. | 43.00 | 5.00 |
6932 .. | 35.00 | 5.00 | 7138 .. | 69.00 | 5.00 |
6934 .. | 34.00 | 5.00 | 7139 .. | 75.00 | 5.00 |
6938 .. | 35.00 | 5.00 | 7143 .. | 37.00 | 5.00 |
6940 .. | 5.15 | 2.45 | 7148 .. | 15.00 | 5.00 |
6942 .. | 8.55 | 4.05 | 7152 .. | 5.00 | 5.00 |
6946 .. | 6.90 | 3.30 | 7156 .. | 37.00 | 5.00 |
6948 .. | 3.45 | 1.65 | 7165 .. | 65.00 | 5.00 |
6953 .. | 8.55 | 4.05 | 7170 .. | 104.00 | 5.00 |
6955 .. | 40.00 | 5.00 | 7175 .. | 32.00 | 5.00 |
6958 .. | 82.00 | 5.00 | 7178 .. | 11.50 | 5.00 |
6962 .. | 120.00 | 5.00 | 7182 .. | 14.50 | 5.00 |
6964 .. | 88.00 | 5.00 | 7186 .. | 19.50 | 5.00 |
6965 .. | 120.00 | 5.00 | 7192 .. | 40.00 | 5.00 |
6968 .. | 63.00 | 5.00 | 7194 .. | 88.00 | 5.00 |
6970 .. | 36.00 | 5.00 | 7198 .. | 130.00 | 5.00 |
6972 .. | 108.00 | 5.00 | 7203 .. | 220.00 | 5.00 |
6974 .. | 23.50 | 5.00 | 7208 .. | 32.00 | 5.00 |
6976 .. | 7.15 | 3.35 | 7212 .. | 40.00 | 5.00 |
6978 .. | 15.00 | 5.00 | 7216 .. | 96.00 | 5.00 |
6980 .. | 20.00 | 5.00 | 7220 .. | 51.00 | 5.00 |
6982 .. | 88.00 | 5.00 | 7231 .. | 65.00 | 5.00 |
6984 .. | 120.00 | 5.00 | 7236 .. | 67.00 | 5.00 |
6986 .. | 120.00 | 5.00 | 7240 .. | 83.00 | 5.00 |
6988 .. | 150.00 | 5.00 | 7244 .. | 96.00 | 5.00 |
6990 .. | 54.00 | 5.00 | 7248 .. | 96.00 | 5.00 |
6992 .. | 36.00 | 5.00 | 7251 .. | 79.00 | 5.00 |
6995 .. | 88.00 | 5.00 | 7265 .. | 220.00 | 5.00 |
6997 .. | 88.00 | 5.00 | 7270 .. | 114.00 | 5.00 |
6999 .. | 120.00 | 5.00 | 7274 .. | 57.00 | 5.00 |
7001 .. | 37.00 | 5.00 | 7279 .. | 65.00 | 5.00 |
7003 .. | 47.00 | 5.00 | 7283 .. | 130.00 | 5.00 |
Schedule 7—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
7287 .. | 40.00 | 5.00 | 7516 .. | 4.75 | 2.25 |
7291 .. | 65.00 | 5.00 | 7520 .. | 10.45 | 4.95 |
7298 .. | 79.00 | 5.00 | 7524 .. | 10.00 | 5.00 |
7304 .. | 220.00 | 5.00 | 7527 .. | 12.50 | 5.00 |
7307 .. | 130.00 | 5.00 | 7530 .. | 18.00 | 5.00 |
7312 .. | 96.00 | 5.00 | 7533 .. | 5.45 | 2.55 |
7331 .. | 86.00 | 5.00 | 7535 .. | 10.45 | 4.95 |
7336 .. | 86.00 | 5.00 | 7538 .. | 13.00 | 5.00 |
7341 .. | 86.00 | 5.00 | 7540 .. | 13.50 | 5.00 |
7346 .. | 88.00 | 5.00 | 7544 .. | 14.00 | 5.00 |
7353 .. | 108.00 | 5.00 | 7547 .. | 10.45 | 4.95 |
7355 .. | 96.00 | 5.00 | 7550 .. | 11.30 | 5.00 |
7361 .. | 49.00 | 5.00 | 7552 .. | 11.00 | 5.00 |
7565 .. | 49.00 | 5.00 | 7559 .. | 10.90 | 5.00 |
7370 .. | 86.00 | 5.00 | 7563 .. | 13.50 | 5.00 |
7376 .. | 63.00 | 5.00 | 7507 .. | 14.00 | 5.00 |
7381 .. | 57.00 | 5.00 | 7572 .. | 7.50 | 5.00 |
7397 .. | 3.70 | 1.70 | 7578 .. | 14.00 | 5.00 |
7402 .. | 3.70 | 1.70 | 7584 .. | 7.50 | 5.00 |
7406 .. | 2.30 | 1.10 | 7588 .. | 7.40 | 3.50 |
7408 .. | 2.30 | 1.10 | 7593 .. | 7.05 | 4.35 |
7410 .. | 5.75 | 2.75 | 7597 .. | 9.05 | 4.35 |
7412 .. | 6.90 | 3.30 | 7601 .. | 1.55 | 0.85 |
7416 .. | 5.75 | 2.75 | 7605 .. | 1.60 | 1.10 |
7419 .. | 4.65 | 2.15 | 7608 .. | 14.00 | 5.00 |
7423 .. | 8.35 | 3.95 | 7610 .. | 19.50 | 5.00 |
7426 .. | 5.45 | 2.55 | 7615 .. | 10.45 | 4.95 |
7430 .. | 10.90 | 5.00 | 7619 .. | 14.00 | 5.00 |
7432 .. | 14.00 | 5.00 | 7624 .. | 35.00 | 5.00 |
7435 .. | 2.30 | 1.10 | 7627 .. | 47.00 | 5.00 |
7436 .. | 6.90 | 3.30 | 7632 .. | 8.10 | 3.00 |
7440 .. | 18.50 | 5.00 | 7637 .. | 9.05 | 4.95 |
7443 .. | 25.00 | 5.00 | 7641 .. | 7.05 | 4.95 |
7446 .. | 13.50 | 5.00 | 7643 .. | 11.00 | 5.00 |
7451 .. | 17.00 | 5.00 | 7647 .. | 22.00 | 5.00 |
7457 .. | 5.45 | 2.55 | 7652 .. | 30.00 | 5.00 |
7461 .. | 9.05 | 4.35 | 7657 .. | 22.00 | 5.00 |
7464 .. | 2.70 | 1.30 | 7662 .. | 30.00 | 5.00 |
7468 .. | 6.90 | 3.30 | 7666 .. | 22.00 | 5.00 |
7472 .. | 22.50 | 5.00 | 7668 .. | 30.00 | 5.00 |
7476 .. | 22.50 | 5.00 | 7673 .. | 7.15 | 3.45 |
7480 .. | 9.50 | 4.50 | 7677 .. | 10.45 | 4.95 |
7483 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the dislocation concerned, plus one-half of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the dislocation concerned, plus one-half of that amount | 7681 .. | 2.95 | 1.35 |
|
|
| 7683 .. | 4.65 | 2.15 |
|
|
| 7687 .. | 7.15 | 3.35 |
|
|
| 7691 .. | 7.15 | 3.35 |
|
|
| 7694 .. | 1.55 | 0.85 |
|
|
| 7697 .. | 1.60 | 1.10 |
|
|
| 7701 .. | 1.55 | 0.85 |
|
|
| 7706 .. | 1.60 | 1.10 |
|
|
| 7709 .. | 4.55 | 4.95 |
|
|
| 7712 .. | 3.00 | 5.00 |
|
|
| 7715 .. | 42.00 | 5.00 |
|
|
| 7718 .. | 8.55 | 4.05 |
|
|
| 7721 .. | 11.70 | 5.00 |
|
|
| 7724 .. | 11.70 | 5.00 |
|
|
| 7727 .. | 27.50 | 5.00 |
|
|
| 7731 .. | 27.50 | 5.00 |
|
|
| 7734 .. | 30.00 | 5.00 |
|
|
| 7737 .. | 30.00 | 5.00 |
|
|
| 7739 .. | 10.45 | 4.95 |
7485 .. | 9.50 | 4.50 | 7743 .. | 14.00 | 5.00 |
7505 .. | 3.35 | 1.55 | 7745 .. | 14.00 | 5.00 |
7508 .. | 7.15 | 3.35 | 7749 .. | 37.00 | 5.00 |
7512 .. | 10.45 | 4.95 | 7753 .. | 37.00 | 5.00 |
Schedule 7—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
7757 .. | 40.00 | 5.00 |
| concerned, plus one-half of that amount | concerned, plus one-half of that amount |
7761 .. | 40.00 | 5.00 |
|
|
|
7764 .. | 9.30 | 4.40 |
|
|
|
7766 .. | 13.00 | 5.00 | 7812 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount |
7770 .. | 13.00 | 5.00 |
|
|
|
7774 .. | 1.55 | 0.85 |
|
|
|
7777 .. | 1.60 | 1.10 |
|
|
|
7781 .. | 1.55 | 0.85 |
|
|
|
7785 .. | 1.60 | 1.10 |
|
|
|
7789 .. | 17.00 | 5.00 |
|
|
|
7793 .. | 30.00 | 5.00 |
|
|
|
7798 .. | 79.00 | 5.00 |
|
|
|
7802 .. | 9.50 | 4.50 |
|
|
|
7803 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount |
|
|
|
|
|
| 7815 .. | 9.50 | 4.50 |
|
|
| 7817 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount |
7804 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount |
|
|
|
|
|
| 7818 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefit that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-half of that amount |
7808 .. | 9.50 | 4.50 |
|
|
|
7809 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture |
|
|
|
|
|
| 7821 .. | 9.50 | 4.50 |
|
|
| 7823 .. | The amount shown in this column in the item (other than an item relating to an item in | The amount shown in this column in the item (other than an item relating to an item in |
Schedule 7—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
| the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus three-quarters of that amount | the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus three-quarters of that amount | 7834 .. | One-half of the amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7834 in the table of Commonwealth medical benefits apply to the reduction concerned | One-half of the amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7834 in the table of Commonwealth medical benefits apply to the reduction concerned |
7824 .. | The amount shown in this column in the item (being art item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus three-quarters of that amount | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus three-quarters of that amount |
|
|
|
|
|
| 7836 .. | One-half of the amount shown in this column in the item that would, but for item 7830 in the table of Commonwealth medical benefits apply to the reduction concerned | One-half of the amount shown in this column in the item that would, but for item 7836 in the table of Commonwealth medical benefits apply to the reduction concerned |
7828 .. | One-half of the amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7828 in the table of Commonwealth medical benefits apply to the reduction concerned | One-half of the amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7828 in the table of Commonwealth medical benefits apply to the reduction concerned |
|
|
|
|
|
| 7839 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7839 in the table of Commonwealth medical benefits apply to the reduction concerned | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) that would, but for item 7839 in the table of Commonwealth medical benefits apply to the reduction concerned |
7831 .. | One-half of the amount shown in this column in the item that would, but for item 7831 in the table of Commonwealth medical benefits apply to the reduction concerned | One-half of the amount shown in this column in the item that would, but for item 7831 in the table of Commonwealth medical benefits apply to the reduction concerned |
|
|
|
|
|
| 7841 .. | The amount shown in this column in the item that would, but for item 7841 in the table of | The amount shown in this column in the item that would, but for item 7841 in the table of |
Schedule 7—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
| Commonwealth medical benefits apply to the reduction concerned | Commonwealth medical benefits apply to the reduction concerned | 7911 .. | 8.60 | 4.10 |
|
|
| 7915 .. | 10.90 | 5.00 |
|
|
| 7919 .. | 6.75 | 4.55 |
|
|
| 7923 .. | 6.00 | 5.00 |
|
|
| 7926 .. | 15.00 | 5.00 |
|
|
| 7928 .. | 26.00 | 5.00 |
|
|
| 7932 .. | 26.00 | 5.00 |
7844 .. | 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 | 7934 .. | 135.00 | 5.00 |
|
|
| 7937 .. | 44.00 | 5.00 |
|
|
| 7940 .. | 29.00 | 5.00 |
|
|
| 7942 .. | 65.00 | 5.00 |
|
|
| 7945 .. | 113.00 | 5.00 |
|
|
| 7947 .. | 99.00 | 5.00 |
|
|
| 7951 .. | 125.00 | 5.00 |
|
|
| 7957 .. | 113.00 | 5.00 |
|
|
| 7961 .. | 150.00 | 5.00 |
|
|
| 7967 .. | 110.00 | 5.00 |
|
|
| 7969 .. | 150.00 | 5.00 |
7847 .. | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | The amount shown in this column in the item (other than an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | 7975 .. | 75.00 | 5.00 |
|
|
| 7977 .. | 59.00 | 5.00 |
|
|
| 7983 .. | 75.00 | 5.00 |
|
|
| 7985 .. | 75.00 | 5.00 |
|
|
| 7993 .. | 54.00 | 5.00 |
|
|
| 7999 .. | 49.00 | 5.00 |
|
|
| 8001 .. | 44.00 | 5.00 |
|
|
| 8006 .. | 44.00 | 5.00 |
|
|
| 8009 .. | 23.50 | 5.00 |
|
|
| 8014 .. | 26.00 | 5.00 |
|
|
| 8017 .. | 69.00 | 5.00 |
|
|
| 8019 .. | 82.00 | 5.00 |
|
|
| 8022 .. | 8.50 | 5.00 |
|
|
| 8026 .. | 7.15 | 3.35 |
|
|
| 8028 .. | 41.00 | 5.00 |
|
|
| 8032 .. | 46.00 | 5.00 |
|
|
| 8036 .. | 41.00 | 5.00 |
|
|
| 8040 .. | 29.00 | 5.00 |
7849 .. | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | The amount shown in this column in the item (being an item relating to an item in the table of Commonwealth medical benefits that includes the symbol ‘(D)’) relating to the fracture concerned, plus one-third of that amount | 8044 .. | 108.00 | 5.00 |
|
|
| 8048 .. | 74.00 | 5.00 |
|
|
| 8053 .. | 74.00 | 5.00 |
|
|
| 8061 .. | 92.00 | 5.00 |
|
|
| 8069 .. | 135.00 | 5.00 |
|
|
| 8074 .. | 54.00 | 5.00 |
|
|
| 8076 .. | 135.00 | 5.00 |
|
|
| 8079 .. | 74.00 | 5.00 |
|
|
| 8081 .. | 36.00 | 5.00 |
|
|
| 8084 .. | 18.00 | 5.00 |
|
|
| 8087 .. | 40.00 | 5.00 |
|
|
| 8089 .. | 54.00 | 5.00 |
|
|
| 8092 .. | 67.00 | 5.00 |
|
|
| 8095 .. | 39.00 | 5.00 |
|
|
| 8097 .. | 49.00 | 5.00 |
|
|
| 8100 .. | 59.00 | 5.00 |
|
|
| 8103 .. | 135.00 | 5.00 |
7853 .. | 23.50 | 5.00 | 8105 .. | 0.25 | 1.15 |
7857 .. | 23.50 | 5.00 | 8108 .. | 2.65 | 1.25 |
7861 .. | 1.20 | 1.00 | 8113 .. | 36.00 | 5.00 |
7864 .. | 2.30 | 1.10 | 8116 .. | 54.00 | 5.00 |
7868 .. | 5.65 | 2.65 | 8120 .. | 31.00 | 5.00 |
7872 .. | 3.45 | 4.55 | 8124 .. | 15.50 | 5.00 |
7878 .. | 3.50 | 5.00 | 8127 .. | 21.00 | 5.00 |
7883 .. | 9.55 | 4.55 | 8131 .. | 31.50 | 5.00 |
7888 .. | 9.55 | 4.55 | 8135 .. | 41.00 | 5.00 |
7898 .. | 88.00 | 5.00 | 8140 .. | 27.90 | 5.00 |
7902 .. | 31.00 | 5.00 | 8143 .. | 36.40 | 5.00 |
7907 .. | 31.00 | 5.00 | 8148 .. | 46.00 | 5.00 |
Schedule 7—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
8151 .. | 18.00 | 5.00 | 8324 .. | 49.00 | 5.00 |
8153 .. | 23.00 | 5.00 | 8326 .. | 49.00 | 5.00 |
8158 .. | 54.00 | 5.00 | 8328 .. | 36.00 | 5.00 |
8161 .. | 42.00 | 5.00 | 8330 .. | 49.00 | 5.00 |
8166 .. | 31.00 | 5.00 | 8332 .. | 3.00 | 5.00 |
8169 .. | 18.00 | 5.00 | 8334 .. | 3.80 | 1.80 |
8173 .. | 23.00 | 5.00 | 8336 .. | 4.35 | 2.05 |
8175 .. | 23.00 | 5.00 | 8338 .. | 3.80 | 1.80 |
8179 .. | 27.50 | 5.00 | 8340 .. | 4.75 | 2.25 |
8182 .. | 29.00 | 5.00 | 8342 .. | 3.80 | 1.80 |
8185 .. | 17.50 | 5.00 | 8344 .. | 5.75 | 2.75 |
8187 .. | 26.00 | 5.00 | 8346 .. | 3.00 | 1.80 |
8190 .. | 26.00 | 5.00 | 8346 .. | 7.15 | 3.35 |
8193 .. | 31.00 | 5.00 | 8350 .. | 20.50 | 5.00 |
8195 .. | 36.00 | 5.00 | 8352 .. | 3.80 | 1.80 |
8198 .. | 59.00 | 5.00 | 8351 .. | 5.75 | 2.75 |
8201 .. | 88.00 | 5.00 | 8356 .. | 5.75 | 2.75 |
8203 .. | 49.00 | 5.00 | 8358 .. | 6.25 | 2.95 |
8206 .. | 59.00 | 5.00 | 8360 .. | 71.00 | 5.00 |
8209 .. | 57.00 | 5.00 | 8362 .. | 82.00 | 5.00 |
8211 .. | 59.00 | 5.00 | 8364 .. | 82.00 | 5.00 |
8214 .. | 13.50 | 5.00 | 8366 .. | 82.00 | 5.00 |
8217 .. | 29.00 | 5.00 | 8368 .. | 42.00 | 5.00 |
8219 .. | 24.50 | 5.00 | 8370 .. | 65.00 | 5.00 |
8222 .. | 31.00 | 5.00 | 8372 .. | 65.00 | 5.00 |
8225 .. | 36.00 | 5.00 | 8374 .. | 91.00 | 5.00 |
8227 .. | 12.00 | 5.00 | 8376 .. | 82.00 | 5.00 |
8230 .. | 15.00 | 5.00 | 8378 .. | 82.00 | 5.00 |
8233 .. | 23.50 | 5.00 | 8380 .. | 79.00 | 5.00 |
8235 .. | 31.00 | 5.00 | 8382 .. | 18.00 | 5.00 |
8238 .. | 39.00 | 5.00 | 8384 .. | 42.00 | 5.00 |
8241 .. | 9.55 | 4.55 | 8386 .. | 31.00 | 5.00 |
8243 .. | 15.00 | 5.00 | 8388 .. | 99.00 | 5.00 |
8246 .. | 8.60 | 4.10 | 8390 .. | 99.00 | 5.00 |
8249 .. | 23.00 | 5.00 | 8394 .. | 86.00 | 5.00 |
8251 .. | 44.00 | 5.00 | 8398 .. | 82.00 | 5.00 |
8254 .. | 120.00 | 5.00 | 8400 .. | 57.00 | 5.00 |
8257 .. | 59.00 | 5.00 | 8402 .. | 65.00 | 5.00 |
8259 .. | 45.00 | 5.00 | 8406 .. | 35.00 | 5.00 |
8262 .. | 26.00 | 5.00 | 8408 .. | 104.00 | 5.00 |
8265 .. | 14.00 | 5.00 | 8410 .. | 54.00 | 5.00 |
8267 .. | 18.00 | 5.00 | 8412 .. | 31.00 | 5.00 |
8271 .. | 18.00 | 5.00 | 8414 .. | 108.00 | 5.00 |
8275 .. | 27.50 | 5.00 | 8416 .. | 9.55 | 4.55 |
8279 .. | 15.00 | 5.00 | 8418 .. | 65.00 | 5.00 |
8282 .. | 20.50 | 5.00 | 8420 .. | 47.00 | 5.00 |
8283 .. | 27.50 | 5.00 | 8422 .. | 32.00 | 5.00 |
8287 .. | 18.50 | 5.00 | 8424 .. | 71.00 | 5.00 |
8290 .. | 48.00 | 5.00 | 8428 .. | 3.75 | 1.75 |
8292 .. | 48.00 | 5.00 | 8430 .. | 9.55 | 4.55 |
8294 .. | 52.00 | 5.00 | 8432 .. | 14.00 | 5.00 |
8296 .. | 15.00 | 5.00 | 8434 .. | 18.50 | 5.00 |
8298 .. | 39.00 | 5.00 | 8436 .. | 42.00 | 5.00 |
8300 .. | 36.00 | 5.00 | 8438 .. | 9.55 | 5.55 |
8302 .. | 59.00 | 5.00 | 8440 .. | 49.00 | 5.00 |
8304 .. | 74.00 | 5.00 | 8442 .. | 59.00 | 5.00 |
8306 .. | 99.00 | 5.00 | 8444 .. | 91.00 | 5.00 |
8308 .. | 74.00 | 5.00 | 8446 .. | 7.65 | 3.65 |
8310 .. | 36.00 | 5.00 | 8448 .. | 4.75 | 2.25 |
8312 .. | 36.00 | 5.00 | 8450 .. | 40.00 | 5.00 |
8314 .. | 49.00 | 5.00 | 8452 .. | 14.00 | 5.00 |
8316 .. | 49.00 | 5.00 | 8454 .. | 34.00 | 5.00 |
8318 .. | 46.00 | 5.00 | 8456 .. | 2.60 | 1.70 |
8320 .. | 46.00 | 5.00 | 8458 .. | 3.70 | 1.70 |
8322 .. | 43.00 | 5.00 | 8460 .. | 3.70 | 1.70 |
Schedule 7—continued
Number of item in First Schedule | Fund medical benefit | Specified excess | Number of item in First Schedule | Fund medical benefit | Specified excess |
| $ | $ |
| $ | $ |
8462 .. | 1.95 | 3.45 | 8560 .. | 52.00 | 5.00 |
8464 .. | 1.95 | 3.45 | 8562 .. | 52.00 | 5.00 |
8466 .. | 13.00 | 5.00 | 8564 .. | 52.00 | 5.00 |
8468 .. | 13.00 | 5.00 | 8566 .. | 52.00 | 5.00 |
8470 .. | 18.00 | 5.00 | 8568 .. | 71.00 | 5.00 |
8472 .. | 27.50 | 5.00 | 8570 .. | 40.00 | 5.00 |
8474 .. | 49.00 | 5.00 | 8572 .. | 40.00 | 5.00 |
8476 .. | 69.00 | 5.00 | 8574 .. | 45.00 | 5.00 |
8478 .. | 43.00 | 5.00 | 8576 .. | 45.00 | 5.00 |
8480 .. | 23.50 | 5.00 | 8578 .. | 52.00 | 5.00 |
8482 .. | 23.50 | 5.00 | 8580 .. | 52.00 | 5.00 |
8484 .. | 36.00 | 5.00 | 8582 .. | 52.00 | 5.00 |
8486 .. | 40.00 | 5.00 | 8584 .. | 23.50 | 5.00 |
8488 .. | 19.00 | 5.00 | 8586 .. | 41.00 | 5.00 |
8490 .. | 21.50 | 5.00 | 8588 .. | 27.50 | 5.00 |
8492 .. | 9.05 | 4.35 | 8590 .. | 5.00 | 5.00 |
8494 .. | 38.00 | 5.00 | 8592 .. | 40.00 | 5.00 |
8496 .. | 19.00 | 5.00 | 8594 .. | 45.00 | 5.00 |
8498 .. | 40.00 | 5.00 | 8596 .. | 52.00 | 5.00 |
8500 .. | 32.00 | 5.00 | 8598 .. | 9.00 | 5.00 |
8502 .. | 21.50 | 5.00 | 8600 .. | 113.00 | 5.00 |
8504 .. | 17.00 | 5.00 | 8602 .. | 11.70 | 5.00 |
8508 .. | 17.00 | 5.00 | 8604 .. | 20.00 | 5.00 |
8508 .. | 36.00 | 5.00 | 8606 .. | 30.00 | 5.00 |
8510 .. | 61.00 | 5.00 | 8608 .. | 47.00 | 5.00 |
8512 .. | 23.50 | 5.00 | 8610 .. | 15.50 | 5.00 |
8514 .. | 23.50 | 5.00 | 8612 .. | 61.00 | 5.00 |
8516 .. | 52.00 | 5.00 | 8614 .. | 27.50 | 5.00 |
8518 .. | 40.00 | 5.00 | 8616 .. | 27.50 | 5.00 |
8520 .. | 40.00 | 5.00 | 8618 .. | 46.00 | 5.00 |
8522 .. | 18.00 | 5.00 | 8620 .. | 13.00 | 5.00 |
8524 .. | 25.00 | 5.00 | 8622 .. | 57.00 | 5.00 |
8526 .. | 67.00 | 5.00 | 8624 .. | 75.00 | 5.00 |
8528 .. | 79.00 | 5.00 | 8626 .. | 30.00 | 5.00 |
8530 .. | 67.00 | 5.00 | 8628 .. | 22.50 | 5.00 |
8532 .. | 79.00 | 5.00 | 8630 .. | 45.00 | 5.00 |
8534 .. | 8.35 | 3.95 | 8632 .. | 105.00 | 5.00 |
8536 .. | 18.00 | 5.00 | 8634 .. | 30.00 | 5.00 |
8538 .. | 42.00 | 5.00 | 8636 .. | 57.00 | 5.00 |
8540 .. | 82.00 | 5.00 | 8638 .. | 57.00 | 5.00 |
8542 .. | 114.00 | 5.00 | 8640 .. | 71.00 | 5.00 |
8544 .. | 27.50 | 5.00 | 8642 .. | 71.00 | 5.00 |
8546 .. | 65.00 | 5.00 | 8644 .. | 36.00 | 5.00 |
8548 .. | 74.00 | 5.00 | 8646 .. | 36.00 | 5.00 |
8550 .. | 120.00 | 5.00 | 8648 .. | 52.00 | 5.00 |
8552 .. | 42.00 | 5.00 | 8650 .. | 52.00 | 5.00 |
8554 .. | 79.00 | 5.00 | 8652 .. | 91.00 | 5.00 |
8556 .. | 61.00 | 5.00 | 8654 .. | 91.00 | 5.00 |
8558 .. | 61.00 | 5.00 | 8656 .. | 67.00 | 5.00 |
Printed by Authority by the Government Printer of Australia