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February 2020 Prostheses List - Part B (Human Tissue) Product Category Institute Product Name Billing Code Benefit Condition 01 - Cardio-thoracic Queensland Tissue Bank Valve - Aortic QHV01 $8,986 01 - Cardio-thoracic Queensland Tissue Bank Valve - Pulmonary QHV02 $8,986 01 - Cardio-thoracic Queensland Tissue Bank Patch - Mitral QHV03 $2,373 01 - Cardio-thoracic Queensland Tissue Bank Patch - Tricuspid QHV04 $2,373 01 - Cardio-thoracic Queensland Tissue Bank Patch - Pericardium QHV05 $2,607 01 - Cardio-thoracic Queensland Tissue Bank Conduit - Pulmonary large QHV07 $2,607 01 - Cardio-thoracic Queensland Tissue Bank Conduit - Pulmonary + Valve QHV08 $8,986 01 - Cardio-thoracic Queensland Tissue Bank Conduit - Aortic + Valve QHV09 $8,577 01 - Cardio-thoracic Queensland Tissue Bank Valve - Mitral QHV10 $8,577 01 - Cardio-thoracic Queensland Tissue Bank Thoracic Aorta QHV11 $2,607 01 - Cardio-thoracic Royal Perth Hospital T/A Heart Valve Bank Valve - Aortic RPH01 $6,406 01 - Cardio-thoracic Royal Perth Hospital T/A Heart Valve Bank Valve - Pulmonary RPH02 $6,406 01 - Cardio-thoracic Sydney Heart Valve Bank, St. Vincent's Hospital Valve - Aortic SHV01 $8,953 01 - Cardio-thoracic Sydney Heart Valve Bank, St. Vincent's Hospital Valve - Pulmonary SHV02 $8,953 01 - Cardio-thoracic Sydney Heart Valve Bank, St. Vincent's Hospital Conduit - Arterial SHV03 $3,367 01 - Cardio-thoracic Donor Tissue Bank of Victoria Valve - Aortic TBV01 $9,414 01 - Cardio-thoracic Donor Tissue Bank of Victoria Valve - Pulmonary TBV02 $9,414 01 - Cardio-thoracic Donor Tissue Bank of Victoria Conduit - Pulmonary TBV03 $2,033 01 - Cardio-thoracic Donor Tissue Bank of Victoria Pericardium TBV50 $2,474 01 - Cardio-thoracic Donor Tissue Bank of Victoria Conduit - Aortic TBV56 $2,033 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 - Ophthalmic Lions Eye Donation Service Sclera LEM02 $300 02 - Ophthalmic Lions Eye Donation Service Cornea for Endothelial Lamellar Keratoplasty LEM04 $3,260 02 - Ophthalmic Lions Eye Bank of Western Australia Cornea LEW01 $2,950 02 - Ophthalmic Lions Eye Bank of Western Australia Sclera LEW02 $295 Page 1 of 46

y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

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Page 1: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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01 - Cardio-thoracic Queensland Tissue Bank Valve - Aortic QHV01 $8,986

01 - Cardio-thoracic Queensland Tissue Bank Valve - Pulmonary QHV02 $8,986

01 - Cardio-thoracic Queensland Tissue Bank Patch - Mitral QHV03 $2,373

01 - Cardio-thoracic Queensland Tissue Bank Patch - Tricuspid QHV04 $2,373

01 - Cardio-thoracic Queensland Tissue Bank Patch - Pericardium QHV05 $2,607

01 - Cardio-thoracic Queensland Tissue Bank Conduit - Pulmonary large QHV07 $2,607

01 - Cardio-thoracic Queensland Tissue Bank Conduit - Pulmonary + Valve QHV08 $8,986

01 - Cardio-thoracic Queensland Tissue Bank Conduit - Aortic + Valve QHV09 $8,577

01 - Cardio-thoracic Queensland Tissue Bank Valve - Mitral QHV10 $8,577

01 - Cardio-thoracic Queensland Tissue Bank Thoracic Aorta QHV11 $2,607

01 - Cardio-thoracic Royal Perth Hospital T/A Heart Valve Bank Valve - Aortic RPH01 $6,406

01 - Cardio-thoracic Royal Perth Hospital T/A Heart Valve Bank Valve - Pulmonary RPH02 $6,406

01 - Cardio-thoracic Sydney Heart Valve Bank, St. Vincent's

Hospital

Valve - Aortic SHV01 $8,953

01 - Cardio-thoracic Sydney Heart Valve Bank, St. Vincent's

Hospital

Valve - Pulmonary SHV02 $8,953

01 - Cardio-thoracic Sydney Heart Valve Bank, St. Vincent's

Hospital

Conduit - Arterial SHV03 $3,367

01 - Cardio-thoracic Donor Tissue Bank of Victoria Valve - Aortic TBV01 $9,414

01 - Cardio-thoracic Donor Tissue Bank of Victoria Valve - Pulmonary TBV02 $9,414

01 - Cardio-thoracic Donor Tissue Bank of Victoria Conduit - Pulmonary TBV03 $2,033

01 - Cardio-thoracic Donor Tissue Bank of Victoria Pericardium TBV50 $2,474

01 - Cardio-thoracic Donor Tissue Bank of Victoria Conduit - Aortic TBV56 $2,033

02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600

02 - Ophthalmic Lions Eye Donation Service Sclera LEM02 $300

02 - Ophthalmic Lions Eye Donation Service Cornea for Endothelial Lamellar Keratoplasty LEM04 $3,260

02 - Ophthalmic Lions Eye Bank of Western Australia Cornea LEW01 $2,950

02 - Ophthalmic Lions Eye Bank of Western Australia Sclera LEW02 $295

Page 1 of 46

Page 2: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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02 - Ophthalmic Lions Eye Bank of Western Australia Cornea for Endothelial Keratoplasty LEW03 $3,525

02 - Ophthalmic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cornea NCC71 $2,618

02 - Ophthalmic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Sclera NCC72 $393

02 - Ophthalmic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cornea For Lamellar NCC73 $1,572

02 - Ophthalmic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cornea for Endothelial Keratoplasty NCC74 $3,085

02 - Ophthalmic Queensland Tissue Bank Cornea QEB01 $2,710

02 - Ophthalmic Queensland Tissue Bank Sclera QEB02 $349

02 - Ophthalmic The Eye Bank of South Australia Cornea SAE01 $2,600

02 - Ophthalmic The Eye Bank of South Australia Sclera SAE02 $290

02 - Ophthalmic The Eye Bank of South Australia Cornea for Endothelial Keratoplasty SAE03 $3,350

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Humerus – Shaft Super Critical Fluid CO2

Treated (Freeze Dried)

AAA01 $4,128

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Ring AAA02 $2,277

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femur – Distal Super Critical Fluid CO2

Treated (Freeze Dried)

AAA03 $3,471

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Tibia – Whole Super Critical Fluid CO2

Treated

AAA04 $7,342

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Tendon Patch Super Critical Fluid CO2

Treated

AAA05 $4,000

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Peroneus Longus Tendon AAA06 $3,125

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Tibia – Distal Super Critical Fluid CO2 Treated AAA07 $3,471

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Radius – Whole AAA08 $3,541

Page 2 of 46

Page 3: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Condyle Half – Super Critical Fluid

CO2 Treated

AAA09 $3,016

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cancellous Cube – Super Critical Fluid CO2

Treated

AAA10 $1,593

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Strut Super Critical Fluid CO2

Treated (Freeze Dried)

AAA11 $3,705

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femur – Distal Super Critical Fluid CO2

Treated

AAA12 $3,471

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cortical Sheet Super Critical Fluid CO2

Treated

AAA13 $1,708

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Morsellised Bone (10-20 cc/g) AAA14 $2,707

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cortical Cancellous Block AAA15 $1,674

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Peroneus Longus Tendon Super Critical Fluid

CO2 Treated

AAA16 $3,187

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Humerus – Distal Segment Super Critical

Fluid CO2 Treated (Freeze Dried)

AAA17 $3,136

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Humerus – Proximal (Freeze Dried) AAA18 $3,620

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cortical Sheet AAA19 $1,522

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Tibial Strut Super Critical Fluid CO2 Treated AAA20 $3,259

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Strut AAA21 $3,996

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cancellous Cube – Super Critical Fluid CO2

Treated (Freeze Dried)

AAA22 $1,593

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femur – Whole AAA23 $9,013

Page 3 of 46

Page 4: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Unicortical Cancellous Block Super Critical

Fluid CO2 Treated (Freeze Dried)

AAA24 $1,553

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Patella Tendon with Bone Block – Whole

with Quads

AAA25 $3,804

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Bone Dowel / Plug Super Critical Fluid CO2

Treated (Freeze Dried)

AAA26 $1,593

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Achilles Tendon with Pre-Shaped Bone Block

Super Critical Fluid CO2 Treated

AAA27 $4,001

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Morsellised Bone (Freeze Dried) (6-10cc) AAA28 $2,707

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Humerus – Proximal Super Critical Fluid CO2

Treated

AAA29 $4,061

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Strut (Freeze Dried) AAA30 $3,633

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Humeral Head – Whole Super Critical Fluid

CO2 Treated, (Freeze Dried)

AAA31 $2,029

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cervical Spacers - Parrallel AAA32 $1,840

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Hemipelvis – Segment (Freeze Dried) AAA33 $1,522

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Fibula – Whole Super Critical Fluid CO2

Treated

AAA34 $8,138

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cancellous Plug Super Critical Fluid CO2

Treated (Freeze Dried)

AAA35 $1,593

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cortical Ring AAA36 $1,840

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Humerus – Strut AAA37 $2,700

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

HTO Wedge (Freeze Dried) AAA38 $1,540

Page 4 of 46

Page 5: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Morsellised Bone Super Critical Fluid CO2

Treated (10-20g)

AAA39 $2,761

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Patella Tendon with Bone Block – Whole

Super Critical Fluid CO2 Treated

AAA40 $3,879

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cortical Strut (Freeze Dried) AAA41 $2,455

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Shaft (Freeze Dried) AAA42 $3,271

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Ring Super Critical CO2 Treated

(Freeze Dried)

AAA43 $2,112

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Head – Whole (Freeze Dried) AAA44 $3,430

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cortical Ring (Freeze Dried) AAA45 $1,840

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cortical Strut Super Critical Fluid CO2 Treated

(Freeze Dried)

AAA46 $2,504

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Tibia – Proximal Super Critical Fluid CO2

Treated (Freeze Dried)

AAA47 $3,396

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cancellous Plug (Freeze Dried) AAA48 $1,562

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Tibia – Proximal Super Critical Fluid CO2

Treated

AAA49 $3,396

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Ulna – Whole AAA50 $4,008

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cortical Plate Super Critical Fluid CO2

Treated (Freeze Dried)

AAA51 $1,553

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Semitendonosis Tendon AAA52 $3,126

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Condyle Whole (Freeze Dried) AAA53 $3,403

Page 5 of 46

Page 6: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cancellous Cube AAA54 $1,718

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Tibial Strut Super Critical Fluid CO2 Treated

(Freeze Dried)

AAA55 $3,259

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cancellous Plug Super Critical Fluid CO2

Treated

AAA56 $1,593

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Gracilis Tendon Super Critical Fluid CO2

Treated

AAA57 $2,445

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cervical Spacers - Lordotic AAA58 $1,840

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Patella Tendon with Bone Block – Whole

with Quads – Super Critical Fluid CO2 Treated

AAA59 $3,879

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Humerus – Shaft Super Critical Fluid CO2

Treated

AAA60 $4,128

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cortical Segment Super Critical Fluid CO2

Treated

AAA61 $3,135

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Humeral Head – Whole AAA62 $2,188

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Bone Dowel / Plug Super Critical Fluid CO2

Treated

AAA63 $1,752

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cancellous Block (Freeze Dried) AAA64 $1,562

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Tibia – Proximal (Freeze Dried) AAA65 $3,330

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Morsellised Bone (Freeze Dried) (1-5cc) AAA66 $2,432

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cortical Strut Super Critical Fluid CO2 Treated AAA67 $2,504

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Malleable Bone Segments Super Critical Fluid

CO2Treated

AAA68 $2,400

Page 6 of 46

Page 7: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cervical Spacers - Parallel Super Critical Fluid

CO2 Treated (Freeze Dried)

AAA69 $1,877

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Hemi Patella Tendon with Bone Block Super

Critical Fluid CO2 Treated

AAA70 $3,879

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Semitendonosis Tendon Super Critical Fluid

CO2 Treated

AAA71 $3,188

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cortical Strut AAA72 $2,700

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Tricortical Cancellous Wedge AAA73 $1,674

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Bone Dowel / Plug AAA74 $1,562

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Anterior Tibialis Tendon AAA75 $3,125

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Tricortical Cancellous Wedge – Super Critical

Fluid CO2 Treated

AAA76 $1,553

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cancellous Plug AAA77 $1,718

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cervical Spacers - Parallel Super Critical Fluid

CO2Treated 5mm-9mm

AAA78 $2,065

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Humeral Head – Whole Super Critical Fluid

CO2 Treated

AAA79 $2,029

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femur – Proximal Super Critical Fluid CO2

Treated (Freeze Dried)

AAA80 $3,705

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Tricortical Cancellous Wedge Super Critical

Fluid CO2 Treated (Freeze Dried)

AAA81 $1,553

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

HTO Wedge Super Critical Fluid CO2 Treated AAA82 $1,571

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Tibial Shaft AAA83 $5,416

Page 7 of 46

Page 8: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Tibia – Distal AAA84 $3,743

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cortical Segment AAA85 $3,449

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Morsellised Bone – Super Critical Fluid CO2

Treated (1-4g)

AAA86 $2,314

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Condyle Whole AAA87 $3,743

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Tendon Patch AAA88 $3,923

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Humerus – Distal Segment AAA89 $3,075

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Morsellised Bone (1-4 cc/g) AAA90 $2,268

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Tibia – Distal Super Critical Fluid CO2 Treated

(Freeze Dried)

AAA91 $3,471

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Bone Dowel / Plug (Freeze Dried) AAA92 $1,562

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cortical Plate Super Critical Fluid CO2

Treated

AAA93 $1,708

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Humerus – Proximal Super Critical Fluid CO2

Treated (Freeze Dried)

AAA94 $3,692

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Achilles Tendon with Bone Block AAA95 $3,923

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Head – Hemi Super Critical Fluid

CO2 Treated

AAA96 $3,500

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cortical Cancellous Block Super Critical Fluid

CO2Treated (Freeze Dried)

AAA97 $1,553

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Fibular Ring (Freeze Dried) AAA98 $1,840

Page 8 of 46

Page 9: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cervical Spacers – Lordotic Super Critical

Fluid CO2Treated (Freeze Dried)

AAA99 $1,877

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Hemipelvis – Segment ABB01 $1,522

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Malleable Bone Segments Super Critical Fluid

CO2Treated (Freeze Dried)

ABB02 $2,400

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cancellous Block Super Critical Fluid CO2

Treated

ABB03 $1,593

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Tricortical Cancellous Wedge (Freeze Dried) ABB04 $1,522

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Fibula – Whole ABB05 $8,780

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Condyle Half – Super Critical Fluid

CO2 Treated (Freeze Dried)

ABB06 $3,016

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Tibial Strut ABB07 $3,515

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Condyle Half ABB08 $3,253

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cervical Spacers - Lordotic (Freeze Dried) ABB09 $1,840

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Fibular Ring Super Critical Fluid CO2 Treated

(Freeze Dried)

ABB10 $1,877

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Posterior Tibialis Tendon Super Critical Fluid

CO2 Treated

ABB11 $3,187

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Patella Tendon with Bone Blocks - Whole ABB12 $3,804

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cortical Segment (Freeze Dried) ABB13 $3,075

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

HTO Wedge ABB14 $1,694

Page 9 of 46

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February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Humerus – Proximal ABB15 $3,620

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femur – Whole Super Critical Fluid CO2

Treated

ABB16 $8,354

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Humerus – Strut (Freeze Dried) ABB17 $2,455

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Humerus – Strut Super Critical Fluid CO2

Treated (Freeze Dried)

ABB18 $2,504

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cancellous Block ABB19 $1,718

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Posterior Tibialis Tendon ABB20 $3,125

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Head Whole Super Critical Fluid CO2

Treated (Freeze Dried)

ABB21 $3,500

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Shaft Super Critical Fluid CO2

Treated

ABB22 $3,336

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cortical Cancellous Block Super Critical Fluid

CO2Treated

ABB23 $1,553

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Humerus – Strut Super Critical Fluid CO2

Treated

ABB24 $2,504

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Humerus – Distal Segment Super Critical

Fluid CO2 Treated

ABB25 $3,450

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cortical Plate ABB26 $1,522

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Achilles Tendon Super Critical Fluid CO2

Treated

ABB27 $4,001

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cervical Spacers – Lordotic Super Critical

Fluid CO2Treated 5mm-9mm

ABB28 $2,065

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Morsellised Bone Super Critical Fluid CO2

Treated (Freeze Dried) (11-20cc)

ABB29 $2,482

Page 10 of 46

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February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cortical Sheet (Freeze Dried) ABB30 $1,522

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Humerus – Distal Segment (Freeze Dried) ABB31 $3,075

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Unicortical Cancellous Wedge (Freeze Dried) ABB32 $1,522

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Ring (Freeze Dried) ABB33 $2,070

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Head – Whole ABB34 $3,773

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Fibular Ring ABB35 $2,024

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cortical Segment Super Critical Fluid CO2

Treated (Freeze Dried)

ABB36 $3,135

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Tibia – Proximal ABB37 $3,663

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Achilles Tendon with Pre-Shaped Bone Block ABB38 $3,923

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

HTO Wedge – Super Critical Fluid CO2

Treated (Freeze Dried)

ABB39 $1,571

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cortical Cancellous Block (Freeze Dried) ABB40 $1,522

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femur – Distal (Freeze Dried) ABB41 $3,403

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Strut Super Critical Fluid CO2

Treated

ABB42 $3,705

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Malleable Bone Segments ABB43 $2,587

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Humerus – Shaft ABB44 $4,453

Page 11 of 46

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February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Patella Tendon with Pre-Shaped Bone Block

Super Critical Fluid CO2 Treated

ABB45 $3,526

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Condyle Half (Freeze Dried) ABB46 $2,957

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Ulna – Whole Super Critical Fluid CO2

Treated

ABB47 $3,716

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Malleable Bone Segments (Freeze Dried) ABB48 $2,352

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Humerus – Shaft (Freeze Dried) ABB49 $4,048

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Unicortical Cancellous Block ABB50 $1,674

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femur – Proximal (Freeze Dried) ABB51 $3,633

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femur – Distal ABB52 $3,743

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Unicortical Cancellous Block Super Critical

Fluid CO2 Treated

ABB53 $1,553

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Radius – Whole Super Critical Fluid CO2

Treated

ABB54 $3,283

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Condyle Whole Super Critical Fluid

CO2 Treated (Freeze Dried)

ABB55 $3,471

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Morsellised Bone (Freeze Dried) ABB56 $2,211

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Shaft ABB57 $3,598

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Tibial Shaft (Freeze Dried) ABB58 $4,924

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Fascia Lata ABB59 $3,923

Page 12 of 46

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February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Head – Hemi ABB60 $3,773

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Humerus – Whole Super Critical Fluid CO2

Treated

ABB61 $4,199

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Head – Hemi (Freeze Dried) ABB62 $3,430

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Patella Tendon with Pre-Shaped Bone Block

Super Critical Fluid CO2 Treated

ABB63 $3,879

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Anterior Tibialis Tendon Super Critical Fluid

CO2 Treated

ABB64 $3,187

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Condyle Whole Super Critical Fluid

CO2 Treated

ABB65 $3,471

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Tibial Strut (Freeze Dried) ABB66 $3,195

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Shaft Super Critical Fluid CO2

Treated (Freeze Dried)

ABB67 $3,336

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femur – Proximal ABB68 $3,996

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cortical Sheet Super Critical Fluid CO2

Treated (Freeze Dried)

ABB69 $1,553

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cortical Ring Super Critical Fluid CO2 Treated

5mm-9mm

ABB70 $2,065

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cortical Plate (Freeze Dried) ABB71 $1,522

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Head – Hemi Super Critical Fluid

CO2 Treated (Freeze Dried)

ABB72 $3,500

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femur – Proximal Super Critical Fluid CO2

Treated

ABB73 $3,705

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Patella Tendon with Pre-Shaped Bone Blocks ABB74 $3,804

Page 13 of 46

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February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Head – Whole Super Critical Fluid

CO2 Treated

ABB75 $3,500

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Hemipelvis – Segment Super Critical Fluid

CO2 Treated (Freeze Dried)

ABB76 $1,553

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Tibia – Distal (Freeze Dried) ABB77 $3,403

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Femoral Ring Super Critical Fluid CO2 Treated ABB78 $2,112

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Tibia – Whole ABB79 $7,921

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cortical Ring Super Critical Fluid CO2 Treated

(Freeze Dried)

ABB80 $1,877

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Hemipelvis – Whole Super Critical Fluid CO2

Treated

ABB81 $8,762

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Humeral Head – Whole (Freeze Dried) ABB82 $1,989

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Humerus – Whole ABB83 $4,530

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Tibial Shaft Super Critical Fluid CO2 Treated

(Freeze Dried)

ABB84 $5,021

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cancellous Cube (Freeze Dried) ABB85 $1,562

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Morsellised Bone (5-9 cc/g) ABB86 $2,432

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Hemipelvis – Segment Super Critical Fluid

CO2 Treated

ABB87 $1,708

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cancellous Block Super Critical Fluid CO2

Treated (Freeze Dried)

ABB88 $1,593

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cervical Spacers - Parrallel (Freeze Dried) ABB89 $1,840

Page 14 of 46

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February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Tibial Shaft Super Critical Fluid CO2 Treated ABB90 $5,021

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Fascia Lata Super Critical Fluid CO2 Treated ABB91 $4,001

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Achilles Tendon ABB92 $3,923

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Gracilis Tendon ABB93 $2,398

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Morsellised Bone Super Critical Fluid CO2

Treated (5-9g)

ABB94 $2,482

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Fibular Ring Super Critical Fluid CO2 Treated ABB95 $1,877

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Hemipelvis – Whole ABB96 $9,452

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Achilles Tendon with Bone Block Super

Critical Fluid CO2 Treated

ABB97 $4,001

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Hemi Patella Tendon with Bone Block ABB98 $3,804

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Demineralized Bone Fibres (FZ) 1-4g ABB99 $2,750

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Demineralized Bone Fibres (FZ) 5-9g ADD01 $3,800

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Demineralized Bone Fibres (FZ) 10-15g ADD02 $4,600

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Demineralized Bone Fibres / Cortico-

Cancellous Granules (FZ) 1-4g

ADD03 $2,750

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Demineralized Bone Fibres / Cortico-

Cancellous Granules (FZ) 5-9g

ADD04 $3,800

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Demineralized Bone Fibres / Cortico-

Cancellous Granules (FZ) 10-15g

ADD05 $4,600

Page 15 of 46

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February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Demineralized Bone Fibres (FD) 2-4cc ADD06 $2,750

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Demineralized Bone Fibres (FD) 5-9cc ADD07 $3,800

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Demineralized Bone Fibres (FD) 10-15cc ADD08 $4,600

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Demineralized Bone Fibres / Cortico-

Cancellous Granules (FD) 2-4cc

ADD09 $2,750

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Demineralized Bone Fibres / Cortico-

Cancellous Granules (FD) 5-9cc

ADD10 $3,800

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Demineralized Bone Fibres / Cortico-

Cancellous Granules (FD) 10-15cc

ADD11 $4,600

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Compressible Cancellous Block (FD) ADD12 $3,500

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Compressible Cancellous Block (FZ) ADD13 $3,500

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Compressible Cancellous Strip (FD) ADD14 $3,500

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Compressible Cancellous Strip (FZ) ADD15 $3,500

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Patella Quadriceps Tendon with Patellar

Bone

ADD16 $3,902

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Spinal Anterior Longitudonal Ligament Patch ADD17 $4,023

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Pre-Shaped Cancellous/Cortical Block

(Various Sizes)

ADD18 $3,200

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Engineered Cancellous Block with DBM

Component (Various Sizes)

ADD19 $3,200

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Bone allograft kit (Demineralized and

Mineralized Bone Matrix) 5-10g / 5-10cc

ADD20 $6,193

Page 16 of 46

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February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Bone allograft kit (Demineralized and

Mineralized Bone Matrix) 11-20g / 11-20cc

ADD21 $7,259

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Pre-Shaped Hyaline Cartilage Segment ADD22 $2,750

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cortical – Demineralized Bone Matrix 1-4g/1-

4cc

ADD23 $2,676

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Cortical – Demineralized Bone Matrix 5-

10g/5-10cc

ADD24 $3,100

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Moulded Demineralized Fibres (Small) ADD25 $3,000

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Moulded Demineralized Fibres (Large) ADD26 $3,750

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Demineralized Bone Matrix/Cortico-

Cancellous Granules 5-9cc

ADD27 $3,800

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Demineralized Bone Matrix/Cortico-

Cancellous Granules 10-15cc

ADD28 $4,600

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Freeze Dried Cortico-Cancellous Bone

Granules 2-4cc

ADD29 $2,450

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Freeze Dried Cortico-Cancellous Bone

Granules 5-9cc

ADD30 $2,800

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Freeze Dried Cortico-Cancellous Bone

Granules 10-15cc

ADD31 $3,200

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Bone allograft kit (Demineralized and

Mineralized Bone Matrix) 1-4g / 1-4cc

ADD32 $4,376

03 - Orthopaedic AUSTRALIAN TISSUE DONATION NETWORK

LIMITED

Demineralized Bone Matrix/Cortico-

Cancellous Granules 1-4cc

ADD33 $2,700

03 - Orthopaedic Australian Biotechnologies Bone - Milled Femoral Head AUB02 $2,457

03 - Orthopaedic Australian Biotechnologies Femoral Head AUB03 $2,354

03 - Orthopaedic Australian Biotechnologies Bone – Cortico-Cancellous Crunch <30g AUB04 $2,070

03 - Orthopaedic Australian Biotechnologies Cortical Strut AUB05 $2,451

Page 17 of 46

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February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic Australian Biotechnologies Tibia – Proximal third AUB06 $2,562

03 - Orthopaedic Australian Biotechnologies Spinal Ring AUB07 $1,854

03 - Orthopaedic Australian Biotechnologies Bone – Cortico-Cancellous Crunch <20g

Sterile

AUB08 $2,215

03 - Orthopaedic Australian Biotechnologies Tendon - Achilles with bone plug AUB09 $2,228

03 - Orthopaedic Australian Biotechnologies Tendon AUB10 $2,184

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Semitendinosis, Tendon, Frozen, Non-

Irradiated

CAA01 $2,840

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Semitendinosus Tendon, Freeze Dried, Non-

Irradiated

CAA02 $2,910

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Peroneus Longus Tendon, Frozen, Non-

Irradiated

CAA03 $2,783

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Peroneus Longus Tendon, Freeze Dried, Non-

Irradiated

CAA04 $2,420

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Fascia Lata, ≥ 120cm² ≤ 180cm², Frozen, Non-

Irradiated

CAA05 $2,400

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Anterior Tibialis Tendon, Frozen, Non-

Irradiated

CAA06 $3,102

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Anterior Tibialis Tendon, Freeze Dried, Non-

Irradiated

CAA07 $3,029

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Gracilis Tendon, Frozen, Non-Irradiated CAA08 $2,586

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Gracilis Tendon, Freeze Dried, Non-Irradiated CAA09 $2,222

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Achillies Tendon, Frozen, Non-Irradiated CAA10 $2,971

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Revision Core, Various Sizes, Freeze Dried,

Non-Irradiated

CAA11 $2,136

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Evans Wedge, Freeze dried, Non-Irradiated CAA12 $2,339

Page 18 of 46

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February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic ConMed Linvatec Australia Pty Ltd High Tibial Osteotomy Wedge Cortical Bone

Wedges, (2-Piece), Freeze Dried, Non-

Irradiated

CAA13 $2,134

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Brachymetatarsal Lengthening Graft

Segment, Freeze Dried, Non-Irradiated

CAA14 $2,404

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Milled Cancellous Chips, Freeze dried, Non-

Irradiated

CAA15 $1,455

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Demineralized Cancellous Chips, Freeze

dried, Non-Irradiated

CAA16 $1,449

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd ENHANCE® Demineralized Cortical Fiber,

2.5cc, Dehydrated, Non-Irradiated

CAA17 $1,544

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Achilles Tendon, with Calcaneus, Frozen, Non-

Irradiated

CAA18 $2,787

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Achilles Tendon, with Shaped Bone Blocks,

Frozen, Non-Irradiated

CAA19 $3,450

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Patella Bone-Tendon-Bone, Hemi with

Quadriceps, Frozen, Non-Irradiated

CAA20 $3,540

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Patella Bone-Tendon-Bone, Whole with

Quadriceps, Frozen, Non-Irradiated

CAA21 $5,917

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd ENHANCE® Demineralized Cortical Fiber, 5cc,

Dehydrated, Non-Irradiated

CAA22 $1,962

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd ENHANCE® Demineralized Cortical Fiber,

10cc, Dehydrated, Non-Irradiated

CAA23 $2,287

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Cotton Wedge, Freeze dried, Non-Irradiated CAA24 $2,326

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Arch Wedge, Freeze dried, Non-Irradiated CAA25 $2,089

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Proximal Metatarsal Lengthening Graft

Segment, Freeze Dried, Non-Irradiated

CAA26 $2,374

Page 19 of 46

Page 20: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic ConMed Linvatec Australia Pty Ltd AlloPatchHD Acellular Human Dermis, ≤

25cm² ≥ 1.8mm, Dehydrated, Non-Irradiated

CAA27 $2,733

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd AlloPatchHD Acellular Human Dermis, ≥

25cm² ≤1.7mm, Dehydrated, Non-Irradiated

CAA28 $2,777

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd AlloPatchHD Acellular Human Dermis, ≥

25cm² ≤ 1.7mm, Hydrated, Non-Irradiated

CAA29 $2,591

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd AlloPatchHD Acellular Human Dermis, ≥

25cm² ≥ 1.8mm, Hydrated, Non-Irradiated

CAA30 $2,762

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd AlloPatchHD Acellular Human Dermis, ≤

25cm² ≤ 1.7mm, Dehydrated, Non-Irradiated

CAA31 $2,391

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd AlloPatchHD Acellular Human Dermis, ≤

25cm² ≤1.7mm thick, Hydrated, Non-

Irradiated

CAA32 $2,391

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd AlloPatchHD Acellular Human Dermis -

Meshed, ≤ 25cm² ≤0.7mm, Hydrated, Non-

Irradiated

CAA33 $2,372

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd AlloPatchHD Acellular Human Dermis,

≤25cm² ≥1.8mm, Hydrated, Non-Irradiated

CAA34 $2,731

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd AlloPatchHD Acellular Human Dermis -

Meshed, ≥ 26cm² ≤0.7mm, Hydrated, Non-

Irradiated

CAA35 $2,869

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Patella Bone-Tendon-Bone, Hemi without

Quadriceps, Frozen, Non-irradiated

CAA36 $3,629

Page 20 of 46

Page 21: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Patella Bone-Tendon-Bone, Hemi with

10.0mm Shaped Bone Blocks, Frozen, Non-

Irradiated

CAA37 $3,500

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Quadriceps Tendon, with 10.0mm Shaped

Bone Blocks, Frozen, Non-Irradiated

CAA38 $2,900

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Menisci with Tibial Plateau, Frozen, Non-

irradiated

CAA39 $5,807

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Patella Bone-Tendon-Bone, Whole (Special)

with Quadriceps, Frozen, Non-Irradiated

CAA40 $6,150

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Posterior Tibialis Tendon, Frozen, Non-

Irradiated

CAA41 $3,098

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Quadriceps Tendon, with Bone Block, Frozen,

Non-Irradiated

CAA42 $3,172

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Quadriceps Tendon, without Bone Block,

Frozen, Non-Irradiated

CAA43 $3,172

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Fascia Lata, ≥ 60cm² - ≤100cm² ≥, Freeze

Dried, Non-Irradiated

CAA44 $1,869

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Fascia Lata, ≤ 60cm², Frozen, Non-Irradiated CAA45 $2,110

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd MPJ Arthrodesis Lengthening Graft Segment,

Frozen, Non-Irradiated

CAA46 $2,721

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Bone-Tendon-Bone, Hemi with Quadriceps,

Freeze Dried, Non-Irradiated

CAA47 $3,832

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Bone-Tendon-Bone, Hemi with 10.0mm

Shaped Bone Blocks, Freeze Dried, Non-

Irradiated

CAA48 $3,680

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Achilles Tendon, with Calcaneus, Freeze

Dried, Non-Irradiated

CAA49 $3,121

Page 21 of 46

Page 22: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Achilles Tendon, without Calcaneus, Freeze

Dried, Non-Irradiated

CAA50 $2,992

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Posterior Tibialis Tendon, Freeze Dried, Non-

Irradiated

CAA51 $3,106

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Demineralized 80%Cortical/20%Cancellous

Granules, Freeze dried, Non-Irradiated

CAA52 $1,500

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Meniscus with Hemi Plateau, Medial, Frozen,

Non-Irradiated

CAA53 $5,680

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Fascia Lata, ≤ 60cm², Freeze Dried, Non-

Irradiated

CAA54 $1,821

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Fascia Lata, ≥ 120cm² ≤ 180cm², Freeze-

Dried, Non-Irradiated

CAA55 $2,259

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Meniscus with Hemi Plateau, Lateral, Frozen,

Non-Irradiated

CAA56 $6,047

03 - Orthopaedic ConMed Linvatec Australia Pty Ltd Meniscus for Interpositional Arthroplasty,

Frozen, Non-Irradiated

CAA57 $3,067

03 - Orthopaedic Rachel Forster Bone Bank Femoral Head CSA01 $802

03 - Orthopaedic Barwon Health Bone Bank Femoral Head DHR01 $4,616

03 - Orthopaedic Medtronic Australasia Pty Ltd Grafton Plus Demineralized Bone Matrix:

Paste, 10cc

MAA01 $1,539

03 - Orthopaedic Medtronic Australasia Pty Ltd Grafton Plus Demineralized Bone Matrix:

Paste, 1-5cc

MAA02 $581

03 - Orthopaedic Medtronic Australasia Pty Ltd Grafton Demineralized Bone Matrix:

Orthoblend, 15cc

MAA03 $1,978

03 - Orthopaedic Medtronic Australasia Pty Ltd Grafton Demineralized Bone Matrix: Matrix

PLF, 2.5cm x 10cm x 0.8cm (2)

MAA04 $1,978

03 - Orthopaedic Medtronic Australasia Pty Ltd Grafton Demineralized Bone Matrix:

Orthoblend, 5cc

MAA05 $581

03 - Orthopaedic Medtronic Australasia Pty Ltd Grafton Demineralized Bone Matrix:

Orthoblend, 10cc

MAA06 $1,539

Page 22 of 46

Page 23: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic Medtronic Australasia Pty Ltd Grafton Demineralized Bone Matrix: Flex,

1.5cm x 1.5cm x 0.25cm

MAA07 $581

03 - Orthopaedic Medtronic Australasia Pty Ltd Grafton Demineralized Bone Matrix: Flex,

>5cc to 10cc

MAA08 $1,539

03 - Orthopaedic Medtronic Australasia Pty Ltd Grafton Demineralized Bone Matrix: Matrix

PLF, 2.5cm x 5cm x 0.8cm (2)

MAA09 $1,539

03 - Orthopaedic Medtronic Australasia Pty Ltd Grafton Demineralized Bone Matrix: Matrix

Strips, 1cm x 20cm x 0.8cm (2)

MAA10 $1,978

03 - Orthopaedic Medtronic Australasia Pty Ltd Grafton Demineralized Bone Matrix: Matrix

Strips, 1cm x 10cm x 0.8cm (2)

MAA11 $1,539

03 - Orthopaedic Medtronic Australasia Pty Ltd Grafton Demineralized Bone Matrix: Flex,

2.5cm x 5cm

MAA13 $1,099

03 - Orthopaedic Institute of Medical & Veterinary Science T/A

South Australian Tissue Bank

Femur - Distal (Shaft & Condyles) MVS02 $2,290

03 - Orthopaedic Institute of Medical & Veterinary Science T/A

South Australian Tissue Bank

Femur - Entire MVS03 $2,290

03 - Orthopaedic Institute of Medical & Veterinary Science T/A

South Australian Tissue Bank

Femur - Proximal (shaft, trochanter, neck) MVS04 $2,290

03 - Orthopaedic Institute of Medical & Veterinary Science T/A

South Australian Tissue Bank

Femoral Head MVS05 $2,370

03 - Orthopaedic Institute of Medical & Veterinary Science T/A

South Australian Tissue Bank

Fibula - Entire MVS07 $2,290

03 - Orthopaedic Institute of Medical & Veterinary Science T/A

South Australian Tissue Bank

Hemipelvis - Complete MVS08 $2,290

Page 23 of 46

Page 24: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic Institute of Medical & Veterinary Science T/A

South Australian Tissue Bank

Humerus - Proximal with rotator cuff MVS09 $2,290

03 - Orthopaedic Institute of Medical & Veterinary Science T/A

South Australian Tissue Bank

Tibia - Proximal half MVS11 $2,290

03 - Orthopaedic Institute of Medical & Veterinary Science T/A

South Australian Tissue Bank

Fibula - Segment (6cm) MVS13 $2,290

03 - Orthopaedic Institute of Medical & Veterinary Science T/A

South Australian Tissue Bank

Fibula - Segment (12cm) MVS14 $2,290

03 - Orthopaedic Institute of Medical & Veterinary Science T/A

South Australian Tissue Bank

Ulna MVS15 $2,290

03 - Orthopaedic Institute of Medical & Veterinary Science T/A

South Australian Tissue Bank

Tibia - Whole MVS16 $2,290

03 - Orthopaedic Institute of Medical & Veterinary Science T/A

South Australian Tissue Bank

Tibia - Distal MVS17 $2,290

03 - Orthopaedic Institute of Medical & Veterinary Science T/A

South Australian Tissue Bank

Radius MVS18 $2,290

03 - Orthopaedic Institute of Medical & Veterinary Science T/A

South Australian Tissue Bank

Humerus - Distal MVS19 $2,290

03 - Orthopaedic Institute of Medical & Veterinary Science T/A

South Australian Tissue Bank

Humerus - Entire MVS20 $2,290

Page 24 of 46

Page 25: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic Institute of Medical & Veterinary Science T/A

South Australian Tissue Bank

Rib (5cm) MVS21 $382

03 - Orthopaedic Institute of Medical & Veterinary Science T/A

South Australian Tissue Bank

Autologous Skull Flap MVS23 $1,396

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Ulna – Whole Super Critical Fluid CO2

Treated (Frozen)

NAA01 $3,786

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Gracilis Tendon Super Critical Fluid CO2

Treated (Frozen)

NAA02 $2,293

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femur – Proximal Super Critical Fluid CO2

Treated (Frozen)

NAA03 $3,969

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cortical Ring Super Critical Fluid CO2 Treated

(Freeze Dried) 5mm – 9mm

NAA04 $1,947

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Fibula – Whole Super Critical Fluid CO2

Treated (Frozen)

NAA05 $8,208

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Bone Dowel / Plug Super Critical Fluid CO2

Treated (Freeze Dried) various sizes

NAA06 $1,663

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cancellous Dowel Plug Super Critical Fluid

CO2 Treated (Freeze Dried) - various sizes

NAA07 $1,663

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cortical Sheet (Frozen) - various sizes NAA08 $1,592

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Peroneus Longus Tendon Super Critical Fluid

CO2 Treated (Frozen)

NAA09 $2,967

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Tibia – Distal Super Critical Fluid CO2 Treated

(Frozen)

NAA10 $3,541

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cancellous Cube (Frozen) 3cm3 cubes NAA11 $1,632

Page 25 of 46

Page 26: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cortical Strut (Freeze Dried) - various sizes NAA12 $2,525

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Achilles Tendon with Bone Block Super

Critical Fluid CO2 Treated (Frozen)

NAA13 $3,027

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Hemi Patella Tendon with Bone Block

(Frozen) - various sizes

NAA14 $3,528

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femoral Condyle Half (Freeze Dried) - various

sizes

NAA15 $3,027

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Humeral Head – Whole (Freeze Dried) -

various sizes

NAA16 $2,059

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Tibial Strut Super Critical Fluid CO2 Treated

(Frozen) - various sizes

NAA17 $3,329

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cancellous Block (Frozen) - various sizes NAA18 $1,632

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cortical Plate (Frozen) various sizes NAA19 $1,592

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Humerus – Strut (Freeze Dried) - various sizes NAA20 $2,525

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Tibia – Proximal Super Critical Fluid CO2

Treated (Freeze Dried)

NAA21 $3,466

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Morsellised Bone Super Critical Fluid CO2

Treated (Frozen) Packs of 15mg – 30mg

NAA22 $2,580

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cortical Sheet Super Critical Fluid CO2

Treated (Freeze Dried) - various sizes

NAA23 $1,623

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femoral Head – Hemi (Frozen) - various sizes NAA24 $3,499

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Fibular Ring Super Critical Fluid CO2 Treated

(Frozen)

NAA25 $1,947

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Humerus – Whole Super Critical Fluid CO2

Treated (Frozen)

NAA26 $4,269

Page 26 of 46

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February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cancellous Block Super Critical Fluid CO2

Treated (Frozen) - various sizes

NAA27 $1,663

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Fascia Lata Super Critical Fluid CO2 Treated

(Frozen)

NAA28 $1,253

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Tricortical Cancellous Wedge (Freeze Dried) -

various sizes

NAA29 $1,592

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cancellous Dowel (Freeze Dried) - various

sizes

NAA30 $1,632

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Humerus – Distal Segment Super Critical

Fluid CO2 Treated (Freeze Dried)

NAA31 $3,206

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Morsellised Bone – Super Critical Fluid CO2

Treated Packs of 2.5gm – 5gm

NAA32 $2,174

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Tibial Shaft Super Critical Fluid CO2 Treated

(Frozen) - various sizes

NAA33 $5,091

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Tibia – Whole Super Critical Fluid CO2

Treated (Frozen)

NAA34 $5,523

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Tricortical Cancellous Wedge Super Critical

Fluid CO2 Treated (Freeze Dried) - various

sizes

NAA35 $1,623

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Humerus – Shaft (Freeze Dried) - various

sizes

NAA36 $4,118

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cervical Spacers - Parrallel (Freeze Dried)

5mm – 9mm

NAA37 $1,910

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cortical Cancellous Block Super Critical Fluid

CO2Treated (Frozen) - various sizes

NAA38 $1,623

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Bone Dowel / Plug (Freeze Dried) - various

sizes

NAA39 $1,632

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femur – Distal Super Critical Fluid CO2

Treated (Freeze Dried)

NAA40 $3,775

Page 27 of 46

Page 28: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Humerus – Proximal (Freeze Dried) - various

sizes

NAA41 $3,690

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cancellous Cube – Super Critical Fluid CO2

Treated (Frozen) 3cm3 cubes

NAA42 $1,663

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femur – Proximal Super Critical Fluid CO2

Treated (Freeze Dried)

NAA43 $3,969

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Tibia – Distal (Freeze Dried) - various sizes NAA44 $3,473

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cortical Cancellous Block (Freeze Dried) -

various sizes

NAA45 $1,592

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femoral Strut (Frozen) - various sizes NAA46 $3,703

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femoral Head Whole Super Critical Fluid CO2

Treated (Freeze Dried) - various sizes

NAA47 $3,499

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Tricortical Cancellous Wedge – Super Critical

Fluid CO2 Treated (Frozen) - various sizes

NAA48 $1,623

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Humerus – Strut Super Critical Fluid CO2

Treated (Freeze Dried)

NAA49 $2,574

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Humerus – Proximal Super Critical Fluid CO2

Treated (Frozen)

NAA50 $3,762

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Posterior Tibialis Tendon Super Critical Fluid

CO2 Treated (Frozen)

NAA51 $2,967

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femur – Proximal (Freeze Dried) - various

sizes

NAA52 $3,893

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Morsellised Bone Super Critical Fluid CO2

Treated (Freeze Dried) Packs of 5 – 10cc

NAA53 $2,326

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cortical Strut (Frozen) - various sizes NAA54 $2,525

Page 28 of 46

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February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femoral Shaft Super Critical Fluid CO2

Treated (Freeze Dried) - various sizes

NAA55 $2,292

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femur – Whole Super Critical Fluid CO2

Treated (Frozen)

NAA56 $8,424

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cortical Plate Super Critical Fluid CO2

Treated (Frozen) various sizes

NAA57 $1,623

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Malleable Bone Segments Super Critical Fluid

CO2Treated (Frozen)

NAA58 $3,541

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Tibia – Distal (Frozen) - various sizes NAA59 $3,473

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femoral Condyle Whole (Frozen) - various

sizes

NAA60 $3,473

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cortical Sheet (Freeze Dried) - various sizes NAA61 $1,592

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Unicortical Cancellous Wedge (Freeze Dried) -

various sizes

NAA62 $1,592

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Gracilis Tendon (Frozen) - various sizes NAA63 $2,250

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Tendon Patch Super Critical Fluid CO2

Treated (Frozen)

NAA64 $3,707

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Bone Dowel / Plug Super Critical Fluid CO2

Treated (Frozen) various sizes

NAA65 $1,663

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Morsellised Bone 7.5mg - 15mg NAA66 $2,281

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Unicortical Cancellous Wedge (Frozen) -

various sizes

NAA67 $1,592

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cancellous Plug Super Critical Fluid CO2

Treated (Frozen) - various sizes

NAA68 $1,663

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femoral Strut Super Critical Fluid CO2

Treated (Frozen) - various sizes

NAA69 $3,775

Page 29 of 46

Page 30: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Tibial Shaft Super Critical Fluid CO2 Treated

(Freeze Dried) - various sizes

NAA70 $5,091

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Patella Tendon with Bone Block – Whole

Super Critical Fluid CO2 Treated (Frozen)

NAA71 $2,917

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Tibia – Distal Super Critical Fluid CO2 Treated

(Freeze Dried)

NAA72 $3,541

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Radius – Whole Super Critical Fluid CO2

Treated (Frozen)

NAA73 $4,109

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cortical Ring (Freeze Dried) 5mm – 9mm NAA74 $1,910

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Humeral Head – Whole Super Critical Fluid

CO2 Treated (Frozen)

NAA75 $2,099

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Anterior Tibialis Tendon Super Critical Fluid

CO2 Treated (Frozen)

NAA76 $2,967

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femoral Condyle Whole Super Critical Fluid

CO2 Treated (Freeze Dried)

NAA77 $3,541

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Morsellised Bone Super Critical Fluid CO2

Treated (Frozen) Packs of 7.5gm – 15gm

NAA78 $2,326

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Morsellised Bone (frozen) 15-30g NAA79 $2,531

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femoral Condyle Half – Super Critical Fluid

CO2 Treated (Freeze Dried)

NAA80 $3,086

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Fibular Ring (Freeze Dried) - various sizes NAA81 $1,910

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

HTO Wedge (Frozen) - various sizes NAA82 $1,610

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cortical Sheet Super Critical Fluid CO2

Treated (Frozen) - various sizes

NAA83 $1,623

Page 30 of 46

Page 31: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cortical Plate Super Critical Fluid CO2

Treated (Freeze Dried) - various sizes

NAA84 $1,623

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Unicortical Cancellous Wedge Super Critical

Fluid CO2 Treated (Freeze Dried) - various

sizes

NAA85 $1,623

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Tendon Patch (Frozen) - various sizes NAA86 $3,636

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cancellous Block Super Critical Fluid CO2

Treated (Freeze Dried) - various sizes

NAA87 $1,663

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Humerus – Shaft Super Critical Fluid CO2

Treated (Freeze Dried) - various sizes

NAA88 $4,198

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cortical Segment (Frozen) - various sizes NAA89 $3,145

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Humerus – Distal Segment Super Critical

Fluid CO2 Treated (Frozen(

NAA90 $3,206

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Hemi Patella Tendon with Bone Block Super

Critical Fluid CO2 Treated (Frozen)

NAA91 $3,596

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

HTO Wedge – Super Critical Fluid CO2

Treated (Freeze Dried) - various sizes

NAA92 $1,641

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Fibular Ring Super Critical Fluid CO2 Treated

(Freeze Dried)

NAA93 $1,947

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cortical Plate (Freeze Dried) - various sizes NAA94 $1,592

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Tibial Shaft (Freeze Dried) - various sizes NAA95 $4,994

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femoral Head – Hemi Super Critical Fluid

CO2 Treated (Freeze Dried) - various sizes

NAA96 $3,499

Page 31 of 46

Page 32: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femur – Distal (Freeze Dried) - various sizes NAA97 $3,703

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femoral Head – Whole (Freeze Dried) -

various sizes

NAA98 $3,499

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Unicortical Cancellous Wedge Super Critical

Fluid CO2 Treated (Frozen) - various sizes

NAA99 $1,623

03 - Orthopaedic New South Wales Bone Bank Tendon - Achilles NBB01 $2,562

03 - Orthopaedic New South Wales Bone Bank Tendon - Achilles with bone block NBB02 $2,969

03 - Orthopaedic New South Wales Bone Bank Bone Plug/Dowel - Cancellous NBB05 $1,632

03 - Orthopaedic New South Wales Bone Bank Radius NBB06 $4,030

03 - Orthopaedic New South Wales Bone Bank Ulna NBB07 $3,714

03 - Orthopaedic New South Wales Bone Bank Fascia Lata NBB09 $1,229

03 - Orthopaedic New South Wales Bone Bank Femur - Distal Half NBB10 $3,703

03 - Orthopaedic New South Wales Bone Bank Femur - Distal third NBB11 $3,372

03 - Orthopaedic New South Wales Bone Bank Femur - Entire NBB12 $8,264

03 - Orthopaedic New South Wales Bone Bank Femoral Shaft - Middle Third NBB13 $3,244

03 - Orthopaedic New South Wales Bone Bank Femur - Proximal third NBB14 $1,690

03 - Orthopaedic New South Wales Bone Bank Femur - Proximal half NBB15 $3,893

03 - Orthopaedic New South Wales Bone Bank Femoral Head NBB16 $3,499

03 - Orthopaedic New South Wales Bone Bank Femoral Rings NBB17 $2,140

03 - Orthopaedic New South Wales Bone Bank Fibula - Entire NBB18 $8,052

03 - Orthopaedic New South Wales Bone Bank Hemipelvis - Acetabulum NBB21 $3,759

03 - Orthopaedic New South Wales Bone Bank Hemipelvis - iliac crest NBB22 $3,500

03 - Orthopaedic New South Wales Bone Bank Hemipelvis - Tricortical iliac wedge NBB23 $1,592

03 - Orthopaedic New South Wales Bone Bank Hemipelvis - Complete NBB24 $8,663

03 - Orthopaedic New South Wales Bone Bank Humerus - Distal NBB25 $3,145

03 - Orthopaedic New South Wales Bone Bank Humeral Head Addition NBB26 $2,059

03 - Orthopaedic New South Wales Bone Bank Humerus - Proximal NBB27 $3,690

03 - Orthopaedic New South Wales Bone Bank Humerus - Proximal half with rotator cuff NBB28 $3,595

Page 32 of 46

Page 33: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic New South Wales Bone Bank Humerus - Entire NBB29 $4,188

03 - Orthopaedic New South Wales Bone Bank Humerus - Entire with rotator cuff NBB30 $4,118

03 - Orthopaedic New South Wales Bone Bank Ligament - Medial NBB31 $2,305

03 - Orthopaedic New South Wales Bone Bank Tendon - Patellar with bone plugs NBB33 $2,861

03 - Orthopaedic New South Wales Bone Bank Tibia - Plateau (prox 1/3) NBB35 $3,258

03 - Orthopaedic New South Wales Bone Bank Tibia - Proximal NBB36 $3,400

03 - Orthopaedic New South Wales Bone Bank Tibia - Whole NBB37 $5,418

03 - Orthopaedic New South Wales Bone Bank Ulna - Shaft NBB38 $3,170

03 - Orthopaedic New South Wales Bone Bank Ulna - Ring NBB40 $2,399

03 - Orthopaedic New South Wales Bone Bank Tibial Shaft NBB41 $4,994

03 - Orthopaedic New South Wales Bone Bank Tibial Shaft - third NBB42 $3,423

03 - Orthopaedic New South Wales Bone Bank Tibial Shaft - half NBB43 $3,170

03 - Orthopaedic New South Wales Bone Bank Tibia - Whole with Patellar Tendon NBB44 $7,059

03 - Orthopaedic New South Wales Bone Bank Tibia - Ring NBB45 $1,874

03 - Orthopaedic New South Wales Bone Bank Tibia - Proximal with Patellar Tendon NBB46 $5,158

03 - Orthopaedic New South Wales Bone Bank Radius - Shaft NBB47 $3,850

03 - Orthopaedic New South Wales Bone Bank Radius - Ring NBB49 $2,399

03 - Orthopaedic New South Wales Bone Bank Humeral Shaft NBB50 $4,118

03 - Orthopaedic New South Wales Bone Bank Humeral Shaft - Half NBB51 $2,162

03 - Orthopaedic New South Wales Bone Bank Humerus - Ring NBB53 $1,874

03 - Orthopaedic New South Wales Bone Bank Fibula - Segment NBB54 $3,053

03 - Orthopaedic New South Wales Bone Bank Femoral Shaft - Third NBB55 $2,183

03 - Orthopaedic New South Wales Bone Bank Femoral Shaft - Segment NBB56 $2,248

03 - Orthopaedic New South Wales Bone Bank Femoral Shaft - Half NBB57 $3,595

03 - Orthopaedic New South Wales Bone Bank Femoral Hemi-condyle NBB59 $3,027

03 - Orthopaedic New South Wales Bone Bank Bone - Cancellous Crunch 60cc NBB60 $3,232

03 - Orthopaedic New South Wales Bone Bank Bone - Cancellous Crunch 30cc NBB61 $2,131

03 - Orthopaedic New South Wales Bone Bank Bone - Cancellous Crunch 15cc NBB62 $1,169

03 - Orthopaedic New South Wales Bone Bank Bone - Cortico-Cancellous Crunch (40/60)

60cc

NBB63 $3,232

Page 33 of 46

Page 34: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic New South Wales Bone Bank Bone - Cortico-Cancellous Crunch (40/60)

30cc

NBB64 $2,131

03 - Orthopaedic New South Wales Bone Bank Bone - Cortico-Cancellous Crunch (40/60)

15cc

NBB65 $1,169

03 - Orthopaedic New South Wales Bone Bank Tri Cortical Osteotomy NBB66 $1,563

03 - Orthopaedic New South Wales Bone Bank Tendon - Tibialis Anterior NBB67 $2,911

03 - Orthopaedic New South Wales Bone Bank Tendon - Patellar with machined conical

bone plug

NBB68 $3,528

03 - Orthopaedic New South Wales Bone Bank Tendon - Achilles with machined conical

bone block

NBB69 $3,636

03 - Orthopaedic New South Wales Bone Bank Tendon - Semi tendinosis NBB70 $2,912

03 - Orthopaedic New South Wales Bone Bank Tendon - Tibialis Posterior NBB71 $2,911

03 - Orthopaedic New South Wales Bone Bank Tendon - Patellar with Quads NBB72 $2,911

03 - Orthopaedic New South Wales Bone Bank Tendon - Peroneus Longus NBB73 $2,911

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femoral Ring Super Critical CO2 Treated

(Freeze Dried) - various sizes

NCC01 $2,182

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cortical Cancellous Block Super Critical Fluid

CO2Treated (Freeze Dried) - various sizes

NCC02 $1,623

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femoral Ring Super Critical Fluid CO2 Treated

(Frozen) - various sizes

NCC03 $2,182

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femoral Shaft (Freeze Dried) - various sizes NCC04 $2,248

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Fibular Ring (Frozen) - various sizes NCC05 $1,910

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cervical Spacers – Lordotic Super Critical

Fluid CO2Treated (Freeze Dried) 5mm – 9mm

NCC06 $1,947

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cervical Spacers - Lordotic (Freeze Dried)

5mm – 9mm

NCC07 $1,910

Page 34 of 46

Page 35: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femoral Head – Whole Super Critical Fluid

CO2 Treated (Frozen) - various sizes

NCC08 $3,499

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

HTO Wedge Super Critical Fluid CO2 Treated

(Frozen) - various sizes

NCC09 $1,641

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cortical Cancellous Block (Frozen) - various

sizes

NCC10 $1,592

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femoral Strut (Freeze Dried) - various sizes NCC11 $3,703

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Patella Tendon with Pre-Shaped Bone Block

Super Critical Fluid CO2 Treated (Frozen)

NCC12 $3,596

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cancellous Cube (Freeze Dried) 3cm3 cubes NCC13 $1,632

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Tibial Strut (Freeze Dried) - various sizes NCC14 $3,265

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cancellous Cube – Super Critical Fluid CO2

Treated (Freeze Dried) 3cm3 cubes

NCC15 $1,663

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femur – Distal Super Critical Fluid CO2

Treated (Frozen)

NCC16 $3,775

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cortical Ring Super Critical Fluid CO2 Treated

(Frozen) 5mm – 9mm

NCC17 $1,947

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cortical Strut Super Critical Fluid CO2 Treated

(Frozen) - various sizes

NCC18 $2,574

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Morsellised Bone (Freeze Dried) Packs of 5 –

10cc

NCC19 $2,281

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cervical Spacers – Lordotic Super Critical

Fluid CO2Treated (Frozen) 5mm – 9mm

NCC20 $1,947

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Tibial Strut Super Critical Fluid CO2 Treated

(Freeze Dried) - various sizes

NCC21 $3,329

Page 35 of 46

Page 36: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Patella Tendon with Bone Block – Whole

with Quads – Super Critical Fluid CO2 Treated

(Frozen)

NCC22 $2,967

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Malleable Bone Segments (Freeze Dried)

various sizes

NCC23 $2,422

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Achilles Tendon with Pre-Shaped Bone Block

Super Critical Fluid CO2 Treated (Frozen)

NCC24 $3,707

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Humerus – Strut Super Critical Fluid CO2

Treated (Frozen)

NCC25 $2,574

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Humeral Head – Whole Super Critical Fluid

CO2 Treated, (Freeze Dried)

NCC26 $2,099

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cancellous Dowel - Frozen - various sizes NCC27 $1,632

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cortical Segment Super Critical Fluid CO2

Treated (Frozen) - various sizes

NCC28 $3,206

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Hemipelvis – Segment Super Critical Fluid

CO2 Treated (Freeze Dried)

NCC29 $1,623

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femoral Shaft Super Critical Fluid CO2

Treated (Frozen) - various sizes

NCC30 $2,292

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Tibia – Proximal (Freeze Dried) - various sizes NCC31 $3,400

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Humerus – Shaft Super Critical Fluid CO2

Treated (Frozen) - various sizes

NCC32 $4,198

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Hemipelvis – Whole Super Critical Fluid CO2

Treated (Frozen)

NCC33 $8,832

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femoral Condyle Whole (Frozen) Super

Critical Fluid CO2 Treated

NCC34 $3,541

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cortical Segment Super Critical Fluid CO2

Treated (Freeze Dried) - various sizes

NCC35 $3,206

Page 36 of 46

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February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Malleable Bone Segments (Frozen) - various

sizes

NCC36 $2,422

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cervical Spacers - Parallel Super Critical Fluid

CO2 Treated (Freeze Dried) 5mm – 9mm

NCC37 $1,947

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Semitendonosis Tendon Super Critical Fluid

CO2 Treated (Frozen)

NCC38 $2,968

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femoral Strut Super Critical Fluid CO2

Treated (Freeze Dried) - various sizes

NCC39 $3,775

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cervical Spacers - Parallel Super Critical Fluid

CO2Treated (Frozen) 5mm – 9mm

NCC40 $1,947

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Morsellised Bone Super Critical Fluid CO2

Treated (Freeze Dried) Packs of 15 – 30cc

NCC41 $2,580

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Hemipelvis – Segment (Frozen) - various sizes NCC42 $1,592

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Morsellised Bone (Freeze Dried) Packs of 15 –

30cc

NCC43 $2,531

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Malleable Bone Segments Super Critical Fluid

CO2Treated (Freeze Dried)

NCC44 $3,541

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femoral Condyle Whole (Freeze Dried) -

various sizes

NCC45 $3,473

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femoral Head – Hemi (Freeze Dried) - various

sizes

NCC46 $3,499

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Tibial Strut (Frozen) - various sizes NCC47 $3,265

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Hemipelvis – Segment Super Critical Fluid

CO2 Treated (Frozen)

NCC48 $1,623

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cortical Segment (Freeze Dried) - various

sizes

NCC49 $3,145

Page 37 of 46

Page 38: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Humerus – Proximal Super Critical Fluid CO2

Treated (Freeze Dried)

NCC50 $3,762

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

HTO Wedge (Freeze Dried) - Various sizes NCC51 $1,610

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Tibia – Proximal Super Critical Fluid CO2

Treated (Frozen)

NCC52 $3,466

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cervical Spacers - Lordotic (Frozen) 5mm –

9mm

NCC53 $1,910

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cancellous Block (Freeze Dried) - various

sizes

NCC54 $1,632

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Morsellised Bone 2.5-5mg NCC55 $2,132

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cortical Ring (Frozen) 5mm – 9mm NCC56 $1,910

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femoral Condyle Whole – Super Critical Fluid

CO2 Treated (Frozen)

NCC57 $3,086

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Humerus – Strut (Frozen) - various sizes NCC58 $2,525

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cervical Spacers - Parrallell (frozen) 5mm –

9mm

NCC59 $1,910

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Achilles Tendon Super Critical Fluid CO2

Treated (Frozen)

NCC60 $2,611

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Hemipelvis – Segment (Freeze Dried) -

various sizes

NCC61 $1,592

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femoral Head – Hemi Super Critical Fluid

CO2 Treated (Frozen) - various sizes

NCC62 $3,499

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Cortical Strut Super Critical Fluid CO2 Treated

(Freeze Dried) - various sizes

NCC63 $2,574

03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Humerus – Distal Segment (Freeze Dried) -

various sizes

NCC64 $3,145

Page 38 of 46

Page 39: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Femoral Ring (Freeze Dried) - various sizes NCC65 $2,140

03 - Orthopaedic Perth Bone and Tissue Bank Tendon - Achilles with bone block PBT01 $3,800

03 - Orthopaedic Perth Bone and Tissue Bank Tendon - Patellar split with bone plugs PBT02 $3,250

03 - Orthopaedic Perth Bone and Tissue Bank Bone Plug/Dowel - Cancellous PBT03 $3,800

03 - Orthopaedic Perth Bone and Tissue Bank Cortical Struts 10-15cm PBT06 $3,300

03 - Orthopaedic Perth Bone and Tissue Bank Cortical Strut >15 - 20cm PBT07 $3,500

03 - Orthopaedic Perth Bone and Tissue Bank Bone - Milled 20-29gr (40-58cc equivalent) PBT08 $4,050

03 - Orthopaedic Perth Bone and Tissue Bank Bone - Milled 30 - 50gr (60 - 100cc

equivalent)

PBT09 $4,650

03 - Orthopaedic Perth Bone and Tissue Bank Bone - Milled >50gr (100cc equivalent) PBT10 $4,950

03 - Orthopaedic Perth Bone and Tissue Bank Cartilage - costal segments PBT11 $300

03 - Orthopaedic Perth Bone and Tissue Bank Radius PBT13 $1,800

03 - Orthopaedic Perth Bone and Tissue Bank Ulna PBT14 $1,500

03 - Orthopaedic Perth Bone and Tissue Bank Fascia Lata - Large (15cm x 10cm) PBT15 $1,590

03 - Orthopaedic Perth Bone and Tissue Bank Fascia Lata - Small (10cm x 5cm) PBT16 $854

03 - Orthopaedic Perth Bone and Tissue Bank Femur - Distal (Shaft & Condyles) PBT17 $4,220

03 - Orthopaedic Perth Bone and Tissue Bank Femur - Entire head removed PBT18 $8,000

03 - Orthopaedic Perth Bone and Tissue Bank Femoral Shaft/Tibial Shaft - Middle third PBT19 $3,200

03 - Orthopaedic Perth Bone and Tissue Bank Femur - Proximal (shaft, trochanter, neck) PBT20 $4,220

03 - Orthopaedic Perth Bone and Tissue Bank Femoral Hemi-condyle PBT21 $2,900

03 - Orthopaedic Perth Bone and Tissue Bank Femoral Head PBT22 $3,800

03 - Orthopaedic Perth Bone and Tissue Bank Femoral Rings PBT24 $1,800

03 - Orthopaedic Perth Bone and Tissue Bank Fibula - Entire PBT25 $3,500

03 - Orthopaedic Perth Bone and Tissue Bank Fibula - Segment PBT28 $3,250

03 - Orthopaedic Perth Bone and Tissue Bank Hemipelvis - Acetabulum PBT29 $3,150

03 - Orthopaedic Perth Bone and Tissue Bank Hemipelvis - Complete PBT30 $7,000

03 - Orthopaedic Perth Bone and Tissue Bank Hemipelvis - iliac crest PBT31 $3,250

Page 39 of 46

Page 40: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic Perth Bone and Tissue Bank Hemipelvis - Tricortical iliac wedge PBT32 $1,500

03 - Orthopaedic Perth Bone and Tissue Bank Humerus - Entire with rotator cuff PBT33 $5,000

03 - Orthopaedic Perth Bone and Tissue Bank Humerus - Proximal with rotator cuff PBT34 $4,200

03 - Orthopaedic Perth Bone and Tissue Bank Humerus - Proximal PBT35 $2,800

03 - Orthopaedic Perth Bone and Tissue Bank Bone - Milled <30g Freeze Dried PBT37 $750

03 - Orthopaedic Perth Bone and Tissue Bank Bone - Milled 30-50g Freeze Dried PBT38 $900

03 - Orthopaedic Perth Bone and Tissue Bank Patellar unit whole with or without tibial

block

PBT40 $3,250

03 - Orthopaedic Perth Bone and Tissue Bank Rib (5cm) PBT41 $300

03 - Orthopaedic Perth Bone and Tissue Bank Tibia - Proximal with Patella & Tendon PBT44 $5,000

03 - Orthopaedic Perth Bone and Tissue Bank Tibia - Proximal PBT45 $3,250

03 - Orthopaedic Perth Bone and Tissue Bank Tendon - Single (ant and post tibilias, FDL,

EDL, hamstring, gracilis)

PBT46 $3,800

03 - Orthopaedic Perth Bone and Tissue Bank Meniscal Graft PBT47 $1,921

03 - Orthopaedic Perth Bone and Tissue Bank Cortical Strut >20cm PBT48 $3,700

03 - Orthopaedic Perth Bone and Tissue Bank Osteotomy Wedge PBT60 $3,250

03 - Orthopaedic Perth Bone and Tissue Bank Tendon - Achilles PBT61 $3,200

03 - Orthopaedic Perth Bone and Tissue Bank Bone - Milled <5 gr (<10cc equivalent) PBT62 $1,650

03 - Orthopaedic Perth Bone and Tissue Bank Bone - Milled 5-9 gr (10-18cc equivalent) PBT63 $2,650

03 - Orthopaedic Perth Bone and Tissue Bank Bone - Milled 10-19 gr (20-38cc equivalent) PBT64 $3,350

03 - Orthopaedic Perth Bone and Tissue Bank Proximal Femur with Femoral Head PBT65 $6,300

03 - Orthopaedic Perth Bone and Tissue Bank Milled Bone Pellets (x3) PBT66 $3,800

03 - Orthopaedic Queensland Tissue Bank Tendon - Achilles with bone block QBB01 $2,517

03 - Orthopaedic Queensland Tissue Bank Tibial Shaft Freeze Dried QBB02 $1,143

03 - Orthopaedic Queensland Tissue Bank Bone - Milled 20g Freeze Dried QBB03 $3,306

03 - Orthopaedic Queensland Tissue Bank Disc - Freeze Dried QBB04 $837

03 - Orthopaedic Queensland Tissue Bank Meniscus QBB05 $1,833

03 - Orthopaedic Queensland Tissue Bank Tibia - Proximal with Patella QBB08 $3,667

Page 40 of 46

Page 41: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic Queensland Tissue Bank Bone - Cancellous Cubes (6) Freeze Dried QBB09 $2,107

03 - Orthopaedic Queensland Tissue Bank Bone - Cancellous Strips (2) Freeze Dried QBB10 $890

03 - Orthopaedic Queensland Tissue Bank Fascia Lata - per sq cm QBB11 $7

03 - Orthopaedic Queensland Tissue Bank Cartilage - costal segments QBB12 $259

03 - Orthopaedic Queensland Tissue Bank Elbow - joint QBB14 $2,889

03 - Orthopaedic Queensland Tissue Bank Radius QBB15 $2,957

03 - Orthopaedic Queensland Tissue Bank Ulna QBB16 $2,957

03 - Orthopaedic Queensland Tissue Bank Femur - Distal Half QBB20 $3,667

03 - Orthopaedic Queensland Tissue Bank Femur - Entire QBB22 $5,590

03 - Orthopaedic Queensland Tissue Bank Femoral Shaft QBB23 $2,943

03 - Orthopaedic Queensland Tissue Bank Femur - Proximal half QBB25 $3,955

03 - Orthopaedic Queensland Tissue Bank Femoral Head QBB27 $3,353

03 - Orthopaedic Queensland Tissue Bank Femoral Head - Freeze Dried QBB28 $3,353

03 - Orthopaedic Queensland Tissue Bank Femoral Rings QBB30 $2,084

03 - Orthopaedic Queensland Tissue Bank Femoral Rings - Freeze Dried QBB31 $740

03 - Orthopaedic Queensland Tissue Bank Fibula - Entire QBB32 $3,473

03 - Orthopaedic Queensland Tissue Bank Hemipelvis - Acetabulum QBB33 $3,617

03 - Orthopaedic Queensland Tissue Bank Hemipelvis - iliac crest QBB34 $3,245

03 - Orthopaedic Queensland Tissue Bank Hemipelvis - Tricortical iliac wedge QBB35 $1,855

03 - Orthopaedic Queensland Tissue Bank Hemipelvis - Tricortical iliac wedge Freeze

Dried

QBB36 $906

03 - Orthopaedic Queensland Tissue Bank Hemipelvis - Complete QBB37 $5,590

03 - Orthopaedic Queensland Tissue Bank Humeral Shaft QBB39 $2,111

03 - Orthopaedic Queensland Tissue Bank Humerus - Entire QBB43 $3,975

03 - Orthopaedic Queensland Tissue Bank Bone - Milled 20g QBB45 $2,609

03 - Orthopaedic Queensland Tissue Bank Patella QBB47 $972

03 - Orthopaedic Queensland Tissue Bank Tendon - Patellar QBB48 $2,691

03 - Orthopaedic Queensland Tissue Bank Tibia - Distal QBB51 $2,479

03 - Orthopaedic Queensland Tissue Bank Cortical Strut QBB52 $543

Page 41 of 46

Page 42: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic Queensland Tissue Bank Tibia Shaft QBB53 $1,299

03 - Orthopaedic Queensland Tissue Bank Tibia - Proximal QBB54 $3,098

03 - Orthopaedic Queensland Tissue Bank Tibia - Whole QBB55 $5,564

03 - Orthopaedic Queensland Tissue Bank Autologous Skull Flap - processed QBB56 $2,450

03 - Orthopaedic Queensland Tissue Bank Tendon - Tibialis Posterior QBB57 $2,517

03 - Orthopaedic Queensland Tissue Bank Tendon - Tibialis Anterior QBB58 $2,517

03 - Orthopaedic Queensland Tissue Bank Tendon - Gracilis QBB59 $2,517

03 - Orthopaedic Queensland Tissue Bank Autologous Skull Flap QBB60 $733

03 - Orthopaedic Queensland Tissue Bank Femoral Head - Autologous QBB61 $2,667

03 - Orthopaedic Queensland Tissue Bank Tendon - Achilles QBB62 $2,370

03 - Orthopaedic Queensland Tissue Bank Tendon - Patellar Hemi QBB63 $2,056

03 - Orthopaedic Queensland Tissue Bank Tibia - Whole with Patella QBB64 $5,590

03 - Orthopaedic Queensland Tissue Bank Tendon - Achilles Hemi QBB65 $1,878

03 - Orthopaedic Queensland Tissue Bank Femoral Shaft - Freeze Dried QBB66 $3,106

03 - Orthopaedic Queensland Tissue Bank Bone - Ronguered Chips Freeze Dried QBB67 $3,113

03 - Orthopaedic Queensland Tissue Bank Bone - Ronguered Chips QBB68 $2,494

03 - Orthopaedic Queensland Tissue Bank Tendon - EHL QBB69 $2,517

03 - Orthopaedic Queensland Tissue Bank Tendon - Semitendinosus QBB70 $2,517

03 - Orthopaedic Queensland Tissue Bank Demineralised bone matrix 5g QBB74 $1,697

03 - Orthopaedic Queensland Tissue Bank Demineralised bone matrix 2g QBB75 $1,075

03 - Orthopaedic The Queensland Bone Bank Engineered Bone QBB76 $4,150

03 - Orthopaedic The Queensland Bone Bank Milled Bone <15g QBB77 $2,088

03 - Orthopaedic The Queensland Bone Bank Demineralised Bone Matrix 1 g QBB78 $891

03 - Orthopaedic HUNTER NEW ENGLAND LOCAL HEALTH

DISTRICT

Femoral Head RNB01 $3,000

03 - Orthopaedic Hunter New England Bone Bank Autologous Skull Flap RNB02 $1,470

03 - Orthopaedic Johnson & Johnson Medical Pty Ltd Bone - Demineralised Bone Matrix, DBX

Putty, 5cc

SYN01 $2,650

03 - Orthopaedic Johnson & Johnson Medical Pty Ltd Bone - Demineralised Bone Matrix, DBX

Putty, 10cc

SYN02 $3,400

03 - Orthopaedic Johnson & Johnson Medical Pty Ltd DBX Putty - 1.00cc SYN08 $1,450

Page 42 of 46

Page 43: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic Johnson & Johnson Medical Pty Ltd DBX Putty - 2.5cc SYN09 $1,800

03 - Orthopaedic Johnson & Johnson Medical Pty Ltd Bone, Cancellous Chips - 15cc SYN10 $1,250

03 - Orthopaedic Johnson & Johnson Medical Pty Ltd Bone, Cancellous Granules - 15cc SYN11 $1,250

03 - Orthopaedic Johnson & Johnson Medical Pty Ltd Bone, Cancellous Chips - 30cc SYN12 $1,700

03 - Orthopaedic Johnson & Johnson Medical Pty Ltd Bone, Cancellous Granules - 30cc SYN13 $1,700

03 - Orthopaedic Donor Tissue Bank of Victoria Tendon - Achilles TBV05 $2,083

03 - Orthopaedic Donor Tissue Bank of Victoria Tendon - Achilles with bone block TBV06 $3,556

03 - Orthopaedic Donor Tissue Bank of Victoria Bone Plug/Dowel - Cancellous TBV07 $1,417

03 - Orthopaedic Donor Tissue Bank of Victoria Bone Plug/Dowel - Tricortical TBV08 $1,495

03 - Orthopaedic Donor Tissue Bank of Victoria Bone - Chips/cubes 40cc TBV09 $1,532

03 - Orthopaedic Donor Tissue Bank of Victoria Bone - Chips/cubes 80cc TBV10 $2,659

03 - Orthopaedic Donor Tissue Bank of Victoria Bone - Milled 40cc TBV11 $2,550

03 - Orthopaedic Donor Tissue Bank of Victoria Bone - Milled 80cc TBV12 $3,978

03 - Orthopaedic Donor Tissue Bank of Victoria Cortical Strut TBV14 $1,513

03 - Orthopaedic Donor Tissue Bank of Victoria Cartilage - costal segments TBV17 $1,019

03 - Orthopaedic Donor Tissue Bank of Victoria Elbow - joint TBV18 $7,438

03 - Orthopaedic Donor Tissue Bank of Victoria Radius TBV19 $4,621

03 - Orthopaedic Donor Tissue Bank of Victoria Ulna TBV20 $4,300

03 - Orthopaedic Donor Tissue Bank of Victoria Fascia Lata TBV21 $1,569

03 - Orthopaedic Donor Tissue Bank of Victoria Femur - Distal (Shaft & Condyles) TBV22 $5,598

03 - Orthopaedic Donor Tissue Bank of Victoria Femur - Entire TBV23 $9,036

03 - Orthopaedic Donor Tissue Bank of Victoria Femoral Shaft - Middle Third TBV24 $3,328

03 - Orthopaedic Donor Tissue Bank of Victoria Femur - Proximal (shaft, trochanter, neck) TBV25 $5,560

03 - Orthopaedic Donor Tissue Bank of Victoria Femoral head TBV26 $3,681

03 - Orthopaedic Donor Tissue Bank of Victoria Fibula - Entire TBV27 $8,728

03 - Orthopaedic Donor Tissue Bank of Victoria Fibula - Segment (6cm) TBV28 $1,417

03 - Orthopaedic Donor Tissue Bank of Victoria Fibula - Segment (12cm) TBV29 $1,899

03 - Orthopaedic Donor Tissue Bank of Victoria Fibular Shaft TBV30 $3,404

03 - Orthopaedic Donor Tissue Bank of Victoria Hemipelvis - Acetabulum TBV31 $4,458

03 - Orthopaedic Donor Tissue Bank of Victoria Hemipelvis - Complete TBV32 $9,475

Page 43 of 46

Page 44: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic Donor Tissue Bank of Victoria Hemipelvis - iliac crest TBV33 $4,080

03 - Orthopaedic Donor Tissue Bank of Victoria Hemipelvis - Tricortical iliac wedge TBV34 $1,880

03 - Orthopaedic Donor Tissue Bank of Victoria Humerus - Proximal with rotator cuff TBV35 $4,002

03 - Orthopaedic Donor Tissue Bank of Victoria Humerus - Proximal TBV36 $4,163

03 - Orthopaedic Donor Tissue Bank of Victoria Humeral Head TBV37 $2,689

03 - Orthopaedic Donor Tissue Bank of Victoria Ligament - Medial TBV38 $2,857

03 - Orthopaedic Donor Tissue Bank of Victoria Meniscus with Ligaments TBV39 $3,342

03 - Orthopaedic Donor Tissue Bank of Victoria Meniscus TBV40 $2,069

03 - Orthopaedic Donor Tissue Bank of Victoria Patella TBV41 $1,853

03 - Orthopaedic Donor Tissue Bank of Victoria Tendon - Patellar with bone plugs TBV42 $3,428

03 - Orthopaedic Donor Tissue Bank of Victoria Rib (5cm) TBV43 $1,147

03 - Orthopaedic Donor Tissue Bank of Victoria Tibia - Proximal 7-15cm TBV44 $3,890

03 - Orthopaedic Donor Tissue Bank of Victoria Tibia - Proximal 16-25cm TBV45 $3,766

03 - Orthopaedic Donor Tissue Bank of Victoria Femoral Hemi-condyle TBV46 $2,098

03 - Orthopaedic Donor Tissue Bank of Victoria Tibia - Condyles only TBV47 $2,699

03 - Orthopaedic Donor Tissue Bank of Victoria Tibia - Distal TBV48 $3,381

03 - Orthopaedic Donor Tissue Bank of Victoria Humerus - Distal TBV49 $3,465

03 - Orthopaedic Donor Tissue Bank of Victoria Femur - Proximal with femoral head TBV51 $5,411

03 - Orthopaedic Donor Tissue Bank of Victoria Bone - Cancellous Bone Matrix, Lyophilised

40cc

TBV52 $3,332

03 - Orthopaedic Donor Tissue Bank of Victoria Bone - Cancellous Bone Matrix, Lyophilised

80cc

TBV53 $3,657

03 - Orthopaedic Donor Tissue Bank of Victoria Bone - Demineralised Bone Matrix,

Lyophilised 5cc

TBV54 $1,775

03 - Orthopaedic Donor Tissue Bank of Victoria Bone - Demineralised Bone Matrix,

Lyophilised 10cc

TBV55 $2,627

03 - Orthopaedic Donor Tissue Bank of Victoria Tendon - Tibialis Anterior TBV57 $3,556

03 - Orthopaedic Donor Tissue Bank of Victoria Tendon - Semitendinosus TBV58 $3,556

03 - Orthopaedic Donor Tissue Bank of Victoria Tendon - Peroneus Longus TBV59 $3,556

03 - Orthopaedic Donor Tissue Bank of Victoria Tendon - EHL TBV60 $3,556

03 - Orthopaedic Donor Tissue Bank of Victoria Tendon - Tibialis Posterior TBV61 $3,556

Page 44 of 46

Page 45: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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03 - Orthopaedic Donor Tissue Bank of Victoria Bone – Cancellous Bone Matrix Lyophilised

20cc

TBV62 $2,398

03 - Orthopaedic Donor Tissue Bank of Victoria Bone - Cancellous Bone Matrix Lyophilised

10cc

TBV63 $2,024

03 - Orthopaedic Donor Tissue Bank of Victoria Bone - Cancellous Bone Matrix Lyophilised 1 -

5cc

TBV64 $1,541

04 - Dermatologic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Skin NCC66 $206

04 - Dermatologic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Skin NCC67 $330

04 - Dermatologic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Skin NCC68 $454

04 - Dermatologic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Skin NCC69 $619

04 - Dermatologic NSW HEALTH SERVICE - SOUTH EASTERN

SYDNEY LOCAL HEALTH DISTRICT

Skin NCC70 $826

04 - Dermatologic Queensland Tissue Bank Skin 50cm² - frozen skin graft from human

origin

QBB71 $291

04 - Dermatologic Queensland Tissue Bank Skin 100cm² - frozen skin graft from human

origin

QBB72 $560

04 - Dermatologic Queensland Tissue Bank Skin 200cm² - frozen skin graft from human

origin

QBB73 $827

04 - Dermatologic Johnson & Johnson Medical Pty Ltd Skin < 25cm² - acellular dermal matrix

allograft from human origin

SYN03 $2,200

04 - Dermatologic Johnson & Johnson Medical Pty Ltd Skin 26 to 60cm² - acellular dermal matrix

allograft from human origin

SYN04 $3,500

04 - Dermatologic Johnson & Johnson Medical Pty Ltd Skin 61 to 120cm² - acellular dermal matrix

allograft from human origin

SYN05 $5,700

04 - Dermatologic Johnson & Johnson Medical Pty Ltd Skin 181 to 300cm² - acellular dermal matrix

allograft from human origin

SYN06 $14,000

Page 45 of 46

Page 46: y te e e t tion - Department of Health · 02 - Ophthalmic Lions Eye Donation Service Cornea LEM01 $2,600 02 ... y te e e t tion 02 - Ophthalmic Lions Eye Bank of Western Australia

February 2020 Prostheses List - Part B (Human Tissue)

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04 - Dermatologic Johnson & Johnson Medical Pty Ltd Skin > 300cm² - acellular dermal matrix

allograft from human origin

SYN07 $27,000

04 - Dermatologic Johnson & Johnson Medical Pty Ltd Skin 121 to 180cm² - acellular dermal matrix

allograft from human origin

SYN14 $9,900

Page 46 of 46