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            <SupplierName>EXTREMEDIES PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>GM</SupplierCode>
            <SupplierName>Global Manufacturing Technology Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>GN</SupplierCode>
            <SupplierName>NEOGENIX PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>GO</SupplierCode>
            <SupplierName>Global Orthopaedic Technology</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>GQ</SupplierCode>
            <SupplierName>BIG GREEN SURGICAL COMPANY PTY LIMITED</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>GT</SupplierCode>
            <SupplierName>W L Gore &amp; Associates</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>NAA</SupplierCode>
            <SupplierName>NSW HEALTH SERVICE - SOUTH EASTERN SYDNEY LOCAL HEALTH DISTRICT</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>GW</SupplierCode>
            <SupplierName>EQUINOX ORTHOPAEDICS PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>GX</SupplierCode>
            <SupplierName>GETINGE AUSTRALIA PTY. LTD.</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>GZ</SupplierCode>
            <SupplierName>AUSTRALIAN CRANIOFACIAL IMPLANTS PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>HB</SupplierCode>
            <SupplierName>HORTEN MEDICAL PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>HC</SupplierCode>
            <SupplierName>Health Care Surgical Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>HD</SupplierCode>
            <SupplierName>Henry Schein-Halas Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>HG</SupplierCode>
            <SupplierName>HEALTHSCOPE OPERATIONS PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>HI</SupplierCode>
            <SupplierName>DIGITAL DENTAL NETWORK PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>HJ</SupplierCode>
            <SupplierName>AVANT-GARDE SURGICAL PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>HK</SupplierCode>
            <SupplierName>Heraeus Medical Australia Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>YA</SupplierCode>
            <SupplierName>YPSOMED AUSTRALIA PTY LIMITED</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>HQ</SupplierCode>
            <SupplierName>BioMeDent Pty Limited</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>HR</SupplierCode>
            <SupplierName>GVPD PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>HT</SupplierCode>
            <SupplierName>ADLER ORTHO AUSTRALIA PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>HU</SupplierCode>
            <SupplierName>ARTHREX AUSTRALIA PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>HV</SupplierCode>
            <SupplierName>ELITE SURGICAL PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>NBB</SupplierCode>
            <SupplierName>New South Wales Bone Bank</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>HW</SupplierCode>
            <SupplierName>Stryker Australia Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>YN</SupplierCode>
            <SupplierName>Takeda Pharmaceuticals Australia Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>IB</SupplierCode>
            <SupplierName>Implament</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>IC</SupplierCode>
            <SupplierName>Southern Implants Australia Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>IF</SupplierCode>
            <SupplierName>Implant Direct Oceania Pty Limited</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>IG</SupplierCode>
            <SupplierName>Integra Neurosciences Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>IJ</SupplierCode>
            <SupplierName>INNOVATIVE MEDCARE TECHNOLOGY PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>ZA</SupplierCode>
            <SupplierName>Zimmer Biomet Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>IQ</SupplierCode>
            <SupplierName>IQ Medical</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>IR</SupplierCode>
            <SupplierName>Intermed</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>IS</SupplierCode>
            <SupplierName>Insight Surgical Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>IT</SupplierCode>
            <SupplierName>Integrant Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>MAA</SupplierCode>
            <SupplierName>Medtronic Australasia Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>IU</SupplierCode>
            <SupplierName>ILLUMINATE HEALTH CONSULTING PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>NCA</SupplierCode>
            <SupplierName>NSW HEALTH SERVICE - SOUTH EASTERN SYDNEY LOCAL HEALTH DISTRICT</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>IW</SupplierCode>
            <SupplierName>Beaver-Visitec International Australia Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>MAB</SupplierCode>
            <SupplierName>Queensland Tissue Bank</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>NCC</SupplierCode>
            <SupplierName>NSW HEALTH SERVICE - SOUTH EASTERN SYDNEY LOCAL HEALTH DISTRICT</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>ZI</SupplierCode>
            <SupplierName>Zimmer Biomet Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>IY</SupplierCode>
            <SupplierName>EVOLUTION SURGICAL PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>IZ</SupplierCode>
            <SupplierName>Inovanz (PTY) LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>JA</SupplierCode>
            <SupplierName>JOY SURGICAL PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>JC</SupplierCode>
            <SupplierName>JELLICOE SURGICAL PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>JD</SupplierCode>
            <SupplierName>JOI ORTHOPAEDICS PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>ZW</SupplierCode>
            <SupplierName>Surgical Supplies Australia Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>JG</SupplierCode>
            <SupplierName>ADDITIVE SURGICAL PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>JI</SupplierCode>
            <SupplierName>INTERVENE MEDICAL PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>ZZ</SupplierCode>
            <SupplierName>AA-Med Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>JJ</SupplierCode>
            <SupplierName>Johnson &amp; Johnson Medical Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>JK</SupplierCode>
            <SupplierName>ALLIED SCIENTIFIC PRODUCTS PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>JN</SupplierCode>
            <SupplierName>DENTAL DEVICES PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>JP</SupplierCode>
            <SupplierName>CENTINEL SPINE AUSTRALIA PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>JT</SupplierCode>
            <SupplierName>J T Medical Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>KB</SupplierCode>
            <SupplierName>KINETIX LIFESCIENCES PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>KF</SupplierCode>
            <SupplierName>KSJ GROUP PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>KG</SupplierCode>
            <SupplierName>Kevin Grundy (IBD) Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>KH</SupplierCode>
            <SupplierName>KH NXGEN (AUS) Pty Limited</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>KI</SupplierCode>
            <SupplierName>Avanos Medical Australia Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>KT</SupplierCode>
            <SupplierName>KLS Martin Australia Pty Limited</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>LB</SupplierCode>
            <SupplierName>Globus Medical Australia</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>LC</SupplierCode>
            <SupplierName>Lima Orthopaedics Australia Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>LE</SupplierCode>
            <SupplierName>LTR MEDICAL PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>LH</SupplierCode>
            <SupplierName>Lifehealthcare Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>LI</SupplierCode>
            <SupplierName>Amplitude Australia</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>LM</SupplierCode>
            <SupplierName>LMT Surgical Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>LN</SupplierCode>
            <SupplierName>Lumos Medical Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>LO</SupplierCode>
            <SupplierName>Link Orthopaedics  Australia</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>RNB</SupplierCode>
            <SupplierName>Hunter New England Bone Bank</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>LV</SupplierCode>
            <SupplierName>ConMed Linvatec Australia Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>MA</SupplierCode>
            <SupplierName>Mathys Orthopaedics Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>MB</SupplierCode>
            <SupplierName>MD Solutions Australasia Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>MC</SupplierCode>
            <SupplierName>Medtronic Australasia Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>ME</SupplierCode>
            <SupplierName>Getz Healthcare Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>MG</SupplierCode>
            <SupplierName>Matrix Surgical Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>MH</SupplierCode>
            <SupplierName>Applied Medical Australia Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>MI</SupplierCode>
            <SupplierName>Medtronic Australasia Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>MJ</SupplierCode>
            <SupplierName>MatOrtho Australia Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>MN</SupplierCode>
            <SupplierName>Johnson &amp; Johnson Medical Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>CAA</SupplierCode>
            <SupplierName>ConMed Linvatec Australia Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>MO</SupplierCode>
            <SupplierName>Medical &amp; Optical Instruments Australia Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>MS</SupplierCode>
            <SupplierName>Medical Specialties Australasia Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>MU</SupplierCode>
            <SupplierName>Medacta Australia Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>TBV</SupplierCode>
            <SupplierName>Donor Tissue Bank of Victoria</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>MV</SupplierCode>
            <SupplierName>More Group Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>MZ</SupplierCode>
            <SupplierName>Medigroup Australia</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>SAC</SupplierCode>
            <SupplierName>Sydney Local Health District</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>SAB</SupplierCode>
            <SupplierName>Smith &amp; Nephew Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>SAE</SupplierCode>
            <SupplierName>The Eye Bank of South Australia</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>NF</SupplierCode>
            <SupplierName>Nutricia Australia Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>NJ</SupplierCode>
            <SupplierName>Neoss Australia Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>NR</SupplierCode>
            <SupplierName>Nobel Biocare Australia Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>NV</SupplierCode>
            <SupplierName>Nuvasive Australia and NZ  Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>NW</SupplierCode>
            <SupplierName>Biomet 3i Australia Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>MVS</SupplierCode>
            <SupplierName>Institute of Medical &amp; Veterinary Science T/A South Australian Tissue Bank</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>NY</SupplierCode>
            <SupplierName>NeoSurgical Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>OB</SupplierCode>
            <SupplierName>Optimed Technologies</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>OG</SupplierCode>
            <SupplierName>Maxoniq</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>OH</SupplierCode>
            <SupplierName>Orthotech Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>OI</SupplierCode>
            <SupplierName>Audmet Australia Pty Ltd trading as Oticon Medical</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>OK</SupplierCode>
            <SupplierName>MY BIOLOGICS PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>OL</SupplierCode>
            <SupplierName>Olympus Australia</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>OW</SupplierCode>
            <SupplierName>MERIT MEDICAL AUSTRALIA PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>OX</SupplierCode>
            <SupplierName>MERIL AUSTRALIA PTY LTD</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>OY</SupplierCode>
            <SupplierName>Osseointegration Holdings Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>JAA</SupplierCode>
            <SupplierName>Johnson &amp; Johnson Medical Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>PB</SupplierCode>
            <SupplierName>Australian Pacific Medical Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>PC</SupplierCode>
            <SupplierName>Precision Surgical Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>LEM</SupplierCode>
            <SupplierName>Lions Eye Donation Service</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>PF</SupplierCode>
            <SupplierName>Perios Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>PJ</SupplierCode>
            <SupplierName>PurePlay Orthopaedics</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>PN</SupplierCode>
            <SupplierName>Penumbra Neuro Australia Pty Ltd</SupplierName>
        </Supplier>
        <Supplier>
            <SupplierCode>LEW</SupplierCode>
            <SupplierName>Lions Eye Bank of Western Australia</SupplierName>
        </Supplier>
    </Suppliers>
    <Categories>
        <Category>
            <CategoryID>1</CategoryID>
            <CategoryDescription>01 - Ophthalmic</CategoryDescription>
        </Category>
        <Category>
            <CategoryID>3</CategoryID>
            <CategoryDescription>03 - Orthopaedic</CategoryDescription>
        </Category>
        <Category>
            <CategoryID>6</CategoryID>
            <CategoryDescription>01 - Cardio-thoracic</CategoryDescription>
        </Category>
        <Category>
            <CategoryID>41</CategoryID>
            <CategoryDescription>02 - Ophthalmic</CategoryDescription>
        </Category>
        <Category>
            <CategoryID>13</CategoryID>
            <CategoryDescription>06 - Specialist Orthopaedic</CategoryDescription>
        </Category>
        <Category>
            <CategoryID>17</CategoryID>
            <CategoryDescription>12 - Knee</CategoryDescription>
        </Category>
        <Category>
            <CategoryID>18</CategoryID>
            <CategoryDescription>11 - Hip</CategoryDescription>
        </Category>
        <Category>
            <CategoryID>19</CategoryID>
            <CategoryDescription>13 - Spinal</CategoryDescription>
        </Category>
        <Category>
            <CategoryID>20</CategoryID>
            <CategoryDescription>09 - Cardiothoracic</CategoryDescription>
        </Category>
        <Category>
            <CategoryID>21</CategoryID>
            <CategoryDescription>03 - General Miscellaneous</CategoryDescription>
        </Category>
        <Category>
            <CategoryID>22</CategoryID>
            <CategoryDescription>02 - Ear, Nose &amp; Throat</CategoryDescription>
        </Category>
        <Category>
            <CategoryID>23</CategoryID>
            <CategoryDescription>07 - Plastic and Reconstructive</CategoryDescription>
        </Category>
        <Category>
            <CategoryID>24</CategoryID>
            <CategoryDescription>10 - Vascular</CategoryDescription>
        </Category>
        <Category>
            <CategoryID>25</CategoryID>
            <CategoryDescription>04 - Neurosurgical</CategoryDescription>
        </Category>
        <Category>
            <CategoryID>26</CategoryID>
            <CategoryDescription>05 - Urogenital</CategoryDescription>
        </Category>
        <Category>
            <CategoryID>27</CategoryID>
            <CategoryDescription>08 - Cardiac</CategoryDescription>
        </Category>
        <Category>
            <CategoryID>28</CategoryID>
            <CategoryDescription>04 - Dermatologic</CategoryDescription>
        </Category>
    </Categories>
    <SubCategories>
        <SubCategory>
            <SubCategoryID>256</SubCategoryID>
            <SubCategoryDescription>05.03 - Voiding Dysfunction Prostheses</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>257</SubCategoryID>
            <SubCategoryDescription>08.15 - Stents For Treatment Of Coarctation Of The Aorta</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>259</SubCategoryID>
            <SubCategoryDescription>09.11 - Implant Ventricular Assist System</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>261</SubCategoryID>
            <SubCategoryDescription>13.14 - Sacroiliac Joint Fixation</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>262</SubCategoryID>
            <SubCategoryDescription>01.10 - Artificial Iris</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>263</SubCategoryID>
            <SubCategoryDescription>13.15 - Annular closure/reconstruction</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>264</SubCategoryID>
            <SubCategoryDescription>09.12 - Pectus Bar</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>265</SubCategoryID>
            <SubCategoryDescription>09.13 - Chordal Replacement Devices, fixed and adjustable</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>266</SubCategoryID>
            <SubCategoryDescription>08.16 - Remote Monitoring System</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>267</SubCategoryID>
            <SubCategoryDescription>08.17 - Catheter Delivery</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>290</SubCategoryID>
            <SubCategoryDescription>08.18 - Cardiac Ablation</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>291</SubCategoryID>
            <SubCategoryDescription>09.14 - Surgical cardiac ablation</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>123</SubCategoryID>
            <SubCategoryDescription>06.03 - SKELETAL RECONSTRUCTION</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>124</SubCategoryID>
            <SubCategoryDescription>06.01 - ANKLE AND FOOT</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>131</SubCategoryID>
            <SubCategoryDescription>06.02 - UPPER LIMB</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>140</SubCategoryID>
            <SubCategoryDescription>01.01 - ANTERIOR CHAMBER INTRAOCULAR LENSES</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>141</SubCategoryID>
            <SubCategoryDescription>01.02 - POSTERIOR CHAMBER INTRAOCULAR LENSES</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>142</SubCategoryID>
            <SubCategoryDescription>01.03 - INTRAOCULAR FLUIDS</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>143</SubCategoryID>
            <SubCategoryDescription>01.04 - CAPSULAR TENSION RINGS</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>144</SubCategoryID>
            <SubCategoryDescription>01.05 - GLAUCOMA DRAINAGE</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>145</SubCategoryID>
            <SubCategoryDescription>01.06 - EYELID PROSTHESES</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>146</SubCategoryID>
            <SubCategoryDescription>01.07 - LACRIMAL DUCT DRAINAGE PROSTHESES</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>147</SubCategoryID>
            <SubCategoryDescription>01.08 - ORBITAL PROSTHESES</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>148</SubCategoryID>
            <SubCategoryDescription>01.09 - RETINAL DETACHMENT PROSTHESES</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>149</SubCategoryID>
            <SubCategoryDescription>12.01 - FEMORAL COMPONENT: TOTAL KNEE ARTHROPLASTY</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>150</SubCategoryID>
            <SubCategoryDescription>12.02 - FEMORAL COMPONENT: UNI-COMPARTMENTAL KNEE ARTHROPLASTY</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>151</SubCategoryID>
            <SubCategoryDescription>12.03 - TIBIAL TRAY COMPONENT - TOTAL KNEE ARTHROPLASTY</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>152</SubCategoryID>
            <SubCategoryDescription>12.04 - TIBIAL TRAY COMPONENT: UNI-COMPARTMENTAL KNEE ARTHROPLASTY</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>153</SubCategoryID>
            <SubCategoryDescription>12.05 - TIBIAL INSERT: TOTAL KNEE ARTHROPLASTY</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>154</SubCategoryID>
            <SubCategoryDescription>12.06 - TIBIAL INSERT: UNI-COMPARTMENTAL ARTHROPLASTY</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>155</SubCategoryID>
            <SubCategoryDescription>12.07 - PATELLO FEMORAL REPLACEMENT - FEMORAL COMPONENT</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>156</SubCategoryID>
            <SubCategoryDescription>12.08 - PATELLAR COMPONENT</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>157</SubCategoryID>
            <SubCategoryDescription>12.09 - TUMOUR PRODUCTS</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>159</SubCategoryID>
            <SubCategoryDescription>12.11 - KNEE ACCESSORIES</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>161</SubCategoryID>
            <SubCategoryDescription>11.01 - FEMORAL COMPONENTS - PRIMARY AND REVISION</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>162</SubCategoryID>
            <SubCategoryDescription>11.02 - FEMORAL HEADS</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>163</SubCategoryID>
            <SubCategoryDescription>11.03 - ACETABULAR COMPONENTS</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>164</SubCategoryID>
            <SubCategoryDescription>11.04 - ACCESSORIES</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>165</SubCategoryID>
            <SubCategoryDescription>13.01 - Bone Screws</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>166</SubCategoryID>
            <SubCategoryDescription>13.02 - Accessories for bone screws and connector components</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>167</SubCategoryID>
            <SubCategoryDescription>13.03 - Connector</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>168</SubCategoryID>
            <SubCategoryDescription>13.04 - Hook</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>169</SubCategoryID>
            <SubCategoryDescription>13.05 - Plate</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>170</SubCategoryID>
            <SubCategoryDescription>13.06 - Rod</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>171</SubCategoryID>
            <SubCategoryDescription>13.07 - Plate-Rod</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>172</SubCategoryID>
            <SubCategoryDescription>13.08 - Washer/Staple</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>173</SubCategoryID>
            <SubCategoryDescription>13.09 - C-Ring</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>174</SubCategoryID>
            <SubCategoryDescription>13.10 - Fusion Cage</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>175</SubCategoryID>
            <SubCategoryDescription>13.11 - Disc Replacement</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>176</SubCategoryID>
            <SubCategoryDescription>13.12 - Vertebral Body Replacement</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>177</SubCategoryID>
            <SubCategoryDescription>13.13 - Interspinous Fixation</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>178</SubCategoryID>
            <SubCategoryDescription>09.01 - Mechanical Valves</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>179</SubCategoryID>
            <SubCategoryDescription>09.02 - Tissue Valves</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>180</SubCategoryID>
            <SubCategoryDescription>09.03 - Valve Conduits</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>181</SubCategoryID>
            <SubCategoryDescription>09.04 - Atrio-Ventricular Rings and Bands</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>182</SubCategoryID>
            <SubCategoryDescription>09.05 - Patches</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>183</SubCategoryID>
            <SubCategoryDescription>09.06 - Membranes</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>186</SubCategoryID>
            <SubCategoryDescription>09.09 - Aorta and Side Branch Grafts</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>187</SubCategoryID>
            <SubCategoryDescription>03.01 - BRACHYTHERAPY</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>188</SubCategoryID>
            <SubCategoryDescription>03.02 - DRUG DELIVERY DEVICES</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>189</SubCategoryID>
            <SubCategoryDescription>03.03 - ENTERAL TUBES</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>190</SubCategoryID>
            <SubCategoryDescription>03.04 - GASTRIC BANDS</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>191</SubCategoryID>
            <SubCategoryDescription>03.05 - HAEMOSTATIC DEVICES</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>192</SubCategoryID>
            <SubCategoryDescription>03.06 - LUMINAL STENTS</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>193</SubCategoryID>
            <SubCategoryDescription>03.07 - PULMONARY/PERITONEAL DEVICES</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>194</SubCategoryID>
            <SubCategoryDescription>03.08 - CLOSURE DEVICES</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>196</SubCategoryID>
            <SubCategoryDescription>02.01 - EAR</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>197</SubCategoryID>
            <SubCategoryDescription>02.02 - NOSE</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>198</SubCategoryID>
            <SubCategoryDescription>02.03 - THROAT</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>199</SubCategoryID>
            <SubCategoryDescription>07.01 - CRANIOMAXILLOFACIAL RECONSTRUCTION &amp; FIXATION</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>200</SubCategoryID>
            <SubCategoryDescription>07.02 - CRANIOMAXILLOFACIAL IMPLANTS</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>201</SubCategoryID>
            <SubCategoryDescription>07.03 - DENTAL IMPLANTS</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>202</SubCategoryID>
            <SubCategoryDescription>07.04 - DISTRACTOR SYSTEMS</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>203</SubCategoryID>
            <SubCategoryDescription>07.05 - SOFT TISSUE &amp; TISSUE EXPANDERS</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>204</SubCategoryID>
            <SubCategoryDescription>07.06 - MAMMARY IMPLANTS</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>206</SubCategoryID>
            <SubCategoryDescription>10.01 - Vascular Stents</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>207</SubCategoryID>
            <SubCategoryDescription>10.02 - Stent Grafts</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>208</SubCategoryID>
            <SubCategoryDescription>10.03 - Grafts</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>209</SubCategoryID>
            <SubCategoryDescription>10.04 - Vascular Patches</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>210</SubCategoryID>
            <SubCategoryDescription>10.05 - Vessel Bands</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>211</SubCategoryID>
            <SubCategoryDescription>10.06 - Embolic Protection Devices</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>212</SubCategoryID>
            <SubCategoryDescription>10.07 - Arterial Closure Devices</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>213</SubCategoryID>
            <SubCategoryDescription>10.08 - Occlusion Devices</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>214</SubCategoryID>
            <SubCategoryDescription>10.09 - Long Term Vascular Access Devices</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>215</SubCategoryID>
            <SubCategoryDescription>10.10 - Peritoneal Dialysis, Long Term Implantable Catheters</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>218</SubCategoryID>
            <SubCategoryDescription>04.01 - ANEURYSM CLIPS</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>219</SubCategoryID>
            <SubCategoryDescription>04.02 - DURA DEFECT REPAIR</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>220</SubCategoryID>
            <SubCategoryDescription>04.03 - HYDROCEPHALUS DEVICES</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>221</SubCategoryID>
            <SubCategoryDescription>04.04 - DEEP BRAIN STIMULATION (DBS)</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>222</SubCategoryID>
            <SubCategoryDescription>04.05 - NEUROSTIMULATION THERAPIES FOR PAIN MANAGEMENT</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>223</SubCategoryID>
            <SubCategoryDescription>04.06 - INTRATHECAL DRUG DELIVERY SYSTEM</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>224</SubCategoryID>
            <SubCategoryDescription>04.07 - NEUROSTIMULATION THERAPIES FOR SEIZURE CONTROL</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>225</SubCategoryID>
            <SubCategoryDescription>04.08 - NEURO INTERVENTION</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>226</SubCategoryID>
            <SubCategoryDescription>05.01 - Incontinence Prostheses</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>227</SubCategoryID>
            <SubCategoryDescription>05.02 - Ureteric Stents</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>229</SubCategoryID>
            <SubCategoryDescription>05.04 - Reconstructive Material</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>230</SubCategoryID>
            <SubCategoryDescription>05.05 - Penile Prostheses</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>231</SubCategoryID>
            <SubCategoryDescription>05.06 - Testicular Prostheses</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>232</SubCategoryID>
            <SubCategoryDescription>05.07 - Sacral Neuromodulation</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>233</SubCategoryID>
            <SubCategoryDescription>05.08 - Tubal Obstruction Devices</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>234</SubCategoryID>
            <SubCategoryDescription>05.09 - Nephrostomy Catheters</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>235</SubCategoryID>
            <SubCategoryDescription>05.10 - Vesicoureteral Reflux Prostheses</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>236</SubCategoryID>
            <SubCategoryDescription>08.01 - Single Chamber ICDs</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>237</SubCategoryID>
            <SubCategoryDescription>08.02 - Dual Chamber ICDs</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>238</SubCategoryID>
            <SubCategoryDescription>08.03 - ICDs with CRT</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>239</SubCategoryID>
            <SubCategoryDescription>08.04 - Single Chamber Pacemakers</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>240</SubCategoryID>
            <SubCategoryDescription>08.05 - Dual Chamber Pacemakers</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>241</SubCategoryID>
            <SubCategoryDescription>08.06 - CRT Pacemakers</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>242</SubCategoryID>
            <SubCategoryDescription>08.07 - ICD Leads</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>243</SubCategoryID>
            <SubCategoryDescription>08.08 - Pacemaker Leads</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>244</SubCategoryID>
            <SubCategoryDescription>08.09 - Pacemaker/ICD Adaptors</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>245</SubCategoryID>
            <SubCategoryDescription>08.10 - Pacemaker/ICD Extenders</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>246</SubCategoryID>
            <SubCategoryDescription>08.11 - Pacemaker/Lead Accessories</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>247</SubCategoryID>
            <SubCategoryDescription>08.12 - Coronary Stents</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>248</SubCategoryID>
            <SubCategoryDescription>08.13 - Special Purpose Percutaneous Cardiovascular Devices</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>249</SubCategoryID>
            <SubCategoryDescription>08.14 - Implantable Cardiac Event Recorders</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>251</SubCategoryID>
            <SubCategoryDescription>09.08 - Cardiac Assisted Fixation Devices</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>252</SubCategoryID>
            <SubCategoryDescription>09.10 - Skeletal Fixation Devices</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>253</SubCategoryID>
            <SubCategoryDescription>04.09 - Intracranial Pressure (ICP) Monitoring</SubCategoryDescription>
        </SubCategory>
        <SubCategory>
            <SubCategoryID>255</SubCategoryID>
            <SubCategoryDescription>04.10 - Cerebrospinal Fluid (CSF) Diversion</SubCategoryDescription>
        </SubCategory>
    </SubCategories>
    <Groups>
        <Group>
            <GroupID>2181</GroupID>
            <GroupDescription>08.13.03 - Left Atrial Appendage Closure</GroupDescription>
        </Group>
        <Group>
            <GroupID>1219</GroupID>
            <GroupDescription>06.01.02 - Sinus Tarsi Implant</GroupDescription>
        </Group>
        <Group>
            <GroupID>1228</GroupID>
            <GroupDescription>06.03.01 - Intramedullary Nails</GroupDescription>
        </Group>
        <Group>
            <GroupID>1229</GroupID>
            <GroupDescription>06.03.02 - Intramedullary Nail Accessories</GroupDescription>
        </Group>
        <Group>
            <GroupID>1231</GroupID>
            <GroupDescription>06.03.04 - Screws</GroupDescription>
        </Group>
        <Group>
            <GroupID>1237</GroupID>
            <GroupDescription>06.03.11 - External Fixateurs</GroupDescription>
        </Group>
        <Group>
            <GroupID>1241</GroupID>
            <GroupDescription>06.03.15 - Bone Graft Substitute</GroupDescription>
        </Group>
        <Group>
            <GroupID>1269</GroupID>
            <GroupDescription>06.01.01 - Ankle joint component</GroupDescription>
        </Group>
        <Group>
            <GroupID>1273</GroupID>
            <GroupDescription>06.02.01 - Wrist</GroupDescription>
        </Group>
        <Group>
            <GroupID>1274</GroupID>
            <GroupDescription>06.02.02 - Finger Joint Articulations</GroupDescription>
        </Group>
        <Group>
            <GroupID>1275</GroupID>
            <GroupDescription>06.02.03 - Elbow</GroupDescription>
        </Group>
        <Group>
            <GroupID>1276</GroupID>
            <GroupDescription>06.02.04 - Shoulder - Humeral</GroupDescription>
        </Group>
        <Group>
            <GroupID>1277</GroupID>
            <GroupDescription>06.02.05 - Shoulder - Glenoid</GroupDescription>
        </Group>
        <Group>
            <GroupID>1278</GroupID>
            <GroupDescription>06.02.06 - Shoulder - Accessories</GroupDescription>
        </Group>
        <Group>
            <GroupID>1279</GroupID>
            <GroupDescription>06.03.14 - Bone Cement</GroupDescription>
        </Group>
        <Group>
            <GroupID>1324</GroupID>
            <GroupDescription>01.01.01 - Aphakic</GroupDescription>
        </Group>
        <Group>
            <GroupID>1325</GroupID>
            <GroupDescription>01.01.02 - Phakic</GroupDescription>
        </Group>
        <Group>
            <GroupID>1326</GroupID>
            <GroupDescription>01.02.01 - Rigid</GroupDescription>
        </Group>
        <Group>
            <GroupID>1327</GroupID>
            <GroupDescription>01.02.02 - Foldable</GroupDescription>
        </Group>
        <Group>
            <GroupID>1328</GroupID>
            <GroupDescription>01.02.03 - Pseudo-phakic, piggy-back</GroupDescription>
        </Group>
        <Group>
            <GroupID>1329</GroupID>
            <GroupDescription>01.03.01 - Viscoelastic</GroupDescription>
        </Group>
        <Group>
            <GroupID>1330</GroupID>
            <GroupDescription>01.03.02 - Non Viscous</GroupDescription>
        </Group>
        <Group>
            <GroupID>1331</GroupID>
            <GroupDescription>01.04.01 - Simple</GroupDescription>
        </Group>
        <Group>
            <GroupID>1332</GroupID>
            <GroupDescription>01.04.02 - Complex</GroupDescription>
        </Group>
        <Group>
            <GroupID>1333</GroupID>
            <GroupDescription>01.05.01 - Ab Externo Long Tube /Reservoir</GroupDescription>
        </Group>
        <Group>
            <GroupID>1334</GroupID>
            <GroupDescription>01.05.02 - Ab Externo</GroupDescription>
        </Group>
        <Group>
            <GroupID>1335</GroupID>
            <GroupDescription>01.06.01 - Spacers</GroupDescription>
        </Group>
        <Group>
            <GroupID>1336</GroupID>
            <GroupDescription>01.06.02 - Weights</GroupDescription>
        </Group>
        <Group>
            <GroupID>1337</GroupID>
            <GroupDescription>01.07.01 - Intracanalicular</GroupDescription>
        </Group>
        <Group>
            <GroupID>1339</GroupID>
            <GroupDescription>01.08.01 - Intrascleral</GroupDescription>
        </Group>
        <Group>
            <GroupID>1340</GroupID>
            <GroupDescription>01.08.02 - Extrascleral</GroupDescription>
        </Group>
        <Group>
            <GroupID>1341</GroupID>
            <GroupDescription>01.08.03 - Fascial - solid and permeable</GroupDescription>
        </Group>
        <Group>
            <GroupID>1342</GroupID>
            <GroupDescription>01.09.01 - Buckles, bands, tyres and sponges</GroupDescription>
        </Group>
        <Group>
            <GroupID>1344</GroupID>
            <GroupDescription>01.09.03 - Sleeves</GroupDescription>
        </Group>
        <Group>
            <GroupID>1345</GroupID>
            <GroupDescription>01.09.04 - Intraocular Gases</GroupDescription>
        </Group>
        <Group>
            <GroupID>1346</GroupID>
            <GroupDescription>01.09.05 - Intraocular Heavy Liquids</GroupDescription>
        </Group>
        <Group>
            <GroupID>1347</GroupID>
            <GroupDescription>01.09.06 - Intraocular Silicone Oils</GroupDescription>
        </Group>
        <Group>
            <GroupID>1348</GroupID>
            <GroupDescription>12.01.01 - Cemented, Alloy</GroupDescription>
        </Group>
        <Group>
            <GroupID>1349</GroupID>
            <GroupDescription>12.01.02 - Cemented, Alloy, PMMA Coating</GroupDescription>
        </Group>
        <Group>
            <GroupID>1350</GroupID>
            <GroupDescription>12.01.03 - Cemented, Non-Alloy</GroupDescription>
        </Group>
        <Group>
            <GroupID>1351</GroupID>
            <GroupDescription>12.01.04 - Uncemented, Alloy</GroupDescription>
        </Group>
        <Group>
            <GroupID>1352</GroupID>
            <GroupDescription>12.01.05 - Uncemented, Alloy, HA Coating</GroupDescription>
        </Group>
        <Group>
            <GroupID>1353</GroupID>
            <GroupDescription>12.02.01 - Cemented, Alloy</GroupDescription>
        </Group>
        <Group>
            <GroupID>1354</GroupID>
            <GroupDescription>12.02.02 - Cemented, Non-Alloy</GroupDescription>
        </Group>
        <Group>
            <GroupID>1355</GroupID>
            <GroupDescription>12.02.03 - Uncemented, Alloy</GroupDescription>
        </Group>
        <Group>
            <GroupID>1356</GroupID>
            <GroupDescription>12.03.01 - Cemented, All polyethylene</GroupDescription>
        </Group>
        <Group>
            <GroupID>1357</GroupID>
            <GroupDescription>12.03.02 - Cemented, Alloy</GroupDescription>
        </Group>
        <Group>
            <GroupID>1359</GroupID>
            <GroupDescription>12.03.04 - Cemented, Alloy, for Mobile Insert</GroupDescription>
        </Group>
        <Group>
            <GroupID>1360</GroupID>
            <GroupDescription>12.03.05 - Uncemented, Alloy</GroupDescription>
        </Group>
        <Group>
            <GroupID>1361</GroupID>
            <GroupDescription>12.03.06 - Uncemented, Alloy, Moulded Polyethylene</GroupDescription>
        </Group>
        <Group>
            <GroupID>1362</GroupID>
            <GroupDescription>12.03.07 - Uncemented, Alloy, for Mobile Insert</GroupDescription>
        </Group>
        <Group>
            <GroupID>1363</GroupID>
            <GroupDescription>12.04.01 - Cemented, Alloy Polyethylene</GroupDescription>
        </Group>
        <Group>
            <GroupID>1364</GroupID>
            <GroupDescription>12.04.02 - Cemented, Alloy</GroupDescription>
        </Group>
        <Group>
            <GroupID>1365</GroupID>
            <GroupDescription>12.04.03 - Cemented, Alloy, Moulded Polyethylene</GroupDescription>
        </Group>
        <Group>
            <GroupID>1366</GroupID>
            <GroupDescription>12.04.04 - Cemented, Alloy, for Mobile Insert</GroupDescription>
        </Group>
        <Group>
            <GroupID>1367</GroupID>
            <GroupDescription>12.04.05 - Uncemented, Alloy</GroupDescription>
        </Group>
        <Group>
            <GroupID>1368</GroupID>
            <GroupDescription>12.04.06 - Uncemented, Alloy, for Mobile Insert</GroupDescription>
        </Group>
        <Group>
            <GroupID>1369</GroupID>
            <GroupDescription>12.05.01 - Minimally Stabilised</GroupDescription>
        </Group>
        <Group>
            <GroupID>1370</GroupID>
            <GroupDescription>12.05.02 - Posterior Stabilised</GroupDescription>
        </Group>
        <Group>
            <GroupID>1371</GroupID>
            <GroupDescription>12.05.03 - Totally Constrained</GroupDescription>
        </Group>
        <Group>
            <GroupID>1372</GroupID>
            <GroupDescription>12.06.01 - Tibial Insert: Uni-Compartmental Arthroplasty</GroupDescription>
        </Group>
        <Group>
            <GroupID>1374</GroupID>
            <GroupDescription>12.07.01 - Alloy</GroupDescription>
        </Group>
        <Group>
            <GroupID>1375</GroupID>
            <GroupDescription>12.07.02 - Non-Alloy</GroupDescription>
        </Group>
        <Group>
            <GroupID>1376</GroupID>
            <GroupDescription>12.08.01 - Cemented, All Polyethylene</GroupDescription>
        </Group>
        <Group>
            <GroupID>1377</GroupID>
            <GroupDescription>12.08.02 - Cemented, Polyethylene, Metal Backed</GroupDescription>
        </Group>
        <Group>
            <GroupID>1378</GroupID>
            <GroupDescription>12.08.03 - Uncemented, Polyethylene, Metal Backed</GroupDescription>
        </Group>
        <Group>
            <GroupID>1379</GroupID>
            <GroupDescription>12.08.04 - Polyethylene Insert for Mobile Patella</GroupDescription>
        </Group>
        <Group>
            <GroupID>1380</GroupID>
            <GroupDescription>12.09.01 - Distal Femur</GroupDescription>
        </Group>
        <Group>
            <GroupID>1381</GroupID>
            <GroupDescription>12.09.02 - Proximal Tibia</GroupDescription>
        </Group>
        <Group>
            <GroupID>1382</GroupID>
            <GroupDescription>12.09.03 - Diaphyseal Extension Piece (Femoral or Tibial)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1383</GroupID>
            <GroupDescription>12.09.04 - Bone Anchorage Piece</GroupDescription>
        </Group>
        <Group>
            <GroupID>1384</GroupID>
            <GroupDescription>12.09.05 - Tibial Inserts</GroupDescription>
        </Group>
        <Group>
            <GroupID>1385</GroupID>
            <GroupDescription>12.09.06 - Augments</GroupDescription>
        </Group>
        <Group>
            <GroupID>1386</GroupID>
            <GroupDescription>12.09.07 - Stems</GroupDescription>
        </Group>
        <Group>
            <GroupID>1387</GroupID>
            <GroupDescription>12.09.08 - Couplers or adaptors, incorporating stem extenders, sleeves and other couplings</GroupDescription>
        </Group>
        <Group>
            <GroupID>1390</GroupID>
            <GroupDescription>12.11.01 - Augments</GroupDescription>
        </Group>
        <Group>
            <GroupID>1391</GroupID>
            <GroupDescription>12.11.02 - Axles for hinged prostheses</GroupDescription>
        </Group>
        <Group>
            <GroupID>1392</GroupID>
            <GroupDescription>12.11.03 - Bolts</GroupDescription>
        </Group>
        <Group>
            <GroupID>1393</GroupID>
            <GroupDescription>12.11.04 - Connectors for hinged prostheses</GroupDescription>
        </Group>
        <Group>
            <GroupID>1395</GroupID>
            <GroupDescription>12.11.06 - End caps</GroupDescription>
        </Group>
        <Group>
            <GroupID>1396</GroupID>
            <GroupDescription>12.11.07 - Offset couplers/adaptors</GroupDescription>
        </Group>
        <Group>
            <GroupID>1397</GroupID>
            <GroupDescription>12.11.08 - Pegs, lugs, etc</GroupDescription>
        </Group>
        <Group>
            <GroupID>1398</GroupID>
            <GroupDescription>12.11.09 - Screws</GroupDescription>
        </Group>
        <Group>
            <GroupID>1399</GroupID>
            <GroupDescription>12.11.10 - Stems - straight or offset</GroupDescription>
        </Group>
        <Group>
            <GroupID>1400</GroupID>
            <GroupDescription>12.11.11 - Stem Extenders, Sleeves and other couplings</GroupDescription>
        </Group>
        <Group>
            <GroupID>1401</GroupID>
            <GroupDescription>12.11.12 - Temporary Spacers</GroupDescription>
        </Group>
        <Group>
            <GroupID>1404</GroupID>
            <GroupDescription>11.01.01 - Cemented</GroupDescription>
        </Group>
        <Group>
            <GroupID>1405</GroupID>
            <GroupDescription>11.01.02 - Cemented, Long Lengths (≥200mm)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1406</GroupID>
            <GroupDescription>11.01.03 - Uncemented</GroupDescription>
        </Group>
        <Group>
            <GroupID>1407</GroupID>
            <GroupDescription>11.01.04 - Uncemented, HA Coated</GroupDescription>
        </Group>
        <Group>
            <GroupID>1408</GroupID>
            <GroupDescription>11.01.05 - Uncemented, Long Lengths (≥200mm)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1409</GroupID>
            <GroupDescription>11.01.06 - Uncemented, Long Lengths, HA Coated (≤200mm)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1410</GroupID>
            <GroupDescription>11.01.07 - Uncemented, Modular</GroupDescription>
        </Group>
        <Group>
            <GroupID>1411</GroupID>
            <GroupDescription>11.01.08 - Uncemented, Modular, HA Coated</GroupDescription>
        </Group>
        <Group>
            <GroupID>1412</GroupID>
            <GroupDescription>11.01.09 - Uncemented, Modular, Long Lengths (Stem ≥200mm;  Body ≥75mm;  Cone ≥70mm;  Spacer/Sleeve ≥50mm)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1413</GroupID>
            <GroupDescription>11.01.10 - Uncemented, Modular, HA Coated, Long Lengths (Stem ≥200mm;  Body ≥75mm;  Cone ≥70mm;  Spacer/Sleeve ≥50mm)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1414</GroupID>
            <GroupDescription>11.01.11 - Calcar Replacement</GroupDescription>
        </Group>
        <Group>
            <GroupID>1416</GroupID>
            <GroupDescription>11.01.13 - Monoblock Hemis</GroupDescription>
        </Group>
        <Group>
            <GroupID>1417</GroupID>
            <GroupDescription>11.01.14 - Femoral Neck</GroupDescription>
        </Group>
        <Group>
            <GroupID>1419</GroupID>
            <GroupDescription>11.02.01 - Conventional Femoral Heads, ≤32mm</GroupDescription>
        </Group>
        <Group>
            <GroupID>1420</GroupID>
            <GroupDescription>11.02.02 - Conventional Femoral Heads, &gt;32mm</GroupDescription>
        </Group>
        <Group>
            <GroupID>1422</GroupID>
            <GroupDescription>11.02.04 - Resurfacing, Cemented</GroupDescription>
        </Group>
        <Group>
            <GroupID>1424</GroupID>
            <GroupDescription>11.02.06 - Bipolar/Multipolar</GroupDescription>
        </Group>
        <Group>
            <GroupID>1425</GroupID>
            <GroupDescription>11.03.01 - Cups, Cemented</GroupDescription>
        </Group>
        <Group>
            <GroupID>1426</GroupID>
            <GroupDescription>11.03.02 - Shells, Uncemented</GroupDescription>
        </Group>
        <Group>
            <GroupID>1427</GroupID>
            <GroupDescription>11.03.03 - Shells, Uncemented, HA</GroupDescription>
        </Group>
        <Group>
            <GroupID>1428</GroupID>
            <GroupDescription>11.03.04 - Insert/Liner</GroupDescription>
        </Group>
        <Group>
            <GroupID>1429</GroupID>
            <GroupDescription>11.03.05 - Bonded Shell/Liner</GroupDescription>
        </Group>
        <Group>
            <GroupID>1431</GroupID>
            <GroupDescription>11.03.07 - Resurfacing Cup</GroupDescription>
        </Group>
        <Group>
            <GroupID>1432</GroupID>
            <GroupDescription>11.03.08 - Acetabular Reconstruction Devices</GroupDescription>
        </Group>
        <Group>
            <GroupID>1433</GroupID>
            <GroupDescription>11.04.01 - Augment</GroupDescription>
        </Group>
        <Group>
            <GroupID>1434</GroupID>
            <GroupDescription>11.04.02 - Bolt</GroupDescription>
        </Group>
        <Group>
            <GroupID>1435</GroupID>
            <GroupDescription>11.04.03 - Bone Screw</GroupDescription>
        </Group>
        <Group>
            <GroupID>1436</GroupID>
            <GroupDescription>11.04.04 - Calcar Block</GroupDescription>
        </Group>
        <Group>
            <GroupID>1437</GroupID>
            <GroupDescription>11.04.05 - Cement Restrictor</GroupDescription>
        </Group>
        <Group>
            <GroupID>1438</GroupID>
            <GroupDescription>11.04.06 - Centraliser</GroupDescription>
        </Group>
        <Group>
            <GroupID>1439</GroupID>
            <GroupDescription>11.04.07 - Claw</GroupDescription>
        </Group>
        <Group>
            <GroupID>1440</GroupID>
            <GroupDescription>11.04.08 - Connector</GroupDescription>
        </Group>
        <Group>
            <GroupID>1441</GroupID>
            <GroupDescription>11.04.09 - Dome Plug</GroupDescription>
        </Group>
        <Group>
            <GroupID>1442</GroupID>
            <GroupDescription>11.04.10 - Head Taper Insert</GroupDescription>
        </Group>
        <Group>
            <GroupID>1443</GroupID>
            <GroupDescription>11.04.11 - Neck Adapter</GroupDescription>
        </Group>
        <Group>
            <GroupID>1444</GroupID>
            <GroupDescription>11.04.12 - Nut</GroupDescription>
        </Group>
        <Group>
            <GroupID>1445</GroupID>
            <GroupDescription>11.04.13 - Pin</GroupDescription>
        </Group>
        <Group>
            <GroupID>1446</GroupID>
            <GroupDescription>11.04.14 - Plug - Including Dome Plug</GroupDescription>
        </Group>
        <Group>
            <GroupID>1447</GroupID>
            <GroupDescription>11.04.15 - Plug and Hood</GroupDescription>
        </Group>
        <Group>
            <GroupID>1449</GroupID>
            <GroupDescription>11.04.17 - Ring</GroupDescription>
        </Group>
        <Group>
            <GroupID>1450</GroupID>
            <GroupDescription>11.04.18 - Screw</GroupDescription>
        </Group>
        <Group>
            <GroupID>1451</GroupID>
            <GroupDescription>11.04.19 - Sleeve</GroupDescription>
        </Group>
        <Group>
            <GroupID>1452</GroupID>
            <GroupDescription>11.04.20 - Spacer- Unique</GroupDescription>
        </Group>
        <Group>
            <GroupID>1454</GroupID>
            <GroupDescription>11.04.22 - Trochanter Plate</GroupDescription>
        </Group>
        <Group>
            <GroupID>1455</GroupID>
            <GroupDescription>11.04.23 - Trochanteric Replacement</GroupDescription>
        </Group>
        <Group>
            <GroupID>1456</GroupID>
            <GroupDescription>11.04.24 - Washer</GroupDescription>
        </Group>
        <Group>
            <GroupID>1457</GroupID>
            <GroupDescription>11.04.25 - Wire - Cobalt Chrome</GroupDescription>
        </Group>
        <Group>
            <GroupID>1458</GroupID>
            <GroupDescription>11.04.26 - Wire - Stainless Steel</GroupDescription>
        </Group>
        <Group>
            <GroupID>1460</GroupID>
            <GroupDescription>06.01.03 - Ankle joint</GroupDescription>
        </Group>
        <Group>
            <GroupID>1461</GroupID>
            <GroupDescription>06.01.04 - Replacement of other joints of the foot including articulations</GroupDescription>
        </Group>
        <Group>
            <GroupID>1462</GroupID>
            <GroupDescription>13.01.01 - Pedicle, Monoaxial</GroupDescription>
        </Group>
        <Group>
            <GroupID>1463</GroupID>
            <GroupDescription>13.01.02 - Pedicle, Polyaxial</GroupDescription>
        </Group>
        <Group>
            <GroupID>1464</GroupID>
            <GroupDescription>13.01.03 - Standard</GroupDescription>
        </Group>
        <Group>
            <GroupID>1465</GroupID>
            <GroupDescription>13.02.01 - Nut/Set Screw/Locking Screw</GroupDescription>
        </Group>
        <Group>
            <GroupID>1466</GroupID>
            <GroupDescription>13.02.02 - Collar/Sleeve</GroupDescription>
        </Group>
        <Group>
            <GroupID>1467</GroupID>
            <GroupDescription>13.02.03 - Cap/Cover Plate</GroupDescription>
        </Group>
        <Group>
            <GroupID>1468</GroupID>
            <GroupDescription>13.02.04 - Cap/Cover Plate, Complex</GroupDescription>
        </Group>
        <Group>
            <GroupID>1469</GroupID>
            <GroupDescription>13.02.05 - Block/Screw head</GroupDescription>
        </Group>
        <Group>
            <GroupID>1470</GroupID>
            <GroupDescription>13.02.06 - Cross Link Rod</GroupDescription>
        </Group>
        <Group>
            <GroupID>1471</GroupID>
            <GroupDescription>13.02.07 - Hook/Clamp/Plate</GroupDescription>
        </Group>
        <Group>
            <GroupID>1472</GroupID>
            <GroupDescription>13.03.01 - In-Line</GroupDescription>
        </Group>
        <Group>
            <GroupID>1473</GroupID>
            <GroupDescription>13.03.02 - Offset</GroupDescription>
        </Group>
        <Group>
            <GroupID>1474</GroupID>
            <GroupDescription>13.03.03 - Transverse (Rod-to-Rod)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1475</GroupID>
            <GroupDescription>13.04.01 - Hook</GroupDescription>
        </Group>
        <Group>
            <GroupID>1476</GroupID>
            <GroupDescription>13.05.01 - Integral Fixation</GroupDescription>
        </Group>
        <Group>
            <GroupID>1477</GroupID>
            <GroupDescription>13.05.02 - No Integral Fixation</GroupDescription>
        </Group>
        <Group>
            <GroupID>1478</GroupID>
            <GroupDescription>13.06.01 - Standard</GroupDescription>
        </Group>
        <Group>
            <GroupID>1479</GroupID>
            <GroupDescription>13.06.02 - Telescoping</GroupDescription>
        </Group>
        <Group>
            <GroupID>1480</GroupID>
            <GroupDescription>13.06.03 - Dual Unit</GroupDescription>
        </Group>
        <Group>
            <GroupID>1481</GroupID>
            <GroupDescription>13.07.01 - Plate Rod</GroupDescription>
        </Group>
        <Group>
            <GroupID>1482</GroupID>
            <GroupDescription>13.08.01 - Washer</GroupDescription>
        </Group>
        <Group>
            <GroupID>1483</GroupID>
            <GroupDescription>13.08.02 - Staple</GroupDescription>
        </Group>
        <Group>
            <GroupID>1484</GroupID>
            <GroupDescription>13.09.01 - C-Ring</GroupDescription>
        </Group>
        <Group>
            <GroupID>1485</GroupID>
            <GroupDescription>13.10.01 - Interbody, Integral Fixation</GroupDescription>
        </Group>
        <Group>
            <GroupID>1486</GroupID>
            <GroupDescription>13.10.02 - Interbody, No Integral Fixation</GroupDescription>
        </Group>
        <Group>
            <GroupID>1487</GroupID>
            <GroupDescription>13.10.03 - Facet Joint</GroupDescription>
        </Group>
        <Group>
            <GroupID>1488</GroupID>
            <GroupDescription>13.11.01 - System</GroupDescription>
        </Group>
        <Group>
            <GroupID>1489</GroupID>
            <GroupDescription>13.11.02 - End Plate</GroupDescription>
        </Group>
        <Group>
            <GroupID>1490</GroupID>
            <GroupDescription>13.11.03 - Core</GroupDescription>
        </Group>
        <Group>
            <GroupID>1492</GroupID>
            <GroupDescription>13.12.01 - Telescoping Cage</GroupDescription>
        </Group>
        <Group>
            <GroupID>1493</GroupID>
            <GroupDescription>13.12.02 - Stackable Cage</GroupDescription>
        </Group>
        <Group>
            <GroupID>1494</GroupID>
            <GroupDescription>13.12.03 - Mesh</GroupDescription>
        </Group>
        <Group>
            <GroupID>1495</GroupID>
            <GroupDescription>13.12.04 - Mesh, End Plate</GroupDescription>
        </Group>
        <Group>
            <GroupID>1496</GroupID>
            <GroupDescription>13.13.01 - Interspinous Fixation Device</GroupDescription>
        </Group>
        <Group>
            <GroupID>2521</GroupID>
            <GroupDescription>02.01.08 - Tympanic Membrane Grafts</GroupDescription>
        </Group>
        <Group>
            <GroupID>1497</GroupID>
            <GroupDescription>09.01.01 - Bi-Leaflet, rotatable</GroupDescription>
        </Group>
        <Group>
            <GroupID>1499</GroupID>
            <GroupDescription>09.02.01 - Stented, anatomical</GroupDescription>
        </Group>
        <Group>
            <GroupID>1500</GroupID>
            <GroupDescription>09.02.02 - Stented, non anatomical</GroupDescription>
        </Group>
        <Group>
            <GroupID>1501</GroupID>
            <GroupDescription>09.02.03 - Non-Stented</GroupDescription>
        </Group>
        <Group>
            <GroupID>1502</GroupID>
            <GroupDescription>09.03.01 - Mechanical Valve</GroupDescription>
        </Group>
        <Group>
            <GroupID>1503</GroupID>
            <GroupDescription>09.03.02 - Tissue Valve, stented anatomical</GroupDescription>
        </Group>
        <Group>
            <GroupID>1507</GroupID>
            <GroupDescription>09.05.01 - Tissue</GroupDescription>
        </Group>
        <Group>
            <GroupID>1508</GroupID>
            <GroupDescription>09.05.02 - Synthetic</GroupDescription>
        </Group>
        <Group>
            <GroupID>1509</GroupID>
            <GroupDescription>09.06.01 - Non-cardiovascular &lt; 100cm²</GroupDescription>
        </Group>
        <Group>
            <GroupID>1510</GroupID>
            <GroupDescription>09.06.02 - Non-cardiovascular ≥100cm² and &lt;200cm²</GroupDescription>
        </Group>
        <Group>
            <GroupID>1511</GroupID>
            <GroupDescription>09.06.03 - Non-cardiovascular  ≥200cm²</GroupDescription>
        </Group>
        <Group>
            <GroupID>1517</GroupID>
            <GroupDescription>09.09.01 - Modified Tube (end modified eg valsalva)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1518</GroupID>
            <GroupDescription>09.09.02 - Tube with one side branch</GroupDescription>
        </Group>
        <Group>
            <GroupID>1519</GroupID>
            <GroupDescription>09.09.03 - Tube with multiple side branches (more than 1)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1520</GroupID>
            <GroupDescription>03.01.01 - Hepatic, Yttrium 90, Standard Dose</GroupDescription>
        </Group>
        <Group>
            <GroupID>1521</GroupID>
            <GroupDescription>03.01.02 - Prostatic I-125</GroupDescription>
        </Group>
        <Group>
            <GroupID>1522</GroupID>
            <GroupDescription>03.02.01 - Infusion Ports</GroupDescription>
        </Group>
        <Group>
            <GroupID>1524</GroupID>
            <GroupDescription>03.02.02 - Infusion Pumps, Balloon Based</GroupDescription>
        </Group>
        <Group>
            <GroupID>1525</GroupID>
            <GroupDescription>03.02.03 - Infusion Pumps, Battery Powered</GroupDescription>
        </Group>
        <Group>
            <GroupID>1526</GroupID>
            <GroupDescription>02.01.01 - Cochlear Implants</GroupDescription>
        </Group>
        <Group>
            <GroupID>1528</GroupID>
            <GroupDescription>02.01.02 - Speech Processors</GroupDescription>
        </Group>
        <Group>
            <GroupID>1540</GroupID>
            <GroupDescription>03.02.04 - Infusion Pumps, Spring Powered</GroupDescription>
        </Group>
        <Group>
            <GroupID>1541</GroupID>
            <GroupDescription>03.02.05 - Infusion Pump Accessories</GroupDescription>
        </Group>
        <Group>
            <GroupID>1542</GroupID>
            <GroupDescription>03.02.06 - Pharmaceutical Beads</GroupDescription>
        </Group>
        <Group>
            <GroupID>1544</GroupID>
            <GroupDescription>03.03.01 - Feeding Tubes</GroupDescription>
        </Group>
        <Group>
            <GroupID>1545</GroupID>
            <GroupDescription>03.03.02 - Gastrostomy Tubes</GroupDescription>
        </Group>
        <Group>
            <GroupID>1546</GroupID>
            <GroupDescription>03.03.03 - Jejunostomy Tubes</GroupDescription>
        </Group>
        <Group>
            <GroupID>1547</GroupID>
            <GroupDescription>03.03.04 - Caecostomy Tubes</GroupDescription>
        </Group>
        <Group>
            <GroupID>1548</GroupID>
            <GroupDescription>03.04.01 - Adjustable Gastric Band with Port</GroupDescription>
        </Group>
        <Group>
            <GroupID>1551</GroupID>
            <GroupDescription>03.05.01 - Occluder Pin</GroupDescription>
        </Group>
        <Group>
            <GroupID>1552</GroupID>
            <GroupDescription>03.05.02 - Powder</GroupDescription>
        </Group>
        <Group>
            <GroupID>1553</GroupID>
            <GroupDescription>03.05.03 - Sponges</GroupDescription>
        </Group>
        <Group>
            <GroupID>1554</GroupID>
            <GroupDescription>03.05.04 - Pliable Patches</GroupDescription>
        </Group>
        <Group>
            <GroupID>1555</GroupID>
            <GroupDescription>03.05.05 - Matrix</GroupDescription>
        </Group>
        <Group>
            <GroupID>1556</GroupID>
            <GroupDescription>03.06.01 - Biliary Stents</GroupDescription>
        </Group>
        <Group>
            <GroupID>1557</GroupID>
            <GroupDescription>03.06.02 - Colonic Stents</GroupDescription>
        </Group>
        <Group>
            <GroupID>1558</GroupID>
            <GroupDescription>03.06.03 - Oesophageal Stents</GroupDescription>
        </Group>
        <Group>
            <GroupID>1560</GroupID>
            <GroupDescription>02.01.04 - Implantable Bone Conduction Hearing System</GroupDescription>
        </Group>
        <Group>
            <GroupID>1561</GroupID>
            <GroupDescription>03.06.04 - Pancreatic Stents</GroupDescription>
        </Group>
        <Group>
            <GroupID>1562</GroupID>
            <GroupDescription>03.06.05 - Enteral Stents</GroupDescription>
        </Group>
        <Group>
            <GroupID>1563</GroupID>
            <GroupDescription>03.06.06 - Tracheobronchial Stents</GroupDescription>
        </Group>
        <Group>
            <GroupID>1564</GroupID>
            <GroupDescription>03.06.07 - Nerve Repair Stents</GroupDescription>
        </Group>
        <Group>
            <GroupID>1565</GroupID>
            <GroupDescription>02.01.05 - Ossicle/Middle Ear Prosthesis</GroupDescription>
        </Group>
        <Group>
            <GroupID>1566</GroupID>
            <GroupDescription>02.01.06 - Ventilation Tube/Grommet</GroupDescription>
        </Group>
        <Group>
            <GroupID>1567</GroupID>
            <GroupDescription>02.01.07 - Bone Cement</GroupDescription>
        </Group>
        <Group>
            <GroupID>1568</GroupID>
            <GroupDescription>02.02.01 - Septal Button</GroupDescription>
        </Group>
        <Group>
            <GroupID>1569</GroupID>
            <GroupDescription>02.03.01 - Tracheal Speaking Valve</GroupDescription>
        </Group>
        <Group>
            <GroupID>1570</GroupID>
            <GroupDescription>02.03.02 - Vocal Chord Medialisation Implant</GroupDescription>
        </Group>
        <Group>
            <GroupID>1571</GroupID>
            <GroupDescription>02.03.03 - Tracheal Stents</GroupDescription>
        </Group>
        <Group>
            <GroupID>1573</GroupID>
            <GroupDescription>02.03.04 - Thyroplasty</GroupDescription>
        </Group>
        <Group>
            <GroupID>1574</GroupID>
            <GroupDescription>02.03.05 - Cannula</GroupDescription>
        </Group>
        <Group>
            <GroupID>1576</GroupID>
            <GroupDescription>02.03.06 - Injectable Material for Vocal Fold Augmentation / Laryngeal Reconstruction</GroupDescription>
        </Group>
        <Group>
            <GroupID>1577</GroupID>
            <GroupDescription>03.07.01 - Drainage Catheters</GroupDescription>
        </Group>
        <Group>
            <GroupID>2601</GroupID>
            <GroupDescription>09.09.05 - Hybrid stent graft (Branched)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1578</GroupID>
            <GroupDescription>03.07.02 - Endobronchial Valve</GroupDescription>
        </Group>
        <Group>
            <GroupID>1579</GroupID>
            <GroupDescription>03.08.01 - Adhesion Barriers</GroupDescription>
        </Group>
        <Group>
            <GroupID>1580</GroupID>
            <GroupDescription>03.08.02 - Internal Adhesives</GroupDescription>
        </Group>
        <Group>
            <GroupID>1581</GroupID>
            <GroupDescription>03.08.03 - Ligating Devices</GroupDescription>
        </Group>
        <Group>
            <GroupID>1582</GroupID>
            <GroupDescription>03.08.04 - Staples &amp; Tackers</GroupDescription>
        </Group>
        <Group>
            <GroupID>1585</GroupID>
            <GroupDescription>07.01.01 - Mesh - Metal</GroupDescription>
        </Group>
        <Group>
            <GroupID>1586</GroupID>
            <GroupDescription>07.01.02 - Mesh - Non-metal</GroupDescription>
        </Group>
        <Group>
            <GroupID>1587</GroupID>
            <GroupDescription>07.01.03 - Mesh - Composite</GroupDescription>
        </Group>
        <Group>
            <GroupID>1588</GroupID>
            <GroupDescription>07.01.04 - Non-mesh</GroupDescription>
        </Group>
        <Group>
            <GroupID>1589</GroupID>
            <GroupDescription>07.01.05 - Fracture or Reconstruction Plates</GroupDescription>
        </Group>
        <Group>
            <GroupID>1590</GroupID>
            <GroupDescription>07.01.06 - Screws</GroupDescription>
        </Group>
        <Group>
            <GroupID>1591</GroupID>
            <GroupDescription>07.01.07 - Ancillary Components</GroupDescription>
        </Group>
        <Group>
            <GroupID>1592</GroupID>
            <GroupDescription>07.02.01 - Chin</GroupDescription>
        </Group>
        <Group>
            <GroupID>1593</GroupID>
            <GroupDescription>07.02.02 - Cranium</GroupDescription>
        </Group>
        <Group>
            <GroupID>1594</GroupID>
            <GroupDescription>07.02.03 - Ear</GroupDescription>
        </Group>
        <Group>
            <GroupID>1595</GroupID>
            <GroupDescription>07.02.04 - Malar</GroupDescription>
        </Group>
        <Group>
            <GroupID>1596</GroupID>
            <GroupDescription>07.02.05 - Mandible, Maxilla and Temperomandibular Joint (TMJ)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1597</GroupID>
            <GroupDescription>07.02.06 - Nose and Zygoma</GroupDescription>
        </Group>
        <Group>
            <GroupID>1598</GroupID>
            <GroupDescription>07.02.07 - Orbit</GroupDescription>
        </Group>
        <Group>
            <GroupID>1599</GroupID>
            <GroupDescription>07.02.08 - External Prostheses, Bone Attachment</GroupDescription>
        </Group>
        <Group>
            <GroupID>1600</GroupID>
            <GroupDescription>07.03.01 - Abutment</GroupDescription>
        </Group>
        <Group>
            <GroupID>1601</GroupID>
            <GroupDescription>07.03.02 - Zygomatic Bone Implant</GroupDescription>
        </Group>
        <Group>
            <GroupID>1602</GroupID>
            <GroupDescription>07.03.03 - Endosseous Implant</GroupDescription>
        </Group>
        <Group>
            <GroupID>1603</GroupID>
            <GroupDescription>07.04.01 - Complete</GroupDescription>
        </Group>
        <Group>
            <GroupID>1604</GroupID>
            <GroupDescription>07.04.02 - Component</GroupDescription>
        </Group>
        <Group>
            <GroupID>1605</GroupID>
            <GroupDescription>07.05.01 - Muscular</GroupDescription>
        </Group>
        <Group>
            <GroupID>1606</GroupID>
            <GroupDescription>07.05.02 - Tissue Expanders</GroupDescription>
        </Group>
        <Group>
            <GroupID>1607</GroupID>
            <GroupDescription>07.05.03 - Skin, Artificial</GroupDescription>
        </Group>
        <Group>
            <GroupID>1608</GroupID>
            <GroupDescription>07.05.04 - Coupler</GroupDescription>
        </Group>
        <Group>
            <GroupID>1609</GroupID>
            <GroupDescription>07.06.01 - Saline Filled</GroupDescription>
        </Group>
        <Group>
            <GroupID>1610</GroupID>
            <GroupDescription>07.06.02 - Gel Filled</GroupDescription>
        </Group>
        <Group>
            <GroupID>2641</GroupID>
            <GroupDescription>08.17.01 - Transcatheter Aortic Valve Implantation</GroupDescription>
        </Group>
        <Group>
            <GroupID>1622</GroupID>
            <GroupDescription>10.01.01 - Bare Metal Stents</GroupDescription>
        </Group>
        <Group>
            <GroupID>1624</GroupID>
            <GroupDescription>10.01.02 - Drug Eluting Stents</GroupDescription>
        </Group>
        <Group>
            <GroupID>1625</GroupID>
            <GroupDescription>10.02.01 - Tube (Thoracic Aorta)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1626</GroupID>
            <GroupDescription>10.02.02 - Tube (Abdominal Aorta)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1627</GroupID>
            <GroupDescription>10.02.03 - Tube (Aorto-uni-iliac)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1628</GroupID>
            <GroupDescription>10.02.04 - Bifurcated</GroupDescription>
        </Group>
        <Group>
            <GroupID>1629</GroupID>
            <GroupDescription>10.02.05 - Branched</GroupDescription>
        </Group>
        <Group>
            <GroupID>1630</GroupID>
            <GroupDescription>10.02.06 - Fenestrated</GroupDescription>
        </Group>
        <Group>
            <GroupID>1631</GroupID>
            <GroupDescription>10.02.07 - Accessory Component (Aortic)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1632</GroupID>
            <GroupDescription>10.02.08 - Accessory Component (Other including iliac limb and extension)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1633</GroupID>
            <GroupDescription>10.02.09 - Iliac Graft Plug</GroupDescription>
        </Group>
        <Group>
            <GroupID>1634</GroupID>
            <GroupDescription>10.02.10 - Tube, Peripheral, Balloon Expandable</GroupDescription>
        </Group>
        <Group>
            <GroupID>1635</GroupID>
            <GroupDescription>10.02.11 - Tube, Peripheral, Self Expandable</GroupDescription>
        </Group>
        <Group>
            <GroupID>1636</GroupID>
            <GroupDescription>10.03.01 - Tube</GroupDescription>
        </Group>
        <Group>
            <GroupID>1637</GroupID>
            <GroupDescription>10.03.02 - Bifurcated</GroupDescription>
        </Group>
        <Group>
            <GroupID>1638</GroupID>
            <GroupDescription>10.03.03 - Branched or Fenestrated</GroupDescription>
        </Group>
        <Group>
            <GroupID>1639</GroupID>
            <GroupDescription>10.03.04 - Tapered or End-modified</GroupDescription>
        </Group>
        <Group>
            <GroupID>1640</GroupID>
            <GroupDescription>10.04.01 - Vascular Patches</GroupDescription>
        </Group>
        <Group>
            <GroupID>1641</GroupID>
            <GroupDescription>10.05.01 - Vessel Bands</GroupDescription>
        </Group>
        <Group>
            <GroupID>1642</GroupID>
            <GroupDescription>10.06.01 - Venous</GroupDescription>
        </Group>
        <Group>
            <GroupID>1643</GroupID>
            <GroupDescription>10.06.02 - Arterial</GroupDescription>
        </Group>
        <Group>
            <GroupID>1644</GroupID>
            <GroupDescription>10.07.01 - Arterial Closure Devices</GroupDescription>
        </Group>
        <Group>
            <GroupID>1645</GroupID>
            <GroupDescription>10.08.01 - Particle</GroupDescription>
        </Group>
        <Group>
            <GroupID>1646</GroupID>
            <GroupDescription>10.08.02 - Coil, Peripheral</GroupDescription>
        </Group>
        <Group>
            <GroupID>1647</GroupID>
            <GroupDescription>10.08.03 - Polymer</GroupDescription>
        </Group>
        <Group>
            <GroupID>1648</GroupID>
            <GroupDescription>10.08.04 - Complex Occlusion Devices, including detachable balloon, sphere or umbrella</GroupDescription>
        </Group>
        <Group>
            <GroupID>1649</GroupID>
            <GroupDescription>10.09.01 - Percutaneous Catheters, Single Lumen</GroupDescription>
        </Group>
        <Group>
            <GroupID>1650</GroupID>
            <GroupDescription>10.09.02 - Percutaneous Catheters, Multiple Lumen</GroupDescription>
        </Group>
        <Group>
            <GroupID>1651</GroupID>
            <GroupDescription>10.09.03 - Percutaneous Catheters, Multiple Lumen for Haemodialysis</GroupDescription>
        </Group>
        <Group>
            <GroupID>1652</GroupID>
            <GroupDescription>10.09.04 - Infuser Ports, Single Chamber</GroupDescription>
        </Group>
        <Group>
            <GroupID>1653</GroupID>
            <GroupDescription>10.09.05 - Infuser Ports, Multiple Chamber</GroupDescription>
        </Group>
        <Group>
            <GroupID>1654</GroupID>
            <GroupDescription>10.10.01 - Peritoneal Dialysis, Long Term Implantable Catheters</GroupDescription>
        </Group>
        <Group>
            <GroupID>1655</GroupID>
            <GroupDescription>04.01.01 - Aneurysm Clip</GroupDescription>
        </Group>
        <Group>
            <GroupID>1656</GroupID>
            <GroupDescription>04.01.02 - AVM Clip</GroupDescription>
        </Group>
        <Group>
            <GroupID>1657</GroupID>
            <GroupDescription>04.02.01 - Repair, Graft, Small (≤10cm²)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1658</GroupID>
            <GroupDescription>04.02.02 - Repair, Graft, Medium (&gt;10 to 50cm²)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1659</GroupID>
            <GroupDescription>04.02.03 - Repair, Graft, Large (&gt;50 to 100cm²)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1660</GroupID>
            <GroupDescription>04.02.04 - Repair, Graft, Extra Large (&gt;100cm²)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1661</GroupID>
            <GroupDescription>04.02.05 - Repair, Liquid Sealant (0 to 3ml)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1662</GroupID>
            <GroupDescription>04.02.06 - Repair, Liquid Sealant (&gt;3 to 6ml)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1663</GroupID>
            <GroupDescription>04.02.07 - Repair, Self-Adhesive Membrane Sealant, Small (≤10cm²)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1664</GroupID>
            <GroupDescription>04.02.08 - Repair, Self-Adhesive Membrane Sealant, Medium (&gt;10 to 50cm²)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1666</GroupID>
            <GroupDescription>04.03.01 - Valves</GroupDescription>
        </Group>
        <Group>
            <GroupID>1667</GroupID>
            <GroupDescription>04.03.02 - Unitised shunt assembly, with proximal/distal catheter</GroupDescription>
        </Group>
        <Group>
            <GroupID>1668</GroupID>
            <GroupDescription>04.03.03 - Catheter</GroupDescription>
        </Group>
        <Group>
            <GroupID>1669</GroupID>
            <GroupDescription>04.03.04 - Antisyphon Device</GroupDescription>
        </Group>
        <Group>
            <GroupID>1670</GroupID>
            <GroupDescription>04.03.05 - Reservoir/Priming Device</GroupDescription>
        </Group>
        <Group>
            <GroupID>1671</GroupID>
            <GroupDescription>04.03.06 - Shunt Attachment</GroupDescription>
        </Group>
        <Group>
            <GroupID>1672</GroupID>
            <GroupDescription>04.04.01 - Implantable Pulse Generator</GroupDescription>
        </Group>
        <Group>
            <GroupID>1673</GroupID>
            <GroupDescription>04.04.02 - External Components</GroupDescription>
        </Group>
        <Group>
            <GroupID>1674</GroupID>
            <GroupDescription>04.04.03 - Leads</GroupDescription>
        </Group>
        <Group>
            <GroupID>1675</GroupID>
            <GroupDescription>04.04.04 - Microtargetting Electrodes</GroupDescription>
        </Group>
        <Group>
            <GroupID>1676</GroupID>
            <GroupDescription>04.04.05 - Accessories</GroupDescription>
        </Group>
        <Group>
            <GroupID>1677</GroupID>
            <GroupDescription>04.05.01 - Pulse Generators</GroupDescription>
        </Group>
        <Group>
            <GroupID>1678</GroupID>
            <GroupDescription>04.05.02 - External Components</GroupDescription>
        </Group>
        <Group>
            <GroupID>1679</GroupID>
            <GroupDescription>04.05.03 - Leads</GroupDescription>
        </Group>
        <Group>
            <GroupID>1680</GroupID>
            <GroupDescription>04.05.04 - Lead Extension</GroupDescription>
        </Group>
        <Group>
            <GroupID>1681</GroupID>
            <GroupDescription>04.06.01 - Implantable Infusion Pump </GroupDescription>
        </Group>
        <Group>
            <GroupID>1682</GroupID>
            <GroupDescription>04.06.02 - Patient Programmer</GroupDescription>
        </Group>
        <Group>
            <GroupID>1683</GroupID>
            <GroupDescription>04.06.03 - Intrathecal Catheter</GroupDescription>
        </Group>
        <Group>
            <GroupID>1684</GroupID>
            <GroupDescription>04.06.04 - Accessories</GroupDescription>
        </Group>
        <Group>
            <GroupID>1685</GroupID>
            <GroupDescription>04.07.01 - Vagal nerve stimulators</GroupDescription>
        </Group>
        <Group>
            <GroupID>1687</GroupID>
            <GroupDescription>04.08.01 - Stent</GroupDescription>
        </Group>
        <Group>
            <GroupID>1688</GroupID>
            <GroupDescription>04.08.02 - Coils</GroupDescription>
        </Group>
        <Group>
            <GroupID>1689</GroupID>
            <GroupDescription>04.08.03 - Assist Devices</GroupDescription>
        </Group>
        <Group>
            <GroupID>1690</GroupID>
            <GroupDescription>04.05.05 - Accessories</GroupDescription>
        </Group>
        <Group>
            <GroupID>1691</GroupID>
            <GroupDescription>03.08.09 - Plugs</GroupDescription>
        </Group>
        <Group>
            <GroupID>1692</GroupID>
            <GroupDescription>10.08.05 - Liquid</GroupDescription>
        </Group>
        <Group>
            <GroupID>1693</GroupID>
            <GroupDescription>10.08.06 - Delivery Device For Occlusion Media</GroupDescription>
        </Group>
        <Group>
            <GroupID>1694</GroupID>
            <GroupDescription>06.03.03 - Plates</GroupDescription>
        </Group>
        <Group>
            <GroupID>1695</GroupID>
            <GroupDescription>04.02.09 - Repair, Self-Adhesive Membrane Sealant, Large (&gt;50 to 100cm²)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1696</GroupID>
            <GroupDescription>05.01.01 - Inflatable</GroupDescription>
        </Group>
        <Group>
            <GroupID>1698</GroupID>
            <GroupDescription>05.01.03 - Sling</GroupDescription>
        </Group>
        <Group>
            <GroupID>1699</GroupID>
            <GroupDescription>05.01.04 - Injectable, Synthetic</GroupDescription>
        </Group>
        <Group>
            <GroupID>1701</GroupID>
            <GroupDescription>05.02.01 - Fixed length</GroupDescription>
        </Group>
        <Group>
            <GroupID>1702</GroupID>
            <GroupDescription>05.02.02 - Multi-length</GroupDescription>
        </Group>
        <Group>
            <GroupID>1703</GroupID>
            <GroupDescription>05.02.03 - Urinary diversion</GroupDescription>
        </Group>
        <Group>
            <GroupID>1707</GroupID>
            <GroupDescription>05.04.02 - Biological</GroupDescription>
        </Group>
        <Group>
            <GroupID>1709</GroupID>
            <GroupDescription>05.05.02 - Inflatable - Two component</GroupDescription>
        </Group>
        <Group>
            <GroupID>1710</GroupID>
            <GroupDescription>05.05.03 - Inflatable - Three component</GroupDescription>
        </Group>
        <Group>
            <GroupID>1711</GroupID>
            <GroupDescription>05.06.01 - Testicular prostheses</GroupDescription>
        </Group>
        <Group>
            <GroupID>1712</GroupID>
            <GroupDescription>05.07.01 - Primary Cell Pulse Generator (non-rechargeable)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1713</GroupID>
            <GroupDescription>05.07.02 - External Components</GroupDescription>
        </Group>
        <Group>
            <GroupID>1714</GroupID>
            <GroupDescription>05.07.03 - Lead</GroupDescription>
        </Group>
        <Group>
            <GroupID>1715</GroupID>
            <GroupDescription>05.07.04 - Accessories</GroupDescription>
        </Group>
        <Group>
            <GroupID>1716</GroupID>
            <GroupDescription>05.08.01 - Extraluminal</GroupDescription>
        </Group>
        <Group>
            <GroupID>1718</GroupID>
            <GroupDescription>05.09.01 - Nephrostomy Catheters</GroupDescription>
        </Group>
        <Group>
            <GroupID>1719</GroupID>
            <GroupDescription>05.10.01 - Vesicoureteral Reflux Prostheses</GroupDescription>
        </Group>
        <Group>
            <GroupID>1721</GroupID>
            <GroupDescription>05.05.01 - Malleable</GroupDescription>
        </Group>
        <Group>
            <GroupID>1723</GroupID>
            <GroupDescription>08.01.02 - Features of 8.1.1 plus auto test sensing parameters, auto capture threshold test, lead impedance test, wireless remote analysis</GroupDescription>
        </Group>
        <Group>
            <GroupID>1725</GroupID>
            <GroupDescription>08.02.02 - Features of 8.2.1 plus auto test sensing parameters, auto capture threshold test, lead impedance test, wireless remote analysis</GroupDescription>
        </Group>
        <Group>
            <GroupID>1727</GroupID>
            <GroupDescription>08.03.02 - Features of 8.3.1 plus auto test sensing parameters, auto capture threshold test, lead impedance test, wireless remote analysis</GroupDescription>
        </Group>
        <Group>
            <GroupID>1730</GroupID>
            <GroupDescription>08.04.03 - SSIR with small/compact size, multi-programmability &amp; longevity, &amp; four or more advanced features</GroupDescription>
        </Group>
        <Group>
            <GroupID>1732</GroupID>
            <GroupDescription>08.05.02 - DDDR/VDDR including rate responsive feature</GroupDescription>
        </Group>
        <Group>
            <GroupID>1734</GroupID>
            <GroupDescription>08.05.04 - DDDR with continuous threshold monitoring in atrium + ventricle with ability to adapt pacing outputs accordingly, &amp; with four or more advanced features</GroupDescription>
        </Group>
        <Group>
            <GroupID>1736</GroupID>
            <GroupDescription>08.06.02 - Features of 8.6.1 plus continuous threshold monitoring in atrium &amp; ventricle with ability to adapt pacing outputs accordingly</GroupDescription>
        </Group>
        <Group>
            <GroupID>1737</GroupID>
            <GroupDescription>08.07.01 - Coronary Sinus</GroupDescription>
        </Group>
        <Group>
            <GroupID>1738</GroupID>
            <GroupDescription>08.07.02 - Subcutaneous</GroupDescription>
        </Group>
        <Group>
            <GroupID>1741</GroupID>
            <GroupDescription>08.07.05 - Transvenous/Steroid/Passive</GroupDescription>
        </Group>
        <Group>
            <GroupID>1743</GroupID>
            <GroupDescription>08.07.06 - Transvenous/Steroid/Active</GroupDescription>
        </Group>
        <Group>
            <GroupID>1745</GroupID>
            <GroupDescription>08.07.07 - Epicardial Patches</GroupDescription>
        </Group>
        <Group>
            <GroupID>1746</GroupID>
            <GroupDescription>08.08.01 - Non-transvenous, Bi-Polar, Steroid</GroupDescription>
        </Group>
        <Group>
            <GroupID>1747</GroupID>
            <GroupDescription>08.08.02 - Non-transvenous, Uni-Polar, Steroid</GroupDescription>
        </Group>
        <Group>
            <GroupID>1748</GroupID>
            <GroupDescription>08.08.03 - Non-transvenous, Uni-Polar, Non-Steroid</GroupDescription>
        </Group>
        <Group>
            <GroupID>1751</GroupID>
            <GroupDescription>08.08.06 - Transvenous, Uni-Polar, Passive, Steroid, Left Ventricular</GroupDescription>
        </Group>
        <Group>
            <GroupID>1753</GroupID>
            <GroupDescription>08.08.08 - Transvenous, Bi-Polar, Passive, Steroid, Right Ventricular/Atrial</GroupDescription>
        </Group>
        <Group>
            <GroupID>1756</GroupID>
            <GroupDescription>08.08.09 - Transvenous, Bi-Polar, Active, Steroid, Right Ventricular/Atrial</GroupDescription>
        </Group>
        <Group>
            <GroupID>1759</GroupID>
            <GroupDescription>08.08.11 - Transvenous, Multi-Polar, Passive, Steroid, Left Ventricular</GroupDescription>
        </Group>
        <Group>
            <GroupID>1763</GroupID>
            <GroupDescription>08.09.01 - Pacemaker/ICD Adaptors</GroupDescription>
        </Group>
        <Group>
            <GroupID>1764</GroupID>
            <GroupDescription>08.10.01 - Pacemaker/ICD Adaptors</GroupDescription>
        </Group>
        <Group>
            <GroupID>1765</GroupID>
            <GroupDescription>08.11.01 - Pacemaker/Lead Accessories</GroupDescription>
        </Group>
        <Group>
            <GroupID>1766</GroupID>
            <GroupDescription>08.12.01 - Drug Eluting</GroupDescription>
        </Group>
        <Group>
            <GroupID>1767</GroupID>
            <GroupDescription>08.12.02 - Bare Metal</GroupDescription>
        </Group>
        <Group>
            <GroupID>1768</GroupID>
            <GroupDescription>08.13.01 - Cardiac Defect Occluders</GroupDescription>
        </Group>
        <Group>
            <GroupID>1769</GroupID>
            <GroupDescription>08.13.02 - Vascular Occlusion Devices</GroupDescription>
        </Group>
        <Group>
            <GroupID>1770</GroupID>
            <GroupDescription>08.14.01 - Implantable Cardiac Event Recorders</GroupDescription>
        </Group>
        <Group>
            <GroupID>1771</GroupID>
            <GroupDescription>03.08.10 - Anastomosis Clip</GroupDescription>
        </Group>
        <Group>
            <GroupID>1772</GroupID>
            <GroupDescription>06.03.05 - Surgical Accessories</GroupDescription>
        </Group>
        <Group>
            <GroupID>1773</GroupID>
            <GroupDescription>06.03.06 - Staples</GroupDescription>
        </Group>
        <Group>
            <GroupID>1774</GroupID>
            <GroupDescription>06.03.07 - Soft Tissue Fixation Devices</GroupDescription>
        </Group>
        <Group>
            <GroupID>1776</GroupID>
            <GroupDescription>06.03.08 - Soft Tissue Substitute</GroupDescription>
        </Group>
        <Group>
            <GroupID>1777</GroupID>
            <GroupDescription>06.03.16 - Meshes</GroupDescription>
        </Group>
        <Group>
            <GroupID>1778</GroupID>
            <GroupDescription>06.03.17 - Tumour / Limb Deficiency</GroupDescription>
        </Group>
        <Group>
            <GroupID>1779</GroupID>
            <GroupDescription>03.04.03 - Replacement Injection Ports</GroupDescription>
        </Group>
        <Group>
            <GroupID>1781</GroupID>
            <GroupDescription>03.04.02 - Gastric Band without Port</GroupDescription>
        </Group>
        <Group>
            <GroupID>1782</GroupID>
            <GroupDescription>03.08.05 - Polypropylene/Polyester Mesh</GroupDescription>
        </Group>
        <Group>
            <GroupID>1783</GroupID>
            <GroupDescription>03.08.06 - Composite Mesh</GroupDescription>
        </Group>
        <Group>
            <GroupID>1785</GroupID>
            <GroupDescription>03.08.08 - PTFE/ePTFE Mesh</GroupDescription>
        </Group>
        <Group>
            <GroupID>1786</GroupID>
            <GroupDescription>05.01.02 - Permanently Adjustable</GroupDescription>
        </Group>
        <Group>
            <GroupID>1790</GroupID>
            <GroupDescription>09.08.02 - Surgical closure devices (atrial appendage)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1791</GroupID>
            <GroupDescription>09.10.01 - Skeletal fixation, sternum</GroupDescription>
        </Group>
        <Group>
            <GroupID>1792</GroupID>
            <GroupDescription>03.01.03 - Tissue Expander/Separator</GroupDescription>
        </Group>
        <Group>
            <GroupID>1793</GroupID>
            <GroupDescription>03.07.03 - Drainage Shunts, Peritineovenous</GroupDescription>
        </Group>
        <Group>
            <GroupID>1794</GroupID>
            <GroupDescription>04.09.01 - Transducer</GroupDescription>
        </Group>
        <Group>
            <GroupID>1796</GroupID>
            <GroupDescription>04.10.01 - External Ventricular Drain</GroupDescription>
        </Group>
        <Group>
            <GroupID>1797</GroupID>
            <GroupDescription>03.05.06 - Foam</GroupDescription>
        </Group>
        <Group>
            <GroupID>1798</GroupID>
            <GroupDescription>03.08.07 - Complete Biomaterial Mesh</GroupDescription>
        </Group>
        <Group>
            <GroupID>1799</GroupID>
            <GroupDescription>03.08.11 - Dynamic Wound Closure Devices</GroupDescription>
        </Group>
        <Group>
            <GroupID>1800</GroupID>
            <GroupDescription>05.03.01 - Urethral Stents</GroupDescription>
        </Group>
        <Group>
            <GroupID>1801</GroupID>
            <GroupDescription>05.03.02 - Prostatic Retractor</GroupDescription>
        </Group>
        <Group>
            <GroupID>1802</GroupID>
            <GroupDescription>01.05.03 - Ab Interno Glaucoma Drainage Device</GroupDescription>
        </Group>
        <Group>
            <GroupID>1803</GroupID>
            <GroupDescription>01.07.03 - Balloon Dilatation Catheters</GroupDescription>
        </Group>
        <Group>
            <GroupID>1804</GroupID>
            <GroupDescription>08.15.01 - Uncovered</GroupDescription>
        </Group>
        <Group>
            <GroupID>1805</GroupID>
            <GroupDescription>08.15.02 - Covered</GroupDescription>
        </Group>
        <Group>
            <GroupID>1806</GroupID>
            <GroupDescription>11.04.27 - Insert Orientation Spacer Ring</GroupDescription>
        </Group>
        <Group>
            <GroupID>1807</GroupID>
            <GroupDescription>07.02.09 - Anatomical Biomodel</GroupDescription>
        </Group>
        <Group>
            <GroupID>1811</GroupID>
            <GroupDescription>09.09.04 - Hybrid stent graft (unbranched)</GroupDescription>
        </Group>
        <Group>
            <GroupID>1812</GroupID>
            <GroupDescription>08.01.03 - Single Chamber, Subcutaneous</GroupDescription>
        </Group>
        <Group>
            <GroupID>1814</GroupID>
            <GroupDescription>13.12.05 - Non Stackable Cage, other</GroupDescription>
        </Group>
        <Group>
            <GroupID>1815</GroupID>
            <GroupDescription>09.02.04 - Rapid deployment aortic valve with dedicated single use tools</GroupDescription>
        </Group>
        <Group>
            <GroupID>1816</GroupID>
            <GroupDescription>13.02.08 - Sublaminar Cable</GroupDescription>
        </Group>
        <Group>
            <GroupID>1817</GroupID>
            <GroupDescription>02.02.02 - Nasal Valve Stent</GroupDescription>
        </Group>
        <Group>
            <GroupID>1819</GroupID>
            <GroupDescription>09.11.01 - Ventricular Assist System</GroupDescription>
        </Group>
        <Group>
            <GroupID>1820</GroupID>
            <GroupDescription>11.04.28 - Acetabular Stem or equivalent</GroupDescription>
        </Group>
        <Group>
            <GroupID>1821</GroupID>
            <GroupDescription>13.14.01 - Sacroiliac Joint Fixation Device</GroupDescription>
        </Group>
        <Group>
            <GroupID>1822</GroupID>
            <GroupDescription>01.10.01 - Foldable</GroupDescription>
        </Group>
        <Group>
            <GroupID>1823</GroupID>
            <GroupDescription>13.15.01 - Annular closure/reconstruction device</GroupDescription>
        </Group>
        <Group>
            <GroupID>1824</GroupID>
            <GroupDescription>09.12.01 - Pectus Bar</GroupDescription>
        </Group>
        <Group>
            <GroupID>1825</GroupID>
            <GroupDescription>09.12.02 - Stabilisers</GroupDescription>
        </Group>
        <Group>
            <GroupID>1826</GroupID>
            <GroupDescription>13.06.05 - Rod, Percutaneous Controlled Expansion</GroupDescription>
        </Group>
        <Group>
            <GroupID>1828</GroupID>
            <GroupDescription>09.13.01 - Chordal Replacement Devices, fixed and adjustable</GroupDescription>
        </Group>
        <Group>
            <GroupID>1829</GroupID>
            <GroupDescription>08.11.02 - Antibacterial Envelope</GroupDescription>
        </Group>
        <Group>
            <GroupID>1830</GroupID>
            <GroupDescription>09.11.02 - External Components</GroupDescription>
        </Group>
        <Group>
            <GroupID>1831</GroupID>
            <GroupDescription>09.11.03 - Patient Mobility Accessories</GroupDescription>
        </Group>
        <Group>
            <GroupID>1832</GroupID>
            <GroupDescription>08.16.01 - Remote Monitoring System</GroupDescription>
        </Group>
        <Group>
            <GroupID>1841</GroupID>
            <GroupDescription>09.04.04 - Atrio-Ventricular Ring or Band, Standard</GroupDescription>
        </Group>
        <Group>
            <GroupID>1842</GroupID>
            <GroupDescription>09.04.05 - Atrio-Ventricular Ring or Band, Modified</GroupDescription>
        </Group>
        <Group>
            <GroupID>1901</GroupID>
            <GroupDescription>07.01.08 - Non-mesh, non-resorbable</GroupDescription>
        </Group>
        <Group>
            <GroupID>2945</GroupID>
            <GroupDescription>06.03.12 - Internal Fixator</GroupDescription>
        </Group>
        <Group>
            <GroupID>2946</GroupID>
            <GroupDescription>08.18.01 - Radio frequency (RF) Ablation</GroupDescription>
        </Group>
        <Group>
            <GroupID>2947</GroupID>
            <GroupDescription>08.18.02 - Cryoablation</GroupDescription>
        </Group>
        <Group>
            <GroupID>2948</GroupID>
            <GroupDescription>09.14.01 - RF Ablation</GroupDescription>
        </Group>
        <Group>
            <GroupID>2949</GroupID>
            <GroupDescription>09.14.02 - Cryoablation</GroupDescription>
        </Group>
        <Group>
            <GroupID>2952</GroupID>
            <GroupDescription>08.17.02 - Mitral Valve Repair</GroupDescription>
        </Group>
        <Group>
            <GroupID>2957</GroupID>
            <GroupDescription>09.09.06 - Straight Tube</GroupDescription>
        </Group>
    </Groups>
    <SubGroups>
        <SubGroup>
            <SubGroupID>6144</SubGroupID>
            <SubGroupDescription>06.02.02.11 - Finger, interphalangeal - proximal component</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6145</SubGroupID>
            <SubGroupDescription>06.02.02.12 - Finger, interphalangeal - distal component</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6146</SubGroupID>
            <SubGroupDescription>06.02.02.13 - Interpositional Devices</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4111</SubGroupID>
            <SubGroupDescription>06.03.15.06 - Demineralised Bone Matrix, 2 – 5cc</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4112</SubGroupID>
            <SubGroupDescription>06.03.15.07 - Demineralised Bone Matrix, &gt;5cc - 10cc</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4113</SubGroupID>
            <SubGroupDescription>06.03.15.08 - Demineralised Bone Matrix, &gt;10cc</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4114</SubGroupID>
            <SubGroupDescription>06.03.15.09 - Composite (Extracellular Collagen Matrix with DBM or Ceramic), 0 - 5cc</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4115</SubGroupID>
            <SubGroupDescription>06.03.15.10 - Composite (Extracellular Collagen Matrix with DBM or Ceramic), &gt;5cc - 10cc</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4116</SubGroupID>
            <SubGroupDescription>06.03.15.11 - Composite (Extracellular Collagen Matrix with DBM or Ceramic), &gt;10cc - 20cc</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4117</SubGroupID>
            <SubGroupDescription>06.03.15.12 - Composite (Extracellular Collagen Matrix with DBM or Ceramic), &gt;20cc</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4122</SubGroupID>
            <SubGroupDescription>06.03.15.17 - Metal Scaffold</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4123</SubGroupID>
            <SubGroupDescription>13.03.03.01 - Fixed</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4124</SubGroupID>
            <SubGroupDescription>13.03.03.02 - Adjustable</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4125</SubGroupID>
            <SubGroupDescription>13.05.01.01 - Cervical</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4126</SubGroupID>
            <SubGroupDescription>13.05.01.02 - ThoracoLumbar / Lumbar / Lumbosacral</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4127</SubGroupID>
            <SubGroupDescription>13.05.02.01 - Cervical</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4128</SubGroupID>
            <SubGroupDescription>13.05.02.02 - ThoracoLumbar</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4129</SubGroupID>
            <SubGroupDescription>13.05.02.03 - Occipital</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4131</SubGroupID>
            <SubGroupDescription>13.05.02.05 - Laminoplasty Plate</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4132</SubGroupID>
            <SubGroupDescription>13.06.03.01 - Thoracolumbar</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6181</SubGroupID>
            <SubGroupDescription>06.03.05.13 - Chest Wall Reconstruction Plate Accessories</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4133</SubGroupID>
            <SubGroupDescription>13.06.03.02 - Occipital</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4134</SubGroupID>
            <SubGroupDescription>13.10.02.01 - Cervical</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4135</SubGroupID>
            <SubGroupDescription>13.10.02.02 - ThoracoLumbar / Lumbar</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4136</SubGroupID>
            <SubGroupDescription>13.12.01.01 - Integral Fixation</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4137</SubGroupID>
            <SubGroupDescription>13.12.01.02 - No Integral Fixation</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4138</SubGroupID>
            <SubGroupDescription>13.12.01.03 - End Plate</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4141</SubGroupID>
            <SubGroupDescription>09.05.02.01 - Cardiovascular &lt; 75cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4142</SubGroupID>
            <SubGroupDescription>09.05.02.02 - Cardiovascular ≥ 75cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4145</SubGroupID>
            <SubGroupDescription>02.01.02.01 - Initial</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4147</SubGroupID>
            <SubGroupDescription>02.01.02.02 - Replacement</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7221</SubGroupID>
            <SubGroupDescription>06.03.08.03 - Non-biological cartilage substitute</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4150</SubGroupID>
            <SubGroupDescription>02.01.04.01 - Sound Processor</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4151</SubGroupID>
            <SubGroupDescription>02.01.04.02 - Osseointegration</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4152</SubGroupID>
            <SubGroupDescription>02.01.04.03 - Cover Screw</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6201</SubGroupID>
            <SubGroupDescription>07.01.08.01 - &lt;6cm2</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4154</SubGroupID>
            <SubGroupDescription>02.01.05.01 - Stapes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6202</SubGroupID>
            <SubGroupDescription>07.01.08.02 - &gt;6cm2 - &lt;8cm2</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4155</SubGroupID>
            <SubGroupDescription>02.01.05.02 - Malleus</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6203</SubGroupID>
            <SubGroupDescription>07.01.08.03 - &gt;8cm2</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4156</SubGroupID>
            <SubGroupDescription>02.01.05.03 - Partial Ossicle Replacement (one or two)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4157</SubGroupID>
            <SubGroupDescription>02.01.05.04 - Total Ossicle Replacement (three)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4162</SubGroupID>
            <SubGroupDescription>03.01.02.01 - Standard Dose</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4163</SubGroupID>
            <SubGroupDescription>03.01.02.02 - Single Seed or Partial Dose</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4164</SubGroupID>
            <SubGroupDescription>03.02.01.01 - Single Lumen</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4183</SubGroupID>
            <SubGroupDescription>03.02.03.02 - Insulin infusion pump (as 3.2.3.1) with integral calculator to determine boluses and active insulin</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4185</SubGroupID>
            <SubGroupDescription>03.02.03.04 - Other Pharmacology</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4186</SubGroupID>
            <SubGroupDescription>03.02.03.05 - Programmable/Reprogrammable Flow Rate and Bolus</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4187</SubGroupID>
            <SubGroupDescription>03.02.03.03 - Device has capability to automatically adjust the insulin delivery based on continuous glucose monitoring data</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4188</SubGroupID>
            <SubGroupDescription>03.02.04.01 - Fixed Flow Rate</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4190</SubGroupID>
            <SubGroupDescription>03.02.05.01 - Kit</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4191</SubGroupID>
            <SubGroupDescription>03.02.05.02 - Administration Cassette</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4192</SubGroupID>
            <SubGroupDescription>03.02.05.03 - Administration Reservoir</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4193</SubGroupID>
            <SubGroupDescription>03.02.05.04 - Administration Set</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4194</SubGroupID>
            <SubGroupDescription>03.02.05.05 - Other</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4195</SubGroupID>
            <SubGroupDescription>03.02.06.01 - Single Units</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4197</SubGroupID>
            <SubGroupDescription>03.03.02.01 - Initial</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4198</SubGroupID>
            <SubGroupDescription>03.03.02.02 - Subsequent</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4199</SubGroupID>
            <SubGroupDescription>03.05.03.01 - Absorbable ≤75cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4200</SubGroupID>
            <SubGroupDescription>03.05.03.02 - Absorbable &gt;75cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4201</SubGroupID>
            <SubGroupDescription>07.01.01.01 - &lt;0.2mm thick, 1-50cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4202</SubGroupID>
            <SubGroupDescription>07.01.01.02 - &lt;0.2mm thick, 51-100cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4203</SubGroupID>
            <SubGroupDescription>07.01.01.03 - 0.2-0.49mm thick, 1-10cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4204</SubGroupID>
            <SubGroupDescription>07.01.01.04 - 0.2-0.49mm thick, 11-50cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4205</SubGroupID>
            <SubGroupDescription>07.01.01.05 - 0.2-0.49mm thick, 51-200cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4206</SubGroupID>
            <SubGroupDescription>07.01.01.06 - 0.2-0.49mm thick, &gt;200cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4207</SubGroupID>
            <SubGroupDescription>07.01.01.07 - 0.5-0.8mm thick, 1-10cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4208</SubGroupID>
            <SubGroupDescription>07.01.01.08 - 0.5-0.8mm thick, 11-50cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4209</SubGroupID>
            <SubGroupDescription>07.01.01.09 - 0.5-0.8mm thick, 51-200cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4210</SubGroupID>
            <SubGroupDescription>07.01.01.10 - 0.5-0.8mm thick, &gt;200cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4213</SubGroupID>
            <SubGroupDescription>03.05.05.01 - Liquid ≤6ml</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4214</SubGroupID>
            <SubGroupDescription>03.05.05.02 - Liquid &gt;6ml</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4215</SubGroupID>
            <SubGroupDescription>03.05.05.03 - Non-liquid ≤50cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4216</SubGroupID>
            <SubGroupDescription>03.05.05.04 - Non-liquid &gt;50cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4217</SubGroupID>
            <SubGroupDescription>03.05.05.05 - Accessory Extender</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4218</SubGroupID>
            <SubGroupDescription>03.06.01.01 - Non-reinforced Wall</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4220</SubGroupID>
            <SubGroupDescription>07.01.02.02 - &lt;0.2mm thick, 11-25cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4221</SubGroupID>
            <SubGroupDescription>07.01.02.03 - 0.2-0.49mm thick, 1-10cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4222</SubGroupID>
            <SubGroupDescription>07.01.02.04 - 0.2-0.49mm thick, 11-25cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4223</SubGroupID>
            <SubGroupDescription>07.01.02.05 - 0.2-0.49mm thick, 26-50cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4225</SubGroupID>
            <SubGroupDescription>07.01.02.07 - 0.5-0.8mm thick, 1-10cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4226</SubGroupID>
            <SubGroupDescription>07.01.02.08 - 0.5-0.8mm thick, 11-25cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4227</SubGroupID>
            <SubGroupDescription>07.01.02.09 - 0.5-0.8mm thick, 26-50cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4228</SubGroupID>
            <SubGroupDescription>07.01.02.10 - 0.5-0.8mm thick, 51-100cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4229</SubGroupID>
            <SubGroupDescription>07.01.02.11 - 0.5-0.8mm thick, 101-200cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4230</SubGroupID>
            <SubGroupDescription>07.01.02.12 - &gt;0.8mm thick, 1-10cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5255</SubGroupID>
            <SubGroupDescription>06.03.03.01 - Standard (screw size ≥4.5mm)(including blade) ≤ 6 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4231</SubGroupID>
            <SubGroupDescription>07.01.02.13 - &gt;0.8mm thick, 11-25cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5256</SubGroupID>
            <SubGroupDescription>06.03.03.02 - Standard (screw size ≥4.5mm)(including blade) ≥ 7 to ≤ 15 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4232</SubGroupID>
            <SubGroupDescription>07.01.02.14 - &gt;0.8mm thick, 26-50cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6281</SubGroupID>
            <SubGroupDescription>03.01.03.02 - Gel 10mL or Balloon</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5257</SubGroupID>
            <SubGroupDescription>06.03.03.03 - Standard (screw size ≥4.5mm)(including blade) ≥ 16 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4233</SubGroupID>
            <SubGroupDescription>07.01.02.15 - &gt;0.8mm thick, 51-100cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4234</SubGroupID>
            <SubGroupDescription>03.06.01.02 - Reinforced Wall, Uncovered/Bare Metal</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5258</SubGroupID>
            <SubGroupDescription>06.03.03.04 - Small (screw size 2.71mm – 4.49mm)(including blade) ≤ 6 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4235</SubGroupID>
            <SubGroupDescription>03.06.01.03 - Reinforced Wall, Covered</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5259</SubGroupID>
            <SubGroupDescription>06.03.03.05 - Small (screw size 2.71mm – 4.49mm)(including blade) ≥ 7 to ≤ 15 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5260</SubGroupID>
            <SubGroupDescription>06.03.03.06 - Small (screw size 2.71mm – 4.49mm)(including blade) ≥ 16 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4237</SubGroupID>
            <SubGroupDescription>03.06.03.02 - Reinforced Wall, Uncovered/Bare Metal</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5261</SubGroupID>
            <SubGroupDescription>06.03.03.07 - Mini (screw size ≤2.7mm)(including blade) ≤ 6 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4238</SubGroupID>
            <SubGroupDescription>03.06.03.03 - Reinforced Wall, Covered</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5262</SubGroupID>
            <SubGroupDescription>06.03.03.08 - Mini (screw size ≤2.7mm)(including blade) ≥ 7 to ≤ 15 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5263</SubGroupID>
            <SubGroupDescription>06.03.03.09 - Mini (screw size ≤2.7mm)(including blade) ≥ 16 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4239</SubGroupID>
            <SubGroupDescription>07.01.03.01 - 0.5-0.8mm thick, 1-25cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5264</SubGroupID>
            <SubGroupDescription>06.03.03.10 - Dynamic - Hip ≤ 6 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4240</SubGroupID>
            <SubGroupDescription>07.01.03.02 - 0.5-0.8mm thick, 26-50cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5265</SubGroupID>
            <SubGroupDescription>06.03.03.11 - Dynamic - Hip ≥ 7 to ≤ 15 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4241</SubGroupID>
            <SubGroupDescription>07.01.03.03 - &gt;0.8mm thick 26-50cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4242</SubGroupID>
            <SubGroupDescription>03.07.01.01 - Pleural</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5266</SubGroupID>
            <SubGroupDescription>06.03.03.12 - Dynamic - Hip ≥ 16 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4243</SubGroupID>
            <SubGroupDescription>03.07.01.02 - Intraperitoneal</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5267</SubGroupID>
            <SubGroupDescription>06.03.03.13 - Dynamic - supracondylar ≤ 6 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5268</SubGroupID>
            <SubGroupDescription>06.03.03.14 - Dynamic - supracondylar ≥ 7 to ≤ 15 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5269</SubGroupID>
            <SubGroupDescription>06.03.03.15 - Dynamic - supracondylar ≥ 16 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4246</SubGroupID>
            <SubGroupDescription>03.08.01.03 - Spray</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5270</SubGroupID>
            <SubGroupDescription>06.03.03.16 - Periarticular anatomic - Clavicle plate ≤ 6 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4247</SubGroupID>
            <SubGroupDescription>03.08.02.01 - Adhesive ≤2ml</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5271</SubGroupID>
            <SubGroupDescription>06.03.03.17 - Periarticular anatomic - Clavicle plate ≥ 7 to ≤ 15 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4248</SubGroupID>
            <SubGroupDescription>03.08.02.02 - Adhesive &gt;2-5ml</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5272</SubGroupID>
            <SubGroupDescription>06.03.03.18 - Periarticular anatomic - Clavicle plate ≥ 16 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4249</SubGroupID>
            <SubGroupDescription>03.08.02.03 - Adhesive &gt;5ml</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5273</SubGroupID>
            <SubGroupDescription>06.03.03.19 - Periarticular anatomic - Humerus ≤ 6 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4250</SubGroupID>
            <SubGroupDescription>03.08.02.04 - Adhesive Accessory</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5274</SubGroupID>
            <SubGroupDescription>06.03.03.20 - Periarticular anatomic - Humerus ≥ 7 to ≤ 15 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4251</SubGroupID>
            <SubGroupDescription>03.08.02.05 - Adhesive Peristrips</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5275</SubGroupID>
            <SubGroupDescription>06.03.03.21 - Periarticular anatomic - Humerus ≥ 16 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4252</SubGroupID>
            <SubGroupDescription>03.08.02.06 - Pleurodesis Powder</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5276</SubGroupID>
            <SubGroupDescription>06.03.03.22 - Periarticular anatomic - Radius ≤ 6 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5277</SubGroupID>
            <SubGroupDescription>06.03.03.23 - Periarticular anatomic - Radius ≥ 7 to ≤ 15 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4253</SubGroupID>
            <SubGroupDescription>07.01.04.01 - Resorbable</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5278</SubGroupID>
            <SubGroupDescription>06.03.03.24 - Periarticular anatomic - Radius ≥ 16 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4254</SubGroupID>
            <SubGroupDescription>07.01.04.02 - Polymer</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5279</SubGroupID>
            <SubGroupDescription>06.03.03.25 - Periarticular anatomic - Ulna ≤ 6 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4255</SubGroupID>
            <SubGroupDescription>07.01.04.03 - Block</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4256</SubGroupID>
            <SubGroupDescription>03.08.03.01 - Clips</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5280</SubGroupID>
            <SubGroupDescription>06.03.03.26 - Periarticular anatomic - Ulna ≥ 7 to ≤ 15 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4257</SubGroupID>
            <SubGroupDescription>03.08.03.02 - Clip Applier</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5281</SubGroupID>
            <SubGroupDescription>06.03.03.27 - Periarticular anatomic - Ulna ≥ 16 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4258</SubGroupID>
            <SubGroupDescription>03.08.03.03 - Clips with Disposable Applier</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5282</SubGroupID>
            <SubGroupDescription>06.03.03.28 - Periarticular anatomic - Hand-phalangeal</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4259</SubGroupID>
            <SubGroupDescription>03.08.03.04 - Clip Reload Cartridge</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5283</SubGroupID>
            <SubGroupDescription>06.03.03.29 - Periarticular anatomic - Pelvis ≤ 6 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4260</SubGroupID>
            <SubGroupDescription>03.08.03.05 - Sutures</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5284</SubGroupID>
            <SubGroupDescription>06.03.03.30 - Periarticular anatomic - Pelvis ≥ 7 to ≤ 15 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5285</SubGroupID>
            <SubGroupDescription>06.03.03.31 - Periarticular anatomic - Pelvis ≥ 16 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4261</SubGroupID>
            <SubGroupDescription>07.01.05.01 - &lt;0.5mm thick, &lt;4 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5286</SubGroupID>
            <SubGroupDescription>06.03.03.32 - Periarticular anatomic - Femur ≤ 6 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5287</SubGroupID>
            <SubGroupDescription>06.03.03.33 - Periarticular anatomic - Femur ≥ 7 to ≤ 15 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4263</SubGroupID>
            <SubGroupDescription>07.01.05.02 - &lt;0.5mm thick, 4-7 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5288</SubGroupID>
            <SubGroupDescription>06.03.03.34 - Periarticular anatomic - Femur ≥ 16 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5289</SubGroupID>
            <SubGroupDescription>06.03.03.35 - Periarticular anatomic - Fibula ≤ 6 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4265</SubGroupID>
            <SubGroupDescription>07.01.05.03 - &lt;0.5mm thick, 8-15 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5290</SubGroupID>
            <SubGroupDescription>06.03.03.36 - Periarticular anatomic - Fibula ≥ 7 to ≤ 15 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4266</SubGroupID>
            <SubGroupDescription>07.01.05.04 - &lt;0.5mm thick, 16-32 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5291</SubGroupID>
            <SubGroupDescription>06.03.03.37 - Periarticular anatomic - Fibula ≥ 16 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4267</SubGroupID>
            <SubGroupDescription>07.01.05.05 - 0.5-0.99mm thick, &lt;4 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5292</SubGroupID>
            <SubGroupDescription>06.03.03.38 - Periarticular anatomic - Tibia ≤ 6 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5293</SubGroupID>
            <SubGroupDescription>06.03.03.39 - Periarticular anatomic - Tibia ≥ 7 to ≤ 15 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5294</SubGroupID>
            <SubGroupDescription>06.03.03.40 - Periarticular anatomic - Tibia ≥ 16 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5295</SubGroupID>
            <SubGroupDescription>06.03.03.41 - Periarticular anatomic - Calcaneal ≤ 6 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4271</SubGroupID>
            <SubGroupDescription>07.01.05.06 - 0.5-0.99mm thick, 4-7 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5296</SubGroupID>
            <SubGroupDescription>06.03.03.42 - Periarticular anatomic - Calcaneal ≥ 7 to ≤ 15 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7345</SubGroupID>
            <SubGroupDescription>03.05.05.06 - Powder &gt;6ml</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5297</SubGroupID>
            <SubGroupDescription>06.03.03.43 - Periarticular anatomic - Calcaneal ≥ 16 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5298</SubGroupID>
            <SubGroupDescription>06.03.03.44 - Periarticular anatomic - Foot</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5299</SubGroupID>
            <SubGroupDescription>06.03.03.45 - Periarticular anatomic - Cable plate (hook/grip) ≤ 6 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5300</SubGroupID>
            <SubGroupDescription>06.03.03.46 - Periarticular anatomic - Cable plate (hook/grip) ≥ 7 to ≤ 15 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7348</SubGroupID>
            <SubGroupDescription>06.03.12.01 - Elbow</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7349</SubGroupID>
            <SubGroupDescription>08.18.01.01 - Irrigated Cardiac Ablation Catheter</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4277</SubGroupID>
            <SubGroupDescription>07.01.05.07 - 0.5-0.99mm thick, 8-32 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7350</SubGroupID>
            <SubGroupDescription>08.18.01.02 - Patch</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5302</SubGroupID>
            <SubGroupDescription>06.03.03.48 - Periarticular anatomic - Cable plate with integrated cables - 2 or less, ≤ 6 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7351</SubGroupID>
            <SubGroupDescription>08.18.01.03 - Mapping Catheter</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5303</SubGroupID>
            <SubGroupDescription>06.03.03.49 - Periarticular anatomic - Cable plate with integrated cables - &gt; 2, ≤ 6 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7352</SubGroupID>
            <SubGroupDescription>08.18.02.01 - Ablation Catheter</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7353</SubGroupID>
            <SubGroupDescription>08.18.02.02 - Mapping Catheter</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7354</SubGroupID>
            <SubGroupDescription>09.14.01.01 - Monopolar</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5306</SubGroupID>
            <SubGroupDescription>05.01.01.01 - Pump</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7355</SubGroupID>
            <SubGroupDescription>09.14.01.02 - Bipolar</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5307</SubGroupID>
            <SubGroupDescription>05.01.01.02 - Occlusive cuff</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7356</SubGroupID>
            <SubGroupDescription>09.14.01.03 - System</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5308</SubGroupID>
            <SubGroupDescription>05.01.01.03 - Regulating Balloon</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4284</SubGroupID>
            <SubGroupDescription>07.01.05.08 - 0.5-0.99mm thick, &gt;32 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3261</SubGroupID>
            <SubGroupDescription>06.01.02.01 - Metal</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7358</SubGroupID>
            <SubGroupDescription>09.14.02.01 - Probe</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5310</SubGroupID>
            <SubGroupDescription>05.01.01.05 - Accessory kit</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4286</SubGroupID>
            <SubGroupDescription>07.01.05.09 - 1.0-1.99mm thick, &lt;4 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7359</SubGroupID>
            <SubGroupDescription>09.14.02.02 - System</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5311</SubGroupID>
            <SubGroupDescription>05.01.01.06 - System</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7360</SubGroupID>
            <SubGroupDescription>03.02.03.06 - Insulin Infusion Pump - accessories subsequent annual supply</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4288</SubGroupID>
            <SubGroupDescription>07.01.05.10 - 1.0-1.99mm thick, 4-7 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7361</SubGroupID>
            <SubGroupDescription>03.08.03.10 - Laparoscopic Suturing Device</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5314</SubGroupID>
            <SubGroupDescription>05.01.03.01 - Male</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7362</SubGroupID>
            <SubGroupDescription>06.03.01.14 - Calcaneal</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7363</SubGroupID>
            <SubGroupDescription>03.07.01.06 - Anal Fistula</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5315</SubGroupID>
            <SubGroupDescription>05.01.03.02 - Female</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5316</SubGroupID>
            <SubGroupDescription>05.01.04.01 - 1 ml</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7364</SubGroupID>
            <SubGroupDescription>10.01.01.05 - Catheter with 4 or 6 stents</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4293</SubGroupID>
            <SubGroupDescription>07.01.05.11 - 1.0-1.99mm thick, 8-15 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7365</SubGroupID>
            <SubGroupDescription>08.17.02.01 - Leaflet</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5318</SubGroupID>
            <SubGroupDescription>05.01.04.03 - 2 ml</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5319</SubGroupID>
            <SubGroupDescription>05.01.04.04 - 2.5 ml</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7367</SubGroupID>
            <SubGroupDescription>05.07.02.03 - Recharger</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5320</SubGroupID>
            <SubGroupDescription>05.01.04.05 - 3 ml</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4296</SubGroupID>
            <SubGroupDescription>07.01.05.12 - 1.0-1.99mm thick, 16-32 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5321</SubGroupID>
            <SubGroupDescription>05.02.01.01 - Polyurethane</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7369</SubGroupID>
            <SubGroupDescription>09.09.06.02 - 11-20cm length</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5322</SubGroupID>
            <SubGroupDescription>05.02.01.02 - Other synthetic</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7370</SubGroupID>
            <SubGroupDescription>09.09.06.03 - 21-49cm length</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5323</SubGroupID>
            <SubGroupDescription>05.02.01.03 - Metal</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7371</SubGroupID>
            <SubGroupDescription>09.09.06.04 - ≥50cm length</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7372</SubGroupID>
            <SubGroupDescription>08.18.01.04 - Non-irrigated cardiac ablation catheter</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5324</SubGroupID>
            <SubGroupDescription>05.02.02.01 - Polyurethane</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4300</SubGroupID>
            <SubGroupDescription>07.01.05.13 - 1.0-1.99mm thick, &gt;32 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5325</SubGroupID>
            <SubGroupDescription>05.02.02.02 - Other synthetic</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4301</SubGroupID>
            <SubGroupDescription>07.01.05.14 - 2.0-2.99mm thick, 4-7 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7375</SubGroupID>
            <SubGroupDescription>08.18.01.05 - Intracardiac Electrophysiology Catheter</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4303</SubGroupID>
            <SubGroupDescription>07.01.05.15 - 2.0-2.99mm thick, 8-15 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5328</SubGroupID>
            <SubGroupDescription>05.04.02.01 - &lt;70 sq cm</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5329</SubGroupID>
            <SubGroupDescription>05.04.02.02 - ≥70 sq cm</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5330</SubGroupID>
            <SubGroupDescription>05.05.03.01 - Cylinder</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5331</SubGroupID>
            <SubGroupDescription>05.05.03.02 - Reservoir</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4307</SubGroupID>
            <SubGroupDescription>07.01.05.16 - 2.0-2.99mm thick, 16-32 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5332</SubGroupID>
            <SubGroupDescription>05.05.03.03 - Pump</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5333</SubGroupID>
            <SubGroupDescription>05.05.03.04 - Deactivation set</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5334</SubGroupID>
            <SubGroupDescription>05.05.03.05 - Accessory kit</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4310</SubGroupID>
            <SubGroupDescription>07.01.05.17 - 2.0-2.99mm thick, &gt;32 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5335</SubGroupID>
            <SubGroupDescription>05.05.03.06 - Pump and cylinder</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4311</SubGroupID>
            <SubGroupDescription>07.01.05.18 - ≥3mm thick, 4-7 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4312</SubGroupID>
            <SubGroupDescription>07.01.05.19 - ≥3mm thick, 8-15 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5337</SubGroupID>
            <SubGroupDescription>05.07.02.01 - Programmer</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4314</SubGroupID>
            <SubGroupDescription>07.01.05.20 - ≥3mm thick, 16-32 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5339</SubGroupID>
            <SubGroupDescription>05.07.03.01 - Permanent</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5340</SubGroupID>
            <SubGroupDescription>05.07.03.02 - Trial</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4317</SubGroupID>
            <SubGroupDescription>03.08.04.01 - Staples, Non-bone (Reload)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5341</SubGroupID>
            <SubGroupDescription>05.07.03.03 - Extension</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4318</SubGroupID>
            <SubGroupDescription>03.08.04.02 - Staplers</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5342</SubGroupID>
            <SubGroupDescription>05.07.04.01 - Implant/Revision Kits</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4319</SubGroupID>
            <SubGroupDescription>03.08.04.03 - Staples, Reinforcer</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5343</SubGroupID>
            <SubGroupDescription>05.07.04.02 - Foramen Needle</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4320</SubGroupID>
            <SubGroupDescription>03.08.04.04 - Staples, Non-bone with Disposable Applier</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5344</SubGroupID>
            <SubGroupDescription>05.08.01.01 - Clip</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5345</SubGroupID>
            <SubGroupDescription>05.08.01.02 - Band</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4321</SubGroupID>
            <SubGroupDescription>07.01.06.01 - Diameter ≤1.24mm</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5346</SubGroupID>
            <SubGroupDescription>08.12.01.01 - General Purpose</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4323</SubGroupID>
            <SubGroupDescription>07.01.06.02 - Diameter 1.25-3.24mm</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5348</SubGroupID>
            <SubGroupDescription>08.12.02.01 - General Purpose</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5349</SubGroupID>
            <SubGroupDescription>08.12.02.02 - Special Purpose for specific indications</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5351</SubGroupID>
            <SubGroupDescription>04.07.01.02 - Lead</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4331</SubGroupID>
            <SubGroupDescription>03.08.04.05 - Tackers</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4332</SubGroupID>
            <SubGroupDescription>07.01.07.01 - Pin</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5358</SubGroupID>
            <SubGroupDescription>03.02.02.01 - Fixed Flow Rate</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4334</SubGroupID>
            <SubGroupDescription>07.01.07.03 - Washer</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5359</SubGroupID>
            <SubGroupDescription>03.02.02.02 - Variable Flow Rate</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4335</SubGroupID>
            <SubGroupDescription>07.01.07.04 - Wedges and Burr Hole Covers</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5360</SubGroupID>
            <SubGroupDescription>06.03.01.08 - Flexible/paediatric</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4336</SubGroupID>
            <SubGroupDescription>07.01.07.05 - Anchor Bone</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5361</SubGroupID>
            <SubGroupDescription>06.03.01.09 - Radial/Ulnar</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4337</SubGroupID>
            <SubGroupDescription>07.01.07.06 - Clamps</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5362</SubGroupID>
            <SubGroupDescription>06.03.01.10 - Dynamic distraction - electronic</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4338</SubGroupID>
            <SubGroupDescription>07.01.07.07 - Screws</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5363</SubGroupID>
            <SubGroupDescription>06.03.02.04 - End caps and extension caps</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5364</SubGroupID>
            <SubGroupDescription>06.03.05.01 - Wires</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4340</SubGroupID>
            <SubGroupDescription>07.01.07.09 - Probe</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5365</SubGroupID>
            <SubGroupDescription>06.03.05.02 - Pins</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5366</SubGroupID>
            <SubGroupDescription>06.03.05.03 - Cables</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5367</SubGroupID>
            <SubGroupDescription>06.03.05.04 - Cables - with in-built locking device</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4343</SubGroupID>
            <SubGroupDescription>07.02.02.01 - Complex</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5368</SubGroupID>
            <SubGroupDescription>06.03.05.05 - Cables - with &gt;1 locking device</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5369</SubGroupID>
            <SubGroupDescription>06.03.05.06 - Wire forms (including washers/screws) - all sizes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5370</SubGroupID>
            <SubGroupDescription>06.03.05.07 - Cerclage bands</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4346</SubGroupID>
            <SubGroupDescription>07.02.02.02 - Polymer</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5371</SubGroupID>
            <SubGroupDescription>06.03.05.08 - Locking device for wires/cables</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5372</SubGroupID>
            <SubGroupDescription>06.03.05.09 - Hook/Grip for wires/cables</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4348</SubGroupID>
            <SubGroupDescription>07.02.02.03 - Composite</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5373</SubGroupID>
            <SubGroupDescription>06.03.05.10 - Grooved Button for wires/cables</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4349</SubGroupID>
            <SubGroupDescription>07.02.03.01 - Helical Rim</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3326</SubGroupID>
            <SubGroupDescription>06.03.01.01 - Femoral, Proximal short (&lt;220mm)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4350</SubGroupID>
            <SubGroupDescription>07.02.03.02 - Ear Base</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3327</SubGroupID>
            <SubGroupDescription>06.03.01.02 - Femoral, Proximal long (≥220mm)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4351</SubGroupID>
            <SubGroupDescription>07.02.04.01 - Complex</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3328</SubGroupID>
            <SubGroupDescription>06.03.01.03 - Femoral, Distal</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4352</SubGroupID>
            <SubGroupDescription>07.02.04.02 - Polymer</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3329</SubGroupID>
            <SubGroupDescription>06.03.01.04 - Tibial/Fibular</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6401</SubGroupID>
            <SubGroupDescription>06.03.11.20 - Simple fixture kit - Lower body (Uniplanar)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4353</SubGroupID>
            <SubGroupDescription>07.02.05.01 - Mandible, Full</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3330</SubGroupID>
            <SubGroupDescription>06.03.01.05 - Humeral</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4354</SubGroupID>
            <SubGroupDescription>07.02.05.02 - Fossa Replacement</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3331</SubGroupID>
            <SubGroupDescription>06.03.01.06 - Arthrodesis knee</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4355</SubGroupID>
            <SubGroupDescription>07.02.05.03 - Mandibular Angle</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3332</SubGroupID>
            <SubGroupDescription>06.03.01.07 - Arthrodesis ankle</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4357</SubGroupID>
            <SubGroupDescription>07.02.05.04 - Condylar Device</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5382</SubGroupID>
            <SubGroupDescription>06.03.07.01 - No suture (including arrows)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4358</SubGroupID>
            <SubGroupDescription>07.02.05.05 - Plate</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5384</SubGroupID>
            <SubGroupDescription>06.03.07.02 - Suture, Small anchors (≤2.3mm)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4360</SubGroupID>
            <SubGroupDescription>07.02.06.01 - Nasal Dorsum</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5385</SubGroupID>
            <SubGroupDescription>06.03.07.03 - Suture, Medium anchors (2.4 – 3.9mm)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4361</SubGroupID>
            <SubGroupDescription>07.02.06.02 - Nasal Arch</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4362</SubGroupID>
            <SubGroupDescription>07.02.06.03 - Nasal Shell Shape</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5387</SubGroupID>
            <SubGroupDescription>06.03.07.04 - Suture, Large anchors (≥4mm)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4363</SubGroupID>
            <SubGroupDescription>07.02.06.04 - Nasal Valve Support</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4364</SubGroupID>
            <SubGroupDescription>07.02.06.05 - Naso-orbital Ethmoid Implant</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3341</SubGroupID>
            <SubGroupDescription>06.03.02.01 - Intramedullary nail lag screw</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5389</SubGroupID>
            <SubGroupDescription>06.03.07.05 - Button/thread/tape or Button/thread/button</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5390</SubGroupID>
            <SubGroupDescription>06.03.07.06 - Button</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4366</SubGroupID>
            <SubGroupDescription>07.02.07.01 - Complete Orbital Shape</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5391</SubGroupID>
            <SubGroupDescription>06.03.07.07 - Interference Screw (± sleeve)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4367</SubGroupID>
            <SubGroupDescription>07.02.07.02 - Orbital Floor</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5394</SubGroupID>
            <SubGroupDescription>06.03.07.08 - Screw/Pin/Post</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4370</SubGroupID>
            <SubGroupDescription>07.02.07.03 - Rim</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4371</SubGroupID>
            <SubGroupDescription>07.02.07.04 - Wedge for Orbit</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4373</SubGroupID>
            <SubGroupDescription>07.02.08.01 - Endosseous Implant</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5397</SubGroupID>
            <SubGroupDescription>06.03.08.01 - Biological (human or animal tissue derived)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5398</SubGroupID>
            <SubGroupDescription>06.03.08.02 - Non-biological</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4374</SubGroupID>
            <SubGroupDescription>07.02.08.02 - Abutment, Permanent</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5399</SubGroupID>
            <SubGroupDescription>06.03.16.01 - Metallic</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4376</SubGroupID>
            <SubGroupDescription>07.02.08.03 - Abutment, Temporary or Healing</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5400</SubGroupID>
            <SubGroupDescription>06.03.16.02 - Non Metallic</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4377</SubGroupID>
            <SubGroupDescription>07.02.08.04 - Abutment Fixtures</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5402</SubGroupID>
            <SubGroupDescription>06.03.17.02 - Spacer</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5404</SubGroupID>
            <SubGroupDescription>06.03.17.04 - Central Screw</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5405</SubGroupID>
            <SubGroupDescription>06.03.17.05 - Healing Cylinder</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5406</SubGroupID>
            <SubGroupDescription>06.03.17.06 - Healing Screw</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5407</SubGroupID>
            <SubGroupDescription>06.03.17.07 - Fixture</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5408</SubGroupID>
            <SubGroupDescription>06.03.17.08 - Abutment</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5409</SubGroupID>
            <SubGroupDescription>06.03.17.09 - Abutment Screw</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4385</SubGroupID>
            <SubGroupDescription>07.03.01.01 - Permanent</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5410</SubGroupID>
            <SubGroupDescription>06.03.17.10 - Oncology Humeral Stem</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4386</SubGroupID>
            <SubGroupDescription>07.03.01.02 - Temporary</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5411</SubGroupID>
            <SubGroupDescription>06.03.17.11 - Humeral Ancharge Piece</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4387</SubGroupID>
            <SubGroupDescription>07.03.01.03 - Cover Screw/Cap</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5412</SubGroupID>
            <SubGroupDescription>06.03.17.12 - Humerus Extension Piece</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4389</SubGroupID>
            <SubGroupDescription>07.03.03.01 - Screws</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5414</SubGroupID>
            <SubGroupDescription>06.03.17.14 - Humerus Connection Piece</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4390</SubGroupID>
            <SubGroupDescription>07.03.03.02 - Plates</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5415</SubGroupID>
            <SubGroupDescription>06.03.17.15 - Oncology Humeral Body</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5416</SubGroupID>
            <SubGroupDescription>06.03.17.16 - Wedge</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4392</SubGroupID>
            <SubGroupDescription>07.03.03.03 - Implants and Fixtures</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6441</SubGroupID>
            <SubGroupDescription>01.05.03.01 - at Schlemm's canal</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3369</SubGroupID>
            <SubGroupDescription>06.03.04.01 - Standard ( ≥4.5mm)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5417</SubGroupID>
            <SubGroupDescription>06.03.17.17 - Humerus Connecting Screw</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4393</SubGroupID>
            <SubGroupDescription>07.03.03.04 - Graft Material &lt;0.5ml</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6442</SubGroupID>
            <SubGroupDescription>01.05.03.02 - external to Schlemm's canal</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3370</SubGroupID>
            <SubGroupDescription>06.03.04.02 - Small (2.71mm – 4.49mm)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5418</SubGroupID>
            <SubGroupDescription>06.03.17.18 - Humerus Hex Socket Bolt</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4394</SubGroupID>
            <SubGroupDescription>07.03.03.05 - Graft Material 0.5ml-&lt;1.0ml</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3371</SubGroupID>
            <SubGroupDescription>06.03.04.03 - Mini (2.01 – 2.7 mm)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5419</SubGroupID>
            <SubGroupDescription>06.03.17.19 - Plug Screw Axis</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4395</SubGroupID>
            <SubGroupDescription>07.03.03.06 - Graft Material ≥1.0ml</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3372</SubGroupID>
            <SubGroupDescription>06.03.04.04 - Micro (≤ 2.0mm)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4396</SubGroupID>
            <SubGroupDescription>07.04.01.01 - External Midface System</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3373</SubGroupID>
            <SubGroupDescription>06.03.04.05 - Dynamic</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5421</SubGroupID>
            <SubGroupDescription>06.03.17.21 - Humeral Bearing</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3374</SubGroupID>
            <SubGroupDescription>06.03.04.06 - Screw Washers</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5422</SubGroupID>
            <SubGroupDescription>06.03.17.22 - Humeral Head/Cap</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4398</SubGroupID>
            <SubGroupDescription>07.04.01.02 - External Set</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5423</SubGroupID>
            <SubGroupDescription>06.03.17.23 - Distal Humerus Flange</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4399</SubGroupID>
            <SubGroupDescription>07.04.01.03 - Internal/Intraoral</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5424</SubGroupID>
            <SubGroupDescription>03.08.02.07 - Sponge ≤10cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5425</SubGroupID>
            <SubGroupDescription>03.08.02.08 - Sponge 10-40cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5426</SubGroupID>
            <SubGroupDescription>03.08.02.09 - Sponge &gt;40cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4402</SubGroupID>
            <SubGroupDescription>07.04.02.01 - Distractor Body</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4403</SubGroupID>
            <SubGroupDescription>07.04.02.02 - Footplate</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5428</SubGroupID>
            <SubGroupDescription>06.02.06.06 - Definition screw / Locking Screw</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4406</SubGroupID>
            <SubGroupDescription>07.04.02.03 - Cross Bar/Rod</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5431</SubGroupID>
            <SubGroupDescription>03.08.01.01 - Sheet ≤100cm2</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5432</SubGroupID>
            <SubGroupDescription>03.08.01.02 - Sheet &gt;100cm2</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4408</SubGroupID>
            <SubGroupDescription>07.04.02.05 - Pin</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5433</SubGroupID>
            <SubGroupDescription>03.08.01.04 - Gel/Liquid</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4409</SubGroupID>
            <SubGroupDescription>07.04.02.06 - Screws</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5434</SubGroupID>
            <SubGroupDescription>03.08.05.01 - ≤200cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4410</SubGroupID>
            <SubGroupDescription>07.04.02.07 - External Distractor Component</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5435</SubGroupID>
            <SubGroupDescription>03.08.05.02 - 201-400cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4411</SubGroupID>
            <SubGroupDescription>07.04.02.08 - Body Extension</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4412</SubGroupID>
            <SubGroupDescription>07.05.01.01 - Calf Implant</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5436</SubGroupID>
            <SubGroupDescription>03.08.05.03 - 401-600cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5437</SubGroupID>
            <SubGroupDescription>03.08.05.04 - &gt;600-&lt;2500cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4413</SubGroupID>
            <SubGroupDescription>07.05.01.02 - Gluteal</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5438</SubGroupID>
            <SubGroupDescription>03.08.06.01 - ≤200cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4414</SubGroupID>
            <SubGroupDescription>07.05.02.01 - Skin or Mammary</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5439</SubGroupID>
            <SubGroupDescription>03.08.06.02 - 201-400cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5440</SubGroupID>
            <SubGroupDescription>03.08.06.03 - 401-600cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4419</SubGroupID>
            <SubGroupDescription>07.05.03.01 - &lt;50cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4420</SubGroupID>
            <SubGroupDescription>07.05.03.02 - 50-149cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4421</SubGroupID>
            <SubGroupDescription>07.05.03.03 - 150-400cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5446</SubGroupID>
            <SubGroupDescription>03.08.08.01 - ≤200cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4422</SubGroupID>
            <SubGroupDescription>07.05.03.04 - &gt;400cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5447</SubGroupID>
            <SubGroupDescription>03.08.08.02 - 201-400cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4423</SubGroupID>
            <SubGroupDescription>07.06.01.01 - &lt;500cc</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5448</SubGroupID>
            <SubGroupDescription>03.08.08.03 - 401-600cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5449</SubGroupID>
            <SubGroupDescription>03.08.08.04 - &gt;600cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3401</SubGroupID>
            <SubGroupDescription>06.03.11.02 - Frame Complete - Monoplanar &amp; Modular Frames</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5450</SubGroupID>
            <SubGroupDescription>05.01.02.01 - Single</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3402</SubGroupID>
            <SubGroupDescription>06.03.11.03 - Frame Component - Monoplanar, Clamp</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4426</SubGroupID>
            <SubGroupDescription>07.06.01.02 - ≥500cc</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5451</SubGroupID>
            <SubGroupDescription>05.01.02.02 - Double</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3404</SubGroupID>
            <SubGroupDescription>06.03.11.05 - Frame Component - Monoplanar, Adaptor</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5452</SubGroupID>
            <SubGroupDescription>09.05.01.01 - &lt; 25cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3405</SubGroupID>
            <SubGroupDescription>06.03.11.06 - Frame Component - Full Circular Ring</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4429</SubGroupID>
            <SubGroupDescription>07.06.02.01 - &lt;500cc</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5453</SubGroupID>
            <SubGroupDescription>09.05.01.02 - 25-75cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3406</SubGroupID>
            <SubGroupDescription>06.03.11.07 - Frame Component - Partial Circular Ring</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5454</SubGroupID>
            <SubGroupDescription>09.05.01.03 - &gt;75cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4432</SubGroupID>
            <SubGroupDescription>07.06.02.02 - ≥500cc</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5457</SubGroupID>
            <SubGroupDescription>06.03.05.11 - Wedges</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5458</SubGroupID>
            <SubGroupDescription>06.03.17.24 - Humeral Collar Round Smooth</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5459</SubGroupID>
            <SubGroupDescription>06.03.17.25 - Humeral Component for use with Hemi Head</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5460</SubGroupID>
            <SubGroupDescription>06.03.17.26 - Humeral Head Fixation Screw</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4437</SubGroupID>
            <SubGroupDescription>03.02.01.02 - Multiple Lumen</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5461</SubGroupID>
            <SubGroupDescription>06.03.17.27 - Humeral Component with Liner and re-attachment</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5462</SubGroupID>
            <SubGroupDescription>06.03.17.28 - Humeral Collar Round Coated</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5463</SubGroupID>
            <SubGroupDescription>06.03.17.29 - Humeral Stem</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4439</SubGroupID>
            <SubGroupDescription>10.01.01.01 - Balloon Expandable</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5464</SubGroupID>
            <SubGroupDescription>06.03.17.30 - Humeral Shaft</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4440</SubGroupID>
            <SubGroupDescription>10.01.01.02 - Self Expandable, &lt;150mm</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5465</SubGroupID>
            <SubGroupDescription>06.03.17.31 - Humeral Intergral Shaft &amp; Stem Coated</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4441</SubGroupID>
            <SubGroupDescription>10.01.01.03 - Self Expandable, ≥150mm</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4442</SubGroupID>
            <SubGroupDescription>10.02.01.01 - &lt;180mm length</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5467</SubGroupID>
            <SubGroupDescription>06.03.17.33 - Humeral Component with Liner</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4443</SubGroupID>
            <SubGroupDescription>10.02.01.02 - ≥180mm length</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5468</SubGroupID>
            <SubGroupDescription>06.03.17.34 - Humeral Component with Reattachment for use with Hemi Head</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4444</SubGroupID>
            <SubGroupDescription>10.02.04.01 - Body and 2 limbs</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5469</SubGroupID>
            <SubGroupDescription>06.03.17.35 - Glenoid / Glensophere component</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4445</SubGroupID>
            <SubGroupDescription>10.02.04.02 - Body and 1 limb</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5470</SubGroupID>
            <SubGroupDescription>06.03.17.36 - Humeral Hemi-Head</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4446</SubGroupID>
            <SubGroupDescription>10.02.04.03 - Body only</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5471</SubGroupID>
            <SubGroupDescription>10.01.01.04 - Self-Expanding, large diameter for treatment of aortic dissection disease</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4447</SubGroupID>
            <SubGroupDescription>10.02.07.01 - Thoracic</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4448</SubGroupID>
            <SubGroupDescription>10.02.07.02 - Abdominal</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5472</SubGroupID>
            <SubGroupDescription>10.08.02.01 - ≤200mm length</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4449</SubGroupID>
            <SubGroupDescription>10.02.10.01 - ≤12mm diameter</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5473</SubGroupID>
            <SubGroupDescription>10.08.02.02 - &gt;200mm length</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5474</SubGroupID>
            <SubGroupDescription>06.03.01.11 - Arthrodesis Other</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4450</SubGroupID>
            <SubGroupDescription>10.02.10.02 - &gt;12mm diameter</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5475</SubGroupID>
            <SubGroupDescription>06.03.17.37 - Femoral Stem - Uncemented</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4451</SubGroupID>
            <SubGroupDescription>10.02.11.01 - &lt;150mm length</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4452</SubGroupID>
            <SubGroupDescription>10.02.11.02 - 150-249mm length</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5477</SubGroupID>
            <SubGroupDescription>06.03.17.39 - Tibial Stem - Uncemented</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4453</SubGroupID>
            <SubGroupDescription>10.02.11.03 - ≥250mm length</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4454</SubGroupID>
            <SubGroupDescription>10.03.01.01 - ≤10cm length</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5479</SubGroupID>
            <SubGroupDescription>06.03.17.41 - Valgus Sleeve</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4455</SubGroupID>
            <SubGroupDescription>10.03.01.02 - 11-20cm length</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4456</SubGroupID>
            <SubGroupDescription>10.03.01.03 - 21-49cm length</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4457</SubGroupID>
            <SubGroupDescription>10.03.01.04 - ≥50cm length</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4458</SubGroupID>
            <SubGroupDescription>10.04.01.01 - 0 - 100 sq cm</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5483</SubGroupID>
            <SubGroupDescription>04.06.04.02 - Refill/Catheter Access Kits</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4459</SubGroupID>
            <SubGroupDescription>10.04.01.02 - 101 - 150 sq cm</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5484</SubGroupID>
            <SubGroupDescription>04.05.05.05 - Connectors and Cables</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4460</SubGroupID>
            <SubGroupDescription>10.04.01.03 - &gt;150 sq cm</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4461</SubGroupID>
            <SubGroupDescription>10.04.01.04 - Pledgets</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5485</SubGroupID>
            <SubGroupDescription>13.10.01.01 - Cervical</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5486</SubGroupID>
            <SubGroupDescription>13.10.01.02 - ThoracoLumbar / Lumbar</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5487</SubGroupID>
            <SubGroupDescription>13.11.01.01 - Cervical</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5488</SubGroupID>
            <SubGroupDescription>13.11.01.02 - Lumbar</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5489</SubGroupID>
            <SubGroupDescription>03.07.01.03 - Biliary</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4465</SubGroupID>
            <SubGroupDescription>10.08.03.01 - 0.5ml</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5490</SubGroupID>
            <SubGroupDescription>03.08.03.06 - Ligating Bands with Disposable Applier</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4466</SubGroupID>
            <SubGroupDescription>10.08.03.02 - 1ml</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5491</SubGroupID>
            <SubGroupDescription>03.08.07.01 - ≤200cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4467</SubGroupID>
            <SubGroupDescription>10.08.03.03 - 2ml</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5492</SubGroupID>
            <SubGroupDescription>03.08.07.02 - 201-400cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4468</SubGroupID>
            <SubGroupDescription>04.03.01.01 - Valve, Externally Adjustable</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5493</SubGroupID>
            <SubGroupDescription>03.08.07.03 - 401-600cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4469</SubGroupID>
            <SubGroupDescription>04.03.01.02 - Valve, Non-externally adjustable</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5494</SubGroupID>
            <SubGroupDescription>03.08.07.04 - 601-800cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4470</SubGroupID>
            <SubGroupDescription>04.03.06.01 - Connector</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5495</SubGroupID>
            <SubGroupDescription>03.08.07.05 - &gt;800cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4471</SubGroupID>
            <SubGroupDescription>04.03.06.02 - Right Angled Guide</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4472</SubGroupID>
            <SubGroupDescription>04.04.01.01 - Primary Cell Pulse Generator (non-rechargeable)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5496</SubGroupID>
            <SubGroupDescription>07.02.02.04 - Surgical Guide</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6521</SubGroupID>
            <SubGroupDescription>02.01.05.05 - Active Middle Ear Implants</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4473</SubGroupID>
            <SubGroupDescription>04.04.01.02 - Rechargeable Pulse Generator</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4474</SubGroupID>
            <SubGroupDescription>04.04.02.01 - Patient Programmer</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5498</SubGroupID>
            <SubGroupDescription>07.02.05.07 - Surgical Guide</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5499</SubGroupID>
            <SubGroupDescription>03.08.11.01 - Closure Set</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4475</SubGroupID>
            <SubGroupDescription>04.04.02.02 - Recharger</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5500</SubGroupID>
            <SubGroupDescription>03.08.11.02 - Extension Kit</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4476</SubGroupID>
            <SubGroupDescription>04.04.03.01 - Permanent Lead</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4477</SubGroupID>
            <SubGroupDescription>04.04.03.02 - Lead Extension</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5501</SubGroupID>
            <SubGroupDescription>05.03.01.01 - Metal</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4478</SubGroupID>
            <SubGroupDescription>04.04.05.01 - Burr Hole Cover</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5502</SubGroupID>
            <SubGroupDescription>05.03.01.02 - Paediatric</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5503</SubGroupID>
            <SubGroupDescription>03.08.06.04 - 601cm²-1000cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4479</SubGroupID>
            <SubGroupDescription>04.04.05.02 - Connectors and cables</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4480</SubGroupID>
            <SubGroupDescription>04.05.01.01 - Primary Cell Pulse Generator (non-rechargeable)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5505</SubGroupID>
            <SubGroupDescription>03.08.06.05 - &gt;1000cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4481</SubGroupID>
            <SubGroupDescription>04.05.01.02 - Rechargeable Pulse Generator</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5506</SubGroupID>
            <SubGroupDescription>10.08.06.01 - Catheter</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4483</SubGroupID>
            <SubGroupDescription>04.05.02.01 - Patient Programmer</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5507</SubGroupID>
            <SubGroupDescription>10.08.06.02 - Detachment Controller</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4484</SubGroupID>
            <SubGroupDescription>04.05.02.02 - Patient Programmer Antenna</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5508</SubGroupID>
            <SubGroupDescription>06.03.11.18 - Upper body kit</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4485</SubGroupID>
            <SubGroupDescription>04.05.02.03 - On/Off switching device</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5509</SubGroupID>
            <SubGroupDescription>06.03.11.19 - Lower body kit</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4486</SubGroupID>
            <SubGroupDescription>04.05.03.01 - Permanent Lead</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5510</SubGroupID>
            <SubGroupDescription>07.05.01.03 - Pectoral</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4487</SubGroupID>
            <SubGroupDescription>04.05.03.02 - Trial Lead</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5514</SubGroupID>
            <SubGroupDescription>06.03.06.01 - Staples</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4492</SubGroupID>
            <SubGroupDescription>04.06.03.02 - Two piece</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5516</SubGroupID>
            <SubGroupDescription>10.02.05.02 - Multiple Branch</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4493</SubGroupID>
            <SubGroupDescription>04.07.01.01 - Implantable pulse generator</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5517</SubGroupID>
            <SubGroupDescription>05.07.04.03 - Connectors and Cables</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4494</SubGroupID>
            <SubGroupDescription>04.08.03.01 - Catheters</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5518</SubGroupID>
            <SubGroupDescription>05.07.02.02 - External Neurostimulator</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4495</SubGroupID>
            <SubGroupDescription>04.08.03.02 - Coil detachment device</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4496</SubGroupID>
            <SubGroupDescription>07.01.02.16 - &gt;0.8mm thick, 101-200cm2</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4497</SubGroupID>
            <SubGroupDescription>04.05.02.04 - Recharger</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4498</SubGroupID>
            <SubGroupDescription>04.04.05.03 - Intraoperative accessories</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4499</SubGroupID>
            <SubGroupDescription>04.05.05.01 - Revision Kits</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4500</SubGroupID>
            <SubGroupDescription>04.05.05.02 - Plug</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4501</SubGroupID>
            <SubGroupDescription>04.05.05.03 - Intraoperative Accessories</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4502</SubGroupID>
            <SubGroupDescription>04.05.05.04 - Lead Delivery System</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4503</SubGroupID>
            <SubGroupDescription>04.06.04.01 - Revision Kit</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4504</SubGroupID>
            <SubGroupDescription>07.02.05.06 - External Midface System</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4505</SubGroupID>
            <SubGroupDescription>06.03.11.09 - Frame Component - Circular Frame Strut Device</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5530</SubGroupID>
            <SubGroupDescription>06.02.02.05 - Thumb, carpometacarpal - proximal component</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4506</SubGroupID>
            <SubGroupDescription>06.03.11.10 - Frame Component - Foot Plate</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4507</SubGroupID>
            <SubGroupDescription>06.03.11.11 - Frame Component - Circular Frame, Nuts &amp; Spacers</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4508</SubGroupID>
            <SubGroupDescription>06.03.11.12 - Frame Component - Coupling Device</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4509</SubGroupID>
            <SubGroupDescription>06.03.11.13 - Frame Component - Rods</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4510</SubGroupID>
            <SubGroupDescription>06.03.11.14 - Frame Component - Pins</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4511</SubGroupID>
            <SubGroupDescription>06.03.11.15 - Frame Component - Pin Clamp Assembly</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4512</SubGroupID>
            <SubGroupDescription>06.03.11.16 - Frame Component  - Pin Clamp Assembly Post</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6561</SubGroupID>
            <SubGroupDescription>06.03.01.13 - Arthrodesis</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4513</SubGroupID>
            <SubGroupDescription>06.03.11.17 - Articulating Hinge</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6562</SubGroupID>
            <SubGroupDescription>10.01.02.01 - Self Expandable</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4519</SubGroupID>
            <SubGroupDescription>03.08.09.01 - Fistula Closure</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4521</SubGroupID>
            <SubGroupDescription>06.03.04.07 - Screw post/peg</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4522</SubGroupID>
            <SubGroupDescription>06.03.04.08 - Screw Accessories - Nuts</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4523</SubGroupID>
            <SubGroupDescription>06.03.04.09 - Screw Accessories - Locking Nuts / Insert</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3645</SubGroupID>
            <SubGroupDescription>06.01.01.01 - Liner - fixed bearing</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3646</SubGroupID>
            <SubGroupDescription>06.01.01.02 - Liner - mobile bearing</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3664</SubGroupID>
            <SubGroupDescription>06.02.01.01 - Carpal component</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3665</SubGroupID>
            <SubGroupDescription>06.02.01.02 - Radial component</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3666</SubGroupID>
            <SubGroupDescription>06.02.01.03 - Carpal spacer</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3667</SubGroupID>
            <SubGroupDescription>06.02.01.04 - Distal ulnar stem</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3668</SubGroupID>
            <SubGroupDescription>06.02.01.05 - Distal ulnar head</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6741</SubGroupID>
            <SubGroupDescription>07.02.05.09 - Hemi-mandible</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6742</SubGroupID>
            <SubGroupDescription>02.01.08.01 - Xenografts, Small (≤10cm2)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6743</SubGroupID>
            <SubGroupDescription>02.01.08.02 - Xenografts, Medium (&gt;10cm2 to 50cm2)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3673</SubGroupID>
            <SubGroupDescription>06.02.03.01 - Distal humeral component/s</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3674</SubGroupID>
            <SubGroupDescription>06.02.03.02 - Proximal radial stem</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3675</SubGroupID>
            <SubGroupDescription>06.02.03.03 - Proximal radial head/neck</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3676</SubGroupID>
            <SubGroupDescription>06.02.03.04 - Proximal ulnar component</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3678</SubGroupID>
            <SubGroupDescription>06.02.03.06 - Elbow pin</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3701</SubGroupID>
            <SubGroupDescription>06.02.05.01 - Glenoid component, All poly</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3702</SubGroupID>
            <SubGroupDescription>06.02.05.02 - Glenoid component, Metal backed</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3703</SubGroupID>
            <SubGroupDescription>06.02.05.03 - Glenoid component &amp; insert</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3704</SubGroupID>
            <SubGroupDescription>06.02.05.04 - Glenoid insert</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3712</SubGroupID>
            <SubGroupDescription>06.03.02.02 - Reconstruction screw</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3713</SubGroupID>
            <SubGroupDescription>06.03.02.03 - Set screw/Locking bolt</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5768</SubGroupID>
            <SubGroupDescription>03.08.02.12 - Pleural Sealant</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5769</SubGroupID>
            <SubGroupDescription>03.08.03.07 - Cinched suture applier</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3732</SubGroupID>
            <SubGroupDescription>06.03.04.10 - Screw Accessories - Caps</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5782</SubGroupID>
            <SubGroupDescription>07.02.05.08 - Maxilla</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5783</SubGroupID>
            <SubGroupDescription>07.02.06.07 - Zygoma Plate</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3755</SubGroupID>
            <SubGroupDescription>06.03.11.01 - Halo-thoracic device</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3756</SubGroupID>
            <SubGroupDescription>06.03.11.04 - Frame Component - Monoplanar, Body</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3757</SubGroupID>
            <SubGroupDescription>06.03.11.08 - Frame Component - Circular Coupling Device</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5854</SubGroupID>
            <SubGroupDescription>04.05.02.05 - External Neurostimulator</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3887</SubGroupID>
            <SubGroupDescription>01.01.01.01 - Rigid</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3888</SubGroupID>
            <SubGroupDescription>01.01.02.01 - Rigid</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3889</SubGroupID>
            <SubGroupDescription>01.01.02.02 - Foldable</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3890</SubGroupID>
            <SubGroupDescription>01.02.02.01 - Microincision</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5938</SubGroupID>
            <SubGroupDescription>06.03.05.12 - Chest Wall Reconstruction Plates</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3892</SubGroupID>
            <SubGroupDescription>01.02.02.03 - Edge modification</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3893</SubGroupID>
            <SubGroupDescription>01.02.02.04 - Presbyopia correcting</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3895</SubGroupID>
            <SubGroupDescription>01.02.03.01 - Monofocal</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3896</SubGroupID>
            <SubGroupDescription>01.02.03.02 - Multi-focal</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3897</SubGroupID>
            <SubGroupDescription>01.03.01.01 - Dual Fluids</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3898</SubGroupID>
            <SubGroupDescription>01.05.02.01 - Cannulated</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3899</SubGroupID>
            <SubGroupDescription>01.05.02.02 - Non-Cannulated</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5947</SubGroupID>
            <SubGroupDescription>03.08.05.05 - ≥2500cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3900</SubGroupID>
            <SubGroupDescription>01.06.02.01 - Gold &lt;1.8 grams</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3901</SubGroupID>
            <SubGroupDescription>01.06.02.02 - Gold ≥1.8 grams</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3902</SubGroupID>
            <SubGroupDescription>01.06.02.03 - Platinum</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3903</SubGroupID>
            <SubGroupDescription>01.08.02.01 - Complex and permeable</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3905</SubGroupID>
            <SubGroupDescription>01.09.01.01 - Sponges</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3906</SubGroupID>
            <SubGroupDescription>12.01.01.01 - Minimally Stabilised</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3907</SubGroupID>
            <SubGroupDescription>12.01.01.02 - Posterior Stabilised</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3908</SubGroupID>
            <SubGroupDescription>12.01.01.03 - Totally Constrained</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3909</SubGroupID>
            <SubGroupDescription>12.01.02.01 - Minimally Stabilised</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3910</SubGroupID>
            <SubGroupDescription>12.01.02.02 - Posterior Stabilised</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3911</SubGroupID>
            <SubGroupDescription>12.01.03.01 - Minimally Stabilised</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3912</SubGroupID>
            <SubGroupDescription>12.01.03.02 - Posterior Stabilised</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3913</SubGroupID>
            <SubGroupDescription>12.01.03.03 - Totally Constrained</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3914</SubGroupID>
            <SubGroupDescription>12.01.04.01 - Minimally Stabilised</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3915</SubGroupID>
            <SubGroupDescription>12.01.04.02 - Posterior Stabilised</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3917</SubGroupID>
            <SubGroupDescription>12.01.05.01 - Minimally Stabilised</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3918</SubGroupID>
            <SubGroupDescription>12.01.05.02 - Posterior Stabilised</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3919</SubGroupID>
            <SubGroupDescription>12.02.01.01 - PMMA Coating</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3920</SubGroupID>
            <SubGroupDescription>12.02.03.01 - HA Coating</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3921</SubGroupID>
            <SubGroupDescription>12.03.02.01 - PMMA Coating</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3922</SubGroupID>
            <SubGroupDescription>12.03.04.01 - PMMA Coating</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3923</SubGroupID>
            <SubGroupDescription>12.03.05.01 - HA Coating</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3924</SubGroupID>
            <SubGroupDescription>12.03.07.01 - HA Coating</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3925</SubGroupID>
            <SubGroupDescription>12.04.05.01 - HA Coating</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3926</SubGroupID>
            <SubGroupDescription>12.04.06.01 - HA Coating</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3927</SubGroupID>
            <SubGroupDescription>12.08.02.01 - Mobile</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3928</SubGroupID>
            <SubGroupDescription>12.08.03.01 - Mobile</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3929</SubGroupID>
            <SubGroupDescription>12.08.03.02 - Moulded</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5978</SubGroupID>
            <SubGroupDescription>04.03.01.03 - Valve and gravitational unit, externally adjustable</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3930</SubGroupID>
            <SubGroupDescription>12.09.01.01 - Condylar only (only when combined with a proximal tibial replacement)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3931</SubGroupID>
            <SubGroupDescription>12.09.01.02 - Condylar, including metaphyseal and/or diaphyseal</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3932</SubGroupID>
            <SubGroupDescription>12.09.02.01 - Condylar only (only when combined with a proximal tibial replacement)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3933</SubGroupID>
            <SubGroupDescription>12.09.02.02 - Condylar, including metaphyseal and/or diaphyseal</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3934</SubGroupID>
            <SubGroupDescription>12.09.03.01 - Incorporating Bone Fixation</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3935</SubGroupID>
            <SubGroupDescription>12.09.04.01 - With Compression</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5984</SubGroupID>
            <SubGroupDescription>03.05.02.01 - Integrated Delivery System</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3936</SubGroupID>
            <SubGroupDescription>12.09.08.01 - Collar</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5985</SubGroupID>
            <SubGroupDescription>03.05.02.02 - Delivery Catheter</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3937</SubGroupID>
            <SubGroupDescription>12.09.08.02 - Adaptor</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3938</SubGroupID>
            <SubGroupDescription>12.09.08.03 - Stem extender</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5987</SubGroupID>
            <SubGroupDescription>05.01.02.03 - Port</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3939</SubGroupID>
            <SubGroupDescription>11.01.01.01 - Unpolished</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5988</SubGroupID>
            <SubGroupDescription>03.08.04.06 - Suture Fasteners</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3940</SubGroupID>
            <SubGroupDescription>11.01.01.02 - Unpolished - precoat</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3941</SubGroupID>
            <SubGroupDescription>11.01.01.03 - Polished</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3944</SubGroupID>
            <SubGroupDescription>11.01.02.01 - Polished and Unpolished, Conventional</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3945</SubGroupID>
            <SubGroupDescription>11.01.03.01 - Grit Blast</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5994</SubGroupID>
            <SubGroupDescription>06.03.03.50 - Cable plate with 1 or more cables, ≤ 6 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3946</SubGroupID>
            <SubGroupDescription>11.01.03.02 - Beaded</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3947</SubGroupID>
            <SubGroupDescription>11.01.03.03 - Mesh</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>5996</SubGroupID>
            <SubGroupDescription>06.03.03.51 - Cable plate with 1 or more cables, ≥ 7 holes to ≤ 15 holes</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3948</SubGroupID>
            <SubGroupDescription>11.01.03.04 - Plasma</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3949</SubGroupID>
            <SubGroupDescription>11.01.04.01 - Grit Blast</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3950</SubGroupID>
            <SubGroupDescription>11.01.04.02 - Beaded</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6000</SubGroupID>
            <SubGroupDescription>03.07.01.04 - Para/Thoraceulesis</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3952</SubGroupID>
            <SubGroupDescription>11.01.04.04 - Plasma</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6001</SubGroupID>
            <SubGroupDescription>03.07.01.05 - Percutaneous</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3953</SubGroupID>
            <SubGroupDescription>11.01.05.01 - Grit Blast</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3954</SubGroupID>
            <SubGroupDescription>11.01.05.02 - Beaded</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6003</SubGroupID>
            <SubGroupDescription>03.08.04.07 - Tacks, Reload</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6004</SubGroupID>
            <SubGroupDescription>03.08.04.08 - Adhesive Tackers</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3957</SubGroupID>
            <SubGroupDescription>11.01.06.01 - Grit Blast</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6008</SubGroupID>
            <SubGroupDescription>03.05.04.01 - Absorbable ≤50cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3960</SubGroupID>
            <SubGroupDescription>11.01.06.04 - Plasma</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6009</SubGroupID>
            <SubGroupDescription>03.05.04.02 - Absorbable 51 cm² – 75cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3961</SubGroupID>
            <SubGroupDescription>11.01.07.01 - Grit Blast</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6010</SubGroupID>
            <SubGroupDescription>03.05.04.03 - Absorbable &gt;75cm²</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3962</SubGroupID>
            <SubGroupDescription>11.01.07.02 - Beaded</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6011</SubGroupID>
            <SubGroupDescription>03.06.04.01 - Self-expanding metal, Covered</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6012</SubGroupID>
            <SubGroupDescription>No subgroup</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3964</SubGroupID>
            <SubGroupDescription>11.01.07.04 - Plasma</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6013</SubGroupID>
            <SubGroupDescription>No subgroup</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3965</SubGroupID>
            <SubGroupDescription>11.01.07.05 - Unpolished and Polished</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3966</SubGroupID>
            <SubGroupDescription>11.01.08.01 - Grit Blast</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3967</SubGroupID>
            <SubGroupDescription>11.01.08.02 - Beaded</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7041</SubGroupID>
            <SubGroupDescription>10.08.05.02 - Cyanoacrylate</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3969</SubGroupID>
            <SubGroupDescription>11.01.08.04 - Plasma</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3970</SubGroupID>
            <SubGroupDescription>11.01.08.05 - Unpolished and Polished</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3971</SubGroupID>
            <SubGroupDescription>11.01.09.01 - Grit Blast</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6021</SubGroupID>
            <SubGroupDescription>06.01.03.04 - Stem extension</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6022</SubGroupID>
            <SubGroupDescription>04.08.03.04 - Vascular embolisation balloon</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3974</SubGroupID>
            <SubGroupDescription>11.01.09.04 - Plasma</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6023</SubGroupID>
            <SubGroupDescription>07.02.07.05 - Surgical Guide</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3975</SubGroupID>
            <SubGroupDescription>11.01.09.05 - Unpolished and Polished</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6024</SubGroupID>
            <SubGroupDescription>07.02.06.06 - Surgical Guide</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3976</SubGroupID>
            <SubGroupDescription>11.01.10.01 - Grit Blast</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6025</SubGroupID>
            <SubGroupDescription>03.06.03.04 - Biodegradable</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6027</SubGroupID>
            <SubGroupDescription>08.11.02.01 - No SubGroup</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3979</SubGroupID>
            <SubGroupDescription>11.01.10.04 - Plasma</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6028</SubGroupID>
            <SubGroupDescription>09.11.02.01 - System Controller</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3981</SubGroupID>
            <SubGroupDescription>11.01.11.01 - Short and Standard Length</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6030</SubGroupID>
            <SubGroupDescription>09.11.02.03 - Battery Set</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3982</SubGroupID>
            <SubGroupDescription>11.01.11.02 - Long Length (≥200mm)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6031</SubGroupID>
            <SubGroupDescription>09.11.03.01 - Stabilisation Belt</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6032</SubGroupID>
            <SubGroupDescription>09.11.02.04 - Battery Clip Set</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6033</SubGroupID>
            <SubGroupDescription>09.11.03.02 - Modular Belt</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6034</SubGroupID>
            <SubGroupDescription>09.11.03.03 - Shower Bag</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6036</SubGroupID>
            <SubGroupDescription>05.07.03.04 - Trial kit including leads</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3988</SubGroupID>
            <SubGroupDescription>11.02.01.01 - Stainless Steel</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6037</SubGroupID>
            <SubGroupDescription>03.03.02.03 - Placement set</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>7061</SubGroupID>
            <SubGroupDescription>06.02.01.07 - Distal Radio-Ulnar Plate</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3989</SubGroupID>
            <SubGroupDescription>11.02.01.02 - Cobalt Chrome</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3990</SubGroupID>
            <SubGroupDescription>11.02.01.03 - Alumina</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3992</SubGroupID>
            <SubGroupDescription>11.02.01.05 - Ceramic Mix</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6041</SubGroupID>
            <SubGroupDescription>06.02.02.06 - Thumb, carpometacarpal - distal component</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3993</SubGroupID>
            <SubGroupDescription>11.02.01.06 - Ceramicised Metal</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3994</SubGroupID>
            <SubGroupDescription>11.02.02.01 - Stainless Steel</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3995</SubGroupID>
            <SubGroupDescription>11.02.02.02 - Cobalt Chrome</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6044</SubGroupID>
            <SubGroupDescription>06.02.02.09 - Finger, metacarpophalangeal - proximal component</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3996</SubGroupID>
            <SubGroupDescription>11.02.02.03 - Alumina</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3998</SubGroupID>
            <SubGroupDescription>11.02.02.05 - Ceramic Mix</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>3999</SubGroupID>
            <SubGroupDescription>11.02.02.06 - Ceramicised Metal</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4000</SubGroupID>
            <SubGroupDescription>11.02.04.01 - Metal</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4004</SubGroupID>
            <SubGroupDescription>11.02.06.01 - Bipolar</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4005</SubGroupID>
            <SubGroupDescription>11.02.06.02 - Tripolar/Multipolar</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4006</SubGroupID>
            <SubGroupDescription>11.03.01.01 - Unmodified polyethylene</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4007</SubGroupID>
            <SubGroupDescription>11.03.01.02 - Modified polyethylene</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4008</SubGroupID>
            <SubGroupDescription>11.03.01.03 - Constrained, modified and unmodified polythylene</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4009</SubGroupID>
            <SubGroupDescription>11.03.01.04 - Metal Shell</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4010</SubGroupID>
            <SubGroupDescription>11.03.02.01 - Grit Blast</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4011</SubGroupID>
            <SubGroupDescription>11.03.02.02 - Beaded</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4012</SubGroupID>
            <SubGroupDescription>11.03.02.03 - Mesh</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6061</SubGroupID>
            <SubGroupDescription>03.01.03.01 - Gel 3ml</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4013</SubGroupID>
            <SubGroupDescription>11.03.02.04 - Plasma</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4014</SubGroupID>
            <SubGroupDescription>11.03.02.05 - Porous Metal</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4015</SubGroupID>
            <SubGroupDescription>11.03.03.01 - Grit Blast</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4016</SubGroupID>
            <SubGroupDescription>11.03.03.02 - Beaded</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4017</SubGroupID>
            <SubGroupDescription>11.03.03.03 - Mesh</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4018</SubGroupID>
            <SubGroupDescription>11.03.03.04 - Plasma</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4020</SubGroupID>
            <SubGroupDescription>11.03.04.01 - Unmodified polyethylene</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4021</SubGroupID>
            <SubGroupDescription>11.03.04.02 - Modified polyethylene</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4022</SubGroupID>
            <SubGroupDescription>11.03.04.03 - Ceramic</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4023</SubGroupID>
            <SubGroupDescription>11.03.04.04 - Metal</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4024</SubGroupID>
            <SubGroupDescription>11.03.04.05 - Constrained</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4025</SubGroupID>
            <SubGroupDescription>11.03.04.06 - Ceramic Mix</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4026</SubGroupID>
            <SubGroupDescription>11.03.05.01 - Unmodified polyethylene</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4027</SubGroupID>
            <SubGroupDescription>11.03.05.02 - Modified polyethylene</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4030</SubGroupID>
            <SubGroupDescription>11.03.05.05 - Ceramic Mix</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4032</SubGroupID>
            <SubGroupDescription>11.03.07.02 - Metal, HA Coated</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4034</SubGroupID>
            <SubGroupDescription>11.03.08.01 - Shell</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4035</SubGroupID>
            <SubGroupDescription>11.03.08.02 - Cage</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4040</SubGroupID>
            <SubGroupDescription>06.01.03.01 - Talar component</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4041</SubGroupID>
            <SubGroupDescription>06.01.03.02 - Tibial component</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4042</SubGroupID>
            <SubGroupDescription>06.01.03.03 - Tibial component, cemented/uncemented, fixed bearing</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4044</SubGroupID>
            <SubGroupDescription>06.01.04.01 - Great toe, MTP, total, metatarsal component </SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4045</SubGroupID>
            <SubGroupDescription>06.01.04.02 - Great toe, MTP, total, phalangeal component</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4046</SubGroupID>
            <SubGroupDescription>06.01.04.03 - Great toe, MTP, total, articular insert or liner</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4047</SubGroupID>
            <SubGroupDescription>06.01.04.04 - Great toe, resurfacing hemi articulation, metatarsal</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4048</SubGroupID>
            <SubGroupDescription>06.01.04.05 - Great toe, resurfacing hemi articulation, phalangeal</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4049</SubGroupID>
            <SubGroupDescription>06.01.04.06 - Great toe, non articulating articulation (for silastic implant replacement)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4050</SubGroupID>
            <SubGroupDescription>06.02.01.06 - Tendon Spacer</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4052</SubGroupID>
            <SubGroupDescription>06.02.03.07 - Accessories - bushing / insert / spool</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6101</SubGroupID>
            <SubGroupDescription>03.08.03.08 - Suture with cinch</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4053</SubGroupID>
            <SubGroupDescription>06.02.03.08 - Accessories - circlips</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4055</SubGroupID>
            <SubGroupDescription>06.02.03.10 - Accessories - cement restrictor</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4057</SubGroupID>
            <SubGroupDescription>06.02.04.02 - Humeral component - cemented</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4058</SubGroupID>
            <SubGroupDescription>06.02.04.03 - Humeral component - uncemented </SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4059</SubGroupID>
            <SubGroupDescription>06.02.04.04 - Modular humeral component - metaphyseal, cemented</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4060</SubGroupID>
            <SubGroupDescription>06.02.04.05 - Modular humeral component - metaphyseal, uncemented</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4062</SubGroupID>
            <SubGroupDescription>06.02.04.07 - Modular humeral component - diaphyseal, uncemented, long (&gt;220mm)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4063</SubGroupID>
            <SubGroupDescription>06.02.04.08 - Modular Humeral component - diaphyseal, cemented, short (≤220mm)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4064</SubGroupID>
            <SubGroupDescription>06.02.04.09 - Modular Humeral component - diaphyseal, uncemented, short (≤220mm)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4067</SubGroupID>
            <SubGroupDescription>06.02.04.12 - Standard humeral head</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4068</SubGroupID>
            <SubGroupDescription>06.02.04.13 - Resurfacing humeral head </SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4069</SubGroupID>
            <SubGroupDescription>06.02.04.14 - Humeral cup</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4073</SubGroupID>
            <SubGroupDescription>06.02.04.18 - Special purpose/tumour prosthesis - tumour section</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4076</SubGroupID>
            <SubGroupDescription>06.02.04.21 - Necks/collar (modular)</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4078</SubGroupID>
            <SubGroupDescription>06.02.05.05 - Reverse glenoid component, Base plate, uncemented</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4079</SubGroupID>
            <SubGroupDescription>06.02.05.06 - Glenosphere</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4080</SubGroupID>
            <SubGroupDescription>06.02.06.01 - Humeral sleeve</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4081</SubGroupID>
            <SubGroupDescription>06.02.06.02 - Humeral spacer</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4083</SubGroupID>
            <SubGroupDescription>06.02.06.04 - Taper assembly</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4084</SubGroupID>
            <SubGroupDescription>06.02.06.05 - Eccentrical adaptor</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4086</SubGroupID>
            <SubGroupDescription>06.02.06.07 - Reverse humeral tray</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4087</SubGroupID>
            <SubGroupDescription>06.03.14.01 - Cement only</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4088</SubGroupID>
            <SubGroupDescription>06.03.14.02 - Cement with Antibiotic</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4089</SubGroupID>
            <SubGroupDescription>06.03.14.03 - Cement with Complex Delivery System</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4090</SubGroupID>
            <SubGroupDescription>06.03.14.04 - Cement with Antibiotic and Complex Delivery System</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4091</SubGroupID>
            <SubGroupDescription>06.03.14.05 - Accessories - Restrictors</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4092</SubGroupID>
            <SubGroupDescription>06.03.15.01 - Ceramic, 0-5cc</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4093</SubGroupID>
            <SubGroupDescription>06.03.15.02 - Ceramic, &gt;5cc - 10cc</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4094</SubGroupID>
            <SubGroupDescription>06.03.15.03 - Ceramic, &gt;10cc - 20cc</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>6143</SubGroupID>
            <SubGroupDescription>06.02.02.10 - Finger, metacarpophalangeal - distal component</SubGroupDescription>
        </SubGroup>
        <SubGroup>
            <SubGroupID>4095</SubGroupID>
            <SubGroupDescription>06.03.15.04 - Ceramic, &gt;20cc</SubGroupDescription>
        </SubGroup>
    </SubGroups>
    <ProsthesisItems>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QHV01</BillingCode>
            <Name>Valve - Aortic</Name>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>6</CategoryID>
            <ARTGs>
                <ARTG>235366</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>10132</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QHV02</BillingCode>
            <Name>Valve - Pulmonary</Name>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>6</CategoryID>
            <ARTGs>
                <ARTG>235366</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>10132</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QHV03</BillingCode>
            <Name>Patch - Mitral</Name>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>6</CategoryID>
            <ARTGs>
                <ARTG>235366</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2432</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QHV04</BillingCode>
            <Name>Patch - Tricuspid</Name>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>6</CategoryID>
            <ARTGs>
                <ARTG>235366</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2432</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QHV05</BillingCode>
            <Name>Patch - Pericardium</Name>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>6</CategoryID>
            <ARTGs>
                <ARTG>235366</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2672</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QHV07</BillingCode>
            <Name>Conduit - Pulmonary large</Name>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>6</CategoryID>
            <ARTGs>
                <ARTG>235366</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2939</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QHV08</BillingCode>
            <Name>Conduit - Pulmonary + Valve</Name>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>6</CategoryID>
            <ARTGs>
                <ARTG>235366</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>10132</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QHV09</BillingCode>
            <Name>Conduit - Aortic + Valve</Name>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>6</CategoryID>
            <ARTGs>
                <ARTG>235366</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>9670</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QHV10</BillingCode>
            <Name>Valve - Mitral</Name>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>6</CategoryID>
            <ARTGs>
                <ARTG>235366</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>8791</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QHV11</BillingCode>
            <Name>Thoracic Aorta</Name>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>6</CategoryID>
            <ARTGs>
                <ARTG>235366</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2939</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>SHV01</BillingCode>
            <Name>Valve - Aortic</Name>
            <Description>Valve - Aortic</Description>
            <SupplierCode>SHV</SupplierCode>
            <CategoryID>6</CategoryID>
            <ARTGs>
                <ARTG>246032</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>9333</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>SHV02</BillingCode>
            <Name>Valve - Pulmonary</Name>
            <Description>Valve - Pulmonary</Description>
            <SupplierCode>SHV</SupplierCode>
            <CategoryID>6</CategoryID>
            <ARTGs>
                <ARTG>246032</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>9333</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>SHV03</BillingCode>
            <Name>Conduit - Arterial</Name>
            <Description>Conduit - Arterial</Description>
            <SupplierCode>SHV</SupplierCode>
            <CategoryID>6</CategoryID>
            <ARTGs>
                <ARTG>246032</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3510</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-06-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV01</BillingCode>
            <Name>Valve - Aortic</Name>
            <Description>Valve - Aortic</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>6</CategoryID>
            <ARTGs>
                <ARTG>236613</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>10405</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV02</BillingCode>
            <Name>Valve - Pulmonary</Name>
            <Description>Valve - Pulmonary</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>6</CategoryID>
            <ARTGs>
                <ARTG>236613</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>10405</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV03</BillingCode>
            <Name>Conduit - Pulmonary</Name>
            <Description>Conduit - Pulmonary</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>6</CategoryID>
            <ARTGs>
                <ARTG>236613</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2247</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV50</BillingCode>
            <Name>Pericardium</Name>
            <Description>Pericardium</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>6</CategoryID>
            <ARTGs>
                <ARTG>236613</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2734</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV56</BillingCode>
            <Name>Conduit - Aortic</Name>
            <Description>Conduit - Aortic</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>6</CategoryID>
            <ARTGs>
                <ARTG>236613</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2247</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>LEM01</BillingCode>
            <Name>Cornea</Name>
            <SupplierCode>LEM</SupplierCode>
            <CategoryID>41</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2600</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>LEM02</BillingCode>
            <Name>Sclera</Name>
            <SupplierCode>LEM</SupplierCode>
            <CategoryID>41</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>300</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>LEM04</BillingCode>
            <Name>Cornea for Endothelial Lamellar Keratoplasty</Name>
            <SupplierCode>LEM</SupplierCode>
            <CategoryID>41</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3260</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>LEW01</BillingCode>
            <Name>Cornea</Name>
            <SupplierCode>LEW</SupplierCode>
            <CategoryID>41</CategoryID>
            <ARTGs>
                <ARTG>239107</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2950</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>LEW02</BillingCode>
            <Name>Sclera</Name>
            <SupplierCode>LEW</SupplierCode>
            <CategoryID>41</CategoryID>
            <ARTGs>
                <ARTG>239107</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>295</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>LEW03</BillingCode>
            <Name>Cornea for Endothelial Keratoplasty</Name>
            <SupplierCode>LEW</SupplierCode>
            <CategoryID>41</CategoryID>
            <ARTGs>
                <ARTG>239107</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3525</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>MAB01</BillingCode>
            <Name>Cornea for Endothelial Keratoplasty</Name>
            <Description>Pre-cut cornea for Descemet Stripping Automated Endothelial Keratoplasty (DSAEK)</Description>
            <Size>Variable</Size>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>41</CategoryID>
            <ARTGs>
                <ARTG>232299</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3740</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC71</BillingCode>
            <Name>Cornea</Name>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>41</CategoryID>
            <ARTGs>
                <ARTG>232298</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2801</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC72</BillingCode>
            <Name>Sclera</Name>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>41</CategoryID>
            <ARTGs>
                <ARTG>232298</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>420</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC73</BillingCode>
            <Name>Cornea For Lamellar</Name>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>41</CategoryID>
            <ARTGs>
                <ARTG>232298</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1682</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC74</BillingCode>
            <Name>Cornea for Endothelial Keratoplasty</Name>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>41</CategoryID>
            <ARTGs>
                <ARTG>232298</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3300</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QEB01</BillingCode>
            <Name>Cornea</Name>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>41</CategoryID>
            <ARTGs>
                <ARTG>232299</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3056</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QEB02</BillingCode>
            <Name>Sclera</Name>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>41</CategoryID>
            <ARTGs>
                <ARTG>232299</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>394</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>SAE01</BillingCode>
            <Name>Cornea</Name>
            <SupplierCode>SAE</SupplierCode>
            <CategoryID>41</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2600</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>SAE02</BillingCode>
            <Name>Sclera</Name>
            <SupplierCode>SAE</SupplierCode>
            <CategoryID>41</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>290</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>SAE03</BillingCode>
            <Name>Cornea for Endothelial Keratoplasty</Name>
            <SupplierCode>SAE</SupplierCode>
            <CategoryID>41</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3350</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA02</BillingCode>
            <Name>Femoral Ring</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2277</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA05</BillingCode>
            <Name>Tendon Patch Super Critical Fluid CO2 Treated</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4000</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA06</BillingCode>
            <Name>Peroneus Longus Tendon</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3125</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA08</BillingCode>
            <Name>Radius – Whole</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3541</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA09</BillingCode>
            <Name>Femoral Condyle Half – Super Critical Fluid CO2 Treated</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3016</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA14</BillingCode>
            <Name>Morsellised Bone (10-20 cc/g)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2707</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA15</BillingCode>
            <Name>Cortical Cancellous Block</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1674</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA16</BillingCode>
            <Name>Peroneus Longus Tendon Super Critical Fluid CO2 Treated</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3187</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA19</BillingCode>
            <Name>Cortical Sheet</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1522</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA21</BillingCode>
            <Name>Femoral Strut</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3996</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA22</BillingCode>
            <Name>Cancellous Cube – Super Critical Fluid CO2 Treated (Freeze Dried)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1593</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA23</BillingCode>
            <Name>Femur – Whole</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>9013</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA24</BillingCode>
            <Name>Unicortical Cancellous Block Super Critical Fluid CO2 Treated (Freeze Dried)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1553</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA25</BillingCode>
            <Name>Patella Tendon with Bone Block – Whole with Quads</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3804</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA27</BillingCode>
            <Name>Achilles Tendon with Pre-Shaped Bone Block Super Critical Fluid CO2 Treated</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4001</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA28</BillingCode>
            <Name>Morsellised Bone (Freeze Dried) (6-10cc)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2707</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA29</BillingCode>
            <Name>Humerus – Proximal Super Critical Fluid CO2 Treated</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4061</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA32</BillingCode>
            <Name>Cervical Spacers - Parrallel</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1840</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA35</BillingCode>
            <Name>Cancellous Plug Super Critical Fluid CO2 Treated (Freeze Dried)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1593</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA36</BillingCode>
            <Name>Cortical Ring</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1840</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA37</BillingCode>
            <Name>Humerus – Strut</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2700</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA40</BillingCode>
            <Name>Patella Tendon with Bone Block – Whole Super Critical Fluid CO2 Treated</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3879</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA43</BillingCode>
            <Name>Femoral Ring Super Critical CO2 Treated (Freeze Dried)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2112</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA50</BillingCode>
            <Name>Ulna – Whole</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4008</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA51</BillingCode>
            <Name>Cortical Plate Super Critical Fluid CO2 Treated (Freeze Dried)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1553</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA52</BillingCode>
            <Name>Semitendonosis Tendon</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3126</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA54</BillingCode>
            <Name>Cancellous Cube</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1718</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA57</BillingCode>
            <Name>Gracilis Tendon Super Critical Fluid CO2 Treated</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2445</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA58</BillingCode>
            <Name>Cervical Spacers - Lordotic</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1840</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA59</BillingCode>
            <Name>Patella Tendon with Bone Block – Whole with Quads – Super Critical Fluid CO2 Treated</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3879</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA62</BillingCode>
            <Name>Humeral Head – Whole</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2188</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA63</BillingCode>
            <Name>Bone Dowel / Plug Super Critical Fluid CO2 Treated</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1752</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA64</BillingCode>
            <Name>Cancellous Block (Freeze Dried)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1562</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA66</BillingCode>
            <Name>Morsellised Bone (Freeze Dried) (1-5cc)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2432</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA68</BillingCode>
            <Name>Malleable Bone Segments Super Critical Fluid CO2Treated</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2400</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA70</BillingCode>
            <Name>Hemi Patella Tendon with Bone Block Super Critical Fluid CO2 Treated</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3879</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA71</BillingCode>
            <Name>Semitendonosis Tendon Super Critical Fluid CO2 Treated</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3188</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA72</BillingCode>
            <Name>Cortical Strut</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2700</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA73</BillingCode>
            <Name>Tricortical Cancellous Wedge</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1674</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA75</BillingCode>
            <Name>Anterior Tibialis Tendon</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3125</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA77</BillingCode>
            <Name>Cancellous Plug</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1718</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA78</BillingCode>
            <Name>Cervical Spacers - Parallel Super Critical Fluid CO2Treated 5mm-9mm</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2065</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA79</BillingCode>
            <Name>Humeral Head – Whole Super Critical Fluid CO2 Treated</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2029</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA81</BillingCode>
            <Name>Tricortical Cancellous Wedge Super Critical Fluid CO2 Treated (Freeze Dried)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1553</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA83</BillingCode>
            <Name>Tibial Shaft</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>5416</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA84</BillingCode>
            <Name>Tibia – Distal</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3743</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA85</BillingCode>
            <Name>Cortical Segment</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3449</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA86</BillingCode>
            <Name>Morsellised Bone – Super Critical Fluid CO2 Treated (1-4g)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2314</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA87</BillingCode>
            <Name>Femoral Condyle Whole</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3743</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA88</BillingCode>
            <Name>Tendon Patch</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3923</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA89</BillingCode>
            <Name>Humerus – Distal Segment</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3075</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA90</BillingCode>
            <Name>Morsellised Bone (1-4 cc/g)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2268</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA92</BillingCode>
            <Name>Bone Dowel / Plug (Freeze Dried)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1562</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA95</BillingCode>
            <Name>Achilles Tendon with Bone Block</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3923</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AAA97</BillingCode>
            <Name>Cortical Cancellous Block Super Critical Fluid CO2Treated (Freeze Dried)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1553</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB02</BillingCode>
            <Name>Malleable Bone Segments Super Critical Fluid CO2Treated (Freeze Dried)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2400</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB05</BillingCode>
            <Name>Fibula – Whole</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>8780</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB07</BillingCode>
            <Name>Tibial Strut</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3515</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB08</BillingCode>
            <Name>Femoral Condyle Half</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3253</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB09</BillingCode>
            <Name>Cervical Spacers - Lordotic (Freeze Dried)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1840</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB10</BillingCode>
            <Name>Fibular Ring Super Critical Fluid CO2 Treated (Freeze Dried)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1877</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB11</BillingCode>
            <Name>Posterior Tibialis Tendon Super Critical Fluid CO2 Treated</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3187</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB12</BillingCode>
            <Name>Patella Tendon with Bone Blocks - Whole</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3804</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB14</BillingCode>
            <Name>HTO Wedge</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1694</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB15</BillingCode>
            <Name>Humerus – Proximal</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3620</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB18</BillingCode>
            <Name>Humerus – Strut Super Critical Fluid CO2 Treated (Freeze Dried)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2504</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB19</BillingCode>
            <Name>Cancellous Block</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1718</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB20</BillingCode>
            <Name>Posterior Tibialis Tendon</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3125</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB26</BillingCode>
            <Name>Cortical Plate</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1522</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB27</BillingCode>
            <Name>Achilles Tendon Super Critical Fluid CO2 Treated</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4001</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB28</BillingCode>
            <Name>Cervical Spacers – Lordotic Super Critical Fluid CO2Treated 5mm-9mm</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2065</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB32</BillingCode>
            <Name>Unicortical Cancellous Wedge (Freeze Dried)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1522</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB34</BillingCode>
            <Name>Femoral Head – Whole</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3773</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB35</BillingCode>
            <Name>Fibular Ring</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2024</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB37</BillingCode>
            <Name>Tibia – Proximal</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3663</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB38</BillingCode>
            <Name>Achilles Tendon with Pre-Shaped Bone Block</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3923</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB39</BillingCode>
            <Name>HTO Wedge – Super Critical Fluid CO2  Treated (Freeze Dried)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1571</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB43</BillingCode>
            <Name>Malleable Bone Segments</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2587</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB44</BillingCode>
            <Name>Humerus – Shaft</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4453</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB45</BillingCode>
            <Name>Patella Tendon with Pre-Shaped Bone Block Super Critical Fluid CO2 Treated</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3526</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB50</BillingCode>
            <Name>Unicortical Cancellous Block</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1674</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB52</BillingCode>
            <Name>Femur – Distal</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3743</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB56</BillingCode>
            <Name>Morsellised Bone (Freeze Dried)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2211</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB57</BillingCode>
            <Name>Femoral Shaft</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3598</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB59</BillingCode>
            <Name>Fascia Lata</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3923</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB60</BillingCode>
            <Name>Femoral Head – Hemi</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3773</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB63</BillingCode>
            <Name>Patella Tendon with Pre-Shaped Bone Block Super Critical Fluid CO2 Treated</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3879</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB64</BillingCode>
            <Name>Anterior Tibialis Tendon Super Critical Fluid CO2 Treated</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3187</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB68</BillingCode>
            <Name>Femur – Proximal</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3996</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB69</BillingCode>
            <Name>Cortical Sheet Super Critical Fluid CO2 Treated (Freeze Dried)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1553</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB74</BillingCode>
            <Name>Patella Tendon with Pre-Shaped Bone Blocks</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3804</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB78</BillingCode>
            <Name>Femoral Ring Super Critical Fluid CO2 Treated</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2112</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB79</BillingCode>
            <Name>Tibia – Whole</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>7921</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB80</BillingCode>
            <Name>Cortical Ring Super Critical Fluid CO2 Treated (Freeze Dried)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1877</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB83</BillingCode>
            <Name>Humerus – Whole</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4530</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB86</BillingCode>
            <Name>Morsellised Bone (5-9 cc/g)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2432</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB87</BillingCode>
            <Name>Hemipelvis – Segment Super Critical Fluid CO2 Treated</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1708</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB88</BillingCode>
            <Name>Cancellous Block Super Critical Fluid CO2 Treated (Freeze Dried)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1593</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB89</BillingCode>
            <Name>Cervical Spacers - Parrallel (Freeze Dried)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1840</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB91</BillingCode>
            <Name>Fascia Lata Super Critical Fluid CO2 Treated</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4001</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB92</BillingCode>
            <Name>Achilles Tendon</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3923</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB93</BillingCode>
            <Name>Gracilis Tendon</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2398</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB94</BillingCode>
            <Name>Morsellised Bone Super Critical Fluid CO2 Treated (5-9g)</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2482</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB96</BillingCode>
            <Name>Hemipelvis – Whole</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>9452</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB97</BillingCode>
            <Name>Achilles Tendon with Bone Block Super Critical Fluid CO2 Treated</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4001</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB98</BillingCode>
            <Name>Hemi Patella Tendon with Bone Block</Name>
            <SupplierCode>AAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3804</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ABB99</BillingCode>
            <Name>Demineralized Bone Fibres (FZ) 1-4g</Name>
            <SupplierCode>ABB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2750</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ADD01</BillingCode>
            <Name>Demineralized Bone Fibres (FZ) 5-9g</Name>
            <SupplierCode>ABB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3800</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ADD03</BillingCode>
            <Name>Demineralized Bone Fibres / Cortico-Cancellous Granules (FZ) 1-4g</Name>
            <SupplierCode>ABB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2750</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ADD04</BillingCode>
            <Name>Demineralized Bone Fibres / Cortico-Cancellous Granules (FZ) 5-9g</Name>
            <SupplierCode>ABB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3800</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ADD06</BillingCode>
            <Name>Demineralized Bone Fibres (FD) 2-4cc</Name>
            <SupplierCode>ABB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2750</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ADD07</BillingCode>
            <Name>Demineralized Bone Fibres (FD) 5-9cc</Name>
            <SupplierCode>ABB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3800</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ADD09</BillingCode>
            <Name>Demineralized Bone Fibres / Cortico-Cancellous Granules (FD) 2-4cc</Name>
            <SupplierCode>ABB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2750</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ADD10</BillingCode>
            <Name>Demineralized Bone Fibres / Cortico-Cancellous Granules (FD) 5-9cc</Name>
            <SupplierCode>ABB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3800</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ADD12</BillingCode>
            <Name>Compressible Cancellous Block (FD)</Name>
            <SupplierCode>ABB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3500</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ADD13</BillingCode>
            <Name>Compressible Cancellous Block (FZ)</Name>
            <SupplierCode>ABB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3500</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ADD14</BillingCode>
            <Name>Compressible Cancellous Strip (FD)</Name>
            <SupplierCode>ABB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3500</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ADD15</BillingCode>
            <Name>Compressible Cancellous Strip (FZ)</Name>
            <SupplierCode>ABB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3500</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ADD16</BillingCode>
            <Name>Patella Quadriceps Tendon with Patellar Bone</Name>
            <SupplierCode>ABB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3902</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ADD17</BillingCode>
            <Name>Spinal Anterior Longitudonal Ligament Patch</Name>
            <SupplierCode>ABB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4023</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ADD18</BillingCode>
            <Name>Pre-Shaped Cancellous/Cortical Block (Various Sizes)</Name>
            <SupplierCode>ABB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3200</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ADD19</BillingCode>
            <Name>Engineered Cancellous Block with DBM Component (Various Sizes)</Name>
            <SupplierCode>ABB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3200</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ADD20</BillingCode>
            <Name>Bone allograft kit (Demineralized and Mineralized Bone Matrix) 5-10g / 5-10cc</Name>
            <SupplierCode>ABB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>6193</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ADD22</BillingCode>
            <Name>Pre-Shaped Hyaline Cartilage Segment</Name>
            <SupplierCode>ABB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2750</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ADD23</BillingCode>
            <Name>Cortical – Demineralized Bone Matrix 1-4g/1-4cc</Name>
            <SupplierCode>ABB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2676</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ADD25</BillingCode>
            <Name>Moulded Demineralized Fibres (Small)</Name>
            <SupplierCode>ABB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3000</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ADD26</BillingCode>
            <Name>Moulded Demineralized Fibres (Large)</Name>
            <SupplierCode>ABB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3750</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ADD27</BillingCode>
            <Name>Demineralized Bone Matrix/Cortico-Cancellous Granules 5-9cc</Name>
            <SupplierCode>ABB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3800</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ADD29</BillingCode>
            <Name>Freeze Dried Cortico-Cancellous Bone Granules 2-4cc</Name>
            <SupplierCode>ABB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2450</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ADD30</BillingCode>
            <Name>Freeze Dried Cortico-Cancellous Bone Granules 5-9cc</Name>
            <SupplierCode>ABB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2800</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ADD32</BillingCode>
            <Name>Bone allograft kit (Demineralized and Mineralized Bone Matrix) 1-4g / 1-4cc</Name>
            <SupplierCode>ABB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4376</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>ADD33</BillingCode>
            <Name>Demineralized Bone Matrix/Cortico-Cancellous Granules 1-4cc</Name>
            <SupplierCode>ABB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2700</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AUB02</BillingCode>
            <Name>Bone - Milled Femoral Head</Name>
            <SupplierCode>AUB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2457</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AUB03</BillingCode>
            <Name>Femoral Head</Name>
            <SupplierCode>AUB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2354</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AUB04</BillingCode>
            <Name>Bone – Cortico-Cancellous Crunch &lt;30g</Name>
            <SupplierCode>AUB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2070</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AUB05</BillingCode>
            <Name>Cortical Strut</Name>
            <SupplierCode>AUB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2451</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AUB06</BillingCode>
            <Name>Tibia – Proximal third</Name>
            <SupplierCode>AUB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2562</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AUB07</BillingCode>
            <Name>Spinal Ring</Name>
            <SupplierCode>AUB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1854</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AUB08</BillingCode>
            <Name>Bone – Cortico-Cancellous Crunch &lt;20g Sterile</Name>
            <SupplierCode>AUB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2215</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AUB09</BillingCode>
            <Name>Tendon - Achilles with bone plug</Name>
            <SupplierCode>AUB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2228</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>AUB10</BillingCode>
            <Name>Tendon</Name>
            <SupplierCode>AUB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2184</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA01</BillingCode>
            <Name>Semitendinosis, Tendon, Frozen, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2840</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA02</BillingCode>
            <Name>Semitendinosus Tendon, Freeze Dried, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2910</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA03</BillingCode>
            <Name>Peroneus Longus Tendon, Frozen, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2783</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA04</BillingCode>
            <Name>Peroneus Longus Tendon, Freeze Dried, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2420</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA05</BillingCode>
            <Name>Fascia Lata, ≥ 120cm²  ≤ 180cm², Frozen, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2400</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA06</BillingCode>
            <Name>Anterior Tibialis Tendon, Frozen, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3102</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA07</BillingCode>
            <Name>Anterior Tibialis Tendon, Freeze Dried, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3029</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA08</BillingCode>
            <Name>Gracilis Tendon, Frozen, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2586</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA09</BillingCode>
            <Name>Gracilis Tendon, Freeze Dried, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2222</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA10</BillingCode>
            <Name>Achillies Tendon, Frozen, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2971</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA11</BillingCode>
            <Name>Revision Core, Various Sizes, Freeze Dried, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2136</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA12</BillingCode>
            <Name>Evans Wedge, Freeze dried, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2339</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA13</BillingCode>
            <Name>High Tibial Osteotomy Wedge Cortical Bone Wedges, (2-Piece), Freeze Dried, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2134</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA14</BillingCode>
            <Name>Brachymetatarsal Lengthening Graft Segment, Freeze Dried, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2404</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA15</BillingCode>
            <Name>Milled Cancellous Chips, Freeze dried, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1455</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA16</BillingCode>
            <Name>Demineralized Cancellous Chips, Freeze dried, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1449</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA17</BillingCode>
            <Name>ENHANCE® Demineralized Cortical Fiber, 2.5cc, Dehydrated, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1544</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA18</BillingCode>
            <Name>Achilles Tendon, with Calcaneus, Frozen, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2787</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA19</BillingCode>
            <Name>Achilles Tendon, with Shaped Bone Blocks, Frozen, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3450</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA20</BillingCode>
            <Name>Patella Bone-Tendon-Bone, Hemi with Quadriceps, Frozen, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3540</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA21</BillingCode>
            <Name>Patella Bone-Tendon-Bone, Whole with Quadriceps, Frozen, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>5917</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA22</BillingCode>
            <Name>ENHANCE® Demineralized Cortical Fiber, 5cc, Dehydrated, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1962</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA23</BillingCode>
            <Name>ENHANCE® Demineralized Cortical Fiber, 10cc, Dehydrated, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2287</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA24</BillingCode>
            <Name>Cotton Wedge, Freeze dried, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2326</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA25</BillingCode>
            <Name>Arch Wedge, Freeze dried, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2089</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA26</BillingCode>
            <Name>Proximal Metatarsal Lengthening Graft Segment, Freeze Dried, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2374</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA27</BillingCode>
            <Name>AlloPatchHD Acellular Human Dermis, ≤ 25cm²  ≥ 1.8mm, Dehydrated, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2733</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA28</BillingCode>
            <Name>AlloPatchHD Acellular Human Dermis, ≥ 25cm² ≤1.7mm, Dehydrated, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2777</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA29</BillingCode>
            <Name>AlloPatchHD Acellular Human Dermis, ≥ 25cm² ≤ 1.7mm, Hydrated, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2591</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA30</BillingCode>
            <Name>AlloPatchHD Acellular Human Dermis, ≥ 25cm² ≥ 1.8mm, Hydrated, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2762</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA31</BillingCode>
            <Name>AlloPatchHD Acellular Human Dermis, ≤ 25cm² ≤ 1.7mm, Dehydrated, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2391</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA32</BillingCode>
            <Name>AlloPatchHD Acellular Human Dermis, ≤ 25cm² ≤1.7mm thick, Hydrated, Non- Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2391</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA33</BillingCode>
            <Name>AlloPatchHD Acellular Human Dermis - Meshed, ≤ 25cm² ≤0.7mm, Hydrated, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2372</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA34</BillingCode>
            <Name>AlloPatchHD Acellular Human Dermis, ≤25cm² ≥1.8mm, Hydrated, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2731</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA35</BillingCode>
            <Name>AlloPatchHD Acellular Human Dermis - Meshed, ≥ 26cm² ≤0.7mm, Hydrated, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2869</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA36</BillingCode>
            <Name>Patella Bone-Tendon-Bone, Hemi without Quadriceps, Frozen, Non-irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3629</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA37</BillingCode>
            <Name>Patella Bone-Tendon-Bone, Hemi with 10.0mm Shaped Bone Blocks, Frozen, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3500</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA38</BillingCode>
            <Name>Quadriceps Tendon, with 10.0mm Shaped Bone Blocks, Frozen, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2900</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA39</BillingCode>
            <Name>Menisci with Tibial Plateau, Frozen, Non-irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>5807</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA40</BillingCode>
            <Name>Patella Bone-Tendon-Bone, Whole (Special) with Quadriceps, Frozen, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>6150</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA41</BillingCode>
            <Name>Posterior Tibialis Tendon, Frozen, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3098</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA42</BillingCode>
            <Name>Quadriceps Tendon, with Bone Block, Frozen, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3172</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA43</BillingCode>
            <Name>Quadriceps Tendon, without Bone Block, Frozen, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3172</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA44</BillingCode>
            <Name>Fascia Lata, ≥ 60cm² - ≤100cm² ≥, Freeze Dried, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1869</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA45</BillingCode>
            <Name>Fascia Lata, ≤ 60cm², Frozen, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2110</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA46</BillingCode>
            <Name>MPJ Arthrodesis Lengthening Graft Segment, Frozen, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2721</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA47</BillingCode>
            <Name>Bone-Tendon-Bone, Hemi with Quadriceps, Freeze Dried, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3832</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA48</BillingCode>
            <Name>Bone-Tendon-Bone, Hemi with 10.0mm Shaped Bone Blocks, Freeze Dried, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3680</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA49</BillingCode>
            <Name>Achilles Tendon, with Calcaneus, Freeze Dried, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3121</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA50</BillingCode>
            <Name>Achilles Tendon, without Calcaneus, Freeze Dried, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2992</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA51</BillingCode>
            <Name>Posterior Tibialis Tendon, Freeze Dried, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3106</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA52</BillingCode>
            <Name>Demineralized 80%Cortical/20%Cancellous Granules, Freeze dried, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1500</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA53</BillingCode>
            <Name>Meniscus with Hemi Plateau, Medial, Frozen, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>5680</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA54</BillingCode>
            <Name>Fascia Lata, ≤ 60cm², Freeze Dried, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1821</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA55</BillingCode>
            <Name>Fascia Lata,  ≥ 120cm² ≤ 180cm², Freeze-Dried, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2259</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA56</BillingCode>
            <Name>Meniscus with Hemi Plateau, Lateral, Frozen, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>6047</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CAA57</BillingCode>
            <Name>Meniscus for Interpositional Arthroplasty, Frozen, Non-Irradiated</Name>
            <SupplierCode>CAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3067</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>CSA01</BillingCode>
            <Name>Femoral Head</Name>
            <Description>Femoral Head, whole, frozen, non-irradiated</Description>
            <Size>Single, whole femoral head</Size>
            <SupplierCode>SAC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>233823</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3367</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>DHR01</BillingCode>
            <Name>Femoral Head</Name>
            <SupplierCode>DHR</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>260540</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4616</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>MAA01</BillingCode>
            <Name>Grafton Plus Demineralized Bone Matrix: Paste, 10cc</Name>
            <SupplierCode>MAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229635</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1539</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>MAA02</BillingCode>
            <Name>Grafton Plus Demineralized Bone Matrix: Paste, 1-5cc</Name>
            <SupplierCode>MAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229635</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>581</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>MAA03</BillingCode>
            <Name>Grafton Demineralized Bone Matrix: Orthoblend, 15cc</Name>
            <SupplierCode>MAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229633</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1978</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>MAA04</BillingCode>
            <Name>Grafton Demineralized Bone Matrix: Matrix PLF, 2.5cm x 10cm x 0.8cm (2)</Name>
            <SupplierCode>MAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229633</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1978</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>MAA05</BillingCode>
            <Name>Grafton Demineralized Bone Matrix: Orthoblend, 5cc</Name>
            <SupplierCode>MAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229633</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>581</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>MAA06</BillingCode>
            <Name>Grafton Demineralized Bone Matrix: Orthoblend, 10cc</Name>
            <SupplierCode>MAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229633</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1539</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>MAA07</BillingCode>
            <Name>Grafton Demineralized Bone Matrix: Flex, 1.5cm x 1.5cm x 0.25cm</Name>
            <SupplierCode>MAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229634</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>581</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>MAA08</BillingCode>
            <Name>Grafton Demineralized Bone Matrix: Flex, &gt;5cc to 10cc</Name>
            <SupplierCode>MAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229634</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1539</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>MAA09</BillingCode>
            <Name>Grafton Demineralized Bone Matrix: Matrix PLF, 2.5cm x 5cm x 0.8cm (2)</Name>
            <SupplierCode>MAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229636</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1539</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>MAA10</BillingCode>
            <Name>Grafton Demineralized Bone Matrix: Matrix Strips, 1cm x 20cm x 0.8cm (2)</Name>
            <SupplierCode>MAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229636</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1978</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>MAA11</BillingCode>
            <Name>Grafton Demineralized Bone Matrix: Matrix Strips, 1cm x 10cm x 0.8cm (2)</Name>
            <SupplierCode>MAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229636</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1539</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>MAA13</BillingCode>
            <Name>Grafton Demineralized Bone Matrix: Flex, 2.5cm x 5cm</Name>
            <SupplierCode>MAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229634</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1099</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>MAB02</BillingCode>
            <Name>Demineralised Bone Matrix 0.5cc; Freeze Dried</Name>
            <Description>Demineralised Bone Matrix 0.5cc; Freeze Dried</Description>
            <Size>0.5 cc</Size>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1499</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>MVS05</BillingCode>
            <Name>Femoral Head</Name>
            <SupplierCode>MVS</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2370</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>MVS23</BillingCode>
            <Name>Autologous Skull Flap</Name>
            <SupplierCode>MVS</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1396</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA01</BillingCode>
            <Name>Ulna – Whole Super Critical Fluid CO2 Treated  (Frozen)</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4008</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA02</BillingCode>
            <Name>Gracilis Tendon Super Critical Fluid CO2 Treated  (Frozen)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2293</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA03</BillingCode>
            <Name>Femur – Proximal Super Critical Fluid CO2 Treated  (Frozen)</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3996</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA04</BillingCode>
            <Name>Cortical Ring Super Critical Fluid CO2 Treated (Freeze Dried) 5mm – 9mm</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1947</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA05</BillingCode>
            <Name>Fibula – Whole Super Critical Fluid CO2 Treated (Frozen)</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>8780</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA06</BillingCode>
            <Name>Bone Dowel / Plug Super Critical Fluid CO2 Treated (Freeze Dried) various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1663</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA07</BillingCode>
            <Name>Cancellous Dowel Plug Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1752</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA08</BillingCode>
            <Name>Cortical Sheet (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1592</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA09</BillingCode>
            <Name>Peroneus Longus Tendon Super Critical Fluid CO2 Treated (Frozen)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2967</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA10</BillingCode>
            <Name>Tibia – Distal Super Critical Fluid CO2 Treated  (Frozen)</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3743</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA11</BillingCode>
            <Name>Cancellous Cube (Frozen) 3cm3 cubes</Name>
            <Description>See attached documents</Description>
            <Size>See attached documents</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1718</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA12</BillingCode>
            <Name>Cortical Strut (Freeze Dried) - various sizes</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2700</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA13</BillingCode>
            <Name>Achilles Tendon with Bone Block Super Critical Fluid CO2 Treated (Frozen)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3027</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA14</BillingCode>
            <Name>Hemi Patella Tendon with Bone Block (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3528</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA15</BillingCode>
            <Name>Femoral Condyle Half (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3027</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA16</BillingCode>
            <Name>Humeral Head – Whole (Freeze Dried) - various sizes</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2188</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA17</BillingCode>
            <Name>Tibial Strut Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3515</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA18</BillingCode>
            <Name>Cancellous Block (Frozen) - various sizes</Name>
            <Description>See attached documents</Description>
            <Size>See attached documents</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1718</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA19</BillingCode>
            <Name>Cortical Plate (Frozen) various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1592</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA20</BillingCode>
            <Name>Humerus – Strut (Freeze Dried) - various sizes</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2700</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA21</BillingCode>
            <Name>Tibia – Proximal Super Critical Fluid CO2 Treated (Freeze Dried)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3466</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA22</BillingCode>
            <Name>Morsellised Bone Super Critical Fluid CO2 Treated  (Frozen) Packs of 15mg – 30mg</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2580</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA23</BillingCode>
            <Name>Cortical Sheet Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1623</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA24</BillingCode>
            <Name>Femoral Head – Hemi (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3499</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA25</BillingCode>
            <Name>Fibular Ring Super Critical Fluid CO2 Treated (Frozen)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1947</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA26</BillingCode>
            <Name>Humerus – Whole Super Critical Fluid CO2 Treated  (Frozen)</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4530</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA27</BillingCode>
            <Name>Cancellous Block Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1663</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA28</BillingCode>
            <Name>Fascia Lata Super Critical Fluid CO2 Treated  (Frozen)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1253</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA29</BillingCode>
            <Name>Tricortical Cancellous Wedge (Freeze Dried) - various sizes</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1674</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA30</BillingCode>
            <Name>Cancellous Dowel (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1632</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA31</BillingCode>
            <Name>Humerus – Distal Segment Super Critical Fluid CO2 Treated (Freeze Dried)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3206</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA32</BillingCode>
            <Name>Morsellised Bone – Super Critical Fluid CO2 Treated  Packs of 2.5gm – 5gm</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2314</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA33</BillingCode>
            <Name>Tibial Shaft Super Critical Fluid CO2  Treated  (Frozen) - various sizes</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>5416</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA34</BillingCode>
            <Name>Tibia – Whole Super Critical Fluid CO2 Treated  (Frozen)</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>7921</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA35</BillingCode>
            <Name>Tricortical Cancellous Wedge Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1623</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA36</BillingCode>
            <Name>Humerus – Shaft (Freeze Dried) - various sizes</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4453</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA37</BillingCode>
            <Name>Cervical Spacers - Parrallel (Freeze Dried) 5mm – 9mm</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1910</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA38</BillingCode>
            <Name>Cortical Cancellous Block Super Critical Fluid CO2Treated (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1623</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA39</BillingCode>
            <Name>Bone Dowel / Plug (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1632</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA40</BillingCode>
            <Name>Femur – Distal Super Critical Fluid CO2 Treated (Freeze Dried)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3775</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA41</BillingCode>
            <Name>Humerus – Proximal (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3690</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA42</BillingCode>
            <Name>Cancellous Cube – Super Critical Fluid CO2 Treated (Frozen) 3cm3 cubes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1663</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA43</BillingCode>
            <Name>Femur – Proximal Super Critical Fluid CO2 Treated (Freeze Dried)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3969</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA44</BillingCode>
            <Name>Tibia – Distal (Freeze Dried) - various sizes</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3743</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA45</BillingCode>
            <Name>Cortical Cancellous Block (Freeze Dried) - various sizes</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1674</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA46</BillingCode>
            <Name>Femoral Strut (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3703</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA47</BillingCode>
            <Name>Femoral Head Whole Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3499</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA48</BillingCode>
            <Name>Tricortical Cancellous Wedge – Super Critical Fluid CO2 Treated  (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1623</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA49</BillingCode>
            <Name>Humerus – Strut Super Critical Fluid CO2 Treated (Freeze Dried)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2574</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA50</BillingCode>
            <Name>Humerus – Proximal Super Critical Fluid CO2 Treated  (Frozen)</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4061</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA51</BillingCode>
            <Name>Posterior Tibialis Tendon Super Critical Fluid CO2 Treated (Frozen)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2967</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA52</BillingCode>
            <Name>Femur – Proximal (Freeze Dried) - various sizes</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3996</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA53</BillingCode>
            <Name>Morsellised Bone Super Critical Fluid CO2 Treated  (Freeze Dried) Packs of 5 – 10cc</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2482</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA54</BillingCode>
            <Name>Cortical Strut (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2525</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA55</BillingCode>
            <Name>Femoral Shaft Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2292</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA56</BillingCode>
            <Name>Femur – Whole Super Critical Fluid CO2 Treated  (Frozen)</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>9013</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA57</BillingCode>
            <Name>Cortical Plate Super Critical Fluid CO2 Treated (Frozen) various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1623</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA58</BillingCode>
            <Name>Malleable Bone Segments Super Critical Fluid CO2Treated (Frozen)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3541</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA59</BillingCode>
            <Name>Tibia – Distal (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3473</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA60</BillingCode>
            <Name>Femoral Condyle Whole (Frozen) - various sizes</Name>
            <Description>See attached documents</Description>
            <Size>See attached documents</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3743</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA61</BillingCode>
            <Name>Cortical Sheet (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1592</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA62</BillingCode>
            <Name>Unicortical Cancellous Wedge (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1592</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA63</BillingCode>
            <Name>Gracilis Tendon (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2250</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA64</BillingCode>
            <Name>Tendon Patch Super Critical Fluid CO2 Treated (Frozen)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3707</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA65</BillingCode>
            <Name>Bone Dowel / Plug Super Critical Fluid CO2 Treated (Frozen) various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1663</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA66</BillingCode>
            <Name>Morsellised Bone 7.5mg - 15mg</Name>
            <Description>Please see attached documents</Description>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2326</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA67</BillingCode>
            <Name>Unicortical Cancellous Wedge  (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1592</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA68</BillingCode>
            <Name>Cancellous Plug Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1663</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA69</BillingCode>
            <Name>Femoral Strut Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3996</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA70</BillingCode>
            <Name>Tibial Shaft Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>5091</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA71</BillingCode>
            <Name>Patella Tendon with Bone Block – Whole Super Critical Fluid CO2 Treated (Frozen)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2917</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA72</BillingCode>
            <Name>Tibia – Distal Super Critical Fluid CO2 Treated (Freeze Dried)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3541</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA73</BillingCode>
            <Name>Radius – Whole Super Critical Fluid CO2 Treated  (Frozen)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4109</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA74</BillingCode>
            <Name>Cortical Ring (Freeze Dried)  5mm – 9mm</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1910</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA75</BillingCode>
            <Name>Humeral Head – Whole Super Critical Fluid CO2 Treated (Frozen)</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2029</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA76</BillingCode>
            <Name>Anterior Tibialis Tendon Super Critical Fluid CO2 Treated  (Frozen)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2967</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA77</BillingCode>
            <Name>Femoral Condyle Whole Super Critical Fluid CO2 Treated (Freeze Dried)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3541</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA78</BillingCode>
            <Name>Morsellised Bone Super Critical Fluid CO2 Treated  (Frozen) Packs of 7.5gm – 15gm</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2482</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA79</BillingCode>
            <Name>Morsellised Bone (frozen) 15-30g</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2531</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA80</BillingCode>
            <Name>Femoral Condyle Half – Super Critical Fluid CO2 Treated (Freeze Dried)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3086</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA81</BillingCode>
            <Name>Fibular Ring (Freeze Dried) - various sizes</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2024</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA82</BillingCode>
            <Name>HTO Wedge (Frozen) - various sizes</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1694</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA83</BillingCode>
            <Name>Cortical Sheet Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1623</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA84</BillingCode>
            <Name>Cortical Plate Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1623</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA85</BillingCode>
            <Name>Unicortical Cancellous Wedge Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1623</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA86</BillingCode>
            <Name>Tendon Patch (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3636</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA87</BillingCode>
            <Name>Cancellous Block Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1663</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA88</BillingCode>
            <Name>Humerus – Shaft Super Critical Fluid CO2 Treated  (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4198</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA89</BillingCode>
            <Name>Cortical Segment (Frozen) - various sizes</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3449</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA90</BillingCode>
            <Name>Humerus – Distal Segment Super Critical Fluid CO2 Treated  (Frozen(</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3206</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA91</BillingCode>
            <Name>Hemi Patella Tendon with Bone Block Super Critical Fluid CO2 Treated  (Frozen)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3596</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA92</BillingCode>
            <Name>HTO Wedge – Super Critical Fluid CO2  Treated (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1641</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA93</BillingCode>
            <Name>Fibular Ring Super Critical Fluid CO2 Treated (Freeze Dried)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1947</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA94</BillingCode>
            <Name>Cortical Plate (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1592</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA95</BillingCode>
            <Name>Tibial Shaft (Freeze Dried) - various sizes</Name>
            <Description>See attached documents</Description>
            <Size>See attached documents</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>5416</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA96</BillingCode>
            <Name>Femoral Head – Hemi Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3499</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA97</BillingCode>
            <Name>Femur – Distal (Freeze Dried) - various sizes</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3775</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA98</BillingCode>
            <Name>Femoral Head – Whole (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3499</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NAA99</BillingCode>
            <Name>Unicortical Cancellous Wedge Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1623</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB01</BillingCode>
            <Name>Tendon - Achilles</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2562</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB02</BillingCode>
            <Name>Tendon - Achilles with bone block</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2969</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB05</BillingCode>
            <Name>Bone Plug/Dowel - Cancellous</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1632</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB06</BillingCode>
            <Name>Radius</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4030</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB07</BillingCode>
            <Name>Ulna</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3714</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB09</BillingCode>
            <Name>Fascia Lata</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1229</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB10</BillingCode>
            <Name>Femur - Distal Half</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3703</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB11</BillingCode>
            <Name>Femur - Distal third</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3372</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB12</BillingCode>
            <Name>Femur - Entire</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>8264</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB13</BillingCode>
            <Name>Femoral Shaft - Middle Third</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3244</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB14</BillingCode>
            <Name>Femur - Proximal third</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1690</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB15</BillingCode>
            <Name>Femur - Proximal half</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3893</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB16</BillingCode>
            <Name>Femoral Head</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3499</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB17</BillingCode>
            <Name>Femoral Rings</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2140</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB18</BillingCode>
            <Name>Fibula - Entire</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>8052</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB21</BillingCode>
            <Name>Hemipelvis - Acetabulum</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3759</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB22</BillingCode>
            <Name>Hemipelvis - iliac crest</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3500</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB23</BillingCode>
            <Name>Hemipelvis - Tricortical iliac wedge</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1592</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB24</BillingCode>
            <Name>Hemipelvis - Complete</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>8663</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB25</BillingCode>
            <Name>Humerus - Distal</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3145</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB26</BillingCode>
            <Name>Humeral Head Addition</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2059</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB27</BillingCode>
            <Name>Humerus - Proximal</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3690</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB28</BillingCode>
            <Name>Humerus - Proximal half with rotator cuff</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3595</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB29</BillingCode>
            <Name>Humerus - Entire</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4188</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB30</BillingCode>
            <Name>Humerus - Entire with rotator cuff</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4118</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB31</BillingCode>
            <Name>Ligament - Medial</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2305</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB33</BillingCode>
            <Name>Tendon - Patellar with bone plugs</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2861</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB35</BillingCode>
            <Name>Tibia - Plateau (prox 1/3)</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3258</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB36</BillingCode>
            <Name>Tibia - Proximal</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3400</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB37</BillingCode>
            <Name>Tibia - Whole</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>5418</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB38</BillingCode>
            <Name>Ulna - Shaft</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3170</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB40</BillingCode>
            <Name>Ulna - Ring</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2399</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB41</BillingCode>
            <Name>Tibial Shaft</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4994</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB42</BillingCode>
            <Name>Tibial Shaft - third</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3423</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB43</BillingCode>
            <Name>Tibial Shaft - half</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3170</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB44</BillingCode>
            <Name>Tibia - Whole with Patellar Tendon</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>7059</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB45</BillingCode>
            <Name>Tibia - Ring</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1874</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB46</BillingCode>
            <Name>Tibia - Proximal with Patellar Tendon</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>5158</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB47</BillingCode>
            <Name>Radius - Shaft</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3850</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB49</BillingCode>
            <Name>Radius - Ring</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2399</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB50</BillingCode>
            <Name>Humeral Shaft</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4118</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB51</BillingCode>
            <Name>Humeral Shaft - Half</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2162</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB53</BillingCode>
            <Name>Humerus - Ring</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1874</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB54</BillingCode>
            <Name>Fibula - Segment</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3053</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB55</BillingCode>
            <Name>Femoral Shaft - Third</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2183</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB56</BillingCode>
            <Name>Femoral Shaft - Segment</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2248</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB57</BillingCode>
            <Name>Femoral Shaft - Half</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3595</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB59</BillingCode>
            <Name>Femoral Hemi-condyle</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3027</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB60</BillingCode>
            <Name>Bone - Cancellous Crunch 60cc</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3232</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB61</BillingCode>
            <Name>Bone - Cancellous Crunch 30cc</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2131</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB62</BillingCode>
            <Name>Bone - Cancellous Crunch 15cc</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1169</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB63</BillingCode>
            <Name>Bone - Cortico-Cancellous Crunch (40/60) 60cc</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3232</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB64</BillingCode>
            <Name>Bone - Cortico-Cancellous Crunch (40/60) 30cc</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2131</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB65</BillingCode>
            <Name>Bone - Cortico-Cancellous Crunch (40/60) 15cc</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1169</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB66</BillingCode>
            <Name>Tri Cortical Osteotomy</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1563</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB67</BillingCode>
            <Name>Tendon - Tibialis Anterior</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2911</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB68</BillingCode>
            <Name>Tendon - Patellar with machined conical bone plug</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3528</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB69</BillingCode>
            <Name>Tendon - Achilles with machined conical bone block</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3636</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB70</BillingCode>
            <Name>Tendon - Semi tendinosis</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2912</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB71</BillingCode>
            <Name>Tendon - Tibialis Posterior</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2911</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB72</BillingCode>
            <Name>Tendon - Patellar with Quads</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2911</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NBB73</BillingCode>
            <Name>Tendon - Peroneus Longus</Name>
            <SupplierCode>NBB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2911</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCA01</BillingCode>
            <Name>Cancellous Plug</Name>
            <Description>Plug of bone made from piece of cancellous bone cleaned, treated with SCF CO2, packaged, irradiated</Description>
            <SupplierCode>NCA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1718</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCA02</BillingCode>
            <Name>Cancellous Plug Super Critical Fluid CO2 Treated (Freeze Dried)</Name>
            <Description>Plug of bone made from piece of cancellous bone cleaned, treated with SCF CO2, packaged, irradiated</Description>
            <SupplierCode>NCA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1593</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCA03</BillingCode>
            <Name>Unicortical Cancellous Block</Name>
            <Description>Plug of bone made from piece of cancellous bone cleaned, treated with SCF CO2, packaged, irradiated</Description>
            <SupplierCode>NCA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1674</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCA04</BillingCode>
            <Name>Unicortical Cancellous Block Super Critical Fluid CO2 Treated (Freeze Dried)</Name>
            <Description>Plug of bone made from piece of cancellous bone cleaned, treated with SCF CO2, packaged, irradiated</Description>
            <SupplierCode>NCA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1553</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCA05</BillingCode>
            <Name>Compressible Cancellous Block (FD)</Name>
            <Description>Strips of cortico-cancellous bone cut from the distal femur or proximal tibia, hand fashioned to various pieces/ sizes, cleaned, treated to induce malleability, cleaned with SCF CO2, packaged and irradiated</Description>
            <SupplierCode>NCA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3500</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCA06</BillingCode>
            <Name>Compressible Cancellous Block (FZ)</Name>
            <Description>Strips of cortico-cancellous bone cut from the distal femur or proximal tibia, hand fasioned to various pieces/ sizes, cleaned, trated to induce malleability, cleaned with SCF CO2, packaged and irradiated</Description>
            <SupplierCode>NCA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3500</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCA07</BillingCode>
            <Name>Pre-Shaped Hyaline Cartilage Segment</Name>
            <Description>Strips/sheets of hyaline cartilage cut from articular surfaces and/or costal cartilage, cleaned to remove surrounding unwanted tissue, packaged and exposed to Gamma Irradiation</Description>
            <SupplierCode>NCA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2750</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCA08</BillingCode>
            <Name>Fascia Lata [Small; Medium; Large pieces]</Name>
            <Description>Fascia Lata removed in strips, cleaned, treated with SCF CO2, trimmed to size, Packaged, irradiated</Description>
            <Size>[Small; Medium; Large pieces]</Size>
            <SupplierCode>NCA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3923</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCA09</BillingCode>
            <Name>Spinal Anterior Longitudonal Ligament Patch</Name>
            <Description>Piece of tendon, cleaned trimmed to various sizes, treated with SCF, CO2, packaged , Irradiated</Description>
            <SupplierCode>NCA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4023</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCA10</BillingCode>
            <Name>Achilles Tendon</Name>
            <Description>Achillies Tendon that has been shaped, trimmed, cleaned, treated with SCF, CO2, packaged and irradiated</Description>
            <SupplierCode>NCA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3923</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCA11</BillingCode>
            <Name>Achilles Tendon with Bone Block</Name>
            <Description>Achillies Tendon with bone block attachment that has been , trimmed, cleaned, treated with SCF, CO2,packaged and irradiated</Description>
            <SupplierCode>NCA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3923</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCA12</BillingCode>
            <Name>Achilles Tendon with Pre-Shaped Bone Block</Name>
            <Description>Achillies Tendon with bone block attachment that has been , trimmed, cleaned, treated with SCF, CO2,packaged and irradiated</Description>
            <SupplierCode>NCA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3923</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCA13</BillingCode>
            <Name>Patella Tendon with Bone Blocks - Whole</Name>
            <Description>Achillies Tendon with bone block attachment that has been , trimmed, cleaned, treated with SCF, CO2,packaged and irradiated</Description>
            <SupplierCode>NCA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3804</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCA14</BillingCode>
            <Name>Patella Quadriceps Tendon with Patellar Bone</Name>
            <Description>Achillies Tendon with bone block attachment that has been , trimmed, cleaned, treated with SCF, CO2,packaged and irradiated</Description>
            <SupplierCode>NCA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3902</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCA15</BillingCode>
            <Name>Patella Tendon with Pre-Shaped Bone Blocks</Name>
            <Description>Achillies Tendon with bone block attachment that has been , trimmed, cleaned, treated with SCF, CO2,packaged and irradiated</Description>
            <SupplierCode>NCA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3804</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCA16</BillingCode>
            <Name>Anterior Tibialis Tendon</Name>
            <Description>Achillies Tendon with bone block attachment that has been , trimmed, cleaned, treated with SCF, CO2,packaged and irradiated</Description>
            <SupplierCode>NCA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3125</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC01</BillingCode>
            <Name>Femoral Ring Super Critical CO2 Treated (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2182</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC02</BillingCode>
            <Name>Cortical Cancellous Block Super Critical Fluid CO2Treated (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1623</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC03</BillingCode>
            <Name>Femoral Ring Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2182</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC04</BillingCode>
            <Name>Femoral Shaft (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2248</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC05</BillingCode>
            <Name>Fibular Ring (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1910</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC06</BillingCode>
            <Name>Cervical Spacers – Lordotic Super Critical Fluid CO2Treated (Freeze Dried) 5mm – 9mm</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1947</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC07</BillingCode>
            <Name>Cervical Spacers - Lordotic (Freeze Dried)  5mm – 9mm</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1910</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC08</BillingCode>
            <Name>Femoral Head – Whole Super Critical Fluid CO2 Treated  (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3499</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC09</BillingCode>
            <Name>HTO Wedge Super Critical Fluid CO2 Treated  (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1641</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC10</BillingCode>
            <Name>Cortical Cancellous Block (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1592</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC11</BillingCode>
            <Name>Femoral Strut (Freeze Dried) - various sizes</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3996</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC12</BillingCode>
            <Name>Patella Tendon with Pre-Shaped Bone Block Super Critical Fluid CO2 Treated  (Frozen)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3596</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC13</BillingCode>
            <Name>Cancellous Cube (Freeze Dried) 3cm3 cubes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1632</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC14</BillingCode>
            <Name>Tibial Strut (Freeze Dried) - various sizes</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3515</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC15</BillingCode>
            <Name>Cancellous Cube – Super Critical Fluid CO2 Treated (Freeze Dried) 3cm3 cubes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1663</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC16</BillingCode>
            <Name>Femur – Distal Super Critical Fluid CO2 Treated  (Frozen)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3775</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC17</BillingCode>
            <Name>Cortical Ring Super Critical Fluid CO2 Treated  (Frozen)  5mm – 9mm</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1947</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC18</BillingCode>
            <Name>Cortical Strut Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2574</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC19</BillingCode>
            <Name>Morsellised Bone (Freeze Dried) Packs of 5 – 10cc</Name>
            <Description>Please see attached documents</Description>
            <Size>Please see attached documents</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2432</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC20</BillingCode>
            <Name>Cervical Spacers – Lordotic Super Critical Fluid CO2Treated (Frozen) 5mm – 9mm</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2065</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC21</BillingCode>
            <Name>Tibial Strut Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3329</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC22</BillingCode>
            <Name>Patella Tendon with Bone Block – Whole with Quads – Super Critical Fluid CO2 Treated  (Frozen)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2967</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC23</BillingCode>
            <Name>Malleable Bone Segments (Freeze Dried) various sizes</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3541</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC24</BillingCode>
            <Name>Achilles Tendon with Pre-Shaped Bone Block Super Critical Fluid CO2 Treated  (Frozen)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3707</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC25</BillingCode>
            <Name>Humerus – Strut Super Critical Fluid CO2 Treated  (Frozen)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2574</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC26</BillingCode>
            <Name>Humeral Head – Whole Super Critical Fluid CO2 Treated, (Freeze Dried)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2099</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC27</BillingCode>
            <Name>Cancellous Dowel - Frozen - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1632</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC28</BillingCode>
            <Name>Cortical Segment Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3206</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC29</BillingCode>
            <Name>Hemipelvis – Segment Super Critical Fluid CO2 Treated (Freeze Dried)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1623</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC30</BillingCode>
            <Name>Femoral Shaft Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3598</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC31</BillingCode>
            <Name>Tibia – Proximal (Freeze Dried) - various sizes</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3663</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC32</BillingCode>
            <Name>Humerus – Shaft Super Critical Fluid CO2 Treated (Frozen) - various sizes</Name>
            <Description>See attached documents</Description>
            <Size>See attached documents</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4453</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC33</BillingCode>
            <Name>Hemipelvis – Whole Super Critical Fluid CO2 Treated  (Frozen)</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>9452</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC34</BillingCode>
            <Name>Femoral Condyle Whole (Frozen) Super Critical Fluid CO2 Treated</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3541</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC35</BillingCode>
            <Name>Cortical Segment Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3206</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC36</BillingCode>
            <Name>Malleable Bone Segments (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2422</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC37</BillingCode>
            <Name>Cervical Spacers - Parallel Super Critical Fluid CO2 Treated (Freeze Dried) 5mm – 9mm</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2065</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC38</BillingCode>
            <Name>Semitendonosis Tendon Super Critical Fluid CO2 Treated (Frozen)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2968</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC39</BillingCode>
            <Name>Femoral Strut Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3775</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC40</BillingCode>
            <Name>Cervical Spacers - Parallel Super Critical Fluid CO2Treated (Frozen)  5mm – 9mm</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1947</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC41</BillingCode>
            <Name>Morsellised Bone Super Critical Fluid CO2 Treated  (Freeze Dried) Packs of 15 – 30cc</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2580</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC42</BillingCode>
            <Name>Hemipelvis – Segment (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1592</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC43</BillingCode>
            <Name>Morsellised Bone (Freeze Dried) Packs of 15 – 30cc</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2531</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC44</BillingCode>
            <Name>Malleable Bone Segments Super Critical Fluid CO2Treated (Freeze Dried)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3541</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC45</BillingCode>
            <Name>Femoral Condyle Whole (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3473</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC46</BillingCode>
            <Name>Femoral Head – Hemi (Freeze Dried) - various sizes</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3773</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC47</BillingCode>
            <Name>Tibial Strut (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3265</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC48</BillingCode>
            <Name>Hemipelvis – Segment Super Critical Fluid CO2 Treated  (Frozen)</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1708</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC49</BillingCode>
            <Name>Cortical Segment (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3145</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC50</BillingCode>
            <Name>Humerus – Proximal Super Critical Fluid CO2 Treated (Freeze Dried)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3762</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC51</BillingCode>
            <Name>HTO Wedge (Freeze Dried) - Various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1610</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC52</BillingCode>
            <Name>Tibia – Proximal Super Critical Fluid CO2 Treated  (Frozen)</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3663</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC53</BillingCode>
            <Name>Cervical Spacers - Lordotic (Frozen) 5mm – 9mm</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1910</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC54</BillingCode>
            <Name>Cancellous Block (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1632</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC55</BillingCode>
            <Name>Morsellised Bone 2.5-5mg</Name>
            <Description>Please see attached documents.</Description>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2268</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC56</BillingCode>
            <Name>Cortical Ring (Frozen) 5mm – 9mm</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1910</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC57</BillingCode>
            <Name>Femoral Condyle Whole – Super Critical Fluid CO2 Treated  (Frozen)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3086</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC58</BillingCode>
            <Name>Humerus – Strut (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2525</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC59</BillingCode>
            <Name>Cervical Spacers - Parrallell (frozen) 5mm – 9mm</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1910</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC60</BillingCode>
            <Name>Achilles Tendon Super Critical Fluid CO2 Treated (Frozen)</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2611</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC61</BillingCode>
            <Name>Hemipelvis – Segment (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1592</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC62</BillingCode>
            <Name>Femoral Head – Hemi Super Critical Fluid CO2 Treated  (Frozen) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3499</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC63</BillingCode>
            <Name>Cortical Strut Super Critical Fluid CO2 Treated (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2574</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC64</BillingCode>
            <Name>Humerus – Distal Segment (Freeze Dried) - various sizes</Name>
            <SupplierCode>NAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3145</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC65</BillingCode>
            <Name>Femoral Ring (Freeze Dried) - various sizes</Name>
            <Description>Please see attachments</Description>
            <Size>Please see attachments</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2277</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC75</BillingCode>
            <Name>Pre-Shaped Cancellous/Cortical Block (Various Sizes)</Name>
            <Description>Blocks of cancellous bone cut from distal femur or proximal tibia, hand fashioned to various sizes based on surgeon's requests, cleaned with Supercritical CO2 to remove blood and lipids, packaged and exposed to Gamma Irradiation</Description>
            <Size>Various</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3200</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC76</BillingCode>
            <Name>Cortical – Demineralized Bone Matrix 5-10g/5-10cc</Name>
            <Description>Cortical bone milled to various sizes, cleaned with supercritical CO2 to remove blood and lipids, treated to achieve  &gt;8% mineral content (Demineralized), packaged and exposed to Gamma Irradiation</Description>
            <Size>5-10g/5-10cc</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3100</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC77</BillingCode>
            <Name>Demineralized Bone Matrix/Cortico-Cancellous Granules 1-4cc</Name>
            <Description>Milled cortico-cancellous bone cleaned with supercritical CO2 to remove blood and lipid, mixed with cortical bone milled to various sizes, cleaned with supercritical CO2 to remove blood and lipids, treated to achieve  &gt;8% mineral content (Demineralized), packaged and exposed to Gamma Irradiation</Description>
            <Size>1-4cc</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2700</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC78</BillingCode>
            <Name>Demineralized Bone Matrix/Cortico-Cancellous Granules 5-9cc</Name>
            <Description>Milled cortico-cancellous bone cleaned with supercritical CO2 to remove blood and lipid, mixed with cortical bone milled to various sizes, cleaned with supercritical CO2 to remove blood and lipids, treated to achieve  &gt;8% mineral content (Demineralized), packaged and exposed to Gamma Irradiation</Description>
            <Size> 5-9cc</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3800</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC79</BillingCode>
            <Name>Compressible Cancellous Strip (FD)</Name>
            <Description>Srips of cortico -cancellous bone cut from the distal femur or proximal tibia, hand fasioned to various sizes, cleaned treated to induce malleability, cleaned with SCF CO2, packaged and irradiated.</Description>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3500</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC80</BillingCode>
            <Name>Compressible Cancellous Strip (FZ)</Name>
            <Description>Srips of cortico -cancellous bone cut from the distal femur or proximal tibia, hand fasioned to various sizes, cleaned treated to induce malleability, cleaned with SCF CO2, packaged and irradiated.</Description>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3500</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC81</BillingCode>
            <Name>Freeze Dried Cortico-Cancellous Bone Granules 2-4cc</Name>
            <Description>Cortico-cancellous bone milled to various particle sizes, cleaned with Supercritical CO2 to remove blood and lipids, packaged in specialised biocompatible Hydration/delivery device or mixing PETG tray and exposed to Gamma Irradiation</Description>
            <Size>2-4cc</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2450</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC82</BillingCode>
            <Name>Freeze Dried Cortico-Cancellous Bone Granules 5-9cc</Name>
            <Description>Cortico-cancellous bone milled to various particle sizes, cleaned with Supercritical CO2 to remove blood and lipids, packaged in specialised biocompatible Hydration/delivery device or mixing PETG tray and exposed to Gamma Irradiation</Description>
            <Size>5-9cc</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2800</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC83</BillingCode>
            <Name>Freeze Dried Cortico-Cancellous Bone Granules 10-15cc</Name>
            <Description>Cortico-cancellous bone milled to various particle sizes, cleaned with Supercritical CO2 to remove blood and lipids, packaged in specialised biocompatible Hydration/delivery device or mixing PETG tray and exposed to Gamma Irradiation</Description>
            <Size>10-15cc</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3200</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC84</BillingCode>
            <Name>Semitendonosis Tendon</Name>
            <Description>Entire Semitendonosis Tendon cleaned, packaged, irradiated</Description>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3125</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC85</BillingCode>
            <Name>Engineered Cancellous Block with DBM Component (Various Sizes)</Name>
            <Description>Blocks of cancellous bone cut from distal femur or proximal tibia, hand fashioned to various sizes based on surgeon's requests, cleaned with Supercritical CO2 to remove blood and lipids, packaged and exposed to Gamma Irradiation</Description>
            <Size>Various Sizes</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3200</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC86</BillingCode>
            <Name>Demineralized Bone Fibres (FD) 2-4cc</Name>
            <Description>Demineralized cortical fibres with controlled geometry to achieve physical consistency, cleaned with supercritical CO2 to remove blood and lipids, pressed into a mold to achieve specific shapes, packaged and exposed to Gamma Irradiation</Description>
            <Size>2-4cc</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2750</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC87</BillingCode>
            <Name>Demineralized Bone Fibres (FD) 5-9cc</Name>
            <Description>Demineralized cortical fibres with controlled geometry to achieve physical consistency, cleaned with supercritical CO2 to remove blood and lipids, pressed into a mold to achieve specific shapes, packaged and exposed to Gamma Irradiation</Description>
            <Size>5-9cc</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3800</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC88</BillingCode>
            <Name>Demineralized Bone Fibres (FZ) 1-4g</Name>
            <Description>Demineralized cortical fibres with controlled geometry to achieve physical consistency, cleaned with supercritical CO2 to remove blood and lipids, pressed into a mold to achieve specific shapes, packaged and exposed to Gamma Irradiation</Description>
            <Size>1-4g</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2750</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC89</BillingCode>
            <Name>Demineralized Bone Fibres (FZ) 5-9g</Name>
            <Description>Demineralized cortical fibres with controlled geometry to achieve physical consistency, cleaned with supercritical CO2 to remove blood and lipids, pressed into a mold to achieve specific shapes, packaged and exposed to Gamma Irradiation</Description>
            <Size>5-9g</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3800</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC90</BillingCode>
            <Name>Demineralized Bone Fibres / Cortico-Cancellous Granules (FD) 2-4cc</Name>
            <Description>Cortical bone milled to various sizes, cleaned with supercritical CO2 to remove blood and lipids, treated to achieve &gt;8% mineral content ( Demineralized), packaged and exposed to Gamma irradiation</Description>
            <Size>2-4cc</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2750</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC91</BillingCode>
            <Name>Demineralized Bone Fibres / Cortico-Cancellous Granules (FD) 5-9cc</Name>
            <Description>Cortical bone milled to various sizes, cleaned with supercritical CO2 to remove blood and lipids, treated to achieve &gt;8% mineral content ( Demineralized), packaged and exposed to Gamma irradiation</Description>
            <Size>5-9cc</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3800</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC92</BillingCode>
            <Name>Demineralized Bone Fibres / Cortico-Cancellous Granules (FZ) 1-4g</Name>
            <Description>Cortical bone milled to various sizes, cleaned with supercritical CO2 to remove blood and lipids, treated to achieve &gt;8% mineral content ( Demineralized), packaged and exposed to Gamma irradiation</Description>
            <Size>1-4g</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2750</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC93</BillingCode>
            <Name>Demineralized Bone Fibres / Cortico-Cancellous Granules (FZ) 5-9g</Name>
            <Description>Cortical bone milled to various sizes, cleaned with supercritical CO2 to remove blood and lipids, treated to achieve &gt;8% mineral content ( Demineralized), packaged and exposed to Gamma irradiation</Description>
            <Size>5-9g</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3800</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC94</BillingCode>
            <Name>Moulded Demineralized Fibres (Large) </Name>
            <Description>Demineralized cortical fibres with controlled geometry to achieve physical consistency, cleaned with supercritical CO2 to remove blood and lipids, pressed into a mold to achieve specific shapes, packaged and exposed to Gamma Irradiation</Description>
            <Size>Large</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3750</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC95</BillingCode>
            <Name>Moulded Demineralized Fibres (Small) </Name>
            <Description>Demineralized cortical fibres with controlled geometry to achieve physical consistency, cleaned with supercritical CO2 to remove blood and lipids, pressed into a mold to achieve specific shapes, packaged and exposed to Gamma Irradiation</Description>
            <Size>Small</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3000</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC96</BillingCode>
            <Name>Bone allograft kit (Demineralized and Mineralized Bone Matrix) 1-4g / 1-4cc </Name>
            <Description>Biological kit containing 2 components for intraoperative mixing. Kit content 1: Cortico-cancellous Crunch milled to various sizes, cleaned with supercritical CO2 to remove blood and lipid contents, packaged and exposed to supercritical CO2 terminal bioburden reduction. Kit content 2: Demineralized cortical fibres with controlled geometry to achieve physical consistency, cleaned with supercritical CO2 to remove blood and lipids, packaged and exposed to Gamma Irradiation</Description>
            <Size>1-4g / 1-4cc </Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4376</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC97</BillingCode>
            <Name>Bone allograft kit (Demineralized and Mineralized Bone Matrix) 5-10g / 5-10cc </Name>
            <Description>Biological kit containing 2 components for intraoperative mixing. Kit content 1: Cortico-cancellous Crunch milled to various sizes, cleaned with supercritical CO2 to remove blood and lipid contents, packaged and exposed to supercritical CO2 terminal bioburden reduction. Kit content 2: Demineralized cortical fibres with controlled geometry to achieve physical consistency, cleaned with supercritical CO2 to remove blood and lipids, packaged and exposed to Gamma Irradiation</Description>
            <Size>5-10g / 5-10cc </Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>6193</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC98</BillingCode>
            <Name>Cortical – Demineralized Bone Matrix 1-4g/1-4cc</Name>
            <Description>Cortical bone milled to various sizes, cleaned with supercritical CO2 to remove blood and lipids, treated to achieve  &gt;8% mineral content (Demineralized), packaged and exposed to Gamma Irradiation</Description>
            <Size>1-4g/1-4cc</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2676</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC99</BillingCode>
            <Name>Malleable Bone Segments</Name>
            <Description>Strips of cortico- cancellous bone cut from the distal femur or proximal tibia, hand fasioned to various sizes cleaned and treated to induce malleabillity, packaged, SCF CO2 treated, demineralised packaged and irradiated.</Description>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>277310</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2587</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT01</BillingCode>
            <Name>Tendon - Achilles with bone block</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229915</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3800</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT02</BillingCode>
            <Name>Tendon - Patellar split with bone plugs</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229915</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3250</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT03</BillingCode>
            <Name>Bone Plug/Dowel - Cancellous</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229915</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3800</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT06</BillingCode>
            <Name>Cortical Struts 10-15cm</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229915</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3300</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT07</BillingCode>
            <Name>Cortical Strut &gt;15 - 20cm</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229915</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3500</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT08</BillingCode>
            <Name>Bone - Milled 20-29gr (40-58cc equivalent)</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229915</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4050</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT09</BillingCode>
            <Name>Bone - Milled 30 - 50gr (60 - 100cc equivalent)</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229915</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4650</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT10</BillingCode>
            <Name>Bone - Milled &gt;50gr (100cc equivalent)</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229915</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4950</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT11</BillingCode>
            <Name>Cartilage - costal segments</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>300</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT13</BillingCode>
            <Name>Radius</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1800</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT14</BillingCode>
            <Name>Ulna</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1500</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT15</BillingCode>
            <Name>Fascia Lata - Large (15cm x 10cm)</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1590</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT16</BillingCode>
            <Name>Fascia Lata - Small (10cm x 5cm)</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>854</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT17</BillingCode>
            <Name>Femur - Distal (Shaft &amp; Condyles)</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4220</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT18</BillingCode>
            <Name>Femur - Entire head removed</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>8000</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT19</BillingCode>
            <Name>Femoral Shaft/Tibial Shaft - Middle third</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3200</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT20</BillingCode>
            <Name>Femur - Proximal (shaft, trochanter, neck)</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4220</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT21</BillingCode>
            <Name>Femoral Hemi-condyle</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2900</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT22</BillingCode>
            <Name>Femoral Head</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229915</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3800</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT24</BillingCode>
            <Name>Femoral Rings</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1800</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT25</BillingCode>
            <Name>Fibula - Entire</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3500</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT28</BillingCode>
            <Name>Fibula - Segment</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229915</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3250</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT29</BillingCode>
            <Name>Hemipelvis - Acetabulum</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229915</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3150</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT30</BillingCode>
            <Name>Hemipelvis - Complete</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>7000</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT31</BillingCode>
            <Name>Hemipelvis - iliac crest</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229915</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3250</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT32</BillingCode>
            <Name>Hemipelvis - Tricortical iliac wedge</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1500</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT33</BillingCode>
            <Name>Humerus - Entire with rotator cuff</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229915</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>5000</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT34</BillingCode>
            <Name>Humerus - Proximal with rotator cuff</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4200</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT35</BillingCode>
            <Name>Humerus - Proximal</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2800</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT37</BillingCode>
            <Name>Bone - Milled &lt;30g Freeze Dried</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>750</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT38</BillingCode>
            <Name>Bone - Milled 30-50g Freeze Dried</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>900</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT40</BillingCode>
            <Name>Patellar unit whole with or without tibial block</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229915</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3250</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT41</BillingCode>
            <Name>Rib (5cm)</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>300</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT44</BillingCode>
            <Name>Tibia - Proximal with Patella &amp; Tendon</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>5000</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT45</BillingCode>
            <Name>Tibia - Proximal</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229915</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3250</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT46</BillingCode>
            <Name>Tendon - Single (ant and post tibilias, FDL, EDL, hamstring, gracilis)</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229915</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3800</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT47</BillingCode>
            <Name>Meniscal Graft</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1921</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT48</BillingCode>
            <Name>Cortical Strut &gt;20cm</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229915</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3700</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT60</BillingCode>
            <Name>Osteotomy Wedge</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229915</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3250</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT61</BillingCode>
            <Name>Tendon - Achilles</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229915</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3200</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT62</BillingCode>
            <Name>Bone - Milled &lt;5 gr (&lt;10cc equivalent)</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229915</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1650</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT63</BillingCode>
            <Name>Bone - Milled 5-9 gr (10-18cc equivalent)</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229915</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2650</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT64</BillingCode>
            <Name>Bone - Milled 10-19 gr (20-38cc equivalent)</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229915</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3350</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT65</BillingCode>
            <Name>Proximal Femur with Femoral Head</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>6300</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>PBT66</BillingCode>
            <Name>Milled Bone Pellets (x3)</Name>
            <SupplierCode>PBT</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229915</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3800</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB01</BillingCode>
            <Name>Tendon - Achilles with bone block</Name>
            <Description>Tendon - Achilles with bone block</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2838</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB02</BillingCode>
            <Name>Tibial Shaft Freeze Dried</Name>
            <Description>Tibial Shaft Freeze Dried</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1172</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB03</BillingCode>
            <Name>Bone - Milled 20g Freeze Dried</Name>
            <Description>Bone - Milled 20g Freeze Dried</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3389</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB04</BillingCode>
            <Name>Disc - Freeze Dried</Name>
            <Description>Disc - Freeze Dried</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>858</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB05</BillingCode>
            <Name>Meniscus</Name>
            <Description>Meniscus</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2067</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB08</BillingCode>
            <Name>Tibia - Proximal with Patella</Name>
            <Description>Tibia - Proximal with Patella</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4034</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB09</BillingCode>
            <Name>Bone - Cancellous Cubes (6) Freeze Dried</Name>
            <Description>Bone - Cancellous Cubes (6) Freeze Dried</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2160</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB10</BillingCode>
            <Name>Bone - Cancellous Strips (2) Freeze Dried</Name>
            <Description>Bone - Cancellous Strips (2) Freeze Dried</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>912</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB11</BillingCode>
            <Name>Fascia Lata - per sq cm</Name>
            <Description>Fascia Lata - per sq cm</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>8</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB12</BillingCode>
            <Name>Cartilage - costal segments</Name>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>259</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB14</BillingCode>
            <Name>Elbow - joint</Name>
            <Description>Elbow - joint</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2961</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB15</BillingCode>
            <Name>Radius</Name>
            <Description>Radius</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3334</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB16</BillingCode>
            <Name>Ulna</Name>
            <Description>Ulna</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3334</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB20</BillingCode>
            <Name>Femur - Distal Half</Name>
            <Description>Femur - Distal Half</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4135</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB22</BillingCode>
            <Name>Femur - Entire</Name>
            <Description>Femur - Entire</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>6303</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB23</BillingCode>
            <Name>Femoral Shaft</Name>
            <Description>Femoral Shaft</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3319</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB25</BillingCode>
            <Name>Femur - Proximal half</Name>
            <Description>Femur - Proximal half</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4459</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB27</BillingCode>
            <Name>Femoral Head</Name>
            <Description>Femoral Head</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3781</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB28</BillingCode>
            <Name>Femoral Head - Freeze Dried</Name>
            <Description>Femoral Head - Freeze Dried</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3437</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB30</BillingCode>
            <Name>Femoral Rings</Name>
            <Description>Femoral Rings</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2136</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB31</BillingCode>
            <Name>Femoral Rings - Freeze Dried</Name>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>759</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB32</BillingCode>
            <Name>Fibula - Entire</Name>
            <Description>Fibula - Entire</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3916</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB33</BillingCode>
            <Name>Hemipelvis - Acetabulum</Name>
            <Description>Hemipelvis - Acetabulum</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3707</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB34</BillingCode>
            <Name>Hemipelvis - iliac crest</Name>
            <Description>Hemipelvis - iliac crest</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3326</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB35</BillingCode>
            <Name>Hemipelvis - Tricortical iliac wedge</Name>
            <Description>Hemipelvis - Tricortical iliac wedge</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2091</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB37</BillingCode>
            <Name>Hemipelvis - Complete</Name>
            <Description>Hemipelvis - Complete</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>6303</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB39</BillingCode>
            <Name>Humeral Shaft</Name>
            <Description>Humeral Shaft</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2164</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB43</BillingCode>
            <Name>Humerus - Entire</Name>
            <Description>Humerus - Entire</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4480</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB45</BillingCode>
            <Name>Bone - Milled 20g</Name>
            <Description>Bone - Milled 20g</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2941</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB47</BillingCode>
            <Name>Patella</Name>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>996</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB48</BillingCode>
            <Name>Tendon - Patellar</Name>
            <Description>Tendon - Patellar</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3034</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB51</BillingCode>
            <Name>Tibia - Distal</Name>
            <Description>Tibia - Distal</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2795</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB52</BillingCode>
            <Name>Cortical Strut</Name>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>557</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB53</BillingCode>
            <Name>Tibia Shaft</Name>
            <Description>Tibia Shaft</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1331</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB54</BillingCode>
            <Name>Tibia - Proximal</Name>
            <Description>Tibia - Proximal</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3175</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB55</BillingCode>
            <Name>Tibia - Whole</Name>
            <Description>Tibia - Whole</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>5703</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB56</BillingCode>
            <Name>Autologous Skull Flap - processed</Name>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2511</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB57</BillingCode>
            <Name>Tendon - Tibialis Posterior</Name>
            <Description>Tendon - Tibialis Posterior</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2838</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB58</BillingCode>
            <Name>Tendon - Tibialis Anterior</Name>
            <Description>Tendon - Tibialis Anterior</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2838</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB59</BillingCode>
            <Name>Tendon - Gracilis</Name>
            <Description>Tendon - Gracilis</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2838</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB60</BillingCode>
            <Name>Autologous Skull Flap</Name>
            <Description>Autologous Skull Flap</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>826</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB61</BillingCode>
            <Name>Femoral Head - Autologous</Name>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2734</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB63</BillingCode>
            <Name>Tendon - Patellar Hemi</Name>
            <Description>Tendon - Patellar Hemi</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2107</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB64</BillingCode>
            <Name>Tibia - Whole with Patella</Name>
            <Description>Tibia - Whole with Patella</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>5730</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB65</BillingCode>
            <Name>Tendon - Achilles Hemi</Name>
            <Description>Tendon - Achilles Hemi</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1925</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB66</BillingCode>
            <Name>Femoral Shaft - Freeze Dried</Name>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3184</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB67</BillingCode>
            <Name>Bone - Ronguered Chips Freeze Dried</Name>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3191</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB68</BillingCode>
            <Name>Bone - Ronguered Chips</Name>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2556</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB69</BillingCode>
            <Name>Tendon - EHL</Name>
            <Description>Tendon - EHL</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2838</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB70</BillingCode>
            <Name>Tendon - Semitendinosus</Name>
            <Description>Tendon - Semi tendinosis</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2580</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB74</BillingCode>
            <Name>Demineralised Bone Matrix - 5cc - Freeze Dried</Name>
            <Description>Demineralised bone matrix 5g</Description>
            <Size>5g</Size>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2926</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB75</BillingCode>
            <Name>Demineralised Bone Matrix - 2cc - Freeze Dried</Name>
            <Description>Demineralised bone matrix 2g</Description>
            <Size>2g</Size>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2342</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB76</BillingCode>
            <Name>Bone, Cancellous, Engineered</Name>
            <Description>Engineered Bone (Cancellous) sourced from Tibial and Femoral Epiphyses.  Irradiated at minimum dose of 11kGy  Clinical uses include filling osseous cavities and spinal fusion</Description>
            <Size>Cut to shape with specifically designed precision instruments</Size>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4679</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB77</BillingCode>
            <Name>Bone - Milled 15g</Name>
            <Description>Milled bone sourced from tibial and femoral epiphyses. Irradiated at a minimum dose of 11kGy.  Clinical uses include revision orthopaedic procedures; Filling osseous cavities; spinal fusion</Description>
            <Size>Less than 15g</Size>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2354</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB78</BillingCode>
            <Name>Demineralised Bone Matrix, 1 cc, Freeze Dried</Name>
            <Description>Demineralised Bone Matrix sourced from Human Tibial and Femoral Diaphysis.  Irradiated at a minimum dose of 11kGy  Clinical uses: revision orthopaedic procedures; Delayed or non-union fractures; Filling osseous cavities and Spinal Fusion</Description>
            <Size>1 cc</Size>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>231769</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1873</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>RNB01</BillingCode>
            <Name>Femoral Head</Name>
            <SupplierCode>HAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229914</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3000</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>RNB02</BillingCode>
            <Name>Autologous Skull Flap</Name>
            <SupplierCode>RNB</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1470</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>SAB01</BillingCode>
            <Name>Grafton Plus  </Name>
            <Description>Demineralized Bone Matrix: Paste  </Description>
            <Size>10cc  </Size>
            <SupplierCode>SAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229635</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1539</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>SAB02</BillingCode>
            <Name>Grafton</Name>
            <Description>Demineralized Bone Matrix: Orthoblend</Description>
            <Size>10cc</Size>
            <SupplierCode>SAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229633</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1539</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>SAB03</BillingCode>
            <Name>Grafton</Name>
            <Description>Demineralized Bone Matrix: Flex</Description>
            <Size>&gt;5cc to 10cc</Size>
            <SupplierCode>SAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229634</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1539</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>SAB04</BillingCode>
            <Name>Grafton Plus</Name>
            <Description>Demineralized Bone Matrix: Paste</Description>
            <Size>1-5cc</Size>
            <SupplierCode>SAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229635</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>581</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>SAB05</BillingCode>
            <Name>Grafton</Name>
            <Description>Demineralized Bone Matrix: Orthoblend</Description>
            <Size>5cc</Size>
            <SupplierCode>SAB</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>229633</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>581</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>SYN01</BillingCode>
            <Name>Bone - Demineralised Bone Matrix, DBX Putty, 5cc</Name>
            <SupplierCode>JAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2650</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>SYN02</BillingCode>
            <Name>Bone - Demineralised Bone Matrix, DBX Putty, 10cc</Name>
            <SupplierCode>JAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3400</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>SYN08</BillingCode>
            <Name>DBX Putty - 1.00cc</Name>
            <SupplierCode>JAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1450</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>SYN09</BillingCode>
            <Name>DBX Putty - 2.5cc</Name>
            <SupplierCode>JAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1800</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>SYN10</BillingCode>
            <Name>Bone, Cancellous Chips - 15cc</Name>
            <SupplierCode>JAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1250</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>SYN11</BillingCode>
            <Name>Bone, Cancellous Granules - 15cc</Name>
            <SupplierCode>JAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1250</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>SYN12</BillingCode>
            <Name>Bone, Cancellous Chips - 30cc</Name>
            <SupplierCode>JAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1700</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>SYN13</BillingCode>
            <Name>Bone, Cancellous Granules - 30cc</Name>
            <SupplierCode>JAA</SupplierCode>
            <CategoryID>3</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1700</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV05</BillingCode>
            <Name>Tendon - Achilles</Name>
            <Description>Tendon - Achilles</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2302</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV06</BillingCode>
            <Name>Tendon - Achilles with bone block</Name>
            <Description>Tendon - Achilles with bone block</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3930</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV07</BillingCode>
            <Name>Bone Plug/Dowel - Cancellous</Name>
            <Description>Bone Plug/Dowel - Cancellous</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1566</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV08</BillingCode>
            <Name>Cancellous Wedge</Name>
            <Description>Bone Plug/Dowel - Tricortical</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1653</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV09</BillingCode>
            <Name>Bone - Chips/cubes 40cc</Name>
            <Description>Bone - Chips/cubes 40cc</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1641</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV10</BillingCode>
            <Name>Bone - Chips/cubes 80cc</Name>
            <Description>Bone - Chips/cubes 80cc</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2848</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV11</BillingCode>
            <Name>Bone - Milled 40cc</Name>
            <Description>Bone - Milled 40cc</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2878</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV12</BillingCode>
            <Name>Bone - Milled 80cc</Name>
            <Description>Bone - Milled 80cc</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4479</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV14</BillingCode>
            <Name>Cortical Strut</Name>
            <Description>Cortical Strut</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1672</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV17</BillingCode>
            <Name>Cartilage - costal segments</Name>
            <Description>Cartilage - costal segments</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1126</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV18</BillingCode>
            <Name>Elbow - joint</Name>
            <Description>Elbow - joint</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>8221</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV19</BillingCode>
            <Name>Radius</Name>
            <Description>Radius</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>5107</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV20</BillingCode>
            <Name>Ulna</Name>
            <Description>Ulna</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4752</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV21</BillingCode>
            <Name>Fascia Lata</Name>
            <Description>Fascia Lata</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1734</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV22</BillingCode>
            <Name>Femur - Distal (Shaft &amp; Condyles)</Name>
            <Description>Femur - Distal (Shaft &amp; Condyles)</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>6187</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV23</BillingCode>
            <Name>Femur - Entire</Name>
            <Description>Femur - Entire</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>9987</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV24</BillingCode>
            <Name>Femoral Shaft - Middle Third</Name>
            <Description>Femoral Shaft - Middle Third</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3678</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV25</BillingCode>
            <Name>Femur - Proximal (shaft, trochanter, neck)</Name>
            <Description>Femur - Proximal (shaft, trochanter, neck)</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>6145</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV26</BillingCode>
            <Name>Femoral head</Name>
            <Description>Femoral head</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4068</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV27</BillingCode>
            <Name>Fibula - Entire</Name>
            <Description>Fibula - Entire</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>9646</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV28</BillingCode>
            <Name>Fibula - Segment (6cm)</Name>
            <Description>Fibula - Segment (6cm)</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1566</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV29</BillingCode>
            <Name>Fibula - Segment (12cm)</Name>
            <Description>Fibula - Segment (12cm)</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2099</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV30</BillingCode>
            <Name>Fibular Shaft</Name>
            <Description>Fibular Shaft</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3763</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV31</BillingCode>
            <Name>Hemipelvis - Acetabulum</Name>
            <Description>Hemipelvis - Acetabulum</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4927</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV32</BillingCode>
            <Name>Hemipelvis - Complete</Name>
            <Description>Hemipelvis - Complete</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>10472</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV33</BillingCode>
            <Name>Hemipelvis - iliac crest</Name>
            <Description>Hemipelvis - iliac crest</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4509</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV34</BillingCode>
            <Name>Hemipelvis - Tricortical iliac wedge</Name>
            <Description>Hemipelvis - Tricortical iliac wedge</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2078</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV35</BillingCode>
            <Name>Humerus - Proximal with rotator cuff</Name>
            <Description>Humerus - Proximal with rotator cuff</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4424</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV36</BillingCode>
            <Name>Humerus - Proximal</Name>
            <Description>Humerus - Proximal</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4601</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV37</BillingCode>
            <Name>Humeral Head</Name>
            <Description>Humeral Head</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2972</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV38</BillingCode>
            <Name>Ligament - Medial</Name>
            <Description>Ligament - Medial</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3158</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV39</BillingCode>
            <Name>Meniscus with Ligaments</Name>
            <Description>Meniscus with Ligaments</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3694</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV40</BillingCode>
            <Name>Meniscus</Name>
            <Description>Meniscus</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2287</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV41</BillingCode>
            <Name>Patella</Name>
            <Description>Patella</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2048</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV42</BillingCode>
            <Name>Tendon - Patellar with bone plugs</Name>
            <Description>Tendon - Patellar with bone plugs</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4010</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV43</BillingCode>
            <Name>Rib (5cm)</Name>
            <Description>Rib (5cm)</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1268</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV44</BillingCode>
            <Name>Tibia - Proximal 7-15cm</Name>
            <Description>Tibia - Proximal 7-15cm</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4299</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV45</BillingCode>
            <Name>Tibia - Proximal 16-25cm</Name>
            <Description>Tibia - Proximal 16-25cm</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>4162</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV46</BillingCode>
            <Name>Femoral Hemi-condyle</Name>
            <Description>Femoral Hemi-condyle</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2319</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV47</BillingCode>
            <Name>Tibia - Condyles only</Name>
            <Description>Tibia - Condyles only</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2983</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV48</BillingCode>
            <Name>Tibia - Distal</Name>
            <Description>Tibia - Distal</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3737</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV49</BillingCode>
            <Name>Humerus - Distal</Name>
            <Description>Humerus - Distal</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3829</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV51</BillingCode>
            <Name>Femur - Proximal with femoral head</Name>
            <Description>Femur - Proximal with femoral head</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>5981</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV52</BillingCode>
            <Name>Bone - Cancellous Bone Matrix, Lyophilised 40cc</Name>
            <Description>Bone - Cancellous Bone Matrix, Lyophilised 40cc</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3615</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2007-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV54</BillingCode>
            <Name>Bone - Demineralised Bone Matrix, Lyophilised 1-5cc</Name>
            <Description>Bone - Demineralised Bone Matrix, Lyophilised 5g</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Name, Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1962</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV55</BillingCode>
            <Name>Bone - Demineralised Bone Matrix, Lyophilised 10cc</Name>
            <Description>Bone - Demineralised Bone Matrix, Lyophilised 10g</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2904</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV57</BillingCode>
            <Name>Tendon - Tibialis Anterior</Name>
            <Description>Tendon - Tibialis Anterior</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3930</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV58</BillingCode>
            <Name>Tendon - Semitendinosus</Name>
            <Description>Tendon - Semitendinosus</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3930</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV59</BillingCode>
            <Name>Tendon - Peroneus Longus</Name>
            <Description>Tendon - Peroneus Longus</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3930</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV60</BillingCode>
            <Name>Tendon - EHL</Name>
            <Description>Extensor hallicus longus tendon</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3930</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV61</BillingCode>
            <Name>Tendon - Tibialis Posterior</Name>
            <Description>Tendon - Tibialis Posterior</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3930</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV62</BillingCode>
            <Name>Bone – Cancellous Bone Matrix Lyophilised 20cc</Name>
            <Description>As per product name</Description>
            <Size>20cc</Size>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2667</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV63</BillingCode>
            <Name>Bone - Cancellous Bone Matrix Lyophilised 10cc</Name>
            <Description>As per product name</Description>
            <Size>10cc</Size>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2312</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>TBV64</BillingCode>
            <Name>Bone - Cancellous Bone Matrix Lyophilised 1 - 5cc</Name>
            <Description>Bone Cancellous Bone Matrix Lyophilised 5cc</Description>
            <SupplierCode>TBV</SupplierCode>
            <CategoryID>3</CategoryID>
            <ARTGs>
                <ARTG>238244</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Benefit</ChangeExplanation>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>1746</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC66</BillingCode>
            <Name>Skin</Name>
            <Description>Frozen skin from human origin</Description>
            <Size>&lt;50 cm²</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>28</CategoryID>
            <ARTGs>
                <ARTG>303206</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>206</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC67</BillingCode>
            <Name>Skin</Name>
            <Description>Frozen skin from human origin</Description>
            <Size>51 to 80 cm²</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>28</CategoryID>
            <ARTGs>
                <ARTG>303206</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>330</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC68</BillingCode>
            <Name>Skin</Name>
            <Description>Frozen skin from human origin</Description>
            <Size>81 to 110 cm²</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>28</CategoryID>
            <ARTGs>
                <ARTG>303206</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>454</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC69</BillingCode>
            <Name>Skin</Name>
            <Description>Frozen skin from human origin</Description>
            <Size>111 to 150 cm²</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>28</CategoryID>
            <ARTGs>
                <ARTG>303206</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>619</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>NCC70</BillingCode>
            <Name>Skin</Name>
            <Description>Frozen skin from human origin</Description>
            <Size>151 to 200 cm²</Size>
            <SupplierCode>NCC</SupplierCode>
            <CategoryID>28</CategoryID>
            <ARTGs>
                <ARTG>303206</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>826</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB71</BillingCode>
            <Name>Skin 50cm² - frozen skin graft from human origin</Name>
            <Description>Skin 50cm² - frozen skin graft from human origin</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>28</CategoryID>
            <ARTGs>
                <ARTG>230058</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>328</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB72</BillingCode>
            <Name>Skin 100cm² - frozen skin graft from human origin</Name>
            <Description>Skin 100cm² - frozen skin graft from human origin</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>28</CategoryID>
            <ARTGs>
                <ARTG>230058</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>631</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>QBB73</BillingCode>
            <Name>Skin 200cm² - frozen skin graft from human origin</Name>
            <Description>Skin 200cm² - frozen skin graft from human origin</Description>
            <SupplierCode>MAB</SupplierCode>
            <CategoryID>28</CategoryID>
            <ARTGs>
                <ARTG>230058</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>933</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>SYN03</BillingCode>
            <Name>Skin &lt; 25cm² - acellular dermal matrix allograft from human origin</Name>
            <SupplierCode>JAA</SupplierCode>
            <CategoryID>28</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>2200</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>SYN04</BillingCode>
            <Name>Skin 26 to 60cm² - acellular dermal matrix allograft from human origin</Name>
            <SupplierCode>JAA</SupplierCode>
            <CategoryID>28</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>3500</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>SYN05</BillingCode>
            <Name>Skin 61 to 120cm² - acellular dermal matrix allograft from human origin</Name>
            <SupplierCode>JAA</SupplierCode>
            <CategoryID>28</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>5700</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>SYN06</BillingCode>
            <Name>Skin 181 to 300cm² - acellular dermal matrix allograft from human origin</Name>
            <SupplierCode>JAA</SupplierCode>
            <CategoryID>28</CategoryID>
            <ARTGs>
                <ARTG>211608</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>14000</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>SYN07</BillingCode>
            <Name>Skin &gt; 300cm² - acellular dermal matrix allograft from human origin</Name>
            <SupplierCode>JAA</SupplierCode>
            <CategoryID>28</CategoryID>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>27000</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Human Tissue</ItemType>
            <BillingCode>SYN14</BillingCode>
            <Name>Skin 121 to 180cm² - acellular dermal matrix allograft from human origin</Name>
            <SupplierCode>JAA</SupplierCode>
            <CategoryID>28</CategoryID>
            <ARTGs>
                <ARTG>211608</ARTG>
            </ARTGs>
            <MinimumBenefit>0</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>9900</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AN014</BillingCode>
            <Name>t:slim X2 Insulin Pump</Name>
            <Description>Ambulatory insulin infusion pump with real-time continuous glucose monitoring (CGM) capability</Description>
            <Size>One size only.</Size>
            <SupplierCode>AN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1525</GroupID>
            <SubGroupID>4183</SubGroupID>
            <Suffix>DE, SS</Suffix>
            <ARTGs>
                <ARTG>304861</ARTG>
            </ARTGs>
            <MinimumBenefit>8077</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DF003</BillingCode>
            <Name>DANA RS Diabecare insulin pump</Name>
            <Description>DANA RS insulin pump is a BLE (bluetooth low energy) insulin pump which can be connected to and controlled from a BLE Smart Phone.  Smart Phone connection is via a secure (alpha-numeric) pairing code, creating a large easy to read display for set-up and control of the DANA RS insulin pump.</Description>
            <Size>75mm x 45mm x 19mm (63grams)</Size>
            <SupplierCode>DF</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1525</GroupID>
            <SubGroupID>4183</SubGroupID>
            <Suffix>DE, SS</Suffix>
            <ARTGs>
                <ARTG>252214</ARTG>
            </ARTGs>
            <MinimumBenefit>8077</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RB001</BillingCode>
            <Name>Accu-Chek Combo System</Name>
            <Description>Insulin delivery device capable of remotely receiving and acting on information about blood glucose levels, performing bolus calculation and bolus advice on additional parameters than what is normally provided.</Description>
            <Size>The Accu-Chek Combo System is only available in one size.</Size>
            <SupplierCode>RB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1525</GroupID>
            <SubGroupID>4183</SubGroupID>
            <Suffix>DE, SS</Suffix>
            <ARTGs>
                <ARTG>214240</ARTG>
            </ARTGs>
            <MinimumBenefit>8077</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RB006</BillingCode>
            <Name>Accu-Chek Solo micropump - starter kit</Name>
            <Description>Starter kit supply of insulin pump system to accommodate first year of use of Accu-Chek Solo micropump system. Starter kit includes insulin pump base components, blood glucose monitoring system handset control with integrated insulin bolus advisor (diabetes manager) and accessory pack.</Description>
            <Size>Micropump: 68 x 40 x 15 mm  Handset control (diabetes manager): 124 x 64 x 17 mm</Size>
            <SupplierCode>RB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1525</GroupID>
            <SubGroupID>4183</SubGroupID>
            <Suffix>DE, SS, MP</Suffix>
            <ARTGs>
                <ARTG>311431</ARTG>
            </ARTGs>
            <MinimumBenefit>2375</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>YA001</BillingCode>
            <Name>mylife™ YpsoPump Insulin Pump System</Name>
            <Description>Battery-operated, programmable ambulatory insulin infusion pump system</Description>
            <Size>One size only</Size>
            <SupplierCode>YA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1525</GroupID>
            <SubGroupID>4183</SubGroupID>
            <Suffix>SS</Suffix>
            <ARTGs>
                <ARTG>298274</ARTG>
            </ARTGs>
            <MinimumBenefit>6994</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI150</BillingCode>
            <Name>MiniMed 640G Insulin Pump</Name>
            <Description>MiniMed 640G Insulin Pump with SmartGuard Technology and continuous glucose monitoring capability, designed to automatically suspend insulin delivery before dangerous lows occur, and automatically resume after levels recover.</Description>
            <Size>1.8ml and 3.0ml</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1525</GroupID>
            <SubGroupID>4187</SubGroupID>
            <Suffix>DE, SS</Suffix>
            <ARTGs>
                <ARTG>95763</ARTG>
            </ARTGs>
            <MinimumBenefit>8574</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI330</BillingCode>
            <Name>Medtronic MiniMed 770G Insulin Pump</Name>
            <Description>MiniMed 770G Insulin Pump with SmartGuard Hybrid Closed Loop (HCL) technology, with Bluetooth® connectivity and continuous glucose monitoring (CGM) capability which can be programmed to automatically adjust delivery of basal insulin based on CGM, and can suspend delivery of insulin when the sensor glucose value falls below or is predicted to fall below predefined threshold values.</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1525</GroupID>
            <SubGroupID>4187</SubGroupID>
            <Suffix>DE, SS, ABD</Suffix>
            <ARTGs>
                <ARTG>332201</ARTG>
            </ARTGs>
            <MinimumBenefit>8574</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI452</BillingCode>
            <Name>MiniMed 780G Insulin Pump</Name>
            <Description>MiniMed 780G Insulin Pump with SmartGuard advanced Hybrid Closed Loop (HCL) technology capable of operating in Manual Mode or Auto Mode, with Bluetooth® connectivity and continuous glucose monitoring (CGM) capability.  Provides 3 user selectable targets and can be set to automatically adjust delivery of basal insulin based on CGM. This includes automatically suspending insulin delivery or providing additional insulin delivery as required. </Description>
            <Size>One size only.</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1525</GroupID>
            <SubGroupID>4187</SubGroupID>
            <Suffix>DE, SS, ABD</Suffix>
            <ARTGs>
                <ARTG>376091</ARTG>
            </ARTGs>
            <MinimumBenefit>8574</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RB005</BillingCode>
            <Name>Accu-Chek Solo micropump   subsequent supply</Name>
            <Description>Subsequent supply of replaceable components of Accu-Chek Solo insulin pump system to accommodate a subsequent year usage after the initial year of use of Accu-Chek Solo (via Accu-Chek Solo micropump   starter kit).</Description>
            <Size>Micropump: 68 x 40 x 15 mm</Size>
            <SupplierCode>RB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1525</GroupID>
            <SubGroupID>7360</SubGroupID>
            <ARTGs>
                <ARTG>308702</ARTG>
            </ARTGs>
            <MinimumBenefit>1900</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BT212</BillingCode>
            <Name>Plexa ProMRI S</Name>
            <Description>Tripolar MR conditional ICD lead  with active fixation</Description>
            <Size>Diameter 7.8F ; Length 61cm, 65cm , 75cm</Size>
            <SupplierCode>BT</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>242</SubCategoryID>
            <GroupID>1743</GroupID>
            <Suffix>e</Suffix>
            <ARTGs>
                <ARTG>298187</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Description, Product Sizes, Part C</ChangeExplanation>
            <MinimumBenefit>5994</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BT213</BillingCode>
            <Name>Plexa ProMRI SD</Name>
            <Description>Quadripolar MR conditional ICD lead  with active fixation</Description>
            <Size>Diamter 7.8F , Length/Dist prox. shock coil to tip  61/16cm, 65/16cm, 65/18cm, 75/18cm</Size>
            <SupplierCode>BT</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>242</SubCategoryID>
            <GroupID>1743</GroupID>
            <Suffix>e</Suffix>
            <ARTGs>
                <ARTG>298343</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Description, Product Sizes, Part C</ChangeExplanation>
            <MinimumBenefit>5994</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BT244</BillingCode>
            <Name>BIOMONITOR III  </Name>
            <Description>Injectable cardiac monitor for continuous remote monitoring of patients </Description>
            <Size>77.5 mm x 8.6 mm x 4.6 mm; 4 g; 1.9 cm3</Size>
            <SupplierCode>BT</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>249</SubCategoryID>
            <GroupID>1770</GroupID>
            <Suffix>i</Suffix>
            <ARTGs>
                <ARTG>326015</ARTG>
                <ARTG>326016</ARTG>
            </ARTGs>
            <MinimumBenefit>2886</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BT247</BillingCode>
            <Name>BIOMONITOR III m  </Name>
            <Description>Injectable cardiac monitor for continuous remote monitoring of patients with extended AF Detection</Description>
            <Size>77.5 mm x 8.6 mm x 4.6 mm; 4 g; 1.9 cm3</Size>
            <SupplierCode>BT</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>249</SubCategoryID>
            <GroupID>1770</GroupID>
            <Suffix>i</Suffix>
            <ARTGs>
                <ARTG>348390</ARTG>
            </ARTGs>
            <MinimumBenefit>2886</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI141</BillingCode>
            <Name>Reveal LINQ</Name>
            <Description>Insertable Cardiac Monitor</Description>
            <Size>45 x 7 x 3.5mm, 1.18cc</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>249</SubCategoryID>
            <GroupID>1770</GroupID>
            <Suffix>i</Suffix>
            <ARTGs>
                <ARTG>218791</ARTG>
            </ARTGs>
            <MinimumBenefit>2886</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI438</BillingCode>
            <Name>Reveal LINQ II™</Name>
            <Description>Insertable Cardiac Monitor</Description>
            <Size>4.4 mm x 7.9mm 45 mm, 1.4cc</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>249</SubCategoryID>
            <GroupID>1770</GroupID>
            <Suffix>i</Suffix>
            <ARTGs>
                <ARTG>355313</ARTG>
            </ARTGs>
            <MinimumBenefit>2886</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ390</BillingCode>
            <Name>Confirm RX</Name>
            <Description>Insertable Cardiac Monitor</Description>
            <Size>5cm X 0.95cm X 0.33cm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>249</SubCategoryID>
            <GroupID>1770</GroupID>
            <Suffix>i</Suffix>
            <ARTGs>
                <ARTG>292930</ARTG>
            </ARTGs>
            <MinimumBenefit>2886</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ152</BillingCode>
            <Name>SJM Confirm Model DM2102</Name>
            <Description>Implantable cardiac monitor with atrial fibrillation monitoring.</Description>
            <Size>6.5cc, 12g</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>249</SubCategoryID>
            <GroupID>1770</GroupID>
            <ARTGs>
                <ARTG>160466</ARTG>
                <ARTG>160756</ARTG>
            </ARTGs>
            <MinimumBenefit>2886</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS294</BillingCode>
            <Name>Latitude Communicator</Name>
            <Description>Remote patient management system for implanted cardiac devices </Description>
            <Size>One size only</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>266</SubCategoryID>
            <GroupID>1832</GroupID>
            <ARTGs>
                <ARTG>201875</ARTG>
                <ARTG>230414</ARTG>
            </ARTGs>
            <MinimumBenefit>1450</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BT187</BillingCode>
            <Name>CardioMessenger Smart 3G</Name>
            <Description>Bedside/Remote transmitter w/ pacemaker/ICD device life network access to Biotronik standard home monitoring data management service.</Description>
            <Size>Length - 130mm, Width - 65mm,  Height - 13mm        Weight - 75g</Size>
            <SupplierCode>BT</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>266</SubCategoryID>
            <GroupID>1832</GroupID>
            <ARTGs>
                <ARTG>273716</ARTG>
            </ARTGs>
            <MinimumBenefit>1450</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BT246</BillingCode>
            <Name>CardioMessenger Smart 4G</Name>
            <Description>Bedside/Remote transmitter w/ pacemaker/ICD device life network access to Biotronik standard home monitoring data management service.</Description>
            <Size>Length - 130mm, Width - 65mm,  Height - 13mm        Weight - 75g</Size>
            <SupplierCode>BT</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>266</SubCategoryID>
            <GroupID>1832</GroupID>
            <ARTGs>
                <ARTG>352258</ARTG>
            </ARTGs>
            <MinimumBenefit>1450</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI180</BillingCode>
            <Name>MyCareLink Patient Monitor</Name>
            <Description>Electronic cellular patient monitor which gathers and transmits cardiac information from an implanted cardiac device (CIED) to your health care professional for assessment.</Description>
            <Size>One size</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>266</SubCategoryID>
            <GroupID>1832</GroupID>
            <ARTGs>
                <ARTG>297224</ARTG>
            </ARTGs>
            <MinimumBenefit>1450</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI196</BillingCode>
            <Name>MyCareLink Smart Patient Reader</Name>
            <Description>Electronic cellular patient reader which gathers and transmits cardiac information from an implanted cardiac device (CIED) to your health care professional for assessment.</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>266</SubCategoryID>
            <GroupID>1832</GroupID>
            <ARTGs>
                <ARTG>235570</ARTG>
            </ARTGs>
            <MinimumBenefit>1450</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI296</BillingCode>
            <Name>MyCareLink Relay Home Communicator</Name>
            <Description>Electronic cellular (optional wifi) patient monitor which gathers and transmits cardiac information from an implanted cardiac device (CIED) to your health care professional for assessment</Description>
            <Size>One size</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>266</SubCategoryID>
            <GroupID>1832</GroupID>
            <ARTGs>
                <ARTG>313825</ARTG>
            </ARTGs>
            <MinimumBenefit>1450</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RF036</BillingCode>
            <Name>Smart Spot</Name>
            <Description>Remote Monitoring System</Description>
            <Size>One size only</Size>
            <SupplierCode>RF</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>266</SubCategoryID>
            <GroupID>1832</GroupID>
            <ARTGs>
                <ARTG>355435</ARTG>
            </ARTGs>
            <MinimumBenefit>1450</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RF038</BillingCode>
            <Name>SmartView Connect™</Name>
            <Description>Bluetooth Remote Monitoring Device</Description>
            <Size>Monitor: 65 X118 X 15mm  Docking Station: 84 X46 X 115mm</Size>
            <SupplierCode>RF</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>266</SubCategoryID>
            <GroupID>1832</GroupID>
            <ARTGs>
                <ARTG>379251</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>1450</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ369</BillingCode>
            <Name>Merlin@Home wireless</Name>
            <Description>Home cardiac monitor (RF) with landline, cellular and broadband connectivity</Description>
            <Size>one size</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>266</SubCategoryID>
            <GroupID>1832</GroupID>
            <ARTGs>
                <ARTG>161670</ARTG>
            </ARTGs>
            <MinimumBenefit>1450</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ370</BillingCode>
            <Name>Merlin@Home Inductive</Name>
            <Description>Home cardiac monitor (inductive) with landline, cellular and broadband connectivity</Description>
            <Size>one size </Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>266</SubCategoryID>
            <GroupID>1832</GroupID>
            <ARTGs>
                <ARTG>163472</ARTG>
            </ARTGs>
            <MinimumBenefit>1450</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ409</BillingCode>
            <Name>FlexAbility Ablation Catheter</Name>
            <Description>Sensor Enabled and Non-Sensor Enabled</Description>
            <Size>D, F, J, D-F, F-J, D-D, F-F, J-J</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7349</SubGroupID>
            <Suffix>Abbott</Suffix>
            <ARTGs>
                <ARTG>327822</ARTG>
                <ARTG>327823</ARTG>
                <ARTG>327824</ARTG>
                <ARTG>327825</ARTG>
            </ARTGs>
            <ChangeExplanation>Group Benefit Change, Changed </ChangeExplanation>
            <MinimumBenefit>3700</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ410</BillingCode>
            <Name>TactiCath™ Contact Force Ablation Catheter</Name>
            <Description>Sensor Enabled and Non-Sensor Enabled catheter</Description>
            <Size>DD, DF, FF, FJ, JJ, D, F.</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7349</SubGroupID>
            <Suffix>Abbott</Suffix>
            <ARTGs>
                <ARTG>327316</ARTG>
                <ARTG>327321</ARTG>
            </ARTGs>
            <ChangeExplanation>Group Benefit Change, Changed </ChangeExplanation>
            <MinimumBenefit>3700</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ465</BillingCode>
            <Name>TactiFlex™ Ablation Catheter, Sensor Enabled™  </Name>
            <Description>Contact Force Sensor Enabled  </Description>
            <Size>DD, DF, FF, FJ, JJ, D, F, J</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7349</SubGroupID>
            <Suffix>Abbott</Suffix>
            <ARTGs>
                <ARTG>380981</ARTG>
                <ARTG>380982</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>3700</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BT221</BillingCode>
            <Name>AlCath Force</Name>
            <Description>Mapping and Ablation Cardiac Catheter, Advanced 3D irrigation (eXtra), Gold Tip(G) High Thermal Conduction Ablation, FullCircle Deflection with Optical Contact Force Sensor</Description>
            <Size>7F, 110cm , 3.5mm tip</Size>
            <SupplierCode>BT</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7349</SubGroupID>
            <Suffix>Biotronik</Suffix>
            <ARTGs>
                <ARTG>279638</ARTG>
            </ARTGs>
            <MinimumBenefit>3280</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BT223</BillingCode>
            <Name>AlCath Flux G eXtra</Name>
            <Description>Mapping and Ablation Cardiac Catheter, Advanced 3D irrigation (eXtra), Gold Tip(G) High Thermal Conduction Ablation, FullCircle Deflection</Description>
            <Size>7F , 110cm , 3.5mm irrigated gold tip</Size>
            <SupplierCode>BT</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7349</SubGroupID>
            <Suffix>Biotronik</Suffix>
            <ARTGs>
                <ARTG>193331</ARTG>
            </ARTGs>
            <MinimumBenefit>3280</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BT224</BillingCode>
            <Name>AlCath Flutter Flux G eXtra</Name>
            <Description>Mapping and Ablation Cardiac Catheter, Gold Tip(G) High Thermal Conduction Ablation, Advanced 3D irrigation (eXtra), FullCircle Deflection, Optimised stability,control &amp; length for flutter</Description>
            <Size>7F ,95cm , 3.5mm Gold tip</Size>
            <SupplierCode>BT</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7349</SubGroupID>
            <Suffix>Biotronik</Suffix>
            <ARTGs>
                <ARTG>221411</ARTG>
            </ARTGs>
            <MinimumBenefit>3280</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS361</BillingCode>
            <Name>IntellaNav™ MiFi™ Open-Irrigated Ablation Catheter</Name>
            <Description>IntellaNav™ Open-Irrigated, MiFi™ Mini-electrode Technology, Nav-abled</Description>
            <Size>110cm, shaft size 7.5F</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7349</SubGroupID>
            <Suffix>Boston Scientific</Suffix>
            <ARTGs>
                <ARTG>300198</ARTG>
            </ARTGs>
            <MinimumBenefit>3500</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS380</BillingCode>
            <Name>Blazer™ Open Irrigated Ablation Catheter </Name>
            <Description>Open Irrigated Ablation bidirectional catheter with Total Tip Cooling™ Design technology</Description>
            <Size>110cm, shaft size 7.5F</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7349</SubGroupID>
            <Suffix>Boston Scientific</Suffix>
            <ARTGs>
                <ARTG>186659</ARTG>
            </ARTGs>
            <MinimumBenefit>3500</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS385</BillingCode>
            <Name>IntellaTip MiFi™ Open Irrigated Ablation Catheter</Name>
            <Description>Intella MiFi™ Mini- electrode Technology; Open-Irrigated</Description>
            <Size>110cm, shaft size 7.5F</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7349</SubGroupID>
            <Suffix>Boston Scientific</Suffix>
            <ARTGs>
                <ARTG>231654</ARTG>
            </ARTGs>
            <MinimumBenefit>3500</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN310</BillingCode>
            <Name>CARTO System Therapeutic Catheters, THERMOCOOL</Name>
            <Description>Navigation, irrigated</Description>
            <Size>Various</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7349</SubGroupID>
            <Suffix>JJM, nav</Suffix>
            <ARTGs>
                <ARTG>149553</ARTG>
                <ARTG>157811</ARTG>
                <ARTG>178843</ARTG>
            </ARTGs>
            <MinimumBenefit>2750</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN238</BillingCode>
            <Name>CARTO System Therapeutic Catheters, THERMOCOOL SMARTTOUCH</Name>
            <Description>Navigation, contact-force, irrigated</Description>
            <Size>One size only</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7349</SubGroupID>
            <Suffix>JJM, nav, cf</Suffix>
            <ARTGs>
                <ARTG>184035</ARTG>
                <ARTG>198574</ARTG>
                <ARTG>233354</ARTG>
                <ARTG>233355</ARTG>
            </ARTGs>
            <MinimumBenefit>3700</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN304</BillingCode>
            <Name>CARTO System Therapeutic Catheters, QDOT MICRO</Name>
            <Description>Navigation, contact-force, irrigated, very high-power short-duration</Description>
            <Size>One size only</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7349</SubGroupID>
            <Suffix>JJM, nav, cf</Suffix>
            <ARTGs>
                <ARTG>345779</ARTG>
                <ARTG>345780</ARTG>
            </ARTGs>
            <MinimumBenefit>3700</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN301</BillingCode>
            <Name>THERMOCOOL</Name>
            <Description>Non-nav, irrigated</Description>
            <Size>Various</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7349</SubGroupID>
            <Suffix>JJM, non-nav</Suffix>
            <ARTGs>
                <ARTG>149552</ARTG>
                <ARTG>155131</ARTG>
                <ARTG>178844</ARTG>
            </ARTGs>
            <MinimumBenefit>2000</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI397</BillingCode>
            <Name>DiamondTemp Ablation Catheter</Name>
            <Description>An irrigated, multi-electrode, temperature-controlled, radio-frequency catheter for mapping, pacing and cardiac ablation</Description>
            <Size>7.5F</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7349</SubGroupID>
            <Suffix>Medtronic</Suffix>
            <ARTGs>
                <ARTG>318542</ARTG>
                <ARTG>318543</ARTG>
            </ARTGs>
            <MinimumBenefit>3700</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI300</BillingCode>
            <Name>PVAC Gold Phased RF catheter</Name>
            <Description>The Pulmonary Vein Ablation Catheter (PVAC) Gold is a three-dimensional, anatomically designed, multi-electrode phased RF catheter used to map, pace, and ablate the pulmonary veins.</Description>
            <Size>9Fr</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7349</SubGroupID>
            <Suffix>Medtronic, single unit</Suffix>
            <ARTGs>
                <ARTG>235158</ARTG>
            </ARTGs>
            <MinimumBenefit>6399</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RF024</BillingCode>
            <Name>FireMagic 3D Irrigated Ablation Catheter</Name>
            <Description>Irrigated ablation catheter with a deflectable tip containing an array of platinum electrodes</Description>
            <Size>8 French  105cm</Size>
            <SupplierCode>RF</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7349</SubGroupID>
            <Suffix>Microport</Suffix>
            <ARTGs>
                <ARTG>333751</ARTG>
            </ARTGs>
            <MinimumBenefit>3500</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ408</BillingCode>
            <Name>EnSite Patch</Name>
            <Description>Surface Electrodes</Description>
            <Size>Patch/Kit</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7350</SubGroupID>
            <Suffix>Abbott</Suffix>
            <ARTGs>
                <ARTG>274633</ARTG>
                <ARTG>195707</ARTG>
            </ARTGs>
            <ChangeExplanation>Group Benefit Change, Changed </ChangeExplanation>
            <MinimumBenefit>399</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BT253</BillingCode>
            <Name>BIOTRONIK AcQMap Patient Electrode Kit</Name>
            <Description>The BIOTRONIK AcQMap Patient Electrode Kit  compatible with the AcQMap High Resolution 3D Imaging and Mapping System </Description>
            <Size>Localization Dispersive Electrodes,  Patient Return Electrode,  Repositionable Monitoring Electrodes </Size>
            <SupplierCode>BT</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7350</SubGroupID>
            <Suffix>Biotronik</Suffix>
            <ARTGs>
                <ARTG>323077</ARTG>
            </ARTGs>
            <MinimumBenefit>385</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS360</BillingCode>
            <Name>Rhythmia™ Location Reference Patch Kit</Name>
            <Description>Rhythmia™ Location Reference Patch Kit (Box of 1)</Description>
            <Size>50mm diameter</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7350</SubGroupID>
            <Suffix>Boston Scientific</Suffix>
            <ARTGs>
                <ARTG>282996</ARTG>
            </ARTGs>
            <MinimumBenefit>350</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN239</BillingCode>
            <Name>CARTO Reference</Name>
            <Description>External Reference</Description>
            <Size>One size only</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7350</SubGroupID>
            <Suffix>JJM, nav</Suffix>
            <ARTGs>
                <ARTG>157549</ARTG>
            </ARTGs>
            <MinimumBenefit>499</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RF023</BillingCode>
            <Name>Columbus Reference Patch</Name>
            <Description>Adhesive patch with embedded magnetic location sensors</Description>
            <Size>One size only</Size>
            <SupplierCode>RF</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7350</SubGroupID>
            <Suffix>Microport</Suffix>
            <ARTGs>
                <ARTG>323487</ARTG>
            </ARTGs>
            <MinimumBenefit>399</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ404</BillingCode>
            <Name>Inquiry Optima Diagnostic Catheter</Name>
            <Description>mapping catheter</Description>
            <Size>5F-8F</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>Abbott</Suffix>
            <ARTGs>
                <ARTG>136233</ARTG>
            </ARTGs>
            <ChangeExplanation>Group Benefit Change, Changed </ChangeExplanation>
            <MinimumBenefit>2300</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ405</BillingCode>
            <Name>Reflexion Spiral Variable Radius Catheter</Name>
            <Description>mapping catheter</Description>
            <Size>5F-8F</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>Abbott</Suffix>
            <ARTGs>
                <ARTG>145053</ARTG>
            </ARTGs>
            <ChangeExplanation>Group Benefit Change, Changed </ChangeExplanation>
            <MinimumBenefit>2300</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ406</BillingCode>
            <Name>Advisor mapping catheter</Name>
            <Description>mapping catheter</Description>
            <Size>5F-8F</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>Abbott</Suffix>
            <ARTGs>
                <ARTG>282186</ARTG>
                <ARTG>282187</ARTG>
                <ARTG>308920</ARTG>
                <ARTG>327686</ARTG>
                <ARTG>327732</ARTG>
                <ARTG>327761</ARTG>
                <ARTG>334635</ARTG>
                <ARTG>334636</ARTG>
            </ARTGs>
            <ChangeExplanation>Group Benefit Change, Changed </ChangeExplanation>
            <MinimumBenefit>2300</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ407</BillingCode>
            <Name>Afocus II EB Inquiry Steerable Catheter</Name>
            <Description>mapping catheter</Description>
            <Size>5F-8F</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>Abbott</Suffix>
            <ARTGs>
                <ARTG>136211</ARTG>
            </ARTGs>
            <ChangeExplanation>Group Benefit Change, Changed </ChangeExplanation>
            <MinimumBenefit>2300</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ454</BillingCode>
            <Name>Livewire Electrophysiology Catheter</Name>
            <Description>Duodecapolar 2-2-2 epi/endo VT mapping catheter  </Description>
            <Size>115cm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>Abbott</Suffix>
            <ARTGs>
                <ARTG>141868</ARTG>
            </ARTGs>
            <ChangeExplanation>Group Benefit Change, Changed </ChangeExplanation>
            <MinimumBenefit>2300</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ457</BillingCode>
            <Name>Abbott Medical electrophysiology mapping catheters - 10 pole</Name>
            <Description>Steerable mapping catheter Livewire, Inquiry</Description>
            <Size>10 pole</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>Abbott - 10 pole</Suffix>
            <ARTGs>
                <ARTG>136206</ARTG>
                <ARTG>141868</ARTG>
            </ARTGs>
            <MinimumBenefit>829</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ456</BillingCode>
            <Name>Abbott Medical electrophysiology mapping catheters - 20 pole</Name>
            <Description>Steerable mapping catheter - Livewire, Inquiry </Description>
            <Size>20 pole</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>Abbott - 20 pole</Suffix>
            <ARTGs>
                <ARTG>141868</ARTG>
                <ARTG>136206</ARTG>
            </ARTGs>
            <MinimumBenefit>1549</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ458</BillingCode>
            <Name>Abbott Medical Electrophysiology mapping catheter - 4/5 pole</Name>
            <Description>Steerable mapping catheter Livewire, Inquiry</Description>
            <Size>4 pole, 5 pole</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>Abbott - 4/5 pole</Suffix>
            <ARTGs>
                <ARTG>136206</ARTG>
                <ARTG>141868</ARTG>
            </ARTGs>
            <MinimumBenefit>629</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ466</BillingCode>
            <Name>Abbott Medical fixed mapping catheter 4 pole</Name>
            <Description>Fixed diagnostic</Description>
            <Size>Size(s):* various</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>Abbott fix 4 pole</Suffix>
            <ARTGs>
                <ARTG>138701</ARTG>
                <ARTG>139001</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>225</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ467</BillingCode>
            <Name>Abbott Medical fixed mapping catheter 6-10 pole</Name>
            <Description>Fixed diagnostic</Description>
            <Size>various</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>Abbott fix 6-10 pole</Suffix>
            <ARTGs>
                <ARTG>141875</ARTG>
                <ARTG>139001</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>365</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BT252</BillingCode>
            <Name>BIOTRONIK AcQMap 3D Imaging and Mapping Catheter</Name>
            <Description>The BIOTRONIK AcQMap 3D Imaging and Mapping Catheter is an advanced, non-contact, intracardiac catheter used for mapping the atrial substrate.</Description>
            <Size>10F x 100cm</Size>
            <SupplierCode>BT</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>Biotronik</Suffix>
            <ARTGs>
                <ARTG>340470</ARTG>
            </ARTGs>
            <MinimumBenefit>3890</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BT250</BillingCode>
            <Name>ViaCath  20- Pole</Name>
            <Description>Steerable Diagnostic Catheter</Description>
            <Size>6F , 90cm, 2,8,2mm electrode spacing's, 2mm tip , Curve - Extra Large</Size>
            <SupplierCode>BT</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>Biotronik - 20 pole</Suffix>
            <ARTGs>
                <ARTG>281001</ARTG>
            </ARTGs>
            <MinimumBenefit>1265</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BT248</BillingCode>
            <Name>ViaCath 4 &amp; 10 Pole</Name>
            <Description>Steerable Diagnostic Catheter</Description>
            <Size>6F , 110cm , 2mm Electrode tip , Electrode spacing's - various, Curve- standard, large, Extra large</Size>
            <SupplierCode>BT</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>Biotronik - 4 &amp; 10 pole</Suffix>
            <ARTGs>
                <ARTG>281000</ARTG>
            </ARTGs>
            <MinimumBenefit>885</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BT251</BillingCode>
            <Name>MultiCath 4 ,5 &amp; 10 Pole</Name>
            <Description>Steerable Diagnostic Catheter</Description>
            <Size>4,5, 6F ;  80,100,110cm length :  Various Types ; Various Electrode Spacing's ; Curve - Standard or Soft Tipped.</Size>
            <SupplierCode>BT</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>Biotronik - MultiCath</Suffix>
            <ARTGs>
                <ARTG>280999</ARTG>
            </ARTGs>
            <MinimumBenefit>675</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS359</BillingCode>
            <Name>IntellaMap  Orion High Resolution Mapping Catheter</Name>
            <Description>High resolution 64-electrode steerable mapping catheter</Description>
            <Size>8.5F, 115cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>Boston Scientific</Suffix>
            <ARTGs>
                <ARTG>271032</ARTG>
            </ARTGs>
            <MinimumBenefit>2549</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS399</BillingCode>
            <Name>Dynamic </Name>
            <Description>Steerable Diagnostic Catheter</Description>
            <Size>110 cm, 6F</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>Boston Scientific, Deflecting</Suffix>
            <ARTGs>
                <ARTG>281427</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>400</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS393</BillingCode>
            <Name>Polaris X</Name>
            <Description>Steerable Diagnostic Catheters</Description>
            <Size>Various</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>Boston Scientific, Deflecting, 10-pole</Suffix>
            <ARTGs>
                <ARTG>164184</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>750</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS396</BillingCode>
            <Name>Dynamic XT</Name>
            <Description>Steerable Diagnostic Catheters</Description>
            <Size>Various</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>Boston Scientific, Deflecting, 10-pole</Suffix>
            <ARTGs>
                <ARTG>281428</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>750</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS398</BillingCode>
            <Name>Woven, WovenFlexi</Name>
            <Description>Fixed Curve Diagnostic Catheter </Description>
            <Size>Various</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>Boston Scientific, Fixed</Suffix>
            <ARTGs>
                <ARTG>281436</ARTG>
                <ARTG>281442</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>225</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS401</BillingCode>
            <Name>Viking, Viking Soft Tip</Name>
            <Description>Fixed Curve Diagnostic Catheters</Description>
            <Size>Various</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>Boston Scientific, Fixed</Suffix>
            <ARTGs>
                <ARTG>281431</ARTG>
                <ARTG>285279</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>225</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS392</BillingCode>
            <Name>Blazer Dx-20</Name>
            <Description>Steerable Diagnostic Catheter </Description>
            <Size>Various</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>Boston Scientific. Deflecting, 20-pole</Suffix>
            <ARTGs>
                <ARTG>170631</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>1265</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN303</BillingCode>
            <Name>WEBSTER</Name>
            <Description>Non-nav, deflectable diagnostic, less than 10-pole</Description>
            <Size>Various</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>JJM, defl</Suffix>
            <ARTGs>
                <ARTG>145984</ARTG>
            </ARTGs>
            <MinimumBenefit>400</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN302</BillingCode>
            <Name>WEBSTER</Name>
            <Description>Non-nav, deflectable, 10-pole CS diagnostic</Description>
            <Size>Various</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>JJM, deflect, 10-pole</Suffix>
            <ARTGs>
                <ARTG>145984</ARTG>
                <ARTG>162172</ARTG>
                <ARTG>219252</ARTG>
            </ARTGs>
            <MinimumBenefit>750</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN300</BillingCode>
            <Name>WEBSTER</Name>
            <Description>Non-nav, fixed HIS diagnostic</Description>
            <Size>One size only</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>JJM, fix</Suffix>
            <ARTGs>
                <ARTG>145984</ARTG>
                <ARTG>219254</ARTG>
            </ARTGs>
            <MinimumBenefit>225</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN307</BillingCode>
            <Name>WEBSTER</Name>
            <Description>Non-nav, fixed diagnostic</Description>
            <Size>Various</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>JJM, fix</Suffix>
            <ARTGs>
                <ARTG>145985</ARTG>
                <ARTG>146266</ARTG>
            </ARTGs>
            <MinimumBenefit>225</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN311</BillingCode>
            <Name>CARTO System Diagnostic Catheters, DECANAV</Name>
            <Description>Navigation, deflectable, 10-pole diagnostic</Description>
            <Size>Various</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>JJM, nav, defl, 10-pole</Suffix>
            <ARTGs>
                <ARTG>217338</ARTG>
            </ARTGs>
            <MinimumBenefit>799</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN240</BillingCode>
            <Name>LASSO/ PENTARAY</Name>
            <Description>Circular/High Density</Description>
            <Size>Various</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>JJM, nav, defl, hd</Suffix>
            <ARTGs>
                <ARTG>121901</ARTG>
                <ARTG>122187</ARTG>
                <ARTG>145997</ARTG>
                <ARTG>203362</ARTG>
                <ARTG>231772</ARTG>
                <ARTG>278955</ARTG>
                <ARTG>278956</ARTG>
            </ARTGs>
            <MinimumBenefit>2200</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI486</BillingCode>
            <Name>TORQR Quadripolar Fixed-Curve Diagnostic Catheters </Name>
            <Description>Fixed-Curve, Quadripolar Electrode Catheter.</Description>
            <Size>5Fr, 6Fr</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>Medtronic - Torqr quad</Suffix>
            <ARTGs>
                <ARTG>203290</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>225</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RF040</BillingCode>
            <Name>EasyFinder™</Name>
            <Description>Steerable diagnostic catheter</Description>
            <Size>Length 115cm 6Fr</Size>
            <SupplierCode>RF</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>MicroPort, Steerable</Suffix>
            <ARTGs>
                <ARTG>339196</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>629</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RF041</BillingCode>
            <Name>EasyFinder™</Name>
            <Description>Non-navigational defelectable, 10-pole diagnostic catheter</Description>
            <Size>115cm, 6Fr</Size>
            <SupplierCode>RF</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>MicroPort, deflect, 10-pole</Suffix>
            <ARTGs>
                <ARTG>339196</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>750</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RF025</BillingCode>
            <Name>EasyLoop Circular Mapping Catheter</Name>
            <Description>Diagnostic pulmonary vein catheter for cardiac electrophysiological mapping</Description>
            <Size>7 French  115cm</Size>
            <SupplierCode>RF</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>Microport</Suffix>
            <ARTGs>
                <ARTG>332882</ARTG>
            </ARTGs>
            <MinimumBenefit>2500</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RF039</BillingCode>
            <Name>EasyFinder™</Name>
            <Description>Non-navigational fixed curve diagnostic catheter</Description>
            <Size>Length: 60-115cm   Diameter: 5-6Fr  </Size>
            <SupplierCode>RF</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7351</SubGroupID>
            <Suffix>Microport, Fix</Suffix>
            <ARTGs>
                <ARTG>339195</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>225</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS375</BillingCode>
            <Name>Blazer II</Name>
            <Description>Non-irrigated temperature ablation catheters </Description>
            <Size>104-115 cm, shaft size 6-7F</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7372</SubGroupID>
            <ARTGs>
                <ARTG>164506</ARTG>
            </ARTGs>
            <MinimumBenefit>900</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS376</BillingCode>
            <Name>IntellaTip MiFi™ XP</Name>
            <Description>Non-irrigated ablation catheter with 3 mini-electrodes (MiFi) for more accurate mapping</Description>
            <Size>110 cm, shaft size 7F</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7372</SubGroupID>
            <ARTGs>
                <ARTG>232994</ARTG>
            </ARTGs>
            <MinimumBenefit>900</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS377</BillingCode>
            <Name>Blazer Prime </Name>
            <Description>Non-irrigated ablation catheter</Description>
            <Size>104-115 cm, 7F     </Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7372</SubGroupID>
            <ARTGs>
                <ARTG>179887</ARTG>
            </ARTGs>
            <MinimumBenefit>900</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS378</BillingCode>
            <Name>Blazer II XP</Name>
            <Description>Non-irrigated ablation catheters</Description>
            <Size>104-115 cm, 8F</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7372</SubGroupID>
            <ARTGs>
                <ARTG>164229</ARTG>
            </ARTGs>
            <MinimumBenefit>900</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS386</BillingCode>
            <Name>IntellaNav MiFi XP</Name>
            <Description>Non-irrigated ablation catheter with 3 mini-electrodes (MiFi), navigation enabled</Description>
            <Size>110 cm, shaft size 7F</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7372</SubGroupID>
            <ARTGs>
                <ARTG>289500</ARTG>
            </ARTGs>
            <MinimumBenefit>900</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS391</BillingCode>
            <Name>IntellaNav ST</Name>
            <Description>Non-irrigated temperature ablation catheters; navigation enabled</Description>
            <Size>110 cm, 7F</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7372</SubGroupID>
            <ARTGs>
                <ARTG>354210</ARTG>
            </ARTGs>
            <MinimumBenefit>900</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BT222</BillingCode>
            <Name>AlCath G FullCircle</Name>
            <Description>Mapping and Ablation Cardiac Catheter, Gold Tip(G) High Thermal Conduction Ablation, FullCircle Deflection, Standard or Long Tip.</Description>
            <Size>7F, 110cm , 4 mm Tip Gold (G) and 8mm (LT) Long Tip Gold(G)</Size>
            <SupplierCode>BT</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7372</SubGroupID>
            <ARTGs>
                <ARTG>281003</ARTG>
            </ARTGs>
            <MinimumBenefit>900</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BT225</BillingCode>
            <Name>AlCath Flutter LT G</Name>
            <Description>Mapping and Ablation Cardiac Catheter, Gold Tip(G) High Thermal Conduction Ablation, FullCircle Deflection, Long 8mm Tip (LT), Optimised stability,control &amp; length for flutter</Description>
            <Size>7F , 95cm , 8mm(LT) gold tip</Size>
            <SupplierCode>BT</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7372</SubGroupID>
            <ARTGs>
                <ARTG>221412</ARTG>
            </ARTGs>
            <MinimumBenefit>900</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI428</BillingCode>
            <Name>RF Marinr</Name>
            <Description>The Medtronic RF Marinr catheters are steerable, flexible, radiopaque ablation catheters, designed for intracardiac radiofrequency ablation. The catheters have  intracardiac recording and stimulation capabilities. </Description>
            <Size>5Fr, 7Fr</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7372</SubGroupID>
            <ARTGs>
                <ARTG>202411</ARTG>
                <ARTG>202423</ARTG>
            </ARTGs>
            <MinimumBenefit>900</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN277</BillingCode>
            <Name>CELSIUS</Name>
            <Description>4mm non-nav, non-irrigated</Description>
            <Size>Various</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7372</SubGroupID>
            <ARTGs>
                <ARTG>135671</ARTG>
                <ARTG>135732</ARTG>
            </ARTGs>
            <MinimumBenefit>900</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN281</BillingCode>
            <Name>CARTO System Therapeutic Catheters, NAVISTAR</Name>
            <Description>4mm navigation, non-irrigated</Description>
            <Size>One size only</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7372</SubGroupID>
            <ARTGs>
                <ARTG>135672</ARTG>
                <ARTG>135731</ARTG>
            </ARTGs>
            <MinimumBenefit>900</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RF032</BillingCode>
            <Name>FireMagic RF Ablation Catheter</Name>
            <Description>Flexible insulative radiofrequency ablation catheter with a deflectable tip</Description>
            <Size>7 French  90-115cm</Size>
            <SupplierCode>RF</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7372</SubGroupID>
            <ARTGs>
                <ARTG>333859</ARTG>
            </ARTGs>
            <MinimumBenefit>900</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ430</BillingCode>
            <Name>Abbott Non Irrigated Ablation Catheters – 8mm</Name>
            <Description>Non Irrigated Ablation catheter</Description>
            <Size>8mm tip</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7372</SubGroupID>
            <ARTGs>
                <ARTG>136321</ARTG>
                <ARTG>137384</ARTG>
                <ARTG>141867</ARTG>
            </ARTGs>
            <MinimumBenefit>900</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ431</BillingCode>
            <Name>Abbott Non Irrigated Ablation Catheters – 4mm</Name>
            <Description>Non Irrigated Ablation catheter</Description>
            <Size>4mm tip</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7372</SubGroupID>
            <ARTGs>
                <ARTG>141867</ARTG>
                <ARTG>136320</ARTG>
                <ARTG>137384</ARTG>
            </ARTGs>
            <MinimumBenefit>900</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS394</BillingCode>
            <Name>Ultra ICE </Name>
            <Description>Intracardiac Electrophysiology Catheter</Description>
            <Size>One size </Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7375</SubGroupID>
            <Suffix>Boston Scientific</Suffix>
            <ARTGs>
                <ARTG>284615</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>1550</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN333</BillingCode>
            <Name>SOUNDSTAR</Name>
            <Description>3D Ultrasound Diagnostic Catheter</Description>
            <Size>One size only</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7375</SubGroupID>
            <Suffix>JJM</Suffix>
            <ARTGs>
                <ARTG>221253</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>2200</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ455</BillingCode>
            <Name>ViewFlex™ Xtra ICE mapping Catheter</Name>
            <Description>Intracardiac Echocardiography (ICE) Catheter</Description>
            <Size>9 F catheter size, 10 F introducer, 90cm insertable length</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2946</GroupID>
            <SubGroupID>7375</SubGroupID>
            <ARTGs>
                <ARTG>214203</ARTG>
            </ARTGs>
            <MinimumBenefit>2549</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI399</BillingCode>
            <Name>Freezor Cardiac Cryoablation Catheters</Name>
            <Description>Freezor, Freezor Xtra, Freezor Max: Focal Cryoablation Catheters</Description>
            <Size>7Fr, 9Fr</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2947</GroupID>
            <SubGroupID>7352</SubGroupID>
            <Suffix>Medtronic</Suffix>
            <ARTGs>
                <ARTG>164123</ARTG>
            </ARTGs>
            <MinimumBenefit>3550</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI301</BillingCode>
            <Name>Arctic Front Advance Cardiac CryoAblation Catheter / Pro</Name>
            <Description>A flexible, over-the-wire balloon catheter used to ablate cardiac tissue</Description>
            <Size>23mm, 28mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2947</GroupID>
            <SubGroupID>7352</SubGroupID>
            <ARTGs>
                <ARTG>201541</ARTG>
                <ARTG>302439</ARTG>
            </ARTGs>
            <MinimumBenefit>5100</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI302</BillingCode>
            <Name>Achieve / Achieve Advance Mapping Catheter</Name>
            <Description>Intra-cardiac electrophysiology circular mapping catheter</Description>
            <Size>15mm, 20mm, 25mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>27</CategoryID>
            <SubCategoryID>290</SubCategoryID>
            <GroupID>2947</GroupID>
            <SubGroupID>7353</SubGroupID>
            <ARTGs>
                <ARTG>188676</ARTG>
                <ARTG>231648</ARTG>
                <ARTG>286735</ARTG>
            </ARTGs>
            <MinimumBenefit>1299</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI309</BillingCode>
            <Name>Cardioblate® Surgical Ablation Pen XL</Name>
            <Description>The Cardioblate® Surgical Ablation Pen XL facilitates cardiac ablation in areas that are difficult to ablate with a bipolar device.</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>20</CategoryID>
            <SubCategoryID>291</SubCategoryID>
            <GroupID>2948</GroupID>
            <SubGroupID>7354</SubGroupID>
            <Suffix>Medtronic</Suffix>
            <ARTGs>
                <ARTG>140537</ARTG>
            </ARTGs>
            <MinimumBenefit>2876</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI487</BillingCode>
            <Name>Cardioblate MAPS </Name>
            <Description>Surgical RF Mapping, Ablation, Pacing and Sensing catheter.</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>20</CategoryID>
            <SubCategoryID>291</SubCategoryID>
            <GroupID>2948</GroupID>
            <SubGroupID>7354</SubGroupID>
            <Suffix>Medtronic - MAPS</Suffix>
            <ARTGs>
                <ARTG>155379</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>2000</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZZ064</BillingCode>
            <Name>ATRICURE COOLRAIL LINEAR PEN</Name>
            <Description>Surgical Radio Frequency (RF) Irrigated Linear Pen for Atrial Fibrillation surgery</Description>
            <Size>One size only</Size>
            <SupplierCode>ZZ</SupplierCode>
            <CategoryID>20</CategoryID>
            <SubCategoryID>291</SubCategoryID>
            <GroupID>2948</GroupID>
            <SubGroupID>7355</SubGroupID>
            <Suffix>AA-Med - Coolrail</Suffix>
            <ARTGs>
                <ARTG>326625</ARTG>
            </ARTGs>
            <MinimumBenefit>2600</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZZ065</BillingCode>
            <Name>Atricure Isolator Linear Pen</Name>
            <Description>Surgical Radio Frequency (RF) Isolator Linear Pen for Atrial Fibrillation surgery</Description>
            <Size>One size only</Size>
            <SupplierCode>ZZ</SupplierCode>
            <CategoryID>20</CategoryID>
            <SubCategoryID>291</SubCategoryID>
            <GroupID>2948</GroupID>
            <SubGroupID>7355</SubGroupID>
            <Suffix>AA-Med - Isolator Linear Pen</Suffix>
            <ARTGs>
                <ARTG>326626</ARTG>
                <ARTG>326627</ARTG>
            </ARTGs>
            <MinimumBenefit>2000</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZZ055</BillingCode>
            <Name>ATRICURE ISOLATOR SYNERGY RF CLAMPS</Name>
            <Description>Surgical Radio Frequency (RF) Clamps for Atrial Fibrillation surgery</Description>
            <Size>Short, Long</Size>
            <SupplierCode>ZZ</SupplierCode>
            <CategoryID>20</CategoryID>
            <SubCategoryID>291</SubCategoryID>
            <GroupID>2948</GroupID>
            <SubGroupID>7355</SubGroupID>
            <Suffix>AA-Med - Isolator Synergy</Suffix>
            <ARTGs>
                <ARTG>163534</ARTG>
            </ARTGs>
            <MinimumBenefit>4200</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZZ056</BillingCode>
            <Name>Isolator Synergy Access</Name>
            <Description>Articulating Surgical Radio Frequency (RF) Clamp for Atrial Fibrillation Surgery</Description>
            <Size>One size only</Size>
            <SupplierCode>ZZ</SupplierCode>
            <CategoryID>20</CategoryID>
            <SubCategoryID>291</SubCategoryID>
            <GroupID>2948</GroupID>
            <SubGroupID>7355</SubGroupID>
            <Suffix>AA-Med - Isolator Synergy</Suffix>
            <ARTGs>
                <ARTG>167710</ARTG>
                <ARTG>297560</ARTG>
            </ARTGs>
            <MinimumBenefit>4200</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI308</BillingCode>
            <Name>Cardioblate BP2 RF Surgical Ablation Device</Name>
            <Description>The Cardioblate BP2 RF Surgical Ablation devices feature dual electrodes for the delivery of irrigated RF energy.  iRF technology combines saline to facilitate treatment</Description>
            <Size>Standard, Low Profile</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>20</CategoryID>
            <SubCategoryID>291</SubCategoryID>
            <GroupID>2948</GroupID>
            <SubGroupID>7355</SubGroupID>
            <Suffix>Medtronic</Suffix>
            <ARTGs>
                <ARTG>140537</ARTG>
            </ARTGs>
            <MinimumBenefit>3523</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZZ080</BillingCode>
            <Name>EPi-Sense Guided Coagulation System with VisiTrax Device CDK-1413 </Name>
            <Description>Surgical Radio Frequency (RF) catheter for Atrial Fibrillation surgery</Description>
            <Size>EPi-Sense Probe: 3cm (end effector) </Size>
            <SupplierCode>ZZ</SupplierCode>
            <CategoryID>20</CategoryID>
            <SubCategoryID>291</SubCategoryID>
            <GroupID>2948</GroupID>
            <SubGroupID>7356</SubGroupID>
            <Suffix>AA-Med Episense</Suffix>
            <ARTGs>
                <ARTG>347670</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>6040</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI312</BillingCode>
            <Name>Cardioblate® BP2 RF Surgical Ablation System</Name>
            <Description>The Cardioblate® BP2 RF Surgical Ablation system features dual electrodes for the delivery of irrigated RF energy.  iRF technology combines saline to facilitate treatment</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>20</CategoryID>
            <SubCategoryID>291</SubCategoryID>
            <GroupID>2948</GroupID>
            <SubGroupID>7356</SubGroupID>
            <Suffix>Medtronic - Cardioblate BP2</Suffix>
            <ARTGs>
                <ARTG>146949</ARTG>
            </ARTGs>
            <MinimumBenefit>4614</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI310</BillingCode>
            <Name>Cardioblate® Gemini® Surgical Ablation System</Name>
            <Description>The Cardioblate® Gemini® Surgical Ablation System is designed for minimally invasive ablation procedures. Gemini-s combines the efficacy of irrigated RF energy through a bipolar jaw, to facilitate deeper energy penetration, with real time measured customised energy delivery for greater confidence in achieving transmural cardiac lesions.</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>20</CategoryID>
            <SubCategoryID>291</SubCategoryID>
            <GroupID>2948</GroupID>
            <SubGroupID>7356</SubGroupID>
            <Suffix>Medtronic - Cardioblate Gemini</Suffix>
            <ARTGs>
                <ARTG>153878</ARTG>
            </ARTGs>
            <MinimumBenefit>6040</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZZ057</BillingCode>
            <Name>cryoICE Cryoablation Surgical Probes</Name>
            <Description>Surgical Cryoablation probes for atrial fibrillation surgery</Description>
            <Size>One size only</Size>
            <SupplierCode>ZZ</SupplierCode>
            <CategoryID>20</CategoryID>
            <SubCategoryID>291</SubCategoryID>
            <GroupID>2949</GroupID>
            <SubGroupID>7358</SubGroupID>
            <Suffix>AA-Med cryoICE</Suffix>
            <ARTGs>
                <ARTG>202110</ARTG>
                <ARTG>311095</ARTG>
            </ARTGs>
            <MinimumBenefit>3800</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI311</BillingCode>
            <Name>CryoFlex™ Surgical Ablation Probe</Name>
            <Description>The CryoFlex™ Surgical Ablation Probe utilises a gas for freezing cells in the surgical treatment of cardiac arrhythmias.</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>20</CategoryID>
            <SubCategoryID>291</SubCategoryID>
            <GroupID>2949</GroupID>
            <SubGroupID>7358</SubGroupID>
            <Suffix>Medtronic - CryoFlex</Suffix>
            <ARTGs>
                <ARTG>158928</ARTG>
            </ARTGs>
            <MinimumBenefit>4695</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI307</BillingCode>
            <Name>SurgiFrost 10</Name>
            <Description>SurgiFrost 10 is a malleable, single-use cryosurgical device developed to treat cardiac arrhythmias during heart surgery.  Freezing preserves tissue integrity. SurgiFrost10 features a malleable shaft and flexible tip with adjustable insulation sleeve.</Description>
            <Size>One size ony</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>20</CategoryID>
            <SubCategoryID>291</SubCategoryID>
            <GroupID>2949</GroupID>
            <SubGroupID>7358</SubGroupID>
            <Suffix>Medtronic - SurgiFrost 10</Suffix>
            <ARTGs>
                <ARTG>158928</ARTG>
            </ARTGs>
            <MinimumBenefit>4095</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI306</BillingCode>
            <Name>CryoFlex™ Surgical Clamp and Probe</Name>
            <Description>The CryoFlex™ Surgical Clamp and Probe combines the utility of the CryoFlex™ Probe with the delivery of a clamp.</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>20</CategoryID>
            <SubCategoryID>291</SubCategoryID>
            <GroupID>2949</GroupID>
            <SubGroupID>7359</SubGroupID>
            <Suffix>Medtronic</Suffix>
            <ARTGs>
                <ARTG>158929</ARTG>
            </ARTGs>
            <MinimumBenefit>5095</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EG009</BillingCode>
            <Name>Artisan Anterior Chamber Intraocular Lens</Name>
            <Description>Aphakia Model
Composition: PMMA</Description>
            <Size>5.00mm Optic Diameter x 8.5 in overall length</Size>
            <SupplierCode>EG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>140</SubCategoryID>
            <GroupID>1324</GroupID>
            <SubGroupID>3887</SubGroupID>
            <Suffix>ifc</Suffix>
            <ARTGs>
                <ARTG>92476</ARTG>
            </ARTGs>
            <MinimumBenefit>203</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL003</BillingCode>
            <Name>MTA2UO - MTA6UO</Name>
            <Description>PMMA</Description>
            <Size>+5 to +30 D</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>140</SubCategoryID>
            <GroupID>1324</GroupID>
            <SubGroupID>3887</SubGroupID>
            <ARTGs>
                <ARTG>144332</ARTG>
            </ARTGs>
            <MinimumBenefit>126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL005</BillingCode>
            <Name>Storz (Coburn) Intraocular Lens  121UV; L122UV PMMA Anterior Chamber Lens</Name>
            <Description>PMMA Anterior Chamber Intraocular lens 1 piece</Description>
            <Size>13.75mm length. 6.0mm optic size, diopter range 3-30d. L122UV: 6.0mm optic, 13.75mm length, power range; 5.0 to 30.0 Diopters</Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>140</SubCategoryID>
            <GroupID>1324</GroupID>
            <SubGroupID>3887</SubGroupID>
            <ARTGs>
                <ARTG>97880</ARTG>
            </ARTGs>
            <MinimumBenefit>126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EG019</BillingCode>
            <Name>Artisan Toric (Custom) T1</Name>
            <Description>AC Iris clip IOL Toric</Description>
            <Size>5.00mm Optic Diameter x 7.5 Overall</Size>
            <SupplierCode>EG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>140</SubCategoryID>
            <GroupID>1325</GroupID>
            <SubGroupID>3888</SubGroupID>
            <Suffix>t1, ifc</Suffix>
            <ARTGs>
                <ARTG>92476</ARTG>
            </ARTGs>
            <MinimumBenefit>934</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EG020</BillingCode>
            <Name>Artisan Toric (Custom) T2</Name>
            <Description>AC Iris clip IOL Toric</Description>
            <Size>5.00mm Optic Diameter x 7.5 Overall</Size>
            <SupplierCode>EG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>140</SubCategoryID>
            <GroupID>1325</GroupID>
            <SubGroupID>3888</SubGroupID>
            <Suffix>t2, ifc</Suffix>
            <ARTGs>
                <ARTG>92476</ARTG>
            </ARTGs>
            <MinimumBenefit>1180</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EG012</BillingCode>
            <Name>Artisan Anterior Chamber IOL</Name>
            <Description>Phakic Intraocular Lens Myopic / Hyperopic</Description>
            <Size>5.00mm Optic Diameter x 8.5 in overall length;</Size>
            <SupplierCode>EG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>140</SubCategoryID>
            <GroupID>1325</GroupID>
            <SubGroupID>3888</SubGroupID>
            <ARTGs>
                <ARTG>92476</ARTG>
            </ARTGs>
            <MinimumBenefit>552</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EG010</BillingCode>
            <Name>Artiflex Anterior Chamber Intraocular Lens</Name>
            <Description>Optic: Hydrophobic Polysiloxane. Haptic: PMMA</Description>
            <Size>6mm optic diameter x 8.5 in overall length</Size>
            <SupplierCode>EG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>140</SubCategoryID>
            <GroupID>1325</GroupID>
            <SubGroupID>3889</SubGroupID>
            <ARTGs>
                <ARTG>92476</ARTG>
            </ARTGs>
            <MinimumBenefit>565</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL002</BillingCode>
            <Name>Model CZ70BD</Name>
            <Description>Other:PMMA</Description>
            <Size>Range of Powers: +10.0D to +30.0D</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1326</GroupID>
            <ARTGs>
                <ARTG>92318</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Sizes</ChangeExplanation>
            <MinimumBenefit>126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CZ016</BillingCode>
            <Name>CT ASPHINA 409M</Name>
            <Description>ZEISS Micro Incision Aspheric (aberration neutral) IOL: Foldable, square-edged, single piece IOL for capsular bag fixation</Description>
            <Size>6mm optic, 11mm overall diameter. Diopter range 0.0 to +32.0D (0.5D steps from 10.0 to 30.0D, 1.0D outside this range)</Size>
            <SupplierCode>CZ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3890</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>151348</ARTG>
            </ARTGs>
            <MinimumBenefit>275</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CZ017</BillingCode>
            <Name>CT ASPHINA 509M</Name>
            <Description>ZEISS Micro Incision Aspheric (aberration correcting) IOL: Foldable, square-edged, single piece IOL for capsular bag fixation</Description>
            <Size>6mm Optic, 11mm overall diameter. Diopter range 0.0 to +32.0D (0.5D steps from 10.0 to 30.0D, 1.0D outside this range)</Size>
            <SupplierCode>CZ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3890</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>151348</ARTG>
            </ARTGs>
            <MinimumBenefit>275</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL026</BillingCode>
            <Name>Akreos AO Micro Incision Lens</Name>
            <Description>Micro Incision, posterior chamber, foldable acrylic, aphakic, anterior &amp; posterior edge modification, preloaded, with aberration control, intraocular lens</Description>
            <Size>6mm optic overall diameter 11.0mm(10D-15D), 10.7mm (15.50-22D), 10.5mm (22.50-30D)</Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3890</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>98915</ARTG>
            </ARTGs>
            <MinimumBenefit>282</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-06-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CZ028</BillingCode>
            <Name>CT ASPHINA 409MP</Name>
            <Description>Preloaded, micro incision, aspheric (aberration neutral), foldable square-edged single piece intraocular lens for capsular bag fixation.</Description>
            <Size>Diopter range: 0.0 to 32.0D; Optic size: 6.0mm; Overall length: 11.0mm</Size>
            <SupplierCode>CZ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3890</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>151348</ARTG>
            </ARTGs>
            <MinimumBenefit>282</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CZ037</BillingCode>
            <Name>CT ASPHINA 509MP</Name>
            <Description>Preloaded, micro incision, aspheric (aberration correcting), foldable square-edged single-piece intraocular lens for capsular bag fixation</Description>
            <Size>Diopter range: 0.0 to + 32.0D; Optic Size: 6.0mm; Overall length: 11.0mm</Size>
            <SupplierCode>CZ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3890</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>134490</ARTG>
            </ARTGs>
            <MinimumBenefit>282</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG015</BillingCode>
            <Name>Rayner C-flex Advance Aspheric IOL</Name>
            <Description>Mini incision pre-loaded  aspheric IOL</Description>
            <Size>Power range +8.0 - +34.0 dioptres in 0.5 increments</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3890</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>220612</ARTG>
            </ARTGs>
            <MinimumBenefit>282</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TW012</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>EG016</PriorBillingCode>
            </PriorBillingCodes>
            <Name>ARTIS PL E</Name>
            <Description>Preloaded Intraocular lens</Description>
            <Size>0 to 35D</Size>
            <SupplierCode>TW</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3890</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>226270</ARTG>
            </ARTGs>
            <MinimumBenefit>282</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CZ031</BillingCode>
            <Name>AT TORBI 709MP (Standard Range)</Name>
            <Description>Bitoric, preloaded, micro incision, aspheric (aberration neutral), foldable, square-edged, single-piece IOL for capsular bag fixation</Description>
            <Size>Diopter range: Sph -10.0 to 32.0, Cyl +1.0 to 6.5&#xD;
Optic size: 6.0mm, Overall length: 11.0mm</Size>
            <SupplierCode>CZ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3890</SubGroupID>
            <Suffix>at, pl, t1</Suffix>
            <ARTGs>
                <ARTG>151348</ARTG>
            </ARTGs>
            <MinimumBenefit>573</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TW011</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>EG015</PriorBillingCode>
            </PriorBillingCodes>
            <Name>ARTIS T PL</Name>
            <Description>Preloaded Toric Intraocular lens</Description>
            <Size>+18 to +25D / C +1.50D</Size>
            <SupplierCode>TW</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3890</SubGroupID>
            <Suffix>at, pl, t1</Suffix>
            <ARTGs>
                <ARTG>226270</ARTG>
            </ARTGs>
            <MinimumBenefit>573</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CZ020</BillingCode>
            <Name>AT TORBI 709M</Name>
            <Description>STANDARD RANGE BITORIC - ZEISS Micro Incision Aspheric (abberation neutral) IOL: Foldable, square-edged, single piece IOL for capsular bag fixation</Description>
            <Size>6mm optic, 11mm overall diameter. Diopter range: Sph -10.0 to +32.0D, Cyl +1.0 to 6.5D (all 0.5D steps)</Size>
            <SupplierCode>CZ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3890</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>151348</ARTG>
            </ARTGs>
            <MinimumBenefit>557</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CZ027</BillingCode>
            <Name>AT TORBI 709M</Name>
            <Description>HIGH CYLINDER BITORIC - ZEISS Micro Incision Aspheric (aberration neutral) IOL: Foldable square edged, single piece IOL for capsular bag fixation</Description>
            <Size>6mm optic, 11mm overall diameter.  Diopter range: Sph -10.0 to +32.0D, +7.0 to 12.0D (all 0.5D steps)</Size>
            <SupplierCode>CZ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3890</SubGroupID>
            <Suffix>at, t2</Suffix>
            <ARTGs>
                <ARTG>151348</ARTG>
            </ARTGs>
            <MinimumBenefit>784</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CZ040</BillingCode>
            <Name>CT SPHERIS 209M</Name>
            <Description>Micro incision, Spherical aberrated, foldable square-edged single-piece intraocular lens for capsular bag fixation.</Description>
            <Size>Diopter range :0.00 to + 32.0. Optic Size : 6mm  Overall Length  : 11mm</Size>
            <SupplierCode>CZ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3890</SubGroupID>
            <ARTGs>
                <ARTG>151348</ARTG>
            </ARTGs>
            <MinimumBenefit>242</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL038</BillingCode>
            <Name>Acrysof Aspheric UV-absorbing IOL</Name>
            <Description>Foldable Acrylic Single-piece Lens with UV Absorbing and Aspheric Correction</Description>
            <Size>+ 6.0 D to +30.0 D</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>92318</ARTG>
            </ARTGs>
            <MinimumBenefit>275</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AO014</BillingCode>
            <Name>TECNIS® Intraocular Lens (Z9002 &amp; ZA9003)</Name>
            <Description>Foldable Intraocular Lenses - Ultraviolet light absorbing posterior chamber intraocular lenses, Silicone/Acrylic</Description>
            <Size>5-10 dioptre in 1.0 dioptre increments; 10.5 - 30 dioptre in 0.5 increments</Size>
            <SupplierCode>AO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>99891</ARTG>
            </ARTGs>
            <MinimumBenefit>275</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AO024</BillingCode>
            <Name>Tecnis® One Piece (ZCB00)</Name>
            <Description>One piece intraocular lens with edge modification and 360 degree square edge</Description>
            <Size>+5 to +34 diopter powers in 0.5d increments. Overall diameter 13mm, Optic size 6mm</Size>
            <SupplierCode>AO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>170331</ARTG>
            </ARTGs>
            <MinimumBenefit>275</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AO043</BillingCode>
            <Name>TECNIS® Eyhance IOL</Name>
            <Description>1-piece enhanced monofocal IOL</Description>
            <Size>+5.0 to 34.0 diopter powers in 0.5 diopter increments. Overall diamter 13mm, optic size 6mm</Size>
            <SupplierCode>AO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>170331</ARTG>
            </ARTGs>
            <MinimumBenefit>275</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL022</BillingCode>
            <Name>SofPort Advanced Optic (AO)</Name>
            <Description>Posterior chamber, foldable silicone IOL with anterior optic-haptic square edge, posterior optic-haptic square edge, 360-degree optic square edge and asperic optic for aberration control</Description>
            <Size>0 D to 30.0 D</Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>98915</ARTG>
            </ARTGs>
            <MinimumBenefit>275</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL023</BillingCode>
            <Name>Akreos Advanced Optic</Name>
            <Description>Posterior chamber, foldable acrylic IOL, with anterior optic-haptic square edge, posterior optic-haptic square edge, 360 degree optic square edge and aspheric optic for aberration control</Description>
            <Size>0 D to 30.0 D</Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>98915</ARTG>
            </ARTGs>
            <MinimumBenefit>275</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL030</BillingCode>
            <Name>enVista</Name>
            <Description>The enVista, Model MX60, is an ultra-violet-absorbing, posterior chamber, hydrophobic acrylic one-piece foldable intraocular lens (IOL)  Has an aspheric lens optic, square posterior edge, modified C haptics and available in dioptric powers ranging from +0.0 to +34.0D.</Description>
            <Size>Overall diameter 12.5mm, optic body diameter 6.0mm in dioptric powers ranging from +0.0 to +34D&#xD;
0.0D to 10.0D in 1 Diopter increments&#xD;
11.0D to 30.0D in 0.5 Diopter increments&#xD;
31.0D to 34.0D in 1 Diopter increments</Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>98915</ARTG>
            </ARTGs>
            <MinimumBenefit>275</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CZ030</BillingCode>
            <Name>CT ASPHINA 404</Name>
            <Description>Small incision, foldable, single piece, monofocal, aspheric (aberration neutral), square-edged, hydrophilic acrylic (with hydrophobic surface properties) intraocular lens for capsular bag fixation. (Monofocal lens for powers outside standard 409MP MICS range).</Description>
            <Size>Diopter range: -10.0 to 42.0, Optic size: 6.0mm, Overall length: 11.0mm</Size>
            <SupplierCode>CZ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>151348</ARTG>
            </ARTGs>
            <MinimumBenefit>275</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE492</BillingCode>
            <Name>Oculentis LENTIS L-313</Name>
            <Description>Foldable one-piece monofocal acrylic plate haptic IOL</Description>
            <Size>Optic Size 6.0mm, Overall length 11.0mm. Available Diopters: +-10.0D to 36.0D (1.0D steps) +10.5D to 29.5D (0.5D steps)</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>328681</ARTG>
            </ARTGs>
            <MinimumBenefit>275</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-09-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE648</BillingCode>
            <Name>Oculentis FEMTIS FB-313</Name>
            <Description>Foldable one-piece monofocal acrylic plate haptic IOL for fixation in the capsulorhexis</Description>
            <Size>Optic Size 5.7mm, Overall length 10.5mm. Available Diopters: +-15.0D to 30.0D (0.5D steps)</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>328681</ARTG>
            </ARTGs>
            <MinimumBenefit>275</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE673</BillingCode>
            <Name>Oculentis LENTIS LU-814VR</Name>
            <Description>Foldable one-piece acrylic posterior chamber aspheric IOL for capsular bag, sulcus and sulcus-sclera fixation.</Description>
            <Size>Optic size: 6.2mm 0.0D to +23.0D, 5.5mm +23.01D to +35.0D , Overall length: 13.0mm, Available Dioptres: 0.0D to +35.0D (1.0D steps), +15.5D to +26.5D (0.5D steps).</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>328681</ARTG>
            </ARTGs>
            <MinimumBenefit>275</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IQ013</BillingCode>
            <Name>PreciSAL 302AC</Name>
            <Description>Acrylic, single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology and UV light filter.</Description>
            <Size>Available in dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to + 17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0</Size>
            <SupplierCode>IQ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>183558</ARTG>
            </ARTGs>
            <MinimumBenefit>275</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG012</BillingCode>
            <Name>Rayner "C-Flex" and Superflex" Aspheric IOL</Name>
            <Description>Aspheric Intra Ocular Lenses with Amon-Apple enhanced 360 Degree square edge, Anti-vaulting Haptics</Description>
            <Size>C-Flex -970C + 22.5D to +34D Superflex-920H - 10D to +22D</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>100926</ARTG>
            </ARTGs>
            <MinimumBenefit>275</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LN003</BillingCode>
            <Name>ALSAFIT</Name>
            <Description>Single piece aspheric foldable intraocular lens for implantation into the capsular bag.</Description>
            <Size>Diopter power range: 0.0 D to 32.00 D (0.50 D increments). Optic size: 6mm. Overall length: 11.0mm.</Size>
            <SupplierCode>LN</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>268033</ARTG>
            </ARTGs>
            <MinimumBenefit>275</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LN008</BillingCode>
            <Name>ALSIOL</Name>
            <Description>Single piece aspheric foldable intraocular lens for implantation into the capsular bag.</Description>
            <Size>Diopter power range: 0.0 D to +32.00 D (0.50 D increments). Optic size: 6 mm. Overall length: 11.0 mm.</Size>
            <SupplierCode>LN</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>277174</ARTG>
            </ARTGs>
            <MinimumBenefit>275</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LN013</BillingCode>
            <Name>Vision Pro Hydrophobic Acrylic Aspheric Intraocular Lens (RS60A)</Name>
            <Description>Hydrophobic Acrylic Aspheric Posterior Chamber Foldable IOL</Description>
            <Size>Aspheric IOL: +0 to +34 D in 0.5 D increments; Overall diameter 13mm, Optic size 6mm.</Size>
            <SupplierCode>LN</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>344091</ARTG>
            </ARTGs>
            <MinimumBenefit>275</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO074</BillingCode>
            <Name>HumanOptics Aspira</Name>
            <Description>Posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic</Description>
            <Size>-20.0 to +60.0 D</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>227764</ARTG>
            </ARTGs>
            <MinimumBenefit>275</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO084</BillingCode>
            <Name>Aspira-aXA</Name>
            <Description>Posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic.</Description>
            <Size>-20D to +40 D.</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>227764</ARTG>
            </ARTGs>
            <MinimumBenefit>275</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AO034</BillingCode>
            <Name>TECNIS® 1-Piece Pre-Loaded IOL</Name>
            <Description>1-piece IOL Posterior Chamber Intraocular lens, incorporates a proprietary wavefront-designed aspheric optic with a squared posterior optic edge designed to provide a 360 degree barrier. The edge of the optic has a frosted design to reduce potential edge glare effects. Supplied pre-loaded in either a screw style disposable injector or in a pre-loaded cartridge.</Description>
            <Size>+5.0 to +34.0 diopter powers in 0.5 diopter increments.  Overall diameter 13mm, Optic size 6mm</Size>
            <SupplierCode>AO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>203780</ARTG>
            </ARTGs>
            <MinimumBenefit>282</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AO048</BillingCode>
            <Name>TECNIS® Eyhance Pre-Loaded IOL</Name>
            <Description>1-piece enhanced monofocal pre-loaded IOL</Description>
            <Size>+5.0 to 34.0 diopter powers in 0.5 diopter increments. Overall diameter 13mm, optic size 6mm</Size>
            <SupplierCode>AO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>377170</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>282</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL040</BillingCode>
            <Name>Enhanced enVista IOL with Bausch + Lomb SimplifEYE Preloaded Delivery System</Name>
            <Description>The enVista Family of Intraocular Lenses (IOLs) are ultraviolet-absorbing, posterior chamber, hydrophobic acrylic IOLs. They have an aspheric lens optic, square posterior edge, and modified C haptics. The lenses can be folded for insertion into the eye.  The MXPLC combines the preloaded IOL with an inserter and is sold in a common package. This alternate packaging configuration allows for a simpler loading of the injector.  </Description>
            <Size>Specification  Optic Body Diameter                 6.0 ± 0.1 mm     Overall Diameter                        12.5 ± 0.2 mm        Haptic Thickness                       0.35 ± 0.04 mm     Haptic Angulations                         Planar Haptic  Lens       Power Range                    +0.0 to +34.0D                                                     (+0.0 to +9.0D in 1D increments)                                                         (+10.0 to +30.0D in 0.5D increments)    (+31.0 to +34.0D in 1D increments)  </Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>98915</ARTG>
            </ARTGs>
            <MinimumBenefit>282</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL041</BillingCode>
            <Name>LuxGood Preloaded Crystal</Name>
            <Description>The LuxGood intraocular lens (IOL) is a single-piece ultraviolet (UV) absorbing, posterior chamber, hydrophobic acrylic IOL and has aspheric optics. The lens is provided sterile and is designed to be folded prior to insertion into the eye. The preloaded intraocular LuxGood lens is supplied with an Accuject Pro Delivery System to provide a touch-free method of delivery of the lens into the capsular bag.</Description>
            <Size>Body Diameter: +00.00 D to +34.00 D: 6.0 mm +/- 0.1 mm  Overall Diameter: +00.00 D to +34.00 D: 11.00 mm +/- 0.2 mm  Power Range: +0.00 D to +34.00 D Label Increments: 0.1 D</Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>342175</ARTG>
            </ARTGs>
            <MinimumBenefit>282</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DV268</BillingCode>
            <Name>Hoya Vivinex iSert preloaded IOL (Model XC1)</Name>
            <Description>Preloaded injector system, micro incision, aspheric, UV filtering, single piece, hydrophobic acrylic</Description>
            <Size>+6.0 to 30.0 D (in 0.5D steps)</Size>
            <SupplierCode>DV</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>117417</ARTG>
            </ARTGs>
            <MinimumBenefit>282</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DV269</BillingCode>
            <Name>HOYA iSert® 250</Name>
            <Description>Preloaded injector system, Micro-Incision, Aspheric, UV filtering, Single Piece, Hydrophobic</Description>
            <Size>+6.0D to +30.0D (in 0.5D steps)</Size>
            <SupplierCode>DV</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>112674</ARTG>
                <ARTG>117417</ARTG>
            </ARTGs>
            <MinimumBenefit>282</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IQ014</BillingCode>
            <Name>PreciSAL P302AC</Name>
            <Description>Preloaded Acrylic, single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology and UV light filter.</Description>
            <Size>Available in dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to + 17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0</Size>
            <SupplierCode>IQ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>183558</ARTG>
            </ARTGs>
            <MinimumBenefit>282</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG017</BillingCode>
            <Name>RayOne Ashperic preloaded</Name>
            <Description>Preloaded aspheric intraocular lens, hydrophilic acrylic, UV absorbing, 360 square edge, anti-vaulting haptics</Description>
            <Size>6mm optic, range sphere -10 to +34</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>220612</ARTG>
            </ARTGs>
            <MinimumBenefit>282</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG020</BillingCode>
            <Name>RayOne Hydrophobic IOL</Name>
            <Description>Hydrophobic acrylic IOL, preloaded injector system, micro incision, aspheric, UV filtering, single piece.</Description>
            <Size>Power range: &#xD;
-10.0 D to +7.0 D (1.0 D increments, including plano)&#xD;
+8.0 D to +30.0 D (0.5 D increments)&#xD;
+31.0 D to +32.0 D (1.0 D increments) &#xD;
Shapes:&#xD;
Biconvex (positive powers), Plano, Concave (negative powers)</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>100926</ARTG>
            </ARTGs>
            <MinimumBenefit>282</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LN011</BillingCode>
            <Name>I-Stream Pre-Loaded Aspheric Hydrophobic</Name>
            <Description>Single piece, pre-loaded aspheric  hydrophobic acrylic IOL</Description>
            <Size>Optic diameter: 6mm&#xD;
Total diameter: 13mm&#xD;
Power range: +9.0 to +32.0D</Size>
            <SupplierCode>LN</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>307407</ARTG>
            </ARTGs>
            <MinimumBenefit>282</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LN014</BillingCode>
            <Name>Vision Pro Preloaded Hydrophobic Acrylic Aspheric Intraocular Lens (PRS60A)</Name>
            <Description>Preloaded, Hydrophobic Acrylic Aspheric Posterior Chamber Foldable IOL</Description>
            <Size>Aspheric IOL: +0 to +34 D in 0.5 D increments; Overall diameter 13mm, Optic size 6mm</Size>
            <SupplierCode>LN</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>357110</ARTG>
            </ARTGs>
            <MinimumBenefit>282</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO075</BillingCode>
            <Name>HumanOptics Aspira Preloaded</Name>
            <Description>Preloaded posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic</Description>
            <Size>+10.0 to +40.0 D</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>227764</ARTG>
            </ARTGs>
            <MinimumBenefit>282</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO083</BillingCode>
            <Name>Aspira-aXA Preloaded</Name>
            <Description>Preloaded posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360  LEC barrier, HD optic</Description>
            <Size>0 to +30.0 D</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>227764</ARTG>
            </ARTGs>
            <MinimumBenefit>282</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VU005</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IS036</PriorBillingCode>
            </PriorBillingCodes>
            <Name>BiFlex 877PA Preloaded Hydrophobic Acrylic Foldable Aspheric Monofocal Lens without Blue Light Filter</Name>
            <Description>Posterior Chamber IOL, special 360° sharp edge, Aspheric Aberration Balanced</Description>
            <Size>Optic diameter: 6.0 mm ±0.10 mm, Overall diameter: 13.0 mm ±0.20 mm  Powers available:   -0.0 - +9.0 D  ±0.25 D increment: 1.0 D  +10.0 - +25.0 D ±0.25 D increment: 0.5 D   +25.5 - +30.0 D ±0.5 D  increment: 0.5 D  +31.0 - +35.0 D ±0.5 D  increment: 1.0 D</Size>
            <SupplierCode>VU</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>221834</ARTG>
            </ARTGs>
            <MinimumBenefit>282</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VU016</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IS043</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Basis Z Preloaded Hydrophylic IOL</Name>
            <Description>Hydrophylic preloaded IOL</Description>
            <Size>6mm Optic Diameter and 13mm Length</Size>
            <SupplierCode>VU</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>280510</ARTG>
            </ARTGs>
            <MinimumBenefit>282</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AO042</BillingCode>
            <Name>Tecnis Toric 1-Piece Pre-Loaded IOL</Name>
            <Description>1-piece IOL Posterior chamber Intraocular lens , incorporates a proprietary wavefront designed toric aspheric optic with a squared posterior optic edge designed to provide 360 degree barrier. The edge of the optic has a frosted design to reduce potential edge glare effects.</Description>
            <Size>+5.0 to +34.0 diopter powers in 0.5 diopter increments. Cylinder power: 1.00 diopter, 1.50 diopter, 2.25 diopter, 3.00 diopter, 3.75 diopter, 4.00 diopter, 4.50 diopter, 5.25 diopter and 6.00 diopter (as measured at the IOL plane). Overall diameter 13mm, Optic size 6mm.</Size>
            <SupplierCode>AO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl, t1</Suffix>
            <ARTGs>
                <ARTG>181845</ARTG>
            </ARTGs>
            <MinimumBenefit>573</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL032</BillingCode>
            <Name>enVista Toric</Name>
            <Description>The enVista toric (Model MX60T) is a one-piece glistening-free hydrophobic foldable IOL. The enVista Toric, model MX60T IOL has a Toric aspheric lens optic, a square posterior edge and modified C haptics, an overall diameter of 12.5mm and an optic body of 6.0mm.  It is available in multiple spherical and cylindrical powers.</Description>
            <Size>Overall diameter is 12.5mm for the entire lens power range, with spherical equivalent powers from +6.0 to +30.0 Diopters in 0.5 Diopter steps and cylinder powers from +1D to 6D  Diopters (at the IOL plane).</Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl, t1</Suffix>
            <ARTGs>
                <ARTG>98915</ARTG>
            </ARTGs>
            <MinimumBenefit>573</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL043</BillingCode>
            <Name>Enhanced enVista Toric with Bausch + Lomb SimplifEYE preloaded delivery system</Name>
            <Description>The enVista Family of Intraocular Lenses (IOLs) are ultraviolet-absorbing, posterior chamber, hydrophobic acrylic IOLs. They have an aspheric lens optic, square posterior edge, and modified C haptics. The lenses can be folded for insertion into the eye. The MX60PTC combines the preloaded IOL with the enVista SimplifEYE Preloaded Injector System inserter and is sold in a common package. This alternate packaging configuration allows for a simpler loading of the injector.</Description>
            <Size>Specification: Optic Body Diameter 6.0 ± 0.1 mm Overall Diameter 12.5 ± 0.2 mm  Haptic Thickness 0.35 ± 0.04 mm Haptic Angulations Planar Haptic Lens Power Range +0.0 to +30.0D (in 0.5D increments) +0.90D to +5.75D (in 0.75D increments from +1.25D).</Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl, t1</Suffix>
            <ARTGs>
                <ARTG>98915</ARTG>
            </ARTGs>
            <MinimumBenefit>573</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL045</BillingCode>
            <Name>LuxGood Toric Preloaded Crystal</Name>
            <Description>The LuxGood Toric intraocular lens (IOL) is a single-piece ultraviolet (UV) absorbing, posterior chamber, hydrophobic acrylic IOL and has aspheric and toric optics. The lens is provided sterile and is designed to be folded prior to insertion into the eye. The preloaded intraocular LuxGood Toric lens is supplied with an Accuject Pro Delivery System to provide a touch-free method of delivery of the lens into the capsular bag.</Description>
            <Size>Body Diameter: 6.0 mm; Overall Diameter: 11 mm Haptic Angle: 0°  Powers: +6.00 to +34.00 Diopters Cylindrical Powers: +0.75 to +6.00 Diopters  </Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl, t1</Suffix>
            <ARTGs>
                <ARTG>342175</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>573</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG016</BillingCode>
            <Name>RayOne Toric Aspheric preloaded</Name>
            <Description>Single piece preloaded aspheric toric acrylic IOL, UV absorbing, 360 square edge, anti-vaulting haptics</Description>
            <Size>6mm optic, +8 ro +30 sphere, +1 to +6 cylinder in 0.5 steps</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl, t1</Suffix>
            <ARTGs>
                <ARTG>220612</ARTG>
            </ARTGs>
            <MinimumBenefit>573</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VU004</BillingCode>
            <Name>Medicontur Bi-Flex POB-MA Toric 877PT</Name>
            <Description>Single piece posterior chamber hydrophobic acrylic monofocal toric intraocular lens. Preloaded with biconvex aspheric optic.</Description>
            <Size>Powers: +10.0 D to +30.0 D in 0.5 diopter increments  Cylinder powers: 1.00 D, 1.50 D, 2.25 D, 3.00 D, 3.75 D, 4.50 D, 5.25 D, 6.00 D</Size>
            <SupplierCode>VU</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl, t1</Suffix>
            <ARTGs>
                <ARTG>221834</ARTG>
            </ARTGs>
            <MinimumBenefit>573</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL049</BillingCode>
            <Name>Clareon AutonoMe Toric</Name>
            <Description>Clareon AutonoMe Toric consists of a Clareon Toric Aspheric Hydrophobic Acrylic Intraocular Lens (Clareon Toric IOL) pre-loaded on the AutonoMe Automated Delivery System.</Description>
            <Size>+6.0 to +30.0 diopters</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl, t1, vblf</Suffix>
            <ARTGs>
                <ARTG>92318</ARTG>
            </ARTGs>
            <MinimumBenefit>603</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL044</BillingCode>
            <Name>LuxGood Toric Preloaded</Name>
            <Description>The LuxGood Toric intraocular lens (IOL) is a single-piece ultraviolet (UV) absorbing, posterior chamber, hydrophobic acrylic IOL, with blue light filtering and has aspheric and toric optics. The lens is provided sterile and is designed to be folded prior to insertion into the eye. The preloaded intraocular LuxGood Toric lens is supplied with an Accuject Pro Delivery System to provide a touch-free method of delivery of the lens into the capsular bag.</Description>
            <Size>Body Diameter: 6.0 mm; Overall Diameter: 11 mm Haptic Angle: 0°  Powers: +6.00 to +34.00 Diopters Cylindrical Powers: +0.75 to +6.00 Diopters  </Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl, t1, vblf</Suffix>
            <ARTGs>
                <ARTG>342175</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>603</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DV267</BillingCode>
            <Name>Hoya Vivinex XY1AT Toric</Name>
            <Description>Preloaded injector system, toric / corrects corneal astigmatism, micro-incision, aspheric, blue blocker, single piece hydrophobic</Description>
            <Size>IOL Power: + 10.0 to 30.0 (0.5 steps), IOL Cylinder power: 1.0D (XY1AT2), 1.50D (XY1AT3), 2.25D (XY1AT4), 3.00D (XY1AT5), 3.75D (XY1AT6), 4.50D (XY1AT7), 5.25D (XY1AT8), 6.00D (XY1AT9)</Size>
            <SupplierCode>DV</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl, t1, vblf</Suffix>
            <ARTGs>
                <ARTG>117417</ARTG>
            </ARTGs>
            <MinimumBenefit>603</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IQ020</BillingCode>
            <Name>PreciSAL Toric PT302A</Name>
            <Description>Pre-loaded acrylic single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology, toric correction on anterior surface with cylinder marks to indicate flat meridian plus the cylinder axis to allow alignment for astigmatic correction, and UV and blue light filters.</Description>
            <Size>Available in spherical dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0; Cylinder powers from 1.0D to 6.0D</Size>
            <SupplierCode>IQ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl, t1, vblf</Suffix>
            <ARTGs>
                <ARTG>183558</ARTG>
            </ARTGs>
            <MinimumBenefit>603</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VU003</BillingCode>
            <Name>Medicontur Bi-Flex POB-MA Toric 877PTY</Name>
            <Description>Single piece hydrophobic acrylic monofocal toric posterior chamber intraocular lens. Preloaded with blue light filter and with biconvex aspheric optic.</Description>
            <Size>Powers: +10.0 D to +30.0 D in 0.5 diopter increments  Cylinder powers: 1.00 D, 1.50 D, 2.25 D, 3.00 D, 3.75 D, 4.50 D, 5.25 D, 6.00 D</Size>
            <SupplierCode>VU</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl, t1, vblf</Suffix>
            <ARTGs>
                <ARTG>221834</ARTG>
            </ARTGs>
            <MinimumBenefit>603</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL031</BillingCode>
            <Name>AcrySert C Model SN6CWS</Name>
            <Description>Posterior chamber, UV absorbing, foldable, acrylic, single piece lens with blue light protection and aspheric correction, in cartridge</Description>
            <Size>+6.0 to +30.0 D</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl, vblf</Suffix>
            <ARTGs>
                <ARTG>92318</ARTG>
            </ARTGs>
            <MinimumBenefit>305</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL039</BillingCode>
            <Name>AcrySof IQ Aspheric IOL with UltraSert pre-loaded delivery system</Name>
            <Description>Pre-loaded foladable Acrylic Single-piece Lens with Blue light protection and Aspheric correction (SN60WF)</Description>
            <Size>+6.0D to +30.0D</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl, vblf</Suffix>
            <ARTGs>
                <ARTG>92318</ARTG>
            </ARTGs>
            <MinimumBenefit>305</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL044</BillingCode>
            <Name>Clareon AutonoMe</Name>
            <Description>The Clareon Aspheric Hydrophobic Acrylic Lens is an ultraviolet and blue light filtering foldable single-piece posterior chamber intraocular lens, provided in the AutonoMe Pre-loaded Delivery System.</Description>
            <Size>+6.0 to +30.0D</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl, vblf</Suffix>
            <ARTGs>
                <ARTG>92318</ARTG>
            </ARTGs>
            <MinimumBenefit>305</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL037</BillingCode>
            <Name>MicroPure 123</Name>
            <Description>Preloaded, posterior chamber, UV absorbing, foldable, aspheric, acrylic, single piece hydrophobic glistening-free Intra Ocular Lens.</Description>
            <Size>Overall diameter of 10D to 24.5D: 11.00mm&#xD;
25D to 30D: 10.75mm&#xD;
&#xD;
Optic diameter of 10D to 24.5D: 6.00mm&#xD;
25D to 30 D: 5.75mm&#xD;
&#xD;
Power from 10D to 30D with 0.5 diopter increments.</Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl, vblf</Suffix>
            <ARTGs>
                <ARTG>211587</ARTG>
            </ARTGs>
            <MinimumBenefit>305</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL042</BillingCode>
            <Name>LuxGood Preloaded</Name>
            <Description>The LuxGood intraocular lens (IOL) is a single-piece ultraviolet (UV) absorbing, posterior chamber, hydrophobic acrylic IOL, blue light filtering and has aspheric optics. The lens is provided sterile and is designed to be folded prior to insertion into the eye. The preloaded intraocular LuxGood lens is supplied with an Accuject Pro Delivery System to provide a touch-free method of delivery of the lens into the capsular bag.</Description>
            <Size>Body Diameter: +00.00 D to +34.00 D: 6.0 mm +/- 0.1 mm   Overall Diameter: +00.00 D to +34.00 D: 11.00 mm +/- 0.2 mm   Power Range: +0.00 D to +34.00 D Label Increments: 0.1D</Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl, vblf</Suffix>
            <ARTGs>
                <ARTG>342175</ARTG>
            </ARTGs>
            <MinimumBenefit>305</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DV250</BillingCode>
            <Name>Hoya-PS AF-1 (UY) PY-60AD</Name>
            <Description>Preloaded in cartridge, Aspheric, Blue blocker, Foldable, Single-Piece, Hydrophobic Acrylic</Description>
            <Size>+6.0D to +30.0D (0.5D steps)</Size>
            <SupplierCode>DV</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl, vblf</Suffix>
            <ARTGs>
                <ARTG>117417</ARTG>
            </ARTGs>
            <MinimumBenefit>305</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DV252</BillingCode>
            <Name>HOYA iSert® 251</Name>
            <Description>Preloaded injector system, Micro-incision, Aspheric, Blue-Blocker, Single Piece, Hydrophobic</Description>
            <Size>+6.0D to 30.0D (5 steps)</Size>
            <SupplierCode>DV</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl, vblf</Suffix>
            <ARTGs>
                <ARTG>112674</ARTG>
                <ARTG>117417</ARTG>
            </ARTGs>
            <MinimumBenefit>305</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DV264</BillingCode>
            <Name>Hoya Vivinex iSert  Preloaded IOL (Model XY1)</Name>
            <Description>Intra Ocular Lens</Description>
            <Size>Power +6 dioptres  - +30 dioptres</Size>
            <SupplierCode>DV</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl, vblf</Suffix>
            <ARTGs>
                <ARTG>117417</ARTG>
            </ARTGs>
            <MinimumBenefit>305</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IQ016</BillingCode>
            <Name>PreciSAL P302A</Name>
            <Description>Preloaded Acrylic, single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology and blue light filter.</Description>
            <Size>Available in dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0</Size>
            <SupplierCode>IQ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl, vblf</Suffix>
            <ARTGs>
                <ARTG>183558</ARTG>
            </ARTGs>
            <MinimumBenefit>305</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IW001</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>BL037</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MicroPure 123</Name>
            <Description>Preloaded, posterior chamber, UV absorbing, foldable, aspheric, acrylic, single piece hydrophobic glistening-free Intra Ocular Lens.</Description>
            <Size>Overall diameter of 10D to 24.5D: 11.00mm  25D to 30D: 10.75mm    Optic diameter of 10D to 24.5D: 6.00mm  25D to 30 D: 5.75mm    Power from 10D to 30D with 0.5 diopter increments.</Size>
            <SupplierCode>IW</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl, vblf</Suffix>
            <ARTGs>
                <ARTG>363012</ARTG>
            </ARTGs>
            <MinimumBenefit>305</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO067</BillingCode>
            <Name>HumanOptics Aspira Y Preloaded</Name>
            <Description>Preloaded posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter</Description>
            <Size>+10.0 to +30.0 D</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl, vblf</Suffix>
            <ARTGs>
                <ARTG>227764</ARTG>
            </ARTGs>
            <MinimumBenefit>305</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VU006</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IS034</PriorBillingCode>
            </PriorBillingCodes>
            <Name>BiFlex Preloaded 877PAY Hydrophobic Acrylic Foldable Aspheric Monofocal Lens with Blue light Filter</Name>
            <Description>Posterior Chamber IOL, special 360° sharp edge, Aspheric - Aberration Balanced</Description>
            <Size>Optic diameter: 6.0 mm ±0.10 mm, Overall diameter: 13.0 mm ±0.20 mm Powers available: -0.0 - +9.0 D ±0.25 D increment: 1.0 D  +10.0 -+25.0  D ±0.25 D increment: 0.5 D  +25.5- +30.0 D ±0.5 D increment: 0.5 D  +31.0 - +35.0 D ±0.5 D increment: 1</Size>
            <SupplierCode>VU</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl, vblf</Suffix>
            <ARTGs>
                <ARTG>221834</ARTG>
            </ARTGs>
            <MinimumBenefit>305</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VU017</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IS044</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Basis Z Preloaded Hydrophobic IOL</Name>
            <Description>Hydrophobic preloaded IOLs</Description>
            <Size>6mm Optic Diameter and 13mm Length</Size>
            <SupplierCode>VU</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, pl, vblf</Suffix>
            <ARTGs>
                <ARTG>280510</ARTG>
            </ARTGs>
            <MinimumBenefit>305</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL045</BillingCode>
            <Name>AcrySof Aspheric UV Absorbing Toric Intraocular Lens</Name>
            <Description>AcrySof UV Absorbing Toric is a biconvex, toric, aspheric, UV-absorbing, single-piece, foldable, hydrophobic monofocal intraocular lens</Description>
            <Size>+6.0 to +34.0 diopter</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>92318</ARTG>
            </ARTGs>
            <MinimumBenefit>557</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AO041</BillingCode>
            <Name>Tecnis Toric 1-Piece IOL</Name>
            <Description>1-piece IOL Posterior chamber Intraocular lens , incorporates a proprietary wavefront designed toric aspheric optic with a squared posterior optic edge designed to provide 360 degree barrier. The edge of the optic has a frosted design to reduce potential edge glare effects.</Description>
            <Size>+5.0 to +34.0 diopter powers in 0.5 diopter increments. Cylinder power: 1.00 diopter, 1.50 diopter, 2.25 diopter, 3.00 diopter, 3.75 diopter, 4.00 diopter, 4.50 diopter, 5.25 diopter and 6.00 diopter (as measured at the IOL plane). Overall diameter 13mm, Optic size 6mm.</Size>
            <SupplierCode>AO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>181845</ARTG>
            </ARTGs>
            <MinimumBenefit>557</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AO046</BillingCode>
            <Name>TECNIS® Eyhance Toric IOL</Name>
            <Description>1-piece enhanced monofocal toric IOL</Description>
            <Size>+5.0 to +34.0 diopter powers in 0.5 diopter increments.  Overall diameter 13mm, Optic size 6mm.  Cylinder power: 1.00, 1.50, 2.25, 3.00, 3.75, 4.00, 4.50, 5.25 and 6.00 diopter (as measured at the IOL plane). </Size>
            <SupplierCode>AO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>181845</ARTG>
            </ARTGs>
            <MinimumBenefit>557</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE515</BillingCode>
            <Name>Oculentis LENTIS LU313T</Name>
            <Description>Patient Specific: Foldable one-piece monofocal toric acrylic IOL</Description>
            <Size>Optic Size 6.0mm, overall length 11.0mm. Sph +/-10.0D to +35.0D (in 0.01D increments) Cyl +0.25 to +6.99D cyl (in 0.01D increments)</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>328681</ARTG>
            </ARTGs>
            <MinimumBenefit>557</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE517</BillingCode>
            <Name>Oculentis LENTIS LS-313T0-T6</Name>
            <Description>Foldable one-piece monofocal toric acrylic IOL.</Description>
            <Size>Optic Size 6.0mm, Overall Length 11.00mm. Available diopters: +10.0D to +30.0D (0.5D). Cyl: (T0 +0.75D) (T1 +1.5D) (T2 +2.25D) (T3 +3.0D) (T4 + 3.75D) (T5 + 4.5D) (T6 +5.25D)</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>328681</ARTG>
            </ARTGs>
            <MinimumBenefit>557</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE674</BillingCode>
            <Name>Oculentis LENTIS Tplus LU-814T</Name>
            <Description>Foldable one-piece acrylic posterior chamber aspheric toric IOL for capsular bag, sulcus and sulcus-sclera fixation.</Description>
            <Size>Optic size: 6.2mm ,-10.0D to +23.0D (SEQ), 5.5mm +23.01D to +35.0D (SEQ) Overall length: 13.0mm, Available Dioptres: sph. -10.0D to +35.0D (0.01D increments), cyl. +0.25D to +12.0D (0.01D increments), axis. 1 degree increments.</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>328681</ARTG>
            </ARTGs>
            <MinimumBenefit>557</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG018</BillingCode>
            <Name>T-Flex Aspheric - Toric &lt;7 diopter</Name>
            <Description>Acrylic foldable posterior chamber IOLs, aspheric, toric &lt;7 diopter</Description>
            <Size>Standard -&#xD;
Spheres: +6.0 to +30.0 D (spherical equivalent)&#xD;
Cylinders: +1.0 to +6.0 D&#xD;
Made to Order -&#xD;
Spheres: -10.0 to +35.0 D (subject to spherical equivalent)&#xD;
Cylinders: +1.0 to +6.0 D</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>100926</ARTG>
            </ARTGs>
            <MinimumBenefit>557</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LN010</BillingCode>
            <Name>I-stream Toric Hydrophilic</Name>
            <Description>One-piece posterior chamber lens with aspherical surface for capsular bag fixation.</Description>
            <Size>Optic diameter: 6mm&#xD;
Total diameter: 11mm&#xD;
Diopter range: +15.0 to +25.0D (standard), 1.0 to 14.5D and 25.5 to 40.0D (made to order)&#xD;
Cylinder range: 0.75 to 6.0D</Size>
            <SupplierCode>LN</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>307407</ARTG>
            </ARTGs>
            <MinimumBenefit>557</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO060</BillingCode>
            <Name>HumanOptics Torica</Name>
            <Description>Toric posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic</Description>
            <Size>Sphere -20D to +59D, Cylinder 1D to 6D</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>227764</ARTG>
            </ARTGs>
            <MinimumBenefit>557</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VU007</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IS024</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Medicontur BiFlex 677TA Hydrophilic Acrylic Foldable Toric Lens without Blue light Filter</Name>
            <Description>Posterior chamber IOL, 360° Special Square Edge,  Aspheric – Coma optimized – Toric</Description>
            <Size>Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm  Powers available:  -10.0  -  +30.0 D ±0.25 D increment:  0.5 D  +31.0  - +35.0 D ±0.5 D increment:  1.0 D  Cylinders available:    +1.5 D - +7.0 D increment:  0.75 D</Size>
            <SupplierCode>VU</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>221834</ARTG>
            </ARTGs>
            <MinimumBenefit>557</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL032</BillingCode>
            <Name>AcrySof IQ Toric IOL</Name>
            <Description>Posterior chamber, UV absorbing, foldable, acrylic, toric, single piece lens with blue light protection and aspheric correction</Description>
            <Size>+6 to +30 D spherical, +31.0 to +34.0 (1.0 D increments); 1.00 to 	6.00 D cylinder.</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t1, vblf</Suffix>
            <ARTGs>
                <ARTG>92318</ARTG>
            </ARTGs>
            <MinimumBenefit>587</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL056</BillingCode>
            <Name>Clareon Toric Aspheric Hydrophobic Acrylic IOL </Name>
            <Description>The Clareon Toric Aspheric Hydrophobic Acrylic IOL is a toric, UV-absorbing, blue light filtering, foldable, single-piece posterior chamber intraocular lens.</Description>
            <Size>+6.0 to +30.0 diopters (in 0.5 diopter increments). Cylinder 1.00 – 6.00 diopters</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t1, vblf</Suffix>
            <ARTGs>
                <ARTG>92318</ARTG>
            </ARTGs>
            <MinimumBenefit>587</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IQ019</BillingCode>
            <Name>PreciSAL Toric T302A</Name>
            <Description>Acrylic single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology, toric correction on anterior surface with cylinder marks to indicate flat meridian plus the cylinder axis to allow alignment for astigmatic correction, and UV and blue light filters.</Description>
            <Size>Available in spherical dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0; Cylinder powers from 1.0D to 6.0D</Size>
            <SupplierCode>IQ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t1, vblf</Suffix>
            <ARTGs>
                <ARTG>183558</ARTG>
            </ARTGs>
            <MinimumBenefit>587</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LN005</BillingCode>
            <Name>ALSAFIT TORIC VF</Name>
            <Description>Single piece toric aspheric foldable intraocular lens for implantation into the capsular bag. Violet filter.</Description>
            <Size>Diopter power range: Sphere: From 0.0 D to +32.00 D (0.50 D increments). Cylinder: From +0.50 D to +6.00 D (0.50 D increments).&#xD;
Optic size: 6mm. Overall length: 11.0mm.</Size>
            <SupplierCode>LN</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t1, vblf</Suffix>
            <ARTGs>
                <ARTG>268033</ARTG>
            </ARTGs>
            <MinimumBenefit>587</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO057</BillingCode>
            <Name>HumanOptics Torica Y</Name>
            <Description>Toric posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter</Description>
            <Size>Sphere -20D to +59D, Cylinder 1D to 6D</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t1, vblf</Suffix>
            <ARTGs>
                <ARTG>227764</ARTG>
            </ARTGs>
            <MinimumBenefit>587</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VU008</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IS022</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Medicontur BiFlex 677TAY Hydrophilic Acrylic Foldable Toric Lens with Blue light Filter</Name>
            <Description>Posterior chamber IOL, 360° Special Square Edge,  Aspheric – Coma optimized – Toric</Description>
            <Size>Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm  Powers available:  -10.0  -  +30.0 D ±0.25 D increment:  0.5 D   +31.0  - +35.0 D ±0.5 D increment:  1.0 D  Cylinders available:    +1.5 D - +7.0 D increment:  0.75 D</Size>
            <SupplierCode>VU</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t1, vblf</Suffix>
            <ARTGs>
                <ARTG>221834</ARTG>
            </ARTGs>
            <MinimumBenefit>587</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VU018</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IS048</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Basis Z Hydrophilic Toric</Name>
            <Description>Foldable hydrophilic toric intraocular lens</Description>
            <Size>Available in spherical diopter powers from -10.0D to +35.0D in 0.5D steps from +10.0D to +30.0D and then 1.0D steps in the ranges of -10.0D to 9.0D and +31.0D to +35.0D. Cylinder Power range is 1.5-6.0D in 0.75D steps.</Size>
            <SupplierCode>VU</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t1, vblf</Suffix>
            <ARTGs>
                <ARTG>280510</ARTG>
            </ARTGs>
            <MinimumBenefit>587</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AO040</BillingCode>
            <Name>TECNIS® Toric 1-Piece IOL</Name>
            <Description>1-piece IOL Posterior chamber Intraocular lens, incorporates a proprietary wavefront designed toric aspheric optic with a squared posterior optic edge designed to provide a 360 degree barrier. The edge of the optic has a frosted design to reduce potential edge glare effects.</Description>
            <Size>+5.0 to +34.0 diopter powers in 0.5 diopter increments.  Cylinder power: 7.00 diopter, 8.00 diopter (as measured at the IOL plane). Overall diameter 13mm, Optic size 6mm.</Size>
            <SupplierCode>AO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t2</Suffix>
            <ARTGs>
                <ARTG>181845</ARTG>
            </ARTGs>
            <MinimumBenefit>785</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AO047</BillingCode>
            <Name>TECNIS® Eyhance Toric IOL</Name>
            <Description>1-piece enhanced monofocal toric IOL</Description>
            <Size>+5.0 to +34.0 diopter powers in 0.5 diopter increments. Overall diameter 13mm, Optic size 6mm. Cylinder power: 7.00 and 8.00 diopter (as measured at the IOL plane).</Size>
            <SupplierCode>AO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t2</Suffix>
            <ARTGs>
                <ARTG>181845</ARTG>
            </ARTGs>
            <MinimumBenefit>785</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE519</BillingCode>
            <Name>Oculentis LENTIS LU-313T</Name>
            <Description>Patient Specific: Foldable one-piece monofocal toric acrylic IOL</Description>
            <Size>Optic Size: 6.0mm, overall length 11.00mm. Sph +/-10.0D to +35.0D (in 0.01D increments) Cyl +6.99D to +12.0D cyl (in 0.01D increments)</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t2</Suffix>
            <ARTGs>
                <ARTG>328681</ARTG>
            </ARTGs>
            <MinimumBenefit>785</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG019</BillingCode>
            <Name>T-Flex Aspheric - Toric ≥7 diopter</Name>
            <Description>Acrylic foldable posterior chamber IOLs, aspheric, toric ≥7 diopter</Description>
            <Size>Standard&#xD;
Spheres: +6.0 to +30.0 D (spherical equivalent)&#xD;
Cylinders: +1.0 to +6.0 D&#xD;
Made to Order&#xD;
Spheres: -10.0 to +35.0 D (subject to spherical equivalent)&#xD;
Cylinders: +7.0 to +11.0 D</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t2</Suffix>
            <ARTGs>
                <ARTG>100926</ARTG>
            </ARTGs>
            <MinimumBenefit>785</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO059</BillingCode>
            <Name>HumanOptics Torica</Name>
            <Description>Toric posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic</Description>
            <Size>Sphere -20D to +59D, Cylinder 7D to 30D</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t2</Suffix>
            <ARTGs>
                <ARTG>227764</ARTG>
            </ARTGs>
            <MinimumBenefit>785</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VU009</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IS025</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Medicontur BiFlex 677TA Hydrophilic Acrylic Foldable Toric Lens without Blue light Filter</Name>
            <Description>Posterior chamber IOL, 360° Special Square Edge,  Aspheric – Coma optimized – Toric</Description>
            <Size>Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm  Powers available:  -10.0  -  +30.0 D ±0.25 D increment:  0.5 D   +31.0  - +35.0 D ±0.5 D increment:  1.0 D  Cylinders available:    +7.0 D - +9.0 D increment:  0.75 D  +9.0 D - +10.0 D increment:  1.0 D</Size>
            <SupplierCode>VU</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t2</Suffix>
            <ARTGs>
                <ARTG>221834</ARTG>
            </ARTGs>
            <MinimumBenefit>785</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG027</BillingCode>
            <Name>RayOne Toric Aspheric preloaded - Premium/Made to Order</Name>
            <Description>Single piece preloaded aspheric toric acrylic IOL, UV absorbing, 360 square edge, anti-vaulting haptics</Description>
            <Size>-9.5 to +34.5 D SE (subject to sphere power)  +7 to +11 cylinder  Further pre-selected SE/cylinder combinations are available above and below the stated SE range.</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t2, pl</Suffix>
            <ARTGs>
                <ARTG>220612</ARTG>
            </ARTGs>
            <MinimumBenefit>793</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO058</BillingCode>
            <Name>HumanOptics Torica Y</Name>
            <Description>Toric posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter</Description>
            <Size>Sphere -20D to +59D, Cylinder 7D to 30D</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t2, vblf</Suffix>
            <ARTGs>
                <ARTG>227764</ARTG>
            </ARTGs>
            <MinimumBenefit>817</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VU010</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IS023</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Medicontur BiFlex 677TAY Hydrophilic Acrylic Foldable Toric Lens with Blue light Filter</Name>
            <Description>Posterior chamber IOL, 360° Special Square Edge,  Aspheric – Coma optimized – Toric</Description>
            <Size>Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm  Powers available:  -10.0  -  +30.0 D ±0.25 D increment:  0.5 D  +31.0  - +35.0 D ±0.5 D increment:  1.0 D  Cylinders available:    +7.0 D - +9.0 D increment:  0.75 D  +9.0 D - +10.0 D increment:  1.0 D</Size>
            <SupplierCode>VU</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t2, vblf</Suffix>
            <ARTGs>
                <ARTG>221834</ARTG>
            </ARTGs>
            <MinimumBenefit>817</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VU011</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IS030</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Medicontur BiFlex 677TBY Hydrophilic Acrylic Foldable Toric Lens with Blue light Filter</Name>
            <Description>Posterior chamber IOL, 360° Special Square Edge,  Aspheric – Coma optimized – Toric</Description>
            <Size>Optic diameter: 6.0 mm ±0.10 mm,   Overall diameter: 13.0 mm ±0.20 mm  Powers available:  +5.0  -  +9.0 D ±0.25 D increment:  1.0 D  +10.0  - +25.0 D ±0.25 D increment:  0.5 D  +25.5  - +30.0 D ±0.5 D increment:  0.5 D  Cylinders available:    +10.0 D - +24.0 D ±0.5 D increment:  1.0 D</Size>
            <SupplierCode>VU</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, t2, vblf</Suffix>
            <ARTGs>
                <ARTG>221834</ARTG>
            </ARTGs>
            <MinimumBenefit>817</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL021</BillingCode>
            <Name>Alcon AcrySof SN60WF</Name>
            <Description>Foldable Acrylic Single-piece Lens with Blue Light Protection and Aspheric Correction</Description>
            <Size>+ 6.0 D to +30.0 D</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, vblf</Suffix>
            <ARTGs>
                <ARTG>92318</ARTG>
            </ARTGs>
            <MinimumBenefit>290</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL057</BillingCode>
            <Name>Clareon Aspheric Hydrophobic Acrylic Intraocular Lens (Model SY60WF) </Name>
            <Description>Clareon™ Aspheric Hydrophobic Acrylic IOL Model SY60WF is an ultraviolet and blue light filtering, foldable, single-piece, monofocal intraocular lens. </Description>
            <Size>+6.0 to +30.0 diopters</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, vblf</Suffix>
            <ARTGs>
                <ARTG>92318</ARTG>
            </ARTGs>
            <MinimumBenefit>290</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IQ015</BillingCode>
            <Name>PreciSAL 302A</Name>
            <Description>Acrylic, single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology and blue light filter.</Description>
            <Size>Available in dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0</Size>
            <SupplierCode>IQ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, vblf</Suffix>
            <ARTGs>
                <ARTG>183558</ARTG>
            </ARTGs>
            <MinimumBenefit>290</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO055</BillingCode>
            <Name>HumanOptics Aspira Y</Name>
            <Description>Posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter</Description>
            <Size>-20 to +60 D</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>at, vblf</Suffix>
            <ARTGs>
                <ARTG>227764</ARTG>
            </ARTGs>
            <MinimumBenefit>290</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG003</BillingCode>
            <Name>Rayner Standard Toric C-Flex</Name>
            <Description>Hydrophilic HEMA-MMA copolymer, foldable with injector</Description>
            <Size>5.00mm dia optic, 12.00mm dia overall, cyls 2.0D to 6.0D in 2D increments</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>t1</Suffix>
            <ARTGs>
                <ARTG>100926</ARTG>
            </ARTGs>
            <MinimumBenefit>526</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG004</BillingCode>
            <Name>Rayner Premium Toric C-Flex</Name>
            <Description>HEMA-MMA copolymer, foldable with injector</Description>
            <Size>5.75mm dia optic, 12.00mm dia overall, cyls 1.5D to 11.0D in 0.5D increments</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>t2</Suffix>
            <ARTGs>
                <ARTG>100926</ARTG>
            </ARTGs>
            <MinimumBenefit>753</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG013</BillingCode>
            <Name>Rayner Super Premium Toric I.O.L.</Name>
            <Description>Acrylic foldable toric single piece I.O.L</Description>
            <Size>-10.0D to 0.00D Sphere: 1D to 11.00D Cylinder in 0.25 steps                                                           +31.00D to +35.00 Spit: 1D to 11.00D Cylinder in 0.25steps</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>t2</Suffix>
            <ARTGs>
                <ARTG>100926</ARTG>
            </ARTGs>
            <MinimumBenefit>753</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL016</BillingCode>
            <Name>Alcon Acrysof Natural Model SN60AT</Name>
            <Description>Foldable Acrylic Single-piece Lens, asymmetric optic/consistent edge, with blue light protection</Description>
            <Size>+6 to +40D</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>vblf</Suffix>
            <ARTGs>
                <ARTG>92318</ARTG>
            </ARTGs>
            <MinimumBenefit>275</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL025</BillingCode>
            <Name>AcrySof Multipiece Models MN60MA, MN60AC</Name>
            <Description>Foldable Acrylic multi-piece Lens with Blue light Protection</Description>
            <Size>- 5 D to + 30 D</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <Suffix>vblf</Suffix>
            <ARTGs>
                <ARTG>92318</ARTG>
            </ARTGs>
            <MinimumBenefit>275</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL004</BillingCode>
            <Name> Acrysof Multipiece Models MA50BM, MA60AC, MA60MA</Name>
            <Description>Foldable Acrylic Multi-piece Lens</Description>
            <Size> -5 D to +30 D</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <ARTGs>
                <ARTG>92318</ARTG>
            </ARTGs>
            <MinimumBenefit>242</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL011</BillingCode>
            <Name>Acrysof Model SA60AT</Name>
            <Description>Foldable Acrylic Single-piece Lens, asymmetric optic/consistent edge</Description>
            <Size>Range of Powers: +6 to +40 D</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <ARTGs>
                <ARTG>92318</ARTG>
            </ARTGs>
            <MinimumBenefit>242</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AO002</BillingCode>
            <Name>Sensar  AR40 Monofocal Acrylic IOL,  Sensar OptiEdge AR40e Foldable Acrylic IOL</Name>
            <Description>Soft Acrylic, Foldable, UV Absorbing, Posterior</Description>
            <Size>Range available from -10D to +30D. 6 mm Optic Diameter x 13mm in overall length.</Size>
            <SupplierCode>AO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <ARTGs>
                <ARTG>99891</ARTG>
            </ARTGs>
            <MinimumBenefit>242</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CZ041</BillingCode>
            <Name>CT LUCIA 202</Name>
            <Description>Foldable, 3-piece, monofocal, square-edged, hydrophobic acrylic intraocular lens.</Description>
            <Size>Diopter size: 4.0 to 34.0 DS.  Optic size: 6mm.  Overall length: 13mm</Size>
            <SupplierCode>CZ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <ARTGs>
                <ARTG>151348</ARTG>
            </ARTGs>
            <MinimumBenefit>242</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG001</BillingCode>
            <Name>Rayner C-Flex</Name>
            <Description>Hydrophilic HEMA-MMA copolymer, foldable with injector</Description>
            <Size>5.75mm dia optic, 12.00mm dia overall</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <ARTGs>
                <ARTG>100926</ARTG>
            </ARTGs>
            <MinimumBenefit>242</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG002</BillingCode>
            <Name>Superflex</Name>
            <Description>Hydrophilic HEMA-MMA copolymer, foldable with injector</Description>
            <Size>6.25mm dia optic, 12.5mm dia overall</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3892</SubGroupID>
            <ARTGs>
                <ARTG>100926</ARTG>
            </ARTGs>
            <MinimumBenefit>242</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL052</BillingCode>
            <Name>Clareon PanOptix Trifocal UV Absorbing Intraocular Lens (Model CCWTT0) </Name>
            <Description>The Clareon PanOptix Trifocal UV Absorbing Intraocular Lens (Model CCWTT0) is a presbyopia correcting, UV-absorbing, foldable, single-piece posterior chamber, multifocal IOL </Description>
            <Size>+6.0 to +30.0 diopters</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>92318</ARTG>
            </ARTGs>
            <MinimumBenefit>619</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AO037</BillingCode>
            <Name>TECNIS® Symfony Extended Range of Vision (ZXR00)</Name>
            <Description>Extended Range of Vision Posterior Chamber IOL</Description>
            <Size>+5.0 to 34.0 diopter powers in 0.5 diopter increments Overall diamter 13mm, Optic size 6mm</Size>
            <SupplierCode>AO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>170331</ARTG>
            </ARTGs>
            <MinimumBenefit>619</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE496</BillingCode>
            <Name>Oculentis LENTIS Mplus LS-313 MF</Name>
            <Description>Foldable one-piece multifocal plate haptic acrylic IOL</Description>
            <Size>Overall Length 11.0mm and Optic Size 6.0mm.  Available diopters +-10.0D to +36.0D (0.5D steps)</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>328681</ARTG>
            </ARTGs>
            <MinimumBenefit>619</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-09-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE650</BillingCode>
            <Name>Oculentis FEMTIS Comfort FB-313MF15</Name>
            <Description>Foldable one-piece multifocal acrylic plate haptic IOL for fixation in the capsulorhexis</Description>
            <Size>Optic Size 5.7mm, Overall length 10.5mm. Available Dioptres: +15.0D to 30.0D (0.5D steps)</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>328681</ARTG>
            </ARTGs>
            <MinimumBenefit>619</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE675</BillingCode>
            <Name>Oculentis LENTIS Mplus LU-814MF30</Name>
            <Description>Foldable one-piece acrylic posterior chamber aspheric multifocal IOL for capsular bag, sulcus and sulcus-sclera fixation.</Description>
            <Size>Optic size: 6.2mm , 0.0D to +23.0D,  5.5mm +23.01D to +36.0D Overall length: 13.0mm, Available Dioptres: 0.0D to +36.0D (0.5D increments).</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>328681</ARTG>
            </ARTGs>
            <MinimumBenefit>619</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE764</BillingCode>
            <Name>Oculentis LENTIS Comfort LU-814MF15</Name>
            <Description>Foldable one-piece acrylic posterior chamber aspheric multifocal IOL for capsular bag, sulcus and sulcus-sclera fixation.</Description>
            <Size>Optic size: 6.2mm, Overall length: 13.0mm, Available Dioptres: 0.0D to +36.0D (0.5D increments).</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>328681</ARTG>
            </ARTGs>
            <MinimumBenefit>619</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE785</BillingCode>
            <Name>FEMTIS Mplus FB-313MF30</Name>
            <Description>Foldable one-piece multifocal acrylic plate haptic IOL for fixation in the capsulorhexis</Description>
            <Size>Optic Size 5.7mm, Overall length 10.5mm. Available Dioptres: +15.0D to 30.0D (0.5Dsteps)</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>328681</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>619</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER281</BillingCode>
            <Name>IC-8, Hydrophobic Small Aperture Intraocular Lens</Name>
            <Description>A hydrophobic posterior chamber intraocular lens (IOL), embedded with a central circular mask, which operates under the principle of small aperture optics to reduce near vision blur and provide seamless extended range vision from distance to near.</Description>
            <Size>The overall diameter is 12.5 millimetres with a 6 millimetre diameter aspheric optic.</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>236210</ARTG>
            </ARTGs>
            <MinimumBenefit>619</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IQ023</BillingCode>
            <Name>PreciSAL Multifocal M302AC</Name>
            <Description>Acrylic single piece, foldable intraocular lens with anterior and posterior optic-haptic edge, 360 degree optic square edge design, precision power calculation, abreration technology, pupil independent diffractive anterior surface with a near sigh correction addition of up to +3.5D, and UV Filter.</Description>
            <Size>Available in spherical dioptric powers from 0.0D to +30.0D. 1D steps: 0.0D to+10.0D; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0; near sight correction addition up to +3.5D on all spherical dioptric powers.</Size>
            <SupplierCode>IQ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>183558</ARTG>
            </ARTGs>
            <MinimumBenefit>619</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG009</BillingCode>
            <Name>Rayner "M-Flex" Mulitfocal Foldable IOL</Name>
            <Description>Acrylic, Foldable, Single piece multi-zoned refractive aspheric multifocal with Amon-Apple 360 Degree Square edge, Anti Vaulting Haptics</Description>
            <Size>6.5mm Optic-Overall diameter 12.5mm: +3D or + 4D Addition: +14D to +25D in 1.0D increments: +8.5D to +23.5D in 0.5D increments</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>100926</ARTG>
            </ARTGs>
            <MinimumBenefit>619</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO063</BillingCode>
            <Name>HumanOptics Diffractiva</Name>
            <Description>Multifocal posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic</Description>
            <Size>Sphere: +10D to +30D, Near addition +3.5D</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>227764</ARTG>
            </ARTGs>
            <MinimumBenefit>619</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VU019</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IS045</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Basis Z Progressive IOL</Name>
            <Description>Progressive Hydrophilic IOL</Description>
            <Size>Optic Diameter: 6mm  Length: 13mm</Size>
            <SupplierCode>VU</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>280510</ARTG>
            </ARTGs>
            <MinimumBenefit>619</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL053</BillingCode>
            <Name>Clareon PanOptix Trifocal UV Absorbing IOL with the AutonoMe Automated Pre-loaded Delivery System</Name>
            <Description>The Clareon PanOptix Trifocal UV Absorbing IOL with the AutonoMe Automated Pre-loaded Delivery System is a presbyopia correcting, UV-absorbing, foldable, single-piece posterior chamber, multifocal IOL, pre-loaded on the AutonoMe Automated Delivery System </Description>
            <Size>+6.0 to +30.0 diopters </Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>92318</ARTG>
            </ARTGs>
            <MinimumBenefit>635</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL047</BillingCode>
            <Name>LuxSmart Preloaded Crystal</Name>
            <Description>The LuxSmart intraocular lens (IOL) is a single-piece ultraviolet (UV) absorbing, posterior chamber, hydrophobic acrylic IOL and has aspheric optics. The lens is provided sterile and is designed to be folded prior to insertion into the eye. The preloaded intraocular LuxSmart lens is supplied with an Accuject Pro Delivery System to provide a touch-free method of delivery of the lens into the capsular bag.</Description>
            <Size>Body Diameter: +00.00 D to +34.00 D: 6.0 mm +/- 0.1 mm Overall Diameter: +00.00 D to +34.00 D: 11.00 mm +/- 0.2 mm Power Range: +0.00 D to +34.00 D Label Increments: 0.1D</Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>342175</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>635</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CZ034</BillingCode>
            <Name>AT LISA tri 839MP</Name>
            <Description>Trifocal (aspheric) micro incision, single-piece IOL for capsular bag fixation, implantable with preloaded injector system.  The trifocal (anterior) optic provides two diffractive focal points (+3.33D near focus and +1.66D intermediate focus) with asymmetric light distribution 50% distance / 20% intermediate / 30% near vision.</Description>
            <Size>Diopter range: 0.0 to +32.0D (0.5D increments). Optic size: 6.0mm. Overall Length: 11.0mm</Size>
            <SupplierCode>CZ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>134490</ARTG>
            </ARTGs>
            <MinimumBenefit>635</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CZ042</BillingCode>
            <Name>AT LARA 829MP</Name>
            <Description>Extended depth of focus (EDoF), micro incision, single-piece IOL for capsular bag fixation, implantable with preloaded injector system, aberration neutral aspheric optical design</Description>
            <Size>Diopter range: -10.0 D to +32.0 D, 0.5 increments&#xD;
Optic size: 6mm&#xD;
Overall length: 11mm</Size>
            <SupplierCode>CZ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>151348</ARTG>
            </ARTGs>
            <MinimumBenefit>635</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IQ024</BillingCode>
            <Name>PreciSAL Mulitfocal PM302AC</Name>
            <Description>Pre-loaded acrylic single piece, foldable intraocular lens with anterior and posterior optichaptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology, pupil independent diffractive anterior surface with a near sight correction addition of up to +3.5D, and UV filter.</Description>
            <Size>Available in spherical dioptric powers from 0.0 to +30.0.  1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0; near sight correction addition up to +3.5D on all spherical dioptric powers.</Size>
            <SupplierCode>IQ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>183558</ARTG>
            </ARTGs>
            <MinimumBenefit>635</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG021</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DV271</PriorBillingCode>
            </PriorBillingCodes>
            <Name>RayOne Trifocal</Name>
            <Description>Diffractive step trifocal with smooth transition and reduced light loss</Description>
            <Size>0.0 D to +30.0D (increments 0.5D)</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>220612</ARTG>
            </ARTGs>
            <MinimumBenefit>635</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG034</BillingCode>
            <Name>RayOne EMV RAO200E Intraocular lens</Name>
            <Description>RayOne EMV Model 200E is an extended vision, non-diffractive, UV-Absorbing, single-piece, foldable, hydrophilic, posterior chamber intraocular lens.  Provided preloaded in two-step injector.</Description>
            <Size>6mm optic, Power range +10.0 to +30.0D (0.5D increments)</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>220612</ARTG>
            </ARTGs>
            <MinimumBenefit>635</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO065</BillingCode>
            <Name>HumanOptics Diffractiva Preloaded</Name>
            <Description>Preloaded Multifocal posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic</Description>
            <Size>Sphere: +10D to +30D, Near addition +3.5D</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, pl</Suffix>
            <ARTGs>
                <ARTG>227764</ARTG>
            </ARTGs>
            <MinimumBenefit>635</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL050</BillingCode>
            <Name>LuxSmart Toric Preloaded Crystal</Name>
            <Description>The LuxSmart Toric intraocular lens (IOL) is a single-piece ultraviolet (UV) absorbing, posterior chamber, hydrophobic acrylic IOL, and has aspheric and toric optics. The lens is provided sterile and is designed to be folded prior to insertion into the eye. The preloaded intraocular LuxSmart lens is supplied with an Accuject Pro Delivery System to provide a touch-free method of delivery of the lens into the capsular bag.</Description>
            <Size>Body Diameter: 6.0 mm; Overall Diameter: 11 mm; Haptic Angle: 0° ; Powers: +6.00 to +34.00 Diopters; Cylindrical Powers: +0.75 to +6.00 Diopters </Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, pl, t1</Suffix>
            <ARTGs>
                <ARTG>342175</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>918</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CZ036</BillingCode>
            <Name>AT LISA tri Toric 939MP</Name>
            <Description>Trifocal (aspheric), bitoric, micro incision, single-piece IOL for capsular bag fixation, implantable with preloaded injector system. The trifocal (anterior) optic provides two diffractive focal points (+3.33D near focus and + 1.66D intermediate focus) with asymmetric light distribution 50% distance / 20% intermediate / 30% near vision,</Description>
            <Size>Diopter range -10.00 to +28.0 and +1 to +4.0 DC Optic size: 6..00mml; Overall length: 11.mm</Size>
            <SupplierCode>CZ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, pl, t1</Suffix>
            <ARTGs>
                <ARTG>151348</ARTG>
            </ARTGs>
            <MinimumBenefit>918</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CZ046</BillingCode>
            <Name>AT LARA toric 929MP</Name>
            <Description>Bitoric Extended depth of focus (EDoF), micro incision, single-piece IOL for capsular bag fixation implantable with preloaded injector system, aberration neutral aspheric optical design</Description>
            <Size>Diopter range SE: - 8.0 D to + 32.0 D in 0.5 increments&#xD;
Cylinder: + 1.0 D to + 4.0 D in 0.5 increments&#xD;
Further preselected SE/cylinder combinations are available above and below the stated SE range.&#xD;
Optic size: 6mm, total diameter: 11mm</Size>
            <SupplierCode>CZ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, pl, t1</Suffix>
            <ARTGs>
                <ARTG>151348</ARTG>
            </ARTGs>
            <MinimumBenefit>918</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG023</BillingCode>
            <Name>RayOne Trifocal Toric</Name>
            <Description>Trifocal posterior chamber, toric, aberration-neutral technology, pre-loaded single piece acrylic IOL.</Description>
            <Size>Spherical Equivalent: +6.0 D to +30.0 D (0.5 D increments), Cylinders: +0.75 D, +1.5 D, +2.25 D, +3.0 D, +3.75 D, +4.5 D, Trifocal, diffractive, +3.5 D near add and +1.75 D intermediate add at the IOL plane</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, pl, t1</Suffix>
            <ARTGs>
                <ARTG>220612</ARTG>
            </ARTGs>
            <MinimumBenefit>918</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO081</BillingCode>
            <Name>HumanOptics ToricaDiff Preloaded</Name>
            <Description>Preloaded Toric Multifocal posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic</Description>
            <Size>Sphere +10D to +30D, Cylinder 1D to 6D, Near addition +3.5D</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, pl, t1</Suffix>
            <ARTGs>
                <ARTG>227764</ARTG>
            </ARTGs>
            <MinimumBenefit>918</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL049</BillingCode>
            <Name>LuxSmart Toric Preloaded</Name>
            <Description>The LuxSmart Toric intraocular lens (IOL) is a single-piece ultraviolet (UV) absorbing, posterior chamber, hydrophobic acrylic IOL, with blue light filtering and has aspheric and toric optics. The lens is provided sterile and is designed to be folded prior to insertion into the eye. The preloaded intraocular LuxSmart lens is supplied with an Accuject Pro Delivery System to provide a touch-free method of delivery of the lens into the capsular bag.</Description>
            <Size>Body Diameter: 6.0 mm; Overall Diameter: 11 mm; Haptic Angle: 0° ; Powers: +6.00 to +34.00 Diopters; Cylindrical Powers: +0.75 to +6.00 Diopters </Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, pl, t1, vlbf</Suffix>
            <ARTGs>
                <ARTG>342175</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>950</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO080</BillingCode>
            <Name>HumanOptics ToricaDiff Y Preloaded</Name>
            <Description>Preloaded Toric Multifocal posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter</Description>
            <Size>Sphere +10D to +30D, Cylinder 1D to 6D, Near addition +3.5D</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, pl, t1, vlbf</Suffix>
            <ARTGs>
                <ARTG>227764</ARTG>
            </ARTGs>
            <MinimumBenefit>950</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL048</BillingCode>
            <Name>LuxSmart Preloaded</Name>
            <Description>The LuxSmart intraocular lens (IOL) is a single-piece ultraviolet (UV) absorbing, posterior  chamber, hydrophobic acrylic IOL, blue light filtering and has aspheric optics. The lens is  provided sterile and is designed to be folded prior to insertion into the eye. The preloaded  intraocular LuxSmart lens is supplied with an Accuject Pro Delivery System to provide a  touch-free method of delivery of the lens into the capsular bag.</Description>
            <Size>Body Diameter: +00.00 D to +34.00 D: 6.0 mm +/- 0.1 mm Overall Diameter: +00.00 D to  +34.00 D: 11.00 mm +/- 0.2 mm Power Range: +0.00 D to +34.00 D Label Increments:  0.1D</Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, pl, vblf</Suffix>
            <ARTGs>
                <ARTG>342175</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>666</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IQ025</BillingCode>
            <Name>PreciSAL Multifocal PM302A</Name>
            <Description>Pre-loaded acrylic single piece, foldable intraocular lens with anterior and posterior optichaptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology, pupil independent diffractive anterior surface with a near sight correction addition of up to +3.5D, and UV and blue filter powers.</Description>
            <Size>Available in spherical dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0; near sight correction addition up to +3.5D on all spherical dioptric powers.</Size>
            <SupplierCode>IQ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, pl, vblf</Suffix>
            <ARTGs>
                <ARTG>183558</ARTG>
            </ARTGs>
            <MinimumBenefit>666</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO066</BillingCode>
            <Name>HumanOptics Diffractiva Y Preloaded</Name>
            <Description>Preloaded Multifocal posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter</Description>
            <Size>Sphere: +10D to +30D, Near addition +3.5D</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, pl, vblf</Suffix>
            <ARTGs>
                <ARTG>227764</ARTG>
            </ARTGs>
            <MinimumBenefit>666</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VU012</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IS020</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Medicontur BiFlex Preloaded 677PMY Hydrophilic Acrylic Foldable Multifocal Lens with Blue light Filter</Name>
            <Description>Posterior chamber IOL, 360° Special Square Edge, Aspheric – Coma optimized</Description>
            <Size>Optic diameter: 6.0 mm ±0.10 mm, Overall diameter: 13.0 mm ±0.20 mm  Powers available:   -10.0 - +9.0 D ±0.25 D increment:  1.0 D  +10.0 - +25.0 D ±0.25 D increment:  0.5 D   +25.5 - +30.0 D ±0.5 D increment:  0.5 D   +31.0- +45.0 D ±0. D increment:  1.0 D</Size>
            <SupplierCode>VU</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, pl, vblf</Suffix>
            <ARTGs>
                <ARTG>221834</ARTG>
            </ARTGs>
            <MinimumBenefit>666</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AO038</BillingCode>
            <Name>TECNIS Symfony Toric Extended Range of Vision (ZXT00)</Name>
            <Description>Extended Range of Vision Toric Multifocal Posterior Chamber IOL</Description>
            <Size>+6 to +30 in 0.5d steps Available Cyl powers +1.0d, 1.5d, 2.25d, 3.00d, 3.75d, 4.5d, 5.25d, 6.00d</Size>
            <SupplierCode>AO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>181845</ARTG>
            </ARTGs>
            <MinimumBenefit>902</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CZ038</BillingCode>
            <Name>AT LISA tri toric 939M low cylinder</Name>
            <Description>Trifocal (aspheric), bitoric, micro incision, single-piece IOL for capsular bag fixation.  The trifocal (anterior) optic provides two diffractive focal points (+3.33D near focus and +1.66D intermediate focus) with asymmetric light distribution 50% distance / 20% intermediate / 30% near vision.</Description>
            <Size>Diopter range: -10.00 to + 32.0 DS and +1 to +6.5DC&#xD;
Optic Size: 6.0mm. Overall Length: 11.0mm</Size>
            <SupplierCode>CZ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>151348</ARTG>
            </ARTGs>
            <MinimumBenefit>902</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CZ045</BillingCode>
            <Name>AT LARA toric 929M low cylinder</Name>
            <Description>Bitoric Extended depth of focus (EDoF), micro incision, single-piece IOL for capsular bag fixation implantable with injector system, aberration neutral aspheric optical design</Description>
            <Size>Diopter range SE: - 4.0 D to + 32.0 D in 0.5 increments&#xD;
Cylinder: + 4.5 D to + 6.5 D increments&#xD;
Further preselected SE/cylinder combinations are available above and below the stated SE range.&#xD;
Optic size: 6mm, total diameter: 11mm</Size>
            <SupplierCode>CZ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>151348</ARTG>
            </ARTGs>
            <MinimumBenefit>902</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE494</BillingCode>
            <Name>Oculentis LENTIS Mplus Toric LU-313MFT</Name>
            <Description>Patient specific one-piece multifocal-toric plate haptic acrylic IOL</Description>
            <Size>Overall Length 11.0mm and Optic Size 6.0 + 0.0D to +36.0D inclusive in 0.01D increments. Cyl +0.25 to +12.00D inclusive in 0.01D increments</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>328681</ARTG>
            </ARTGs>
            <MinimumBenefit>902</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-09-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE526</BillingCode>
            <Name>Oculentis LENTIS Comfort Toric LS313MF15T0-T6</Name>
            <Description>Foldable one piece multifocal toric plate haptic acrylic IOL</Description>
            <Size>Overall Length 11.0mm and Optic Size 6.0mm, SE: +10.0D to +30.0D (0.5D steps), Cyl: +0.75D to +5.25D (0.75D steps).</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>328681</ARTG>
            </ARTGs>
            <MinimumBenefit>902</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE676</BillingCode>
            <Name>Oculentis LENTIS Mplus toric LU-814MF30T</Name>
            <Description>Foldable one-piece acrylic posterior chamber aspheric multifocal toric IOL for capsular bag, sulcus and sulcus-sclera fixation.</Description>
            <Size>Optic size: 6.2mm 0.0D to +23.0D (SEQ), 5.5mm +23.01D to +36.0D (SEQ)Overall length: 13.0mm, Available Dioptres: sph. 0.0D to +36.0D (0.01D increments), cyl. +0.25D to +12.0D (0.01D increments), axis 1 deg. increments.</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>328681</ARTG>
            </ARTGs>
            <MinimumBenefit>902</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE718</BillingCode>
            <Name>Oculentis FEMTIS Comfort Toric FB313MF15T0-T3</Name>
            <Description>Foldable one-piece toric multifocal acrylic plate haptic IOL for fixation in the capsulorhexis</Description>
            <Size>Optic Size 5.7mm, Overall length 10.5mm. Available Dioptres: SE +15.0D to 30.0D (0.5Dsteps), cyl  T0 +0.75D | T1 +1.5D | T2 +2.25D | T3 +3.0D</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>328681</ARTG>
            </ARTGs>
            <MinimumBenefit>902</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE765</BillingCode>
            <Name>Oculentis LENTIS Comfort Toric LU-814MF15T</Name>
            <Description>Foldable one-piece acrylic posterior chamber aspheric multifocal toric IOL for capsular bag,sulcus and sulcus-sclera fixation</Description>
            <Size>Optic size: 6.2mm,Overall length:13.0mm, Available Dioptres: sph. 0.0D to +36.0D (0.01D increments), cyl. +0.25D to +12.0D (0.01D increments), axis 1 deg. increments</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>328681</ARTG>
            </ARTGs>
            <MinimumBenefit>902</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE786</BillingCode>
            <Name>FEMTIS Mplus Toric FB313MF30T0-T3</Name>
            <Description>Foldable one-piece toric multifocal acrylic plate haptic IOL for fixation in the capsulorhexis</Description>
            <Size>Optic Size 5.7mm, Overall length 10.5mm. Available Dioptres: SE +15.0D to +30.0D (0.5Dsteps), cyl T0 +0.75D | T1 +1.5D | T2 +2.25D | T3 +3.0D</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>328681</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>902</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG010</BillingCode>
            <Name>Rayner M-Flex Toric (Standard)</Name>
            <Description>Acrylic, Foldable, Single Piece, Multi-zoned Refractive Aspheric Toric Mulitfocal with Amon-Apple enhanced 360 degree Square edge, Anti Vaulting Haptics</Description>
            <Size>5.75mm / 12.0mm: 6.25mm / 12.5mm +3.00D or +4.00D Addition FAR: +14.0D to +32.00D in 0.5 STEPS: +2.00D +3.00D  +4.00D Cylinder. NEAR: +14.0D to 27.0D in 0.5 STEPS: +2.00D +3.00D  +4.00D Cylinder</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>100926</ARTG>
            </ARTGs>
            <MinimumBenefit>902</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG011</BillingCode>
            <Name>Rayner "M-Flex" Toric (Non Standard)</Name>
            <Description>Acrylic, Foldable, Single Piece, Muli-Zoned Refractive, Toric Multifocal with Amon-Apple enhanced 360 Degree square edge, Anti-vaulting Haptics, Patient Specific.</Description>
            <Size>5.75/12.0mm: 6.25/12.5mm +3.00D to +4.00D Addition FAR: +14.0D to +32.0D in 0.5D Increments: NEAR: +14.0D to +27.0D in 0.50D Increments Cylinder: 1.0D to 1.5D and 2.5D to 6.00D in 0.5 increments</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>100926</ARTG>
            </ARTGs>
            <MinimumBenefit>902</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL033</BillingCode>
            <Name>AcrySof IQ ReSTOR multifocal toric IOL (SND1T2-T6; SV25T2-T6)</Name>
            <Description>Posterior chamber UV absorbing foldable, acrylic, aspheric, toric single piece lens with apodised diffractive optic and blue light protection.</Description>
            <Size>+6  to +34 D spherical; 1.00 to 3.75 D cylinder</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t1, vblf</Suffix>
            <ARTGs>
                <ARTG>92318</ARTG>
            </ARTGs>
            <MinimumBenefit>934</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL043</BillingCode>
            <Name>AcrySof IQ PanOptix Toric Trifocal IOL</Name>
            <Description>Trifocal posterior chamber, toric, UV absorbing, foldable, acrylic, aspheric, single piece lens with apodised diffractive trifocal optic and blue light protection.  The apodised diffractive trifocal optic (anterior) provides two diffractive focal points (+3.25D near focus and 2.17D intermediate focus).</Description>
            <Size>+6.0 to +30.0D in 0.5 Diopter increments and +31.0 to +34.0D in 1.0 Diopter increments. Cylinder: +1.0; +1.50; +2.25; +3.00 and +3.75 D</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t1, vblf</Suffix>
            <ARTGs>
                <ARTG>92318</ARTG>
            </ARTGs>
            <MinimumBenefit>934</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL046</BillingCode>
            <Name>AcrySof IQ Vivity Toric Extended Vision Intraocular Lens</Name>
            <Description>Vivity Toric Models DFT215, DFT315, DFT415, DFT515 and DFT615 are a toric, extended vision, non-diffractive, UV-absorbing and blue light filtering, single-piece, foldable, hydrophobic, posterior chamber intraocular lens.</Description>
            <Size>+10.0 to +30.0 diopters;   Cylinder: 1.0 to 3.75 diopters</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t1, vblf</Suffix>
            <ARTGs>
                <ARTG>92318</ARTG>
            </ARTGs>
            <MinimumBenefit>934</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL058</BillingCode>
            <Name>Clareon PanOptix Toric Trifocal Hydrophobic Intraocular Lens (Models CNWTT2 – CNWTT6) </Name>
            <Description>Clareon PanOptix Toric Trifocal Hydrophobic IOL is a toric, presbyopia correcting, hydrophobic, UV-absorbing, blue light filtering, foldable, single-piece, posterior chamber, multifocal IOL</Description>
            <Size>+6.0 to +30.0 diopters (in 0.5 diopter increments); +31.0 to +34.0 diopter in 1.0 diopter increments with a +2.17 diopter intermediate and a +3.25 diopter near add power; Cylinder 1.00 to 3.75 diopters.</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t1, vblf</Suffix>
            <ARTGs>
                <ARTG>92318</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>934</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AO045</BillingCode>
            <Name>TECNIS® Synergy Toric IOL</Name>
            <Description>1-piece continuous multifocal toric IOL</Description>
            <Size>+5.0 Diopters to +34.0 Diopters in 0.5 Diopter increments.  Overall diameter 13mm, optic size 6mm  Cylinder powers 1.00 D, 1.50 D, 2.25 D, 3.00 D, 3.75 D, 4.50 D, 5.25 D, and 6.00 D (as measured on the IOL plane).</Size>
            <SupplierCode>AO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t1, vblf</Suffix>
            <ARTGs>
                <ARTG>181845</ARTG>
            </ARTGs>
            <MinimumBenefit>934</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL036</BillingCode>
            <Name>FineVision Toric POD FT</Name>
            <Description>Posterior chamber, toric, trifocal diffractive (aspheric), UV and blue light blocker, single piece acrylic IOL.</Description>
            <Size>An overall diameter of 11.40mm and optic diameter of 6.00mm. From 0 to +35 Diopters with 0.5 diopter increments.</Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t1, vblf</Suffix>
            <ARTGs>
                <ARTG>211587</ARTG>
            </ARTGs>
            <MinimumBenefit>934</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL046</BillingCode>
            <Name>FINEVISION HP TORIC (POD FT 49P)</Name>
            <Description>The POD FT 49P (FINEVISION HP TORIC) posterior chamber intraocular lens is indicated for the replacement of the human lens to achieve the visual correction of aphakia and pre-existing corneal astigmatism in astigmatic adult patients in whom a cataractous lens has been removed by phacoemulsification who desire improved uncorrected vision, reduction of residual refractive cylinder, useful near and intermediate visual functions, and reduced spectacle dependence. The intraocular lens is intended to maintain rotational stability after placement in the capsular bag and is intended to be placed in the capsular bag. The GF-Glistening Free, material is an acrylic copolymer of medical quality which includes a UV absorbing filter. For the yellow intraocular lenses, a blue light-filtering chromophore is covalently bounded to the UV-absorbing material and the spectral transmittance through a central diopter IOL. They have biconvex optics with an aspheric anterior diffractive trifocal structure that partitions the light to give pseudo-accommodative vision and a posterior toric optic which compensates for corneal astigmatism. The add-power for near vision is + 3.5 diopters and for the intermediate vision + 1.75 diopters at IOL plane allowing the patient to benefit from near vision without a reading aid, and from increased spectacle independence for near and intermediate visions.</Description>
            <Size>Optic diameter: 6.00mm; Total diameter: 11.40mm; From 6 to +35 Diopters, with 0.5 Diopter increments; Cylinders (IOL Plane) 1.00D, 1.50D, 2.25D, 3.00D, 3.75D, 4.50D, 5.25D, 6.00D.</Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t1, vblf</Suffix>
            <ARTGs>
                <ARTG>211587</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>934</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE523</BillingCode>
            <Name>Oculentis LENTIS LU-313MFTY</Name>
            <Description>Patient specific one-piece multifocal toric plate haptic acrylic IOL. Violet light filter.</Description>
            <Size>Overall Length 11.0mm and Optic Size 6.0mm, +-0.0D to +36.0D inclusive in 0.01D increments. Cyl +0.25D to +6.99D inclusive in 0.01D increments.</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t1, vblf</Suffix>
            <ARTGs>
                <ARTG>328681</ARTG>
            </ARTGs>
            <MinimumBenefit>934</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE778</BillingCode>
            <Name>Acunex Vario Toric AN6VT</Name>
            <Description>Foldable one-piece acrylic EDOF C loop IOL with aspheric surface and violet blue light filter.</Description>
            <Size>Overall Length 12.5mm and Optic Size 6.0mm, SE: +10.0D to +30.0D (0.5D steps), cyl: T0 +0.75D  T1 +1.5D  T2 +2.25D  T3 +3.0D, ADD +1.5D.</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t1, vblf</Suffix>
            <ARTGs>
                <ARTG>328681</ARTG>
            </ARTGs>
            <MinimumBenefit>934</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IW002</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>BL036</PriorBillingCode>
            </PriorBillingCodes>
            <Name>FineVision Toric POD FT</Name>
            <Description>Posterior chamber, toric, trifocal diffractive (aspheric), UV and blue light blocker, single piece acrylic IOL.</Description>
            <Size>An overall diameter of 11.40mm and optic diameter of 6.00mm. From 0 to +35 Diopters with 0.5 diopter increments.</Size>
            <SupplierCode>IW</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t1, vblf</Suffix>
            <ARTGs>
                <ARTG>363012</ARTG>
            </ARTGs>
            <MinimumBenefit>934</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VU013</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IS037</PriorBillingCode>
            </PriorBillingCodes>
            <Name>677MTY</Name>
            <Description>BiFlex Single-Piece Aspheric Hydrophilic Progressive Diffractive Toric IOL with Blue filter and 360' Special Square Edge for implantation into capsular bag</Description>
            <Size>Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm  Powers available:   -10.0  -  +30.0 D ±0.25 D increment:  0.5 D    Cylinders available:              +1.0 D - +4.5 D increment:  0.5 D     +5.25D - +6.0 D increment:  0.75 D</Size>
            <SupplierCode>VU</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t1, vblf</Suffix>
            <ARTGs>
                <ARTG>221834</ARTG>
            </ARTGs>
            <MinimumBenefit>934</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VU020</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IS047</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Basis Z Hydrophilic Toric Progressive IOL</Name>
            <Description>One piece foldable hydrophilic progressive toric intraoccular lens</Description>
            <Size>Available in spherical diopter powers from +10D to 35D in 0.5 steps  Cylindrical powers range from 1.0-6.0D</Size>
            <SupplierCode>VU</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t1, vblf</Suffix>
            <ARTGs>
                <ARTG>280510</ARTG>
            </ARTGs>
            <MinimumBenefit>934</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CZ039</BillingCode>
            <Name>AT LISA tri toric 939M high powered cylinder</Name>
            <Description>Trifocal (aspheric), bitoric, micro incision, single-piece IOL for capsular bag fixation. The trifocal (anterior) optic provides two diffractive focal points (+3.33D near focus and +1.66D intermediate focus) with asymmetric light distribution 50% distance / 20% intermediate / 30% near vision.</Description>
            <Size>Diopter range: -10.00 to + 32.0 DS and +7 to +12 DC&#xD;
Optic Size: 6.0mm. Overall Length: 11.0mm</Size>
            <SupplierCode>CZ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t2</Suffix>
            <ARTGs>
                <ARTG>151348</ARTG>
            </ARTGs>
            <MinimumBenefit>1130</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CZ044</BillingCode>
            <Name>AT LARA toric 929M high cylinder</Name>
            <Description>Bitoric Extended depth of focus (EDoF), micro incision, single-piece IOL for capsular bag fixation implantable with injector system, aberration neutral aspheric optical design</Description>
            <Size>Diopter range SE: - 4.0 D to + 32.0 D in 0.5 increments&#xD;
Cylinder: + 7.0 D to + 12.0 D increments&#xD;
Further preselected SE/cylinder combinations are available above and below the stated SE range.&#xD;
Optic size: 6mm, total diameter: 11mm</Size>
            <SupplierCode>CZ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t2</Suffix>
            <ARTGs>
                <ARTG>151348</ARTG>
            </ARTGs>
            <MinimumBenefit>1130</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE521</BillingCode>
            <Name>Oculentis Lentis Mplus Toric LU-313MFT</Name>
            <Description>Patient specific one-piece multifocal toric acrylic plate haptic IOL</Description>
            <Size>Overall Length 11.0mm and Optic Size 6.0mm + 0.0D to +36.0D inclusive in 0.01D increments. Cyl +6.99D to +12.00D inclusive in 0.01D increments</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t2</Suffix>
            <ARTGs>
                <ARTG>328681</ARTG>
            </ARTGs>
            <MinimumBenefit>1130</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE513</BillingCode>
            <Name>Oculentis LENTIS LU313MFTY</Name>
            <Description>Patient specific one-piece multifocal toric plate haptic acrylic IOL. Violet Light Filter</Description>
            <Size>Overall Length 11.00mm and Optic Size 6.0mm +-0.0D to +36.0D inclusive in 0.01D increments.  Cyl +7.00D to +12.0D inclusive in 0.01D increments.</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, t2, vblf</Suffix>
            <ARTGs>
                <ARTG>328681</ARTG>
            </ARTGs>
            <MinimumBenefit>1162</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL030</BillingCode>
            <Name>AcrySof IQ ReSTOR SN6AD1, SV25T0 and MN6AD1</Name>
            <Description>Posterior Chamber, UV absorbing, foldable, acrylic, single piece lens with apodised diffractive optic and blue light protection</Description>
            <Size>+6 D to + 34 D</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, vblf</Suffix>
            <ARTGs>
                <ARTG>92318</ARTG>
            </ARTGs>
            <MinimumBenefit>651</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL040</BillingCode>
            <Name>AcrySof IQ PanOptix Trifocal IOL</Name>
            <Description>Trifocal posterior chamber, UV absorbing, foldable, acrylic, aspheric, single piece lens with apodised diffractive trifocal optic and blue light protection.  The apodised diffractive trifocal optic (anterior) provides two diffractive focal points (+3.25D near focus and 2.17D intermediate focus).</Description>
            <Size>+6.0 to +30.0D in 0.5 Diopter increments and +31.0 to +34.0D in 1.0 Diopter increments</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, vblf</Suffix>
            <ARTGs>
                <ARTG>92318</ARTG>
            </ARTGs>
            <MinimumBenefit>651</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL050</BillingCode>
            <Name>AcrySof IQ Vivity Extended Vision Intraocular Lens</Name>
            <Description>Vivity Model DFT015 is an extended vision, non-diffractive, UV-absorbing and blue light filtering, single-piece, foldable, hydrophobic, posterior chamber intraocular lens</Description>
            <Size>+10.0 to +30.0 diopters</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, vblf</Suffix>
            <ARTGs>
                <ARTG>92318</ARTG>
            </ARTGs>
            <MinimumBenefit>651</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL051</BillingCode>
            <Name>Clareon PanOptix Trifocal Hydrophobic Intraocular Lens (Model CNWTT0) </Name>
            <Description>The Clareon PanOptix Trifocal Hydrophobic Intraocular Lens (Model CNWTT0) is a presbyopia correcting, ultraviolet and blue light filtering, foldable, single-piece posterior chamber, multifocal IOL </Description>
            <Size> +6.0 to +30.0 diopters</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, vblf</Suffix>
            <ARTGs>
                <ARTG>92318</ARTG>
            </ARTGs>
            <MinimumBenefit>651</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AO044</BillingCode>
            <Name>TECNIS Synergy IOL</Name>
            <Description>1-piece continuous multifocal IOL</Description>
            <Size>+5.0 to 34.0 diopter powers in 0.5 diopter increments. Overall diameter 13mm, optic size 6mm</Size>
            <SupplierCode>AO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, vblf</Suffix>
            <ARTGs>
                <ARTG>170331</ARTG>
            </ARTGs>
            <MinimumBenefit>651</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL034</BillingCode>
            <Name>FineVision Micro F</Name>
            <Description>Posterior chamber, UV absorbing, foldable, aspheric, acrylic, single piece lens with apodised diffractive , trifocal optic and blue light protection</Description>
            <Size>An overall diameter of 10.75mm and optic diameter of 6.15mm. From 0 to +35 dopters with 0.5 diopter increments.</Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, vblf</Suffix>
            <ARTGs>
                <ARTG>211587</ARTG>
            </ARTGs>
            <MinimumBenefit>651</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL038</BillingCode>
            <Name>B+L FINEVISION HP (POD F GF)</Name>
            <Description>POD F GF test intraocular lens (IOL) is a foldable IOL with a quadripode “POD” open-loop design intended for capsular bag implantation. The IOL is made of the proprietary hydrophobic glistening-free (GFree®) material containing a UV-blocker and additional blue blocker. The material is a hydrophobic acrylic copolymer of medical quality which includes a UV (wavelength &lt; 400 nm) absorbing filter and a blue light-filtering chromophore which is covalently bounded to the hydrophobic material.&#xD;
The optical part of the test POD F GF lens is biconvex and aspherical partially compensating the positive spherical aberration of the cornea. The optic bears a diffractive TRIFOCAL element on its anterior side (toward patient pupil), allowing for presbyopia correction and spectacle independence for near and intermediate visions. The add-power at the IOL plane for the near vision is + 3.5 diopters and for the intermediate vision + 1.75 diopters.&#xD;
POD F GF is intended for implantation in the capsular bag after  human lens extraction after cataract. The IOL material is capable of being folded prior to insertion, allowing placement through an incision (2.0-2.2 mm) smaller than the optic diameter of the lens. After surgical insertion into the eye, the lens unfolds to ReSTOR the optical performance. The supporting haptics provide for proper positioning and fixation of the IOL optic within the eye.</Description>
            <Size>Optic diameter: 6.00mm&#xD;
Total diameter: 11.40mm&#xD;
From Ø to +35 Diopters, with 0.5 Diopter increments</Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, vblf</Suffix>
            <ARTGs>
                <ARTG>211587</ARTG>
            </ARTGs>
            <MinimumBenefit>651</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE766</BillingCode>
            <Name>Acunex Variomax AN6VM</Name>
            <Description>Foldable one-piece acrylic multifocal C loop IOL with aspheric surface and violet blue light filter.</Description>
            <Size>Overall Length 12.5mm and Optic Size 6.0mm, SE +10.0D to +30.0D (0.5D steps), ADD +3.0D.</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, vblf</Suffix>
            <ARTGs>
                <ARTG>328681</ARTG>
            </ARTGs>
            <MinimumBenefit>651</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE774</BillingCode>
            <Name>Acunex Vario AN6V</Name>
            <Description>Foldable one-piece acrylic EDOF C loop IOL with aspheric surface and violet blue light filter.</Description>
            <Size>Overall Length 12.5mm and Optic Size 6.0mm, SE +10.0D to +30.0D (0.5D steps), ADD +1.5D.</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, vblf</Suffix>
            <ARTGs>
                <ARTG>328681</ARTG>
            </ARTGs>
            <MinimumBenefit>651</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IQ022</BillingCode>
            <Name>PresiSAL Multifocal M302A</Name>
            <Description>Acrylic single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation. Aberration technology, pupil independent diffractive anterior surface with a near sight correction addition of up to +3.5D, and UV and blue light fliters.</Description>
            <Size>Available in sperical dioptric powers from 0.0D to +30.0D. 1D steps: 0.0D to +10.0D; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0.0 to +28.0; near sight correction addition up to +3.5D on all spherical dioptric powers.</Size>
            <SupplierCode>IQ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, vblf</Suffix>
            <ARTGs>
                <ARTG>183558</ARTG>
            </ARTGs>
            <MinimumBenefit>651</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IW003</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>BL034</PriorBillingCode>
            </PriorBillingCodes>
            <Name>FineVision Micro F</Name>
            <Description>Posterior chamber, UV absorbing, foldable, aspheric, acrylic, single piece lens with apodised diffractive , trifocal optic and blue light protection</Description>
            <Size>An overall diameter of 10.75mm and optic diameter of 6.15mm. From 0 to +35 dopters with 0.5 diopter increments.</Size>
            <SupplierCode>IW</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, vblf</Suffix>
            <ARTGs>
                <ARTG>363012</ARTG>
            </ARTGs>
            <MinimumBenefit>651</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IW004</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>BL038</PriorBillingCode>
            </PriorBillingCodes>
            <Name>B+L FINEVISION HP (POD F GF)</Name>
            <Description>POD F GF test intraocular lens (IOL) is a foldable IOL with a quadripode “POD” open-loop design intended for capsular bag implantation. The IOL is made of the proprietary hydrophobic glistening-free(GFree®) material containing a UV-blocker and additional blue blocker. The material is a hydrophobic acrylic copolymer of medical quality which includes a UV(wavelength less than 400 nm) absorbing filter and a blue light-filtering chromophore which is covalently bounded to the hydrophobic material.  The optical part of the test POD F GF lens is biconvex and aspherical partially compensating the positive spherical aberration of the cornea. The optic bears a diffractive TRIFOCAL element on its anterior side (toward patient pupil), allowing for presbyopia correction and spectacle independence for near and intermediate visions. The add-power at the IOL plane for the near vision is + 3.5 diopters and for the intermediate vision + 1.75 diopters. POD F GF is intended for implantation in the capsular bag after human lens extraction after cataract. The IOL material is capable of being folded prior to insertion, allowing placement through an incision (2.0-2.2 mm) smaller than the optic diameter of the lens. After surgical insertion into the eye, the lens unfolds to ReSTOR the optical performance. The supporting haptics provide for proper positioning and fixation of the IOL optic within the eye</Description>
            <Size>Optic diameter: 6.00mm  Total diameter: 11.40mm  From Ø to +35 Diopters, with 0.5 Diopter increments</Size>
            <SupplierCode>IW</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, vblf</Suffix>
            <ARTGs>
                <ARTG>363012</ARTG>
            </ARTGs>
            <MinimumBenefit>651</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LN004</BillingCode>
            <Name>ALSAFIT TRIFOCAL VF</Name>
            <Description>Single piece trifocal aspheric foldable intraocular lens for implantation into the capsular bag. Violet filter.</Description>
            <Size>Diopter power range: 0.0 D to +32.00 D (0.50 D increments).&#xD;
Optic size: 6mm. Overall length: 11.0mm.</Size>
            <SupplierCode>LN</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, vblf</Suffix>
            <ARTGs>
                <ARTG>268033</ARTG>
            </ARTGs>
            <MinimumBenefit>651</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO064</BillingCode>
            <Name>HumanOptics Diffractiva Y</Name>
            <Description>Multifocal posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter</Description>
            <Size>Sphere: +10D to +30D, Near addition +3.5D</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, vblf</Suffix>
            <ARTGs>
                <ARTG>227764</ARTG>
            </ARTGs>
            <MinimumBenefit>651</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VU014</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IS019</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Medicontur BiFlex 677MY Hydrophilic Acrylic Foldable Multifocal Lens with Blue light Filter</Name>
            <Description>Posterior chamber IOL, 360° Special Square Edge, Aspheric – Coma optimized</Description>
            <Size>Optic diameter: 6.0 mm ±0.10 mm, Overall diameter: 13.0 mm ±0.20 mm  Powers available:   -10.0 - +9.0 D ±0.25 D increment:  1.0 D  +10.0 - +25.0 D ±0.25 D increment:  0.5 D   +25.5 - +30.0 D ±0.5 D increment:  0.5 D   +31.0- +45.0 D ±0. D increment:  1.0 D</Size>
            <SupplierCode>VU</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1327</GroupID>
            <SubGroupID>3893</SubGroupID>
            <Suffix>at, vblf</Suffix>
            <ARTGs>
                <ARTG>221834</ARTG>
            </ARTGs>
            <MinimumBenefit>651</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG008</BillingCode>
            <Name>Rayner "Sulcoflex" Pseudophakic I.O.L.</Name>
            <Description>Sulcoflex Aspheric Pseudophakic I.O.L</Description>
            <Size>-5D to +5D</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1328</GroupID>
            <SubGroupID>3895</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>100926</ARTG>
            </ARTGs>
            <MinimumBenefit>296</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG024</BillingCode>
            <Name>Rayner Sulcoflex Ashperic (Premium) I.O.L.</Name>
            <Description>Pseudophakic Supplementary I.O.L.O.L.</Description>
            <Size>-10.0D to -5.50D in 0.5D increments.                +5.50D to 10.00D in 0.5D increments</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1328</GroupID>
            <SubGroupID>3895</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>100926</ARTG>
            </ARTGs>
            <MinimumBenefit>296</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG005</BillingCode>
            <Name>Rayner Sulcoflex Aspheric Toric Pseudophakic Secondary I.O.L - Standard</Name>
            <Description>Acrylic, Aspheric, Toric Pseudophakic Secondary IOL :  Sulcus fixated with undulating Haptics and Posterior Haptic Angulation (Standard)</Description>
            <Size>SE -3 to +3 in 0.5 D steps&#xD;
Cyl +1 to +3 in 1D steps</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1328</GroupID>
            <SubGroupID>3895</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>100926</ARTG>
            </ARTGs>
            <MinimumBenefit>567</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG007</BillingCode>
            <Name>Rayner Sulcoflex Aspheric Toric Pseudophakic Secondary IOL (Premium)</Name>
            <Description>Acrylic, Aspheric, Toric Pseudophakic Secondary IOL: Sulcus fixated with undulating Haptics and Posterior Haptic Angulation (Premium)</Description>
            <Size>SE -7.00 to +7.00 in 0.5 D steps; Cyl +1.00 to +6.00 in 0.5D steps</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1328</GroupID>
            <SubGroupID>3895</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>100926</ARTG>
            </ARTGs>
            <MinimumBenefit>567</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VU021</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IS046</PriorBillingCode>
            </PriorBillingCodes>
            <Name>AddOn SML</Name>
            <Description>Add-on hydrophilic lens for macular degeneration</Description>
            <Size>Central Optic Diameter - 1.5mm  Optic Diameter - 6mm  Length - 13mm</Size>
            <SupplierCode>VU</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1328</GroupID>
            <SubGroupID>3895</SubGroupID>
            <Suffix>hm</Suffix>
            <ARTGs>
                <ARTG>280510</ARTG>
            </ARTGs>
            <MinimumBenefit>634</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VU022</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IS041</PriorBillingCode>
            </PriorBillingCodes>
            <Name>AddOn Toric</Name>
            <Description>Add on hydrophilic toric lens</Description>
            <Size>Optic Diameter: 6mm  Length:13mm</Size>
            <SupplierCode>VU</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1328</GroupID>
            <SubGroupID>3895</SubGroupID>
            <Suffix>t1</Suffix>
            <ARTGs>
                <ARTG>280510</ARTG>
            </ARTGs>
            <MinimumBenefit>551</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VU023</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IS039</PriorBillingCode>
            </PriorBillingCodes>
            <Name>AddOn Spherical</Name>
            <Description>Add on hydrophilic spherical intraocular lens</Description>
            <Size>Optic Diameter: 6mm  Length: 13mm</Size>
            <SupplierCode>VU</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1328</GroupID>
            <SubGroupID>3895</SubGroupID>
            <ARTGs>
                <ARTG>280510</ARTG>
            </ARTGs>
            <MinimumBenefit>262</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG006</BillingCode>
            <Name>Rayner "Sulcoflex" Aspheric Multi-focal Pseudophakic Secondary IOL</Name>
            <Description>Acrylic, Aspheric Multi-focal Pseudophakic Secondary IOL: Sulcus-Fixated with Undulating Haptics and Posterior Haptic Angulation</Description>
            <Size>6.5mm / 13.5mm - 5.00D+5.00D sphere with  + 3.00 Addition</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1328</GroupID>
            <SubGroupID>3896</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>100926</ARTG>
            </ARTGs>
            <MinimumBenefit>668</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG022</BillingCode>
            <Name>Sulcoflex Trifocal</Name>
            <Description>Acrylic, aberration-neutral, trifocal pseudophakic secondary IOL; sulcus-fixated with undulating and rounded C-loop haptics.</Description>
            <Size>Power range: -3.0 D to +3.0 D (increments 0.5 D). -1.0 D to +1.0 D (increments 0.25 D)&#xD;
Trifocal, diffractive,&#xD;
+3.5 D near add and +1.75 D intermediate add at the IOL plane</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1328</GroupID>
            <SubGroupID>3896</SubGroupID>
            <Suffix>at</Suffix>
            <ARTGs>
                <ARTG>100926</ARTG>
            </ARTGs>
            <MinimumBenefit>668</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG025</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DV254</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Rayner Premium Sulcoflex Multifocal Toric Supplementary IOL</Name>
            <Description>653Z-Premium Multifocal Toric Supplementary IOL</Description>
            <Size>-7D to +7D (Spherical Equivalent) Cylinder 1D, 4D, 5D, 6D Addition 3.5D</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1328</GroupID>
            <SubGroupID>3896</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>100926</ARTG>
            </ARTGs>
            <MinimumBenefit>973</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG026</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DV255</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Rayner Standard Sulcoflex Multifocal Toric Supplementary IOL</Name>
            <Description>653Z-Standard Multifocal Toric Supplementary IOL</Description>
            <Size>-3D to +3D (Spherical Equivalent) Cylinders 2D and 3D Addition 3.5D</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1328</GroupID>
            <SubGroupID>3896</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>100926</ARTG>
            </ARTGs>
            <MinimumBenefit>973</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VU024</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IS049</PriorBillingCode>
            </PriorBillingCodes>
            <Name>1stQ addon progressive toric lens</Name>
            <Description>One piece, foldable intraocular lens (IOL), biocompatible hydrophilic acrylic (25% water content), as additional IOL in combination with a Basis IOL.  Fixation is in the sulcus.</Description>
            <Size>-3.0D to +3.0D spherical equivalent in 0.5D steps and +1.0D to +4.5D cylindrical in 0.5D steps and +3.0D add</Size>
            <SupplierCode>VU</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1328</GroupID>
            <SubGroupID>3896</SubGroupID>
            <Suffix>at, t1</Suffix>
            <ARTGs>
                <ARTG>280510</ARTG>
            </ARTGs>
            <MinimumBenefit>973</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DV272</BillingCode>
            <Name>XtraFocus 93L</Name>
            <Description>A hydrophobic pinhole sulcus implant with small aperture diaphragm designed to provide an extended depth of focus</Description>
            <Size>14mm OD, 1.3mm pinhole</Size>
            <SupplierCode>DV</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1328</GroupID>
            <SubGroupID>3896</SubGroupID>
            <ARTGs>
                <ARTG>288314</ARTG>
            </ARTGs>
            <MinimumBenefit>634</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VU015</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IS038</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Scharioth Macula Lens</Name>
            <Description>Add-on hydrophilic lens for maculopathies such as macula degeneration</Description>
            <Size>Central Optic Diameter - 1.5mm    Optic Diameter - 6mm    Length - 13mm</Size>
            <SupplierCode>VU</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1328</GroupID>
            <SubGroupID>3896</SubGroupID>
            <ARTGs>
                <ARTG>221834</ARTG>
            </ARTGs>
            <MinimumBenefit>634</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VU025</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IS040</PriorBillingCode>
            </PriorBillingCodes>
            <Name>AddOn Progressive</Name>
            <Description>Add on hydrophillic progressive lens</Description>
            <Size>Optic Diameter: 6mm  Length 13mm</Size>
            <SupplierCode>VU</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>141</SubCategoryID>
            <GroupID>1328</GroupID>
            <SubGroupID>3896</SubGroupID>
            <ARTGs>
                <ARTG>280510</ARTG>
            </ARTGs>
            <MinimumBenefit>634</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL005</BillingCode>
            <Name>DUOVISC VISCOELASTIC SYSTEM</Name>
            <Description>ProVisc contains sodium hyaluronate, Viscoat contains chondroitin sulfate and sodium hyaluronate</Description>
            <Size>1 unit 0.50ml Viscoat and 1 unit 0.55ml ProVisc</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>142</SubCategoryID>
            <GroupID>1329</GroupID>
            <SubGroupID>3897</SubGroupID>
            <ARTGs>
                <ARTG>141482</ARTG>
            </ARTGs>
            <MinimumBenefit>89</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CZ019</BillingCode>
            <Name>TWINVISC Viscoelastic</Name>
            <Description>TWINVISC includes a cohesive and a dispersive viscoelastic in one syringe, separated by a valve.  Dispersive: sodium hyaluronate (2.2%).  Cohesive: sodium hyaluronate (1%)</Description>
            <Size>Total volume 1.4 ml</Size>
            <SupplierCode>CZ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>142</SubCategoryID>
            <GroupID>1329</GroupID>
            <SubGroupID>3897</SubGroupID>
            <ARTGs>
                <ARTG>160685</ARTG>
            </ARTGs>
            <MinimumBenefit>89</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CZ043</BillingCode>
            <Name>COMBIVISC</Name>
            <Description>COMBIVISC consists of two ophthalmic viscoelastic devices. One prefilled syringe of dispersive viscoelastic 3% (0.85ml) and one prefilled syringe of cohesive viscoleastic 1.5% (1.0ml),  along with one 25 gauge Viscoflow cannula and one 27 gauge Viscoflow cannula, that can be used jointly or independently in surgical interventions to remove cataracts and implant a prosthetic lens.</Description>
            <Size>COMBIVISC dispersive 3% 0.85ml 25G cannula&#xD;
COMBIVISC cohesive 1.5% 1ml 27G cannula&#xD;
Supplied as a single unit pack, comprising a single syringe of the COMBIVISC Dispersive and a single syringe of the COMBIVISC Cohesive &#xD;
Also supplied as a multipack containing five sealed pouched units</Size>
            <SupplierCode>CZ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>142</SubCategoryID>
            <GroupID>1329</GroupID>
            <SubGroupID>3897</SubGroupID>
            <ARTGs>
                <ARTG>293592</ARTG>
            </ARTGs>
            <MinimumBenefit>89</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AO009</BillingCode>
            <Name>Healon 5, Intraocular Viscoelastic Fluid</Name>
            <Description>HEALON5- Sodium hyaluronate 23mg/ml .</Description>
            <Size>0.6ml</Size>
            <SupplierCode>AO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>142</SubCategoryID>
            <GroupID>1329</GroupID>
            <Suffix>hmw</Suffix>
            <ARTGs>
                <ARTG>144893</ARTG>
            </ARTGs>
            <MinimumBenefit>69</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AO010</BillingCode>
            <Name>Healon GV Intraocular Viscoelastic Fluid</Name>
            <Description>Sodium Hyaluronate 14mg/mL</Description>
            <Size>0.55ml and 0.85ml</Size>
            <SupplierCode>AO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>142</SubCategoryID>
            <GroupID>1329</GroupID>
            <Suffix>hmw</Suffix>
            <ARTGs>
                <ARTG>144892</ARTG>
            </ARTGs>
            <MinimumBenefit>69</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL006</BillingCode>
            <Name>PROVISC VISCOELASTIC SOLUTION</Name>
            <Description>PROVISC contains sodium hyaluronate</Description>
            <Size>0.85mL pack</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>142</SubCategoryID>
            <GroupID>1329</GroupID>
            <ARTGs>
                <ARTG>310195</ARTG>
            </ARTGs>
            <MinimumBenefit>65</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL007</BillingCode>
            <Name>VISCOAT Viscoelastic Fluid</Name>
            <Description>Chondroitin sulfate and sodium hyaluronate</Description>
            <Size>0.75mL</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>142</SubCategoryID>
            <GroupID>1329</GroupID>
            <ARTGs>
                <ARTG>141142</ARTG>
            </ARTGs>
            <MinimumBenefit>65</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL015</BillingCode>
            <Name>Cellugel Ophthalmic Viscosurgical Device</Name>
            <Description>2% Hydroxypropyl Methylcellulose (HPMC)</Description>
            <Size>1ml</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>142</SubCategoryID>
            <GroupID>1329</GroupID>
            <ARTGs>
                <ARTG>115487</ARTG>
            </ARTGs>
            <MinimumBenefit>65</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL029</BillingCode>
            <Name>DisCoVisc Ophthalmic Viscosurgical Device</Name>
            <Description>Sodium hyaluronate 17 mg/mL and chondroitin sulfate 40mg/mL</Description>
            <Size>1.0 mL</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>142</SubCategoryID>
            <GroupID>1329</GroupID>
            <ARTGs>
                <ARTG>141141</ARTG>
            </ARTGs>
            <MinimumBenefit>65</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AO008</BillingCode>
            <Name>Healon, Intraocular Viscoelastic Fluid</Name>
            <Description>Sodium Hyaluronate 10mg/ml</Description>
            <Size>Healon  0.55ml &amp; 0.85ml</Size>
            <SupplierCode>AO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>142</SubCategoryID>
            <GroupID>1329</GroupID>
            <ARTGs>
                <ARTG>144891</ARTG>
            </ARTGs>
            <MinimumBenefit>65</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AO032</BillingCode>
            <Name>Healon Endocoat</Name>
            <Description>Viscoelastic</Description>
            <Size>0.85ml</Size>
            <SupplierCode>AO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>142</SubCategoryID>
            <GroupID>1329</GroupID>
            <ARTGs>
                <ARTG>198813</ARTG>
            </ARTGs>
            <MinimumBenefit>65</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL008</BillingCode>
            <Name>Ocucoat Intraocular Fluid</Name>
            <Description>20mg/mL hydroxypropylmethyl cellulose for intraocular use</Description>
            <Size>1ml and 2ml Sterile</Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>142</SubCategoryID>
            <GroupID>1329</GroupID>
            <ARTGs>
                <ARTG>140513</ARTG>
            </ARTGs>
            <MinimumBenefit>65</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL015</BillingCode>
            <Name>Amvisc Plus injection</Name>
            <Description>15mg/mL Sodium Hyaluronate for intraocular use</Description>
            <Size>0.5mL and 0.8mL</Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>142</SubCategoryID>
            <GroupID>1329</GroupID>
            <ARTGs>
                <ARTG>161187</ARTG>
            </ARTGs>
            <MinimumBenefit>65</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CZ012</BillingCode>
            <Name>Z-HYALIN Viscoelastic</Name>
            <Description>Cohesive Viscoelastic Solution - sodium hyaluronate 10mg/ml.  (previously called Ophthalin)</Description>
            <Size>Volume 1.0ml</Size>
            <SupplierCode>CZ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>142</SubCategoryID>
            <GroupID>1329</GroupID>
            <ARTGs>
                <ARTG>150016</ARTG>
            </ARTGs>
            <MinimumBenefit>65</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CZ013</BillingCode>
            <Name>Z-HYALIN Plus Viscoelastic</Name>
            <Description>Cohesive Viscoelastic Solution - sodium hyaluronate 15mg/ml.  (previously called Opthalin Plus)</Description>
            <Size>Volume 1.0ml</Size>
            <SupplierCode>CZ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>142</SubCategoryID>
            <GroupID>1329</GroupID>
            <ARTGs>
                <ARTG>150017</ARTG>
            </ARTGs>
            <MinimumBenefit>65</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CZ022</BillingCode>
            <Name>VISTHESIA 1.5%</Name>
            <Description>VISCOANAESTHETIC syringe contains sodium hyaluronate (NaHA, 1.5%) and lidocaine hydrochloride (1%). Also contains two topical ampoules with NaHA (0.3%) and lidocaine (2%)</Description>
            <Size>0.8ml syringe &amp; 2x0.3ml ampoules</Size>
            <SupplierCode>CZ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>142</SubCategoryID>
            <GroupID>1329</GroupID>
            <ARTGs>
                <ARTG>198088</ARTG>
            </ARTGs>
            <MinimumBenefit>65</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DV273</BillingCode>
            <Name>Oasis Visco Shield HPMC Viscoelastic</Name>
            <Description>A sterile,  high molecular weight HPMC solution for use as a surgical aid in maintaining a deep anterior chamber during ophthalmic surgical procedures</Description>
            <Size>2 ml syringe</Size>
            <SupplierCode>DV</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>142</SubCategoryID>
            <GroupID>1329</GroupID>
            <ARTGs>
                <ARTG>373573</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>65</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IQ002</BillingCode>
            <Name>Ocuvis and Ocumax 2% Hydroxypropylmethylcellulose</Name>
            <Description>20mg/mL hydroxypropylmethyl cellulose for intraocular use. Pre-loaded in a sterile syringe with one cannula for injection, in a sterile Tyvek pouch</Description>
            <Size>2mL sterile</Size>
            <SupplierCode>IQ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>142</SubCategoryID>
            <GroupID>1329</GroupID>
            <ARTGs>
                <ARTG>104427</ARTG>
            </ARTGs>
            <MinimumBenefit>65</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG035</BillingCode>
            <Name>Methylvisc 2.0%</Name>
            <Description>Hydroxypropyl Methylcellulose, viscoelastic solution for intraocular application. Pre-loaded in single-use sterile syringe with single-use injection cannula.</Description>
            <Size>2mL</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>142</SubCategoryID>
            <GroupID>1329</GroupID>
            <ARTGs>
                <ARTG>366798</ARTG>
            </ARTGs>
            <MinimumBenefit>65</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LN009</BillingCode>
            <Name>Viscos HPMC</Name>
            <Description>Hydroxypropylmethylcellulose, viscoelastic solution for intraocular application. Pre-loaded in single-use sterile syringe with single-use injection cannula.</Description>
            <Size>2 mL</Size>
            <SupplierCode>LN</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>142</SubCategoryID>
            <GroupID>1329</GroupID>
            <ARTGs>
                <ARTG>300480</ARTG>
            </ARTGs>
            <MinimumBenefit>65</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VU002</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IS050</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Albomed Visco HPMC 2.0%</Name>
            <Description>A superior viscoelastic solution based on hydroxylpropyl methylcellulose for intraocular use where it serves as a volume substitute for aqueous humor during intraocular surgery.</Description>
            <Size>Supplied in a 2 ml syringe</Size>
            <SupplierCode>VU</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>142</SubCategoryID>
            <GroupID>1329</GroupID>
            <ARTGs>
                <ARTG>353332</ARTG>
            </ARTGs>
            <MinimumBenefit>65</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE775</BillingCode>
            <Name>CAPSULBlue</Name>
            <Description>Trypan blue solution for use in anterior segment ophthalmic surgery. </Description>
            <Size>0.15ml prefilled glass syringe</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>142</SubCategoryID>
            <GroupID>1330</GroupID>
            <ARTGs>
                <ARTG>343322</ARTG>
            </ARTGs>
            <MinimumBenefit>44</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DV231</BillingCode>
            <Name>Vision Blue</Name>
            <Description>Trypan blue dye for ophthalmic applications</Description>
            <Size>0.5ml syringe</Size>
            <SupplierCode>DV</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>142</SubCategoryID>
            <GroupID>1330</GroupID>
            <ARTGs>
                <ARTG>147581</ARTG>
            </ARTGs>
            <MinimumBenefit>44</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EG024</BillingCode>
            <Name>RS-Blue</Name>
            <Description>Trypan Blue for the reversible staining of human tissue during surgery</Description>
            <Size>0.7ml Syringe</Size>
            <SupplierCode>EG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>142</SubCategoryID>
            <GroupID>1330</GroupID>
            <ARTGs>
                <ARTG>252154</ARTG>
            </ARTGs>
            <MinimumBenefit>44</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IS051</BillingCode>
            <Name>AJL-Blue</Name>
            <Description>Trypan Blue Ophthalmic Staining Dye</Description>
            <Size>1 ml syringe</Size>
            <SupplierCode>IS</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>142</SubCategoryID>
            <GroupID>1330</GroupID>
            <ARTGs>
                <ARTG>343539</ARTG>
            </ARTGs>
            <MinimumBenefit>44</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LN012</BillingCode>
            <Name>SIDA-BLUE</Name>
            <Description>A sterile solution of trypan blue, a selective tissue-staining agent used in ophthalmic surgery.</Description>
            <Size>1mL vial or 1mL glass pre-filled syringe (PFS)</Size>
            <SupplierCode>LN</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>142</SubCategoryID>
            <GroupID>1330</GroupID>
            <ARTGs>
                <ARTG>317719</ARTG>
            </ARTGs>
            <MinimumBenefit>44</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL039</BillingCode>
            <Name>Preloaded Capsular Tension Ring</Name>
            <Description>Capsular tension ring preloaded (acrylic)</Description>
            <Size>11mm</Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>143</SubCategoryID>
            <GroupID>1331</GroupID>
            <Suffix>pl</Suffix>
            <ARTGs>
                <ARTG>281831</ARTG>
            </ARTGs>
            <MinimumBenefit>219</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DV029</BillingCode>
            <Name>Eyejet CTR</Name>
            <Description>Capsular tension ring made of PMMA per-load on disposable injector</Description>
            <Size>10mm, 11mm, 12mm</Size>
            <SupplierCode>DV</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>143</SubCategoryID>
            <GroupID>1331</GroupID>
            <Suffix>pl</Suffix>
            <ARTGs>
                <ARTG>132347</ARTG>
            </ARTGs>
            <MinimumBenefit>219</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-06-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EG018</BillingCode>
            <Name>RINGJECT</Name>
            <Description>Preloaded Capsular tension ring</Description>
            <Size>12/10, 13/11</Size>
            <SupplierCode>EG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>143</SubCategoryID>
            <GroupID>1331</GroupID>
            <Suffix>pl</Suffix>
            <ARTGs>
                <ARTG>145740</ARTG>
            </ARTGs>
            <MinimumBenefit>219</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IS055</BillingCode>
            <Name>AJL Capsular Tension Ring - preloaded</Name>
            <Description>PMMA Implant preloaded on disposable injector</Description>
            <Size>9mm, 10mm,11mm, 12mm (closed diameter) 10mm, 11mm, 12mm, 13mm, 14mm (open diameter)</Size>
            <SupplierCode>IS</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>143</SubCategoryID>
            <GroupID>1331</GroupID>
            <Suffix>pl</Suffix>
            <ARTGs>
                <ARTG>371530</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>219</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LN001</BillingCode>
            <Name>Inside CTR</Name>
            <Description>Preloaded PMMA capsular tension ring</Description>
            <Size>Type 14 (12.3mm open, 10.0mm compressed), Type 14C (13.0mm open, 11.0mm compressed), Type 14A ( 14.5mm open, 12.0mm compressed), Type 13 ( 12.3mm open, 10.0mm compressed), Type 13A ( 13.0mm open, 11.0mm compressed), Type 13B ( 14.5mm open, 12.0mm compressed), Type 19D (11.6 mm open, 10.0/9.5/9.0/8.5mm compressed), Type 10C ( 12.1mm open, 11.0mm compressed)Type 15A ( 13.0mm open, 11.0mm compressed), Type 15B ( 14.5mm open, 12.0mm compressed).</Size>
            <SupplierCode>LN</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>143</SubCategoryID>
            <GroupID>1331</GroupID>
            <Suffix>pl</Suffix>
            <ARTGs>
                <ARTG>235092</ARTG>
            </ARTGs>
            <MinimumBenefit>219</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VU001</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IS018</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Jetring</Name>
            <Description>Preloaded PMMA (polymethyl methacrylate) capsular tension ring.</Description>
            <Size>JETRING 11ACB Right  Overall diameter:    13.0 mm  ±0.20 mm   Compressed diameter:   11,0 mm  ±0.20 mm   Haptic:     ø0.17 mm  ±0.02 mm   Haptic design:   straight, open modified C-loop    JETRING 12ACB Right  Overall diameter:    14.5 mm  ±0.20 mm   Compressed diameter:   12,0 mm  ±0.20 mm   Haptic:     ø0,20 mm  ±0.02 mm   Haptic design:    straight, open modified C-loop</Size>
            <SupplierCode>VU</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>143</SubCategoryID>
            <GroupID>1331</GroupID>
            <Suffix>pl</Suffix>
            <ARTGs>
                <ARTG>354770</ARTG>
            </ARTGs>
            <MinimumBenefit>219</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL001</BillingCode>
            <Name>Capsular Tension Rings</Name>
            <Description>-</Description>
            <Size>10.0 - 12.0 compressed,  12.3 - 14.5 uncompressed</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>143</SubCategoryID>
            <GroupID>1331</GroupID>
            <ARTGs>
                <ARTG>178273</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AO021</BillingCode>
            <Name>Stabileyes Capsular Tension Ring</Name>
            <Description>Polymethylmethacrylate (PMMA) Implant</Description>
            <Size>12mm ring, and 13mm ring</Size>
            <SupplierCode>AO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>143</SubCategoryID>
            <GroupID>1331</GroupID>
            <ARTGs>
                <ARTG>104818</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DV009</BillingCode>
            <Name>Morcher Capsular Tension Ring</Name>
            <Description>PMMA Implant</Description>
            <Size>sizes 8 -12mm</Size>
            <SupplierCode>DV</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>143</SubCategoryID>
            <GroupID>1331</GroupID>
            <ARTGs>
                <ARTG>132347</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EG001</BillingCode>
            <Name>Capsular Tension Rings Clear</Name>
            <Description>PMMA Implant</Description>
            <Size>10/08, 12/10, 13/11mm</Size>
            <SupplierCode>EG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>143</SubCategoryID>
            <GroupID>1331</GroupID>
            <ARTGs>
                <ARTG>145740</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IS054</BillingCode>
            <Name>AJL Capsular Tension Ring</Name>
            <Description>PMMA Implant</Description>
            <Size>9mm, 10mm,11mm, 12mm (closed diameter)  10mm, 11mm, 12mm, 13mm, 14mm (open diameter)</Size>
            <SupplierCode>IS</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>143</SubCategoryID>
            <GroupID>1331</GroupID>
            <ARTGs>
                <ARTG>371530</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DV010</BillingCode>
            <Name>Morcher Complex Capsular Tension Ring</Name>
            <Description>PMMA Implant</Description>
            <Size>9.5mm, 10mm, 11mm, 12.5mm, 13mm</Size>
            <SupplierCode>DV</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>143</SubCategoryID>
            <GroupID>1332</GroupID>
            <ARTGs>
                <ARTG>132347</ARTG>
            </ARTGs>
            <MinimumBenefit>301</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LN002</BillingCode>
            <Name>Ahmed Glaucoma Valve Model FP7</Name>
            <Description>A sterile device designed to regulate  the flow of Fluid between the anterior chamber and the space around the conjunctiva of the eye be allowing flow when the pressure in the chamber is above a pre-set value (e.g., 8 to 10 mmHg). Made of medical grade silicone</Description>
            <Size>one size</Size>
            <SupplierCode>LN</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>144</SubCategoryID>
            <GroupID>1333</GroupID>
            <Suffix>v</Suffix>
            <ARTGs>
                <ARTG>242076</ARTG>
            </ARTGs>
            <MinimumBenefit>564</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VS001</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DV230</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Molteno 3</Name>
            <Description>Drainage implant for glaucoma, made of silicon</Description>
            <Size>Small &amp; Large size</Size>
            <SupplierCode>VS</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>144</SubCategoryID>
            <GroupID>1333</GroupID>
            <Suffix>v</Suffix>
            <ARTGs>
                <ARTG>128911</ARTG>
            </ARTGs>
            <MinimumBenefit>564</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AO012</BillingCode>
            <Name>Baerveldt Glaucoma Implant BG 101-350, Baerveldt Glaucoma Implant BG 103-425, Baerveldt Glaucoma Implant BG 103-250</Name>
            <Description>Non-valved artificial drainage device, composition silicone - smooth, tumble-polished finish</Description>
            <Size>Surface area 250, 350, 425mm2</Size>
            <SupplierCode>AO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>144</SubCategoryID>
            <GroupID>1333</GroupID>
            <ARTGs>
                <ARTG>168768</ARTG>
            </ARTGs>
            <MinimumBenefit>384</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZZ067</BillingCode>
            <Name>PAUL® Glaucoma Implant        </Name>
            <Description>Micro-sized tubed aqueous shunt glaucoma drainage device</Description>
            <Size>Length 44.9mm  Width 23mm  Extraocular plate surface area of 342.1mm²</Size>
            <SupplierCode>ZZ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>144</SubCategoryID>
            <GroupID>1333</GroupID>
            <ARTGs>
                <ARTG>303466</ARTG>
            </ARTGs>
            <MinimumBenefit>384</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL037</BillingCode>
            <Name>Ex-Press Glaucoma Filtration Device</Name>
            <Description>Miniature glaucoma shunt</Description>
            <Size>50 microns; 200 microns</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>144</SubCategoryID>
            <GroupID>1334</GroupID>
            <SubGroupID>3898</SubGroupID>
            <ARTGs>
                <ARTG>319620</ARTG>
            </ARTGs>
            <MinimumBenefit>645</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE641</BillingCode>
            <Name>ESNOPER Glaucoma Implant</Name>
            <Description>Glaucoma Drainage Implant</Description>
            <Size>3.00mm x 1.40mm x 2.85mm</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>144</SubCategoryID>
            <GroupID>1334</GroupID>
            <SubGroupID>3899</SubGroupID>
            <ARTGs>
                <ARTG>290207</ARTG>
            </ARTGs>
            <MinimumBenefit>384</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER501</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OQ002</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Hydrus Microstent</Name>
            <Description>Intracanalicular scaffold, made from a biocompatible alloy, for the treatment of primary open angle glaucoma</Description>
            <Size>8 mm in length</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>144</SubCategoryID>
            <GroupID>1802</GroupID>
            <SubGroupID>6441</SubGroupID>
            <Suffix>smp</Suffix>
            <ARTGs>
                <ARTG>301403</ARTG>
            </ARTGs>
            <MinimumBenefit>1264</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RQ075</BillingCode>
            <Name>iStent Inject System</Name>
            <Description>The iStent Inject is a pre-loaded injection system which delivers two stents across the trabecular meshwork to provide a pathway for aqueous humor to flow from the anterior chamber. It is indicated for use in conjunction with cataract surgery for the reduction of IOP in subjects with mild to moderate open angle glaucoma currently treated with ocular hypotensive medication.</Description>
            <Size>One size</Size>
            <SupplierCode>RQ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>144</SubCategoryID>
            <GroupID>1802</GroupID>
            <SubGroupID>6441</SubGroupID>
            <Suffix>tda</Suffix>
            <ARTGs>
                <ARTG>250914</ARTG>
            </ARTGs>
            <MinimumBenefit>1444</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RQ084</BillingCode>
            <Name>Glaukos iStent inject W System </Name>
            <Description>An improved product to PLAC billing code RQ075 (product name iStent Inject) with a wider flange for better surgeon visualisation and stent confirmation. The improvement includes a delivery injection unit with 2 stents. Intended purpose per TGA submission is for implantation with or without cataract surgery and to reduce intraocular pressure in adult patients diagnosed with mild to moderate primary open-angle glaucoma (POAG) currently treated with ocular hypotensive medication. </Description>
            <Size>One Size</Size>
            <SupplierCode>RQ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>144</SubCategoryID>
            <GroupID>1802</GroupID>
            <SubGroupID>6441</SubGroupID>
            <Suffix>tda</Suffix>
            <ARTGs>
                <ARTG>321526</ARTG>
            </ARTGs>
            <MinimumBenefit>1444</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AW027</BillingCode>
            <Name>XEN Glaucoma Treatment System</Name>
            <Description>The XEN Glaucoma Treatment System consists of an injector device that is preloaded with a XEN Gel Implant. The XEN Gel Implant creates a new subconjunctival outflow pathway to reduce intraocular pressure in patients with mild to advanced primary open-angle glaucoma where previous treatments have failed.</Description>
            <Size>XEN Gel Implant is 6mm long, 150µm outside diameter and 45µm inside diameter.</Size>
            <SupplierCode>AW</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>144</SubCategoryID>
            <GroupID>1802</GroupID>
            <SubGroupID>6442</SubGroupID>
            <ARTGs>
                <ARTG>297899</ARTG>
            </ARTGs>
            <MinimumBenefit>1264</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RQ085</BillingCode>
            <Name>PRESERFLO™ MicroShunt &amp; 3mm Scleral Marker</Name>
            <Description>The MicroShunt is made of a flexible SIBS [poly (Styrene-block-IsoButylene-block-Styrene)] polymer with triangular fins that prevent migration of the tube into the AC. It is designed to be implanted under the subconjunctival/Tenon space and intended for reduction of intraocular pressure in eyes of patients with primary open angle glaucoma where IOP remains uncontrollable while on maximum tolerated medical therapy and/or where glaucoma progression warrants surgery</Description>
            <Size>1 size ( 8.5 mm length; 70 µm internal lumen; 350 μm outer diameter; 1.1 mm wingspan)</Size>
            <SupplierCode>RQ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>144</SubCategoryID>
            <GroupID>1802</GroupID>
            <SubGroupID>6442</SubGroupID>
            <ARTGs>
                <ARTG>367151</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>1264</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO017</BillingCode>
            <Name>FCI Ptose-up</Name>
            <Description>Expanded PTFE</Description>
            <Size>15cm long x 2 or 3mm wide x 0.35mm thick</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>145</SubCategoryID>
            <GroupID>1335</GroupID>
            <ARTGs>
                <ARTG>146261</ARTG>
            </ARTGs>
            <MinimumBenefit>314</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE581</BillingCode>
            <Name>ALOS Eyelid Implants - Gold</Name>
            <Description>Gold Eyelid implants</Description>
            <Size>0.6, 0.8, 1.0, 1.2, 1.4, 1.6 grams</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>145</SubCategoryID>
            <GroupID>1336</GroupID>
            <SubGroupID>3900</SubGroupID>
            <ARTGs>
                <ARTG>290117</ARTG>
            </ARTGs>
            <MinimumBenefit>384</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DV260</BillingCode>
            <Name>Meddev Eyelid Weight, Implantable</Name>
            <Description>Thin Profile eyelid implants for patients with facial palsy</Description>
            <Size>Gold Thin 0.6, 0.8, 1.0, 1.2, 1.4, 1.6g</Size>
            <SupplierCode>DV</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>145</SubCategoryID>
            <GroupID>1336</GroupID>
            <SubGroupID>3900</SubGroupID>
            <ARTGs>
                <ARTG>205794</ARTG>
            </ARTGs>
            <MinimumBenefit>384</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG032</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE183</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Lid Load Gold Eyelid Weights;</Name>
            <Description>Gold</Description>
            <Size>0.6, 0.8, 1.0, 1.2, 1.4, 1.6 grams</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>145</SubCategoryID>
            <GroupID>1336</GroupID>
            <SubGroupID>3900</SubGroupID>
            <ARTGs>
                <ARTG>337652</ARTG>
            </ARTGs>
            <MinimumBenefit>384</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO047</BillingCode>
            <Name>Meddev Eyelid Weight, Implantable</Name>
            <Description>Thin Profile eyelid implants for patients with facial palsy</Description>
            <Size>Gold Thin 0.6, 0.8, 1.0, 1.2, 1.4, 1.6g</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>145</SubCategoryID>
            <GroupID>1336</GroupID>
            <SubGroupID>3900</SubGroupID>
            <ARTGs>
                <ARTG>212173</ARTG>
            </ARTGs>
            <MinimumBenefit>384</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE583</BillingCode>
            <Name>ALOS Eyelid Implant - Gold 1.8</Name>
            <Description>Gold Eyelid Implant</Description>
            <Size>1.8 grams</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>145</SubCategoryID>
            <GroupID>1336</GroupID>
            <SubGroupID>3901</SubGroupID>
            <ARTGs>
                <ARTG>290117</ARTG>
            </ARTGs>
            <MinimumBenefit>722</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DV259</BillingCode>
            <Name>Meddev Eyelid Weight, Implantable</Name>
            <Description>Contour eyelid implants for patients with facial palsy.</Description>
            <Size>Contour Gold 1.8, 2.0, 2.2, 2.4, 2.6, 2.8g</Size>
            <SupplierCode>DV</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>145</SubCategoryID>
            <GroupID>1336</GroupID>
            <SubGroupID>3901</SubGroupID>
            <ARTGs>
                <ARTG>205794</ARTG>
            </ARTGs>
            <MinimumBenefit>722</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG033</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE182</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Lid Load Gold Eyelid Weights;</Name>
            <Description>Gold</Description>
            <Size>1.8, 2.0, 2.2, 2.4, 2.6, 2.8 grams</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>145</SubCategoryID>
            <GroupID>1336</GroupID>
            <SubGroupID>3901</SubGroupID>
            <ARTGs>
                <ARTG>337652</ARTG>
            </ARTGs>
            <MinimumBenefit>722</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO046</BillingCode>
            <Name>Meddev Eyelid Weight, Implantable</Name>
            <Description>Contour eyelid implants for patients with facial palsy.</Description>
            <Size>Contour Gold 1.8, 2.0, 2.2, 2.4, 2.6, 2.8g</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>145</SubCategoryID>
            <GroupID>1336</GroupID>
            <SubGroupID>3901</SubGroupID>
            <ARTGs>
                <ARTG>212173</ARTG>
            </ARTGs>
            <MinimumBenefit>722</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE584</BillingCode>
            <Name>ALOS Eyelid Implants - Platinum</Name>
            <Description>Platinum Eyelid Implants</Description>
            <Size>0.6, 0.8, 1.0, 1.2, 1.4, 1.6, 1.8 grams</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>145</SubCategoryID>
            <GroupID>1336</GroupID>
            <SubGroupID>3902</SubGroupID>
            <ARTGs>
                <ARTG>290117</ARTG>
            </ARTGs>
            <MinimumBenefit>1173</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DV261</BillingCode>
            <Name>Meddev Eyelid Weight, Implantable Platinum</Name>
            <Description>Platinum Contour and Thin Profile eyelid implants for patients with facial palsy</Description>
            <Size>Platinum Thin 0.6, 0.8, 1.0, 1.2, 1.4, 1.6, 1.8g&#xD;
Contour Platinum 1.8, 2.0, 2.2, 2.4, 2.6, 2.8g</Size>
            <SupplierCode>DV</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>145</SubCategoryID>
            <GroupID>1336</GroupID>
            <SubGroupID>3902</SubGroupID>
            <ARTGs>
                <ARTG>205794</ARTG>
            </ARTGs>
            <MinimumBenefit>1173</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RC001</BillingCode>
            <Name>LIDCHAIN Platinum Eyelid Implant</Name>
            <Description>Platinum</Description>
            <Size>Weights - 0.8, 1.0, 1.2, 1.4, 1.6, 1.8 grams</Size>
            <SupplierCode>RC</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>145</SubCategoryID>
            <GroupID>1336</GroupID>
            <SubGroupID>3902</SubGroupID>
            <ARTGs>
                <ARTG>182945</ARTG>
            </ARTGs>
            <MinimumBenefit>1173</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO048</BillingCode>
            <Name>Meddev Eyelid Weight, Implantable Platinum</Name>
            <Description>Platinum Contour and Thin Profile eyelid implants for patients with facial palsy</Description>
            <Size>Platinum Thin 0.6, 0.8, 1.0, 1.2, 1.4, 1.6, 1.8g  Contour Platinum 1.8, 2.0, 2.2, 2.4, 2.6, 2.8g</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>145</SubCategoryID>
            <GroupID>1336</GroupID>
            <SubGroupID>3902</SubGroupID>
            <ARTGs>
                <ARTG>212173</ARTG>
            </ARTGs>
            <MinimumBenefit>1173</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO044</BillingCode>
            <Name>FCI Mono-Canalicular Lacrimal Intubation Set</Name>
            <Description>Silicone tubing with plug swaged, imbedded into or around malleable or flexible stainless steel probes or guides. PEEK thread. Introducer.</Description>
            <Size>Probes: 40mm to 120mm x 0.7mm to 1.2mm.  Tube: 0.64mm to 1.18mm x 30mm to 350mm.  PEEK Thread: 0.2mm to 0.4mm x 500mm.  Plug Collar: 2mm to 4mm.</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>146</SubCategoryID>
            <GroupID>1337</GroupID>
            <Suffix>mc</Suffix>
            <ARTGs>
                <ARTG>143177</ARTG>
            </ARTGs>
            <MinimumBenefit>162</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO049</BillingCode>
            <Name>FCI Masterka</Name>
            <Description>Self-retaining monocanalicular nasal intubation WITHOUT nasal retrieval</Description>
            <Size>30mm to 40mm</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>146</SubCategoryID>
            <GroupID>1337</GroupID>
            <Suffix>mc/sr</Suffix>
            <ARTGs>
                <ARTG>143177</ARTG>
            </ARTGs>
            <MinimumBenefit>217</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO086</BillingCode>
            <Name>Lacrijet</Name>
            <Description>Self retaining mono-canalicular stent without nasal retrieval that is pre-loaded into a handpiece.</Description>
            <Size>15mm to 50mm</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>146</SubCategoryID>
            <GroupID>1337</GroupID>
            <Suffix>mc/sr</Suffix>
            <ARTGs>
                <ARTG>143177</ARTG>
            </ARTGs>
            <MinimumBenefit>217</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO050</BillingCode>
            <Name>FCI Nunchaku</Name>
            <Description>Self-retaining bicanalicular nasal intubation WITHOUT nasal retrieval</Description>
            <Size>90mm to 105mm</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>146</SubCategoryID>
            <GroupID>1337</GroupID>
            <Suffix>sr</Suffix>
            <ARTGs>
                <ARTG>143177</ARTG>
            </ARTGs>
            <MinimumBenefit>176</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE191</BillingCode>
            <Name>Canaliculus Intubation Sets </Name>
            <Description>Silicone, SS &amp; Nylon</Description>
            <Size>17.7 x .064 x 29cm, 15.5 x .051 x 33cm</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>146</SubCategoryID>
            <GroupID>1337</GroupID>
            <ARTGs>
                <ARTG>182623</ARTG>
            </ARTGs>
            <MinimumBenefit>122</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE278</BillingCode>
            <Name>BD Visitec Lacrimal Intubation Sets</Name>
            <Description>Stainless steel probes with solid silicone rods or silicone tubing - packaged sterile</Description>
            <Size>1. Probes 0.90mm x 4.5cm, rod 40cm x 0.80mm. 2. Probes 0.40mm x 11cm, tubing 35cm x 0.64mm. Probes 0.60mm x 11mm, tubing 35cm x 0.30mm.</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>146</SubCategoryID>
            <GroupID>1337</GroupID>
            <ARTGs>
                <ARTG>125073</ARTG>
            </ARTGs>
            <MinimumBenefit>122</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DV022</BillingCode>
            <Name>Eyetec DCR Tubes</Name>
            <Description>Stainless steel, silicone tubing, Bodkin lacrimal intubation set</Description>
            <Size>30cm</Size>
            <SupplierCode>DV</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>146</SubCategoryID>
            <GroupID>1337</GroupID>
            <ARTGs>
                <ARTG>117458</ARTG>
            </ARTGs>
            <MinimumBenefit>122</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DV241</BillingCode>
            <Name>Eyetec DCR Tubes</Name>
            <Description>Crawford and Cannaliculus Intubation Sets</Description>
            <Size>N/A</Size>
            <SupplierCode>DV</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>146</SubCategoryID>
            <GroupID>1337</GroupID>
            <ARTGs>
                <ARTG>117458</ARTG>
            </ARTGs>
            <MinimumBenefit>122</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DV256</BillingCode>
            <Name>LIS 052 "StenTube"</Name>
            <Description>Large Diameter Lachrymal Intubation Set</Description>
            <Size>1.32mm Tube diameter</Size>
            <SupplierCode>DV</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>146</SubCategoryID>
            <GroupID>1337</GroupID>
            <ARTGs>
                <ARTG>117460</ARTG>
            </ARTGs>
            <MinimumBenefit>122</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO021</BillingCode>
            <Name>FCI Lacrimal Intubation Set</Name>
            <Description>PVP Coated Silicone Tubing/PVP Coated Silicone Plug/Metal Probes/Polypropylene Thread</Description>
            <Size>PVP Bika: 0.64mm O.D. Tube/80 x 0.8mm probes, PVP Differential Bika: 0.64 &amp; 1.18mm O.D. Tube/40 x 1.2mm probes, PVP Bika for DCR: 0.94mm O.D. Tube/50 x 0.8mm probes, PVP Infant Bika 0.64mm O.D. Tube/55 x 0.7mm probes, PVP Infant Bika II: 0.64mm O.D. Tube/</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>146</SubCategoryID>
            <GroupID>1337</GroupID>
            <ARTGs>
                <ARTG>143177</ARTG>
            </ARTGs>
            <MinimumBenefit>122</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO043</BillingCode>
            <Name>FCI Bi-Canalicular Lacrimal Intubation Set</Name>
            <Description>Silicone tubing swaged, imbedded into or around malleable and flexible stainless steel probes. PEEK thread.</Description>
            <Size>Probes: 40mm to 120mm x 0.7mm to 1.2mm.  Tube: 0.64mm to 1.18mm x 25mm to 400mm.  PEEK Thread: 0.2mm to 0.4mm x 500mm.</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>146</SubCategoryID>
            <GroupID>1337</GroupID>
            <ARTGs>
                <ARTG>143177</ARTG>
            </ARTGs>
            <MinimumBenefit>122</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DV257</BillingCode>
            <Name>Lacricath Lachrymal Duct Balloon Catheter</Name>
            <Description>Bilateral Lachrymal Duct Balloon Catheter System including inflation device.</Description>
            <Size>2mm, 3mm, 5mm and 9mm</Size>
            <SupplierCode>DV</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>146</SubCategoryID>
            <GroupID>1803</GroupID>
            <Suffix>bilateral</Suffix>
            <ARTGs>
                <ARTG>117460</ARTG>
            </ARTGs>
            <MinimumBenefit>793</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO069</BillingCode>
            <Name>Ophtacath Lacrimal Duct Balloon Catheter – Bilateral system</Name>
            <Description>Bilateral balloon catheter kit containing balloon catheter &amp; inflation device</Description>
            <Size>2mm and 3mm</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>146</SubCategoryID>
            <GroupID>1803</GroupID>
            <Suffix>bilateral</Suffix>
            <ARTGs>
                <ARTG>212425</ARTG>
            </ARTGs>
            <MinimumBenefit>793</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DV258</BillingCode>
            <Name>Lacricath Unilateral Lachrymal Duct Balloon Catheter</Name>
            <Description>Unilateral Lachrymal Duct Balloon Catheter system including inflation device</Description>
            <Size>2mm, 3mm, 5mm and 9mm</Size>
            <SupplierCode>DV</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>146</SubCategoryID>
            <GroupID>1803</GroupID>
            <ARTGs>
                <ARTG>117460</ARTG>
            </ARTGs>
            <MinimumBenefit>438</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO070</BillingCode>
            <Name>Ophtacath Lacrimal Duct Balloon Catheter – Unilateral system</Name>
            <Description>Unilateral balloon catheter kit containing balloon catheter &amp; inflation device</Description>
            <Size>2mm and 3mm</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>146</SubCategoryID>
            <GroupID>1803</GroupID>
            <ARTGs>
                <ARTG>212425</ARTG>
            </ARTGs>
            <MinimumBenefit>438</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO040</BillingCode>
            <Name>FCI Orbital Implants</Name>
            <Description>Silicone - Sterile</Description>
            <Size>12mm to 22mm</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>147</SubCategoryID>
            <GroupID>1339</GroupID>
            <ARTGs>
                <ARTG>143210</ARTG>
            </ARTGs>
            <MinimumBenefit>49</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE585</BillingCode>
            <Name>OCULFIT Orbital Implant</Name>
            <Description>Porous polyethylene spherical orbital implant</Description>
            <Size>14, 16, 18, 19, 20, 21, 22, 23 mm</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>147</SubCategoryID>
            <GroupID>1340</GroupID>
            <SubGroupID>3903</SubGroupID>
            <Suffix>vp</Suffix>
            <ARTGs>
                <ARTG>290198</ARTG>
            </ARTGs>
            <MinimumBenefit>1741</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO006</BillingCode>
            <Name>FCI Orbital Implants</Name>
            <Description>Orbital Implant, Bioceramic (Aluminium Oxide)/Hydroxyapatite (Synthetic)</Description>
            <Size>Bioceramic diameter, 12, 14, 16, 18, 20, 21, 22mm; Synthetic Diameter, 10, 12, 14, 16, 18, 20, 22mm</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>147</SubCategoryID>
            <GroupID>1340</GroupID>
            <SubGroupID>3903</SubGroupID>
            <Suffix>vp</Suffix>
            <ARTGs>
                <ARTG>143210</ARTG>
            </ARTGs>
            <MinimumBenefit>1741</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO007</BillingCode>
            <Name>FCI Orbital Implants</Name>
            <Description>Mesh wrapped orbital implant: mesh wrapped bioceramic (aluminium oxide), mesh wrapped hydroxyapatite (synthetic), mesh wrap (polyglycolic acid)</Description>
            <Size>Bioceramic diameter: 16, 18, 20, 22mm; Synthetic Hydroxyapatite diameter: 16, 18, 20, 22mm</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>147</SubCategoryID>
            <GroupID>1340</GroupID>
            <SubGroupID>3903</SubGroupID>
            <Suffix>vp</Suffix>
            <ARTGs>
                <ARTG>143210</ARTG>
            </ARTGs>
            <MinimumBenefit>1741</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO085</BillingCode>
            <Name>Ezypor</Name>
            <Description>High density porous polyethylene orbital implant</Description>
            <Size>12mm to 22mm</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>147</SubCategoryID>
            <GroupID>1340</GroupID>
            <SubGroupID>3903</SubGroupID>
            <Suffix>vp</Suffix>
            <ARTGs>
                <ARTG>143210</ARTG>
            </ARTGs>
            <MinimumBenefit>1741</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VL002</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>RJ007</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Su-Por Sphere</Name>
            <Description>An implantable device made of high-density polyethylene material with an interconnecting pore structure that supports tissue ingrowth. The device is available in sizes to meet the patient's specific needs.  Used for orbital reconstruction following enucleation and evisceration procedure.</Description>
            <Size>14mm, 16mm, 18mm, 20mm, 22mm, 24mm (diameter)</Size>
            <SupplierCode>VL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>147</SubCategoryID>
            <GroupID>1340</GroupID>
            <SubGroupID>3903</SubGroupID>
            <Suffix>vp</Suffix>
            <ARTGs>
                <ARTG>335454</ARTG>
            </ARTGs>
            <MinimumBenefit>1741</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK521</BillingCode>
            <Name>Sphere</Name>
            <Description>Orbital Sphere Models 6316, 6326, 6327, 6317 and 6322 8702-8704. COI implant, models 7222, 7223 &amp; 80026. MCOI implant, models 7207 - 7209 Quad Motility Implants 9866 - 9868 &amp; 80022</Description>
            <Size>Orbital Sphere Models 6316: 14mm, 6326: 16mm, 6327: 18mm, 6317: 20mm, 6322: 22mm, 8702: 19mm, 8703: 21mm, 8704: 23mm, COI Implants 7222: Approx 4ml, 7223: Approx 5ml, 80026: Approx 6ml, MCOI 7207: Approx 3ml, 7208: Approx 4.2ml,  7209: Approx 5.6ml, QUAD Motility Small 16ml, Medium: 18ml, Large: 20ml, Extra Large: 22ml.</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>147</SubCategoryID>
            <GroupID>1340</GroupID>
            <SubGroupID>3903</SubGroupID>
            <ARTGs>
                <ARTG>189074</ARTG>
                <ARTG>189075</ARTG>
                <ARTG>257435</ARTG>
            </ARTGs>
            <MinimumBenefit>709</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE277</BillingCode>
            <Name>Frontalis Suspension Set</Name>
            <Description>Stainless steel needles with solid silicone rods and silicone tubing - packaged sterile</Description>
            <Size>needles 0.90mm x 6.5cm, rod 40cm - 0.80mm, sleeve 10 x 2mm</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>147</SubCategoryID>
            <GroupID>1341</GroupID>
            <ARTGs>
                <ARTG>125073</ARTG>
            </ARTGs>
            <MinimumBenefit>284</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO045</BillingCode>
            <Name>FCI Ptosis Probes</Name>
            <Description>Stainless steel needle probes swaged with silicone tubing.</Description>
            <Size>80mm x 0.8mm needle probes, 280mm 0.64mm tubing.</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>147</SubCategoryID>
            <GroupID>1341</GroupID>
            <ARTGs>
                <ARTG>146261</ARTG>
            </ARTGs>
            <MinimumBenefit>284</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AP002</BillingCode>
            <Name>Mira: Scleral Implants</Name>
            <Description>Silicone Sponge- Retinal Implant Used in Scleral Buckling (Silicone Elastomer Sponge)</Description>
            <Size>Sponge- Mira 502 Cylinder 2mm, Mira 5025 Cylinder 2.5mm, Mira 503 Cylinder 3mm, Mira 504 Cylinder 4mm, Mira 505 Cylinder 5mm, Mira 505G Grooved cylinder 5mm, Mira 505T Packer tunnel cylinder 5mm, Mira 510 Half cylinder 5mm, Mira 515 Brucker two-thirds cylinder 5mm, Mira 501 Masciulli oval 2.5mm by 4mm, Mira 506 Vaiser oval 3mm by 5mm, Mira 506G Vaiser grooved oval 3mm by 5mm, Mira 507 oval 5.5mm by 7.5mm, Mira 507G Grooved oval 5.5mm by 7.5mm, Mira 507T Packer tunnel oval 5.5mm by 7.5mm, Mira 511 Half oval 7.5mm, Mira 517 Brucker two-thirds oval 7.5mm, Mira 509 Fuller flat oval 3.5mm by 7.5mm, Mira 509G Fuller grooved flat oval 3.5mm by 7.5mm, Mira 518 Frederick grooved flat oval 2.5mm by 12mm, Mira 508 Frederick flat oval 4mm by 12mm, Mira 508G Frederick grooved flat oval 4mm by 12mm, Mira 513 Snyder 3+ meridional 7mm by 4mm, Mira 514 Snyder 4+ meridional 8mm by 5mm, Mira 516G Tapered groove 6.4mm, Mira 519G Tapered groove 7.5mm by 3.2mm.</Size>
            <SupplierCode>AP</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1342</GroupID>
            <SubGroupID>3905</SubGroupID>
            <ARTGs>
                <ARTG>143682</ARTG>
            </ARTGs>
            <MinimumBenefit>82</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG031</BillingCode>
            <Name>Labtician Retinal Implants - Sponges</Name>
            <Description>Silicone Sponge- Retinal Implant Used in Scleral Buckling (Silicone Elastomer Sponge)</Description>
            <Size>S 1981-4 Oval Sponge,  S 1981-5 Oval Sponge,  S 1981-7 Oval Sponge,  S 1981-7.5 Oval Sponge,  S 1982-1.5 Round Sponge 1.5mm,  S 1982-2 Round Sponge 2mm,  S 1982-2.5 Round Sponge 2.5mm,  S 1982-3 Round Sponge 3mm,  S 1982-4 Round Sponge 4mm,  S 1982-5 Round Sponge 5mm,  S 1982-5T Round Tunnel Sponge 5mm,  S 1982-7 Round Sponge 7mm,  S 1982-7.5 Round Sponge 7.5mm x 50mm,  S 1983-2.3 Grooved Sponge,  S 1983-2.5 Grooved Part Thickness Sponge,  S 1983-2.8 Grooved Part Thickness Sponge,  S 1983-3 Grooved Sponge,  S 1983-3.2 Grooved Sponge,  S 1983-3.5 Grooved Sponge,  S 1983-4 Grooved Sponge,  S 1983-5 Grooved Sponge,  S 1983-7.5 Grooved Sponge,  S 1984-2.5 Part Thickness Sponge,  S 1984-3 Partial Thickness Sponge,  S 1984-3.3 Partial Thickness Sponge,  S 1984-5 Partial Thickness Sponge,  S 1984-7.5 Partial Thickness Sponge,  S 1986-3.5 Oblong Sponge,  S 1986-4 Oblong Sponge,  S 1987-7 Accessory Sponge,  S 1987-8 Accessory Sponge</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1342</GroupID>
            <SubGroupID>3905</SubGroupID>
            <ARTGs>
                <ARTG>337137</ARTG>
            </ARTGs>
            <MinimumBenefit>82</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO012</BillingCode>
            <Name>FCI Scleral Buckling Devices</Name>
            <Description>Sponge/Cord: Silicone</Description>
            <Size>Cord: 1.0 to 5.0mm O.D. x 150mm length; Half Cord: 3.0mm to width x1.5mm to 2.5mm height x150mm; Circular Sponge: 3 to 5mm; Oval Sponge: 2 to 5.5mm x 4 to 12mm; Half Sponge: 2 to 3.1mm x 4 to 7.5mm; Grooved Sponge: 3 to 5mm x 5 to  12mm; Gain Sponge: 6 x </Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1342</GroupID>
            <SubGroupID>3905</SubGroupID>
            <ARTGs>
                <ARTG>143211</ARTG>
            </ARTGs>
            <MinimumBenefit>82</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AP003</BillingCode>
            <Name>Mira: Scleral Implants</Name>
            <Description>Solid Silicone-Tire/Meridional/Wedge/Pad. Retinal Implant used in Scleral Buckling (Dimethylmethylvinyl Siloxane Copolymer)</Description>
            <Size>Tires-Mira 286 Wendel Symmetrical Oval Tire 6mm, Mira Symmetrical Oval Tire 7mm, Mira 287WG Murray wide (3.5mm) grooved symmetrical tire, 10mm wide, Mira 288 ross symmetrical grooved tire, low profile 10mm wide by 2.5mm, Mira 289 Symmetrical oval tire 10mm, Mira 277Symmetrical tire 7mm, Mira 279 Symmetrical tire 9mm, Mira 78G Grooved symmetrical tire 10mm, Mira 281 Symmetrical tire 12.5mm, Mira 275 Munsen Asymmetrical tire 6mm, Mira 276 Asymmetrical tire 7mm, Mira 278 Brockhurst asymmetrical tire 8.5mm, Mira 280LG Large grooved asymmetrical tire 10mm, Mira 77G Grooved hemisphere 26mm. Meridional- Mira 106 Meridional Implant 6mm by 10.5mm, Mira 112 Curved Meridional implant 12mm by 12mm, Mira 103 Meridional implant 4mm by 15mm. Wedge- Mira 135 Pruett maxi wedge 14mm, Mira Pruett midi wedge 12mm, Mira 190 Spencer sub-implant 5mm by 10mm. Pad- Mira 80 Pad 4mm by 8mm, Mira 22 Button 5mm by 5mm</Size>
            <SupplierCode>AP</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1342</GroupID>
            <ARTGs>
                <ARTG>143682</ARTG>
            </ARTGs>
            <MinimumBenefit>41</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AP004</BillingCode>
            <Name>Mira: Scleral Implants</Name>
            <Description>Solid Silicone-Sleeve. Retinal Implant used in Scleral Buckling (Dimethylmethylvinyl Siloxane Copolymer)</Description>
            <Size>Sleeves-Mira 70 Sleeve 1mm I.D., Mira 71 Sleeve 1mm I.D., Mira 72 McNutt Sleeve 1.57mm I.D., Mira 270 Sleeve 0.76mm I.D.</Size>
            <SupplierCode>AP</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1342</GroupID>
            <ARTGs>
                <ARTG>143682</ARTG>
            </ARTGs>
            <MinimumBenefit>41</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AP006</BillingCode>
            <Name>Mira: Scleral Implants</Name>
            <Description>Solid Silicone-Band/Strip/Boat/Clip. Retinal Implant used in Scleral Buckling (Dimethylmethylvinyl Siloxane Copolymer)</Description>
            <Size>Bands-Mira 40 Circling Band 2mm, Mira 240 Circling Band 2.5mm. Strips-Mira 41 Strip 3.5mm, Mira 42 Strip 4mm, Mira 20 Strip 4mm, Mira 219 Strip 4.5mm, Mira 31 Strip 4.5mm, Mira 32 Strip 5mm, Mira 225 Oval Strip 5mm, Mira 220 Strip 6mm. Boats-Mira 60 Boat 2mm, Mira 260 Boat 2.5mm. Clips-Mira 50 Double Tantalum Clip 2mm, Mira 250 Double Tantalum Clip 2.5mm, Mira 51 Singla Tantalum Clip 3.5mm, Mira 52 Joondeph Single Tantalum Clip 4mm</Size>
            <SupplierCode>AP</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1342</GroupID>
            <ARTGs>
                <ARTG>143682</ARTG>
            </ARTGs>
            <MinimumBenefit>41</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG028</BillingCode>
            <Name>Labtician - Retinal Implants</Name>
            <Description>Solid Silicone- Tire/Meridional/ Wedge/Pad. Retinal Implant used in Scleral Buckling (Dimethylmethylvinyl Siloxane Copolymer)</Description>
            <Size>S 2965 Silicone Strip , S 2967 Silicone Strip , S 2968 Silicone Strip, S 2970 Silicone Strip , S 2971 Silicone Strip , S 2976 Silicone Button , S 2977 Silicone Tire 10mm , S 2986 Silicone Tire 7mm, S 2991 Silicone Tire 9mm, S 2994 Silicone Tire 6.0mm , S 2995 Silicone Tire 8.5mm , S 2996 Silicone Tire 10mm , S 2996 L Silicone Tire 10mm LG , S 2997 Silicone Tire 12.5mm, S 2999 Silicone Tire 7.0mm , S 2999 L Silicone Tire Wide Groove , S 3004 Silicone Tire 9mm , S 3010 Silicone Tire 6mm, S 3014 Silicone Tire 7mm , S 3014 L Silicone Tire 7mm WG , S 3016 Silicone Tire 10mm , S 3017 Silicone Tire , S 3018 Silicone Sleeve , S 3019 Silicone Sleeve, S 3025 Wong Meridional Implant , S 3071 Silicone Sleeve, S 5020 Silicone Lace™ 2mm , S 5025 Silicone Lace™ 2.5mm.</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1342</GroupID>
            <ARTGs>
                <ARTG>337137</ARTG>
            </ARTGs>
            <MinimumBenefit>41</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG029</BillingCode>
            <Name>Labtician Retinal Implants</Name>
            <Description>Band/Strip: solid silicone</Description>
            <Size>S 2950 Circling Band, S 2969 Circling Band, S 2978 Meridional Implant - Flat, S 2987 Circling Band, S 2988 Meridional Implant, S 2989 Boat, S 2992 Silicone Strip, S 2993 Pad, S 2998 Silicone Strip, S 3012 Boat, S 3013 Silicone Strip, S 3020 Meridional Implant, S 3021 Wedge, S 3022 Wedge, S 3083 Labtician Oval Sleeve, S 3084 Labtician Oval Sleeve, S 3093 Labtician Buckling Sleeve, S 3094 Labtician Buckling Sleeve, S 4050 Silicone Strip, S 4055 Silicone Strip, S 4060 Silicone Strip, S 4065 Silicone Strip</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1342</GroupID>
            <ARTGs>
                <ARTG>337137</ARTG>
            </ARTGs>
            <MinimumBenefit>41</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO009</BillingCode>
            <Name>FCI Scleral Buckling Devices</Name>
            <Description>Band/strip: solid silicone</Description>
            <Size>Band - 2.0 x 0.75mm Type 40, 3.5 x 0.75mm Type 41, 4.0 x 1.25mm Type 42, 2.5 x 0.6mm Type 240, Morin 3.5 x 0.6mm
Strip - 5.7mm Type 20, 7.2mm Type 31, 9.2mm Type 32, 6mm Type 219, 7.5mm Type 220, 8mm Type 225</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1342</GroupID>
            <ARTGs>
                <ARTG>143211</ARTG>
            </ARTGs>
            <MinimumBenefit>41</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO011</BillingCode>
            <Name>FCI Scleral Buckling Devices</Name>
            <Description>Tire: Solid Silicone</Description>
            <Size>Symmetrical: (2.5 mm Groove, 7 to 9mm wide), Biconvex: (2.5mm Groove, 7 to 10mm wide), Asymetrical: (2.5mm Groove, 7 to 10mm wide)</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1342</GroupID>
            <ARTGs>
                <ARTG>143211</ARTG>
            </ARTGs>
            <MinimumBenefit>41</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO013</BillingCode>
            <Name>FCI Scleral Buckling Devices</Name>
            <Description>Strip: Solid Silicone</Description>
            <Size>Strip: 1.4 x 4.4 x 100mm, Morin Strip: 7mm wide x 100mm long, Caputo Zip Strip: 7 to 9mm wide x 120mm long, Korobelnik Oval Strip: 2 x 5mm</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1342</GroupID>
            <ARTGs>
                <ARTG>143211</ARTG>
            </ARTGs>
            <MinimumBenefit>41</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO010</BillingCode>
            <Name>FCI Scleral Buckling Devices</Name>
            <Description>Fixation Sleeve: Solid silicone</Description>
            <Size>O.D: 1.65 to 2.41mm, Length 30mm</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1344</GroupID>
            <ARTGs>
                <ARTG>143211</ARTG>
            </ARTGs>
            <MinimumBenefit>23</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL035</BillingCode>
            <Name>ISPAN Retinal Gases for Constellation® Vision System</Name>
            <Description>Tamponade gases for retinal surgery C3F8 and SF6</Description>
            <Size>125g cylinder, dispensed in single dose syringe</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1345</GroupID>
            <ARTGs>
                <ARTG>115487</ARTG>
            </ARTGs>
            <MinimumBenefit>67</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL036</BillingCode>
            <Name>ISPAN retinal gases</Name>
            <Description>Tamponade gases for retinal surgery C3F8 and SF6</Description>
            <Size>125 g cylinder, dispensed in single dose syringe</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1345</GroupID>
            <ARTGs>
                <ARTG>115487</ARTG>
            </ARTGs>
            <MinimumBenefit>67</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE284</BillingCode>
            <Name>Single Dose Ophthalmic Gases</Name>
            <Description>Single dose tamponading gas for retinal surgery</Description>
            <Size>30ml</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1345</GroupID>
            <ARTGs>
                <ARTG>99568</ARTG>
            </ARTGs>
            <MinimumBenefit>67</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DV270</BillingCode>
            <Name>OcuGas </Name>
            <Description>Tamponade gas for retinal surgery</Description>
            <Size>OCUGAS SF6 (15 ml) is supplied in a non pressurized and sterile primary container.  OCUGAS C2F6 (12 ml) is supplied in a non pressurized and sterile primary container.  OCUGAS C3F8 (9 ml) is supplied in a non pressurized and sterile primary container.</Size>
            <SupplierCode>DV</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1345</GroupID>
            <ARTGs>
                <ARTG>292815</ARTG>
            </ARTGs>
            <MinimumBenefit>67</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EG021</BillingCode>
            <Name>GOT Multi</Name>
            <Description>Tamponade gas for retinal surgery</Description>
            <Size>75ml</Size>
            <SupplierCode>EG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1345</GroupID>
            <ARTGs>
                <ARTG>297730</ARTG>
            </ARTGs>
            <MinimumBenefit>67</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IQ012</BillingCode>
            <Name>EasyGas</Name>
            <Description>Endotamponade Gases for Retinal Surgery, EasyGas SF6, C2F6 or C3F8, each supplied in a 60ml syringe, sterile</Description>
            <Size>60ml dispensed in a single dose, sterile syringe</Size>
            <SupplierCode>IQ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1345</GroupID>
            <ARTGs>
                <ARTG>197089</ARTG>
            </ARTGs>
            <MinimumBenefit>67</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL013</BillingCode>
            <Name>Perfluoron Kits</Name>
            <Description>Perfluoro-n-octane for use as a retinal surgery additive</Description>
            <Size>5mL</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1346</GroupID>
            <ARTGs>
                <ARTG>327862</ARTG>
            </ARTGs>
            <MinimumBenefit>217</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AL014</BillingCode>
            <Name>Perfluoron Kits</Name>
            <Description>Perfluoro-n-octane for use as a retinal surgery additive</Description>
            <Size>7mL</Size>
            <SupplierCode>AL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1346</GroupID>
            <ARTGs>
                <ARTG>327862</ARTG>
            </ARTGs>
            <MinimumBenefit>217</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL017</BillingCode>
            <Name>Perfluo-octane (Oktaline) Okta-Line</Name>
            <Description>Perfluorocarbon Liquid  for use as a retinal surgery additive</Description>
            <Size>5mL</Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1346</GroupID>
            <ARTGs>
                <ARTG>108429</ARTG>
            </ARTGs>
            <MinimumBenefit>217</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL018</BillingCode>
            <Name>DK Line 100% purified perfluorodecalin</Name>
            <Description>Perfluorodecalin</Description>
            <Size>7ml</Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1346</GroupID>
            <ARTGs>
                <ARTG>108429</ARTG>
            </ARTGs>
            <MinimumBenefit>217</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE204</BillingCode>
            <Name>Arcaline (Perfluorodecaline)</Name>
            <Description>Liquid perfluorocarbon aid for retinal surgery, operative device for retinal surgery, in particular retinal detachment (RD), RD with giant tear etc.</Description>
            <Size>3ml, 5ml, 7ml</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1346</GroupID>
            <ARTGs>
                <ARTG>140539</ARTG>
            </ARTGs>
            <MinimumBenefit>217</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE205</BillingCode>
            <Name>Arcotane (Perfloro-N-Octane)</Name>
            <Description>Liquid perfluoro-N-Octane aid for retinal surgery, pre-operative device for retinal surgery, in particular retinal detachment (RD), RD with giant tear, RD with proliferative vitreal retinopathy (PVR) etc.</Description>
            <Size>5ml, 7ml</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1346</GroupID>
            <ARTGs>
                <ARTG>140539</ARTG>
            </ARTGs>
            <MinimumBenefit>217</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DV244</BillingCode>
            <Name>D.O.R.C. Eftiar</Name>
            <Description>Eftiar Decaline and Octane 5ml</Description>
            <Size>5ml, 7ml</Size>
            <SupplierCode>DV</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1346</GroupID>
            <ARTGs>
                <ARTG>148699</ARTG>
            </ARTGs>
            <MinimumBenefit>217</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EG022</BillingCode>
            <Name>Perfluorocarbons</Name>
            <Description>HPF8 Perfluoro-n-octane and HPF10 Perfluorodecalin</Description>
            <Size>5ml and 7ml</Size>
            <SupplierCode>EG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1346</GroupID>
            <ARTGs>
                <ARTG>252153</ARTG>
            </ARTGs>
            <MinimumBenefit>217</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IQ008</BillingCode>
            <Name>Octane &amp; Decalin</Name>
            <Description>Perfluorocarbon retinal tamponade medium, intraoperative</Description>
            <Size>5ml &amp; 7ml, Sterile</Size>
            <SupplierCode>IQ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1346</GroupID>
            <ARTGs>
                <ARTG>152235</ARTG>
            </ARTGs>
            <MinimumBenefit>217</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO054</BillingCode>
            <Name>FCI - DECA, FCI - OCTA</Name>
            <Description>FCI - DECA: Purified perflurodecalin, FCI - OCTA: Purified perfluoro-N-Octane</Description>
            <Size>5ml / 7ml</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1346</GroupID>
            <ARTGs>
                <ARTG>143212</ARTG>
            </ARTGs>
            <MinimumBenefit>217</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IQ005</BillingCode>
            <Name>Densiron</Name>
            <Description>Heavy Tamponade Liquid Medium, Postoperative</Description>
            <Size>10 ml, Sterile</Size>
            <SupplierCode>IQ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1347</GroupID>
            <Suffix>HO</Suffix>
            <ARTGs>
                <ARTG>152234</ARTG>
            </ARTGs>
            <MinimumBenefit>217</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL016</BillingCode>
            <Name>Oxane LMWC Fractioned Silicone Oil</Name>
            <Description>Purified fractioned silicone oil</Description>
            <Size>10mL</Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1347</GroupID>
            <ARTGs>
                <ARTG>108429</ARTG>
            </ARTGs>
            <MinimumBenefit>176</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BL024</BillingCode>
            <Name>Oxane HD</Name>
            <Description>Silicone oil - RMN3 mixture</Description>
            <Size>10ml</Size>
            <SupplierCode>BL</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1347</GroupID>
            <ARTGs>
                <ARTG>108429</ARTG>
            </ARTGs>
            <MinimumBenefit>176</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE701</BillingCode>
            <Name>ARCIOLANE 5500</Name>
            <Description>Silicone Oil for Vitreoretinal Surgery</Description>
            <Size>10ml</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1347</GroupID>
            <ARTGs>
                <ARTG>140539</ARTG>
                <ARTG>171840</ARTG>
            </ARTGs>
            <MinimumBenefit>176</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE702</BillingCode>
            <Name>ARCIOLANE 1300</Name>
            <Description>Silicone Oil for Vitreoretinal Surgery</Description>
            <Size>10ml</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1347</GroupID>
            <ARTGs>
                <ARTG>140539</ARTG>
                <ARTG>171840</ARTG>
            </ARTGs>
            <MinimumBenefit>176</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DV243</BillingCode>
            <Name>D.O.R.C. Silicon Oil</Name>
            <Description>D.O.R.C. Silicon Oil 1000/2000/5000CS</Description>
            <Size>10ml</Size>
            <SupplierCode>DV</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1347</GroupID>
            <ARTGs>
                <ARTG>193027</ARTG>
            </ARTGs>
            <MinimumBenefit>176</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EG023</BillingCode>
            <Name>RS-OIL</Name>
            <Description>Highly purified Silicone Oil</Description>
            <Size>10ml</Size>
            <SupplierCode>EG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1347</GroupID>
            <ARTGs>
                <ARTG>297730</ARTG>
            </ARTGs>
            <MinimumBenefit>176</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IQ006</BillingCode>
            <Name>Siluron 1000 &amp; Siluron 5000</Name>
            <Description>Silicone Oils</Description>
            <Size>10 ml, Sterile</Size>
            <SupplierCode>IQ</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1347</GroupID>
            <ARTGs>
                <ARTG>152234</ARTG>
            </ARTGs>
            <MinimumBenefit>176</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG030</BillingCode>
            <Name>LSO Silicone Oil</Name>
            <Description>Highly purified, sterile, transparent, silicone oil available in both a 1,000 cP and a 5,000 cP viscosity.</Description>
            <Size>10mL vial, 10mL syringe</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1347</GroupID>
            <ARTGs>
                <ARTG>337138</ARTG>
            </ARTGs>
            <MinimumBenefit>176</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO022</BillingCode>
            <Name>FCI Purified Silicone Oil (Solvent Free)</Name>
            <Description>Viscosity: 1000 cst/5000 cst: solvent free purified silicone oil</Description>
            <Size>10ml</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>148</SubCategoryID>
            <GroupID>1347</GroupID>
            <ARTGs>
                <ARTG>143212</ARTG>
            </ARTGs>
            <MinimumBenefit>176</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SO076</BillingCode>
            <Name>HumanOptics Artificial Iris</Name>
            <Description>One sterile, foldable Artificial Iris made of silicone, with or without fibre and custom made specific to the patient.</Description>
            <Size>Custom made</Size>
            <SupplierCode>SO</SupplierCode>
            <CategoryID>1</CategoryID>
            <SubCategoryID>262</SubCategoryID>
            <GroupID>1822</GroupID>
            <ARTGs>
                <ARTG>225976</ARTG>
            </ARTGs>
            <MinimumBenefit>5607</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BD020</BillingCode>
            <Name>HiRes90K Advantage Cochlear Implant with HiFocus 1j Electrode</Name>
            <Description>The HiRes90K Advantage Cochlear Implant  with HiFocus 1j Electrode is the implanted component of the HiResolution Bionic Ear System. It receives information through an RF transmission coil, processes the information and then sends the resulting signal to an electrode array implanted in the cochlear. It consists of receiving/transmitting coil, Stimulator electrodes and HiFocus 1j Electrode array</Description>
            <Size>Implant Size: 56mm (L) x 28mm (w x5.7mm (thickness). Electrode size: Active length 17mm, Tip diameter 0.4mm, Basal diameter 0.8mm. Total length of electrode array 25mm</Size>
            <SupplierCode>BD</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1526</GroupID>
            <ARTGs>
                <ARTG>220306</ARTG>
            </ARTGs>
            <MinimumBenefit>12892</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BD022</BillingCode>
            <Name>HiRes90K Advantage Cochlear Implant with the HiFocus Mid-Scala Electrode</Name>
            <Description>The HiRES90K Advantage Cochlear Implant with HiFocus Mid-Scala electrode is the implanted component of the HiResolution Bionic Ear System. It receives information through an RF transmission coil, processes the information and then sends the resulting signal to an electrode array implanted in the cochlea. It consists of receiving/transmitting coil, Stimulator electrodes and HiFocus Mid-Scala Electrode array</Description>
            <Size>Implant Size: 56mm (L) x 28mm (w) x 5.7mm (thickness. Electrode size: Active length 15mm, Tip diameter 0.5mm, Basal diameter 0.7mm. Total length of electrode array 23.7mm</Size>
            <SupplierCode>BD</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1526</GroupID>
            <ARTGs>
                <ARTG>220306</ARTG>
            </ARTGs>
            <MinimumBenefit>12892</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BD029</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>BD024</PriorBillingCode>
                <PriorBillingCode>BD026</PriorBillingCode>
            </PriorBillingCodes>
            <Name>HiRes Ultra Cochlear Implant</Name>
            <Description>The HiRes Ultra Cochlear Implant  with HiFocus is the implanted component of the HiResolution Bionic Ear System. It receives information through an RF transmission coil, processes the information and then sends the resulting signal to an electrode array implanted in the cochlear. It consists of receiving/transmitting coil, Stimulator electrodes and either HiFocus Mid-Scala Electrode array or HiFocus SlimJ electrode array</Description>
            <Size>Implant Size: 56.2mm (L) x 28.5mm (w) x 4.5mm (thickness).     HiFocus Mid-Scala Electrode: Active length 15mm, Tip diameter 0.5mm, Basal diameter 0.7mm. Total length of electrode array 23.7mm.  HiFocus SlimJ Electrode: Electrode size: Active length 20mm, Tip diameter 0.26mm, Basal electrode diameter 0.56mm. Total length of electrode array 23.7mm</Size>
            <SupplierCode>BD</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1526</GroupID>
            <ARTGs>
                <ARTG>295250</ARTG>
                <ARTG>301320</ARTG>
            </ARTGs>
            <MinimumBenefit>12892</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BD030</BillingCode>
            <Name>HiRes Ultra 3D Cochlear Implant</Name>
            <Description>The HiRes Ultra 3D Cochlear Implant is the implanted component of the HiResolution Bionic Ear System. It receives information through an RF transmission coil, processes the information and then sends the resulting signal to an electrode array implanted in the cochlear. It consists of receiving/transmitting coil, Stimulator electrodes and two electrode variations HiFocus MidScala or HiFocus SlimJ Electrode array</Description>
            <Size>Implant Size: 56.2mm (L) x 28.5mm (w) x 4.5mm (thickness).   HiFocus MidScala Electrode: Active length 15mm, Tip diameter 0.5mm, Basal diameter 0.7mm. Total length of electrode array 23.7mm  HiFocus SlimJ Electrode: Electrode size: Active length 20mm, Tip diameter 0.26mm, Basal electrode diameter 0.56mm. Total length of electrode array 23.7mm</Size>
            <SupplierCode>BD</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1526</GroupID>
            <ARTGs>
                <ARTG>375483</ARTG>
            </ARTGs>
            <MinimumBenefit>12892</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO021</BillingCode>
            <Name>Nucleus Freedom Implant with Contour Advance Electrode</Name>
            <Description>Model C124RE (CA), Generation 4 Cochlear implant with perimodiolar electrode array.  Titanium casing, removable magnet, 22 half-banded platinum electrodes, moulded in a durable silicone seal</Description>
            <Size>one size only</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1526</GroupID>
            <ARTGs>
                <ARTG>117025</ARTG>
            </ARTGs>
            <MinimumBenefit>12892</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO024</BillingCode>
            <Name>Nucleus Freedom Implant with Straight Electrode</Name>
            <Description>Model CI24RE (ST), Generation 4 Cochlear Implant with straight array electrode</Description>
            <Size>One size only</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1526</GroupID>
            <ARTGs>
                <ARTG>117025</ARTG>
            </ARTGs>
            <MinimumBenefit>12892</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO046</BillingCode>
            <Name>Cochlear™ Nucleus® CI512 Cochlear Implants with Contour Advance Electrode</Name>
            <Description>Model CI512, 5th generation cochlear implant with perimodiloar electrode array. Titanium casing, removable magnet, 22 half-banded platinum electrodes, moulded in a durable silicone seal.</Description>
            <Size>One Size</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1526</GroupID>
            <ARTGs>
                <ARTG>165361</ARTG>
            </ARTGs>
            <MinimumBenefit>12892</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO057</BillingCode>
            <Name>Cochlear™ Nucleus® CI422 cochlear implant with Straight Electrode</Name>
            <Description>Model CI422, 4th generation cochlear implant with straight array.  Titanium casing, removable magnet.  22 half banded platinum intracochlear electrodes moulded with a silicone elastomer carrier and spaced over a 20mm active array.  The electrode diameter is 0.6mm at the badal end, tapering to 0.3mm at the apical electrode band.</Description>
            <Size>One size</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1526</GroupID>
            <ARTGs>
                <ARTG>192676</ARTG>
            </ARTGs>
            <MinimumBenefit>12892</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO074</BillingCode>
            <Name>Cochlear Nucleus CI522 Cochlear Implant with Slim Straight Electrode</Name>
            <Description>Model CI522, 5th generation cochlear implant with straight electrode array. Titanium casing, removable magnet, 22 half-banded platinum electrodes, moulded in a durable tapered silicone seal.</Description>
            <Size>One size</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1526</GroupID>
            <ARTGs>
                <ARTG>232917</ARTG>
            </ARTGs>
            <MinimumBenefit>12892</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO078</BillingCode>
            <Name>Cochlear™ Nucleus® CI532 Cochlear Implant with Slim Modiolar Electrode</Name>
            <Description>Model CI532, 5th generation cochlear implant with slim modiolar electrode array. Sheath, titanium casing, removable magnet, 22 half-banded platinum electrodes, moulded in a durable tapered silicone seal. Compatible with 1.5T static magnetic field.</Description>
            <Size>One size</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1526</GroupID>
            <ARTGs>
                <ARTG>286928</ARTG>
            </ARTGs>
            <MinimumBenefit>12892</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO083</BillingCode>
            <Name>Cochlear™ Nucleus® Profile Plus Series (CI632) Cochlear Implant with Slim Modiolar Electrode</Name>
            <Description>Profile Plus Series CI632, 6th generation cochlear implant with Slim Modiolar electrode array. Sheath, titanium casing, removable magnet, 22 half-banded platinum electrodes, moulded in a durable tapered silicone seal, compatible with 1.5T and 3T static magnetic field.</Description>
            <Size>One size</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1526</GroupID>
            <ARTGs>
                <ARTG>322143</ARTG>
            </ARTGs>
            <MinimumBenefit>12892</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO084</BillingCode>
            <Name>Cochlear™ Nucleus® Plus Series (CI612) Cochlear Implant with Contour Advance Electrode</Name>
            <Description>Profile Plus Series CI612, 6th generation cochlear implant with Contour Advance electrode array. Titanium casing, removable magnet, 22 half-banded platinum electrodes, moulded in a durable tapered silicone seal, compatible with 1.5T and 3T static magnetic field.</Description>
            <Size>One size</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1526</GroupID>
            <ARTGs>
                <ARTG>322141</ARTG>
            </ARTGs>
            <MinimumBenefit>12892</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO085</BillingCode>
            <Name>Cochlear™ Nucleus® Profile Plus Series (CI622) Cochlear Implant with Slim Straight Electrode</Name>
            <Description>Profile Plus Series CI622, 6th generation cochlear implant with Slim Straight electrode array. Titanium casing, removable magnet, 22 half-banded platinum electrodes, moulded in a durable tapered silicone seal, compatible with 1.5T and 3T static magnetic field.</Description>
            <Size>One size</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1526</GroupID>
            <ARTGs>
                <ARTG>322142</ARTG>
            </ARTGs>
            <MinimumBenefit>12892</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OI035</BillingCode>
            <Name>Neuro Zti Cochlear Implant</Name>
            <Description>The Neuro Zti is a multi-channel cochlear implant. It is designed to be surgically implanted and consists of the receiver/stimulator implanted under the skin on the temporal aspect of the skull and a multichannel electrode designed to be inserted within the Scala Tympani of the cochlea. These electrodes will provide electrical stimulation to the auditory nerve, leading to activation of user’s auditory pathway, and perception of sound percept.</Description>
            <Size>Two variants exist for the Neuro Zti:&#xD;
EVO (atraumatic) Insertion length 25mm &#xD;
CLA (classic) Insertion length 26mm</Size>
            <SupplierCode>OI</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1526</GroupID>
            <ARTGs>
                <ARTG>284148</ARTG>
                <ARTG>284150</ARTG>
            </ARTGs>
            <MinimumBenefit>12892</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>US012</BillingCode>
            <Name>Mi1200 SYNCHRONY Cochlear Implant / Mi1200 SYNCHRONY PIN Cochlear Implant</Name>
            <Description>Ultra small titanium implant with flexible atraumatic electrode arrays provide complete cochlea coverage. Removable and self-aligning magnet is MRI safe at 3.0 Tesla (without magnet removal)</Description>
            <Size>Stimulator Housing: L 17.3mm, W 25.4mm, Thin 4.5mm, Weight 7.6g.  Electrode: Standard (26.4mm), Compressed (12.1mm), Medium (20.9mm), FLEX24 (20.9mm), FLEX26 (20.9mm), FLEXsoft (26.4mm), FLEX28 (23.1mm), FORM19 (14.3mm), FORM24 (18.7mm), FLEX20 (15.4mm)</Size>
            <SupplierCode>US</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1526</GroupID>
            <ARTGs>
                <ARTG>231296</ARTG>
                <ARTG>231297</ARTG>
            </ARTGs>
            <MinimumBenefit>12892</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>US028</BillingCode>
            <Name>Mi1250 SYNCHRONY 2 Cochlear Implant /   Mi1250 SYNCHRONY 2 PIN Cochlear Implant</Name>
            <Description>Ultra small titanium implant with symmetrical central and flexible atraumatic electrode arrays provide complete cochlea coverage.  Removable and self-aligning magnet is conditionally MRI  safe for 3.0 Tesla MRI scans (without magnet removal).</Description>
            <Size>Stimulator Housing: L 47.3 mm, W 24 mm, Thin 4.5 mm, Weight 7.7g    Electrode: Standard (26.4mm), Medium (20.9mm), Compressed (12.1mm), FLEXsoft (26.4mm), FLEX28 (23.1mm),  FLEX26 (20.9mm), FLEX24 (20.9mm), FLEX20 (15.4mm), FORM24 (18.7mm), FORM19 (14.3mm)</Size>
            <SupplierCode>US</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1526</GroupID>
            <ARTGs>
                <ARTG>340943</ARTG>
                <ARTG>340944</ARTG>
            </ARTGs>
            <MinimumBenefit>12892</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BD023</BillingCode>
            <Name>Naida CI Q90 Sound Processor (Initial Order)</Name>
            <Description>The Naida CI Q90 Sound processor is a BTE Sound Processor to communicates with the internally implanted HiRes Family implants. It facilitates electro-acoustic stimulation of the cochlea, as well as being compatible with a range of wireless devices.</Description>
            <Size>There is one size of the sound processor unit with 4 battery options/sizes.</Size>
            <SupplierCode>BD</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4145</SubGroupID>
            <Suffix>AutoScan, 2.4GHz Wireless</Suffix>
            <ARTGs>
                <ARTG>282255</ARTG>
            </ARTGs>
            <MinimumBenefit>11392</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO069</BillingCode>
            <Name>Cochlear ™ Nucleus® CP910 Sound Processor (Initial)</Name>
            <Description>The Cochlear Nucleus CP910 Sound Processor is a behind-the-ear sound processor two built-in directional microphones</Description>
            <Size>There is only one size of the processing unit and coil.  There are two sizes for battery holder and cover.</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4145</SubGroupID>
            <Suffix>AutoScan, 2.4GHz Wireless</Suffix>
            <ARTGs>
                <ARTG>216062</ARTG>
            </ARTGs>
            <MinimumBenefit>11392</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO071</BillingCode>
            <Name>Cochlear ™ Nucleus® CP920 Sound Processor (Initial)</Name>
            <Description>The Cochlear Nucleus CP920 Sound Processor is a behind-the-ear sound processor with two built-in directional micophones.</Description>
            <Size>There is only one size of the processing unit and coil.  There are two sizes for battery holder and cover.</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4145</SubGroupID>
            <Suffix>AutoScan, 2.4GHz Wireless</Suffix>
            <ARTGs>
                <ARTG>216063</ARTG>
            </ARTGs>
            <MinimumBenefit>11392</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO080</BillingCode>
            <Name>Kanso®, Cochlear™ Nucleus® CP950 Sound Processor (Initial)</Name>
            <Description>An off-the-ear sound processor with two built-in directional microphones, wireless connectivity, and equivalent functionality to the Cochlear N6 behind-the-ear sound processor in a fully integrated single unit, enclosing radiofrequency (RF) coil, supplying power, and signals to internal implant.</Description>
            <Size>One size (40.9 mm x 35.2 mm x 11.4 mm)</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4145</SubGroupID>
            <Suffix>AutoScan, 2.4GHz Wireless</Suffix>
            <ARTGs>
                <ARTG>282194</ARTG>
            </ARTGs>
            <MinimumBenefit>11392</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO088</BillingCode>
            <Name>Kanso® 2, Cochlear™ Nucleus® CP1150 Sound Processor (Initial)</Name>
            <Description>The CP1150 Sound Processor (Kanso 2) is Cochlear’s next generation off-the-ear (OTE) style sound processor. Kanso 2 has the benefits of the latest sound processing technologies of the behind-the-ear (BTE) Cochlear™ Nucleus® 7  (N7). Compared to Kanso 1, Kanso 2 provides improved hearing performance in noise due to Spatial NR, and improved hearing experience and reduced user cost through buttonless interface, iOs and Android smartphone direct streaming and a rechargeable battery.  The initial Kanso 2 Kit provides multiple magnet strengths and range of battery charging options.</Description>
            <Size>One size, multiple magnet strengths and range of battery charging options</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4145</SubGroupID>
            <Suffix>AutoScan, 2.4GHz Wireless</Suffix>
            <ARTGs>
                <ARTG>351996</ARTG>
            </ARTGs>
            <MinimumBenefit>11392</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>US032</BillingCode>
            <Name>RONDO 3 Audio Processor (initial)</Name>
            <Description>A Single Unit off-the-ear (OTE) audio processor for the MED-EL CI System, integrating two omni-directional microphones, coil, indicator LED, magnet &amp; electronics package, held in place over the implant by magnetic attraction. It features an integrated wirelessly rechargeable battery providing up to 24hr battery life, link monitoring, increased water resistance (IP68), datalogging, Adaptive Intelligence, Automatic Sound Management, wireless connectivity to assistive listening devices.</Description>
            <Size>One size - L 44.8 mm, W 35.7 mm, H 11.6 mm  (with 5 magnet strengths and 2 cover options)  </Size>
            <SupplierCode>US</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4145</SubGroupID>
            <Suffix>AutoScan, 2.4GHz Wireless</Suffix>
            <ARTGs>
                <ARTG>355351</ARTG>
            </ARTGs>
            <MinimumBenefit>11392</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>US014</BillingCode>
            <Name>SONNET EAS Audio Processor (initial)</Name>
            <Description>Audio processor worn behind the ear with dual omnidirectional microphone, water-resistance, datalogging, Automatic Sound Management, wireless connectivity to assistive listening devices, electric and electric acoustic stimulation modes</Description>
            <Size>One size</Size>
            <SupplierCode>US</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4145</SubGroupID>
            <Suffix>Electroacoustic</Suffix>
            <ARTGs>
                <ARTG>232487</ARTG>
            </ARTGs>
            <MinimumBenefit>12303</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BD027</BillingCode>
            <Name>Naida CI Electric Acoustic Solution</Name>
            <Description>The Naida CI Q90 sound processor is one part of a cochlear implant system that enables hearing. The other necessary parts of the system are the  implantable Cochlear Stimulator (ICS), headpiece and headpiece cable. The sound processor consists of two parts: the sound processor and battery power source. The Naida CI Q90 is compatible with the Naida CI Acoustic Earhook, supplying both electric and acoustic stimulation.</Description>
            <Size>The Naida CI Sound Processor comes in one size. The Naida CI Acoustic Earhook comes in 5 length options, and is available for left and right ear (10 configurations).</Size>
            <SupplierCode>BD</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4145</SubGroupID>
            <Suffix>Electroacoustic, AutoScan, 2.4GHz Wireless</Suffix>
            <ARTGs>
                <ARTG>282255</ARTG>
                <ARTG>300028</ARTG>
            </ARTGs>
            <MinimumBenefit>12796</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO064</BillingCode>
            <Name>Cochlear ™ Nucleus® CP910 Sound Processor Hybrid™ Mode (Initial)</Name>
            <Description>The Cochlear Nucleus CP910 Sound processor in "Hybrid Mode" facilitates electroacoustic stimulation of the cochlea</Description>
            <Size>There is only one size of the processing unit and coil.  There are two sizes for the battery holder and cover.</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4145</SubGroupID>
            <Suffix>Electroacoustic, AutoScan, 2.4GHz Wireless</Suffix>
            <ARTGs>
                <ARTG>216062</ARTG>
            </ARTGs>
            <MinimumBenefit>12796</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO066</BillingCode>
            <Name>Cochlear™ Nucleus® CP920 Sound Processor - Hybrid™ Mode (Initial)</Name>
            <Description>The Cochlear Nucleus CP920 Sound Processor in "Hybrid Mode" facilitates electroacoustic stimulation of the cochlea</Description>
            <Size>There is only one size of the processing unit and coil. There are two sizes for battery holder and cover.</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4145</SubGroupID>
            <Suffix>Electroacoustic, AutoScan, 2.4GHz Wireless</Suffix>
            <ARTGs>
                <ARTG>216063</ARTG>
            </ARTGs>
            <MinimumBenefit>12796</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO081</BillingCode>
            <Name>Cochlear™ Nucleus® CP1000 Sound Processor - Hybrid™ Mode (initial)</Name>
            <Description>The CP1000 (Nucleus 7, N7) - Hybrid Mode is a behind-the-ear (BTE) sound processor that is designed to function in a similar manner to the CP900 series (CP910/920) (Nucleus 6, N6) sound processor but with new architectural design, which provides improved battery life and MFi wireless connectivity directly with iOS devices via Smart App. The CP1000 in hybrid mode facilitates acoustic stimulation in the cochlea.</Description>
            <Size>There is one size of the sound processor unit with 3 battery options and 7 different magnet strengths.</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4145</SubGroupID>
            <Suffix>Electroacoustic, AutoScan, 2.4GHz Wireless</Suffix>
            <ARTGs>
                <ARTG>292000</ARTG>
            </ARTGs>
            <MinimumBenefit>12796</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>US025</BillingCode>
            <Name>SONNET 2 EAS Audio Processor</Name>
            <Description>Audio processor with electric and electric acoustic stimulation modes, worn behind the ear with dual omnidirectional microphone, water-resistance, enhanced datalogging and signal processing, Adaptive Intelligence, Automatic Sound Management, wireless connectivity to assistive listening devices</Description>
            <Size>one size with 3 battery options and various magnet strengths</Size>
            <SupplierCode>US</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4145</SubGroupID>
            <Suffix>Electroacoustic, AutoScan, 2.4GHz Wireless</Suffix>
            <ARTGs>
                <ARTG>319472</ARTG>
            </ARTGs>
            <MinimumBenefit>12796</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO048</BillingCode>
            <Name>Cochlear™ Nucleus® CP810 Sound Processor - INITIAL</Name>
            <Description>The ear level sound processor of the Nucleus 5 cochlear implant system with multiple wearing options and a remote control.</Description>
            <Size>One size</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4145</SubGroupID>
            <ARTGs>
                <ARTG>165764</ARTG>
            </ARTGs>
            <MinimumBenefit>10925</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OI036</BillingCode>
            <Name>Neuro 2 Sound Processor</Name>
            <Description>The behind the ear Neuro 2 sound processor performs with the Neuro Zti cochlear implants. It consists of two microphones allowing for 3 automatic adaptive directionality modes, voice tracker and wind noise reduction features.   Its benefits include: smaller and more cosmetically appealing design and rechargeable batteries.    The processor is placed on the auricle of the either one of the patient's ears and an external antenna transmits the acoustic signal processed by the processor, by means of electromagnetic induction, to the internal component implanted beneath the skin and secured onto the mastoid.</Description>
            <Size>One size</Size>
            <SupplierCode>OI</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4145</SubGroupID>
            <ARTGs>
                <ARTG>316140</ARTG>
            </ARTGs>
            <MinimumBenefit>10925</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>US022</BillingCode>
            <Name>RONDO 2 Audio Processor</Name>
            <Description>A Single Unit audio processor for the MED-EL Cochlear Implant System, integrating microphone, telecoil, coil cable, indicator LED, magnet &amp; electronics package worn off the ear and held in place by magnetic attraction.  It features an integrated wirelessly rechargeable battery, link-check function and water resistance (IP54).</Description>
            <Size>one size - L 45.5 mm, W 35.7 mm, H 11.7 mm</Size>
            <SupplierCode>US</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4145</SubGroupID>
            <ARTGs>
                <ARTG>307121</ARTG>
            </ARTGs>
            <MinimumBenefit>10925</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BD025</BillingCode>
            <Name>Naida CI Q90 Sound Processor (Replacement Order)</Name>
            <Description>The Naida CI Q90 sound processor is one part of a cochlear implant system that enables hearing. The other necessary parts of the system are the Implantable Cochlear Stimulator (ICS), headpiece and headpiece cable. The sound processor consists of two parts: the sound processor and battery power source. There are four battery options, including four sizes of Lithium Ion rechargeable PowerCel™ batteries. This facilitates electro-acoustic stimulation to the cochlear and wireless capability.</Description>
            <Size>There is only one size of the sound processing unitl.  There are four sizes of the battery.</Size>
            <SupplierCode>BD</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4147</SubGroupID>
            <Suffix>AutoScan, 2.4GHz Wireless</Suffix>
            <ARTGs>
                <ARTG>282255</ARTG>
                <ARTG>300028</ARTG>
            </ARTGs>
            <MinimumBenefit>8114</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO070</BillingCode>
            <Name>Cochlear ™ Nucleus® CP910 Sound Processor (Replacement)</Name>
            <Description>The Cochlear Nucleus CP910 Sound Processor is a behind-the-ear sound processor with two built-in directional microphones</Description>
            <Size>CO049</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4147</SubGroupID>
            <Suffix>AutoScan, 2.4GHz Wireless</Suffix>
            <ARTGs>
                <ARTG>216062</ARTG>
            </ARTGs>
            <MinimumBenefit>8114</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO072</BillingCode>
            <Name>Cochlear ™ Nucleus® CP920 Sound Processor (Replacement)</Name>
            <Description>The Cochlear Nucleus CP920 Sound Processor  is a behind-the-ear sound processor with two built-in directional microphones. It has no accessory port for cables.</Description>
            <Size>There is only one size of the processing unit and coil.  There are two sizes for battery holder and cover.</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4147</SubGroupID>
            <Suffix>AutoScan, 2.4GHz Wireless</Suffix>
            <ARTGs>
                <ARTG>216063</ARTG>
            </ARTGs>
            <MinimumBenefit>8114</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO079</BillingCode>
            <Name>Kanso®, Cochlear ™ Nucleus® CP950 Sound Processor (Replacement)</Name>
            <Description>An off-the-ear sound processor with two built-in directional microphones, wireless connectivity, and equivalent functionality to the Cochlear N6 behind-the-ear sound processor in a fully integrated single unit, enclosing radiofrequency (RF) coil, supplying power, and signals to internal implant.</Description>
            <Size>One size (40.9 mm x 35.2 mm x 11.4 mm)</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4147</SubGroupID>
            <Suffix>AutoScan, 2.4GHz Wireless</Suffix>
            <ARTGs>
                <ARTG>282194</ARTG>
            </ARTGs>
            <MinimumBenefit>8114</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO086</BillingCode>
            <Name>Kanso® 2, Cochlear™ Nucleus® CP1150 Sound Processor (Replacement)</Name>
            <Description>The CP1150 Sound Processor (Kanso 2) is Cochlear’s next generation off-the-ear (OTE) style sound processor. Kanso 2 has the benefits of the latest sound processing technologies of the behind-the-ear (BTE) Cochlear™ Nucleus® 7. Compared to Kanso 1, Kanso 2 provides improved hearing performance in noise due to Spatial NR, and improved hearing experience and reduced user cost through buttonless interface, iOs and Android smartphone direct streaming and a rechargeable battery. The Replacement Kanso 2 Kit provides a single magnet and battery charging option.</Description>
            <Size>One size, single magnet and battery charging option  </Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4147</SubGroupID>
            <Suffix>AutoScan, 2.4GHz Wireless</Suffix>
            <ARTGs>
                <ARTG>351996</ARTG>
            </ARTGs>
            <MinimumBenefit>8114</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>US031</BillingCode>
            <Name>RONDO 3 Audio Processor (Replacement)</Name>
            <Description>A Single Unit off-the-ear (OTE) audio processor for the MED-EL CI System, integrating two omni-directional microphones, coil, indicator LED, magnet &amp; electronics package, held in place over the implant by magnetic attraction. It features an integrated wirelessly rechargeable battery providing up to 24hr battery life, link monitoring, increased water  resistance (IP68), datalogging, Adaptive Intelligence, Automatic Sound Management, wireless connectivity to assistive listening devices.</Description>
            <Size>One size - L 44.8 mm, W 35.7 mm, H 11.6 mm (with 5 magnet strengths and 2 cover options)</Size>
            <SupplierCode>US</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4147</SubGroupID>
            <Suffix>AutoScan, 2.4GHz Wireless</Suffix>
            <ARTGs>
                <ARTG>355351</ARTG>
            </ARTGs>
            <MinimumBenefit>8114</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>US016</BillingCode>
            <Name>SONNET EAS Audio Processor (replacement)</Name>
            <Description>Audio processor worn behind the ear with dual omnidirectional microphones, water-resistance, data logging, Automatic Sound Management, wireless connectivity to assistive listening devices, electric and electric acoustic stimulation modes</Description>
            <Size>One size</Size>
            <SupplierCode>US</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4147</SubGroupID>
            <Suffix>Electroacoustic</Suffix>
            <ARTGs>
                <ARTG>232487</ARTG>
            </ARTGs>
            <MinimumBenefit>8612</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BD028</BillingCode>
            <Name>Naida CI Electric Acoustic Solution</Name>
            <Description>The Naida CI Q90 sound processor is one part of a cochlear implant system that enables  hearing. The other necessary parts of the system are the implantable Cochlear Stimulator  (ICS), headpiece and headpiece cable. The sound processor consists of two parts: the  sound processor and battery power source. The Naida CI Q90 is compatible with the Naida CI Acoustic Earhook, supplying both electric and acoustic stimulation.</Description>
            <Size>The Naida CI Sound Processor comes in one size. The Naida CI Acoustic Earhook comes  in 5 length options, and is available for left and right ear (10 configurations).</Size>
            <SupplierCode>BD</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4147</SubGroupID>
            <Suffix>Electroacoustic, AutoScan, 2.4GHz Wireless</Suffix>
            <ARTGs>
                <ARTG>282255</ARTG>
                <ARTG>300028</ARTG>
            </ARTGs>
            <MinimumBenefit>9078</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO065</BillingCode>
            <Name>Cochlear™ Nucleus CP910 Sound Processor Hybrid™ Mode (Replacement)</Name>
            <Description>The Cochlear Nucleus CP910 Sound Processor in "Hybrid Mode" facilitates electroacoustic stimulation to the cochlea</Description>
            <Size>There is only one size of the processing unit and coil.  There are two sizes for the battery holder.</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4147</SubGroupID>
            <Suffix>Electroacoustic, AutoScan, 2.4GHz Wireless</Suffix>
            <ARTGs>
                <ARTG>216062</ARTG>
            </ARTGs>
            <MinimumBenefit>9078</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO067</BillingCode>
            <Name>Cochlear™ Nucleus® CP920 sound Processor - Hybrid™ Mode (Replacement)</Name>
            <Description>The Cochlear Nucleus CP920 Sound Processor in "Hybrid Mode" facilatates electroacoustic stimulation of the cochlea.</Description>
            <Size>There is only one size of the processing unit and coil. There are two sizes for battery holder and cover.</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4147</SubGroupID>
            <Suffix>Electroacoustic, AutoScan, 2.4GHz Wireless</Suffix>
            <ARTGs>
                <ARTG>216063</ARTG>
            </ARTGs>
            <MinimumBenefit>9078</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO082</BillingCode>
            <Name>Cochlear™ Nucleus® CP1000 Sound Processor - Hybrid™ Mode (replacement)</Name>
            <Description>The CP1000 (Nucleus 7, N7) - Hybrid Model is a behind-the-ear (BTE) sound processor that is designed to function in a similar manner to the CP900 series (CP910/920) (Nucleus 6, N6) sound processor but with new architectural design, which provides improved battery life and MFi wireless connectivity directly with iOS devices via Smart App. The CP1000 in hybrid mode facilitates acoustic stimulation in the cochlea.</Description>
            <Size>There is one size of the sound processor unit with 3 battery options and 7 different magnet strengths.</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4147</SubGroupID>
            <Suffix>Electroacoustic, AutoScan, 2.4GHz Wireless</Suffix>
            <ARTGs>
                <ARTG>292000</ARTG>
            </ARTGs>
            <MinimumBenefit>9078</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>US024</BillingCode>
            <Name>SONNET 2 EAS Audio Processor (replacement)</Name>
            <Description>Audio processor with electric and electric acoustic stimulation modes, worn behind the ear with dual omnidirectional microphone, water-resistance, enhanced datalogging and signal processing, Adaptive Intelligence, Automatic Sound Management, wireless connectivity to assistive listening devices</Description>
            <Size>one size with 3 battery options and various magnet strengths</Size>
            <SupplierCode>US</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4147</SubGroupID>
            <Suffix>Electroacoustic, AutoScan, 2.4GHz Wireless</Suffix>
            <ARTGs>
                <ARTG>319472</ARTG>
            </ARTGs>
            <MinimumBenefit>9078</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BD015</BillingCode>
            <Name>Neptune Sound Processor replacement part is the external part of the cochlear implant system. Also includes Neptune Connect</Name>
            <Description>The Neptune Processor is an external component of the HiRes Bionic Ear System. The processor is intended to deliver HiResolution sound to a cochlear implant. Also includes Neptune Connect.</Description>
            <Size>One size. &#xD;
Processor: H x W X D: 26 x 18 x 60mm&#xD;
Neptune Connect Size:  H x W x D: 17 x 18 x 58mm</Size>
            <SupplierCode>BD</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4147</SubGroupID>
            <Suffix>Generation 4</Suffix>
            <ARTGs>
                <ARTG>198825</ARTG>
            </ARTGs>
            <MinimumBenefit>7648</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO049</BillingCode>
            <Name>Cochlear™ Nucleus® CP810 Sound Processor - REPLACEMENT</Name>
            <Description>The ear level sound processor of the Nucleus 5 cochlear implant system with multiple wearing options and a remote control.</Description>
            <Size>One size</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4147</SubGroupID>
            <Suffix>Generation 4</Suffix>
            <ARTGs>
                <ARTG>165764</ARTG>
            </ARTGs>
            <MinimumBenefit>7648</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OI037</BillingCode>
            <Name>Neuro 2 Sound Processor Replacement</Name>
            <Description>The behind the ear Neuro 2 sound processor performs with the Neuro Zti cochlear implants. It consists of two microphones allowing for three automatic adaptive directionality modes, voice tracker and wind noise reduction features.     Its benefits include: smaller and more cosmetically appealing design and rechargeable batteries.    The processor is placed on the auricle of the either one of the patient's ears and an external antenna transmits the acoustic signal processed by the processor, by means of electromagnetic induction, to the internal component implanted beneath the skin and secured onto the mastoid.</Description>
            <Size>One size</Size>
            <SupplierCode>OI</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4147</SubGroupID>
            <Suffix>Generation 4</Suffix>
            <ARTGs>
                <ARTG>316140</ARTG>
            </ARTGs>
            <MinimumBenefit>7648</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>US015</BillingCode>
            <Name>SONNET Audio Processor (Replacement)</Name>
            <Description>Audio processor worn behind the ear with dual omnidirectional microphones, water-resistance, data logging, Automatic Sound Management, wireless connectivity to assistive listening devices</Description>
            <Size>One size</Size>
            <SupplierCode>US</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4147</SubGroupID>
            <Suffix>Generation 4</Suffix>
            <ARTGs>
                <ARTG>232486</ARTG>
            </ARTGs>
            <MinimumBenefit>7648</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>US023</BillingCode>
            <Name>RONDO 2 Audio Processor - Replacement</Name>
            <Description>A Single Unit audio processor for the MED-EL Cochlear Implant System, integrating microphone, telecoil, coil cable, indicator LED, magnet &amp; electronics package worn off the ear and held in place by magnetic attraction. It features an integrated wirelessly rechargeable battery, link-check function and water resistance (IP54).</Description>
            <Size>one size - L 45.5 mm, W 35.7 mm, H 11.7 mm</Size>
            <SupplierCode>US</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1528</GroupID>
            <SubGroupID>4147</SubGroupID>
            <Suffix>Generation 4</Suffix>
            <ARTGs>
                <ARTG>307121</ARTG>
            </ARTGs>
            <MinimumBenefit>7648</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI193</BillingCode>
            <Name>Sophono Alpha Bone Conduction Hearing System, Sound Processor</Name>
            <Description>Alpha Sound Processor</Description>
            <Size>-</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4150</SubGroupID>
            <Suffix>Programmable</Suffix>
            <ARTGs>
                <ARTG>234099</ARTG>
            </ARTGs>
            <MinimumBenefit>6175</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO075</BillingCode>
            <Name>Cochlear Baha 5 Sound Processor</Name>
            <Description>The Cochlear Baha 5 Sound Processor (26,mm x 19mm x12mm) is a wireless-enabled smartphone compatible fully programmable head-word digital sound processor for the Baha Implantable Bone Conduction Hearing System</Description>
            <Size>One size (26mm x 19 mm x 12 mm)</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4150</SubGroupID>
            <Suffix>Programmable, Wireless-enabled</Suffix>
            <ARTGs>
                <ARTG>123987</ARTG>
            </ARTGs>
            <MinimumBenefit>6484</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO076</BillingCode>
            <Name>Cochlear Baha 5 SuperPower Sound Processor</Name>
            <Description>The Cochlear Baha 5 SuperPower sound processor is a powerful (up to 65dB HL) wireless-enabled, smartphone compatible, fully programmable, digital sound processor for the Baha Implantable Bone Conduction Hearing System. It is intended to be fitted as a head worn split system - it comprises a behind-the-ear (BTE) Sound Processing Unit, an Actuator unit, and a Cable between the BTE and the Actuator unit.</Description>
            <Size>One size</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4150</SubGroupID>
            <Suffix>Programmable, Wireless-enabled</Suffix>
            <ARTGs>
                <ARTG>123987</ARTG>
            </ARTGs>
            <MinimumBenefit>6484</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO077</BillingCode>
            <Name>Cochlear Baha 5 Power Sound Processor</Name>
            <Description>The Cochlear Baha 5 Power sound processor is a powerful (up to 55dB HL), wireless-enabled, smartphone compatible, fully programmable, digital sound processor for the Cochlear Baha 'Connect' and 'Attract' Implantable Bone Conduction Hearing Systems.</Description>
            <Size>One size</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4150</SubGroupID>
            <Suffix>Programmable, Wireless-enabled</Suffix>
            <ARTGs>
                <ARTG>123987</ARTG>
            </ARTGs>
            <MinimumBenefit>6484</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO087</BillingCode>
            <Name>Cochlear™ Baha® 6 Max Sound Processor </Name>
            <Description>The Baha 6 Max is Cochlear’s next generation off-the-ear (OTE) sound processor for use with Cochlear Baha 'Connect' and 'Attract' Implantable Bone Conduction Hearing Systems with a fitting range up to 55dB HL. Baha 6 Max has broader bandwidth at higher frequencies, iOS and Android smartphone direct streaming and smaller, lighter and more discreet OTE technology.</Description>
            <Size>1 x SP size with 2 options of the snap coupling sizes</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4150</SubGroupID>
            <Suffix>Programmable, Wireless-enabled</Suffix>
            <ARTGs>
                <ARTG>123987</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Sizes</ChangeExplanation>
            <MinimumBenefit>6484</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OI032</BillingCode>
            <Name>Ponto 3 Sound Processor</Name>
            <Description>A wireless enabled - fully programmable head worn sound processor for bone conduction hearing systems with full smart phone capabilities. Optional Superpower model, delivering higher output across the entire bandwidth.</Description>
            <Size>Ponto 3: 34x21x11mm&#xD;
Ponto 3 Power: 34x21x14mm&#xD;
Ponto 3 SuperPower: 34x21x14mm</Size>
            <SupplierCode>OI</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4150</SubGroupID>
            <Suffix>Programmable, Wireless-enabled</Suffix>
            <ARTGs>
                <ARTG>198104</ARTG>
            </ARTGs>
            <MinimumBenefit>6484</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OI038</BillingCode>
            <Name>Ponto 4 </Name>
            <Description>A wireless enabled - fully programmable head worn sound processor for bone conduction hearing systems with directionality paradigm offering analysis, balancing &amp; noise removal, IFTTT; together with programmable &amp; direct to smart phone capacity.</Description>
            <Size>One size (26 x 19 x 11 mm)</Size>
            <SupplierCode>OI</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4150</SubGroupID>
            <Suffix>Programmable, Wireless-enabled</Suffix>
            <ARTGs>
                <ARTG>198860</ARTG>
            </ARTGs>
            <MinimumBenefit>6484</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OI039</BillingCode>
            <Name>Ponto 5 Mini </Name>
            <Description>A wireless enabled - fully programmable head worn sound processor for bone conduction hearing systems with directionality paradigm offering analysis, balancing &amp; noise removal, IFTTT; together with programmable &amp; direct to smart phone capacity and remote care possibilities. Has the ability to detect, and prevent feedback from occurring. Ponto 5 Mini has the ability to be programmed using DSL (Desired Sensation Level) which is particularly beneficial to the paediatric population.  </Description>
            <Size>26 x 19 x 11 mm</Size>
            <SupplierCode>OI</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4150</SubGroupID>
            <Suffix>Programmable, Wireless-enabled</Suffix>
            <ARTGs>
                <ARTG>198860</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>6484</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>US017</BillingCode>
            <Name>Bonebridge Samba BB Audio Processor</Name>
            <Description>The Samba BB is a wireless enabled audio processor and the externally worn component of the Bonebridge System.  It connects to the implant through magnetic attraction. Fitting the Samba BB audio processor activates the Bonebridge.</Description>
            <Size>left and right versions, length = 35mm, width = 30mm, height = 10mm, weight &lt;9g (inc battery)</Size>
            <SupplierCode>US</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4150</SubGroupID>
            <Suffix>Programmable, Wireless-enabled</Suffix>
            <ARTGs>
                <ARTG>270912</ARTG>
            </ARTGs>
            <MinimumBenefit>6484</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>US030</BillingCode>
            <Name>SAMBA 2 BB Audio Processor</Name>
            <Description>Single Unit audio processor for the Bonebridge System, worn off the ear it is held in place by magnetic attraction over the implant. Designed to function similarly as the SAMBA BB audio processor with improved battery life, noise reduction, ingress protection  and Intelligent Sound Adapter 2.0</Description>
            <Size>One Size - left/right versions with various magnet strengths, length = 36.4mm, width = 30.4mm, height = 10.2mm, weight 9.3g (inc battery)</Size>
            <SupplierCode>US</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4150</SubGroupID>
            <Suffix>Programmable, Wireless-enabled, Autoscan</Suffix>
            <ARTGs>
                <ARTG>353072</ARTG>
            </ARTGs>
            <MinimumBenefit>6808</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO050</BillingCode>
            <Name>Baha BA210 Abutment</Name>
            <Description>Titanium abutments compatible with hexagonal coupling Baha implants</Description>
            <Size>5.5mm and 8.5mm</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4151</SubGroupID>
            <Suffix>Abutment</Suffix>
            <ARTGs>
                <ARTG>123984</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OI025</BillingCode>
            <Name>Ponto Abutment</Name>
            <Description>Bone anchor abutment with connection screw</Description>
            <Size>Length: 6 - 14mm&#xD;
Straight and angled</Size>
            <SupplierCode>OI</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4151</SubGroupID>
            <Suffix>Abutment</Suffix>
            <ARTGs>
                <ARTG>198759</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO052</BillingCode>
            <Name>Baha BA300 abutment.</Name>
            <Description>Titanium abutment of the Baha BI300 implant system.</Description>
            <Size>6 mm and 9 mm</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4151</SubGroupID>
            <Suffix>Abutment &amp; Concave</Suffix>
            <ARTGs>
                <ARTG>123984</ARTG>
            </ARTGs>
            <MinimumBenefit>889</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO032</BillingCode>
            <Name>Flange fixture - self tapping fixture with pre-mounted abutment</Name>
            <Description>Self tapping titanium flange fixture with abutment in two sizes:  3mm and 4mm</Description>
            <Size>Self Tapping 4mm and 3mm with BAHA Abutment</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4151</SubGroupID>
            <Suffix>Abutment &amp; Fixture</Suffix>
            <ARTGs>
                <ARTG>123984</ARTG>
            </ARTGs>
            <MinimumBenefit>1833</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI194</BillingCode>
            <Name>Sophono Alpha Bone Conduction Hearing System, Implant</Name>
            <Description>Alpha Implant</Description>
            <Size>-</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4151</SubGroupID>
            <Suffix>Abutment &amp; Fixture</Suffix>
            <ARTGs>
                <ARTG>272642</ARTG>
            </ARTGs>
            <MinimumBenefit>1833</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OI026</BillingCode>
            <Name>Ponto Abutment and Implant</Name>
            <Description>Bone anchor implant and abutment with connection screw</Description>
            <Size>Diameter: 3.75 - 4.5mm&#xD;
Length: Fixture 3 - 4mm, Abutment 6 -14mm</Size>
            <SupplierCode>OI</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4151</SubGroupID>
            <Suffix>Abutment &amp; Fixture</Suffix>
            <ARTGs>
                <ARTG>198759</ARTG>
            </ARTGs>
            <MinimumBenefit>1833</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO063</BillingCode>
            <Name>Cochlear ™ Baha® BIA400 Implant with Abutment</Name>
            <Description>Pre-mounted self-tapping titanium implant with TiOblast™ surface and coated Abutment with hydroxyapatite (HA) coating for Baha FAST surgery</Description>
            <Size>4mm implant with pre-mounted 6mm, 8mm, 10mm, or 12mm , or 14mm abutment</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4151</SubGroupID>
            <Suffix>Abutment &amp; Fixture, HA</Suffix>
            <ARTGs>
                <ARTG>123984</ARTG>
            </ARTGs>
            <MinimumBenefit>2087</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO053</BillingCode>
            <Name>Baha BIA300 implants with abutments</Name>
            <Description>Self tapping titanium implant with pre-mounted abutment of the Baha 3  system, for the Baha FAST surgery.</Description>
            <Size>3mm implant with 6mm abutment, 4mm implant with 6mm abutment, 4mm implant with 9mm abutment.</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4151</SubGroupID>
            <Suffix>Abutment, Fixture &amp; Concave</Suffix>
            <ARTGs>
                <ARTG>123984</ARTG>
            </ARTGs>
            <MinimumBenefit>1916</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OI031</BillingCode>
            <Name>Ponto BHX Implant and Abutment</Name>
            <Description>A laser-ablated titanium surface implant using Biohelix™ (BHX) and abutment&#xD;
with connection screw.</Description>
            <Size>Diameter: 3.75 - 4.5mm&#xD;
Length: Fixture 3 - 4mm&#xD;
Abutment: 6 -14mm</Size>
            <SupplierCode>OI</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4151</SubGroupID>
            <Suffix>Abutment, Fixture &amp; Concave</Suffix>
            <ARTGs>
                <ARTG>198759</ARTG>
            </ARTGs>
            <MinimumBenefit>1916</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OI024</BillingCode>
            <Name>Ponto Implant</Name>
            <Description>Bone anchor implant</Description>
            <Size>Diameter: 3.75 - 4.5mm&#xD;
Length: 3 - 4mm</Size>
            <SupplierCode>OI</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4151</SubGroupID>
            <Suffix>Fixture</Suffix>
            <ARTGs>
                <ARTG>198759</ARTG>
            </ARTGs>
            <MinimumBenefit>983</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO051</BillingCode>
            <Name>Baha® BI300 Implant</Name>
            <Description>Titanium self-tapping implant with TiOblast surface of the Baha 3 system</Description>
            <Size>3mm and 4 mm</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4151</SubGroupID>
            <Suffix>Fixture &amp; Concave</Suffix>
            <ARTGs>
                <ARTG>123984</ARTG>
            </ARTGs>
            <MinimumBenefit>1028</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OI030</BillingCode>
            <Name>Ponto BHX Implant</Name>
            <Description>A laser-ablated titanium surface implant using Biohelix™ (BHX).</Description>
            <Size>Length: 3mm, 4mm</Size>
            <SupplierCode>OI</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4151</SubGroupID>
            <Suffix>Fixture &amp; Concave</Suffix>
            <ARTGs>
                <ARTG>198759</ARTG>
            </ARTGs>
            <MinimumBenefit>1028</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO062</BillingCode>
            <Name>Cochlear™ Baha®  BA400 DermaLock™ Abutment</Name>
            <Description>Titanium abutment with hydroxyapatite (HA) coating</Description>
            <Size>6mm, 8mm, 10mm, 12mm, 14mm</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4151</SubGroupID>
            <Suffix>HA</Suffix>
            <ARTGs>
                <ARTG>123984</ARTG>
            </ARTGs>
            <MinimumBenefit>1059</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>US027</BillingCode>
            <Name>BCI 602 Implant</Name>
            <Description>Active transcutaneous bone conduction implant consisting of attachment magnet, receiver coil, Bone Conduction-Floating Mass Transducer (BC-FMT) with electronics, bendable transition to FMT, implanted under intact skin</Description>
            <Size>one size - 28.3 (w) x 64.3 (l) x 8.6 (h) mm</Size>
            <SupplierCode>US</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4151</SubGroupID>
            <Suffix>Implanted Transducer, Magnetic Coupler</Suffix>
            <ARTGs>
                <ARTG>329050</ARTG>
            </ARTGs>
            <MinimumBenefit>2222</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>US026</BillingCode>
            <Name>BCI 602 Lifts (1mm)</Name>
            <Description>BCI 602 Lifts (1mm) can be implanted together with the Bonebridge BCI 602, attached to the fixation wings of the BCI 602, serving as a spacer to increase distance between the fixation wings and the skull bone.</Description>
            <Size>1mm</Size>
            <SupplierCode>US</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4151</SubGroupID>
            <Suffix>Lifts</Suffix>
            <ARTGs>
                <ARTG>329049</ARTG>
            </ARTGs>
            <MinimumBenefit>196</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO068</BillingCode>
            <Name>Cochlear™ Baha® BIM400 Implant Magnet</Name>
            <Description>The Cochlear Baha BIM400 is an implantable magnet that lies completely under the skin</Description>
            <Size>One size</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4151</SubGroupID>
            <Suffix>Magnetic Coupling</Suffix>
            <ARTGs>
                <ARTG>123984</ARTG>
            </ARTGs>
            <MinimumBenefit>1059</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO028</BillingCode>
            <Name>BAHA - Cover screw unigrip</Name>
            <Description>Titanium cover screws, individually packaged and delivered sterile.  The cover screws are used to prevent bone overgrowth of the implant.</Description>
            <Size>One size only</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4152</SubGroupID>
            <ARTGs>
                <ARTG>123984</ARTG>
            </ARTGs>
            <MinimumBenefit>135</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CO054</BillingCode>
            <Name>Baha Cover Screw conical</Name>
            <Description>Titanium cover screw of the Baha BI300 implant system used in the two-stage surgery.</Description>
            <Size>One size</Size>
            <SupplierCode>CO</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4152</SubGroupID>
            <ARTGs>
                <ARTG>123984</ARTG>
            </ARTGs>
            <MinimumBenefit>135</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OI027</BillingCode>
            <Name>Ponto Healing Cap</Name>
            <Description>Cover screw</Description>
            <Size>One size only</Size>
            <SupplierCode>OI</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4152</SubGroupID>
            <ARTGs>
                <ARTG>198868</ARTG>
            </ARTGs>
            <MinimumBenefit>135</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OI028</BillingCode>
            <Name>Ponto Cover Screw</Name>
            <Description>Cover screw</Description>
            <Size>One size only</Size>
            <SupplierCode>OI</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1560</GroupID>
            <SubGroupID>4152</SubGroupID>
            <ARTGs>
                <ARTG>198759</ARTG>
            </ARTGs>
            <MinimumBenefit>135</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET072</BillingCode>
            <Name>Eclipse Piston</Name>
            <Description>Stapes: Nitinol, Fluroplastic</Description>
            <Size>Diameter 0.4mm: 3.75mm - 6.00mm; Diameter 0.5mm: 3.75mm - 6.00mm;  Diameter 0.6mm: 3.75mm - 6.00mm</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>4154</SubGroupID>
            <ARTGs>
                <ARTG>170281</ARTG>
            </ARTGs>
            <MinimumBenefit>94</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC918</BillingCode>
            <Name>The Big Easy Piston</Name>
            <Description>Big Easy Range - MRI Safe, Triple Width Platinum Band, Double Width Platinum Shaft with Offset Versions</Description>
            <Size>0.4 - 1.17mm x 0.9 - 4.0mm x 4.0 x 10.2mm; 4.0 - 4.75mm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>4154</SubGroupID>
            <ARTGs>
                <ARTG>125831</ARTG>
            </ARTGs>
            <MinimumBenefit>94</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI079</BillingCode>
            <Name>Middle ear prostheses</Name>
            <Description>Stapes</Description>
            <Size>0.4-1.17mm x 0.9-4.0 x 4.0 x4.0-10.2mm; 4.0 - 4.75mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>4154</SubGroupID>
            <ARTGs>
                <ARTG>125831</ARTG>
            </ARTGs>
            <MinimumBenefit>94</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL012</BillingCode>
            <Name>Canal Wall Prosthesis</Name>
            <Description>Grote, HA</Description>
            <Size>Small - Large</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>4154</SubGroupID>
            <ARTGs>
                <ARTG>123372</ARTG>
            </ARTGs>
            <MinimumBenefit>94</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL014</BillingCode>
            <Name>Ossicular Prosthesis</Name>
            <Description>Attic Defect Plate, HA</Description>
            <Size>7-14mm</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>4154</SubGroupID>
            <ARTGs>
                <ARTG>123372</ARTG>
            </ARTGs>
            <MinimumBenefit>94</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL089</BillingCode>
            <Name>Stapes</Name>
            <Description>De La Cruz&#xD;
House-Type&#xD;
Lippy Modified&#xD;
Classic&#xD;
Richards Bucket Handle</Description>
            <Size>Various</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>4154</SubGroupID>
            <ARTGs>
                <ARTG>123372</ARTG>
            </ARTGs>
            <MinimumBenefit>94</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL091</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OL018</PriorBillingCode>
                <PriorBillingCode>OL022</PriorBillingCode>
                <PriorBillingCode>OL023</PriorBillingCode>
                <PriorBillingCode>OL024</PriorBillingCode>
                <PriorBillingCode>OL025</PriorBillingCode>
                <PriorBillingCode>OL075</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Stapes</Name>
            <Description>Causse Pistons,&#xD;
Cawthorne Pistons,&#xD;
Fisch-Type Pistons,&#xD;
Fluoroplastic Pistons,&#xD;
McGee Pistons,&#xD;
Richards Platinum Fluoroplastic Pistons,&#xD;
Schuknecht Pistons,&#xD;
Schuknecht Malleus Attached Pistons&#xD;
SMart Pistons,&#xD;
SMart 360 Pistons&#xD;
SMart Malleus</Description>
            <Size>Various sizes</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>4154</SubGroupID>
            <ARTGs>
                <ARTG>123372</ARTG>
            </ARTGs>
            <MinimumBenefit>94</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>UP003</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>LM332</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Stapes</Name>
            <Description>a) NiTiBOND   b) Soft CliP   c) K-Piston   d) Angular Piston   e) CliP Piston aWengen   f) CliP Piston MVP  g) Lenticle Cup</Description>
            <Size>a) Diameter - 0.4 or 0.6mm in lengths - 3.5 to 5.5mm   b)  Diameter - 0.4 or 0.6mm in lengths 3.5 to 5.5mm   c) Diameter - 0.4 or 0.6mm in lengths 3.5 to 10mm   d) Diameter 0.4 or 0.6mm in lengths 4.25, 4.5, 4.75mm   e) Diameter - 0.4mm or 0.6mm in lengths 3.5 to 5.5mm   f) Diameter 0.4 or 0.6mm in lengths - 5 to 6.25mm  g) lengths - 3 to 4.5mm</Size>
            <SupplierCode>UP</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>4154</SubGroupID>
            <ARTGs>
                <ARTG>119746</ARTG>
            </ARTGs>
            <MinimumBenefit>94</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC919</BillingCode>
            <Name>Middle Ear Prosthesis</Name>
            <Description>Malleus</Description>
            <Size>0.6 - 4.0mm x 2.7 - 5.0mm x 1.5 - 10.0mm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>4155</SubGroupID>
            <ARTGs>
                <ARTG>125831</ARTG>
            </ARTGs>
            <MinimumBenefit>172</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET073</BillingCode>
            <Name>Eclipse Malleus Piston</Name>
            <Description>Malleus &amp; Stapes: Nitinol, Fluoroplastic</Description>
            <Size>Diamater 0.6mm: 5.5mm-8.00mm</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>4156</SubGroupID>
            <ARTGs>
                <ARTG>170281</ARTG>
            </ARTGs>
            <MinimumBenefit>325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI076</BillingCode>
            <Name>Middle Ear Prostheses</Name>
            <Description>Partial Ossicular Reconstruction Implant - malleus + incus</Description>
            <Size>0.6-2.5 x 2.2-8.8 x 3.5 -10mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>4156</SubGroupID>
            <ARTGs>
                <ARTG>125831</ARTG>
            </ARTGs>
            <MinimumBenefit>325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL088</BillingCode>
            <Name>Ossicular Prosthesis - PORP</Name>
            <Description>Shea&#xD;
Micron Monolithic</Description>
            <Size>Various sizes</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>4156</SubGroupID>
            <ARTGs>
                <ARTG>123372</ARTG>
            </ARTGs>
            <MinimumBenefit>325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL094</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OL016</PriorBillingCode>
                <PriorBillingCode>OL017</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Ossicular Prosthesis - PORP</Name>
            <Description>Drum-to-Stapes&#xD;
Goldenberg Malleable &#xD;
Modified&#xD;
Off-Centered&#xD;
Sheehy Modified</Description>
            <Size>Various</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>4156</SubGroupID>
            <ARTGs>
                <ARTG>123372</ARTG>
            </ARTGs>
            <MinimumBenefit>325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RC010</BillingCode>
            <Name>Stapes Prosheses</Name>
            <Description>For reconstruction of the sound conduction chain between middle ear and inner ear through replacement of the stapes. The body of the implant consists of a columella (which in some product versions can be shortened) and a flat band. The columella is inserted in the opened Vestibulum auris through the trepanated stapes foot-plate. The flat band is placed around the long process of the incus. The implants are available in various versions and materials:&#xD;
• Titanium: Columella and flat band made of titanium;&#xD;
• Platinum/PTFE: Columella made of polytetrafluoroethylene (PTFE), flat band made of platinum (Pt);&#xD;
• Nitinol/PTFE: Columella made of polytetrafluoroethylene (PTFE), flat band made of nitinol.</Description>
            <Size>Stapes Prostheses Nitinol/PTFE, 1 piece, sterile, Wire diam: 0.2 mm, PTFE shaft diam: 0.4 &amp; 0.6 mm, Incus diam. small standard, large; length 5.25, 5.50, 5.75, 7.00 (shortenable)&#xD;
Stapes Prostheses Platinum/PTFE, 1 piece, sterile; piston diam. 0.4 &amp; 0.6 mm; length 5.25, 5.50, 5.75, 7.00 (shortenable), 10.00 (shortenable)&#xD;
Stapes Prostheses Titanium, 1 piece, sterile; piston diam. 0.4 &amp; 0.6 mm; length 5.25, 5.50, 5.75, 8.00 (shortenable)</Size>
            <SupplierCode>RC</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>4156</SubGroupID>
            <ARTGs>
                <ARTG>290802</ARTG>
            </ARTGs>
            <MinimumBenefit>325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RC012</BillingCode>
            <Name>PORP - Partial Ossicular Replacement Prosthesis</Name>
            <Description>Partial implant made of titanium, for reconstructing a (partially) destroyed middle ear ossicular chain (chain of sound transmission) between the stapes and the tympanic membrane level in fixed and variable lengths. &#xD;
Fixed - The implant body is a single piece and was made from a single part only, i.e. it has no susceptible material bonding points such as weld seams. The implant can be subdivided into three areas: 1.) the implant bell that is offered in 2 embodiments: Unslitted and slitted; 2.) the implant shaft; 3.) the perforated implant plate. The implant plate can be arranged centrically (round) towards the implant shaft or eccentrically (oval). In the eccentric version (oval), an additional groove has been worked into the plate to improve receiving the malleus handle. &#xD;
Variable - The implant body consists of two parts, a shortenable shaft that is firmly bound to the prosthesis bell, and a prosthesis plate that has been provided with a borehole in its underside. The borehole has been dimensionally designed in such a way that it can receive the shaft after the latter has been adapted lengthwise to the respective situation in the middle ear. &#xD;
The surface of the predefined contact point (upper side of implant plate and inner side of the bell) is roughened in order to facilitate better bonding to the eardrum resp. the stapes head.</Description>
            <Size>Central Head with slitted Bell - shaft diam. 0.3mm, Length 0.5 - 3.5mm&#xD;
Offset Head with slitted Bell - shaft diam. 0.3mm, Length 0.5 - 3.5mm&#xD;
Central Head with Complete Bell - shaft diam. 0.3mm, Length 0.5 - 3.5mm&#xD;
Partial Titanium Implant with Separate Head, shaft 0 0.3 mm, Length 5.5-2.5mm (variable)&#xD;
Partial Titanium Implant with Separate Head, shaft 0 0.3 mm, Length 5.5-2.0mm (variable)</Size>
            <SupplierCode>RC</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>4156</SubGroupID>
            <ARTGs>
                <ARTG>290802</ARTG>
            </ARTGs>
            <MinimumBenefit>325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>UP002</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>LM329</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Partial Ossicle Replacement</Name>
            <Description>a) TTP Tuebingen Type bell   b) CliP Dresden Type   c) Malleus   d) Angular Plester   e) Angular CliP   f) TTP - Vario Bell TTP - Variac System, Partial  g) CliP Partial FlexBAL  h) Duesseldorf Type Partial</Description>
            <Size>a) length 1.75 to 3.5mm  b) length 1.75 to 3.5mm   c) length 1.75 to 3.5mm   d) length 2.25 or 3.25mm   e) length 2.25 or 3.25mm   f) one size  g) length 1.75 to 3.5mm  h) length 1.75 to 4.5mm</Size>
            <SupplierCode>UP</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>4156</SubGroupID>
            <ARTGs>
                <ARTG>119746</ARTG>
            </ARTGs>
            <MinimumBenefit>325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>UP004</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>LM338</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Stapes</Name>
            <Description>Stapes Prosthesis</Description>
            <Size>Ø 0.4mm, Ø 0.5mm &amp; Ø 0.6mm  Lengths 3.50mm - 5.50mm</Size>
            <SupplierCode>UP</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>4156</SubGroupID>
            <ARTGs>
                <ARTG>119746</ARTG>
            </ARTGs>
            <MinimumBenefit>325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KG014</BillingCode>
            <Name>ALTO Prosthesis</Name>
            <Description>Adjustable Length Titanium Ossicular Chain Reconstruction Prosthesis</Description>
            <Size>Head Size: 1.5mm x 2.5mm / 2mm x 2.5mm / 2mm x 3.3mm / 2.5mm x 3.5mm / 4mm x 3.25mm.  Length: 0.75mm -  8.6mm.  Distal Diameter: 0.4mm - 1.45mm.</Size>
            <SupplierCode>KG</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>4157</SubGroupID>
            <ARTGs>
                <ARTG>170281</ARTG>
            </ARTGs>
            <MinimumBenefit>365</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI075</BillingCode>
            <Name>Middle Ear Prostheses</Name>
            <Description>Total Ossicular Reconstruction Implants</Description>
            <Size>0.6-0.8mm x 3.0-4.0mm x 7.0-8.0mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>4157</SubGroupID>
            <ARTGs>
                <ARTG>125831</ARTG>
            </ARTGs>
            <MinimumBenefit>365</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL073</BillingCode>
            <Name>Dornhoffer Prostheses</Name>
            <Description>Hydroxyapetite head/HAPEX shaft PORP and TORP</Description>
            <Size>0.8mm Shaft Dia TORP, 1.3mm Shaft Diameter PORP</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>4157</SubGroupID>
            <ARTGs>
                <ARTG>123372</ARTG>
            </ARTGs>
            <MinimumBenefit>365</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL092</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OL019</PriorBillingCode>
                <PriorBillingCode>OL020</PriorBillingCode>
                <PriorBillingCode>OL021</PriorBillingCode>
                <PriorBillingCode>OL074</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Ossicular Prosthesis - TORP</Name>
            <Description>Black Spanner Strut&#xD;
Black Oval-Top PORP/Universal/TORP&#xD;
Micron Adjustable Titanium PORP/TORP&#xD;
Causse Modified TORP&#xD;
Fisch-Type TORP&#xD;
Shea TORP &#xD;
Sheehy Modified TORP</Description>
            <Size>Various sizes</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>4157</SubGroupID>
            <ARTGs>
                <ARTG>123372</ARTG>
            </ARTGs>
            <MinimumBenefit>365</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL093</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OL013</PriorBillingCode>
                <PriorBillingCode>OL015</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Ossicular Prosthesis - Incus/Stapes</Name>
            <Description>a) Applebaum Incudostapedial Joint&#xD;
b) Goldenberg Incus&#xD;
c) Wehrs Incus (Single &amp; Double Notch)&#xD;
d) Wehrs II Incus-Stapes (Single Notch)&#xD;
e) Kartush Incus-Stapes Strut&#xD;
f) Goldenberg Incus-Stapes</Description>
            <Size>a) small - large&#xD;
b) one size only&#xD;
c) short, average, medium&#xD;
d) short, average, medium, long&#xD;
e) short, medium, long&#xD;
f) one size only</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>4157</SubGroupID>
            <ARTGs>
                <ARTG>123372</ARTG>
            </ARTGs>
            <MinimumBenefit>365</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RC011</BillingCode>
            <Name>TORP - Total Ossicular Replacement Prosthesis</Name>
            <Description>Total implant made of titanium, for reconstructing a destroyed middle-air ossicular chain (chain of sound transmission) between the footplate of the stirrup bone and the plane of the eardrum.&#xD;
The implants are available in fixed length and adjustable versions for shortening. The implant can be subdivided into three areas: 1.) the implant shoe; 2.) the implant shaft; 3.) the perforated implant plate. The implant plate can be arranged centrically (round) towards the implant shaft or eccentrically (oval). In the eccentric version (oval, fixed length only), an additional groove has been worked into the plate to improve receiving the malleus handle. The surface of the predefined contact points (upper side of implant plate and implant shoe) is roughened in order to facilitate better bonding to the eardrum resp. the stapes footplate. To improve the adaptation of the implant plate to the plane of the eardrum, the angle between the implant plate and shaft can be optimally adapted because the shaft below the implant plate tapers off (onwards from a total length of 3.5 mm). The product is available in different lengths. The length information is stated both on the outer package as well as on the product’s sterile packaging.</Description>
            <Size>Fixed Length&#xD;
Central Head shaft diam. 0.3 mm Length 3.00 mm&#xD;
Central Head shaft diam. 0.3 mm Length 3.50 mm&#xD;
Central Head shaft diam. 0.3 mm Length 4.00 mm&#xD;
Central Head shaft diam. 0.3 mm Length 4.25 mm&#xD;
Central Head shaft diam. 0.3 mm Length 4.50 mm&#xD;
Central Head shaft diam. 0.3 mm Length 4.75 mm&#xD;
Central Head shaft diam. 0.3 mm Length 5.00 mm&#xD;
Central Head shaft diam. 0.3 mm Length 5.50 mm&#xD;
Central Head shaft diam. 0.3 mm Length 6.00 mm&#xD;
Central Head shaft diam. 0.3 mm Length 6.50 mm&#xD;
Central Head shaft diam. 0.3 mm Length 7.00 mm&#xD;
Offset Head shaft diam. 0.3 mm Length 3.00 mm&#xD;
Offset Head shaft diam. 0.3 mm Length 3.50 mm&#xD;
Offset Head shaft diam. 0.3 mm Length 4.00 mm&#xD;
Offset Head shaft diam. 0.3 mm Length 4.25 mm&#xD;
Offset Head shaft diam. 0.3 mm Length 4.50 mm&#xD;
Offset Head shaft diam. 0.3 mm Length 4.75 mm&#xD;
Offset Head shaft diam. 0.3 mm Length 5.00 mm&#xD;
Offset Head shaft diam. 0.3 mm Length 5.50 mm&#xD;
Offset Head shaft diam. 0.3 mm Length 6.00 mm&#xD;
Offset Head shaft diam. 0.3 mm Length 6.50 mm&#xD;
Offset Head shaft diam. 0.3 mm Length 7.00 mm&#xD;
Shortenable&#xD;
Total Titanium Implant with Separate Shoe shaft diam. 0.4 mm Length 7.8-2.8 &#xD;
mm&#xD;
Total Titanium Implant with Separate Shoe shaft diam. 0.4 mm Length 7.8-2.3 &#xD;
mm&#xD;
Total Titanium Implant with Separate Shoe shaft diam. 0.4 mm Length 7.8-3.5 &#xD;
mm&#xD;
Total Titanium Implant with Separate Shoe shaft diam. 0.4 mm Length 7.8-3.0 &#xD;
mm&#xD;
Adjustable Titanium Implant with Separate Shoe, shaft diam. 0.4 mm Length 7.8-2.8 mm&#xD;
Adjustable Titanium Implant with Separate Shoe, shaft diam. 0.4 mm Length 7.8-2.3 mm</Size>
            <SupplierCode>RC</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>4157</SubGroupID>
            <ARTGs>
                <ARTG>290802</ARTG>
            </ARTGs>
            <MinimumBenefit>365</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>UP001</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>LM328</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Total Ossicle Replacement</Name>
            <Description>a) TTP Tuebingen Type Aerial Type   b) TTB-Vario Aerial    c) TTP Variac System Total   d) Malleus Notch Prosthesis   e) Regensburg Type Total Prosthesis  f) Malleus Replacement  g) Duesseldorf Type Total  h) Omega Connector</Description>
            <Size>a) Length - 3 to to 7mm   b) one size only  c) one size only   d) Length - 3 to 7mm   e) Length - 4 to 5mm  f) one size only  g) lengths - 3 to 7mm  h) length - 0.5mm</Size>
            <SupplierCode>UP</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>4157</SubGroupID>
            <ARTGs>
                <ARTG>119747</ARTG>
            </ARTGs>
            <MinimumBenefit>365</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>US019</BillingCode>
            <Name>Vibrant Soundbridge System - Vibroplasty Couplers</Name>
            <Description>Middle ear prostheses used with the Vibrant Soundbridge System VORP implant.  Facilitate coupling between the FMT and a vibratory structure of the middle ear.</Description>
            <Size>Functional length:  Vibroplasty-OW-Coupler - 2.50, 3.00, 3.50, 4.00mm  Vibroplasty-CliP-Coupler - 0.20, 0.50, 1.00, 1.50mm  Vibroplasty-Bell-Coupler - 0.20, 0.50, 1.00, 1.50mm  Vibroplasty-RW-Coupler - 0.85mm  Incus-Symphonix-Coupler - Left and Right (2.5 x 3.3mm)  Incus-LP-Coupler - Left and Right (2.8 x 3.8mm)   Incus-SP-Coupler (2.9 x 4.4mm)  RW-Soft-Coupler (1 x 1.5mm)  Stapes-SH-Coupler (3.5 x 4.1mm)</Size>
            <SupplierCode>US</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>6521</SubGroupID>
            <Suffix>Coupler</Suffix>
            <ARTGs>
                <ARTG>185533</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Sizes</ChangeExplanation>
            <MinimumBenefit>350</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>US029</BillingCode>
            <Name>SAMBA 2 Audio Processor</Name>
            <Description>Single Unit audio processor for the Vibrant Soundbridge System, worn off the ear it is held in place by magnetic attraction over the implant. Designed to function similarly as the SAMBA audio processor but with improved battery life, noise reduction, ingress protection and Intelligent Sound Adapter 2.0</Description>
            <Size>One Size - Lo/Hi, left/right versions with various magnet strengths, length = 36.4mm, width = 30.4mm, height = 10.2mm, weight 9.3g (inc battery)</Size>
            <SupplierCode>US</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>6521</SubGroupID>
            <Suffix>Programmable, Wireless-enabled, Autoscan</Suffix>
            <ARTGs>
                <ARTG>353970</ARTG>
            </ARTGs>
            <MinimumBenefit>7166</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>US020</BillingCode>
            <Name>Vibrant Soundbridge System - Samba Audio Processor</Name>
            <Description>Middle ear implant audio processor.   The Samba audio processor is the externally worn component of the Vibrant Soundbridge System and connects to the implant through magnetic attraction.  Fitting the Samba audio processor activates the Soundbridge.</Description>
            <Size>Samba Lo, Samba Hi left and right versions, length = 35mm, width = 30mm, height = 10mm, weight &lt;9g (inc battery</Size>
            <SupplierCode>US</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>6521</SubGroupID>
            <Suffix>Programmable, wireless - enabled</Suffix>
            <ARTGs>
                <ARTG>271112</ARTG>
            </ARTGs>
            <MinimumBenefit>6825</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>US021</BillingCode>
            <Name>Vibrant Soundbridge System - Vibrating Ossicular Prosthesis VORP503</Name>
            <Description>Part of the Vibrant Soundbridge System, VORP503 is an active implant, which is implanted into the temporal bone under the skin. The VORP 503 consists of the Floating Mass Transducer (FMT), a conductor link, the electronics (demodulator), fixation wings and a magnet surrounded by a receiver coil.</Description>
            <Size>One size (left and right) Length: 118mm, Width: 28mm, Thickness: 4.4mm, Weight: 10.1g</Size>
            <SupplierCode>US</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1565</GroupID>
            <SubGroupID>6521</SubGroupID>
            <ARTGs>
                <ARTG>287904</ARTG>
            </ARTGs>
            <MinimumBenefit>7470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC269</BillingCode>
            <Name>Medtronic Vent Tubes</Name>
            <Description>Activent Antimicrobial Ventilation Tube</Description>
            <Size>1.02 - 1.27mm x 0.9 - 2.4mm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <Suffix>Antibiotic</Suffix>
            <ARTGs>
                <ARTG>126695</ARTG>
            </ARTGs>
            <MinimumBenefit>20</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI077</BillingCode>
            <Name>Medtronic  Ventilation Tube</Name>
            <Description>Medium to long term, antimicrobial vent tube</Description>
            <Size>1.02 - 1.52mm x 1.3-12.0mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <Suffix>Antibiotic</Suffix>
            <ARTGs>
                <ARTG>126695</ARTG>
            </ARTGs>
            <MinimumBenefit>20</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL086</BillingCode>
            <Name>Ventilation Tube</Name>
            <Description>Ultrasil Silicon Ventilation tube</Description>
            <Size>Various sizes</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <Suffix>Antibiotic</Suffix>
            <ARTGs>
                <ARTG>146612</ARTG>
            </ARTGs>
            <MinimumBenefit>20</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL087</BillingCode>
            <Name>Ventilation tube</Name>
            <Description>PacifiC Ventilation tube</Description>
            <Size>Various sizes</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <Suffix>Antibiotic</Suffix>
            <ARTGs>
                <ARTG>146612</ARTG>
            </ARTGs>
            <MinimumBenefit>20</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL090</BillingCode>
            <Name>Ventilation tube</Name>
            <Description>HydroxylVent tube</Description>
            <Size>Various sizes</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <Suffix>Antibiotic</Suffix>
            <ARTGs>
                <ARTG>146612</ARTG>
            </ARTGs>
            <MinimumBenefit>20</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BQ004</BillingCode>
            <Name>Ventilation Tubes / Grommet</Name>
            <Description>a) Tubingen Gold Type &#xD;
b) Tubingen Titanium Type &#xD;
c) T Tube &#xD;
d) Reuter Bobbin Type &#xD;
e) Paparella Type&#xD;
f) Collar Button Type &#xD;
g) Star Tube &#xD;
h) Bevel Buttton Tube&#xD;
i) Straight Tube &#xD;
j) Armstrong Type &#xD;
k) Shepard Type &#xD;
l) Donaldson Type&#xD;
m) Angular Type&#xD;
n) Myringotomy Tube with Trocar&#xD;
o) Ventilation Tubes with Eyelets&#xD;
p) Minimal Type</Description>
            <Size>a) I.D.  1.25mm w/w, I.D.1.25mm wo/w, I.D. 1.5mm wo/w &#xD;
b) one size only &#xD;
c) L- 6, 7.5, 12 &#xD;
d) I.F.O.D 2.5mm, 2.7mm &#xD;
e) one size only  &#xD;
f) one side only &#xD;
g) one size only &#xD;
h) one size only &#xD;
i) i.d.-0.9mm,1.1mm,1.15mm &#xD;
j) L-3.8mm, 3.7mm, 10mm &#xD;
k) L- 2.2mm w/t, 2.2mm wo/t,2.4mm w/t &#xD;
l) S- one size only, F one size only&#xD;
m) one size only&#xD;
n) Silver or Titanium&#xD;
o) one or two&#xD;
p) one size only</Size>
            <SupplierCode>BQ</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <ARTGs>
                <ARTG>120972</ARTG>
            </ARTGs>
            <MinimumBenefit>18</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CK005</BillingCode>
            <Name>Exmoor Plastics Ear Vent Drains -  Reuter Bobbin </Name>
            <Description>Without hole, teflon</Description>
            <Size>1.14 mm lumen dia x 2.54 mm inner flange dia x 2.54 mm outer flange dia x 0.76 inter flange. 1.52mm total length</Size>
            <SupplierCode>CK</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <ARTGs>
                <ARTG>133977</ARTG>
            </ARTGs>
            <MinimumBenefit>18</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CK006</BillingCode>
            <Name>Exmoor Plastics Ear Vent Drains -  Collar Button</Name>
            <Description>Teflon </Description>
            <Size>1.14 mm lumen dia x 2.24 mm inner flange dia x 2.24 mm outer flange dia x 1.27 inter flange. 1.78 mm total length</Size>
            <SupplierCode>CK</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <ARTGs>
                <ARTG>133977</ARTG>
            </ARTGs>
            <MinimumBenefit>18</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CK007</BillingCode>
            <Name>Exmoor Plastics Ear Vent Drains  -  Collar Button</Name>
            <Description>Teflon </Description>
            <Size>1.14 mm lumen dia x 3.0 mm inner flange dia x 3.0 mm outer flange dia x 1.27 inter flange. 1.78 mm total length</Size>
            <SupplierCode>CK</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <ARTGs>
                <ARTG>133977</ARTG>
            </ARTGs>
            <MinimumBenefit>18</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CK008</BillingCode>
            <Name>Exmoor Plastics Ear Vent Drains  -  Collar Button</Name>
            <Description>Teflon </Description>
            <Size>1.4 mm lumen dia x 2.55 mm inner flange dia x 2.55 mm outer flange dia x 0.85 inter flange. 1.35 mm total length</Size>
            <SupplierCode>CK</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <ARTGs>
                <ARTG>133977</ARTG>
            </ARTGs>
            <MinimumBenefit>18</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CK009</BillingCode>
            <Name>Exmoor Plastics Ear Vent Drains - Collar Button </Name>
            <Description>Teflon </Description>
            <Size>1.75 mm lumen dia x 2.85 mm inner flange dia x 2.85 mm outer flange dia x 0.95 inter flange. 1.46 mm total length</Size>
            <SupplierCode>CK</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <ARTGs>
                <ARTG>133977</ARTG>
            </ARTGs>
            <MinimumBenefit>18</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CK010</BillingCode>
            <Name>Exmoor Plastics Ear Vent Drains - Shepards Drain</Name>
            <Description>Teflon Shephards Drain</Description>
            <Size>1.14 mm lumen dia x 2.36 mm inner flange dia x 2.36 mm outer flange dia x 1.42 inter flange. 2.41 mm total length</Size>
            <SupplierCode>CK</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <ARTGs>
                <ARTG>133977</ARTG>
            </ARTGs>
            <MinimumBenefit>18</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CK011</BillingCode>
            <Name>Exmoor Plastics Ear Vent Drains - Teflon Shephards Drain with wire grasping feature</Name>
            <Description>Teflon Shephards Drain with wire</Description>
            <Size>0.97 mm lumen dia x 2.08 mm inner flange dia x 2.08 mm outer flange dia x 1.42 inter flange. 2.41 mm total length</Size>
            <SupplierCode>CK</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <ARTGs>
                <ARTG>133977</ARTG>
            </ARTGs>
            <MinimumBenefit>18</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CK012</BillingCode>
            <Name>Exmoor Plastics Ear Vent Drains - Donaldson Grommet</Name>
            <Description>With tab, silicone rubber</Description>
            <Size>1.1 mm lumen dia x 2.25 mm inner flange dia x 2.25 mm outer flange dia x 0.76 inter flange. 2.25 mm total length</Size>
            <SupplierCode>CK</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <ARTGs>
                <ARTG>133977</ARTG>
            </ARTGs>
            <MinimumBenefit>18</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE719</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MG037</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Micromedics Ventilation Tubes</Name>
            <Description>Silicone and fluroplastic ventilation tubes</Description>
            <Size>Lumen size: 0.76mm, 1.0mm, 1.14mm, 1.27mm, 1.42mm</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <ARTGs>
                <ARTG>199400</ARTG>
            </ARTGs>
            <MinimumBenefit>18</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET076</BillingCode>
            <Name>Triune Vent Tube</Name>
            <Description>A tympanostomy (myringotomy) tube</Description>
            <Size>Lumen size 0.76mm - 1.35mm</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <ARTGs>
                <ARTG>170820</ARTG>
            </ARTGs>
            <MinimumBenefit>18</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IR002</BillingCode>
            <Name>NeoZoline Otological Ventilation Tubes</Name>
            <Description>Armstrong, Collar Button, Shepard, Reuter, Donaldson, Paparella, Shah</Description>
            <Size>1.10mm, 1.14mm, 1.27mm, 1.40mm, 0.76mm</Size>
            <SupplierCode>IR</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <ARTGs>
                <ARTG>33794</ARTG>
            </ARTGs>
            <MinimumBenefit>18</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC268</BillingCode>
            <Name>Medtronic Vent Tubes</Name>
            <Description>Fluoroplastic</Description>
            <Size>0.76 - 1.52mm x 2.1 - 9.5mm x 1.0 - 12.0mm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <ARTGs>
                <ARTG>126695</ARTG>
            </ARTGs>
            <MinimumBenefit>18</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC927</BillingCode>
            <Name>Medtronic Vent Tube</Name>
            <Description>.</Description>
            <Size>1.02 - 1.52mm x 1.3 - 12.0mm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <ARTGs>
                <ARTG>126695</ARTG>
            </ARTGs>
            <MinimumBenefit>18</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI078</BillingCode>
            <Name>Medtronic Ventilation Tubes</Name>
            <Description>Medium to Long term vent tube</Description>
            <Size>0.76-1.52mm x0.9-12.0mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <ARTGs>
                <ARTG>126695</ARTG>
            </ARTGs>
            <MinimumBenefit>18</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MS057</BillingCode>
            <Name>NeoZoline Otological Ventilation Tubes</Name>
            <Description>Armstrong, Collar Button, Shepard, Reuter, Donaldson, Paparella, Shah</Description>
            <Size>1.10mm, 1.14mm, 1.27mm, 1.40mm, 0.76mm</Size>
            <SupplierCode>MS</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <ARTGs>
                <ARTG>173906</ARTG>
            </ARTGs>
            <MinimumBenefit>18</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL082</BillingCode>
            <Name>Ventilation tubes</Name>
            <Description>Fluoroplastics Ventilation tubes</Description>
            <Size>Various sizes</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <ARTGs>
                <ARTG>146612</ARTG>
            </ARTGs>
            <MinimumBenefit>18</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL083</BillingCode>
            <Name>Ventilation tubes</Name>
            <Description>Titanium ventilation tubes</Description>
            <Size>Various sizes</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <ARTGs>
                <ARTG>146612</ARTG>
            </ARTGs>
            <MinimumBenefit>18</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL084</BillingCode>
            <Name>Ventilation Tube</Name>
            <Description>Stainless Steel Ventilation tube</Description>
            <Size>Various sizes</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <ARTGs>
                <ARTG>146612</ARTG>
            </ARTGs>
            <MinimumBenefit>18</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL085</BillingCode>
            <Name>Ventilation tubes</Name>
            <Description>Silicon Ventilation tubes</Description>
            <Size>Various sizes</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <ARTGs>
                <ARTG>146612</ARTG>
            </ARTGs>
            <MinimumBenefit>18</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RC002</BillingCode>
            <Name>Ventilation tube</Name>
            <Description>Ventilation tube - Silicone - T-tube, T-tube grommet</Description>
            <Size>1.1mm; 1.27mm lumen</Size>
            <SupplierCode>RC</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <ARTGs>
                <ARTG>182921</ARTG>
            </ARTGs>
            <MinimumBenefit>18</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RC003</BillingCode>
            <Name>Ventilation Tubes - Collar Button</Name>
            <Description>Teflon, w/o wire</Description>
            <Size>1.10mm, 1.25mm, 1.50mm lumen</Size>
            <SupplierCode>RC</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <ARTGs>
                <ARTG>182921</ARTG>
            </ARTGs>
            <MinimumBenefit>18</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RC004</BillingCode>
            <Name>Ventilation Tubes - Collar Button</Name>
            <Description>Teflon w/wire, and titanium w/o wire</Description>
            <Size>0.76mm, 1.00mm, 1.25mm, 1.50mm lumen</Size>
            <SupplierCode>RC</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <ARTGs>
                <ARTG>182921</ARTG>
            </ARTGs>
            <MinimumBenefit>18</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RC006</BillingCode>
            <Name>Ventilation Tubes - Shepherd</Name>
            <Description>Teflon, w or w/o wire</Description>
            <Size>1.15mm lumen</Size>
            <SupplierCode>RC</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <ARTGs>
                <ARTG>182921</ARTG>
            </ARTGs>
            <MinimumBenefit>18</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RC007</BillingCode>
            <Name>Ventilation Tubes - Shepherd</Name>
            <Description>Titanium, w/o wire</Description>
            <Size>1.00mm, 1.25mm lumen</Size>
            <SupplierCode>RC</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <ARTGs>
                <ARTG>182921</ARTG>
            </ARTGs>
            <MinimumBenefit>18</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RC009</BillingCode>
            <Name>Ventilation Tubes - Silicone</Name>
            <Description>Armstrong Grommet, Donaldson w &amp; w/o Tab, Paparella 1 and Paparella 2 (1.5mm)</Description>
            <Size>1.1mm &amp; 1.5mm lumen</Size>
            <SupplierCode>RC</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1566</GroupID>
            <ARTGs>
                <ARTG>182921</ARTG>
            </ARTGs>
            <MinimumBenefit>18</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET031</BillingCode>
            <Name>Serenocem Cement</Name>
            <Description>Reaction bonded polymer composite formed by the neutralisation gelletation of a basic inorganic ionomer</Description>
            <Size>One size only - box of 2</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>1567</GroupID>
            <ARTGs>
                <ARTG>80933</ARTG>
            </ARTGs>
            <MinimumBenefit>1408</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WA007</BillingCode>
            <Name>Biodesign Otologic Repair Graft (small)</Name>
            <Description>Implantable biologic graft intended for use in otologic procedures.</Description>
            <Size>2 discs with diameters of 0.4 and 0.6cm or 0.6 and 0.9 cm.&#xD;
2.5X2.5cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>2521</GroupID>
            <SubGroupID>6742</SubGroupID>
            <Suffix>Porcine</Suffix>
            <ARTGs>
                <ARTG>300314</ARTG>
            </ARTGs>
            <MinimumBenefit>325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WA006</BillingCode>
            <Name>Biodesign Otologic Repair Graft</Name>
            <Description>Implantable biologic graft intended for use in otologic procedures.</Description>
            <Size>5.0x5.0cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>196</SubCategoryID>
            <GroupID>2521</GroupID>
            <SubGroupID>6743</SubGroupID>
            <Suffix>Porcine</Suffix>
            <ARTGs>
                <ARTG>300314</ARTG>
            </ARTGs>
            <MinimumBenefit>492</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC264</BillingCode>
            <Name>Septal Button </Name>
            <Description>Silicone</Description>
            <Size>3cm </Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>197</SubCategoryID>
            <GroupID>1568</GroupID>
            <ARTGs>
                <ARTG>169825</ARTG>
            </ARTGs>
            <MinimumBenefit>135</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL026</BillingCode>
            <Name>Septal Button</Name>
            <Description>Plastipore</Description>
            <Size>One size only</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>197</SubCategoryID>
            <GroupID>1568</GroupID>
            <ARTGs>
                <ARTG>143266</ARTG>
            </ARTGs>
            <MinimumBenefit>135</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RC013</BillingCode>
            <Name>Septal Button, silicone, sterile</Name>
            <Description>For non-surgical closure of septal perforation  · Silicone prevents adhesion  · Soft material for easy insertion and removal  · No scabbing, epistaxis or other septal perforation symptoms  · Surface with Lotus leaf effect prevents adhesion of secretions / tissue</Description>
            <Size>3.2cm - 1mm thick, one-piece  3.2cm - 1mm thick , two-piece</Size>
            <SupplierCode>RC</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>197</SubCategoryID>
            <GroupID>1568</GroupID>
            <ARTGs>
                <ARTG>338464</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>135</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI151</BillingCode>
            <Name>ALAR Nasal Valve Stent</Name>
            <Description>Nasal valve stent for repair of nasal vestibular stenosis and nasal valve collapse.</Description>
            <Size>20mm long x 16mm wide</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>197</SubCategoryID>
            <GroupID>1817</GroupID>
            <ARTGs>
                <ARTG>218121</ARTG>
            </ARTGs>
            <MinimumBenefit>172</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BQ007</BillingCode>
            <Name>ProTrach DualCare Set</Name>
            <Description>ProTrach DualCare is attached to a tracheostomy tube and is designed to eliminate the necessity of finger occlusion, enabling the tracheostomised patient to speak easily and more clearly. It combines a speaking valve with an HME, and this way both enabling hands-free speech and helping to keep the lungs healthy by providing the important humidification of the inhaled air. The Set includes: 180pc HME Regular, 1pc Speaking Valve, 1pc ProTrach HME DigiTop, 1 Removal Aid and 1 connection strap.</Description>
            <Size>15mm  22mm</Size>
            <SupplierCode>BQ</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>198</SubCategoryID>
            <GroupID>1569</GroupID>
            <ARTGs>
                <ARTG>275618</ARTG>
            </ARTGs>
            <MinimumBenefit>628</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BQ008</BillingCode>
            <Name>ProTrach DualCare Speaking Valve</Name>
            <Description>ProTrach DualCare System is attached to a tracheostomy tube and is designed to eliminate the necessity of finger occlusion, enabling the tracheostomised patient to speak easily and more clearly. It combines a speaking valve with a HME and in this way enabling speaking and supporing your lungs with important heating and moisturising. The Set includes: 1pc Speaking Valve, 1pc ProTrach HME DigiTop, 1 Removal Aid and 1 connection strap.ProTrach DualCare Speaking Valve, 1 HME DigiTop, 1 removal aid and 1pc Connection Strap</Description>
            <Size>15mm&#xD;
22mm</Size>
            <SupplierCode>BQ</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>198</SubCategoryID>
            <GroupID>1569</GroupID>
            <ARTGs>
                <ARTG>275618</ARTG>
            </ARTGs>
            <MinimumBenefit>92</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BQ010</BillingCode>
            <Name>Tracheal Speaking Valve</Name>
            <Description>Provox a) Two b) Vega c) Vega Puncture Set</Description>
            <Size>a) 4.5, 6, 8, 10, 12.5, 15mm&#xD;
b) 17, 20, 22.5fr in 4, 6, 8, 10, 12.5, 15mm&#xD;
c) 17, 20, 22.5fr in 4, 6, 8, 10, 12.5, 15mm</Size>
            <SupplierCode>BQ</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>198</SubCategoryID>
            <GroupID>1569</GroupID>
            <ARTGs>
                <ARTG>120197</ARTG>
                <ARTG>236026</ARTG>
            </ARTGs>
            <MinimumBenefit>92</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PT001</BillingCode>
            <Name>Blom-Singer® Dual Valve and Advantage Voice Prosthesis</Name>
            <Description>A range of valved silicone voice prostheses with specific anti-fungal and anti-leakage attributes, that are placed into a tracheoesophageal puncture at the time of surgery. The Prosthesis resides between the back wall of the trachea into the esophageal wall to enable tracheosophageal speech.</Description>
            <Size>Dual Valve: 16 French and 20 French diameters 4-14mm length &#xD;
Advantage: 20 French diameter 6-14mm length&#xD;
(2mm increments)</Size>
            <SupplierCode>PT</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>198</SubCategoryID>
            <GroupID>1569</GroupID>
            <ARTGs>
                <ARTG>278705</ARTG>
            </ARTGs>
            <MinimumBenefit>92</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PT002</BillingCode>
            <Name>Blom-Singer® Classic, Rapid Response Indwelling Voice Prostheses</Name>
            <Description>A range of valved silicone voice prostheses that are placed into a tracheoesophageal puncture at the time of surgery. The Prosthesis resides between the back wall of the trachea into the esophageal wall to enable tracheosophageal speech.&#xD;
&#xD;
Benefit: Voice is produced by temporarily blocking the stoma so that exhaled pulmonary air can be directed from the trachea, through the prosthesis into the oesophagus, producing voice in the TEP segment. Fluent, conversational speech may be acquired within just a few days.&#xD;
&#xD;
Blom-Singer Rapid Response VP’s are available with extended tracheal and oesophageal flanges to overcome peripheral valve leakage. In addition, valve weighting can be adjusted to manage reflux and central valve leakage. This range of valves is also available in special lengths.</Description>
            <Size>16 French and 20 French diameters, 4-20mm length (2mm increments)</Size>
            <SupplierCode>PT</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>198</SubCategoryID>
            <GroupID>1569</GroupID>
            <ARTGs>
                <ARTG>278705</ARTG>
            </ARTGs>
            <MinimumBenefit>92</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PT003</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>BQ009</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Tracheal Speaking Valve</Name>
            <Description>Passy Muir Tracheal Speaking Valve</Description>
            <Size>one size</Size>
            <SupplierCode>PT</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>198</SubCategoryID>
            <GroupID>1569</GroupID>
            <ARTGs>
                <ARTG>279056</ARTG>
            </ARTGs>
            <MinimumBenefit>92</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL071</BillingCode>
            <Name>Vocal Cord Medialisation Implant</Name>
            <Description>Vocom Larynx Medial Implant - Hydroxylapatite</Description>
            <Size>3 - 7mm Head</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>198</SubCategoryID>
            <GroupID>1570</GroupID>
            <ARTGs>
                <ARTG>143279</ARTG>
            </ARTGs>
            <MinimumBenefit>248</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL072</BillingCode>
            <Name>Vocal Cord Medialisation Implant</Name>
            <Description>Vocom Shim for Medial Implant - Hydroxylapatite</Description>
            <Size>1mm - 3mm Offset</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>198</SubCategoryID>
            <GroupID>1570</GroupID>
            <ARTGs>
                <ARTG>143279</ARTG>
            </ARTGs>
            <MinimumBenefit>248</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PT004</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>BQ001</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Vocal Chord Medialisation Implant</Name>
            <Description>Montgomery Laryngeal Keel</Description>
            <Size>12, 14, 16 - Clear and Radiopaque</Size>
            <SupplierCode>PT</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>198</SubCategoryID>
            <GroupID>1570</GroupID>
            <ARTGs>
                <ARTG>119029</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from BQ001</ChangeExplanation>
            <MinimumBenefit>248</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JI007</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>LH595</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aerstent</Name>
            <Description>Self Expandable Tracheal and Bronchial Stent</Description>
            <Size>Straight or Y, (10-24) mm diameter</Size>
            <SupplierCode>JI</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>198</SubCategoryID>
            <GroupID>1571</GroupID>
            <Suffix>Nitinol</Suffix>
            <ARTGs>
                <ARTG>297568</ARTG>
            </ARTGs>
            <MinimumBenefit>2256</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JI008</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>LH574</PriorBillingCode>
            </PriorBillingCodes>
            <Name>GSS &amp; Dumon</Name>
            <Description>Silicone tracheal and bronchial stents</Description>
            <Size>10 - 20mm diameter, 20 - 110mm length</Size>
            <SupplierCode>JI</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>198</SubCategoryID>
            <GroupID>1571</GroupID>
            <Suffix>Silicone</Suffix>
            <ARTGs>
                <ARTG>143612</ARTG>
            </ARTGs>
            <MinimumBenefit>903</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PT007</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>BQ005</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Thyroplasty</Name>
            <Description>Montgomery Thyroplasty Implant System</Description>
            <Size>male - 8,9,10,11,12,13  female - 6,7,8,9,10</Size>
            <SupplierCode>PT</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>198</SubCategoryID>
            <GroupID>1573</GroupID>
            <ARTGs>
                <ARTG>117683</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from BQ005</ChangeExplanation>
            <MinimumBenefit>1057</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PT006</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>BQ006</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Extra-tracheal Cannula</Name>
            <Description>a) Montgomery Short-Term Cannula   b) Montgomery Long-Term Cannula</Description>
            <Size>a) 4, 6, 8, 10 b) 4, 6, 8, 10 for Stoma Sizes 17-25, 25-33, 33-41, 41-49, 49-57, 57-65mm</Size>
            <SupplierCode>PT</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>198</SubCategoryID>
            <GroupID>1574</GroupID>
            <Suffix>Extra-tracheal</Suffix>
            <ARTGs>
                <ARTG>119737</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from BQ006</ChangeExplanation>
            <MinimumBenefit>269</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PT005</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>BQ003</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Intra-tracheal Cannula</Name>
            <Description>Montgomery Safe-T-Tubes Clear and Radiopaque except c)   a) Paediatric   b) Standard   c) Hebeler    d) Thoracic    e) Extra-Long    f) Tapered   g) Montgomery Salivary Bypass Tube   h) Har-el Pharyngeal Tube   i) Montgomery Esophageal Tube  j) Trachael Fenestrator  k) Moore Trache</Description>
            <Size>a) 6, 7, 8, 9   b) 10, 11, 12, 13, 14. 15, 16  c) 12, 15, 18   d) 10, 11, 12, 13, 14, 15, 16   e) 10, 11, 12, 13, 14, 15, 16   f) 8/10, 10/13   g) 8, 10, 12, 14, 16, 18, 20   h) one size only   i) one size only  j) size 6, 8 and 10  k) size 6 and 8</Size>
            <SupplierCode>PT</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>198</SubCategoryID>
            <GroupID>1574</GroupID>
            <Suffix>Intra-tracheal</Suffix>
            <ARTGs>
                <ARTG>119737</ARTG>
                <ARTG>119736</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from BQ003</ChangeExplanation>
            <MinimumBenefit>425</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET040</BillingCode>
            <Name>Vox Implants</Name>
            <Description>Vox Implants are solid, irregularly textured, medical grade Polydimethylsiloxane Elastomer implants suspended in a hydrogel carrier</Description>
            <Size>One size only</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>22</CategoryID>
            <SubCategoryID>198</SubCategoryID>
            <GroupID>1576</GroupID>
            <ARTGs>
                <ARTG>146733</ARTG>
            </ARTGs>
            <MinimumBenefit>7401</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VX001</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>SE001</PriorBillingCode>
            </PriorBillingCodes>
            <Name>SIR-Spheres including Delivery Apparatus</Name>
            <Description>Biocompatible microspheres 20-60mm (microns) in diameter containing yttrium-90. Delivery apparatus is PVC tubing, ABS stopcocks, acrylic holders and stainless steel needles with PE hubs</Description>
            <Size>One size only</Size>
            <SupplierCode>VX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>187</SubCategoryID>
            <GroupID>1520</GroupID>
            <ARTGs>
                <ARTG>149332</ARTG>
                <ARTG>149343</ARTG>
            </ARTGs>
            <MinimumBenefit>8230</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA252</BillingCode>
            <Name>BrachySource® I-125 Implant</Name>
            <Description>BrachySource® Seeds supplied either loose, in Cartridges or needles or as a calibration source.  Up to 120 seeds per patient.</Description>
            <Size>Seeds are a 4.5mm x 0.8mm welded titanium capsule.</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>187</SubCategoryID>
            <GroupID>1521</GroupID>
            <SubGroupID>4162</SubGroupID>
            <ARTGs>
                <ARTG>225229</ARTG>
                <ARTG>225230</ARTG>
                <ARTG>225231</ARTG>
                <ARTG>225237</ARTG>
                <ARTG>225238</ARTG>
            </ARTGs>
            <MinimumBenefit>5866</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA253</BillingCode>
            <Name>ReadyLink® Implant</Name>
            <Description>BrachySource® Seed Implants in the ReadyLink® Delivery System.  Up to 120 seeds per patient.</Description>
            <Size>Seeds are 4.5mm x 0.8mm welded titanium capsule preconnected in user defined trains.</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>187</SubCategoryID>
            <GroupID>1521</GroupID>
            <SubGroupID>4162</SubGroupID>
            <ARTGs>
                <ARTG>225229</ARTG>
                <ARTG>225230</ARTG>
                <ARTG>225231</ARTG>
                <ARTG>225237</ARTG>
                <ARTG>225238</ARTG>
            </ARTGs>
            <MinimumBenefit>5866</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CL001</BillingCode>
            <Name>Advantage I-125 Pre-load</Name>
            <Description>Advantage I-125 Pre-load consists of stranded Advantage I-125 seeds pre-loaded on prescription into brachytherapy needles specifically for treatment of an individual patient.  They arrive sterile and pre-packaged ready for use in theatre</Description>
            <Size>Stranded seeds are pre-loaded in brachytherapy needles in a prescribed configuration; up to 120 seeds</Size>
            <SupplierCode>CL</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>187</SubCategoryID>
            <GroupID>1521</GroupID>
            <SubGroupID>4162</SubGroupID>
            <ARTGs>
                <ARTG>175081</ARTG>
            </ARTGs>
            <MinimumBenefit>5866</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CL002</BillingCode>
            <Name>Advantage I-125 Seed</Name>
            <Description>Advantage I-125 seeds are sealed radioactive sources containing Iodine-125 for interstitial brachytherapy</Description>
            <Size>3mm x 0.5mm silver rod within 4.5 x 0.8mm sealed titanium capsule, up to 120 seeds</Size>
            <SupplierCode>CL</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>187</SubCategoryID>
            <GroupID>1521</GroupID>
            <SubGroupID>4162</SubGroupID>
            <ARTGs>
                <ARTG>154457</ARTG>
            </ARTGs>
            <MinimumBenefit>5866</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RQ078</BillingCode>
            <Name>TheraStrand Rx with AgX100 Brachytherapy Kit</Name>
            <Description>The TheraStrand RX brachytherapy kit is prescription-loaded and supplied sterile.  The prescription generally comprises 25 needles containing the brachytherapy I-125 sources (80-100 seeds) sequenced per the physician's treatment plan.  All sources are of the same activity/strength.</Description>
            <Size>The seed includes a silver rod with I 125 contained in a sealed titanium capsule of 4.5 mm length and 0.8 mm in diameter.</Size>
            <SupplierCode>RQ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>187</SubCategoryID>
            <GroupID>1521</GroupID>
            <SubGroupID>4162</SubGroupID>
            <ARTGs>
                <ARTG>205063</ARTG>
            </ARTGs>
            <MinimumBenefit>5866</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RQ079</BillingCode>
            <Name>I-Seed AgX100 Cartridge Brachytherapy Kit</Name>
            <Description>The I-Seed AgX100 Cartridge brachytherapy kit comprises 8 or fewer cartridges (max. 20 seed) in a vertical seed magazine, VSM20. The kit is supplied sterile and is compatible with the Mick applicator.</Description>
            <Size>The I-Seed AgX100 Cartridge Brachytherapy Kit generally contains 8 or fewer cartridges, each a max. 20 seeds, a total of 80-100 seeds. Each seed comprises a silver rod with the source within 4.5 x 0.8mm sealed titanium capsule.</Size>
            <SupplierCode>RQ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>187</SubCategoryID>
            <GroupID>1521</GroupID>
            <SubGroupID>4162</SubGroupID>
            <ARTGs>
                <ARTG>205023</ARTG>
            </ARTGs>
            <MinimumBenefit>5866</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA251</BillingCode>
            <Name>BrachySource® I-125 seeds</Name>
            <Description>Single BrachySource® Seeds supplied either loose, in Cartridges or needles or as a calibration source.  To be used only if more than 120 seeds are used per patient.</Description>
            <Size>Seeds are a 4.5mm x 0.8mm welded titanium capsule.</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>187</SubCategoryID>
            <GroupID>1521</GroupID>
            <SubGroupID>4163</SubGroupID>
            <ARTGs>
                <ARTG>225229</ARTG>
                <ARTG>225230</ARTG>
                <ARTG>225231</ARTG>
                <ARTG>225237</ARTG>
                <ARTG>225238</ARTG>
            </ARTGs>
            <MinimumBenefit>74</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CL003</BillingCode>
            <Name>Advantage I-125 Seed</Name>
            <Description>The Advantage I-125 seed is a sealed radioactive source containing Iodine-125 for interstitial brachytherapy</Description>
            <Size>3mm x 0.5mm silver rod within 4.5 x 0.8mm sealed titanium capsule</Size>
            <SupplierCode>CL</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>187</SubCategoryID>
            <GroupID>1521</GroupID>
            <SubGroupID>4163</SubGroupID>
            <ARTGs>
                <ARTG>154457</ARTG>
            </ARTGs>
            <MinimumBenefit>74</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RQ076</BillingCode>
            <Name>Theragenics C20 IsoLoader Magazines in TPSII Individual - 20 seeds per magazine - sterile</Name>
            <Description>The C20 IsoLoader cartridge is a shielded cartridge holding up to 20 I125 seeds, supplied in accordance with the surgeon's requirements.  Benefit is per seed.</Description>
            <Size>1 representation in a delivery magazine with a loading of up to 20 seeds</Size>
            <SupplierCode>RQ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>187</SubCategoryID>
            <GroupID>1521</GroupID>
            <SubGroupID>4163</SubGroupID>
            <ARTGs>
                <ARTG>271520</ARTG>
            </ARTGs>
            <MinimumBenefit>74</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RQ077</BillingCode>
            <Name>TheraStrand RX with I-Seed AgX100 I125 implants</Name>
            <Description>AgX100 I-125 Seeds pre-loaded. The billing code is to be applied only if more than 100 seeds are used per patient. Benefit is per seed.</Description>
            <Size>One representation with a loading of more than 100 seeds. The seed includes a silver rod with I 125 contained in a sealed titanium capsule of 4.5 mm length and 0.8 mm in diameter</Size>
            <SupplierCode>RQ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>187</SubCategoryID>
            <GroupID>1521</GroupID>
            <SubGroupID>4163</SubGroupID>
            <ARTGs>
                <ARTG>205063</ARTG>
            </ARTGs>
            <MinimumBenefit>74</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS370</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MB025</PriorBillingCode>
            </PriorBillingCodes>
            <Name>TraceIT Gel System</Name>
            <Description>TraceIT System is intended to create a temporary space within soft tissue during radiation therapy.</Description>
            <Size>3mL</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>187</SubCategoryID>
            <GroupID>1792</GroupID>
            <SubGroupID>6061</SubGroupID>
            <ARTGs>
                <ARTG>268092</ARTG>
            </ARTGs>
            <MinimumBenefit>858</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RW003</BillingCode>
            <Name>Barrigel</Name>
            <Description>Biodegrable gel of hyaluronic acid supplied in a 3ml syringe</Description>
            <Size>3ml</Size>
            <SupplierCode>RW</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>187</SubCategoryID>
            <GroupID>1792</GroupID>
            <SubGroupID>6061</SubGroupID>
            <ARTGs>
                <ARTG>339926</ARTG>
            </ARTGs>
            <MinimumBenefit>858</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS368</BillingCode>
            <Name>SpaceOAR System</Name>
            <Description>The SpaceOAR System consists of components for preparation of a synthetic, absorbable hydrogel spacer and a delivery mechanism packaged in a single kit. The hydrogel spacer creates a temporary space between the prostate and rectum during radiation therapy.</Description>
            <Size>10CC</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>187</SubCategoryID>
            <GroupID>1792</GroupID>
            <SubGroupID>6281</SubGroupID>
            <ARTGs>
                <ARTG>354010</ARTG>
            </ARTGs>
            <MinimumBenefit>1760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS369</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MB024</PriorBillingCode>
            </PriorBillingCodes>
            <Name>TraceIT Gel System</Name>
            <Description>TraceIT System is intended to create a temporary space within soft tissue during radiation therapy.</Description>
            <Size>10mL</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>187</SubCategoryID>
            <GroupID>1792</GroupID>
            <SubGroupID>6281</SubGroupID>
            <ARTGs>
                <ARTG>268092</ARTG>
            </ARTGs>
            <MinimumBenefit>1760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS388</BillingCode>
            <Name>SpaceOAR VUE System</Name>
            <Description>The SpaceOAR VUE System is a radiotherapy protection spacer consisting of components for preparation of synthetic absorbable hydrogel spacer and a delivery mechanism packaged in a single kit. The hydrogel spacer creates a temporary space between the prostate and rectum during radiation therapy. The hydrogel is radiopaque for visibility under computed tomography (CT) and cone beam CT.</Description>
            <Size>10CC</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>187</SubCategoryID>
            <GroupID>1792</GroupID>
            <SubGroupID>6281</SubGroupID>
            <ARTGs>
                <ARTG>373630</ARTG>
            </ARTGs>
            <MinimumBenefit>1760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RW004</BillingCode>
            <Name>Barrigel</Name>
            <Description>Biodegradable gel of 9ml hyaluronic acid supplied in a kit of three 3 ml syringes</Description>
            <Size>One size only</Size>
            <SupplierCode>RW</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>187</SubCategoryID>
            <GroupID>1792</GroupID>
            <SubGroupID>6281</SubGroupID>
            <ARTGs>
                <ARTG>339926</ARTG>
            </ARTGs>
            <MinimumBenefit>1760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB086</BillingCode>
            <Name>Celsite Epoxy Peritoneal Port</Name>
            <Description>Epoxy/titanium</Description>
            <Size>32x27x13mm</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1522</GroupID>
            <SubGroupID>4164</SubGroupID>
            <ARTGs>
                <ARTG>133738</ARTG>
            </ARTGs>
            <MinimumBenefit>438</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB385</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>BB082</PriorBillingCode>
                <PriorBillingCode>BB084</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Celsite Access Port</Name>
            <Description>Single Access Port</Description>
            <Size>Standard, Small, Baby</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1522</GroupID>
            <SubGroupID>4164</SubGroupID>
            <ARTGs>
                <ARTG>133738</ARTG>
                <ARTG>137735</ARTG>
            </ARTGs>
            <MinimumBenefit>438</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB083</BillingCode>
            <Name>Celsite Epoxy Dual Access Port</Name>
            <Description>Dual lumen power injectable implanted port</Description>
            <Size>Standard/small/baby</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1522</GroupID>
            <SubGroupID>4437</SubGroupID>
            <ARTGs>
                <ARTG>133738</ARTG>
            </ARTGs>
            <MinimumBenefit>555</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SI050</BillingCode>
            <Name>Neofuser Plus</Name>
            <Description>Neofuser® Plus is a single-use, portable&#xD;
elastomeric infusion pump that provides&#xD;
medication at accurate continuous pre-fixed flow&#xD;
with additional bolus doses via patient controlled&#xD;
analgesia (PCA) module. Neofuser® Plus has&#xD;
been mainly designed for systemic or regional&#xD;
preoperative and postoperative pain&#xD;
management therapy.</Description>
            <Size>60 ml&#xD;
60 ml&#xD;
100ml&#xD;
100ml&#xD;
275ml&#xD;
275ml&#xD;
450 ml&#xD;
450 ml</Size>
            <SupplierCode>SI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5358</SubGroupID>
            <Suffix>Bolus</Suffix>
            <ARTGs>
                <ARTG>306862</ARTG>
            </ARTGs>
            <MinimumBenefit>73</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TX057</BillingCode>
            <Name>Autofuser Fixed Rate w/Bolus</Name>
            <Description>Fixed rate elastomeric infusion pump. Several basal rate options. Bolus volume options with several refill times available. Rigid, rounded, low profile housing. Front low pressure port for ease of filling. Graduated markings for monitoring infusion.    The Arrow  AutoFuser  Disposable Pain Pump from Teleflex is designed to safely and reliably deliver regional anaesthesia medications to help effectively manage post-operative pain in patients following surgery involving implanted prosthesis such as knee, hip or shoulder reconstructions. Effective management of postoperative pain in the immediate and early postoperative period facilitates early patient mobilisation and reduces the likelihood of implanted prosthesis failure. The device is also used to facilitate the delivery of epidural medical during labour in expectant mothers and can also be used for the delivery of medications necessary in the treatment of oncology patients.    The Arrow  AutoFuser  Disposable Pain Pump offers multiple  reservoir sizes and configurations to meet a variety of clinical demands. The AutoSelector  Variable Rate Selector gives the clinician the ability to adjust the basal infusion rate to meet the individualized needs of each patient to help control their post-operative pain. The patient controlled bolus gives patients the ability to address breakthrough pain without interrupting the basal rate.</Description>
            <Size>275ml, 550ml</Size>
            <SupplierCode>TX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5358</SubGroupID>
            <Suffix>Bolus</Suffix>
            <ARTGs>
                <ARTG>288197</ARTG>
            </ARTGs>
            <MinimumBenefit>73</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TY001</BillingCode>
            <Name>mobiFUSER</Name>
            <Description>Disposable sterile non electronic elastomeric infusion device. Variable flow rates available. For continuous fluid/medication delivery</Description>
            <Size>Maximum Capacity 275ml</Size>
            <SupplierCode>TY</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5358</SubGroupID>
            <Suffix>Bolus</Suffix>
            <ARTGs>
                <ARTG>188661</ARTG>
            </ARTGs>
            <MinimumBenefit>73</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BU024</BillingCode>
            <Name>Tuoren Infusion Pump</Name>
            <Description>Non electronic, elastomeric balloon driven, ambulatory infusion pump, which can be supplied in a variety of volumes and flow rates to meet different clinical applications.  Its primary purpose is for continuous delivery of fluids/medications.</Description>
            <Size>60ml - 300ml</Size>
            <SupplierCode>BU</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5358</SubGroupID>
            <Suffix>Set</Suffix>
            <ARTGs>
                <ARTG>323586</ARTG>
            </ARTGs>
            <MinimumBenefit>224</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX247</BillingCode>
            <Name>Intermate</Name>
            <Description>Sterile infusor devices, elastomeric driven</Description>
            <Size>SV 200 - 200ml/hr, nominal 100ml vol. max 105 mL. SV 100 - 100ml/hr, nominal 100ml vol. max 105 mL. LV 250, 250ml/hr, 275ml vol. SV 50 - 50ml/hr, nominal 100ml vol. max 105mL.  LV 100  - 100ml/hr, 275ml vol. LV 50, 50ml/hr, 275ml vol</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5358</SubGroupID>
            <Suffix>Set</Suffix>
            <ARTGs>
                <ARTG>168893</ARTG>
            </ARTGs>
            <MinimumBenefit>224</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX281</BillingCode>
            <Name>Baxter Folfusor</Name>
            <Description>Sterile infusor devices, elastomeric driven.  Folfusor SV 0.5mL/hr 120mL (Baxter Code 2C4700K), Folfusor SV 2.5mL/hr 120mL (Baxter Code 2C4711K), Folfusor SV 5mL/hr 120mL (Baxter Code 2C4705K). The Baxter Folfusor is a disposable infusion pump used in an ambulatory setting for the continuous infusion of intravenous medications. The codes listed above represent three separate flow rates specific to Chemotherapy protocols.</Description>
            <Size>120mL Maximum Volume</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5358</SubGroupID>
            <Suffix>Set</Suffix>
            <ARTGs>
                <ARTG>168893</ARTG>
            </ARTGs>
            <MinimumBenefit>224</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX287</BillingCode>
            <Name>Intermate XLV 250</Name>
            <Description>Sterile infusor devices, elastomeric driven.  The Intermate XLV 250 is an ambulatory device utilising elastomeric technology to deliver continuous infusion of parenteral therapy to patients in an ambulatory setting. The device is specifically suitable for patients requiring intravenous immunoglobulin therapy. The nominal flow rate of the Intermate XLV 250 is 250mL/hr, however when used for the administration of IVIG the flow rate is reduced to approximately 120mL/hr.</Description>
            <Size>Volume 500mL. Approximate infusion time for IVIG solutions is 4.2 hrs.</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5358</SubGroupID>
            <Suffix>Set</Suffix>
            <ARTGs>
                <ARTG>168893</ARTG>
            </ARTGs>
            <MinimumBenefit>224</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX327</BillingCode>
            <Name>Infusor</Name>
            <Description>Sterile Infusor Devices, Elastomeric Driven</Description>
            <Size>LV 10, 10ml/hr, 240ml vol  LV 5, 5ml/hr, 240ml vol</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5358</SubGroupID>
            <Suffix>Set</Suffix>
            <ARTGs>
                <ARTG>168893</ARTG>
            </ARTGs>
            <MinimumBenefit>224</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX328</BillingCode>
            <Name>Infusor</Name>
            <Description>Sterile Infusor Devices, Elastomeric Driven</Description>
            <Size>LV 2, 2ml/hr, 275 ml vol;  LV 1.5, 1.5ml/hr, 275 ml vol.</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5358</SubGroupID>
            <Suffix>Set</Suffix>
            <ARTGs>
                <ARTG>168893</ARTG>
            </ARTGs>
            <MinimumBenefit>224</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CU003</BillingCode>
            <Name>Neofuser Pump</Name>
            <Description>Continuous flow rate ambulatory and disposable silicone balloon infusion pump</Description>
            <Size>Volume 100ml, 275ml, 450ml</Size>
            <SupplierCode>CU</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5358</SubGroupID>
            <Suffix>Set</Suffix>
            <ARTGs>
                <ARTG>286078</ARTG>
            </ARTGs>
            <MinimumBenefit>224</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ146</BillingCode>
            <Name>ON-Q Pain Relief System</Name>
            <Description>Elastomeric Infusion Pump System</Description>
            <Size>100-400ml</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5358</SubGroupID>
            <Suffix>Set</Suffix>
            <ARTGs>
                <ARTG>142526</ARTG>
            </ARTGs>
            <MinimumBenefit>224</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>UX001</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>AH006</PriorBillingCode>
            </PriorBillingCodes>
            <Name>DOSI-FUSER</Name>
            <Description>Non electronic, elastomeric balloon driven, ambulatory infusion pump, which can be supplied in a variety of volumes and flow rates to meet different clinical applications.  Its primary purpose is for continuous delivery of fluids/medications.</Description>
            <Size>65ml - 140mm x 45mm x 40mm; 100ml - 140mm x 52mm x 50mm; 150 - 140mm x 55mm x 55mm; 250ml - 140mm x 60mm x 60mm; 400ml, 500ml, 600ml</Size>
            <SupplierCode>UX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5358</SubGroupID>
            <Suffix>Set</Suffix>
            <ARTGs>
                <ARTG>324361</ARTG>
            </ARTGs>
            <MinimumBenefit>224</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>UX002</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>AH014</PriorBillingCode>
            </PriorBillingCodes>
            <Name>DOSI-PAIN Kit</Name>
            <Description>The DOSI-PAIN® Kit is a complete pain kit for the administraton of analgesics required for post operative pain relief. The The DOSI-PAIN® Kit contains the DosiFuser elastomeric pump (already registered on the prosthesis listing), a wound catheter and a BD Plastipack syringe. The The DOSI-PAIN® Kit is designed to provide drug infusion at a constant flow without impeding patient mobility. It is indicated for Chemotherapy, antiviral treatments, administration of antibiotics, pain treatments, Aids treatments and immunosuppressants; continuous ambulatory infusion of anaesthetics, anti-emetic drugs, heparin, etc.; continuous ambulatory arterial or intravenous infusion of antibiotics, cytostatic drugs, etc.The DOSI-PAIN® Kit offers a wide range of flow rates.</Description>
            <Size>65ml - 140mm x 45mm x 40mm;  100ml - 140mm x 52mm x 50mm;  150ml - 140mm x 55mm x 55mm;  250ml - 140mm x 60mm x 60mm</Size>
            <SupplierCode>UX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5358</SubGroupID>
            <Suffix>Set</Suffix>
            <ARTGs>
                <ARTG>324361</ARTG>
            </ARTGs>
            <MinimumBenefit>224</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB349</BillingCode>
            <Name>Easypump</Name>
            <Description>Disposable Elastomeric infusion pump system</Description>
            <Size>LT: Filling Volume: 60ml - 400ml, Flow Rate: 0.5ml/h - 10ml/h&#xD;
ST: Filling Volume: 50ml - 500ml, Flow Rate: 50ml/h - 500ml/h</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5358</SubGroupID>
            <ARTGs>
                <ARTG>221448</ARTG>
            </ARTGs>
            <MinimumBenefit>73</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RN006</BillingCode>
            <Name>Surefuser+ Fixed Flow</Name>
            <Description>Elastomeric balloon driven, ambulatory infusion pump with a variety fixed infusion rates.</Description>
            <Size>50ml, 100ml, 250ml</Size>
            <SupplierCode>RN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5358</SubGroupID>
            <ARTGs>
                <ARTG>92233</ARTG>
            </ARTGs>
            <MinimumBenefit>73</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SI049</BillingCode>
            <Name>Neofuser Pump</Name>
            <Description>Neofuser® is a single-use, portable elastomeric  infusion pump that provides medication at  accurate continuous pre-fixed flow.</Description>
            <Size>60mL, 100mL, 275mL, 450mL</Size>
            <SupplierCode>SI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5358</SubGroupID>
            <ARTGs>
                <ARTG>306862</ARTG>
            </ARTGs>
            <MinimumBenefit>73</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TX058</BillingCode>
            <Name>Autofuser Fixed Rate</Name>
            <Description>Fixed rate elastomeric infusion pump. Several basal rate options. Rigid, rounded, low profile housing. Front low pressure port for ease of filling. Graduated markings for monitoring infusion.      The Arrow  AutoFuser  Disposable Pain Pump from Teleflex is designed to safely and reliably deliver regional anaesthesia medications to help effectively manage post-operative pain in patients following surgery involving implanted prosthesis such as knee, hip or shoulder reconstructions. Effective management of postoperative pain in the immediate and early postoperative period facilitates early patient mobilisation and reduces the likelihood of implanted prosthesis failure. The device is also used to facilitate the delivery of epidural medical during labour in expectant mothers and can also be used for the delivery of medications necessary in the treatment of oncology patients.    The Arrow  AutoFuser  Disposable Pain Pump offers multiple  reservoir sizes and configurations to meet a variety of clinical demands. The AutoSelector  Variable Rate Selector gives the clinician the ability to adjust the basal infusion rate to meet the individualized needs of each patient to help control their post-operative pain. The patient controlled bolus gives patients the ability to address breakthrough pain without interrupting the continuous basal infusion.</Description>
            <Size>100ml, 150ml, 275ml</Size>
            <SupplierCode>TX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5358</SubGroupID>
            <ARTGs>
                <ARTG>288197</ARTG>
            </ARTGs>
            <MinimumBenefit>73</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BU025</BillingCode>
            <Name>Tuoren Infusion Pump</Name>
            <Description>Non electronic, elastomeric balloon driven, ambulatory infusion pump, which can be supplied in a variety of volumes and flow rates to meet different clinical applications.  Its primary purpose is for continuous delivery of fluids/medications.</Description>
            <Size>60ml - 300ml</Size>
            <SupplierCode>BU</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5359</SubGroupID>
            <Suffix>Bolus</Suffix>
            <ARTGs>
                <ARTG>323586</ARTG>
            </ARTGs>
            <MinimumBenefit>387</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX249</BillingCode>
            <Name>Multirate with PCM</Name>
            <Description>Sterile infusor devices, elastomeric driven</Description>
            <Size>Multirate 5, 7 or 12 ml/hr with PCM</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5359</SubGroupID>
            <Suffix>Bolus</Suffix>
            <ARTGs>
                <ARTG>168893</ARTG>
            </ARTGs>
            <MinimumBenefit>387</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX330</BillingCode>
            <Name>Basal Bolus Infusor</Name>
            <Description>Sterile Infusor Devices, Balloon based</Description>
            <Size>Basal/Bolus 60, Basal 0.5ml/hr, Bolus 0.5 x 65ml&#xD;
Basal/Bolus 15, Basal 0.5ml/hr, Bolus 2ml/hr x 65ml&#xD;
Basal/Bolus infusor, Basal 2ml/hr, Bolus 2ml/hr x 65ml</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5359</SubGroupID>
            <Suffix>Bolus</Suffix>
            <ARTGs>
                <ARTG>168893</ARTG>
            </ARTGs>
            <MinimumBenefit>387</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CU005</BillingCode>
            <Name>Neofuser Bolus Pump</Name>
            <Description>Ambulatory and disposable silicone balloon infusion pump with bolus function</Description>
            <Size>Volume 100ml, 275ml, 450ml</Size>
            <SupplierCode>CU</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5359</SubGroupID>
            <Suffix>Bolus</Suffix>
            <ARTGs>
                <ARTG>286078</ARTG>
            </ARTGs>
            <MinimumBenefit>387</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RN007</BillingCode>
            <Name>Surefuser+ PCA</Name>
            <Description>Elastomeric balloon pump with variable infusion rate and a patient-controlled analgesia (PCA) infuser.</Description>
            <Size>50ml, 100ml, 150ml, 250ml, 300ml</Size>
            <SupplierCode>RN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5359</SubGroupID>
            <Suffix>Bolus</Suffix>
            <ARTGs>
                <ARTG>92233</ARTG>
            </ARTGs>
            <MinimumBenefit>387</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ037</BillingCode>
            <Name>ON-Q Pain Relief System</Name>
            <Description>Elastomeric Infusion Pump System with Bolus</Description>
            <Size>270-400ml</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5359</SubGroupID>
            <Suffix>Bolus</Suffix>
            <ARTGs>
                <ARTG>142526</ARTG>
            </ARTGs>
            <MinimumBenefit>387</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TX059</BillingCode>
            <Name>Autofuser Autoselector Variable Rate w/Bolus</Name>
            <Description>Fixed rate elastomeric infusion pump. Several basal rate options. Bolus volume options with several refill times available. Rigid, rounded, low profile housing. Front low pressure port for ease of filling. Graduated markings for monitoring infusion. The Arrow  AutoFuser  Disposable Pain Pump from Teleflex is designed to safely and reliably deliver regional anaesthesia medications to help effectively manage post-operative pain in patients following surgery involving implanted prosthesis such as knee, hip or shoulder reconstructions. Effective management of postoperative pain in the immediate and early postoperative period facilitates early patient mobilisation and reduces the likelihood of implanted prosthesis failure. The device is also used to facilitate the delivery of epidural medical during labour in expectant mothers and can also be used for the delivery of medications necessary in the treatment of oncology patients.    The Arrow  AutoFuser  Disposable Pain Pump offers multiple  reservoir sizes and configurations to meet a variety of clinical demands. The AutoSelector  Variable Rate Selector gives the clinician the ability to adjust the basal infusion rate to meet the individualized needs of each patient to help control their post-operative pain. The patient controlled bolus gives patients the ability to address breakthrough pain without interrupting the basal rate.</Description>
            <Size>275ml, 550ml</Size>
            <SupplierCode>TX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5359</SubGroupID>
            <Suffix>Bolus</Suffix>
            <ARTGs>
                <ARTG>288197</ARTG>
            </ARTGs>
            <MinimumBenefit>387</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CU004</BillingCode>
            <Name>Neofuser Vario Pump</Name>
            <Description>Variable flow rate ambulatory and disposable silicone balloon infusion pump</Description>
            <Size>Volume 60ml, 100ml, 180ml, 275ml, 450ml</Size>
            <SupplierCode>CU</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5359</SubGroupID>
            <Suffix>Set</Suffix>
            <ARTGs>
                <ARTG>286078</ARTG>
            </ARTGs>
            <MinimumBenefit>323</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ035</BillingCode>
            <Name>ON-Q Pain Relief System</Name>
            <Description>Elastomeric Infusion Pump System, Select-A-Flow, Dual</Description>
            <Size>270ml - 600ml</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5359</SubGroupID>
            <Suffix>Set</Suffix>
            <ARTGs>
                <ARTG>142526</ARTG>
            </ARTGs>
            <MinimumBenefit>323</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>UX003</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>AH009</PriorBillingCode>
            </PriorBillingCodes>
            <Name>DOSI-FUSER PCA Infusion System</Name>
            <Description>Designed to provide drug infusion at a constant rate. Facilitates the ability for a clinician to allow the patient to initiate a controlled bolus with a set lock out period. Bolus reservoir sizes of 0.5ml and 2ml are available with lock-out times of 15, 30, 60 and 80 minutes.</Description>
            <Size>65ml, 100ml, and 250ml</Size>
            <SupplierCode>UX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5359</SubGroupID>
            <Suffix>Set</Suffix>
            <ARTGs>
                <ARTG>324361</ARTG>
            </ARTGs>
            <MinimumBenefit>260</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>UX004</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>AH012</PriorBillingCode>
            </PriorBillingCodes>
            <Name>DOSI-FUSER Multiflow System</Name>
            <Description>Elastomeric pump providing drug infusion at a constant flow. Facilitates the ability for a clinician to adjust the infusion rate of the contents of the infuser. Offers a wide range of flow rates from 1ml/h to 7ml/h in steps of 1ml/h, and from 2ml/h to 14ml/h in steps of 2ml/h.</Description>
            <Size>65ml, 100ml, 150ml, and 250ml.</Size>
            <SupplierCode>UX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5359</SubGroupID>
            <Suffix>Set</Suffix>
            <ARTGs>
                <ARTG>324361</ARTG>
            </ARTGs>
            <MinimumBenefit>323</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RN004</BillingCode>
            <Name>Surefuser+</Name>
            <Description>Elastomeric balloon driven, ambulatory infusion pump with variable infusion rate</Description>
            <Size>100ml, 250ml</Size>
            <SupplierCode>RN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5359</SubGroupID>
            <ARTGs>
                <ARTG>92233</ARTG>
            </ARTGs>
            <MinimumBenefit>142</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SI051</BillingCode>
            <Name>Neofuser Vario</Name>
            <Description>Single-use, portable&#xD;
elastomeric multirate infusion pump</Description>
            <Size>1 - 7 ml/h&#xD;
2 - 14 ml/h&#xD;
1 - 7 ml/h&#xD;
2 - 14 ml/h&#xD;
1 - 7 ml/h&#xD;
2 - 14 ml/h&#xD;
1 - 7 ml/h&#xD;
2 - 14 ml/h</Size>
            <SupplierCode>SI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5359</SubGroupID>
            <ARTGs>
                <ARTG>306862</ARTG>
            </ARTGs>
            <MinimumBenefit>142</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TX060</BillingCode>
            <Name>Autofuser Autoselector Variable Rate</Name>
            <Description>Fixed rate elastomeric infusion pump. Several basal rate options. Bolus volume options with several refill times available. Rigid, rounded, low profile housing. Front low pressure port for ease of filling. Graduated markings for monitoring infusion.  The Arrow  AutoFuser  Disposable Pain Pump from Teleflex is designed to safely and reliably deliver regional anaesthesia medications to help effectively manage post-operative pain in patients following surgery involving implanted prosthesis such as knee, hip or shoulder reconstructions. Effective management of postoperative pain in the immediate and early postoperative period facilitates early patient mobilisation and reduces the likelihood of implanted prosthesis failure. The device is also used to facilitate the delivery of epidural medical during labour in expectant mothers and can also be used for the delivery of medications necessary in the treatment of oncology patients. The Arrow  AutoFuser  Disposable Pain Pump offers multiple  reservoir sizes and configurations to meet a variety of clinical demands. The AutoSelector  Variable Rate Selector gives the clinician the ability to adjust the basal infusion rate to meet the individualized needs of each patient to help control their post-operative pain. The patient controlled bolus gives patients the ability to address breakthrough pain without interrupting the continuous basal rate</Description>
            <Size>100ml, 275ml, 400ml.</Size>
            <SupplierCode>TX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1524</GroupID>
            <SubGroupID>5359</SubGroupID>
            <ARTGs>
                <ARTG>288197</ARTG>
            </ARTGs>
            <MinimumBenefit>142</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AN017</BillingCode>
            <Name>t:slim X2 Insulin Pump with Basal-IQ Technology</Name>
            <Description>Ambulatory insulin infusion pump with real-time continuous glucose monitoring (CGM) capability and incorporating Basal-IQ Predictive Low Glucose Suspend (PLGS) Technology.</Description>
            <Size>One size only.</Size>
            <SupplierCode>AN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1525</GroupID>
            <SubGroupID>4187</SubGroupID>
            <Suffix>DE, SS</Suffix>
            <ARTGs>
                <ARTG>304681</ARTG>
            </ARTGs>
            <MinimumBenefit>8574</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AN018</BillingCode>
            <Name>t:slim X2 Insulin Pump with Control-IQ Technology</Name>
            <Description>Ambulatory insulin infusion pump with real-time continuous glucose monitoring (CGM) capability and incorporating Control-IQ Technology.</Description>
            <Size>One size only</Size>
            <SupplierCode>AN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1525</GroupID>
            <SubGroupID>4187</SubGroupID>
            <Suffix>DE, SS</Suffix>
            <ARTGs>
                <ARTG>304681</ARTG>
            </ARTGs>
            <MinimumBenefit>8574</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE776</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>TT005</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Sapphire Infusion System</Name>
            <Description>The Sapphire Infusion System is a new device for ambulatory infusion and acute pain management. It is an infusion pump designed for the volumetric delivery of medications to patients at a programmable rate. Sapphire is the first pump to offer an intuitive, full colour touch screen interface in an ambulatory package, along with best-in-class +/-2.5% product delivery accuracy</Description>
            <Size>Size (in), Weight (oz) 5.6 x 3.8 x 1.9 in. 14.7 oz (including battery)</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1525</GroupID>
            <SubGroupID>4185</SubGroupID>
            <ARTGs>
                <ARTG>201499</ARTG>
            </ARTGs>
            <MinimumBenefit>4468</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FK017</BillingCode>
            <Name>Agilia SP PCA Infusion System</Name>
            <Description>Agilia SP PCA is a programmable electronic medical system dedicated to administering a pre-determined volume of a syringe at a programmed rate. This syringe pump ensures a fluid delivery, by pushing the syringe plunger and advancing the liquid to the patient through an extension set. The Agilia SP PCA syringe pump can also be used for general infusions on adults, pediatrics, and neonatal patients for the intermittent or continuous delivery of parenteral fluids (such as solutions, colloids, parenteral nutrition), medications (such as diluted drugs, chemotherapy, anesthesia drugs), blood and blood derivatives, and medications through clinically accepted routes of administration.  It is intended for use by trained healthcare professionals in clinical healthcare facilities. In PCA therapy, it is also intended for use by the patient in order to self administer doses of analgesic agent, after receiving appropriate training and instructions from the clinical staff. Agilia SP PCA is a transportable and reusable device that can be used every day. </Description>
            <Size>The size of a syringe can be 5, 10, 20, 30 or 50/60 mL.  </Size>
            <SupplierCode>FK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1525</GroupID>
            <SubGroupID>4185</SubGroupID>
            <ARTGs>
                <ARTG>267873</ARTG>
            </ARTGs>
            <MinimumBenefit>4468</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FX002</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>AH004</PriorBillingCode>
            </PriorBillingCodes>
            <Name>ambIT Infusion Pump</Name>
            <Description>The ambIT Reusable Infusion Pump is an external programmable electronic ambulatory infusion pump used for the delivery of fluid and medications via intravenous, epidural, subcutaneous or regional routes.  It can be programmed with different delivery profiles which include basal rate/continuous only, basal rate with PCA (Patient Controlled Analgesia), PCA Bolus Only or Intermittent Bolus Dose (PIB). It is operated in conjunction with a ambIT disposable administration cassette</Description>
            <Size>AmbIT Single use Pump - 55mm x 36mm x 175mm  AmbIT Single use administration cassette - 20mm x 10mm x 15mm</Size>
            <SupplierCode>FX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1525</GroupID>
            <SubGroupID>4185</SubGroupID>
            <ARTGs>
                <ARTG>228804</ARTG>
            </ARTGs>
            <MinimumBenefit>4468</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RE001</BillingCode>
            <Name>Bodyguard Pump</Name>
            <Description>Ambulatory Infusion Pump, Battery Powered</Description>
            <Size>One size only</Size>
            <SupplierCode>RE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1525</GroupID>
            <SubGroupID>4185</SubGroupID>
            <ARTGs>
                <ARTG>119623</ARTG>
            </ARTGs>
            <MinimumBenefit>4468</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RE002</BillingCode>
            <Name>REM Systems Ambulatory Infusion Pump</Name>
            <Description>Ambulatory infusion pump, syringe.&#xD;
Models: NIKI T34 Standard; T34L PCA; T34L</Description>
            <Size>One size only</Size>
            <SupplierCode>RE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1525</GroupID>
            <SubGroupID>4185</SubGroupID>
            <ARTGs>
                <ARTG>131232</ARTG>
            </ARTGs>
            <MinimumBenefit>4468</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SI034</BillingCode>
            <Name>CADD-Solis VIP Ambulatory Infusion Pump</Name>
            <Description>Ambulatory Infusion Pump</Description>
            <Size>One size only</Size>
            <SupplierCode>SI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1525</GroupID>
            <SubGroupID>4185</SubGroupID>
            <ARTGs>
                <ARTG>109467</ARTG>
            </ARTGs>
            <MinimumBenefit>4468</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SI045</BillingCode>
            <Name>CADD®- Solis Pain Management System</Name>
            <Description>Ambulatory Infusion Pump, Battery Powered</Description>
            <Size>680g excluding accessories</Size>
            <SupplierCode>SI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1525</GroupID>
            <SubGroupID>4185</SubGroupID>
            <ARTGs>
                <ARTG>109467</ARTG>
            </ARTGs>
            <MinimumBenefit>4468</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SI052</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>SI037</PriorBillingCode>
                <PriorBillingCode>SI038</PriorBillingCode>
                <PriorBillingCode>SI039</PriorBillingCode>
            </PriorBillingCodes>
            <Name>CADD Legacy</Name>
            <Description>CADD Legacy One, CADD Legacy Plus, CADD Legacy PCA</Description>
            <Size>Variants - Continuous, Continuous + Intermittent, PCA</Size>
            <SupplierCode>SI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1525</GroupID>
            <SubGroupID>4185</SubGroupID>
            <ARTGs>
                <ARTG>109467</ARTG>
            </ARTGs>
            <MinimumBenefit>4468</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DQ002</BillingCode>
            <Name>Weight Dose Dispensor</Name>
            <Description>Programmable Infusion Pump</Description>
            <Size>50ml</Size>
            <SupplierCode>DQ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1525</GroupID>
            <SubGroupID>4186</SubGroupID>
            <ARTGs>
                <ARTG>321942</ARTG>
            </ARTGs>
            <MinimumBenefit>407</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FX003</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>AH008</PriorBillingCode>
            </PriorBillingCodes>
            <Name>ambIT Single Use Regional Kit</Name>
            <Description>The ambIT Single Use Regional Kit contains: a single use ambIT pump, single use administration cassette with male luer lock fitting, 420ml Medibag, the choice of 75mm, 127mm or 154mm fenestrated nerve/wound catheter, a peel away introducer sheath, button guard and patient carry bag.</Description>
            <Size>ambIT Single Use Pump - 55mm x 36mm x 175mm  Ambit Single use administration cassette - 20mm x 10mm x 15mm   </Size>
            <SupplierCode>FX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1525</GroupID>
            <SubGroupID>4186</SubGroupID>
            <ARTGs>
                <ARTG>228805</ARTG>
                <ARTG>228804</ARTG>
                <ARTG>190934</ARTG>
                <ARTG>243381</ARTG>
                <ARTG>190922</ARTG>
                <ARTG>190933</ARTG>
            </ARTGs>
            <MinimumBenefit>407</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FX004</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>AH013</PriorBillingCode>
            </PriorBillingCodes>
            <Name>ambIT Single Use</Name>
            <Description>Kit contains: a single use ambIT infusion pump, single use administration cassette with spike fitting, Button Guard, 2 x AA batteries, and patient carry bag</Description>
            <Size>AmbIT Single use Pump  - 55mm X 36mm X 175mm  AmbIT Single use administration cassette - 20mm X 10mm X 15mm</Size>
            <SupplierCode>FX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1525</GroupID>
            <SubGroupID>4186</SubGroupID>
            <ARTGs>
                <ARTG>228804</ARTG>
                <ARTG>228805</ARTG>
            </ARTGs>
            <MinimumBenefit>407</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CU001</BillingCode>
            <Name>BeeLINE MotIV Infusion Pump (275ml)</Name>
            <Description>External infusion pump, spring powered, fixed flow rate, 275ml set: set includes reservoir, introducer needle, tubing set, priming/flushing syringes, saturation catheter, dressing, syringes.  30min - 7 day infusion</Description>
            <Size>275ml infuser reservoir = 19cm (7.5") x 7cm (2.8")</Size>
            <SupplierCode>CU</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1540</GroupID>
            <SubGroupID>4188</SubGroupID>
            <Suffix>Set</Suffix>
            <ARTGs>
                <ARTG>167182</ARTG>
            </ARTGs>
            <MinimumBenefit>235</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CU002</BillingCode>
            <Name>BeeLINE MotIV Infusion Pump (100ml)</Name>
            <Description>External infusion pump, spring powered, fixed flow rate, 100ml set: set includes reservoir, introducer needle, tubing set, priming/flushing syringes, saturation catheter, dressing, syringes.  30min - 7 day infusion</Description>
            <Size>100ml infusor reservoir = 13cm (5.1") x 7cm (2.8")</Size>
            <SupplierCode>CU</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1540</GroupID>
            <SubGroupID>4188</SubGroupID>
            <Suffix>Set</Suffix>
            <ARTGs>
                <ARTG>167182</ARTG>
            </ARTGs>
            <MinimumBenefit>235</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DQ001</BillingCode>
            <Name>BioQ Pharma ReadyfusOR</Name>
            <Description>Non-electric pre-filled infusion pain kit</Description>
            <Size>250 ml</Size>
            <SupplierCode>DQ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1540</GroupID>
            <SubGroupID>4188</SubGroupID>
            <Suffix>Set</Suffix>
            <ARTGs>
                <ARTG>292140</ARTG>
            </ARTGs>
            <MinimumBenefit>235</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LE002</BillingCode>
            <Name>Springfusor Infusion System  - Component # 1 Springfusor Pump/s</Name>
            <Description>#1 Spring Powered Fixed Rate Ambulatory Infusion Pump </Description>
            <Size> Pumps are available as 10ml, 30ml, 50ml</Size>
            <SupplierCode>LE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1540</GroupID>
            <SubGroupID>4188</SubGroupID>
            <Suffix>Set</Suffix>
            <ARTGs>
                <ARTG>159494</ARTG>
            </ARTGs>
            <MinimumBenefit>235</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX326</BillingCode>
            <Name>Infusor</Name>
            <Description>Sterile Infusor Devices, Spring Powered</Description>
            <Size>SV Half, 5ml/hr, nominal 60ml vol, max 65ml.&#xD;
SV Single day, 2ml/hr, nominal 48ml vol, max 65ml</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1540</GroupID>
            <SubGroupID>4188</SubGroupID>
            <ARTGs>
                <ARTG>168893</ARTG>
            </ARTGs>
            <MinimumBenefit>77</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX286</BillingCode>
            <Name>Painfusor Catheter</Name>
            <Description>The Painfusor Catheter is an extended fenestration catheter for the administration of analgesic drugs into surgical wounds to manage acute post-operative pain. Pack contains fenestrated catheter, peel away introducer needle accommodating 19Ga (100 mm length), 3M Tegaderm IV Transparent Film Dressing with border 1633, and GripLok catheter securement device</Description>
            <Size>Catheters are 35cm + Fenestrated section:     (35cm + 2.5cm) - total length 37.5cm, (35cm + 7.5cm) - total length 42.5cm, (35cm + 15cm) - total length 50cm, (35cm + 22.5cm) - total length 57.5cm, (35cm + 30 cm) - total length 65cm</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1541</GroupID>
            <SubGroupID>4190</SubGroupID>
            <ARTGs>
                <ARTG>177499</ARTG>
            </ARTGs>
            <MinimumBenefit>72</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ070</BillingCode>
            <Name>ON-Q Pain Relief System</Name>
            <Description>Expansion kit with Soaker catheter, or SilverSoaker antimicrobial catheter</Description>
            <Size>2.5-25cm</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1541</GroupID>
            <SubGroupID>4190</SubGroupID>
            <ARTGs>
                <ARTG>162583</ARTG>
            </ARTGs>
            <MinimumBenefit>72</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ142</BillingCode>
            <Name>ON-Q Pain Relief System</Name>
            <Description>QuikBloc Over-The-Needle Catheter Set</Description>
            <Size>Needles: 20GA 100mm-150mm&#xD;
Catheters: 16GA 76mm-127mm&#xD;
Stimulating, Non-stimulating</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1541</GroupID>
            <SubGroupID>4190</SubGroupID>
            <ARTGs>
                <ARTG>162583</ARTG>
            </ARTGs>
            <MinimumBenefit>72</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX245</BillingCode>
            <Name>Patient Control Module</Name>
            <Description>Sterile infusor devices, spring or elastomeric driven</Description>
            <Size>Module 0.5ml dose, Module 2 ml dose</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1541</GroupID>
            <SubGroupID>4191</SubGroupID>
            <ARTGs>
                <ARTG>168892</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE777</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>TT006</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Sapphire Infusion Cassette and Set</Name>
            <Description>The Sapphire Infusion Cassette and set is a one piece microfibre infusion set with non vented spike, pinch clamp, administration cassette, female luer lock, entrance with a back check valve, pinch clamp and spin male leur lock for use with the sapphire infusion system. The materail components are made from PVC-Non DEHP (tubing, connectors), silicon (Y site and tubing and polypropylene (valves)</Description>
            <Size>210cm</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1541</GroupID>
            <SubGroupID>4191</SubGroupID>
            <ARTGs>
                <ARTG>200689</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FX001</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>AH005</PriorBillingCode>
            </PriorBillingCodes>
            <Name>ambIT Infusion Pump Cassette</Name>
            <Description>Single use sterile disposable administration set for use with the ambIT Infusion Pump.  The cassette contains a rotary mechanism that pumps the infusion solution at an accurate and controlled rate.  The cassette includes an administration line with either a spike fitting or a luer lock fitting depending on the solution bag used. The line has an inline air filter.</Description>
            <Size>20mm x 10mm x 15mm</Size>
            <SupplierCode>FX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1541</GroupID>
            <SubGroupID>4191</SubGroupID>
            <ARTGs>
                <ARTG>228805</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RE003</BillingCode>
            <Name>Bodyguard Pump infusion sets</Name>
            <Description>Single use sterile disposble infusion set for use with Bodyguard Infusion Pump</Description>
            <Size>230 cm length</Size>
            <SupplierCode>RE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1541</GroupID>
            <SubGroupID>4191</SubGroupID>
            <ARTGs>
                <ARTG>119624</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SI024</BillingCode>
            <Name>CADD Medication Cassettes</Name>
            <Description>Medication Cassettes for use with CADD pumps</Description>
            <Size>50 mL, 100mL, 250mL</Size>
            <SupplierCode>SI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1541</GroupID>
            <SubGroupID>4191</SubGroupID>
            <ARTGs>
                <ARTG>145297</ARTG>
                <ARTG>316997</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AN016</BillingCode>
            <Name>t:slim Cartridge</Name>
            <Description>Cartridge for use with the t:slim X2 System</Description>
            <Size>Pack of 10</Size>
            <SupplierCode>AN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1541</GroupID>
            <SubGroupID>4192</SubGroupID>
            <ARTGs>
                <ARTG>304681</ARTG>
            </ARTGs>
            <MinimumBenefit>8</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RX002</BillingCode>
            <Name>Medical Specialties "Walkmed Drug Administration Reservoir" (McKinley, USA)</Name>
            <Description>Ambulatory Infusion Pump System, Administration Sets and Accessories</Description>
            <Size>Walkmed Drug Administration Reservoirs</Size>
            <SupplierCode>RX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1541</GroupID>
            <SubGroupID>4192</SubGroupID>
            <ARTGs>
                <ARTG>212508</ARTG>
            </ARTGs>
            <MinimumBenefit>8</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RX003</BillingCode>
            <Name>Medical Specialties "Walkmed Drug Administration Sets"  (McKinley, USA)</Name>
            <Description>Ambulatory Infusion Pump System, Administration Sets and Accessories</Description>
            <Size>Walkmed Drug Administration Sets</Size>
            <SupplierCode>RX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1541</GroupID>
            <SubGroupID>4193</SubGroupID>
            <ARTGs>
                <ARTG>212508</ARTG>
            </ARTGs>
            <MinimumBenefit>7</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SI026</BillingCode>
            <Name>CADD Administration Set 175cm TOTM tubing</Name>
            <Description>For use with SI036</Description>
            <Size>250 mL</Size>
            <SupplierCode>SI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1541</GroupID>
            <SubGroupID>4193</SubGroupID>
            <ARTGs>
                <ARTG>145297</ARTG>
            </ARTGs>
            <MinimumBenefit>7</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SI028</BillingCode>
            <Name>CADD Extention Set</Name>
            <Description>CADD Extension set for use with CADD Pumps</Description>
            <Size>Various</Size>
            <SupplierCode>SI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1541</GroupID>
            <SubGroupID>4193</SubGroupID>
            <ARTGs>
                <ARTG>145297</ARTG>
                <ARTG>317222</ARTG>
            </ARTGs>
            <MinimumBenefit>7</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SI040</BillingCode>
            <Name>Administration Set</Name>
            <Description>Administration Set for use with CADD pump</Description>
            <Size>Various configurations</Size>
            <SupplierCode>SI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1541</GroupID>
            <SubGroupID>4193</SubGroupID>
            <ARTGs>
                <ARTG>316996</ARTG>
                <ARTG>145297</ARTG>
            </ARTGs>
            <MinimumBenefit>7</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SI046</BillingCode>
            <Name>Pump Pouch, single use</Name>
            <Description>Pump pouch, single use 50/100mL</Description>
            <Size>50/100mL</Size>
            <SupplierCode>SI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1541</GroupID>
            <SubGroupID>4194</SubGroupID>
            <ARTGs>
                <ARTG>109467</ARTG>
            </ARTGs>
            <MinimumBenefit>45</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ069</BillingCode>
            <Name>ON-Q Pain Relief System</Name>
            <Description>Tunneller, Sheath, Needle</Description>
            <Size>15.2-30.5cm  11-17GA</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1541</GroupID>
            <SubGroupID>4194</SubGroupID>
            <ARTGs>
                <ARTG>201353</ARTG>
                <ARTG>201495</ARTG>
            </ARTGs>
            <MinimumBenefit>45</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS371</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE275</PriorBillingCode>
            </PriorBillingCodes>
            <Name>DC Bead</Name>
            <Description>Drug delivery embolisation system</Description>
            <Size>70-150, 100-300, 300-500, 500-700, 700-900 (microns)</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1542</GroupID>
            <SubGroupID>4195</SubGroupID>
            <ARTGs>
                <ARTG>131473</ARTG>
            </ARTGs>
            <MinimumBenefit>1760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS372</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE580</PriorBillingCode>
            </PriorBillingCodes>
            <Name>DC Bead M1</Name>
            <Description>Drug delivery embolization system</Description>
            <Size>70-150um</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1542</GroupID>
            <SubGroupID>4195</SubGroupID>
            <ARTGs>
                <ARTG>187101</ARTG>
            </ARTGs>
            <MinimumBenefit>1760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS373</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE647</PriorBillingCode>
            </PriorBillingCodes>
            <Name>DC Bead LUMI</Name>
            <Description>Drug delivery embolisation system</Description>
            <Size>70-150 microns (black)  100-300 microns (yellow)</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1542</GroupID>
            <SubGroupID>4195</SubGroupID>
            <ARTGs>
                <ARTG>307152</ARTG>
            </ARTGs>
            <MinimumBenefit>1760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OW001</BillingCode>
            <Name>Hepasphere</Name>
            <Description>Expanding microspheres designed for chemic0-embolisation with chemotherapeutic agents such as Ethiodil, Cisplatin, Epirubicin, Mitomycin, etc.</Description>
            <Size>30 – 200 micron, 25mg or 50mg of microspheres</Size>
            <SupplierCode>OW</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1542</GroupID>
            <SubGroupID>4195</SubGroupID>
            <ARTGs>
                <ARTG>276029</ARTG>
            </ARTGs>
            <MinimumBenefit>1760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VN001</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>BS315</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Embozene Tandem Microspheres</Name>
            <Description>Embozene TANDEM Microspheres are spherical tightly calibrated, biocompatible, non-resorbable, hydrogel microspheres with an inorganic polyzene-F coating, colour coded to indicate microsphere size. Each 20mL syringe is filled with 2 ml of product suspended in a non-pyrogenic physiological slaine transport solution. Embozene TANDEM Microspheres may be loaded with Doxirubican-HCl and Irinotecan-HCl up to 50mg/ml which can elute local, controlled, sustained doses of drugs to targeted tumour sites after embolisation.</Description>
            <Size>Tandem 2ml 40 ± 10 µm  Tandem 2ml 75 ± 15 µm  Tandem 2ml 100  ± 25 µm</Size>
            <SupplierCode>VN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1542</GroupID>
            <SubGroupID>4195</SubGroupID>
            <ARTGs>
                <ARTG>315383</ARTG>
            </ARTGs>
            <MinimumBenefit>1760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VN002</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>BS316</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Embozene Tandem Microspheres</Name>
            <Description>Embozene TANDEM Microspheres are spherical tightly calibrated, biocompatible, non-resorbable, hydrogel microspheres with an inorganic polyzene-F coating,  colour coded to indicate microsphere size. Each 20 mL syringe is prefilled with 3 mL of product suspended in a non-pyrogenic physiological saline transport solution. Embozene TANDEM microspheres may be loaded with Doxorubican-HCI  and Irinotecan-HCI up to 50 mg/ml which can elute local, controlled, sustained doses of the drugs to targeted tumour sites after embolisation.</Description>
            <Size>Tandem 3ml 40 ± 10 μm  Tandem 3ml 75 ± 15 μm   Tandem 3ml 100 ± 25 μm</Size>
            <SupplierCode>VN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>188</SubCategoryID>
            <GroupID>1542</GroupID>
            <SubGroupID>4195</SubGroupID>
            <ARTGs>
                <ARTG>315383</ARTG>
            </ARTGs>
            <MinimumBenefit>2234</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KI010</BillingCode>
            <Name>Corflo Max 20fg PEG Kit "Pull Type"</Name>
            <Description>Sterile enteral feeding tube with  accessories</Description>
            <Size>20fg</Size>
            <SupplierCode>KI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1544</GroupID>
            <ARTGs>
                <ARTG>196774</ARTG>
            </ARTGs>
            <MinimumBenefit>161</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA047</BillingCode>
            <Name>Gastrostomy Tube</Name>
            <Description>Silicone Tubes and Replacement Tubes</Description>
            <Size>12Fr - 28Fr</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4197</SubGroupID>
            <ARTGs>
                <ARTG>141582</ARTG>
                <ARTG>141583</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS141</BillingCode>
            <Name>EndoVive Initial Feeding Tube</Name>
            <Description>Silicone enteral feeding tube</Description>
            <Size>Up to 24 Fr</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4197</SubGroupID>
            <ARTGs>
                <ARTG>159455</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE536</BillingCode>
            <Name>Capsule Monarch G Tube</Name>
            <Description>Conventional Length Non Balloon Gastronomy Tube.</Description>
            <Size>12F, 14F, 18F, 20F, 10cm length, available with or without guidewire.</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4197</SubGroupID>
            <ARTGs>
                <ARTG>181742</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE541</BillingCode>
            <Name>Balloon G-Tube</Name>
            <Description>Conventional Length Balloon Gastrostomy tube</Description>
            <Size>12F-24F; &#xD;
Length: 10cm;&#xD;
Balloon fill volumes from 2 -15ml depending on French size.</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4197</SubGroupID>
            <ARTGs>
                <ARTG>181742</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE546</BillingCode>
            <Name>Capsule Dome G-Tube</Name>
            <Description>Conventional Length Dome Gastrostomy Tube</Description>
            <Size>20Fr, 10cm length, available with or without guidewire.</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4197</SubGroupID>
            <ARTGs>
                <ARTG>181742</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE564</BillingCode>
            <Name>Mini ONE Balloon Button</Name>
            <Description>Low Profile Balloon Gastrostomy Tube</Description>
            <Size>12F to 24F and length 0.8 - 6.5cms; Balloon Fill Volumes: 2-15ml</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4197</SubGroupID>
            <ARTGs>
                <ARTG>181741</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DO020</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>AS205</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Kangaroo Skin Level Cage Gastrostomy Kit</Name>
            <Description>Skin level non-balloon internal retention bolster gastrostomy kit, including gastrostomy tube, accessory bolus and continuous feeding tubes syringes for inflation and flushing. Patient handbook</Description>
            <Size>12fg x 1.2cm, 12fg x 1.5cm, 12fg x 2.0cm, 12fg x 2.5cm, 12fg x 3.0cm, 12fg x 3.5cm, 12fg x 4.0cm, 12fg x 4.5cm, 12fg x 5.0cm, 16fg x 1.5cm, 16fg x 1.7cm, 16fg x 2.0cm, 16fg x 2.4cm, 16fg x 2.7cm, 16fg x 3.0cm, 16fg x 3.5cm, 20fg x 1.5cm, 20fg x 2.0cm, 20fg x 2.5cm, 20fg x 3.0cm, 20fg x 3.5cm, 20fg x 4.0cm, 20fg x 4.5cm</Size>
            <SupplierCode>DO</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4197</SubGroupID>
            <ARTGs>
                <ARTG>185673</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DO022</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>AS207</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Kangaroo Skin Level Balloon Gastrostomy Kit</Name>
            <Description>Skin level silicone balloon gastrostomy kit, including gastronomy tube accessory bolus and continuous feeding tubes, syringes for inflation and flushing, Patient Handbook</Description>
            <Size>12-24 Fr., 0.8-5 cm, 3-8ml.</Size>
            <SupplierCode>DO</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4197</SubGroupID>
            <ARTGs>
                <ARTG>185673</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DO023</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>AS210</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Kangaroo Single Pass PEG</Name>
            <Description>Single Pass PEG</Description>
            <Size>16fg, 20fg</Size>
            <SupplierCode>DO</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4197</SubGroupID>
            <ARTGs>
                <ARTG>141188</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FK008</BillingCode>
            <Name>Freka PEG, ENFit</Name>
            <Description>PEG polyurethane tube with a proximal cone and integrated fixation loop, radio-opaque strip, measuring marks over a length of l-16 cm at 2 cm intervals, radio-opaque silicone retention plate, and a rounded distal opening</Description>
            <Size>9 Fr x 30 cm &#xD;
15 Fr x 35 cm&#xD;
20 Fr x 35 cm</Size>
            <SupplierCode>FK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4197</SubGroupID>
            <ARTGs>
                <ARTG>126460</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FK011</BillingCode>
            <Name>Freka Pexact, FR 15 set II, ENFit</Name>
            <Description>Kit consisting of a gastropexy device (Loop Fixture II), trocar with peel-away sheath, and silicone balloon tube for direct puncture gastrostomy</Description>
            <Size>Trocar with peel-away sheath:16 Fr, length 17.5 cm&#xD;
Silicone balloon tube:15 Fr, shaft length 23 ± 1 cm</Size>
            <SupplierCode>FK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4197</SubGroupID>
            <ARTGs>
                <ARTG>285517</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FK013</BillingCode>
            <Name>Freka Belly Button Comfort Kit, ENFit</Name>
            <Description>Gastric replacement system consisting of Freka Belly Button, insertion introducer, 2 compresses, syringe for filling balloon, lubricant gel, Seldinger wire, Freka Button Extension Sets 1 and 2, and Freka Connect. An Initial Placement System (PEG) would have been placed at least 4 weeks prior.</Description>
            <Size>12 Fr x 1.0cm ,12 Fr x 1.5cm, 12 Fr x 2.0cm, 12 Fr x 2.5cm, 12 Fr x 3.0cm, 12 Fr x 3.5cm, 12 Fr x 4.0cm, 12 Fr x 4.5cm,12 Fr x 5.0cm &#xD;
&#xD;
14 Fr x 1.0cm, 14 Fr x 1.5cm, 14 Fr x 2.0cm, 14 Fr x 2.5cm, 14 Fr x 3.0cm, 14 Fr x 3.5cm,14 Fr x 4.0cm,14 Fr x 4.5cm, 14 Fr x 5.0cm&#xD;
&#xD;
16 Fr x 1.0cm, 16 Fr x 1.5cm, 16 Fr x 2.0cm, 16 Fr x 2.5cm, 16 Fr x 3.0cm, 16 Fr x 3.5cm,16 Fr x 4.0cm,16 Fr x 4.5cm, 16 Fr x 5.0cm&#xD;
&#xD;
18 Fr x 1.0cm, 18 Fr x 1.5cm, 18 Fr x 2.0cm, 18 Fr x 2.5cm, 18 Fr x 3.0cm, 18 Fr x 3.5cm,18 Fr x 4.0cm,18 Fr x 4.5cm, 18 Fr x 5.0cm&#xD;
&#xD;
20 Fr x 1.0cm, 20 Fr x 1.5cm, 20 Fr x 2.0cm, 20 Fr x 2.5cm, 20 Fr x 3.0cm, 20 Fr x 3.5cm,20 Fr x 4.0cm, 20 Fr x 4.5cm, 20 Fr x 5.0cm&#xD;
&#xD;
24 Fr x 1.0cm, 24 Fr x 1.5cm, 24 Fr x 2.0cm, 24 Fr x 2.5cm, 24 Fr x 3.0cm, 24 Fr x 3.5cm, 24 Fr x 4.0cm, 24 Fr x 4.5cm, 24 Fr x 5.0cm</Size>
            <SupplierCode>FK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4197</SubGroupID>
            <ARTGs>
                <ARTG>126462</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FK018</BillingCode>
            <Name>Freka Belly Button  Basic Kit, ENFit</Name>
            <Description>Gastric replacement system consisting of 1 Freka Belly Button, 1 insertion introducer, 2 compresses, 1 Luer syringe for filling balloon, 1 lubricant gel, 1 X10 ml ampoule of sterile water. An Initial Placement System (PEG) would have been placed at least 4 weeks prior.</Description>
            <Size>12 Fr x 1.0cm ,12 Fr x 1.5cm, 12 Fr x 2.0cm, 12 Fr x 2.5cm, 12 Fr x 3.0cm, 12 Fr x 3.5cm, 12 Fr x 4.0cm, 12 Fr x 4.5cm,12 Fr x 5.0cm              14 Fr x 1.0cm, 14 Fr x 1.5cm, 14 Fr x 2.0cm, 14 Fr x 2.5cm, 14 Fr x 3.0cm, 14 Fr x 3.5cm,14 Fr x 4.0cm,14 Fr x 4.5cm, 14 Fr x 5.0cm              16 Fr x 1.0cm, 16 Fr x 1.5cm, 16 Fr x 2.0cm, 16 Fr x 2.5cm, 16 Fr x 3.0cm, 16 Fr x 3.5cm,16 Fr x 4.0cm,16 Fr x 4.5cm, 16 Fr x 5.0cm              18 Fr x 1.0cm, 18 Fr x 1.5cm, 18 Fr x 2.0cm, 18 Fr x 2.5cm, 18 Fr x 3.0cm, 18 Fr x 3.5cm,18 Fr x 4.0cm,18 Fr x 4.5cm, 18 Fr x 5.0cm              20 Fr x 1.0cm, 20 Fr x 1.5cm, 20 Fr x 2.0cm, 20 Fr x 2.5cm, 20 Fr x 3.0cm, 20 Fr x 3.5cm,20 Fr x 4.0cm, 20 Fr x 4.5cm, 20 Fr x 5.0cm              24 Fr x 1.0cm, 24 Fr x 1.5cm, 24 Fr x 2.0cm, 24 Fr x 2.5cm, 24 Fr x 3.0cm, 24 Fr x 3.5cm, 24 Fr x 4.0cm, 24 Fr x 4.5cm, 24 Fr x 5.0cm  </Size>
            <SupplierCode>FK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4197</SubGroupID>
            <ARTGs>
                <ARTG>126462</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KI001</BillingCode>
            <Name>HALYARD* MIC*Percutaneous Endoscopic Gastrostomy (P.E.G) Feeding Tubes / Kits, Enfit and Non-Enfit</Name>
            <Description>Sterile enteral feeding tube with accessories</Description>
            <Size>14Fr, 20Fr, 24Fr</Size>
            <SupplierCode>KI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4197</SubGroupID>
            <ARTGs>
                <ARTG>248293</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KI002</BillingCode>
            <Name>Halyard* MIC* Percutaneous Endoscopic Gastrostomy (P.E.G) Feeding BASIC Tubes/Kits Enfit and Non-Enf</Name>
            <Description>Sterile enteral feeding tube with accessories</Description>
            <Size>14 Fr, 20 Fr, 24 Fr</Size>
            <SupplierCode>KI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4197</SubGroupID>
            <ARTGs>
                <ARTG>248293</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KI004</BillingCode>
            <Name>MIC-KEY Low Profile Balloon Gastrostomy Feeding Tubes/Kits, ENFit</Name>
            <Description>Sterile Low Profile Enteral Feeding Tube with Accessories</Description>
            <Size>14FR to 24 Fr ; 0.8cm to 5.0cm</Size>
            <SupplierCode>KI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4197</SubGroupID>
            <ARTGs>
                <ARTG>260222</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC072</BillingCode>
            <Name>Passport Low Profile Device</Name>
            <Description>Enteral/Gastrostomy</Description>
            <Size>FEEDING TUBE French Sizes: 20.0, 24.0 Length: 1.2,1.7,2.4,3.4,4.4 cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4197</SubGroupID>
            <ARTGs>
                <ARTG>139318</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC185</BillingCode>
            <Name>Percutaneous Endoscopic Gastrostomy (PEG) System</Name>
            <Description>PEG Enteral Feeding Kit - Push or Pull System</Description>
            <Size>18, 20, 24 FR</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4197</SubGroupID>
            <ARTGs>
                <ARTG>135063</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC199</BillingCode>
            <Name>Cook Gastronomy Tubes</Name>
            <Description>Russell Gastronomy Set</Description>
            <Size>14fr, 17cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4197</SubGroupID>
            <ARTGs>
                <ARTG>138376</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS142</BillingCode>
            <Name>EndoVive Replacement Feeding Tube</Name>
            <Description>Silicone enteral feeding tube</Description>
            <Size>Up to 28 Fr</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4198</SubGroupID>
            <ARTGs>
                <ARTG>159455</ARTG>
                <ARTG>160876</ARTG>
            </ARTGs>
            <MinimumBenefit>82</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DO021</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>AS206</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Kangaroo Gastrostomy Feeding Tubes</Name>
            <Description>100% silicone gastrostomy with internal retention balloon</Description>
            <Size>12fg, 14fg, 16fg, 18fg, 20fg, 22fg, 24fg</Size>
            <SupplierCode>DO</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4198</SubGroupID>
            <ARTGs>
                <ARTG>185454</ARTG>
            </ARTGs>
            <MinimumBenefit>82</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DO024</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MI288</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Kangaroo™ Percutaneous Endoscopic Gastrostomy Feeding Tube Accessories</Name>
            <Description>Feeding Adaptors</Description>
            <Size>16Fr/Ch, 20Fr/Ch - PEG Adaptors</Size>
            <SupplierCode>DO</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4198</SubGroupID>
            <ARTGs>
                <ARTG>184804</ARTG>
            </ARTGs>
            <MinimumBenefit>82</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FK012</BillingCode>
            <Name>Freka Gastrotube, FR 15, ENFit</Name>
            <Description>Gastric replacement system intended for use for long-term intragastric feeding within a fully formed and healed stoma. An Initial Placement System (PEG) would have been placed at least 4 weeks prior. Made of silicone rubber.</Description>
            <Size>Fits 15 Fr</Size>
            <SupplierCode>FK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4198</SubGroupID>
            <ARTGs>
                <ARTG>126462</ARTG>
            </ARTGs>
            <MinimumBenefit>82</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KI005</BillingCode>
            <Name>MIC-KEY Low Profile Balloon Feeding Accessories</Name>
            <Description>MIC-KEY Extension Sets, ENFit, available in a variety of sizes and options including, bolus and y-port with straight or right-angle connectors.     MIC-KEY Medication Set is also available, ENFit. </Description>
            <Size>30.5cm, 60.9cm, 5.1cm</Size>
            <SupplierCode>KI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4198</SubGroupID>
            <ARTGs>
                <ARTG>261430</ARTG>
            </ARTGs>
            <MinimumBenefit>82</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KI007</BillingCode>
            <Name>MIC* Gastrostomy Feeding Tube; MIC* Bolus Gastrostomy Feeding Tube, ENFit</Name>
            <Description>Medical Grade Silicone Construction. Inflatable Silicone Internal Retention Balloon, SECUR-LOK* External Retention Ring, ENFit Feeding Port Connector, Tapered Distal Tip, Radiopaque Stripe along length of Tube</Description>
            <Size>12Fr - 2-3ml balloon, 14Fr - 3-5ml balloon, 16Fr - 3-5ml balloon, 18Fr - 7-10ml balloon, 20Fr - 7-10ml balloon, 22Fr - 7-10ml balloon, 24Fr - 7-10ml balloon, 26Fr - 7-10ml balloon, 28Fr - 7-10ml balloon, 30Fr - 7-10ml balloon</Size>
            <SupplierCode>KI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4198</SubGroupID>
            <ARTGs>
                <ARTG>248293</ARTG>
            </ARTGs>
            <MinimumBenefit>82</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>NF001</BillingCode>
            <Name>Flocare Gastrostomy tube (G-tube)</Name>
            <Description>The Flocare Gastrostomy tube can be used as a replacement of an existing gastrostomy tube (PEG or G-tube) or as an initial gastrostomy tube during a surgical intervention. This balloon tube is made of medical grade silicone.</Description>
            <Size>Ch14, 18, 20</Size>
            <SupplierCode>NF</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4198</SubGroupID>
            <ARTGs>
                <ARTG>120000</ARTG>
            </ARTGs>
            <MinimumBenefit>82</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC070</BillingCode>
            <Name>Gastrostomy Tube</Name>
            <Description>PEG Balloon Replacement Tube - Single</Description>
            <Size>14, 18, 24fr</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4198</SubGroupID>
            <ARTGs>
                <ARTG>139318</ARTG>
            </ARTGs>
            <MinimumBenefit>82</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC334</BillingCode>
            <Name>Entuit Thrive Balloon Retention Gastrostomy Feeding Tube</Name>
            <Description>The gastrostomy feeding tube is a sterile device consisting of a silicone balloon, bi-lumen shaft, three-port funnel and bolster.</Description>
            <Size>12-24 Fr</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>4198</SubGroupID>
            <ARTGs>
                <ARTG>226890</ARTG>
            </ARTGs>
            <MinimumBenefit>82</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC335</BillingCode>
            <Name>Entuit Start Initial Placement Gastrostomy Set</Name>
            <Description>Used to assist with the initial placement of feeding tubes while performing a gastrostomy. The set contains multiple dilators, Peel-Away sheath introducer(s) with dilator(s), a wire guide and needle.</Description>
            <Size>Small (dilator 12, 14 Fr), Medium (dilator 16,18 Fr) and Large (dilator 20,22,24 Fr). </Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1545</GroupID>
            <SubGroupID>6037</SubGroupID>
            <ARTGs>
                <ARTG>219806</ARTG>
            </ARTGs>
            <MinimumBenefit>104</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FK009</BillingCode>
            <Name>Freka Intestinal Tube, ENFit</Name>
            <Description>Intestinal extension tube for the gastric Freka PEG FR 15 or FR 20. Made with integrated Teflon-coated wire with fitted Y-Connector and blue fixation screw, radio-opaque strip, interval markings every 10 cm, distal pigtail bend tip, 4 lateral outlet ports, straight open flexible tube with small antenna end</Description>
            <Size>9 Fr x 120 cm &#xD;
12 Fr x 120 cm</Size>
            <SupplierCode>FK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1546</GroupID>
            <Suffix>Port</Suffix>
            <ARTGs>
                <ARTG>126461</ARTG>
            </ARTGs>
            <MinimumBenefit>451</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FK010</BillingCode>
            <Name>Freka FCJ Set FR 9, ENFit</Name>
            <Description>System consisting of Freka polyurethrane tube, Freka ENfit Connector, Freka fixation plate, Freka tube clamp, long cannula with blunt steel mandrin for catheterisation of the jejenum, and short cannula for puncturing the abdominal wall</Description>
            <Size>9 Fr, length 75 cm</Size>
            <SupplierCode>FK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1546</GroupID>
            <Suffix>Port</Suffix>
            <ARTGs>
                <ARTG>126461</ARTG>
            </ARTGs>
            <MinimumBenefit>451</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FK014</BillingCode>
            <Name>Freka Endolumina, ENFit</Name>
            <Description>Single lumen feeding tube for the early jejunal feeding for ICU patients</Description>
            <Size>8 Fr, length 270 cm</Size>
            <SupplierCode>FK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1546</GroupID>
            <Suffix>Port</Suffix>
            <ARTGs>
                <ARTG>125846</ARTG>
            </ARTGs>
            <MinimumBenefit>451</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FK015</BillingCode>
            <Name>Freka EasyIn, ENFit</Name>
            <Description>Double lumen feeding and decompression tube for the early jejunal feeding and gastric decompression for ICU patients</Description>
            <Size>Intestinal tube: 8 Fr, 270 cm&#xD;
Gastric tube: 16 Fr, 100 cm</Size>
            <SupplierCode>FK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1546</GroupID>
            <Suffix>Port</Suffix>
            <ARTGs>
                <ARTG>125846</ARTG>
            </ARTGs>
            <MinimumBenefit>451</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FK016</BillingCode>
            <Name>Freka Trelumina, ENFit</Name>
            <Description>Transanasal, 3-lumen polyurethane tube for early jejunal feeding and gastric decompression in ICU patients</Description>
            <Size>Intestinal feeding lumen: 9 Fr, length 150 cm &#xD;
Gastric decompression lumen: 16 Fr, length 95 cm&#xD;
Gastric ventilation valve: internal diameter 1.2 mm, length 95 cm</Size>
            <SupplierCode>FK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1546</GroupID>
            <Suffix>Port</Suffix>
            <ARTGs>
                <ARTG>125846</ARTG>
            </ARTGs>
            <MinimumBenefit>451</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KI014</BillingCode>
            <Name>MIC* Jejunostomy Feeding Tube</Name>
            <Description>Sterile Jejunal Enteral Feeding Tube with Suture Wings (2 eaches per case)</Description>
            <Size>14fg / 9fg</Size>
            <SupplierCode>KI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1546</GroupID>
            <Suffix>Port</Suffix>
            <ARTGs>
                <ARTG>248294</ARTG>
            </ARTGs>
            <MinimumBenefit>451</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KI016</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>KI006</PriorBillingCode>
                <PriorBillingCode>KI015</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MIC* &amp; MIC-KEY* Gastric-Jejunal Feeding Tubes, ENFit</Name>
            <Description>MIC* Standard Gastric-Jejunal Feeding Tube: Medical Grade Silicone Construction, Inflatable Internal Retention Balloon, Gastric Decompression/Drainage Port, Multiple Gastric &amp; Jejunal Exit Ports, Tungsten Weighted Jejunal Portion, SECUR-LOK* External Retention Ring.    MIC-KEY* Low-Profile Gastric-Jejunal Feeding Tube: Low-profile Design, Medical Grade Silicone Construction, Inflatable Internal Retention Balloon, Gastric Decompression/Drainage Port, Multiple Gastric &amp; Jejunal Exit Ports, Tungsten Weighted Jejunal Portion, SECUR-LOK* Connection Mechanism for Extension Sets</Description>
            <Size>MIC*: 16 - 22 French, 15cm - 45cm Jejunal Length  MIC-KEY*: 14 - 22 French, 15cm - 45cm Jejunal Length, 1cm - 7cm Stoma Length</Size>
            <SupplierCode>KI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1546</GroupID>
            <Suffix>Port</Suffix>
            <ARTGs>
                <ARTG>248294</ARTG>
            </ARTGs>
            <MinimumBenefit>451</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KI017</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>KI009</PriorBillingCode>
                <PriorBillingCode>KI008</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MIC* &amp; MIC-KEY* Balloon Jejunal Feeding Tubes</Name>
            <Description>MIC* Standard Balloon Jejunal Feeding Tube and MIC-KEY* Low-Profile Balloon Feeding Tube are designed for the delivery of enteral nutrition and medication into the distal duodenum or proximal jejunum. They have a medical grade silicone construction with a single access port labeled 'Jejunal'. Wide range of sizes available.</Description>
            <Size>MIC*: 12 - 24 French, 2-3ml Balloon (12Fr) 7-10ml Balloon volume (14-24Fr)  MIC-KEY*: 14 &amp; 18 French, 0.8cm - 4.5cm stoma length, 5ml balloon (max fill volume 10ml)</Size>
            <SupplierCode>KI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1546</GroupID>
            <Suffix>Port</Suffix>
            <ARTGs>
                <ARTG>248294</ARTG>
            </ARTGs>
            <MinimumBenefit>451</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC098</BillingCode>
            <Name>Cook Jejunostomy Catheters</Name>
            <Description>Composition - Catheter Radiopaque Stripe, includes Wireguide, Airplug, Fixation Device</Description>
            <Size>12fr, length 66cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1546</GroupID>
            <ARTGs>
                <ARTG>139342</ARTG>
            </ARTGs>
            <MinimumBenefit>154</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC099</BillingCode>
            <Name>Cook Jejunostomy Catheters</Name>
            <Description>Composition - Catheter Radiopaque Stripe, includes Wireguide, Airplug, Fixation Device</Description>
            <Size>9fr, Length 60cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1546</GroupID>
            <ARTGs>
                <ARTG>139342</ARTG>
            </ARTGs>
            <MinimumBenefit>154</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC197</BillingCode>
            <Name>Cook Irrigation Catheter</Name>
            <Description>Chait Percutaneous Cecostomy Catheter</Description>
            <Size>10fr, Standard or Extra Long</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>189</SubCategoryID>
            <GroupID>1547</GroupID>
            <ARTGs>
                <ARTG>138361</ARTG>
            </ARTGs>
            <MinimumBenefit>320</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AA009</BillingCode>
            <Name>Bioring Gastric Band</Name>
            <Description>Adjustable gastric banding kit</Description>
            <Size>Small, Large and Extra Large</Size>
            <SupplierCode>AA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>190</SubCategoryID>
            <GroupID>1548</GroupID>
            <ARTGs>
                <ARTG>160524</ARTG>
            </ARTGs>
            <MinimumBenefit>2978</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AA010</BillingCode>
            <Name>Adhesix Bioring Gastric Band</Name>
            <Description>Adjustable gastric band system with mesh fixation of port</Description>
            <Size>Small, Large and Extra Large</Size>
            <SupplierCode>AA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>190</SubCategoryID>
            <GroupID>1548</GroupID>
            <ARTGs>
                <ARTG>181215</ARTG>
            </ARTGs>
            <MinimumBenefit>2978</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER216</BillingCode>
            <Name>Lap-Band Adjustable Gastric Banding (LAGB) System</Name>
            <Description>-</Description>
            <Size>AP-small and AP-large</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>190</SubCategoryID>
            <GroupID>1548</GroupID>
            <ARTGs>
                <ARTG>226688</ARTG>
            </ARTGs>
            <MinimumBenefit>2978</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER219</BillingCode>
            <Name>Lap-Band AP with RapidPort EZ</Name>
            <Description>LAP-BAND AP RapidPort EZ System</Description>
            <Size>11.6mm x 30.5mm x 14mm&#xD;
11.6mm x 30.5mm x 16.5mm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>190</SubCategoryID>
            <GroupID>1548</GroupID>
            <ARTGs>
                <ARTG>226688</ARTG>
            </ARTGs>
            <MinimumBenefit>2978</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET042</BillingCode>
            <Name>Soft Gastric Banding System</Name>
            <Description>Sterile long term implant for the treatment of obesity.  Supplied in kit format with catheter, port and huber needles</Description>
            <Size>One size only</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>190</SubCategoryID>
            <GroupID>1548</GroupID>
            <ARTGs>
                <ARTG>96737</ARTG>
            </ARTGs>
            <MinimumBenefit>2978</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GQ003</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>RS002</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MiniMizer gastric band.</Name>
            <Description>Adjustable Silicone band which is placed around the upper part of the stomach to reduce the volume and speed of intake of food.</Description>
            <Size>The gastric band comes in two sizes: Regular and Large</Size>
            <SupplierCode>GQ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>190</SubCategoryID>
            <GroupID>1548</GroupID>
            <ARTGs>
                <ARTG>203396</ARTG>
            </ARTGs>
            <MinimumBenefit>2978</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ831</BillingCode>
            <Name>Ethicon Endo-Surgery curved adjustable gastric band with sutureless port and applier</Name>
            <Description>Silicone</Description>
            <Size>One size only</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>190</SubCategoryID>
            <GroupID>1548</GroupID>
            <ARTGs>
                <ARTG>94766</ARTG>
            </ARTGs>
            <MinimumBenefit>2978</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ832</BillingCode>
            <Name>Swedish Adjustable Gastric Band</Name>
            <Description>Silicone</Description>
            <Size>One size only</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>190</SubCategoryID>
            <GroupID>1548</GroupID>
            <ARTGs>
                <ARTG>94766</ARTG>
            </ARTGs>
            <MinimumBenefit>2978</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH003</BillingCode>
            <Name>Adjustable Peri Gastric Belt-Midband</Name>
            <Description>Silicon moulded peri gastric band and implantable chamber</Description>
            <Size>Peri gastric band - 2.2 x 17.5 x 0.8cm, Implantable chamber - one size only</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>190</SubCategoryID>
            <GroupID>1548</GroupID>
            <ARTGs>
                <ARTG>145372</ARTG>
            </ARTGs>
            <MinimumBenefit>2978</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET081</BillingCode>
            <Name>A.M.I. B-Band</Name>
            <Description>Adjustable gastric banding implant for stabilising the gastroenterostomy stoma. The A.M.I B-Band is a soft gastric bypass band which serves as a restrictive component in gastric bypass surgery. Restriction is achieved by placing the device around the remaining stomach pouch in order to prevent long term dilation of the gastrojejunostomy and to ensure a controlled emptying of the stomach pouch.</Description>
            <Size>Adjustable band length: 4.0cm - 7.5cm. Band height: 10mm</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>190</SubCategoryID>
            <GroupID>1781</GroupID>
            <ARTGs>
                <ARTG>96737</ARTG>
            </ARTGs>
            <MinimumBenefit>2212</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GQ001</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>RS001</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Minimizer Ring</Name>
            <Description>Adjustable Gastric Ring</Description>
            <Size>One size ranging from 6.5cm to a 8.0cm diameter</Size>
            <SupplierCode>GQ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>190</SubCategoryID>
            <GroupID>1781</GroupID>
            <ARTGs>
                <ARTG>203396</ARTG>
            </ARTGs>
            <MinimumBenefit>2212</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH527</BillingCode>
            <Name>MIDCAL Ring</Name>
            <Description>Adjustable Gastric Ring</Description>
            <Size>65-80 mm circumference</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>190</SubCategoryID>
            <GroupID>1781</GroupID>
            <ARTGs>
                <ARTG>229709</ARTG>
            </ARTGs>
            <MinimumBenefit>2212</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AA008</BillingCode>
            <Name>Bioring Gastric Band Replacement Port</Name>
            <Description>Bioring gastric band access port with catheter and connector</Description>
            <Size>Diameter 34mm; height 10.4mm</Size>
            <SupplierCode>AA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>190</SubCategoryID>
            <GroupID>1779</GroupID>
            <ARTGs>
                <ARTG>163167</ARTG>
            </ARTGs>
            <MinimumBenefit>560</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER217</BillingCode>
            <Name>Lap-Band Access Port</Name>
            <Description>For use with the Lap-Band Adjustable Gastric Banding System</Description>
            <Size>Standard, low profile</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>190</SubCategoryID>
            <GroupID>1779</GroupID>
            <ARTGs>
                <ARTG>226686</ARTG>
            </ARTGs>
            <MinimumBenefit>560</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER220</BillingCode>
            <Name>RapidPort EZ Access Port Kit (replacement port)</Name>
            <Description>Access Port Kit for LAP-BAND RapidPort EZ system</Description>
            <Size>11.6mm x 30.5mm x 14mm&#xD;
11.6mm x 30.5mm x 16.5mm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>190</SubCategoryID>
            <GroupID>1779</GroupID>
            <ARTGs>
                <ARTG>226686</ARTG>
            </ARTGs>
            <MinimumBenefit>560</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET056</BillingCode>
            <Name>Soft Basket Band. INFUSION PORT.</Name>
            <Description>TITANIUM PORT</Description>
            <Size>9.8CMS/13.3CMS</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>190</SubCategoryID>
            <GroupID>1779</GroupID>
            <ARTGs>
                <ARTG>148776</ARTG>
            </ARTGs>
            <MinimumBenefit>560</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GQ002</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>RS003</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MiniMizer gastric band (injection port)</Name>
            <Description>Adjustable Silicone band which is placed around the upper part of the stomach to reduce the volume and speed of intake of food. The injection port is used to inflate or deflate the gastric band therefore adjusting the diameter of the band.</Description>
            <Size>Small or medium sized port.</Size>
            <SupplierCode>GQ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>190</SubCategoryID>
            <GroupID>1779</GroupID>
            <ARTGs>
                <ARTG>205914</ARTG>
            </ARTGs>
            <MinimumBenefit>560</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ444</BillingCode>
            <Name>Ethicon Endo-Surgery Gastric band sutureless port and applier</Name>
            <Description>Implantable infusion port &amp; locking connector for adjustable gastric band. Replacement port &amp; locking connector for use with adjustable gastric band.</Description>
            <Size>One size only</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>190</SubCategoryID>
            <GroupID>1779</GroupID>
            <ARTGs>
                <ARTG>94734</ARTG>
            </ARTGs>
            <MinimumBenefit>560</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH413</BillingCode>
            <Name>Miband Access Port (replacement)</Name>
            <Description>A device, metallic or non- metallic, implanted in a patient for a short or long-term delivery of fluid or medications to the vascular system  or other anatomical region. The device consists of a housing, self-sealing septum and a catheter connection mechanism. The device may be implanted in a variety of anatomical locations.</Description>
            <Size>Port Size - 10.6mm High, 24.7mm Base width- One Size only</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>190</SubCategoryID>
            <GroupID>1779</GroupID>
            <ARTGs>
                <ARTG>153863</ARTG>
            </ARTGs>
            <MinimumBenefit>560</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MG018</BillingCode>
            <Name>HAGA Access Port</Name>
            <Description>Access Port contains Titanium and Silicone</Description>
            <Size>Standard</Size>
            <SupplierCode>MG</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>190</SubCategoryID>
            <GroupID>1779</GroupID>
            <ARTGs>
                <ARTG>122934</ARTG>
            </ARTGs>
            <MinimumBenefit>560</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PV001</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DV024</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Haemorrhage Occluder Pin with applicator</Name>
            <Description>Designed to control severe presacral bleeding during pelvic surgery.</Description>
            <Size>Two sizes: 10mm and 14mm</Size>
            <SupplierCode>PV</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1551</GroupID>
            <ARTGs>
                <ARTG>133897</ARTG>
            </ARTGs>
            <MinimumBenefit>388</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WA004</BillingCode>
            <Name>Hemospray Endoscopic Hemostat</Name>
            <Description>Inorganic haemostatic agent</Description>
            <Size>20 grams of powder  Catheter: 7-10Fr, length 220cm.</Size>
            <SupplierCode>WA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1552</GroupID>
            <SubGroupID>5984</SubGroupID>
            <Suffix>&gt; 10 grams</Suffix>
            <ARTGs>
                <ARTG>276342</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Sizes</ChangeExplanation>
            <MinimumBenefit>497</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VM001</BillingCode>
            <Name>EndoClot Kit</Name>
            <Description>Polysaccharide haemostatic system</Description>
            <Size>2g particles, 2300mm catheter length</Size>
            <SupplierCode>VM</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1552</GroupID>
            <SubGroupID>5984</SubGroupID>
            <ARTGs>
                <ARTG>204921</ARTG>
            </ARTGs>
            <MinimumBenefit>154</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA284</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>BA263</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Arista AH FlexiTip XL-R Applicator</Name>
            <Description>Rigid Dual lumen applicator for Arista AH, 38cm long specifically designe for Robotic surgery</Description>
            <Size>38 cm</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1552</GroupID>
            <SubGroupID>5985</SubGroupID>
            <ARTGs>
                <ARTG>258012</ARTG>
            </ARTGs>
            <MinimumBenefit>46</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA285</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>BA263</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Arista AH Flextip and Flextip XL</Name>
            <Description>Extender tip for delivery of Arista AH powder</Description>
            <Size>14cm  38cm</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1552</GroupID>
            <SubGroupID>5985</SubGroupID>
            <ARTGs>
                <ARTG>258012</ARTG>
            </ARTGs>
            <MinimumBenefit>46</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AB083</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE604</PriorBillingCode>
            </PriorBillingCodes>
            <Name>HaemoCer Haemostatic Powder</Name>
            <Description>Absorbable Polysaccharide Haemostat</Description>
            <Size>5gms</Size>
            <SupplierCode>AB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1552</GroupID>
            <ARTGs>
                <ARTG>205062</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from DE604</ChangeExplanation>
            <MinimumBenefit>225</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AB084</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE605</PriorBillingCode>
            </PriorBillingCodes>
            <Name>HaemoCer Haemostatic Powder</Name>
            <Description>Absorbable Polysaccharide Haemostat</Description>
            <Size>2gms</Size>
            <SupplierCode>AB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1552</GroupID>
            <ARTGs>
                <ARTG>205062</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from DE605</ChangeExplanation>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA260</BillingCode>
            <Name>Arista AH</Name>
            <Description>Arista Absorbable Haemostatic Particles</Description>
            <Size>1g</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1552</GroupID>
            <ARTGs>
                <ARTG>233611</ARTG>
            </ARTGs>
            <MinimumBenefit>45</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA261</BillingCode>
            <Name>Arista AH</Name>
            <Description>Arista Absorbable Haemostatic Particles</Description>
            <Size>3g</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1552</GroupID>
            <ARTGs>
                <ARTG>233611</ARTG>
            </ARTGs>
            <MinimumBenefit>136</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA262</BillingCode>
            <Name>Arista AH</Name>
            <Description>Arista Absorbable Haemostatic Particles</Description>
            <Size>5g</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1552</GroupID>
            <ARTGs>
                <ARTG>233611</ARTG>
            </ARTGs>
            <MinimumBenefit>225</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA301</BillingCode>
            <Name>Avitene MCH</Name>
            <Description>Avitene MCH Flour is a Microfibrillar 100% bovine collagen, topical haemostat which does not contain Thrombin. Flour is defined as a loose fibrous which can be manipulated to conform to any shape or surface. Avitene™ (MCH), in contact with a bleeding surface, attracts platelets which adhere to the fibrils  and undergo the release phenomenon to trigger aggregation of platelets into thrombi in the interstices of the fibrous mass.</Description>
            <Size>0.5 gram  1.0 gram  5.0 gram</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1552</GroupID>
            <ARTGs>
                <ARTG>332522</ARTG>
            </ARTGs>
            <MinimumBenefit>45</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BF024</BillingCode>
            <Name>NexStat</Name>
            <Description>The Topical Hemostatic powder consists of purified potato starch polysaccharide. These products are sterile packed and intended for single use.</Description>
            <Size>3grams</Size>
            <SupplierCode>BF</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1552</GroupID>
            <ARTGs>
                <ARTG>280607</ARTG>
            </ARTGs>
            <MinimumBenefit>136</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX336</BillingCode>
            <Name>OSTENE Bone Haemostasis material 2.5g</Name>
            <Description>OSTENE is a water soluble polymer which provides immediate bone haemostasis, ie a bone haemostasis material, in surgical procedures</Description>
            <Size>2.5g per stick</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1552</GroupID>
            <ARTGs>
                <ARTG>229426</ARTG>
            </ARTGs>
            <MinimumBenefit>113</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX337</BillingCode>
            <Name>Ostene 3.5g Bone Haemostasis material</Name>
            <Description>OSTENE is a water soluble polymer which provides immediate bone haemostasis, ie a bone haemostasis material, in surgical procedures</Description>
            <Size>3.5g</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1552</GroupID>
            <ARTGs>
                <ARTG>229426</ARTG>
            </ARTGs>
            <MinimumBenefit>158</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX345</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>AB079</PriorBillingCode>
            </PriorBillingCodes>
            <Name>PerClot Laparascopic</Name>
            <Description>PerClot Polysaccharide Hemostatic System</Description>
            <Size>3 grams</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1552</GroupID>
            <ARTGs>
                <ARTG>164507</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from AB079</ChangeExplanation>
            <MinimumBenefit>136</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX346</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>AB080</PriorBillingCode>
            </PriorBillingCodes>
            <Name>PerClot Standard &amp; XL - 1 gram</Name>
            <Description>PerClot Polysaccharide Hemostatic System</Description>
            <Size>1 gram</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1552</GroupID>
            <ARTGs>
                <ARTG>162991</ARTG>
                <ARTG>275318</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from AB080</ChangeExplanation>
            <MinimumBenefit>45</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX347</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>AB081</PriorBillingCode>
            </PriorBillingCodes>
            <Name>PerClot Standard &amp; XL - 3 grams</Name>
            <Description>PerClot Polysaccharide Hemostatic System</Description>
            <Size>3 grams</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1552</GroupID>
            <ARTGs>
                <ARTG>162991</ARTG>
                <ARTG>275318</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from AB081</ChangeExplanation>
            <MinimumBenefit>136</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX348</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>AB082</PriorBillingCode>
            </PriorBillingCodes>
            <Name>PerClot Standard</Name>
            <Description>PerClot Polysaccharide Hemostatic System</Description>
            <Size>5 gram</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1552</GroupID>
            <ARTGs>
                <ARTG>162991</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from AB082</ChangeExplanation>
            <MinimumBenefit>225</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ636</BillingCode>
            <Name>Spongostan Absorbable Haemostatic Gelatin Powder</Name>
            <Description>1 g Porcine Absorbable Haemostatic Gelatin Powder</Description>
            <Size>1 gram</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1552</GroupID>
            <ARTGs>
                <ARTG>144853</ARTG>
            </ARTGs>
            <MinimumBenefit>45</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH408</BillingCode>
            <Name>Geli Putty(Powder, 1g)</Name>
            <Description>Geli Putty is a single- use, water insoluble, fully bioabsorbable gelatin powder comprising milled sponges (Gelita-Spon) made from 100% pharmaceutical grade porcine gelatin mixed with sterile liquid (e.g. saline or antibiotic solution) prior to use.</Description>
            <Size>1 gram</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1552</GroupID>
            <ARTGs>
                <ARTG>155091</ARTG>
            </ARTGs>
            <MinimumBenefit>45</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN234</BillingCode>
            <Name>Surgicel Powder</Name>
            <Description>Absorbable Haemostatic Powder</Description>
            <Size>3.0grams</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1552</GroupID>
            <ARTGs>
                <ARTG>296463</ARTG>
            </ARTGs>
            <MinimumBenefit>136</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SV053</BillingCode>
            <Name>Starsil Haemostat</Name>
            <Description>Plant based haemostatic powder</Description>
            <Size>1g</Size>
            <SupplierCode>SV</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1552</GroupID>
            <ARTGs>
                <ARTG>230577</ARTG>
            </ARTGs>
            <MinimumBenefit>45</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SV054</BillingCode>
            <Name>Starsil Haemostat</Name>
            <Description>Plant based haemostatic powder</Description>
            <Size>2g</Size>
            <SupplierCode>SV</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1552</GroupID>
            <ARTGs>
                <ARTG>230577</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SV055</BillingCode>
            <Name>Starsil Haemostat</Name>
            <Description>Plant based haemostatic powder</Description>
            <Size>5g</Size>
            <SupplierCode>SV</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1552</GroupID>
            <ARTGs>
                <ARTG>230577</ARTG>
            </ARTGs>
            <MinimumBenefit>225</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ006</BillingCode>
            <Name>Spongostan Absorbable Haemostat</Name>
            <Description>Anal 20s (Box of 20)</Description>
            <Size>80 x 30mm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1553</GroupID>
            <SubGroupID>4199</SubGroupID>
            <Suffix>Anatomically Conforming</Suffix>
            <ARTGs>
                <ARTG>144852</ARTG>
            </ARTGs>
            <MinimumBenefit>15</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ007</BillingCode>
            <Name>Spongostan Absorbable Haemostat</Name>
            <Description>Anal 5s (Box of 5)</Description>
            <Size>80 x 30mm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1553</GroupID>
            <SubGroupID>4199</SubGroupID>
            <Suffix>Anatomically Conforming</Suffix>
            <ARTGs>
                <ARTG>144852</ARTG>
            </ARTGs>
            <MinimumBenefit>15</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PU059</BillingCode>
            <Name>Gelfoam Sterile Sponge</Name>
            <Description>Sterile, pliable, nonantigenic surgical sponge prepared from specially treated purified gelatine solution</Description>
            <Size>12 - 20mm x 60mm x 7mm, individually packaged for use</Size>
            <SupplierCode>PU</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1553</GroupID>
            <SubGroupID>4199</SubGroupID>
            <Suffix>Low Antigenicity</Suffix>
            <ARTGs>
                <ARTG>17051</ARTG>
            </ARTGs>
            <MinimumBenefit>15</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ003</BillingCode>
            <Name>Spongostan Absorbable Haemostat</Name>
            <Description>Standard (Box of 20)</Description>
            <Size>70 x 50 x 10mm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1553</GroupID>
            <SubGroupID>4199</SubGroupID>
            <ARTGs>
                <ARTG>144852</ARTG>
            </ARTGs>
            <MinimumBenefit>8</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ005</BillingCode>
            <Name>Spongostan Absorbable Haemostat</Name>
            <Description>Special (Box of 20)</Description>
            <Size>70 x 50 x 1mm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1553</GroupID>
            <SubGroupID>4199</SubGroupID>
            <ARTGs>
                <ARTG>144852</ARTG>
            </ARTGs>
            <MinimumBenefit>8</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ015</BillingCode>
            <Name>Spongostan Absorbable Haemostat</Name>
            <Description>Dental (Box of 24)</Description>
            <Size>10 x 10 x 10mm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1553</GroupID>
            <SubGroupID>4199</SubGroupID>
            <ARTGs>
                <ARTG>144852</ARTG>
            </ARTGs>
            <MinimumBenefit>8</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH405</BillingCode>
            <Name>Gelita-Spon Absorbable Gelatin Sponge-Gelita- Spon IR Sponge</Name>
            <Description>Gelita- Spon IR is a sterile, single-use, fully bioabsorbable gelatin sponge indicated to achieve rapid haemostasis(e.g. surgically or trauma induced) by tamponade, and arterial embolisation. also indicated for use as a vehicle for a wide range of therapeutic agents including antibiotics, thrombin and chemotherapeutics without reduction in the sponge's haemostatic effect.</Description>
            <Size>GS-322-Gelita-Spon IR Sponge; 200s-3x2x2mm                                                        GS- 344- Gelita- Spon IR Sponge; 100s-4x4x4mm</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1553</GroupID>
            <SubGroupID>4199</SubGroupID>
            <ARTGs>
                <ARTG>155094</ARTG>
            </ARTGs>
            <MinimumBenefit>8</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH410</BillingCode>
            <Name>Gelita-Spon Absorbable Gelatin Sponge Anal-Vaginal Tampon</Name>
            <Description>'Gelita-Spon Anal-Vaginal Tampon is a sterile, single use, fully bioabsorbable gelatin sponge  indicated to achieve rapid haemostasis by tamponade, also indicated for use as a vehicle for a wide range of therapeutic agents, including antibiotics, thrombin and chemotherapeutics without reduction in the sponge's haemostatic effect.</Description>
            <Size>3x8cm</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1553</GroupID>
            <SubGroupID>4199</SubGroupID>
            <ARTGs>
                <ARTG>155095</ARTG>
            </ARTGs>
            <MinimumBenefit>8</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH411</BillingCode>
            <Name>Gelita-Spon Absorbable Gelatin Sponge - Gelita-Spon ENT Sponge</Name>
            <Description>GelitaSpon  ENT Sponge is a sterile, single use, water insoluble, fully bioabsorbable, firm, high-density gelatin sponge  indicated to achieve rapid haemostasis during ENT surgery .</Description>
            <Size>8x5x1 cm &amp; 1x1x1cm</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1553</GroupID>
            <SubGroupID>4199</SubGroupID>
            <ARTGs>
                <ARTG>155092</ARTG>
            </ARTGs>
            <MinimumBenefit>8</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH412</BillingCode>
            <Name>Gelita-Spon Absorbable Gelatin Sponge-Gelita- Spon Dental Cube</Name>
            <Description>Gelita-Spon Dental Cube is a  sterile, single-use, indicated to achieve rapid haemostasis dental surgery (oral bone and soft tissue), a void filler to mitigate against the risk of sclerosis created by tooth extraction, root amputations, and the removal of cysts, tumours and impacted teeth.  its absorptive capacity being a function of the amount of gelatin incorporated and, hence, the physical size of the sponge. also indicated for use as a vehicle for a wide range of therapeutic agents.</Description>
            <Size>GS-310 - Gelita-Spon Dental Cubes; 50s - 10 x 10 x 10mm</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1553</GroupID>
            <SubGroupID>4199</SubGroupID>
            <ARTGs>
                <ARTG>155093</ARTG>
            </ARTGs>
            <MinimumBenefit>8</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH414</BillingCode>
            <Name>Gelita-Spon Absorbable Gelatin Sponge-Gelita- Spon Standard</Name>
            <Description>Gelita-Spon Standard is a sterile, single- use, fully bioabsorbable gelatin sponge indicated to achieve rapid haemostasis(e.g. surgically or trauma induced)by tamponade, and arterial embolisation . also indicated for use as a vehicle for a wide range of therapeutic agents, including antibiotics, thrombin and chemotherapeutics without reduction in the sponge's haemostatic effect.</Description>
            <Size>GS-010-Gelita-Spon Standard; 10s-80x50x10m       GS-060-Gelita-Spon Standard Size 12-7; 10s-60x20x7mm                                                                       GS-060-Gelita-Spon Standard Size 12-7; 10s-60x20x7mm                                                                       GS-650- Gelita Spon Standard Size 200; 10s-125x80x10mm                                                                  GS-110-Gelita-Spon Standard Size Special 20; 20s-80x50x1mm                                                              GS-950-Gelita-Spon Standard Film; 20s-200x70x0.5mm</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1553</GroupID>
            <SubGroupID>4199</SubGroupID>
            <ARTGs>
                <ARTG>155096</ARTG>
            </ARTGs>
            <MinimumBenefit>8</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PU060</BillingCode>
            <Name>Gelfoam Sterile Sponge</Name>
            <Description>Sterile, pliable, nonantigenic surgical sponge prepared from specially treated purified gelatine solution</Description>
            <Size>100 - 80mm x 125mm x 10mm in individual packet</Size>
            <SupplierCode>PU</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1553</GroupID>
            <SubGroupID>4200</SubGroupID>
            <Suffix>Low Antigenicity</Suffix>
            <ARTGs>
                <ARTG>17051</ARTG>
            </ARTGs>
            <MinimumBenefit>64</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ004</BillingCode>
            <Name>Spongostan Absorbable Haemostat</Name>
            <Description>Film (Box of 20)</Description>
            <Size>200 x 70 x 0.5mm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1553</GroupID>
            <SubGroupID>4200</SubGroupID>
            <ARTGs>
                <ARTG>144852</ARTG>
            </ARTGs>
            <MinimumBenefit>27</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BG002</BillingCode>
            <Name>BloodStop iX</Name>
            <Description>BloodStop iX is a new generation haemostat made from water soluble, oxidised-etherified regenerated cellulose</Description>
            <Size>1.3x5cm, 5x5cm, 5x10cm</Size>
            <SupplierCode>BG</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1554</GroupID>
            <SubGroupID>6008</SubGroupID>
            <Suffix>Antimicrobial, Low Antigenicity</Suffix>
            <ARTGs>
                <ARTG>240712</ARTG>
            </ARTGs>
            <MinimumBenefit>19</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ013</BillingCode>
            <Name>Surgicel ORIGINAL Absorbable Haemostat</Name>
            <Description>Oxidised regenerated cellulose gauze, the material is biocompatible and also bactericidal</Description>
            <Size>5 x 7.5cm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1554</GroupID>
            <SubGroupID>6008</SubGroupID>
            <Suffix>Antimicrobial, Low Antigenicity</Suffix>
            <ARTGs>
                <ARTG>171589</ARTG>
                <ARTG>177702</ARTG>
            </ARTGs>
            <MinimumBenefit>19</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ014</BillingCode>
            <Name>Surgicel ORIGINAL Absorbable Haemostat</Name>
            <Description>Oxidised regenerated cellulose gauze, the material is biocompatible and also bactericidal</Description>
            <Size>1.25  x 5cm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1554</GroupID>
            <SubGroupID>6008</SubGroupID>
            <Suffix>Antimicrobial, Low Antigenicity</Suffix>
            <ARTGs>
                <ARTG>171589</ARTG>
                <ARTG>177702</ARTG>
            </ARTGs>
            <MinimumBenefit>19</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ009</BillingCode>
            <Name>Surgicel Fibrillar Absorbable Haemostat</Name>
            <Description>Fibrous fleece, oxidised regenerated cellulose, the material is biocompatible and also bactericidal</Description>
            <Size>2.5 x 5.1cm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1554</GroupID>
            <SubGroupID>6008</SubGroupID>
            <Suffix>Antimicrobial, Low Antigenicity, Micro-fibrous</Suffix>
            <ARTGs>
                <ARTG>166221</ARTG>
            </ARTGs>
            <MinimumBenefit>34</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN112</BillingCode>
            <Name>Surgicel Non-Woven (SNoW) Absorbable Haemostat</Name>
            <Description>Absorbable haemostat, Structured Non-Woven</Description>
            <Size>2.5 x 5cm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1554</GroupID>
            <SubGroupID>6008</SubGroupID>
            <Suffix>Antimicrobial, Low Antigenicity, Micro-fibrous</Suffix>
            <ARTGs>
                <ARTG>191054</ARTG>
            </ARTGs>
            <MinimumBenefit>34</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ023</BillingCode>
            <Name>Surgicel Nu-Knit Absorbable Haemostat</Name>
            <Description>High density, oxidised regenerated cellulose, the material is biocompatible and also bactericidal</Description>
            <Size>2.5 x 2.5cm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1554</GroupID>
            <SubGroupID>6008</SubGroupID>
            <Suffix>Antimicrobial, Low Antigenicity, Woven</Suffix>
            <ARTGs>
                <ARTG>177701</ARTG>
            </ARTGs>
            <MinimumBenefit>33</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ432</BillingCode>
            <Name>SURGICEL Nu knit Absorbable Haemostat</Name>
            <Description>High density , oxidised regenerated cellulose, the material is biocompatible and also bactericidal.</Description>
            <Size>2.5 x 8.75cm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1554</GroupID>
            <SubGroupID>6008</SubGroupID>
            <Suffix>Antimicrobial, Low Antigenicity, Woven</Suffix>
            <ARTGs>
                <ARTG>177701</ARTG>
            </ARTGs>
            <MinimumBenefit>33</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH424</BillingCode>
            <Name>Gelitacel Oxidised Resorbable Cellulose Gauze (15)</Name>
            <Description>Gelitacel is a white, single-use, non-toxic, sterile, bioarbsorbable, weakly acidic, viscose-free, knitted haemostatic fabric (USP)</Description>
            <Size>5 x 7 cm</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1554</GroupID>
            <SubGroupID>6008</SubGroupID>
            <ARTGs>
                <ARTG>157255</ARTG>
            </ARTGs>
            <MinimumBenefit>8</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM487</BillingCode>
            <Name>Haemostatic Gauze  </Name>
            <Description>Haemostatic Gauze</Description>
            <Size>≤50cm²</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1554</GroupID>
            <SubGroupID>6008</SubGroupID>
            <ARTGs>
                <ARTG>332360</ARTG>
            </ARTGs>
            <MinimumBenefit>8</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ030</BillingCode>
            <Name>Surgicel Fibrillar Absorbable Haemostat</Name>
            <Description>Fibrous fleece, oxidised regenerated cellulose, the material is biocompatible and also bactericidal</Description>
            <Size>5.1 x 10.2cm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1554</GroupID>
            <SubGroupID>6009</SubGroupID>
            <Suffix>Antimicrobial, Low Antigenicity, Micro-fibrous</Suffix>
            <ARTGs>
                <ARTG>166221</ARTG>
            </ARTGs>
            <MinimumBenefit>69</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN116</BillingCode>
            <Name>Surgicel Non-Woven (SNoW) Absorbable Haemostat</Name>
            <Description>Absorbable haemostat, Structured Non-Woven</Description>
            <Size>5 x 10.2cm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1554</GroupID>
            <SubGroupID>6009</SubGroupID>
            <Suffix>Antimicrobial, Low Antigenicity, Micro-fibrous</Suffix>
            <ARTGs>
                <ARTG>191054</ARTG>
            </ARTGs>
            <MinimumBenefit>69</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ008</BillingCode>
            <Name>Surgicel Nu-Knit Absorbable Haemostat</Name>
            <Description>High density, oxidised regenerated cellulose, the material is biocompatible and also bactericidal</Description>
            <Size>7.5 x 10cm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1554</GroupID>
            <SubGroupID>6009</SubGroupID>
            <Suffix>Antimicrobial, Low Antigenicity, Woven</Suffix>
            <ARTGs>
                <ARTG>177701</ARTG>
            </ARTGs>
            <MinimumBenefit>65</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BG001</BillingCode>
            <Name>BloodStop iX</Name>
            <Description>BloodStop iX is a new generation haemostat made from water soluble, oxidised-etherified regenerated cellulose</Description>
            <Size>10x20cm, 5x35cm</Size>
            <SupplierCode>BG</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1554</GroupID>
            <SubGroupID>6010</SubGroupID>
            <Suffix>Antimicrobial, Low Antigenicity</Suffix>
            <ARTGs>
                <ARTG>240712</ARTG>
            </ARTGs>
            <MinimumBenefit>33</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ012</BillingCode>
            <Name>Surgicel ORIGINAL Absorbable Haemostat</Name>
            <Description>Oxidised regenerated cellulose gauze, the material is biocompatible and also bactericidal</Description>
            <Size>5-10.2 x 20-35cm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1554</GroupID>
            <SubGroupID>6010</SubGroupID>
            <Suffix>Antimicrobial, Low Antigenicity</Suffix>
            <ARTGs>
                <ARTG>171589</ARTG>
                <ARTG>177702</ARTG>
            </ARTGs>
            <MinimumBenefit>34</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ029</BillingCode>
            <Name>Surgicel Fibrillar Absorbable Haemostat</Name>
            <Description>Fibrous fleece, oxidised regenerated cellulose, the material is biocompatible and also bactericidal</Description>
            <Size>10.2 x 10.2cm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1554</GroupID>
            <SubGroupID>6010</SubGroupID>
            <Suffix>Antimicrobial, Low Antigenicity, Micro-fibrous</Suffix>
            <ARTGs>
                <ARTG>166221</ARTG>
            </ARTGs>
            <MinimumBenefit>98</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN117</BillingCode>
            <Name>Surgicel Non-Woven (SNoW) Absorbable Haemostat</Name>
            <Description>Absorbable haemostat, Structured Non-Woven</Description>
            <Size>10.2 x 10.2cm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1554</GroupID>
            <SubGroupID>6010</SubGroupID>
            <Suffix>Antimicrobial, Low Antigenicity, Micro-fibrous</Suffix>
            <ARTGs>
                <ARTG>191054</ARTG>
            </ARTGs>
            <MinimumBenefit>98</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ433</BillingCode>
            <Name>SURGICEL Nu knit Absorbable Haemostat</Name>
            <Description>High density , oxidised regenerated cellulose, the material is biocompatible and also bactericidal.</Description>
            <Size>15.2 x 22.9cm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1554</GroupID>
            <SubGroupID>6010</SubGroupID>
            <Suffix>Antimicrobial, Low Antigenicity, Woven</Suffix>
            <ARTGs>
                <ARTG>177701</ARTG>
            </ARTGs>
            <MinimumBenefit>91</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH423</BillingCode>
            <Name>Gelitacel Oxidised Resorbable Cellulose Gauze (10)</Name>
            <Description>Gelitacel is a white, single use, non-toxic, sterile, hydrophilic bioabsorbable, weakly acidic, viscose-free, knitted haemostatic fabric (USP)</Description>
            <Size>5 x 35 cm, 10 x 20 cm</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1554</GroupID>
            <SubGroupID>6010</SubGroupID>
            <ARTGs>
                <ARTG>157255</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM486</BillingCode>
            <Name>Haemostatic Gauze </Name>
            <Description>Haemostatic Gauze </Description>
            <Size>&gt;75cm²</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1554</GroupID>
            <SubGroupID>6010</SubGroupID>
            <ARTGs>
                <ARTG>332360</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX258</BillingCode>
            <Name>FloSeal Hemostatic Matrix</Name>
            <Description>FloSeal is a proprietary combination of collagen-derived particles and topical thrombin. Comes with a syringe with needle or needle free  vial adapter.  It is not sponge, but is a high viscosity gel for haemostasis.  Clinical proven to control bleeding from capillary oozing to arterial spurting.</Description>
            <Size>5ml</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1555</GroupID>
            <SubGroupID>4213</SubGroupID>
            <Suffix>Complete Biomaterial</Suffix>
            <ARTGs>
                <ARTG>330266</ARTG>
            </ARTGs>
            <MinimumBenefit>632</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FY001</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MQ038</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Purastat</Name>
            <Description>Haemostatic material in the form of a pre-filled syringe</Description>
            <Size>1ml, 2ml, 5ml</Size>
            <SupplierCode>FY</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1555</GroupID>
            <SubGroupID>4213</SubGroupID>
            <Suffix>Complete Biomaterial</Suffix>
            <ARTGs>
                <ARTG>267486</ARTG>
                <ARTG>283717</ARTG>
            </ARTGs>
            <MinimumBenefit>632</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ640</BillingCode>
            <Name>Surgiflo Haemostatic Matrix</Name>
            <Description>Absorbable Porcine Gelatin Matrix Pre-packaged in a Syringe</Description>
            <Size>6ml</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1555</GroupID>
            <SubGroupID>4213</SubGroupID>
            <ARTGs>
                <ARTG>204900</ARTG>
            </ARTGs>
            <MinimumBenefit>407</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX259</BillingCode>
            <Name>FloSeal Hemostatic Matrix</Name>
            <Description>FloSeal is a proprietary combination of collagen-derived particles and topical thrombin. Comes with a syringe with needle or needle free  vial adapter. It is not sponge, but is a high viscosity gel for haemostasis.  Clinically proven to control bleeding from capillary oozing to arterial spurting.</Description>
            <Size>10ml</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1555</GroupID>
            <SubGroupID>4214</SubGroupID>
            <Suffix>Complete Biomaterial</Suffix>
            <ARTGs>
                <ARTG>330266</ARTG>
            </ARTGs>
            <MinimumBenefit>903</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN172</BillingCode>
            <Name>Surgiflo Haemostatic Matrix with Thrombin</Name>
            <Description>Absorbable Porcine Gelatin Matrix pre-packaged in a syringe and with plasma derived Human Thrombin</Description>
            <Size>8mls</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1555</GroupID>
            <SubGroupID>4214</SubGroupID>
            <Suffix>Complete Biomaterial</Suffix>
            <ARTGs>
                <ARTG>226071</ARTG>
                <ARTG>280654</ARTG>
            </ARTGs>
            <MinimumBenefit>903</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AN009</BillingCode>
            <Name>Collatamp G</Name>
            <Description>Biodegradeable collagen implant with gentamicin</Description>
            <Size>5cm x 5cm x 0.5cm</Size>
            <SupplierCode>AN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1555</GroupID>
            <SubGroupID>4215</SubGroupID>
            <Suffix>Antibiotic</Suffix>
            <ARTGs>
                <ARTG>156287</ARTG>
            </ARTGs>
            <MinimumBenefit>122</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AN008</BillingCode>
            <Name>Collatamp G</Name>
            <Description>Biodegradable collagen implant with gentamicin</Description>
            <Size>10cm x 10cm x 0.5cm, 20cm x 5cm x 0.5cm</Size>
            <SupplierCode>AN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1555</GroupID>
            <SubGroupID>4216</SubGroupID>
            <Suffix>Antibiotic</Suffix>
            <ARTGs>
                <ARTG>156287</ARTG>
            </ARTGs>
            <MinimumBenefit>277</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FY003</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MQ040</PriorBillingCode>
            </PriorBillingCodes>
            <Name>PuraStat Applicator Type E</Name>
            <Description>PuraStat is used as an adjunct to haemostasis when control of bleeding by ligature or conventional surgical procedures is ineffective or impractical.</Description>
            <Size>1600mm, 2200mm</Size>
            <SupplierCode>FY</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1555</GroupID>
            <SubGroupID>4217</SubGroupID>
            <ARTGs>
                <ARTG>283717</ARTG>
            </ARTGs>
            <MinimumBenefit>28</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN154</BillingCode>
            <Name>Evicel® 45cm Flexible Tip</Name>
            <Description>Triple lumen, clog resistant flexible tip for drip or spray applications</Description>
            <Size>45cm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1555</GroupID>
            <SubGroupID>4217</SubGroupID>
            <ARTGs>
                <ARTG>197994</ARTG>
            </ARTGs>
            <MinimumBenefit>28</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VB001</BillingCode>
            <Name>HEMOBLAST 35cm Laparoscopic Applicator</Name>
            <Description>Single-use laparoscopic applicator device, designed to deliver HEMOBLAST Bellows hemostatic powder.</Description>
            <Size>35cm in length</Size>
            <SupplierCode>VB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1555</GroupID>
            <SubGroupID>4217</SubGroupID>
            <ARTGs>
                <ARTG>304086</ARTG>
            </ARTGs>
            <MinimumBenefit>28</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VB002</BillingCode>
            <Name>HEMOBLAST Bellows</Name>
            <Description>Haemostatic powder comprised of collagen, chondroitin sulfate, and thrombin.</Description>
            <Size>1.65 gm powder/1500 IU thrombin</Size>
            <SupplierCode>VB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1555</GroupID>
            <SubGroupID>7345</SubGroupID>
            <Suffix>Complete Biomaterial</Suffix>
            <ARTGs>
                <ARTG>337110</ARTG>
            </ARTGs>
            <MinimumBenefit>903</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BF021</BillingCode>
            <Name>SealFoam, High Density</Name>
            <Description>SealFoam is an absorbable Polysaccharide Haemostat</Description>
            <Size>60mm x 40mm x 2mm&#xD;
60mm x 40mm x 4mm&#xD;
120mm x 25mm x 4mm (2/pack)</Size>
            <SupplierCode>BF</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1797</GroupID>
            <ARTGs>
                <ARTG>194564</ARTG>
            </ARTGs>
            <MinimumBenefit>136</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW582</BillingCode>
            <Name>NasoPore / OtoPore</Name>
            <Description>NasoPore / OtoPore is a bioresorbable foam packing for the nasal or ear cavity.</Description>
            <Size>4cm and 8cm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1797</GroupID>
            <ARTGs>
                <ARTG>232794</ARTG>
                <ARTG>243332</ARTG>
                <ARTG>273654</ARTG>
                <ARTG>274616</ARTG>
            </ARTGs>
            <MinimumBenefit>136</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ME230</BillingCode>
            <Name>NexPak X</Name>
            <Description>Intranasal splint</Description>
            <Size>8cms</Size>
            <SupplierCode>ME</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1797</GroupID>
            <ARTGs>
                <ARTG>328036</ARTG>
            </ARTGs>
            <MinimumBenefit>136</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL081</BillingCode>
            <Name>STAMMBERGER SINU-FOAM</Name>
            <Description>Viscous CMC-based dissolvable foam for the nasal cavity</Description>
            <Size>One size</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1797</GroupID>
            <ARTGs>
                <ARTG>212973</ARTG>
            </ARTGs>
            <MinimumBenefit>136</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL083</BillingCode>
            <Name>Nasastent</Name>
            <Description>Dissolvable intranasal splint made from CMC that absorbs nasal fluids, it turns into a hydrocolloidal gel that naturally drains from the nasal cavity</Description>
            <Size>5cm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>191</SubCategoryID>
            <GroupID>1797</GroupID>
            <ARTGs>
                <ARTG>212973</ARTG>
            </ARTGs>
            <MinimumBenefit>136</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC216</BillingCode>
            <Name>Fanelli Laparoscopic Endobiliary Stent Set</Name>
            <Description>Fanelli stent (double flange white polyehtylene), tracer Hybrid .035"X150cm Guide (slippery wire), 8.5 Fr Introducer and Pusher Catheter (TFE) System with four radiopaque accuracy markers, two way terminal adapter</Description>
            <Size>7.0 French diameter x 6cm length double flange stent loaded in an 8.5 fr delivery system.</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4218</SubGroupID>
            <Suffix>Complex delivery system</Suffix>
            <ARTGs>
                <ARTG>191162</ARTG>
            </ARTGs>
            <MinimumBenefit>550</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS054</BillingCode>
            <Name>Flexima Biliary Stent</Name>
            <Description>Polyurethane Biliary Stent</Description>
            <Size>Diameters up to 12Fr &amp; lengths up to 15cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4218</SubGroupID>
            <Suffix>Delivery System</Suffix>
            <ARTGs>
                <ARTG>127387</ARTG>
            </ARTGs>
            <MinimumBenefit>181</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS055</BillingCode>
            <Name>RX Biliary Stent</Name>
            <Description>Polyurethane Biliary Stent</Description>
            <Size>Diameters up to 12Fr &amp; lengths up to 15cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4218</SubGroupID>
            <Suffix>Delivery System</Suffix>
            <ARTGs>
                <ARTG>127387</ARTG>
            </ARTGs>
            <MinimumBenefit>181</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS173</BillingCode>
            <Name>Advanix Plastic Stent with Naviflex Delivery System</Name>
            <Description>Plastic stent manufactured pre loaded on a delivery catheter</Description>
            <Size>5-18cm length, 7-10 FR diameter</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4218</SubGroupID>
            <Suffix>Delivery System</Suffix>
            <ARTGs>
                <ARTG>127387</ARTG>
            </ARTGs>
            <MinimumBenefit>181</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC013</BillingCode>
            <Name>Zimmon Biliary Stent Set</Name>
            <Description>Double pigtail plastic biliary stent with delivery system</Description>
            <Size>5 - 11.5Fr, Length 2 - 18cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4218</SubGroupID>
            <Suffix>Delivery System</Suffix>
            <ARTGs>
                <ARTG>139771</ARTG>
            </ARTGs>
            <MinimumBenefit>181</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC017</BillingCode>
            <Name>Cotton-Leung Biliary Stent Set</Name>
            <Description>Set includes stent, positioning sleeve to collapse the duodenal flap, 170cm pushing catheter and 320cm guiding catheter. 7Fr stents do not include guiding catheter.</Description>
            <Size>7 - 11.5Fr, Length 5 - 18cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4218</SubGroupID>
            <Suffix>Delivery System</Suffix>
            <ARTGs>
                <ARTG>139771</ARTG>
            </ARTGs>
            <MinimumBenefit>181</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC078</BillingCode>
            <Name>Cook Biliary Stents</Name>
            <Description>Composition Plastic, includes Stent, Wireguide &amp; Positioner</Description>
            <Size>French 7.0, length 4cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4218</SubGroupID>
            <Suffix>Delivery System</Suffix>
            <ARTGs>
                <ARTG>139197</ARTG>
            </ARTGs>
            <MinimumBenefit>181</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC106</BillingCode>
            <Name>Cotton-Leung Biliary Stent Set</Name>
            <Description>Polyethylene Stent preloaded on an Oasis Introduction System</Description>
            <Size>Diameter 7 - 11.5 FR,  length 5 - 15cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4218</SubGroupID>
            <Suffix>Delivery System</Suffix>
            <ARTGs>
                <ARTG>139771</ARTG>
            </ARTGs>
            <MinimumBenefit>181</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC108</BillingCode>
            <Name>Geenan Pancreatic Stent Set</Name>
            <Description>Radiopaque Polyethylene Stent with or without ductal flaps - includes pushing catheter</Description>
            <Size>Diameter 3 - 11.5 FR, Length 2 - 15cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4218</SubGroupID>
            <Suffix>Delivery System</Suffix>
            <ARTGs>
                <ARTG>142999</ARTG>
            </ARTGs>
            <MinimumBenefit>181</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC166</BillingCode>
            <Name>Solus Biliary Stent  Set</Name>
            <Description>Double Pigtail with OASIS introducer. Sof-flex material - with radiopaque bands.</Description>
            <Size>Diameter 10 FR, Length:1 - 15 cm Between pigtails</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4218</SubGroupID>
            <Suffix>Delivery System</Suffix>
            <ARTGs>
                <ARTG>139771</ARTG>
            </ARTGs>
            <MinimumBenefit>181</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC228</BillingCode>
            <Name>Tannenbaum Biliary Stent Set preloaded on the OASIS Introduction System</Name>
            <Description>Plastic Biliary Stent</Description>
            <Size>8.5 - 11.5 Fr,   5 - 15 cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4218</SubGroupID>
            <Suffix>Delivery System</Suffix>
            <ARTGs>
                <ARTG>139771</ARTG>
            </ARTGs>
            <MinimumBenefit>181</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AK003</BillingCode>
            <Name>Biliary Stents</Name>
            <Description>Biliary stent, straight, curved, bended, pigtails and double pigtail</Description>
            <Size>5.0 to 11.5 french</Size>
            <SupplierCode>AK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4218</SubGroupID>
            <ARTGs>
                <ARTG>173855</ARTG>
            </ARTGs>
            <MinimumBenefit>40</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS066</BillingCode>
            <Name>Biliary Drainage Stent, Amsterdam Biliary Stent</Name>
            <Description>C-Flex or Polyurethane Biliary Stent</Description>
            <Size>Diameters up to 12Fr &amp; lengths up to 15cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4218</SubGroupID>
            <ARTGs>
                <ARTG>127387</ARTG>
            </ARTGs>
            <MinimumBenefit>74</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS184</BillingCode>
            <Name>Advanix Plastic Stent</Name>
            <Description>Plastic stent manufactured individually</Description>
            <Size>5-18cm length, 7-10 FR diameter</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4218</SubGroupID>
            <ARTGs>
                <ARTG>127387</ARTG>
            </ARTGs>
            <MinimumBenefit>74</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL003</BillingCode>
            <Name>Bile Duct Stent</Name>
            <Description>Polyethylene Stents</Description>
            <Size>7FR - 12FR 3cm - 15cm</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4218</SubGroupID>
            <ARTGs>
                <ARTG>145851</ARTG>
            </ARTGs>
            <MinimumBenefit>74</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL008</BillingCode>
            <Name>Olympus Biliary Stent Set</Name>
            <Description>Radio-opaque Polyethglare Stent Set</Description>
            <Size>7Fr 3cm - 15cm, 8Fr 3cm - 15cm, 10Fr 3cm - 15cm</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4218</SubGroupID>
            <ARTGs>
                <ARTG>145856</ARTG>
            </ARTGs>
            <MinimumBenefit>74</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WA003</BillingCode>
            <Name>Compass BDS Biliary Stent</Name>
            <Description>Plastic biliary stent</Description>
            <Size>7 Fr, Length: 5-15cm</Size>
            <SupplierCode>WA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4218</SubGroupID>
            <ARTGs>
                <ARTG>133255</ARTG>
            </ARTGs>
            <MinimumBenefit>74</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC006</BillingCode>
            <Name>Cotton-Leung Biliary Stent Only</Name>
            <Description>.</Description>
            <Size>6 - 11.5Fr, Length 3 - 20cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4218</SubGroupID>
            <ARTGs>
                <ARTG>139770</ARTG>
            </ARTGs>
            <MinimumBenefit>74</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC008</BillingCode>
            <Name>Cotton-Huibregste Biliary Stent Only</Name>
            <Description>.</Description>
            <Size>7 - 11.5Fr, Length 5 - 21cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4218</SubGroupID>
            <ARTGs>
                <ARTG>139770</ARTG>
            </ARTGs>
            <MinimumBenefit>74</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC012</BillingCode>
            <Name>Zimmon Biliary Stent Only</Name>
            <Description>.</Description>
            <Size>5 - 11.5Fr, Length 3 - 18cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4218</SubGroupID>
            <ARTGs>
                <ARTG>139770</ARTG>
            </ARTGs>
            <MinimumBenefit>74</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC064</BillingCode>
            <Name>Tannenbaum Biliary Stent only</Name>
            <Description>Plastic biliary stent with proximal and distal flaps</Description>
            <Size>Diameter: 8.5,10,11.5 FR. Length Between Flaps: 5 --&gt;15 cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4218</SubGroupID>
            <ARTGs>
                <ARTG>139770</ARTG>
            </ARTGs>
            <MinimumBenefit>74</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC267</BillingCode>
            <Name>Cotton-Leung Sof-Flex Biliary Stent</Name>
            <Description>Cotton-Leung Sof-Flex Biliary Stent</Description>
            <Size>6 - 11.5 Fr; Length 3 - 20cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4218</SubGroupID>
            <ARTGs>
                <ARTG>139770</ARTG>
            </ARTGs>
            <MinimumBenefit>74</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS199</BillingCode>
            <Name>Protege™GPS™ Self-expanding Billary Stent System</Name>
            <Description>Nitinol self expanding stent pre-mounted on 6F OTW delivery system</Description>
            <Size>Diameter (mm) 6 -14, Length (mm) 20 - 150</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4234</SubGroupID>
            <ARTGs>
                <ARTG>189741</ARTG>
            </ARTGs>
            <MinimumBenefit>2008</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS200</BillingCode>
            <Name>VisiPro™ Balloon-Expandable Biliary Stent System</Name>
            <Description>Stainless Steel balloon expandable stent mounted onto a non-compliant balloon catheter</Description>
            <Size>Diameter (mm) 5 - 10, Length (mm) 12 -57</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4234</SubGroupID>
            <ARTGs>
                <ARTG>189741</ARTG>
            </ARTGs>
            <MinimumBenefit>2008</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS051</BillingCode>
            <Name>Wallstent Biliary Stent</Name>
            <Description>Monofilament wire, self-expanding stent</Description>
            <Size>Diameters up to 10mm &amp; lengths up to 100mm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4234</SubGroupID>
            <ARTGs>
                <ARTG>136261</ARTG>
            </ARTGs>
            <MinimumBenefit>2008</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS215</BillingCode>
            <Name>WallFlex Biliary Stent</Name>
            <Description>Bare Metal Stent</Description>
            <Size>6 - 10 x 40 - 120mm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4234</SubGroupID>
            <ARTGs>
                <ARTG>226864</ARTG>
                <ARTG>136261</ARTG>
            </ARTGs>
            <MinimumBenefit>2008</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS354</BillingCode>
            <Name>Epic Biliary Endoscopic Stent System</Name>
            <Description>Uncovered self-expanding nitinol biliary stent</Description>
            <Size>Diameter 6-10mm, Length 40-100mm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4234</SubGroupID>
            <ARTGs>
                <ARTG>299016</ARTG>
            </ARTGs>
            <MinimumBenefit>2008</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET038</BillingCode>
            <Name>SX-Ella Biliary Stent</Name>
            <Description>Self-expanding nitinol stent</Description>
            <Size>Diameter 8 - 10mm, Length 40 - 100mm.</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4234</SubGroupID>
            <ARTGs>
                <ARTG>144490</ARTG>
            </ARTGs>
            <MinimumBenefit>2008</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET039</BillingCode>
            <Name>SX-Ella Tips Stent</Name>
            <Description>Uncovered, self-expanding nitinol stent</Description>
            <Size>Dia 10-14mm, length 52-77mm</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4234</SubGroupID>
            <ARTGs>
                <ARTG>144490</ARTG>
            </ARTGs>
            <MinimumBenefit>2008</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PY038</BillingCode>
            <Name>Niti-S Biliary Uncovered Stents</Name>
            <Description>Niti-S Biliary Uncovered Stents.</Description>
            <Size>Diameter:  6mm to 10mm   Length:  40mm to 120mm</Size>
            <SupplierCode>PY</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4234</SubGroupID>
            <ARTGs>
                <ARTG>130531</ARTG>
            </ARTGs>
            <MinimumBenefit>2008</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>UK013</BillingCode>
            <Name>HANAROSTENT</Name>
            <Description>HANAROSTENT Biliary, Biliary Hilar, Benefit Biliary,  Un-covered self-expanding nitinol biliary stent</Description>
            <Size>Diameter 6-10mm, Length 40-120mm</Size>
            <SupplierCode>UK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4234</SubGroupID>
            <ARTGs>
                <ARTG>272684</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Description</ChangeExplanation>
            <MinimumBenefit>2008</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC270</BillingCode>
            <Name>Zilver Biliary Stent System</Name>
            <Description>Self expanding metal biliary stent system</Description>
            <Size>Diameters 6, 8, 10mm; Lengths 4, 6, 8, 10, 12cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4234</SubGroupID>
            <ARTGs>
                <ARTG>177491</ARTG>
            </ARTGs>
            <MinimumBenefit>2008</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC308</BillingCode>
            <Name>Evolution Biliary Stent System (uncovered)</Name>
            <Description>Self expanding bare metal biliary stent system.</Description>
            <Size>Diameters :8 -10mm&#xD;
Lengths: 40 -100mm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4234</SubGroupID>
            <ARTGs>
                <ARTG>177491</ARTG>
            </ARTGs>
            <MinimumBenefit>2008</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC331</BillingCode>
            <Name>Zilver 635 Biliary Stent</Name>
            <Description>The Zilver 635 Biliary Stent is a self-expandable stent made of nitinol.</Description>
            <Size>Length: 4-8cm, Diameter: 6-14mm, Delivery system: 40cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4234</SubGroupID>
            <ARTGs>
                <ARTG>236948</ARTG>
            </ARTGs>
            <MinimumBenefit>2008</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS052</BillingCode>
            <Name>Wallstent Biliary Stent</Name>
            <Description>Monofilament wire, self-expanding stent</Description>
            <Size>Diameters up to 10mm &amp; lengths up to 100mm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4235</SubGroupID>
            <ARTGs>
                <ARTG>136261</ARTG>
            </ARTGs>
            <MinimumBenefit>2730</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS070</BillingCode>
            <Name>Wallstent RX Biliary Stent</Name>
            <Description>Monofilament wire, self-expanding stent</Description>
            <Size>Diameters up to 10mm &amp; lengths up to 100mm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4235</SubGroupID>
            <ARTGs>
                <ARTG>136261</ARTG>
            </ARTGs>
            <MinimumBenefit>2730</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS214</BillingCode>
            <Name>WallFlex Biliary Stent</Name>
            <Description>Stent with permalume covering</Description>
            <Size>6 - 10 x 40 - 120mm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4235</SubGroupID>
            <ARTGs>
                <ARTG>136261</ARTG>
                <ARTG>177661</ARTG>
                <ARTG>226864</ARTG>
            </ARTGs>
            <MinimumBenefit>2730</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GT116</BillingCode>
            <Name>Gore Biliary Endoprostheses</Name>
            <Description>ePTFE</Description>
            <Size>Short or Long Catheter 8-10mmx4-8cm</Size>
            <SupplierCode>GT</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4235</SubGroupID>
            <ARTGs>
                <ARTG>130493</ARTG>
            </ARTGs>
            <MinimumBenefit>2730</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MB023</BillingCode>
            <Name>Allium Biliary Stent</Name>
            <Description>Endoscopic or Transhepatic biliary stent made of nitinol with copolymer covering and unraveling technology for atraumatic removal</Description>
            <Size>Stent length - 60, 80, 100, 120mm. Diameter  - 8, 10mm. Anchor optional</Size>
            <SupplierCode>MB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4235</SubGroupID>
            <ARTGs>
                <ARTG>205006</ARTG>
            </ARTGs>
            <MinimumBenefit>2730</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PY049</BillingCode>
            <Name>Niti-S Biliary Covered and Partially Covered Stents</Name>
            <Description>Niti-S Biliary Covered and Partially Covered Stents</Description>
            <Size>Diameter:  4mm to 16mm  Length:  10mm to 120mm</Size>
            <SupplierCode>PY</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4235</SubGroupID>
            <ARTGs>
                <ARTG>130531</ARTG>
            </ARTGs>
            <MinimumBenefit>2730</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>UK012</BillingCode>
            <Name>HANAROSTENT</Name>
            <Description>HANAROSTENT Biliary, Plumber Biliary, Biliary Flap, Biliary Flap Lasso, Biliary Lasso, Multi-Hole Biliary, TwynLay Biliary, FAST Biliary Flap.  Self-expanding nitinol biliary stent</Description>
            <Size>Diameter 6-16mm, Length 20-150mm</Size>
            <SupplierCode>UK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4235</SubGroupID>
            <ARTGs>
                <ARTG>272683</ARTG>
                <ARTG>336629</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Description, Product Sizes</ChangeExplanation>
            <MinimumBenefit>2730</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC309</BillingCode>
            <Name>Evolution Biliary Stent System (covered)</Name>
            <Description>Self expanding partially or fully covered biliary stent system.</Description>
            <Size>Diameters: 8 - 10mm&#xD;
Lengths: 40 - 80mm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1556</GroupID>
            <SubGroupID>4235</SubGroupID>
            <ARTGs>
                <ARTG>177491</ARTG>
            </ARTGs>
            <MinimumBenefit>2730</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS071</BillingCode>
            <Name>Ultraflex Precision Colonic Stent</Name>
            <Description>Nitinol, self expanding stent</Description>
            <Size>Diameters up to 30mm &amp; lengths up to 150mm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1557</GroupID>
            <Suffix>Self Expanding</Suffix>
            <ARTGs>
                <ARTG>119517</ARTG>
            </ARTGs>
            <MinimumBenefit>2762</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE692</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>PY023</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Niti-S Colorectal D-Type Stent</Name>
            <Description>Niti-S Colorectal D-Type self-expanding Stent</Description>
            <Size>Diameters: 18 to 30mm   Lengths: 60 to 150mm</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1557</GroupID>
            <Suffix>Self Expanding</Suffix>
            <ARTGs>
                <ARTG>130747</ARTG>
            </ARTGs>
            <MinimumBenefit>2762</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE693</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>PY024</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Niti-S Colorectal Stent</Name>
            <Description>Niti-S Colorectal self-expanding metal stent made from Nitinol.  Stent PTFE covered and uncovered OTW or TTS with string for ease of removal.</Description>
            <Size>Diameter:  18mm to 30mm  Length: 30mm to 160mm</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1557</GroupID>
            <Suffix>Self Expanding</Suffix>
            <ARTGs>
                <ARTG>130747</ARTG>
            </ARTGs>
            <MinimumBenefit>2762</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>UK008</BillingCode>
            <Name>HANAROSTENT</Name>
            <Description>HANAROSTENT Colon/Rectum, Colon/Rectum TTS, Colon/Rectum Asymmetric, Colon/Rectum Lasso, Intestine, Intestine Asymmetric, TwynLay Colon/Rectum.  Self-expanding nitinol colon/rectum stent.  </Description>
            <Size>Diameter: 16-24mm,  Length: 40-180 mm</Size>
            <SupplierCode>UK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1557</GroupID>
            <Suffix>Self Expanding</Suffix>
            <ARTGs>
                <ARTG>272681</ARTG>
                <ARTG>336711</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Description, Product Sizes</ChangeExplanation>
            <MinimumBenefit>2762</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS046</BillingCode>
            <Name>Ultraflex Oesophageal Stent; Ultraflex Oesophageal NG Stent</Name>
            <Description>Nitinol, self expanding stent</Description>
            <Size>Diameters up to 30mm &amp; lengths up to 150mm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1558</GroupID>
            <SubGroupID>4237</SubGroupID>
            <ARTGs>
                <ARTG>120176</ARTG>
            </ARTGs>
            <MinimumBenefit>2256</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS089</BillingCode>
            <Name>WallFlex Oesophageal Stent, WallFlex RMV Oesophageal Stent</Name>
            <Description>Nitinol, self expanding stent</Description>
            <Size>Diameters up to 30mm &amp; lengths up to 155mm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1558</GroupID>
            <SubGroupID>4238</SubGroupID>
            <ARTGs>
                <ARTG>120176</ARTG>
            </ARTGs>
            <MinimumBenefit>3159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS298</BillingCode>
            <Name>Ultraflex Oesophageal NG Covered Stent</Name>
            <Description>Translucent polyurethane covered nitinol, self expanding stent</Description>
            <Size>Diameters up to 30mm &amp; lengths up to 150mm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1558</GroupID>
            <SubGroupID>4238</SubGroupID>
            <ARTGs>
                <ARTG>120176</ARTG>
            </ARTGs>
            <MinimumBenefit>3159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS381</BillingCode>
            <Name>Agile Esophageal Stent</Name>
            <Description>Nitinol, Self-expanding</Description>
            <Size>Diameters up to 23mm &amp; lengths up to 15cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1558</GroupID>
            <SubGroupID>4238</SubGroupID>
            <ARTGs>
                <ARTG>339843</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Sizes</ChangeExplanation>
            <MinimumBenefit>3159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE690</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>PY021</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Niti-S Oesophageal Fully Covered Stent</Name>
            <Description>Niti-S Oesophageal fully covered self expanding nitinol stent with covering of PTFE, silicone, a polyurethane layer. Nylon drawstring for removal or repositiong</Description>
            <Size>Diameter: 10mm to 36mm  Length: 60mm to 230mm</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1558</GroupID>
            <SubGroupID>4238</SubGroupID>
            <ARTGs>
                <ARTG>130535</ARTG>
            </ARTGs>
            <MinimumBenefit>3159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE691</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>PY022</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Niti-S Oesophageal Double Stent &amp; Beta Double &amp; D-Double Stent</Name>
            <Description>Niti-S Oesophageal covered Double Stent &amp; Beta Double and D-Double self-expanding metal stent made from Nitinol, with an anti-migration outer uncovered wire construction to allow the mesh to embed in the oesophageal wall. Also with anti reflux valve inner polyurethane layer, PTFE &amp; silicone covering to prevent tumor ingrowth.  String for retrieval or re-positioning.</Description>
            <Size>Diameter: 10mm to 28mm  Length: 40mm to 200mm</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1558</GroupID>
            <SubGroupID>4238</SubGroupID>
            <ARTGs>
                <ARTG>130535</ARTG>
            </ARTGs>
            <MinimumBenefit>3159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET001</BillingCode>
            <Name>Ferx Ella Esophageal Stent</Name>
            <Description>Kit includes esophageal stent, introducer, balloon catheter</Description>
            <Size>Diam 20mm, Length 80 - 160mm</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1558</GroupID>
            <SubGroupID>4238</SubGroupID>
            <ARTGs>
                <ARTG>95573</ARTG>
            </ARTGs>
            <MinimumBenefit>3159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET045</BillingCode>
            <Name>Boubella Esophageal Stent</Name>
            <Description>Self expandable stainless steel wire stent with anti-reflux valve</Description>
            <Size>Length 90 - 210mm</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1558</GroupID>
            <SubGroupID>4238</SubGroupID>
            <ARTGs>
                <ARTG>95573</ARTG>
            </ARTGs>
            <MinimumBenefit>3159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET069</BillingCode>
            <Name>SX - ELLA Stent Esophageal HV (HV Stent Plus)</Name>
            <Description>The SX-ELLA Atent Esophageal HV (HV Stent Plus) is a self-expandable, fully covered nitinol stent, pre-loaded on a delivery system. The stent is designed to provide relief from malignant or benign strictures in the oesophagus, or treating anastomic leaks. HV Stent Plus includes an anti-migration collar &amp; is also available with an anti-reflux valve</Description>
            <Size>Stent Body Diameter = 18 - 20mm  Stent Flare Diameter = 24 - 25mm  Stent nominal length = 85/110/135/150mm  </Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1558</GroupID>
            <SubGroupID>4238</SubGroupID>
            <ARTGs>
                <ARTG>95573</ARTG>
            </ARTGs>
            <MinimumBenefit>3159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET070</BillingCode>
            <Name>SX- ELLA Stent Danis</Name>
            <Description>The Danis Procedure Pack Basic contains the SX-ELLA Stent Danis, a nitinol wire that is compressed &amp; preloaded within a delivery system, along with various instruments necessary for the stent implantation. The Stent Denis is a removable stent system for the treatment of bleeding esophageal varices. It is intended to be implanted and then removed within seven days of the date of implantation in order to avoid the risk of in-growth into the stent mesh</Description>
            <Size>One size: Stent flares diameter 30mm; Stent body diameter 25mm; Nominal length 135mm</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1558</GroupID>
            <SubGroupID>4238</SubGroupID>
            <ARTGs>
                <ARTG>95573</ARTG>
            </ARTGs>
            <MinimumBenefit>3159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>UK017</BillingCode>
            <Name>CHOOSTENT</Name>
            <Description>CHOOSTENT Esophagus, Esophagus Valve, Esophagus Asymmetric, Esophagus Upper. Covered esophageal stent, self-expanding nitinol</Description>
            <Size>Diameter 18-24mm, Length 50-220mm</Size>
            <SupplierCode>UK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1558</GroupID>
            <SubGroupID>4238</SubGroupID>
            <ARTGs>
                <ARTG>272685</ARTG>
            </ARTGs>
            <MinimumBenefit>3159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>UK018</BillingCode>
            <Name>HANAROSTENT</Name>
            <Description>HANAROSTENT Esophagus, Esophagus Valve, Esophagus Benign BS, Bariatric Surgery, Esophagus TTS, Esophagus Skidproof, Esophagus Asymmetric,  Esophagus Bone Shape Partial Covered, Esophagus Valve Partial covered. Covered esophagus stent, self-expanding nitinol</Description>
            <Size>Diameter 18-30mm, Length 50-240mm</Size>
            <SupplierCode>UK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1558</GroupID>
            <SubGroupID>4238</SubGroupID>
            <ARTGs>
                <ARTG>272685</ARTG>
                <ARTG>336712</ARTG>
            </ARTGs>
            <MinimumBenefit>3159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC246</BillingCode>
            <Name>Evolution Oesophageal Metal Stent</Name>
            <Description>Oesophogeal Self Expanding Metal Stent with controlled release delivery system</Description>
            <Size>8, 10, 12.5 and 15cm Lengths, 25mm flared ends with 20mm body or 23mm flared ends with 18mm body</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1558</GroupID>
            <SubGroupID>4238</SubGroupID>
            <ARTGs>
                <ARTG>153840</ARTG>
            </ARTGs>
            <MinimumBenefit>3159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC310</BillingCode>
            <Name>Evolution Oesophageal Stent System (Fully covered)</Name>
            <Description>Oesophageal self expanding metal stent with controlled release delivery system</Description>
            <Size>Diameters:18 - 20mm&#xD;
Lengths: 80 - 120mm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1558</GroupID>
            <SubGroupID>4238</SubGroupID>
            <ARTGs>
                <ARTG>200836</ARTG>
            </ARTGs>
            <MinimumBenefit>3159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET077</BillingCode>
            <Name>ELLA BD Stent</Name>
            <Description>The ELLA BD Stent is a self-expanding biodegradable stent made of polydiaxanone designed to slowly degrade when in contact with living tissue. Full degradation of stent occurs within 11-12 weeks of implantation. It is designed for dilation and treatment of benign oesophageal lesions.</Description>
            <Size>Stent body diameters = 18mm - 25mm;   Stent flares diameters = 23mm - 31mm;   Stent nominal length = 60/80/100/135mm.</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1558</GroupID>
            <SubGroupID>6025</SubGroupID>
            <ARTGs>
                <ARTG>232514</ARTG>
            </ARTGs>
            <MinimumBenefit>4513</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS317</BillingCode>
            <Name>HOT AXIOS</Name>
            <Description>Stent with Electrocautery Enhanced Delivery System for use in pseudocyst drainage. Self-expanding nitinol stent</Description>
            <Size>Length 8-15mm, Lumen Diameter 6-20mm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1561</GroupID>
            <SubGroupID>6011</SubGroupID>
            <Suffix>Electrocautery</Suffix>
            <ARTGs>
                <ARTG>282177</ARTG>
            </ARTGs>
            <MinimumBenefit>4345</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE709</BillingCode>
            <Name>Hot Spaxus</Name>
            <Description>Hot Spaxus is a self-expanding nitinol stent that maintains an anastomotic conduit between two adjacent organs. It has an Electrocautery Enhanced Delivery System.</Description>
            <Size>Length 20mm, Lumen Diameter 8 - 16mm</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1561</GroupID>
            <SubGroupID>6011</SubGroupID>
            <Suffix>Electrocautery</Suffix>
            <ARTGs>
                <ARTG>226438</ARTG>
            </ARTGs>
            <MinimumBenefit>4345</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS313</BillingCode>
            <Name>AXIOS</Name>
            <Description>Stent and Delivery System for use in pseudocyst drainage. Self-expanding nitinol stent</Description>
            <Size>Length 10mm, Lumen Diameter 10-15mm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1561</GroupID>
            <SubGroupID>6011</SubGroupID>
            <ARTGs>
                <ARTG>271558</ARTG>
            </ARTGs>
            <MinimumBenefit>3610</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE694</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>PY040</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Niti-S Nagi and Spaxus Pancreatic, Pseudocyst and Gall Bladder Drainage Stent</Name>
            <Description>Fully Covered, self-expanding metal pancreatic pseudocyst intra-luminal drainage stent</Description>
            <Size>Diameter: 8, 10,12,14,16mm  Length: 1,2,3cm</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1561</GroupID>
            <SubGroupID>6011</SubGroupID>
            <ARTGs>
                <ARTG>226438</ARTG>
            </ARTGs>
            <MinimumBenefit>3610</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>UK025</BillingCode>
            <Name>HANAROSTENT Pancreatic Stent</Name>
            <Description>Pancreatic Covered Stent</Description>
            <Size>Diameter 10-12mm, Length 20-40mm</Size>
            <SupplierCode>UK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1561</GroupID>
            <SubGroupID>6011</SubGroupID>
            <ARTGs>
                <ARTG>336713</ARTG>
            </ARTGs>
            <MinimumBenefit>3610</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS290</BillingCode>
            <Name>Advanix Plastic Stent and Pusher Kit</Name>
            <Description>Plastic stent manufactured, indicated for the treatment of pancreatic strictures.&#xD;
Delivery System in form of a pusher (short wire or long wire system specific).&#xD;
</Description>
            <Size>2 - 18cm length / 3 - 10 FR diameter</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1561</GroupID>
            <Suffix>Pusher</Suffix>
            <ARTGs>
                <ARTG>226891</ARTG>
            </ARTGs>
            <MinimumBenefit>131</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS289</BillingCode>
            <Name>Advanix Plastic Stent</Name>
            <Description>Plastic stent manufactured individually, indicated for the treatment of pancreatic strictures.</Description>
            <Size>2 - 18cm length / 3 - 10 FR diameter</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1561</GroupID>
            <ARTGs>
                <ARTG>226891</ARTG>
            </ARTGs>
            <MinimumBenefit>77</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC079</BillingCode>
            <Name>Zimmon Pancreatic Stent</Name>
            <Description>Single pigtail with radio-opaque band</Description>
            <Size>Diameter 4 - 10FR, Length 2 - 18cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1561</GroupID>
            <ARTGs>
                <ARTG>142998</ARTG>
            </ARTGs>
            <MinimumBenefit>77</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC123</BillingCode>
            <Name>Geenen Pancreatic Stent</Name>
            <Description>Straight plastic pancreatic stent with or without ductal flaps</Description>
            <Size>Diameter 3 - 11.5 FR, length 2 - 20cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1561</GroupID>
            <ARTGs>
                <ARTG>142998</ARTG>
            </ARTGs>
            <MinimumBenefit>77</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC212</BillingCode>
            <Name>Zimmom Pancreatic Stent</Name>
            <Description>Single pigtail radio-opaque Polyethylene Stent with or without ductal flaps</Description>
            <Size>Diameter 3 - 7 FR, Length 3 - 18cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1561</GroupID>
            <ARTGs>
                <ARTG>142998</ARTG>
            </ARTGs>
            <MinimumBenefit>77</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC271</BillingCode>
            <Name>Geenen Sof-Flex Pancreatic Stent</Name>
            <Description>Straight plastic pancreatic stent with or without ductal flaps</Description>
            <Size>Diameter 3 - 10 Fr; length 2 - 15cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1561</GroupID>
            <ARTGs>
                <ARTG>142998</ARTG>
            </ARTGs>
            <MinimumBenefit>77</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS090</BillingCode>
            <Name>WallFlex Enteral Stent (Duodenal/Colonic)</Name>
            <Description>Nitinol, self expanding stent</Description>
            <Size>Diameters up to 30mm &amp; lengths up to 150mm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1562</GroupID>
            <ARTGs>
                <ARTG>119517</ARTG>
            </ARTGs>
            <MinimumBenefit>3159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS337</BillingCode>
            <Name>WallFlex Soft Enteral Stent (Duodenal/Colonic)</Name>
            <Description>Nitinol, self expanding stent with Anchor Lock Delivery System</Description>
            <Size>Diameters up to 27mm &amp; lengths up to 120mm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1562</GroupID>
            <ARTGs>
                <ARTG>119517</ARTG>
            </ARTGs>
            <MinimumBenefit>3159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE689</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>PY017</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Niti-S Pyloric/Duodenal Stent</Name>
            <Description>Niti-S Pyloric self-expanding stent, covered and uncovered, OTW or TTS</Description>
            <Size>Diameter:  16 to 28mm   Length: 40 to 160mm</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1562</GroupID>
            <ARTGs>
                <ARTG>130746</ARTG>
            </ARTGs>
            <MinimumBenefit>3159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>UK010</BillingCode>
            <Name>HANAROSTENT</Name>
            <Description>HANAROSTENT Duodenum/Pylorus Kim’s Flare, Duodenum/Pylorus Lasso, Duodenum/Pylorus Lasso, TwynLay Duodenum/Pylorus.  Self-expanding nitinol duodenum/pylorus stent  </Description>
            <Size>Diameter 18-24mm, Length 60-180mm</Size>
            <SupplierCode>UK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1562</GroupID>
            <ARTGs>
                <ARTG>272682</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Description</ChangeExplanation>
            <MinimumBenefit>3159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC268</BillingCode>
            <Name>Evolution Enteral Metal Stent</Name>
            <Description>Enteral Metal Stent</Description>
            <Size>Diameter 22 to 25mm body; 27 to 30mm flanges. Length: 6 to 12cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1562</GroupID>
            <ARTGs>
                <ARTG>157191</ARTG>
                <ARTG>157192</ARTG>
            </ARTGs>
            <MinimumBenefit>3159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AK009</BillingCode>
            <Name>Oesophageal Tracheal Stents</Name>
            <Description>Nitinol wire expandable stents, covered and non covered, Y shaped</Description>
            <Size>multiple sizes</Size>
            <SupplierCode>AK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1563</GroupID>
            <ARTGs>
                <ARTG>173875</ARTG>
            </ARTGs>
            <MinimumBenefit>1805</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AK010</BillingCode>
            <Name>Oesophageal Tracheal Stents</Name>
            <Description>self expanding nitinol stent, covered and uncovered, straight and J shape</Description>
            <Size>multiple sizes</Size>
            <SupplierCode>AK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1563</GroupID>
            <ARTGs>
                <ARTG>173875</ARTG>
            </ARTGs>
            <MinimumBenefit>1805</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS047</BillingCode>
            <Name>Ultraflex Tracheobronchial Stent</Name>
            <Description>Nitinol, self expanding stent</Description>
            <Size>Diameters up to 25mm &amp; lengths up to 80mm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1563</GroupID>
            <ARTGs>
                <ARTG>149594</ARTG>
            </ARTGs>
            <MinimumBenefit>2708</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE695</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>PY048</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Niti-S Tracheal and Bronchial Stents</Name>
            <Description>Niti-S Tracheal and Bronchial Stents</Description>
            <Size>Diameter:  10mm to 24mm  Length:  30mm to 100mm</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1563</GroupID>
            <ARTGs>
                <ARTG>130533</ARTG>
                <ARTG>130534</ARTG>
            </ARTGs>
            <MinimumBenefit>2708</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OW004</BillingCode>
            <Name>AERO®, AERO DV® and AEROmini®</Name>
            <Description>Trachobronchial Stent</Description>
            <Size>6-20mm stent diameter, stent length 10-80mm</Size>
            <SupplierCode>OW</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1563</GroupID>
            <ARTGs>
                <ARTG>177098</ARTG>
            </ARTGs>
            <MinimumBenefit>2708</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>UK019</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>BS311</PriorBillingCode>
            </PriorBillingCodes>
            <Name>HANAROSTENT</Name>
            <Description>HANAROSTENT Trachea/Bronchial.  Covered trachea/bronchium stent, self-expanding nitinol</Description>
            <Size>Length 30-80mm, Diameter 12-20mm</Size>
            <SupplierCode>UK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1563</GroupID>
            <ARTGs>
                <ARTG>272686</ARTG>
            </ARTGs>
            <MinimumBenefit>2708</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG002</BillingCode>
            <Name>NeuraGen</Name>
            <Description>NeuraGen is a semi-permeable Type 1 collagen tube for peripheral nerve repair. It provides a protective environment and conduit for axonal regrowth across a nerve gap.  It is biocompatible and completely resorbed. The open collagen structure facilitates suture placement. It has a resilient structure that maintains an open lumen throughout the process of axonal growth.</Description>
            <Size>2mm x 2cm, 3mm x 2cm, 4mm x 2cm, 5mm x 2cm, 6mm x 2cm, 7mm x 2cm, 1.5mm x 3cm, 2mm x 3cm, 3mm x 3cm, 4mm x 3cm, 5mm x 3cm, 6mm x 3cm, 7mm x 3cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1564</GroupID>
            <ARTGs>
                <ARTG>158870</ARTG>
            </ARTGs>
            <MinimumBenefit>1354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG003</BillingCode>
            <Name>NeuraWrap</Name>
            <Description>NeuraWrap nerve protector is designed to provide an interface between the nerve and the surrounding tissues. NeuraWrap remains in place during the active phase of tissue healing and is completely resorbed after tissue response has resolved. The porous outer layer of NeuraWrap comprises a tubular matrix that mechanically resists compression from surrounding tissue and excludes scar tissue ingrowth. The semi-permeable inner membrane allows passage of small molecules (ie water, ions, metabolites, nutrients) but prevents the escape of endogenous growth factors (Nerve Growth Factor). NeuraWrap provides a new alternative for the treatment of peripheral nerve injuries.</Description>
            <Size>3mm x 2cm, 3mm x 4cm, 5mm x 2cm, 5mm x 4cm, 7mm x 2cm, 7mm x 4cm, 10mm x 2cm, 10mm x 4cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1564</GroupID>
            <ARTGs>
                <ARTG>158924</ARTG>
            </ARTGs>
            <MinimumBenefit>1354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM080</BillingCode>
            <Name>Neurolac</Name>
            <Description>A bioresorbable tension-less Nerve repair guide</Description>
            <Size>1.5mm x 3cm to 10.0mm x 3cm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1564</GroupID>
            <ARTGs>
                <ARTG>139653</ARTG>
            </ARTGs>
            <MinimumBenefit>1354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM335</BillingCode>
            <Name>Nerve Capping Device</Name>
            <Description>A peripheral bioresorbable nerve capping device</Description>
            <Size>30mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>192</SubCategoryID>
            <GroupID>1564</GroupID>
            <ARTGs>
                <ARTG>285368</ARTG>
            </ARTGs>
            <MinimumBenefit>1354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE603</BillingCode>
            <Name>PleuraFlow® Active Clearance Technology® (ACT)</Name>
            <Description>Pleural drainage catheter</Description>
            <Size>20; 24; 28;32FR</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1577</GroupID>
            <SubGroupID>4242</SubGroupID>
            <ARTGs>
                <ARTG>218317</ARTG>
                <ARTG>324895</ARTG>
            </ARTGs>
            <MinimumBenefit>384</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FN002</BillingCode>
            <Name>Pleurx</Name>
            <Description>Pleurx Pleural Catheter Mini Kit</Description>
            <Size>Catheter 24cm x 15.5Fr</Size>
            <SupplierCode>FN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1577</GroupID>
            <SubGroupID>4242</SubGroupID>
            <ARTGs>
                <ARTG>321900</ARTG>
            </ARTGs>
            <MinimumBenefit>384</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ME207</BillingCode>
            <Name>TRU-CLOSE THORACIC VENT</Name>
            <Description>Device for the treatment of spontanious, traumatic or iatrogenic simple pneumothorax.Allowing for amubulation during resolution and the aspiration of small amount of fluids</Description>
            <Size>Catheter outer diameter = 11 French, catheter length = 10cm&#xD;
Catheter outer diameter = 11 French, catheter length = 13cm&#xD;
Catheter outer diameter = 13 French, catheter length = 10cm&#xD;
Catheter outer diameter = 13 French, catheter length = 13cm</Size>
            <SupplierCode>ME</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1577</GroupID>
            <SubGroupID>4242</SubGroupID>
            <ARTGs>
                <ARTG>181784</ARTG>
            </ARTGs>
            <MinimumBenefit>384</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ME208</BillingCode>
            <Name>Redax Unico Percutaneous Drainage Kit</Name>
            <Description>Percutaneous Drainage Kit</Description>
            <Size>9-12 CH</Size>
            <SupplierCode>ME</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1577</GroupID>
            <SubGroupID>4242</SubGroupID>
            <ARTGs>
                <ARTG>204898</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MS065</BillingCode>
            <Name>ASEPT Pleural Drainage System</Name>
            <Description>Indwelling tunnelled pleural catheter insertion kit</Description>
            <Size>15F x 66cm silicone catheter with fenestrations and cuff</Size>
            <SupplierCode>MS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1577</GroupID>
            <SubGroupID>4242</SubGroupID>
            <ARTGs>
                <ARTG>285155</ARTG>
            </ARTGs>
            <MinimumBenefit>384</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RK001</BillingCode>
            <Name>Rocket IPC Pleural/Peritoneal Tunnelled Catheter Insertion kit</Name>
            <Description>Rocket IPC Pleural/Peritoneal Tunnelled Catheter Insertion kit with catheter</Description>
            <Size>16fg x 69cm silicone catheter with cuff</Size>
            <SupplierCode>RK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1577</GroupID>
            <SubGroupID>4242</SubGroupID>
            <ARTGs>
                <ARTG>166369</ARTG>
            </ARTGs>
            <MinimumBenefit>384</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WA001</BillingCode>
            <Name>Thal-Quick Chest Tube Set</Name>
            <Description>The set consists of introducer needle, wire guide, dilators, coaxial chest tube inserter and clear catheter with radiopaque strip.</Description>
            <Size>8-36 Fr, Length: 18-41cm</Size>
            <SupplierCode>WA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1577</GroupID>
            <SubGroupID>4242</SubGroupID>
            <ARTGs>
                <ARTG>142280</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WA002</BillingCode>
            <Name>Fuhrman Pleural/Pneumopericardial Drainage Set</Name>
            <Description>Percutaneous drainage kit.  Components: Introducer needle, wire guide, dilator, radiopaque pigtail catheter, three-way stopcock, and multipurpose tubing adapter.</Description>
            <Size>Catheter length 15cm, 6-10.2 Fr</Size>
            <SupplierCode>WA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1577</GroupID>
            <SubGroupID>4242</SubGroupID>
            <ARTGs>
                <ARTG>155952</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WA005</BillingCode>
            <Name>Wayne Pneumothorax Set</Name>
            <Description>Wayne Pneumothorax Set for Seldinger Placement.  Set includes: introducer needle, wire guide, dilator, pigtail catheter, and Cook Chest Drain Valve</Description>
            <Size>Length: 29cm, 14Fr</Size>
            <SupplierCode>WA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1577</GroupID>
            <SubGroupID>4242</SubGroupID>
            <ARTGs>
                <ARTG>142280</ARTG>
            </ARTGs>
            <MinimumBenefit>114</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS227</BillingCode>
            <Name>Flexima All-Purpose Drainage Catheter</Name>
            <Description>All-purpose drainage catheters for abscesses and fluid collections.</Description>
            <Size>Length up to 25cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1577</GroupID>
            <SubGroupID>4243</SubGroupID>
            <ARTGs>
                <ARTG>132027</ARTG>
            </ARTGs>
            <MinimumBenefit>114</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS229</BillingCode>
            <Name>Flexima vanSonnenburg Sump Catheter</Name>
            <Description>Dual lumen catheters that drain cavity contents by application of suction</Description>
            <Size>Length up to 35cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1577</GroupID>
            <SubGroupID>4243</SubGroupID>
            <ARTGs>
                <ARTG>132027</ARTG>
            </ARTGs>
            <MinimumBenefit>384</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CB016</BillingCode>
            <Name>Skater All-Purpose Drainage Catheter</Name>
            <Description>All-purpose drainage catheters for abscesses and fluid collections</Description>
            <Size>Single Step Drainage Catheter w/Locking Pigtail&#xD;
6Fx20cm, 6Fx25cm, 7Fx20cm, 7Fx25cm, 8Fx20cm, 8Fx25cm, 8Fx30cm, 10Fx20cm, 10Fx25cm, 10Fx30cm, 12Fx20cm, 12Fx25cm, 14Fx20cm, 14Fx25cm, 16Fx25cm&#xD;
Single Step Drainage Catheter w/Non-Locking Pigtail&#xD;
6Fx20cm, 6Fx25cm, 7Fx20cm, 7Fx25cm, 8Fx20cm, 8Fx25cm, 8Fx30cm, 10Fx20cm, 10Fx25cm, 10Fx30cm, 12Fx20cm, 12Fx25cm, 14Fx20cm, 14Fx25cm, 16Fx25cm&#xD;
Drainage Catheter w/Locking Pigtail&#xD;
6Fx25cm, 6Fx35cm, 7Fx25cm, 7Fx35cm, 8Fx25cm, 8Fx35cm, 10Fx25cm, 10Fx35cm, 12Fx25cm, 12Fx35cm, 14Fx25cm, 14Fx35cm, 16Fx25cm&#xD;
Drainage Catheter w/Non-Locking Pigtail&#xD;
6Fx25cm, 6Fx35cm, 7Fx25cm, 7Fx35cm, 8Fx25cm, 8Fx35cm, 10Fx25cm, 10Fx35cm, 12Fx25cm, 12Fx35cm, 14Fx25cm, 16Fx25cm</Size>
            <SupplierCode>CB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1577</GroupID>
            <SubGroupID>4243</SubGroupID>
            <ARTGs>
                <ARTG>223261</ARTG>
            </ARTGs>
            <MinimumBenefit>384</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FN001</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>ZQ004</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Pleurx</Name>
            <Description>Pleurx Peritoneal Catheter Mini Kit</Description>
            <Size>Catheter 71.0cm x 15.5 Fr</Size>
            <SupplierCode>FN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1577</GroupID>
            <SubGroupID>4243</SubGroupID>
            <ARTGs>
                <ARTG>150008</ARTG>
            </ARTGs>
            <MinimumBenefit>384</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ME223</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>NG075</PriorBillingCode>
            </PriorBillingCodes>
            <Name>General Purpose Drainage Catheter</Name>
            <Description>Abscess Drainage Catheters</Description>
            <Size>6FR x 12CM through to 28FR x 50CM</Size>
            <SupplierCode>ME</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1577</GroupID>
            <SubGroupID>4243</SubGroupID>
            <ARTGs>
                <ARTG>98030</ARTG>
            </ARTGs>
            <MinimumBenefit>384</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MS068</BillingCode>
            <Name>ASEPT Peritoneal Drainage System</Name>
            <Description>Indwelling tunnelled peritoneal catheter insertion kit</Description>
            <Size>Catheter: 71 cm x 15.5F</Size>
            <SupplierCode>MS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1577</GroupID>
            <SubGroupID>4243</SubGroupID>
            <ARTGs>
                <ARTG>285155</ARTG>
            </ARTGs>
            <MinimumBenefit>384</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC315</BillingCode>
            <Name>Multipurpose Drainage Catheter</Name>
            <Description>Catheter used in a variety of drainage applications</Description>
            <Size>8.5-14 Fr, Length: 15-60cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1577</GroupID>
            <SubGroupID>4243</SubGroupID>
            <ARTGs>
                <ARTG>139357</ARTG>
            </ARTGs>
            <MinimumBenefit>114</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS250</BillingCode>
            <Name>Flexima Biliary Drainage Catheter</Name>
            <Description>Biliary drainage catheters for drainage of the biliary tree</Description>
            <Size>Length up to 35cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1577</GroupID>
            <SubGroupID>5489</SubGroupID>
            <ARTGs>
                <ARTG>132027</ARTG>
            </ARTGs>
            <MinimumBenefit>108</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CB017</BillingCode>
            <Name>Skater Biliary Drainage Catheter</Name>
            <Description>Used for biliary drainage applications</Description>
            <Size>Biliary Drainage Catheter w/Locking Pigtail&#xD;
8Fx40cm, 10Fx40cm, 12Fx40cm&#xD;
Biliary Drainage Catheter w/Non-Locking Pigtail&#xD;
8Fx40cm, 10Fx40cm, 12Fx40cm</Size>
            <SupplierCode>CB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1577</GroupID>
            <SubGroupID>5489</SubGroupID>
            <ARTGs>
                <ARTG>223261</ARTG>
            </ARTGs>
            <MinimumBenefit>108</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OW009</BillingCode>
            <Name>ReSolve Biliary Catheter</Name>
            <Description>Radiopaque catheter for percutaneous biliary drainage</Description>
            <Size>8.5-14 French</Size>
            <SupplierCode>OW</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1577</GroupID>
            <SubGroupID>5489</SubGroupID>
            <ARTGs>
                <ARTG>328280</ARTG>
            </ARTGs>
            <MinimumBenefit>108</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC317</BillingCode>
            <Name>Ultrathane Biliary Drainage Catheter</Name>
            <Description>Used for biliary drainage applications.</Description>
            <Size>8.5-14 Fr, 40-60cm length</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1577</GroupID>
            <SubGroupID>5489</SubGroupID>
            <ARTGs>
                <ARTG>138381</ARTG>
            </ARTGs>
            <MinimumBenefit>108</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FN005</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>ZQ010</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Safe-T-Centesis Drainage system</Name>
            <Description>Safe-T-Centesis drainage for para/thoracentesis</Description>
            <Size>6FR and 8FR pigtail catheter with Veress technology</Size>
            <SupplierCode>FN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1577</GroupID>
            <SubGroupID>6000</SubGroupID>
            <ARTGs>
                <ARTG>120894</ARTG>
            </ARTGs>
            <MinimumBenefit>136</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FN006</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>ZQ011</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Paracentesis/Thoracentesis Catheter Drainage</Name>
            <Description>Thora/Paracentesis kit</Description>
            <Size>8FR, 12cm polyurethane catheter</Size>
            <SupplierCode>FN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1577</GroupID>
            <SubGroupID>6000</SubGroupID>
            <ARTGs>
                <ARTG>120894</ARTG>
            </ARTGs>
            <MinimumBenefit>114</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OW008</BillingCode>
            <Name>One-Step Centesis Catheter</Name>
            <Description>Drainage catheter available in straight, pigtail, valved and non-valved with introducer needle</Description>
            <Size>4 French to 8 French&#xD;
7-17cm</Size>
            <SupplierCode>OW</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1577</GroupID>
            <SubGroupID>6000</SubGroupID>
            <ARTGs>
                <ARTG>108467</ARTG>
            </ARTGs>
            <MinimumBenefit>136</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OW010</BillingCode>
            <Name>ReSolve Locking and Non-Locking Drainage Catheters</Name>
            <Description>Hydrophilic locking and non-locking drainage catheters</Description>
            <Size>6.5 - 14 French</Size>
            <SupplierCode>OW</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1577</GroupID>
            <SubGroupID>6001</SubGroupID>
            <ARTGs>
                <ARTG>328288</ARTG>
                <ARTG>108467</ARTG>
            </ARTGs>
            <MinimumBenefit>108</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET088</BillingCode>
            <Name>Comfort Drain</Name>
            <Description>The Comfort Drain is a silicone anorectal fistula drainage catheter, that is designed to provide a knotless closure of the drain.</Description>
            <Size>Inner Diameter: 0.3mm, Outer Diameter: 1.5mm, Length: 180mm.</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1577</GroupID>
            <SubGroupID>7363</SubGroupID>
            <ARTGs>
                <ARTG>220607</ARTG>
            </ARTGs>
            <MinimumBenefit>114</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL081</BillingCode>
            <Name>IBV Valve in Cartridge</Name>
            <Description>A one-way valve placed in the lung airway intended to treat diseased lung in emphysematous patients or damaged lung resulting in air leaks by limiting airflow to selected areas.</Description>
            <Size>5mm, 6mm, 7mm and 9mm</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1578</GroupID>
            <ARTGs>
                <ARTG>188455</ARTG>
            </ARTGs>
            <MinimumBenefit>5686</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PX001</BillingCode>
            <Name>Pulmonx</Name>
            <Description>Valve intended to improve lung function in patients with heterogeneous emphysema by controlling air flow with a one-way valve and to treat patients with pulmonary air leak.</Description>
            <Size>4.0 (4 to 7 mm) and 5.5 (5.5 to 8.5mm)</Size>
            <SupplierCode>PX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1578</GroupID>
            <ARTGs>
                <ARTG>165980</ARTG>
            </ARTGs>
            <MinimumBenefit>5686</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FN003</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>ZQ008</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Denver Ascites Shunt, (PAK), Double-valved</Name>
            <Description>Ascite Shunt - Double Valved Percutaneous Access Kit (PAK). A fenestrated peritoneal catheter, a venous catheter, and a flexible pump chamber containing two miter valves, provided with a Percutaneous Access Kit.</Description>
            <Size>Double-valved, 42-2050</Size>
            <SupplierCode>FN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1793</GroupID>
            <ARTGs>
                <ARTG>163267</ARTG>
            </ARTGs>
            <MinimumBenefit>1986</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FN004</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>ZQ009</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Denver Ascites Shunt, (PAK), Single-valved</Name>
            <Description>Ascites Shunt - Single Valved Percutaneous Access Kit (PAK). A fenestrated peritoneal catheter, a veneous catheter, and a flexible pump chamber containing one miter valve, provided with a Percutaneous Access Kit (PAK).</Description>
            <Size>Single valved, 42-2055</Size>
            <SupplierCode>FN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>193</SubCategoryID>
            <GroupID>1793</GroupID>
            <ARTGs>
                <ARTG>163266</ARTG>
            </ARTGs>
            <MinimumBenefit>1986</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ010</BillingCode>
            <Name>Interceed Absorbable Adhesion Barrier</Name>
            <Description>Oxidized Regenerated Cellulose</Description>
            <Size>7.6cm x 10.2cm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1579</GroupID>
            <SubGroupID>5431</SubGroupID>
            <ARTGs>
                <ARTG>137081</ARTG>
            </ARTGs>
            <MinimumBenefit>158</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ464</BillingCode>
            <Name>Divide Absorbable Adhesion Barrier</Name>
            <Description>Oxidised regenerated cellulose</Description>
            <Size>3.8 x 5.1cmm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1579</GroupID>
            <SubGroupID>5431</SubGroupID>
            <ARTGs>
                <ARTG>137984</ARTG>
            </ARTGs>
            <MinimumBenefit>158</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET051</BillingCode>
            <Name>Surgiwrap</Name>
            <Description>Bio Absorbable Antiadhesion Barrier</Description>
            <Size>All sizes with and without suture holes</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1579</GroupID>
            <SubGroupID>5432</SubGroupID>
            <Suffix>Complex, Bioresorbable</Suffix>
            <ARTGs>
                <ARTG>91233</ARTG>
            </ARTGs>
            <MinimumBenefit>1173</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM084</BillingCode>
            <Name>Polyganics Vivosorb</Name>
            <Description>A bioresorbable co polyester sheet</Description>
            <Size>2cm x 3cm to 13cm x 20cm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1579</GroupID>
            <SubGroupID>5432</SubGroupID>
            <Suffix>Complex, Bioresorbable</Suffix>
            <ARTGs>
                <ARTG>148712</ARTG>
            </ARTGs>
            <MinimumBenefit>1173</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX342</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>GE006</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Seprafilm Adhesion Barrier</Name>
            <Description>Sodium hyaluronate carbomethylcellulose membrane</Description>
            <Size>13cm  x 15cm</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1579</GroupID>
            <SubGroupID>5432</SubGroupID>
            <ARTGs>
                <ARTG>206261</ARTG>
            </ARTGs>
            <MinimumBenefit>312</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX260</BillingCode>
            <Name>ADEPT Adhesion Reduction Solution</Name>
            <Description>ADEPT Adhesion Reduction Solution is a single use, sterile fluid for intraperitoneal administration. ADEPT is intended to be used as an instillate for the reduction of adhesions following gynaecologicalpelvic laparoscopic surgery of the abdominalpelvic cavity in adults</Description>
            <Size>1500ml</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1579</GroupID>
            <SubGroupID>4246</SubGroupID>
            <ARTGs>
                <ARTG>299826</ARTG>
            </ARTGs>
            <MinimumBenefit>226</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FJ001</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>LH534</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Oxiplex/AP Absorbable Adhesion Barrier Gel</Name>
            <Description>Combination of Polyethylene Oxide (PEO) and Sodium Carboxylmethylcellulose stabilised with Calcium and made isotonic with Sodium Chloride.  Kit contains 2 x 20ml Sterile syringes , 1 x Applicator</Description>
            <Size>2 x 20ml Sterile Syringes, 1 x Applicator</Size>
            <SupplierCode>FJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1579</GroupID>
            <SubGroupID>5433</SubGroupID>
            <Suffix>Complex</Suffix>
            <ARTGs>
                <ARTG>152224</ARTG>
            </ARTGs>
            <MinimumBenefit>1173</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FJ002</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>LH001</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Oxiplex Absorbable Adhesion Barrier Gel</Name>
            <Description>Oxiplex Absorbable Adhesion Barrier gel (Oxiplex is a co-polymer gel composed of carboxymethylcellulose and polyethylene.)</Description>
            <Size>3ml in sterile 3ml syringe</Size>
            <SupplierCode>FJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1579</GroupID>
            <SubGroupID>5433</SubGroupID>
            <Suffix>Complex</Suffix>
            <ARTGs>
                <ARTG>149294</ARTG>
            </ARTGs>
            <MinimumBenefit>1173</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FJ003</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>LM196</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Dynavisc</Name>
            <Description>Absorbable adhesion barrier gel</Description>
            <Size>1 ml</Size>
            <SupplierCode>FJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1579</GroupID>
            <SubGroupID>5433</SubGroupID>
            <Suffix>Complex</Suffix>
            <ARTGs>
                <ARTG>208839</ARTG>
            </ARTGs>
            <MinimumBenefit>411</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FJ004</BillingCode>
            <Name>Oxiplex/IU</Name>
            <Description>Oxiplex/IU® is a clear, single use flowable gel. The gel is a sterile, absorbable  combination of sodium carboxymethylcellulose (CMC) and polyethylene oxide (PEO) with calcium chloride and sodium chloride in water. Oxiplex/IU is intended for use as a mechanical barrier to adhesion formation. Oxiplex/IU is intended to be used as an adjunct to intrauterine procedures for reducing the incidence, extent, and severity of adhesions.</Description>
            <Size>1 x 10ml pre-filled syringe and vaginal applicator.</Size>
            <SupplierCode>FJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1579</GroupID>
            <SubGroupID>5433</SubGroupID>
            <Suffix>Complex</Suffix>
            <ARTGs>
                <ARTG>313985</ARTG>
            </ARTGs>
            <MinimumBenefit>1173</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH001</BillingCode>
            <Name>Oxiplex Absorbable Adhesion Barrier Gel</Name>
            <Description>Oxiplex Absorbable Adhesion Barrier gel (Oxiplex is a co-polymer gel composed of carboxymethylcellulose and polyethylene.)</Description>
            <Size>3ml in sterile 3ml syringe</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1579</GroupID>
            <SubGroupID>5433</SubGroupID>
            <Suffix>Complex</Suffix>
            <ARTGs>
                <ARTG>149294</ARTG>
            </ARTGs>
            <MinimumBenefit>1173</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH534</BillingCode>
            <Name>Oxiplex/AP Absorbable Adhesion Barrier Gel</Name>
            <Description>Combination of Polyethylene Oxide (PEO) and Sodium Carboxylmethylcellulose stabilised with Calcium and made isotonic with Sodium Chloride.  Kit contains 2 x 20ml Sterile syringes , 1 x Applicator</Description>
            <Size>2 x 20ml Sterile Syringes, 1 x Applicator</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1579</GroupID>
            <SubGroupID>5433</SubGroupID>
            <Suffix>Complex</Suffix>
            <ARTGs>
                <ARTG>152224</ARTG>
            </ARTGs>
            <MinimumBenefit>1235</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC618</BillingCode>
            <Name>Medishield Anti-Adhesion Gel</Name>
            <Description>MediShield Anti-Adhesion Gel is an adhesion barrier gel for prevention of complications after spinal surgery.  MediShield is a co-polymer gel composed of carboxymethylcellulose and polyethylene oxide.</Description>
            <Size>3cc Syringe</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1579</GroupID>
            <SubGroupID>5433</SubGroupID>
            <Suffix>Complex</Suffix>
            <ARTGs>
                <ARTG>137951</ARTG>
            </ARTGs>
            <MinimumBenefit>1173</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET082</BillingCode>
            <Name>PureRegen Gel Sinus</Name>
            <Description>PureRegen Gel Sinus is a gel adhesion barrier comprised of a hyaluronic acid based hydrogel. The product does not contain any medicinal, human or animal components. It is removed from the application site by natural elimination.</Description>
            <Size>2ml, 5ml, 6ml, 8ml, 10ml, 20ml.</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1579</GroupID>
            <SubGroupID>5433</SubGroupID>
            <Suffix>Sinus</Suffix>
            <ARTGs>
                <ARTG>264407</ARTG>
            </ARTGs>
            <MinimumBenefit>119</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AB075</BillingCode>
            <Name>BioGlue Surgical Adhesive - 2ml Syringe System</Name>
            <Description>Model No BG3502-5-A (BioGlue Surgical Adhesive)</Description>
            <Size>2ml</Size>
            <SupplierCode>AB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4247</SubGroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>137751</ARTG>
            </ARTGs>
            <MinimumBenefit>327</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX214</BillingCode>
            <Name>TISSEEL Two Component Fibrin Sealant Syringe</Name>
            <Description>Active ingedients:Sealer Protein Solution &amp; Thrombin Solution - deep-frozen</Description>
            <Size>2.0 ml (containing 1.0 ml of Sealer Protein Solution and 1.0 ml of Thrombin Solution)</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4247</SubGroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>147141</ARTG>
            </ARTGs>
            <MinimumBenefit>327</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX283</BillingCode>
            <Name>ARTISS Fibrin Sealant 2ml</Name>
            <Description>ARTISS is a proprietary fibrin sealant with 4UI/ml human thrombin.  It is two-component fibrin sealant made from pooled human plasma, a double virus-inactivated (vapour heated and solvent/detergent treated) and frozen (≤ -20°C) plasma derived biological agent.</Description>
            <Size>The two components are formulated as two sterile frozen solutions.  Each solution is presented in a separate pre-loaded chamber (1ml) of a double chamber syringe.  One chamber contains sealer protein solution with aprotinin while the other chamber contains thrombin solution with calcium chloride, resulting in a 2ml total volume of product for use.</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4247</SubGroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>163515</ARTG>
            </ARTGs>
            <MinimumBenefit>327</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB382</BillingCode>
            <Name>Histoacryl Flexible</Name>
            <Description>Topical Skin Adhesive</Description>
            <Size>0.5ml per ampoule</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4247</SubGroupID>
            <Suffix>Synthetic</Suffix>
            <ARTGs>
                <ARTG>221444</ARTG>
            </ARTGs>
            <MinimumBenefit>42</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB383</BillingCode>
            <Name>Histoacryl</Name>
            <Description>Topical and Surgical Adhesive</Description>
            <Size>0.5ml per ampoule</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4247</SubGroupID>
            <Suffix>Synthetic</Suffix>
            <ARTGs>
                <ARTG>206441</ARTG>
            </ARTGs>
            <MinimumBenefit>42</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX252</BillingCode>
            <Name>CoSeal Surgical Sealant</Name>
            <Description>Composition: two synthetic polyethelene glycols (PEG's), COH102 and COH206, premixed and filled into one syringe, a dilute hydrogen chloride solution and a sodium phosphate/sodium carbonate solution</Description>
            <Size>2ml</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4247</SubGroupID>
            <Suffix>Synthetic</Suffix>
            <ARTGs>
                <ARTG>181132</ARTG>
            </ARTGs>
            <MinimumBenefit>258</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE720</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MG038</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Glubran 2</Name>
            <Description>Synthetic cyanoacrylic surgical glue: N-Butyl (2) cyanoacrylate and methacryloxysulfolane co-monomer</Description>
            <Size>0.25 ml to 1 ml</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4247</SubGroupID>
            <Suffix>Synthetic</Suffix>
            <ARTGs>
                <ARTG>158438</ARTG>
            </ARTGs>
            <MinimumBenefit>258</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE721</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MG047</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Glubran Tiss2</Name>
            <Description>Tissue adhesive</Description>
            <Size>0.25 ml, 0.35 ml, 0.50 ml</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4247</SubGroupID>
            <Suffix>Synthetic</Suffix>
            <ARTGs>
                <ARTG>158442</ARTG>
            </ARTGs>
            <MinimumBenefit>42</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH596</BillingCode>
            <Name>Liquiband Surgical</Name>
            <Description>Surgical Adhesive</Description>
            <Size>0.8gm ampoule</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4247</SubGroupID>
            <Suffix>Synthetic</Suffix>
            <ARTGs>
                <ARTG>151324</ARTG>
            </ARTGs>
            <MinimumBenefit>42</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH597</BillingCode>
            <Name>LiquiBand Topical</Name>
            <Description>Topical Skin Adhesive</Description>
            <Size>0.25g – 0.8g ampoule</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4247</SubGroupID>
            <Suffix>Synthetic</Suffix>
            <ARTGs>
                <ARTG>151324</ARTG>
            </ARTGs>
            <MinimumBenefit>258</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI286</BillingCode>
            <Name>LiquiBand® Exceed™</Name>
            <Description>Topical Tissue Adhesive with Applicator</Description>
            <Size>0.8 mL, 0.36mL</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4247</SubGroupID>
            <Suffix>Synthetic</Suffix>
            <ARTGs>
                <ARTG>266148</ARTG>
            </ARTGs>
            <MinimumBenefit>42</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI317</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>SQ124</PriorBillingCode>
            </PriorBillingCodes>
            <Name>INDERMIL Flexifuze</Name>
            <Description>Topical Tissue Adhesive with Applicator</Description>
            <Size>0.75g per ampoule</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4247</SubGroupID>
            <Suffix>Synthetic</Suffix>
            <ARTGs>
                <ARTG>322769</ARTG>
            </ARTGs>
            <MinimumBenefit>42</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN229</BillingCode>
            <Name>Dermabond</Name>
            <Description>Topical Skin Adhesive</Description>
            <Size>Per 0.36 - 0.75ml vial</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4247</SubGroupID>
            <Suffix>Synthetic</Suffix>
            <ARTGs>
                <ARTG>171563</ARTG>
            </ARTGs>
            <MinimumBenefit>42</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN230</BillingCode>
            <Name>Dermabond Prineo</Name>
            <Description>Topical skin adhesive with self-adhering mesh</Description>
            <Size>22 - 60cm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4247</SubGroupID>
            <Suffix>Synthetic</Suffix>
            <ARTGs>
                <ARTG>185773</ARTG>
            </ARTGs>
            <MinimumBenefit>258</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AB003</BillingCode>
            <Name>BioGlue Surgical Adhesive - 5ml Syringe System</Name>
            <Description>Model No BG3515-5-A (BioGlue Surgical Adhesive)</Description>
            <Size>One size only</Size>
            <SupplierCode>AB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4248</SubGroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>137751</ARTG>
            </ARTGs>
            <MinimumBenefit>602</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX215</BillingCode>
            <Name>TISSEEL Two Component Fibrin Sealant Syringe</Name>
            <Description>Active ingedients:Sealer Protein Solution &amp; Thrombin Solution - deep-frozen</Description>
            <Size>4.0 ml (containing 2.0 ml of Sealer Protein Solution and 2.0 ml of Thrombin Solution)</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4248</SubGroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>147141</ARTG>
            </ARTGs>
            <MinimumBenefit>602</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX284</BillingCode>
            <Name>ARTISS Fibrin Sealant 4ml</Name>
            <Description>ARTISS is a proprietary fibrin sealant with 4UI/ml human thrombin.  It is two-component fibrin sealant made from pooled human plasma, a double virus-inactivated (vapour heated and solvent/detergent treated) and frozen (≤ -20°C) plasma derived biological agent.</Description>
            <Size>The two components are formulated as two sterile frozen solutions.  Each solution is presented in a separate pre-loaded chamber (2ml) of a double chamber syringe.  One chamber contains sealer protein solution with aprotinin while the other chamber contains thrombin solution with calcium chloride, resulting in a 4ml total volume of product for use.</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4248</SubGroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>163515</ARTG>
            </ARTGs>
            <MinimumBenefit>602</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX253</BillingCode>
            <Name>CoSeal Surgical Sealant</Name>
            <Description>Composition: two synthetic polyethelene glycols (PEG's), COH102 and COH206, premixed and filled into a syringe, a dilute hydrogen chloride solution and a sodium phosphate sodium carbonate solution</Description>
            <Size>4ml</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4248</SubGroupID>
            <Suffix>Synthetic</Suffix>
            <ARTGs>
                <ARTG>181132</ARTG>
            </ARTGs>
            <MinimumBenefit>516</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AB004</BillingCode>
            <Name>BioGlue Surgical Adhesive - 10ml Syringe System</Name>
            <Description>Model No BG3510-5-A (BioGlue Surgical Adhesive)</Description>
            <Size>One size only</Size>
            <SupplierCode>AB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4249</SubGroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>137751</ARTG>
            </ARTGs>
            <MinimumBenefit>1204</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX216</BillingCode>
            <Name>TISSEEL Two Component Fibrin Sealant Syringe</Name>
            <Description>Active ingedients:Sealer Protein Solution &amp; Thrombin Solution - deep-frozen</Description>
            <Size>10.0 ml (containing 5.0 ml of Sealer Protein Solution and 5.0 ml of Thrombin Solution)</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4249</SubGroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>147141</ARTG>
            </ARTGs>
            <MinimumBenefit>1204</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX285</BillingCode>
            <Name>ARTISS Fibrin Sealant 10ml</Name>
            <Description>ARTISS is a proprietary fibrin sealant with 4UI/ml human thrombin.  It is two-component fibrin sealant made from pooled human plasma, a double virus-inactivated (vapour heated and solvent/detergent treated) and frozen (≤ -20°C) plasma derived biological agent.</Description>
            <Size>The two components are formulated as two sterile frozen solutions.  Each solution is presented in a separate pre-loaded chamber (5ml) of a double chamber syringe.  One chamber contains sealer protein solution with aprotinin while the other chamber contains thrombin solution with calcium chloride, resulting in a 10ml total volume of product for use.</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4249</SubGroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>163515</ARTG>
            </ARTGs>
            <MinimumBenefit>1204</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN204</BillingCode>
            <Name>Evicel Solutions for Fibrin Sealant</Name>
            <Description>Human fibrinogen and Human thrombin</Description>
            <Size>10mL kit</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4249</SubGroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>181319</ARTG>
            </ARTGs>
            <MinimumBenefit>1204</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX254</BillingCode>
            <Name>CoSeal Surgical Sealant</Name>
            <Description>Composition: two synthetic polyethelene glycols (PEG's), COH102 and COH206, premixed and filled into a syringe, a dilute hydrogen chloride solution and a sodium phosphate sodium carbonate solution</Description>
            <Size>8ml</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4249</SubGroupID>
            <Suffix>Synthetic</Suffix>
            <ARTGs>
                <ARTG>181132</ARTG>
            </ARTGs>
            <MinimumBenefit>963</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AB008</BillingCode>
            <Name>BioGlue Surgical Adhesive - Syringe Standard Applicator Tip</Name>
            <Description>Model No BGAT-SY (BioGlue Surgical Adhesive)</Description>
            <Size>Standard Applicator Tip</Size>
            <SupplierCode>AB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Applicator Tip</Suffix>
            <ARTGs>
                <ARTG>137420</ARTG>
            </ARTGs>
            <MinimumBenefit>22</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA267</BillingCode>
            <Name>Progel Platinum Surgical Sealant Spray Tip</Name>
            <Description>Spray tip to be used in conjunction with Progel Platinum Surgical Sealant</Description>
            <Size>5cm (packs of 2)</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Applicator Tip</Suffix>
            <ARTGs>
                <ARTG>260665</ARTG>
            </ARTGs>
            <MinimumBenefit>22</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX266</BillingCode>
            <Name>TISSEEL DUPLOSPRAY MIS APPLICATOR REPLACEMENT TIPS</Name>
            <Description>Two component Fibrin Sealant containing human derived fibrinogen and thrombin.</Description>
            <Size>Packs of 10 sterile packs each containing 2 tips and an installation tool</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Applicator Tip</Suffix>
            <ARTGs>
                <ARTG>115590</ARTG>
            </ARTGs>
            <MinimumBenefit>22</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX270</BillingCode>
            <Name>COSEAL Applicator Tips 7 cm</Name>
            <Description>Applicator tips for COSEAL. Coseal which is listed on the Prostheses List, is a hydrogel that acts as a sealant by adhering to itself and the tissues it contacts.  COSEAL is designed to completely seal suture lines along vascular reconstructions to prevent fluids from leaking.</Description>
            <Size>A 7cm long applicator tip</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Applicator Tip</Suffix>
            <ARTGs>
                <ARTG>180922</ARTG>
            </ARTGs>
            <MinimumBenefit>22</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE722</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MG034</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Glubran 2 Applicators</Name>
            <Description>Dispensing tip/Drop control device for applying Glubran 2.</Description>
            <Size>5-6 and 7-8 French</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Applicator Tip</Suffix>
            <ARTGs>
                <ARTG>162589</ARTG>
            </ARTGs>
            <MinimumBenefit>22</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AB009</BillingCode>
            <Name>BioGlue Surgical Adhesive - Syringe 10cm Extender</Name>
            <Description>Model No BGAT-10-SY (BioGlue Surgical Adhesive)</Description>
            <Size>10cm Extender</Size>
            <SupplierCode>AB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Extender</Suffix>
            <ARTGs>
                <ARTG>137420</ARTG>
            </ARTGs>
            <MinimumBenefit>27</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AB010</BillingCode>
            <Name>BioGlue Surgical Adhesive - Syringe 27CM Extender</Name>
            <Description>Model No BGAT-27-SY (BioGlue Surgical Adhesive)</Description>
            <Size>27cm Extender</Size>
            <SupplierCode>AB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Extender</Suffix>
            <ARTGs>
                <ARTG>137420</ARTG>
            </ARTGs>
            <MinimumBenefit>27</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AB076</BillingCode>
            <Name>BioGlue Surgical Adhesive - Spreader Tips</Name>
            <Description>Spreader (extender) Tips (various sizes), (Pack of 3)</Description>
            <Size>12mm, 16mm</Size>
            <SupplierCode>AB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Extender</Suffix>
            <ARTGs>
                <ARTG>137420</ARTG>
            </ARTGs>
            <MinimumBenefit>27</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX261</BillingCode>
            <Name>Tisseel Duplospray MIS WITH SNAPLOCK Applicator 20cm</Name>
            <Description>Two component Fibrin Sealant containing human derived fibrinogen and thrombin.</Description>
            <Size>A 20cm long dual lumen metal cannula</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Extender</Suffix>
            <ARTGs>
                <ARTG>115590</ARTG>
            </ARTGs>
            <MinimumBenefit>27</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX262</BillingCode>
            <Name>TISSEEL DUPLOCATH 180cm</Name>
            <Description>Double lumen flexible catheters for Tisseel: Tisseel is Two component Fibrin Sealant containing human derived fibrinogen and thrombin.</Description>
            <Size>A 180cm long double lumen flexible application catheter</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Extender</Suffix>
            <ARTGs>
                <ARTG>299913</ARTG>
            </ARTGs>
            <MinimumBenefit>27</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX263</BillingCode>
            <Name>COSEAL Spray Accessory Kit</Name>
            <Description>Spray Accessory kit for Coseal: A hydrogel that acts as a sealant by adhering to itself and the tissues it contacts.  COSEAL is designed to completely seal suture lines along vascular reconstructions to prevent fluids from leaking.</Description>
            <Size>One size available</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Extender</Suffix>
            <ARTGs>
                <ARTG>299913</ARTG>
            </ARTGs>
            <MinimumBenefit>27</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX264</BillingCode>
            <Name>TISSEEL DUPLOTIP WITH SNAPLOCK 20g x 26.4cm</Name>
            <Description>Two component Fibrin Sealant containing derived fibrinogen and thrombin.</Description>
            <Size>A 26.4cm long dual umen applicator</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Extender</Suffix>
            <ARTGs>
                <ARTG>115590</ARTG>
            </ARTGs>
            <MinimumBenefit>27</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX269</BillingCode>
            <Name>TISSEEL Easyspray Set</Name>
            <Description>Easyspray Set for Tisseel, a two component Fibrin Sealant containing human derived fibrinogen and thrombin.</Description>
            <Size>One size</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Extender</Suffix>
            <ARTGs>
                <ARTG>299913</ARTG>
            </ARTGs>
            <MinimumBenefit>27</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX271</BillingCode>
            <Name>TISSEEL DUPLOTIP with SNAPLOCK 20g x 10.4cm</Name>
            <Description>Two component Fibrin Sealant containing human derived fibrinogen and thrombin.</Description>
            <Size>10.4cm long dual lumen applicator</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Extender</Suffix>
            <ARTGs>
                <ARTG>115590</ARTG>
            </ARTGs>
            <MinimumBenefit>27</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX272</BillingCode>
            <Name>TISSEEL DUPLOCATH 25cm</Name>
            <Description> Double lumen flexible application catheter for Tisseel, a two component Fibrin Sealant containing human derived fibrinogen and thrombin.</Description>
            <Size>A 25cm long double lumen flexible application catheter</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Extender</Suffix>
            <ARTGs>
                <ARTG>299913</ARTG>
            </ARTGs>
            <MinimumBenefit>27</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX275</BillingCode>
            <Name>COSEAL Extended Applicator 22 cm</Name>
            <Description>22cm extended applicator for COSEAL. Coseal, is listed on the Prostheses List, is a hydrogel that acts as a sealant by adhering to itself and the tissues it contacts.  COSEAL is designed to completely seal suture lines along vascular reconstructions to prevent fluids from leaking.</Description>
            <Size>A 22 cm long malleable applicator</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Extender</Suffix>
            <ARTGs>
                <ARTG>180922</ARTG>
            </ARTGs>
            <MinimumBenefit>27</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX282</BillingCode>
            <Name>Floseal Special Applicator Tips</Name>
            <Description>Floseal Malleable and Trimmable Applicator with Tips specifically designed for use with Floseal Haemostatic Matrix</Description>
            <Size>14cm</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Extender</Suffix>
            <ARTGs>
                <ARTG>167776</ARTG>
            </ARTGs>
            <MinimumBenefit>27</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE723</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MG035</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Glubran 2 Catheter for Laparoscopy</Name>
            <Description>Catheter for laparoscopic application of Glubran 2.</Description>
            <Size>One size only</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Extender</Suffix>
            <ARTGs>
                <ARTG>162589</ARTG>
            </ARTGs>
            <MinimumBenefit>27</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AB065</BillingCode>
            <Name>BioGlue Delivery Tip Extension (various sizes)</Name>
            <Description>Rigid Extender Tip (BGDTE range)</Description>
            <Size>10cm, 27cm, 35cm</Size>
            <SupplierCode>AB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Laparoscopic Extender</Suffix>
            <ARTGs>
                <ARTG>137420</ARTG>
            </ARTGs>
            <MinimumBenefit>53</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX268</BillingCode>
            <Name>TISSEEL DUPLOCATH 35cm MIC/MIS</Name>
            <Description>MIS (with MIS adaptor 5mm) Double lumen flexible application catheter for Tisseel, a two component Fibrin Sealant containing human derived fibrinogen and thrombin.</Description>
            <Size>A 35cm long double lumen flexible application catheter</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Laparoscopic Extender</Suffix>
            <ARTGs>
                <ARTG>299913</ARTG>
            </ARTGs>
            <MinimumBenefit>53</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX277</BillingCode>
            <Name>TISSEEL DUPLOSPRAY MIS SNAPLOCK APPLICATOR 30 cm</Name>
            <Description>Two component Fibrin Sealant containing human derived fibrinogen and thrombin.</Description>
            <Size>A 30 cm long dual lumen metal cannula</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Laparoscopic Extender</Suffix>
            <ARTGs>
                <ARTG>115590</ARTG>
            </ARTGs>
            <MinimumBenefit>53</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX279</BillingCode>
            <Name>Coseal Duplospray Applicator 30cm</Name>
            <Description>COSEAL, which is listed on the Prostheses List, is a hydrogel that acts as a sealant by adhering to itself and the tissues it contacts.  COSEAL is designed to completely seal suture lines along vascular reconstructions to prevent fluids from leaking.</Description>
            <Size>30cm</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Laparoscopic Extender</Suffix>
            <ARTGs>
                <ARTG>115590</ARTG>
            </ARTGs>
            <MinimumBenefit>53</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX280</BillingCode>
            <Name>Coseal Duplospray Applicator 20cm</Name>
            <Description>COSEAL, which is listed on the Prostheses List, is a hydrogel that acts as a sealant by adhering to itself and the tissues it contacts. COSEAL is designed to completely seal suture lines along vascular reconstructions to prevent fluids from leaking. This a</Description>
            <Size>20 cm</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Laparoscopic Extender</Suffix>
            <ARTGs>
                <ARTG>115590</ARTG>
            </ARTGs>
            <MinimumBenefit>53</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA266</BillingCode>
            <Name>Progel Platinum Surgical Sealant Extender Spray Tip</Name>
            <Description>Extender Spray tip to be used in conjunction with Progel Platinum Surgical Sealant</Description>
            <Size>16cm, 29cm</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Rigid Delivery System</Suffix>
            <ARTGs>
                <ARTG>260665</ARTG>
            </ARTGs>
            <MinimumBenefit>138</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX265</BillingCode>
            <Name>TISSEEL DUPLOTIP WITH SNAPLOCK   31.8 cm and 40cm</Name>
            <Description>Duplotip for Two component Fibrin Sealant containing human derived fibrinogen and thrombin  "Black Beauty" and bariatric surgery</Description>
            <Size>A 31.8cm long dual lumen applicator or   40 cm long dual lumen applicator</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Rigid Delivery System</Suffix>
            <ARTGs>
                <ARTG>115590</ARTG>
            </ARTGs>
            <MinimumBenefit>138</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX267</BillingCode>
            <Name>TISSEEL DUPLOSPRAY MIS WITH SNAPLOCK APPLICATOR 40 cm</Name>
            <Description>Two component Fibrin Sealant containing human derived fibrinogen and thrombin, with or without a malleable tip.</Description>
            <Size>A 40 cm long dual lumen metal cannula</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Rigid Delivery System</Suffix>
            <ARTGs>
                <ARTG>115590</ARTG>
            </ARTGs>
            <MinimumBenefit>138</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX273</BillingCode>
            <Name>Floseal Endoscopic Applicator</Name>
            <Description>Used as an adjunct to haemostasis when control of bleeding by ligature or conventional surgical procedures is ineffective or impractical.</Description>
            <Size>A 41cm - 47cm long disposable cannulated applicator, with or without malleable tip.</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Rigid Delivery System</Suffix>
            <ARTGs>
                <ARTG>115590</ARTG>
            </ARTGs>
            <MinimumBenefit>138</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX340</BillingCode>
            <Name>FIBRIJET® Gasless Stray Tip</Name>
            <Description>Gasless spray tip use during open surgery. The spray tip is compatible with both Prima and legacy TISSEEL frozen syringes.</Description>
            <Size>One size only</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Rigid Delivery System</Suffix>
            <ARTGs>
                <ARTG>299913</ARTG>
            </ARTGs>
            <MinimumBenefit>138</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX341</BillingCode>
            <Name>EASYGRIP FLO-41</Name>
            <Description>sterile, single-use endoscopic applicator device designed for single handed application, particularly  during laparoscopic and robotic procedures through an easy, precise, and controlled delivery of Floseal.</Description>
            <Size>41cm</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Rigid Delivery System</Suffix>
            <ARTGs>
                <ARTG>115590</ARTG>
            </ARTGs>
            <MinimumBenefit>138</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE727</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MG044</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Glubran 2 Spray Device</Name>
            <Description>Spray device for nebulized application of Glubran 2</Description>
            <Size>Cannula length: 5cm, 40cm, 30cm, 33cm</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Rigid Delivery System</Suffix>
            <ARTGs>
                <ARTG>321253</ARTG>
            </ARTGs>
            <MinimumBenefit>138</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FY002</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MQ039</PriorBillingCode>
            </PriorBillingCodes>
            <Name>PuraStat Applicator</Name>
            <Description>PuraStat is used as an adjunct to haemostasis when control of bleeding by ligature or conventional surgical procedures is ineffective or impractical.</Description>
            <Size>250mm</Size>
            <SupplierCode>FY</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Rigid Delivery System</Suffix>
            <ARTGs>
                <ARTG>283717</ARTG>
            </ARTGs>
            <MinimumBenefit>138</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN041</BillingCode>
            <Name>Endoscopic Applicator</Name>
            <Description>Rigid applicator</Description>
            <Size>34cm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Rigid Delivery System</Suffix>
            <ARTGs>
                <ARTG>174430</ARTG>
            </ARTGs>
            <MinimumBenefit>138</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN153</BillingCode>
            <Name>Evicel</Name>
            <Description>Rigid tip applicators</Description>
            <Size>35cm, control and spray tip</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4250</SubGroupID>
            <Suffix>Rigid Delivery System</Suffix>
            <ARTGs>
                <ARTG>197994</ARTG>
            </ARTGs>
            <MinimumBenefit>138</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX334</BillingCode>
            <Name>Peri-strips dry with Veritas Collagen Matrix Circular Staple Line Reinforcement</Name>
            <Description>Peri-Strips Dry with Veritas is a remodelable material designed to increase staple line strength for surgical repair of soft tissue deficiencies</Description>
            <Size>One circular stapler firing: 20-400mm diameter</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4251</SubGroupID>
            <ARTGs>
                <ARTG>219234</ARTG>
                <ARTG>219235</ARTG>
            </ARTGs>
            <MinimumBenefit>301</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX335</BillingCode>
            <Name>Peri-Strips dry with Veritas Collagen Matrix Linear Single Firing</Name>
            <Description>Peri-Strips Dry with Veritas is a remodeable material designed to increase staple line strength for surgical repair of soft tissue deficiencies</Description>
            <Size> 30-130mm</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4251</SubGroupID>
            <ARTGs>
                <ARTG>219227</ARTG>
            </ARTGs>
            <MinimumBenefit>301</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JI006</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>LH572</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Steritalc</Name>
            <Description>Sterile granules of talc implanted in pleural space to act as permanent adhesive</Description>
            <Size>3 grams &amp; 4 grams</Size>
            <SupplierCode>JI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>4252</SubGroupID>
            <ARTGs>
                <ARTG>143613</ARTG>
            </ARTGs>
            <MinimumBenefit>129</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS212</BillingCode>
            <Name>Veriset</Name>
            <Description>Veriset is an absorbable topical hemostatic device intended for use in surgical procedures as an adjunct to hemostatsis when conventional methods are ineffective or impractical.  Veriset does not consist of any human or animal components</Description>
            <Size>2cm x 4cm (8cm2)</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>5424</SubGroupID>
            <ARTGs>
                <ARTG>202060</ARTG>
            </ARTGs>
            <MinimumBenefit>68</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KF001</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>YN003</PriorBillingCode>
            </PriorBillingCodes>
            <Name>TachoSil</Name>
            <Description>TachoSil is a broad use haemostat for intra-operative tissue management. The TachoSil sponge is off-white, with yellow colouring on the active side (coated with fibrinogen and thrombin), and is ready to use (store at room temperature).</Description>
            <Size>One small patch: 3.0cm x 2.5cm</Size>
            <SupplierCode>KF</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>5424</SubGroupID>
            <ARTGs>
                <ARTG>176631</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from YN003</ChangeExplanation>
            <MinimumBenefit>68</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KF003</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>YN002</PriorBillingCode>
            </PriorBillingCodes>
            <Name>TachoSil</Name>
            <Description>TachoSil is a broad use haemostat for intra-operative tissue management. The TachoSil sponge is off-white, with yellow colouring on the active side (coated with fibrinogen and thrombin), and is ready to use (store at room temperature).</Description>
            <Size>One medium patch: 4.8cm x 4.8cm</Size>
            <SupplierCode>KF</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>5425</SubGroupID>
            <ARTGs>
                <ARTG>176631</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from YN002</ChangeExplanation>
            <MinimumBenefit>208</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS213</BillingCode>
            <Name>Veriset</Name>
            <Description>Veriset is an absorbable topical hemostatic device intended for use in surgical procedures as an adjunct to hemostasis when conventional methods are ineffective or impractical.  Veriset does not consist of any human or animal components.</Description>
            <Size>5cm x 10cm (50cm2)&#xD;
8 cm x 16 cm (128cm2)</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>5426</SubGroupID>
            <ARTGs>
                <ARTG>202060</ARTG>
            </ARTGs>
            <MinimumBenefit>412</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KF002</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>YN001</PriorBillingCode>
            </PriorBillingCodes>
            <Name>TachoSil</Name>
            <Description>TachoSil is a broad use haemostat for intra-operative tissue management. The TachoSil sponge is off-white, with yellow colouring on the active side (coated with fibrinogen and thrombin), and is ready to use (store at room temperature).</Description>
            <Size>One large patch: 9.5cm x 4.8cm</Size>
            <SupplierCode>KF</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>5426</SubGroupID>
            <ARTGs>
                <ARTG>176631</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from YN001</ChangeExplanation>
            <MinimumBenefit>412</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA265</BillingCode>
            <Name>Progel Platinum Surgical Sealant</Name>
            <Description>Progel Pleural Air Leak Sealant is a single use device intended for application to visceral pleura.</Description>
            <Size>4ml</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1580</GroupID>
            <SubGroupID>5768</SubGroupID>
            <ARTGs>
                <ARTG>262979</ARTG>
            </ARTGs>
            <MinimumBenefit>718</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE698</BillingCode>
            <Name>LocaClip</Name>
            <Description>Polymer ligating clip</Description>
            <Size>Large, Extra Large and Medium/Large</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <Suffix>Polymeric Non-resorbable</Suffix>
            <ARTGs>
                <ARTG>316566</ARTG>
            </ARTGs>
            <MinimumBenefit>40</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EB136</BillingCode>
            <Name>Click’aV® polymer non-absorbable ligating clips, cartridge of 6</Name>
            <Description>Click’aV® ligating clips are intended for ligating of any linear tissue structures or vessels during an operation for haemostasis where use of non-absorbable clips is required. &#xD;
Click’aV® ligating clips are sterile and disposable. They are made of non-absorbable polymer suitable for implantation. Clip is equipped with latch for reliable closure and lateral clip legs stability. The clips are placed around the tissue and closed with the grip of a clip applier.</Description>
            <Size>Medium&#xD;
Medium Large&#xD;
Large&#xD;
Extra Large</Size>
            <SupplierCode>EB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <Suffix>Polymeric Non-resorbable</Suffix>
            <ARTGs>
                <ARTG>280976</ARTG>
            </ARTGs>
            <MinimumBenefit>40</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EB137</BillingCode>
            <Name>Click’aV® polymer non-absorbable ligating clips, cartridge of 4</Name>
            <Description>Click’aV® ligating clips are intended for ligating of any linear tissue structures or vessels during an operation for haemostasis where use of non-absorbable clips is required.   Click’aV® ligating clips are sterile and disposable. They are made of non-absorbable polymer suitable for implantation. Clip is equipped with latch for reliable closure and lateral clip legs stability. The clips are placed around the tissue and closed with the grip of a clip applier.</Description>
            <Size>Medium  Medium large  Large  Extra large</Size>
            <SupplierCode>EB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <Suffix>Polymeric Non-resorbable</Suffix>
            <ARTGs>
                <ARTG>280976</ARTG>
            </ARTGs>
            <MinimumBenefit>29</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EB138</BillingCode>
            <Name>Click’aV® polymer non-absorbable ligating clips, cartridge of 2</Name>
            <Description>Click’aV® ligating clips are intended for ligating of any linear tissue structures or vessels during an operation for haemostasis where use of non-absorbable clips is required.   Click’aV® ligating clips are sterile and disposable. They are made of non-absorbable polymer suitable for implantation. Clip is equipped with latch for reliable closure and lateral clip legs stability. The clips are placed around the tissue and closed with the grip of a clip applier.</Description>
            <Size>Medium Large  Large  Extra Large</Size>
            <SupplierCode>EB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <Suffix>Polymeric Non-resorbable</Suffix>
            <ARTGs>
                <ARTG>280976</ARTG>
            </ARTGs>
            <MinimumBenefit>15</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TX023</BillingCode>
            <Name>Hem-o-Lok Polymer Non-Absorbable Ligating Clip</Name>
            <Description>Hem-o-lok Medium (M), Medium-Large (ML) and Large (L) Polymer Clips</Description>
            <Size>Small, Medium, Medium-Large, Large (6 clips/cartridge)</Size>
            <SupplierCode>TX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <Suffix>Polymeric Non-resorbable</Suffix>
            <ARTGs>
                <ARTG>121043</ARTG>
                <ARTG>93446</ARTG>
            </ARTGs>
            <MinimumBenefit>40</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TX025</BillingCode>
            <Name>Hem-o-lok Polymer Non-Absorbable Ligating Clip</Name>
            <Description>Hem-o-lok Extra-large (XL) Polymer Clips</Description>
            <Size>Extra-large (XL) (6 clips/cartridge)</Size>
            <SupplierCode>TX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <Suffix>Polymeric Non-resorbable</Suffix>
            <ARTGs>
                <ARTG>121043</ARTG>
                <ARTG>93446</ARTG>
            </ARTGs>
            <MinimumBenefit>40</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ036</BillingCode>
            <Name>Absolok* Extra Absorbable Ligating Clips </Name>
            <Description>Polydioxanone clips contained in a plastic cartridge</Description>
            <Size>Small to Extralarge</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <Suffix>Resorbable</Suffix>
            <ARTGs>
                <ARTG>121372</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB294</BillingCode>
            <Name>Aesculap Ligating Clips</Name>
            <Description>Aesculap Ligating Clips- Ligation Clips Titanium;</Description>
            <Size>PL561T- Large; 6 clips/cartridge</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <ARTGs>
                <ARTG>136103</ARTG>
            </ARTGs>
            <MinimumBenefit>10</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB297</BillingCode>
            <Name>Aesculap Ligating Clips</Name>
            <Description>Aesculap Ligating Clips Titanium</Description>
            <Size>PL565T - Small; 6 clips/cartridge</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <ARTGs>
                <ARTG>136103</ARTG>
            </ARTGs>
            <MinimumBenefit>10</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB298</BillingCode>
            <Name>Aesculap Ligating Clips</Name>
            <Description>Aesculap Ligating Clips Titanium</Description>
            <Size>PL566T - small cardiopack of 24</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <ARTGs>
                <ARTG>136103</ARTG>
            </ARTGs>
            <MinimumBenefit>41</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB299</BillingCode>
            <Name>Aesculap Ligating Clips</Name>
            <Description>Aesculap Ligating Clips Titanium</Description>
            <Size>PL567T - medium; 6 clips/cartridge</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <ARTGs>
                <ARTG>136103</ARTG>
            </ARTGs>
            <MinimumBenefit>10</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB300</BillingCode>
            <Name>Aesculap Ligating Clips</Name>
            <Description>Aesculap Ligating Clips Titanium</Description>
            <Size>PL568T - medium/large; 6 clips/cartridge</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <ARTGs>
                <ARTG>136103</ARTG>
            </ARTGs>
            <MinimumBenefit>10</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE616</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>RH006</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Vitalitec Titanium Hemostatic Clips</Name>
            <Description>The SLS titanium (grade 1) hemostatic clips are designed to securely grip the vessel in order to provide a complete and final occlusion atraumatically.</Description>
            <Size>Micro, Small, Small/Medium, Medium, Medium/Large and Large. 6 clips per cartridge</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <ARTGs>
                <ARTG>194411</ARTG>
            </ARTGs>
            <MinimumBenefit>11</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE617</BillingCode>
            <Name>Vitalitec Titanium Hemostatic Clips</Name>
            <Description>The SLS titanium (grade 1) hemostatic clips are designed to securely grip the vessel in order to provide a complete and final occlusion atraumatically.</Description>
            <Size>Small &amp; Medium Clips (24 clips per pouch - 6 clips per cartridge, 4 cartridges per pouch)</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <ARTGs>
                <ARTG>194411</ARTG>
            </ARTGs>
            <MinimumBenefit>41</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE618</BillingCode>
            <Name>Vitalitec Titanium Hemostatic Clips</Name>
            <Description>The SLS titanium (grade 1) hemostatic clips are designed to securely grip the vessel in order to provide a complete and final occlusion atraumatically.</Description>
            <Size>Micro, Small, Small/Medium, Medium (9 clips per cartridge)</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <ARTGs>
                <ARTG>194411</ARTG>
            </ARTGs>
            <MinimumBenefit>16</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE619</BillingCode>
            <Name>Vitalitec Titanium Hemostatic Clips</Name>
            <Description>The SLS titanium (grade 1) hemostatic clips are designed to securely grip the vessel in order to provide a complete and final occlusion atraumatically.</Description>
            <Size>Small and Medium (27 clips per pouch - 9 clips per cartridge, 3 cartridges per pouch)</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <ARTGs>
                <ARTG>194411</ARTG>
            </ARTGs>
            <MinimumBenefit>47</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE724</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MG045</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Everest Ligating Clip</Name>
            <Description>Titanium clip</Description>
            <Size>Small, Medium, Medium-Large, Large (6 per cartridge)</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <ARTGs>
                <ARTG>235137</ARTG>
            </ARTGs>
            <MinimumBenefit>10</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE725</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MG046</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Everest Ligating Clip</Name>
            <Description>Titanium clip</Description>
            <Size>Small, Medium (24 per cartridge)</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <ARTGs>
                <ARTG>235137</ARTG>
            </ARTGs>
            <MinimumBenefit>41</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ033</BillingCode>
            <Name>Ligaclip* Ligating Clips - titanium</Name>
            <Description>Titanium clips contained in a plastic cartridge</Description>
            <Size>3-5mm; 6 clips per cartridge</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <ARTGs>
                <ARTG>122810</ARTG>
            </ARTGs>
            <MinimumBenefit>10</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ034</BillingCode>
            <Name>Ligaclip* Ligating Clips - titanium</Name>
            <Description>Titanium clips contained in a plastic cartridge</Description>
            <Size>9-12 mm; 6 clips per cartage</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <ARTGs>
                <ARTG>122810</ARTG>
            </ARTGs>
            <MinimumBenefit>10</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ035</BillingCode>
            <Name>Ligaclip* Ligating Clips - titanium</Name>
            <Description>Titanium clips contained in a plastic cartridge</Description>
            <Size>3-5 mm; 20 clips per cartridge</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <ARTGs>
                <ARTG>122810</ARTG>
            </ARTGs>
            <MinimumBenefit>34</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM042</BillingCode>
            <Name>Microclip</Name>
            <Description>Malleable titanium clip</Description>
            <Size>1.5-2.5mm x 2-3.5mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <ARTGs>
                <ARTG>339703</ARTG>
            </ARTGs>
            <MinimumBenefit>2</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TX006</BillingCode>
            <Name>Horizon Ligating Clips  </Name>
            <Description>Ligation Clips Titanium </Description>
            <Size>Small (6 per cartridge)  </Size>
            <SupplierCode>TX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <ARTGs>
                <ARTG>121043</ARTG>
            </ARTGs>
            <MinimumBenefit>11</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TX007</BillingCode>
            <Name>Horizon Ligating Clips  </Name>
            <Description>Ligation Clips Titanium </Description>
            <Size>Small  (24 per cartridge)</Size>
            <SupplierCode>TX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <ARTGs>
                <ARTG>121043</ARTG>
                <ARTG>93346</ARTG>
            </ARTGs>
            <MinimumBenefit>41</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TX008</BillingCode>
            <Name>Horizon Ligating Clips  </Name>
            <Description>Ligation Clips Titanium </Description>
            <Size>Medium (6 per cartridge), Micro (6 per cartridge)</Size>
            <SupplierCode>TX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <ARTGs>
                <ARTG>121043</ARTG>
                <ARTG>93446</ARTG>
            </ARTGs>
            <MinimumBenefit>11</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TX009</BillingCode>
            <Name>Horizon Ligating Clips  </Name>
            <Description>Ligation Clips Titanium </Description>
            <Size>Medium  (24 per cartridge)</Size>
            <SupplierCode>TX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <ARTGs>
                <ARTG>121043</ARTG>
                <ARTG>93446</ARTG>
            </ARTGs>
            <MinimumBenefit>41</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TX010</BillingCode>
            <Name>Horizon Ligating Clips  </Name>
            <Description>Ligation Clips Titanium </Description>
            <Size>Medium/Large (6 per cartridge)</Size>
            <SupplierCode>TX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <ARTGs>
                <ARTG>121043</ARTG>
                <ARTG>93446</ARTG>
            </ARTGs>
            <MinimumBenefit>11</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TX011</BillingCode>
            <Name>Horizon Ligating Clips  </Name>
            <Description>Ligation Clips Titanium </Description>
            <Size>Medium/Large (24 per cartridge)</Size>
            <SupplierCode>TX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <ARTGs>
                <ARTG>121043</ARTG>
                <ARTG>93446</ARTG>
            </ARTGs>
            <MinimumBenefit>41</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TX012</BillingCode>
            <Name>Horizon Ligating Clips  </Name>
            <Description>Ligation Clips Titanium </Description>
            <Size>Large (6 per cartridge)</Size>
            <SupplierCode>TX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <ARTGs>
                <ARTG>121043</ARTG>
                <ARTG>93446</ARTG>
            </ARTGs>
            <MinimumBenefit>11</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TX013</BillingCode>
            <Name>Horizon Ligating Clips  </Name>
            <Description>Ligation Clips Titanium </Description>
            <Size>Large (24 per cartridge)</Size>
            <SupplierCode>TX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4256</SubGroupID>
            <ARTGs>
                <ARTG>121043</ARTG>
                <ARTG>93446</ARTG>
            </ARTGs>
            <MinimumBenefit>41</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE606</BillingCode>
            <Name>Cor-Knot® Device Kit</Name>
            <Description>The Cor-Knot Device kit contains two Cor Knot devices which deliver and crimp a titanium fastener around a suture placed using routine suture placement techniques, trimming any excess suture tails</Description>
            <Size>Each kit contains two Cor- Knot sterile devices</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4257</SubGroupID>
            <ARTGs>
                <ARTG>219812</ARTG>
            </ARTGs>
            <MinimumBenefit>249</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE609</BillingCode>
            <Name>Cor-Knot Mini Device Kit</Name>
            <Description>The Cor-Knot Mini Device Kit contains two Cor-Knot Mini Devices which deliver and crimp a titanium fastener around a suture placed using routine suture placement techniques, trimming any excess suture tails.</Description>
            <Size>2 x Cor-Knot Mini Sterile Devices (14cm length shaft) in each kit</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4257</SubGroupID>
            <ARTGs>
                <ARTG>219812</ARTG>
            </ARTGs>
            <MinimumBenefit>249</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LV081</BillingCode>
            <Name>Open Clip Applier</Name>
            <Description>Titanium</Description>
            <Size>25 medium size titanium clips</Size>
            <SupplierCode>LV</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4257</SubGroupID>
            <ARTGs>
                <ARTG>131194</ARTG>
            </ARTGs>
            <MinimumBenefit>125</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET064</BillingCode>
            <Name>AMI HAL-RAR Flexi Procedure Kit</Name>
            <Description>Doppler guided Haemorrhoidal Arterial Ligation and Recto-Anal Repair System.&#xD;
HAL Haemorrhoidal Ligating sutures, doppler/ultrasound proctoscope, flexiprobe, knot pusher</Description>
            <Size>One size, several components</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Doppler Guided, Endoscopic</Suffix>
            <ARTGs>
                <ARTG>144489</ARTG>
            </ARTGs>
            <MinimumBenefit>844</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MS056</BillingCode>
            <Name>THD Slide</Name>
            <Description>Transanal Haemorrhoidal Dearterilisation and Pexis System</Description>
            <Size>one size only</Size>
            <SupplierCode>MS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Doppler Guided, Endoscopic</Suffix>
            <ARTGs>
                <ARTG>159456</ARTG>
            </ARTGs>
            <MinimumBenefit>844</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OB008</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MO441</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Angiodin Procto</Name>
            <Description>Single-use Ultrasound Proctoscope Kit (kit includes 1 x proctoscope, 6 x braided absorbable suture thread 75 cm with 26 mm needle, and 1 x knot pusher )</Description>
            <Size>Single item</Size>
            <SupplierCode>OB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Doppler Guided, Endoscopic</Suffix>
            <ARTGs>
                <ARTG>279583</ARTG>
            </ARTGs>
            <MinimumBenefit>844</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AK007</BillingCode>
            <Name>Hemoclip Clip Applicator</Name>
            <Description>A device consisting of, a plastic handle with thumb ring and slider, a 230cm hollow plastic tube with metal clip in at the distal end.</Description>
            <Size>Applicator length 230cm, clip length sizes 4mm, 5mm and 6mm with clip opening sizes of 90 degree to 135 degree</Size>
            <SupplierCode>AK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Endoscopic</Suffix>
            <ARTGs>
                <ARTG>205634</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AK008</BillingCode>
            <Name>Ligation Loop</Name>
            <Description>A device used in combination with a dedicated endoscope. It is intended to ligate a polyp using loop wire for haemostasis or necrosis during endoscopy. It consist of an insertion sheath, a loop wire attached at the distal end of the sheath, and a control handle and operation wire connected to both the loop wire and control handle.</Description>
            <Size>Introducer up to 240cm long&#xD;
Loop sizes 15mm-40mm</Size>
            <SupplierCode>AK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Endoscopic</Suffix>
            <ARTGs>
                <ARTG>279077</ARTG>
            </ARTGs>
            <MinimumBenefit>125</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS299</BillingCode>
            <Name>Resolution 360 Clip Device</Name>
            <Description>Radiopaque, single-use clip pre-loaded on a flexible, rotatable delivery system</Description>
            <Size>7Fr, 11mm jaw opening</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Endoscopic</Suffix>
            <ARTGs>
                <ARTG>271874</ARTG>
            </ARTGs>
            <MinimumBenefit>125</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS379</BillingCode>
            <Name>Resolution 360 Ultra Clip</Name>
            <Description>Radiopaque, single-use clip pre-loaded on a flexible, rotatable delivery system</Description>
            <Size>17mm jaw opening</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Endoscopic</Suffix>
            <ARTGs>
                <ARTG>271874</ARTG>
            </ARTGs>
            <MinimumBenefit>125</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE567</BillingCode>
            <Name>Hemoclip</Name>
            <Description>Pre-loaded Endoscopically  applied clip for the GI tract.</Description>
            <Size>Jaw openings: 9 - 16mm;&#xD;
Applicator length: 165 - 230cm.</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Endoscopic</Suffix>
            <ARTGs>
                <ARTG>284272</ARTG>
            </ARTGs>
            <MinimumBenefit>125</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LV144</BillingCode>
            <Name>DuraClip™ Repositionable Hemostasis Clip</Name>
            <Description>A single use repositionable hemostasis clip which is intended to be used for placement within the gastrointestinal tract.</Description>
            <Size>165cm Length and 235cm Length</Size>
            <SupplierCode>LV</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Endoscopic</Suffix>
            <ARTGs>
                <ARTG>274973</ARTG>
            </ARTGs>
            <MinimumBenefit>125</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL009</BillingCode>
            <Name>Rotatable Clip fixing device</Name>
            <Description>Disposable pre-loaded clip applier</Description>
            <Size>Standard or long clip length, 9 or 11mm jaw opening</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Endoscopic</Suffix>
            <ARTGs>
                <ARTG>146730</ARTG>
            </ARTGs>
            <MinimumBenefit>125</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL010</BillingCode>
            <Name>Ligation device</Name>
            <Description>Disposable pre-assembled applier and ligating loop</Description>
            <Size>Sheath Length 1650-2300mm</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Endoscopic</Suffix>
            <ARTGs>
                <ARTG>145846</ARTG>
            </ARTGs>
            <MinimumBenefit>125</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VM002</BillingCode>
            <Name>Precision Clip</Name>
            <Description>Endoscopic Hemoclip</Description>
            <Size>Jaw Opening 13mm - 16mm</Size>
            <SupplierCode>VM</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Endoscopic</Suffix>
            <ARTGs>
                <ARTG>289170</ARTG>
            </ARTGs>
            <MinimumBenefit>125</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC311</BillingCode>
            <Name>Instinct Endoscopic Hemoclip</Name>
            <Description>Endoscopic hemoclip used within the GI tract</Description>
            <Size>Opening span up to 16mm.</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Endoscopic</Suffix>
            <ARTGs>
                <ARTG>96698</ARTG>
            </ARTGs>
            <MinimumBenefit>125</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE645</BillingCode>
            <Name>Padlock clip</Name>
            <Description>Defect closure system</Description>
            <Size>Diameter - 9.5 - 14mm  Length - 162cm</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Endoscopic, OTS</Suffix>
            <ARTGs>
                <ARTG>295460</ARTG>
            </ARTGs>
            <MinimumBenefit>884</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET067</BillingCode>
            <Name>OTSC Clip</Name>
            <Description>The OTSC Clip is a superelastic Nitinol clip which compresses the tissue between its teeth. Therefore it enables hemostasis as well as closing of perforations</Description>
            <Size>OTSC Clip is available in three sizes: 9mm, 10mm and 11mm</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Endoscopic, OTS</Suffix>
            <ARTGs>
                <ARTG>185054</ARTG>
                <ARTG>185057</ARTG>
            </ARTGs>
            <MinimumBenefit>950</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET068</BillingCode>
            <Name>OTSC System</Name>
            <Description>Has two components:&#xD;
1. The OTSC Clip is a superelastic Nitinol clip which compresses the tissue between its teeth; enables hemostasis as well as closing performations.&#xD;
&#xD;
2. Grasping and Anchoring Tool. Ovesco Twin Graspers – to approximate wound edges.. Ovesco Anchor- to grasp fibrous tissue or fistulas</Description>
            <Size>OTSC Clip is available in three sizes: 9mm, 10mm and 11 mm.&#xD;
Ovesco Twin Graspers : 165mm or 220mm&#xD;
Ovesco Anchor: 165mm</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Endoscopic, OTS</Suffix>
            <ARTGs>
                <ARTG>18057</ARTG>
                <ARTG>185054</ARTG>
                <ARTG>185056</ARTG>
                <ARTG>185058</ARTG>
            </ARTGs>
            <MinimumBenefit>2581</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET083</BillingCode>
            <Name>Full-Thickness Resection Device (FTRD)</Name>
            <Description>The FTRD System Set is used for diagnostic and therapeutic full-thickness resection via flexible endoscopy in the colon and rectum. The FTRD System Set is designed to ensure that the transection of tissue happens only after the defect has been completely closed.</Description>
            <Size>The FTRD clip is and 11mm nitinol clip.&#xD;
Also supplied with the FTRD marking probe (220cm) and FTRD Grasper (220cm).</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Endoscopic, OTS</Suffix>
            <ARTGs>
                <ARTG>235539</ARTG>
            </ARTGs>
            <MinimumBenefit>2581</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS074</BillingCode>
            <Name>ENDOCLIP*</Name>
            <Description>Titanium Surgical Stapler</Description>
            <Size>10mm (ML, M, L)-(20 clips)</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Laparoscopic</Suffix>
            <ARTGs>
                <ARTG>182307</ARTG>
            </ARTGs>
            <MinimumBenefit>354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CK003</BillingCode>
            <Name>Endox Visu-Loc Clip Applier</Name>
            <Description>Single-use laparoscopic clip applier</Description>
            <Size>Medium, Large</Size>
            <SupplierCode>CK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Laparoscopic</Suffix>
            <ARTGs>
                <ARTG>137044</ARTG>
            </ARTGs>
            <MinimumBenefit>354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ186</BillingCode>
            <Name>Ligaclip Endoscopic Multiclip Applier</Name>
            <Description>Metal/plastic stapler with titanium clips</Description>
            <Size>10-12 mm shaft diameter, medium to large clip</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Laparoscopic</Suffix>
            <ARTGs>
                <ARTG>122810</ARTG>
            </ARTGs>
            <MinimumBenefit>354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ482</BillingCode>
            <Name>LIGAMAX 5mm Endoscopic Clip Applier</Name>
            <Description>LIGAMAX 5mm Endoscopic Clip Applier</Description>
            <Size>Medium / Large</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Laparoscopic</Suffix>
            <ARTGs>
                <ARTG>122810</ARTG>
            </ARTGs>
            <MinimumBenefit>354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LV076</BillingCode>
            <Name>Reflex ELC 530 Automatic Clip Applier</Name>
            <Description>Titanium Endoscopic Clip Applier</Description>
            <Size>Medium/Large, 10mm, 20 Clips</Size>
            <SupplierCode>LV</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Laparoscopic</Suffix>
            <ARTGs>
                <ARTG>131194</ARTG>
            </ARTGs>
            <MinimumBenefit>354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LV086</BillingCode>
            <Name>Reflex 5mm Automatic Clip Applier</Name>
            <Description>Autofeeding disposable clip applier. Contains 15 non absorbable polymer locking clips</Description>
            <Size>medium/large</Size>
            <SupplierCode>LV</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Laparoscopic</Suffix>
            <ARTGs>
                <ARTG>212478</ARTG>
            </ARTGs>
            <MinimumBenefit>135</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MH015</BillingCode>
            <Name>Epix™ Disposable Laparoscopic Clip Applier w/ TiGold M/L titanium clips</Name>
            <Description>Epix™ Disposable Laparoscopic Clip Applier w/ TiGold M/L titanium clips 5mm</Description>
            <Size>5mm</Size>
            <SupplierCode>MH</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Laparoscopic</Suffix>
            <ARTGs>
                <ARTG>116980</ARTG>
            </ARTGs>
            <MinimumBenefit>354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI213</BillingCode>
            <Name>Endo Clip</Name>
            <Description>Laparoscopic Clip Applier</Description>
            <Size>5mm device with various clip sizes</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Laparoscopic</Suffix>
            <ARTGs>
                <ARTG>182307</ARTG>
            </ARTGs>
            <MinimumBenefit>354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TX024</BillingCode>
            <Name>Weck Hem-o-lok</Name>
            <Description>Hem-o-lok Automatic Endo Applier</Description>
            <Size>15 Clips per applier&#xD;
12 Clips per applier for Large Clips</Size>
            <SupplierCode>TX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Laparoscopic</Suffix>
            <ARTGs>
                <ARTG>121043</ARTG>
                <ARTG>93446</ARTG>
            </ARTGs>
            <MinimumBenefit>354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ037</BillingCode>
            <Name>Ligaclip* Multiple Clip Applier </Name>
            <Description>Metal/plastic applier preloaded with titanium clips</Description>
            <Size>3-12 mm; 20 clips per applier</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Open</Suffix>
            <ARTGs>
                <ARTG>122810</ARTG>
            </ARTGs>
            <MinimumBenefit>215</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ038</BillingCode>
            <Name>Ligaclip* Multiple Clip Applier </Name>
            <Description>Metal/plastic applier preloaded with titanium clips</Description>
            <Size>3-12 mm; 30 clips per applier</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Open</Suffix>
            <ARTGs>
                <ARTG>122810</ARTG>
            </ARTGs>
            <MinimumBenefit>215</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ039</BillingCode>
            <Name>Ligaclip* Multiple Clip Applier </Name>
            <Description>Metal/plastic applier preloaded with titanium clips; reloadable </Description>
            <Size>5-6mm; 20 clips per applier</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Open</Suffix>
            <ARTGs>
                <ARTG>122810</ARTG>
            </ARTGs>
            <MinimumBenefit>215</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI217</BillingCode>
            <Name>Surgiclip</Name>
            <Description>Ligation Clips - Disposable clip applier and ligating clips</Description>
            <Size>Small, Medium, Large device with various clip sizes</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4258</SubGroupID>
            <Suffix>Open</Suffix>
            <ARTGs>
                <ARTG>183878</ARTG>
                <ARTG>235587</ARTG>
            </ARTGs>
            <MinimumBenefit>215</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB016</BillingCode>
            <Name>Challenger Ligating Clips</Name>
            <Description>Challenger Ligating Clips Titanium Multifire</Description>
            <Size>Medium-large</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4259</SubGroupID>
            <ARTGs>
                <ARTG>136103</ARTG>
            </ARTGs>
            <MinimumBenefit>56</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB301</BillingCode>
            <Name>Challenger Ligating Clips</Name>
            <Description>Challenger Ligating Clips Titanium Multifire</Description>
            <Size>PL572T - small/medium</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4259</SubGroupID>
            <ARTGs>
                <ARTG>136103</ARTG>
            </ARTGs>
            <MinimumBenefit>56</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB321</BillingCode>
            <Name>Pneumatic Challenger Multifire Clips</Name>
            <Description>Challenger TI-P SM-Ligat. Clips 12 Cartridge (PL574T)  Challenger TI-P ML-Ligat. Clips 12 Cartridge (PL579T)</Description>
            <Size>small-medium, medium-large</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4259</SubGroupID>
            <ARTGs>
                <ARTG>136103</ARTG>
            </ARTGs>
            <MinimumBenefit>56</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CK001</BillingCode>
            <Name>Microline Pentax Disposable 10ml Titanium K2 Clip Cartridge</Name>
            <Description>Disposable cartridge containing 19 surgical grade titanium clips delivered using a re-usable hand piece applier</Description>
            <Size>medium/large clip</Size>
            <SupplierCode>CK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4259</SubGroupID>
            <ARTGs>
                <ARTG>129715</ARTG>
            </ARTGs>
            <MinimumBenefit>56</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CK002</BillingCode>
            <Name>Microline Pentax Disposable 10ml Titanium K2 clip Cartridge</Name>
            <Description>Disposable cartridge containing 10 surgical grade titanium clips delivered using a reusable hand piece applier.</Description>
            <Size>Medium/Large Clip</Size>
            <SupplierCode>CK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4259</SubGroupID>
            <ARTGs>
                <ARTG>129715</ARTG>
            </ARTGs>
            <MinimumBenefit>56</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GQ006</BillingCode>
            <Name>Microline Surgical Disposable 19 Titanium K2 Clip Cartridge</Name>
            <Description>Disposable cartridge containing 19 surgical grade titanium clips delivered using a reusable handpiece applier</Description>
            <Size>19 Clips per cartridge</Size>
            <SupplierCode>GQ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4259</SubGroupID>
            <ARTGs>
                <ARTG>326239</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>56</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GQ007</BillingCode>
            <Name>Microline Surgical Disposable 10 Titanium K2 Clip Cartridge</Name>
            <Description>Disposable cartridge containing 10 surgical grade titanium clips delivered using a reusable handpiece applier</Description>
            <Size>10 Clips per cartridge</Size>
            <SupplierCode>GQ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4259</SubGroupID>
            <ARTGs>
                <ARTG>326239</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>56</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ040</BillingCode>
            <Name>Ligaclip* 20/20 Reload Unit</Name>
            <Description>Metal reload cartridge containing titanium clips</Description>
            <Size>5 mm; 20 clips</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4259</SubGroupID>
            <ARTGs>
                <ARTG>122810</ARTG>
            </ARTGs>
            <MinimumBenefit>56</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET065</BillingCode>
            <Name>HAL-RAR</Name>
            <Description>HAL-Ligating Suture, AMI HAL-Ligating suture, prosthetic component of AMI HAL-RAR Doppler System</Description>
            <Size>One size</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>4260</SubGroupID>
            <ARTGs>
                <ARTG>180973</ARTG>
            </ARTGs>
            <MinimumBenefit>86</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AK011</BillingCode>
            <Name>Band Ligator</Name>
            <Description>A surgical instrument used to apply a ligature to haemorrhoids. A ligator typically consists of a long shaft or cannula with a clamp or grip at the distal end for holding the ligature. The proximal end consists of a handle with moving parts that mechanically operate the distal clamp or grip.</Description>
            <Size>Barrel with 5 bands</Size>
            <SupplierCode>AK</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>5490</SubGroupID>
            <ARTGs>
                <ARTG>308836</ARTG>
            </ARTGs>
            <MinimumBenefit>236</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS225</BillingCode>
            <Name>Speedband Superview Super 7</Name>
            <Description>Multiple Band Ligator</Description>
            <Size>7 bands per unit, compatible with scopes with outer diameter of 8.6mm - 11.5mm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>5490</SubGroupID>
            <ARTGs>
                <ARTG>133438</ARTG>
            </ARTGs>
            <MinimumBenefit>236</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DH011</BillingCode>
            <Name>KilRoid</Name>
            <Description>KilRoid® is a disposable haemorrhoid suction ligator with and without tubing.</Description>
            <Size>6 bands - available with and without tubing.</Size>
            <SupplierCode>DH</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>5490</SubGroupID>
            <ARTGs>
                <ARTG>326510</ARTG>
            </ARTGs>
            <MinimumBenefit>36</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HB001</BillingCode>
            <Name>Haemoband</Name>
            <Description>A preloaded, single use, 4 band ligator for haemorrhoids.</Description>
            <Size>1 size, 4 bands</Size>
            <SupplierCode>HB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>5490</SubGroupID>
            <ARTGs>
                <ARTG>136643</ARTG>
            </ARTGs>
            <MinimumBenefit>49</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC314</BillingCode>
            <Name>Saeed Multi-band Ligator</Name>
            <Description>Multiple Band Ligator</Description>
            <Size>4, 6 or 10 bands per unit, compatible with scopes with outer diameter of 8.6mm - 14mm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>5490</SubGroupID>
            <ARTGs>
                <ARTG>136845</ARTG>
            </ARTGs>
            <MinimumBenefit>236</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC318</BillingCode>
            <Name>ShortShot Saeed Hemorrhoidal Multi-Band Ligator</Name>
            <Description>The ShortShot Saeed Haemorrhoidal Multi-Band Ligator is used to ligate internal haemorrhoids and is available with or without the TriView Anoscope.  </Description>
            <Size>4 bands per ligator, 15mm in diameter</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>5490</SubGroupID>
            <ARTGs>
                <ARTG>136845</ARTG>
                <ARTG>139361</ARTG>
            </ARTGs>
            <MinimumBenefit>60</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER279</BillingCode>
            <Name>OverStitchTM Endoscopic Suturing System</Name>
            <Description>Needle Driver, Anchor Exchange and Tissue Helix Device</Description>
            <Size>1 size only</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>5769</SubGroupID>
            <Suffix>Endoscopic System</Suffix>
            <ARTGs>
                <ARTG>237773</ARTG>
                <ARTG>237774</ARTG>
            </ARTGs>
            <MinimumBenefit>1853</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER280</BillingCode>
            <Name>OverStitchTM Endoscopic Suturing System - 2.0 Suture</Name>
            <Description>Endoscopic Polyproprylene Suture with Cinch</Description>
            <Size>2-0 suture</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>6101</SubGroupID>
            <Suffix>Endoscopic System</Suffix>
            <ARTGs>
                <ARTG>236906</ARTG>
                <ARTG>245894</ARTG>
            </ARTGs>
            <MinimumBenefit>265</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FQ002</BillingCode>
            <Name>FlexDex Gastric Bypass and Gastrectomy Kit</Name>
            <Description>Kit includes a single-use articulating laparoscopic needle driver with seven degrees of motion and sutures</Description>
            <Size>One size only</Size>
            <SupplierCode>FQ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1581</GroupID>
            <SubGroupID>7361</SubGroupID>
            <ARTGs>
                <ARTG>315333</ARTG>
            </ARTGs>
            <MinimumBenefit>680</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ475</BillingCode>
            <Name>Proximate Contour Curved Cutter/Stapler</Name>
            <Description>Contour Curved Cutter/Stapler 30 &amp; 40mm reload cartridges</Description>
            <Size>Blue (3.85mm) &amp; Green (4.5mm)</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <Suffix>Curved</Suffix>
            <ARTGs>
                <ARTG>118291</ARTG>
            </ARTGs>
            <MinimumBenefit>226</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS186</BillingCode>
            <Name>Endo GIA™ Reload with TriStaple™ Technology</Name>
            <Description>Endo GIA™ Reload with TriStaple™ Technology provides three staggered rows of staples on either side of the cut line.</Description>
            <Size>45mm, 60mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <Suffix>Endoscopic, Articulating/Roticulating</Suffix>
            <ARTGs>
                <ARTG>186247</ARTG>
            </ARTGs>
            <MinimumBenefit>323</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE472</BillingCode>
            <Name>Endowrist Stapler 45</Name>
            <Description>Endowrist Stapler 45 White Reload, 45 Blue Reload, 45 Green Reload</Description>
            <Size>Length of reload: 45mm&#xD;
Staple height: 2.5mm, 3.5mm, 4.3mm</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <Suffix>Endoscopic, Articulating/Roticulating</Suffix>
            <ARTGs>
                <ARTG>239813</ARTG>
            </ARTGs>
            <MinimumBenefit>323</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE560</BillingCode>
            <Name>EndoWrist Stapler Reloads (used with IS Endowrist Stapler)</Name>
            <Description>Endowrist Stapler Reload.</Description>
            <Size>Length of Reload : 30 - 60mm,   Staple Height: 0.75 - 2.3mm</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <Suffix>Endoscopic, Articulating/Roticulating</Suffix>
            <ARTGs>
                <ARTG>239813</ARTG>
            </ARTGs>
            <MinimumBenefit>323</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IJ021</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>ME225</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Frankenman Endoscopic Linear Cutter Reload</Name>
            <Description>The Endoscopic Linear Cutter Reload has applications in resection, transection and/or anastomosis of tissue in open or laparoscopic procedures.</Description>
            <Size>Cartridge Reload - 30mm, 45mm, 60mm staple lengths. Open leg length: 2.0mm - 4.5mm, closed staple height: 0.75mm - 2.0mm.</Size>
            <SupplierCode>IJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <Suffix>Endoscopic, Articulating/Roticulating</Suffix>
            <ARTGs>
                <ARTG>207254</ARTG>
            </ARTGs>
            <MinimumBenefit>323</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI282</BillingCode>
            <Name>Tri-Staple™ 2.0 reloads</Name>
            <Description>Tri-Staple™ 2.0 reloads with intelligent chip that communicates with Signia™ stapler</Description>
            <Size>30mm, 45mm, 60mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <Suffix>Endoscopic, Articulating/Roticulating</Suffix>
            <ARTGs>
                <ARTG>350111</ARTG>
                <ARTG>350112</ARTG>
                <ARTG>292807</ARTG>
            </ARTGs>
            <MinimumBenefit>323</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI485</BillingCode>
            <Name>Signia™ Small Diameter Reload</Name>
            <Description>Staple reload</Description>
            <Size>30-45mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <Suffix>Endoscopic, Articulating/Roticulating</Suffix>
            <ChangeExplanation>DELETE</ChangeExplanation>
            <MinimumBenefit>323</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Delete</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN219</BillingCode>
            <Name>Echelon</Name>
            <Description>Staple Reload</Description>
            <Size>35 - 60mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <Suffix>Endoscopic, Articulating/Roticulating</Suffix>
            <ARTGs>
                <ARTG>125609</ARTG>
                <ARTG>234042</ARTG>
                <ARTG>276233</ARTG>
            </ARTGs>
            <MinimumBenefit>323</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX037</BillingCode>
            <Name>Mirus Endocutter Staple Reloads</Name>
            <Description>Titanium staples</Description>
            <Size>Open Length - 2.5mm-4.8mm&#xD;
Close Length - 1.0mm-2.0mm</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <Suffix>Endoscopic, Articulating/Roticulating</Suffix>
            <ARTGs>
                <ARTG>289171</ARTG>
            </ARTGs>
            <MinimumBenefit>323</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZZ069</BillingCode>
            <Name>AEON Endostapler Reload</Name>
            <Description>Reload Staples</Description>
            <Size>45mm-60mm</Size>
            <SupplierCode>ZZ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <Suffix>Endoscopic, Articulating/Roticulating</Suffix>
            <ARTGs>
                <ARTG>329235</ARTG>
            </ARTGs>
            <MinimumBenefit>323</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS076</BillingCode>
            <Name>ENDO TA* reloading unit</Name>
            <Description>Titanium Surgical Stapler DLU</Description>
            <Size>30mm -2.5, 30mm-3.5</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <ARTGs>
                <ARTG>182307</ARTG>
            </ARTGs>
            <MinimumBenefit>210</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS081</BillingCode>
            <Name>ENDO GIA* reloading unit</Name>
            <Description>Titanium Surgical Stapler DLU</Description>
            <Size>30 - 35mm; 45mm; 60mm.</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <ARTGs>
                <ARTG>181429</ARTG>
            </ARTGs>
            <MinimumBenefit>210</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS092</BillingCode>
            <Name>ENDO - Herna reloading unit; VERSA TACK* reloading unit.</Name>
            <Description>Titanium Surgical Stapler DLU</Description>
            <Size>4mm, 4.8mm (10 staples).</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <ARTGs>
                <ARTG>181429</ARTG>
            </ARTGs>
            <MinimumBenefit>210</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IJ017</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>ME220</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Frankenman Linear Stapler Reloads</Name>
            <Description>Linear stapler single use reload with titanium staples</Description>
            <Size>32mm; 46mm; 60mm; 90mm</Size>
            <SupplierCode>IJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <ARTGs>
                <ARTG>207254</ARTG>
            </ARTGs>
            <MinimumBenefit>210</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IJ019</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>ME222</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Frankenman Linear Cutter Reloads</Name>
            <Description>Single use, linear cutter reload cartridge containing titanium staples</Description>
            <Size>61mm; 81mm; 100mm</Size>
            <SupplierCode>IJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <ARTGs>
                <ARTG>207254</ARTG>
            </ARTGs>
            <MinimumBenefit>210</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI215</BillingCode>
            <Name>PI/TA Reloading Units</Name>
            <Description>PI/TA Disposable Surgical Loading Unit</Description>
            <Size>30mm, 45mm, 60mm, 90mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <ARTGs>
                <ARTG>181429</ARTG>
                <ARTG>185017</ARTG>
            </ARTGs>
            <MinimumBenefit>210</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI216</BillingCode>
            <Name>GIA/ILA Reloading Units</Name>
            <Description>Single Use Loading Units</Description>
            <Size>50mm, 60mm, 80mm, 90mm, 100mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <ARTGs>
                <ARTG>181429</ARTG>
            </ARTGs>
            <MinimumBenefit>210</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI455</BillingCode>
            <Name>Tri-Staple GIA Reloading Units</Name>
            <Description>Single use loading units</Description>
            <Size>60mm, 80mm  </Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <ARTGs>
                <ARTG>331482</ARTG>
            </ARTGs>
            <MinimumBenefit>210</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN213</BillingCode>
            <Name>Proximate Linear Stapler</Name>
            <Description>Staple reload</Description>
            <Size>30 to 100mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <ARTGs>
                <ARTG>132170</ARTG>
                <ARTG>133407</ARTG>
            </ARTGs>
            <MinimumBenefit>210</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN218</BillingCode>
            <Name>Endopath Linear Cutter</Name>
            <Description>Staple reload</Description>
            <Size>35-45mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <ARTGs>
                <ARTG>132171</ARTG>
            </ARTGs>
            <MinimumBenefit>210</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN220</BillingCode>
            <Name>EES Linear Cutter</Name>
            <Description>Staple reload</Description>
            <Size>55-75mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <ARTGs>
                <ARTG>155639</ARTG>
            </ARTGs>
            <MinimumBenefit>210</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OB003</BillingCode>
            <Name>Touchstone Linear Cutter Stapler Cartridge (Reloads) 80mm</Name>
            <Description>A disposable staple cartridge used in conjunction with a matched Touchstone Linear Cutter Stapler that lays a double staggered row of staples on each side a cutting knife.  Used for extensive bowel, gastric, gynaecological and thoracic surgical stapling procedures.</Description>
            <Size>80mm length in staple line with choice of 3.8mm, 4.2mm and 4.5mm titanium staples</Size>
            <SupplierCode>OB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <ARTGs>
                <ARTG>262505</ARTG>
            </ARTGs>
            <MinimumBenefit>210</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OB006</BillingCode>
            <Name>Touchstone Linear Cutter Stapler Cartridge (Reloads) 100mm</Name>
            <Description>A disposable staple cartridge used in conjunction with a matched Touchstone Linear Cutter Stapler that lays a double staggered row of staples on each side a cutting knife.  Used for extensive bowel, gastric, gynaecological and thoracic surgical stapling procedures.</Description>
            <Size>100mm length in staple line with choice of 3.8mm and 4.5mm titanium staples</Size>
            <SupplierCode>OB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <ARTGs>
                <ARTG>262505</ARTG>
            </ARTGs>
            <MinimumBenefit>210</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OB010</BillingCode>
            <Name>JustRight 5mm Reload</Name>
            <Description>Endoscopic manual linear cutting Stapler, Single-use</Description>
            <Size>5mm shaft diameter  25mm jaw length  20cm length</Size>
            <SupplierCode>OB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <ARTGs>
                <ARTG>306951</ARTG>
            </ARTGs>
            <MinimumBenefit>210</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX038</BillingCode>
            <Name>Mirus Disposable Linear Cutter Staple Reloads</Name>
            <Description>Titanium staple reloads</Description>
            <Size>Open Length - 3.8mm-4.8mm&#xD;
Close Length - 1.5mm-2.0mm&#xD;
Number of staples - 64-104</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <ARTGs>
                <ARTG>289171</ARTG>
            </ARTGs>
            <MinimumBenefit>210</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX039</BillingCode>
            <Name>Mirus Auto Linear Stapler Staple Reloads</Name>
            <Description>Titanium staple reloads</Description>
            <Size>Open Length - 3.5mm-4.8mm&#xD;
Close Length - 1.5mm-2.0mm&#xD;
Number of Staples - 11-33</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <ARTGs>
                <ARTG>289171</ARTG>
            </ARTGs>
            <MinimumBenefit>210</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX040</BillingCode>
            <Name>Mirus Dial Linear Stapler Staple Reloads</Name>
            <Description>Titanium staple reloads</Description>
            <Size>Open Length - 4.2mm&#xD;
Number of Staples - 11-33</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4317</SubGroupID>
            <ARTGs>
                <ARTG>289171</ARTG>
            </ARTGs>
            <MinimumBenefit>210</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS134</BillingCode>
            <Name>DST Series EEA Or Vil</Name>
            <Description>Accessory</Description>
            <Size>21mm, 25mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4318</SubGroupID>
            <Suffix>Endoscopic</Suffix>
            <ARTGs>
                <ARTG>178497</ARTG>
            </ARTGs>
            <MinimumBenefit>357</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ903</BillingCode>
            <Name>Echelon</Name>
            <Description>Disposable stapling device</Description>
            <Size>45-60mm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4318</SubGroupID>
            <Suffix>Endoscopic</Suffix>
            <ARTGs>
                <ARTG>155639</ARTG>
            </ARTGs>
            <MinimumBenefit>357</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS046</BillingCode>
            <Name>Endo GIA Stapling System</Name>
            <Description>Endoscopic/thoroscopic</Description>
            <Size>12mm; One size only.</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4318</SubGroupID>
            <Suffix>Endoscopic, Articulating/Roticulating</Suffix>
            <ARTGs>
                <ARTG>346475</ARTG>
            </ARTGs>
            <MinimumBenefit>357</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IJ020</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>ME224</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Frankenman Endoscopic Linear Cutter</Name>
            <Description>The Endoscopic Linear Cutter and Reloads have applications in resection, transection and/or anastomosis of tissue in open or laparoscopic procedures.</Description>
            <Size>Stapler Unit - 280mm, 330mm, 380mm, 430mm, 480mm in 12.5mm shaft OD.  Reloadable Cartridges - 30mm, 45mm, 60mm staple lengths.</Size>
            <SupplierCode>IJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4318</SubGroupID>
            <Suffix>Endoscopic, Articulating/Roticulating</Suffix>
            <ARTGs>
                <ARTG>205331</ARTG>
            </ARTGs>
            <MinimumBenefit>357</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ904</BillingCode>
            <Name>Echelon</Name>
            <Description>Stapler</Description>
            <Size>45 - 60mm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4318</SubGroupID>
            <Suffix>Endoscopic, Articulating/Roticulating</Suffix>
            <ARTGs>
                <ARTG>155639</ARTG>
            </ARTGs>
            <MinimumBenefit>357</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ME206</BillingCode>
            <Name>Endoscopic Universal Handle</Name>
            <Description>The Endoscopic Universal Handle is a single patient delivery system, supplied sterile and used with the Linear Cutter Stapler reloading unit ranges which can be applied in abdominal, gynaecological, paediatric and thoracic surgical procedures for resection, transection and creation of anastomosis.</Description>
            <Size>30mm, 45mm, and 60mm staple lengths.&#xD;
2.5mm, 3.5mm, and 4.8mm staple sizes.</Size>
            <SupplierCode>ME</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4318</SubGroupID>
            <Suffix>Endoscopic, Articulating/Roticulating</Suffix>
            <ARTGs>
                <ARTG>283316</ARTG>
            </ARTGs>
            <MinimumBenefit>357</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN206</BillingCode>
            <Name>Endopath Cutter</Name>
            <Description>Cutter and Stapler</Description>
            <Size>45mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4318</SubGroupID>
            <Suffix>Endoscopic, Articulating/Roticulating</Suffix>
            <ARTGs>
                <ARTG>155639</ARTG>
            </ARTGs>
            <MinimumBenefit>357</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX031</BillingCode>
            <Name>Mirus Endocutter</Name>
            <Description>A stapler with triple staggered rows of titanium staples used to cut and close soft tissue.</Description>
            <Size>Small - shaft length 60mm&#xD;
Medium - shaft length 160mm&#xD;
Long - shaft length 260mm</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4318</SubGroupID>
            <Suffix>Endoscopic, Articulating/Roticulating</Suffix>
            <ARTGs>
                <ARTG>289071</ARTG>
            </ARTGs>
            <MinimumBenefit>357</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZZ068</BillingCode>
            <Name>AEON Endostapler</Name>
            <Description>Endoscopic articulated stapler</Description>
            <Size>Short (60mm)  Medium (160mm)  Long (260mm)</Size>
            <SupplierCode>ZZ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4318</SubGroupID>
            <Suffix>Endoscopic, Articulating/Roticulating</Suffix>
            <ARTGs>
                <ARTG>329207</ARTG>
            </ARTGs>
            <MinimumBenefit>357</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE683</BillingCode>
            <Name>SureForm</Name>
            <Description>Disposable stapling device</Description>
            <Size>45mm (staple line length)  60mm (staple line length)</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4318</SubGroupID>
            <Suffix>Endoscopic, Articulating/Roticulating, Powered</Suffix>
            <ARTGs>
                <ARTG>309263</ARTG>
            </ARTGs>
            <MinimumBenefit>447</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI227</BillingCode>
            <Name>Signia™ Powered Intelligent Stapling System</Name>
            <Description>Powered, articulating, endoscopic intelligent stapler with Adaptive Firing and real time technology</Description>
            <Size>30mm, 45mm, 60mm lengths</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4318</SubGroupID>
            <Suffix>Endoscopic, Articulating/Roticulating, Powered</Suffix>
            <ARTGs>
                <ARTG>287262</ARTG>
                <ARTG>287417</ARTG>
                <ARTG>287923</ARTG>
            </ARTGs>
            <MinimumBenefit>447</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN215</BillingCode>
            <Name>Echelon</Name>
            <Description>Disposable powered stapling device</Description>
            <Size>35 to 60mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4318</SubGroupID>
            <Suffix>Endoscopic, Articulating/Roticulating, Powered</Suffix>
            <ARTGs>
                <ARTG>195695</ARTG>
            </ARTGs>
            <MinimumBenefit>447</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN214</BillingCode>
            <Name>EES Linear Cutter</Name>
            <Description>Single use, reloadable stapler</Description>
            <Size>55 to 75mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4318</SubGroupID>
            <ARTGs>
                <ARTG>155639</ARTG>
            </ARTGs>
            <MinimumBenefit>69</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS209</BillingCode>
            <Name>Endo GIA Reinforced Reload with Tri-Staple Technology</Name>
            <Description>The Endo GIA Reinforced Reload with Tri-Staple Technology is an endoscopic stapler reload pre-attached with a non-woven absorbable polyglycolic acid staple line reinforcement mesh. This reinforced reload places a triple-staggered row of titanium staples and two layers of absorbable reinforcement material on either side of the cut line.</Description>
            <Size>45mm and 60mm</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4319</SubGroupID>
            <Suffix>Integrated</Suffix>
            <ARTGs>
                <ARTG>231041</ARTG>
            </ARTGs>
            <MinimumBenefit>521</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI287</BillingCode>
            <Name>Tri-Staple  2.0 Reinforced reloads</Name>
            <Description>Tri-Staple  2.0 Reinforced reload preloaded with polyglycolic acid staple line reinforcement mesh and with intelligent chip that communicates with Signia  stapler.</Description>
            <Size>45mm, 60mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4319</SubGroupID>
            <Suffix>Integrated</Suffix>
            <ARTGs>
                <ARTG>350110</ARTG>
            </ARTGs>
            <MinimumBenefit>521</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GT224</BillingCode>
            <Name>GORE®  SEAMGUARD® Bioabsorbable Staple Line Reinforcement</Name>
            <Description>GORE® SEAMGUARD® Reinforcement is a synthetic 100% bioabsorbable material, constructed from Polyglycolic Acid:Trimethylene Carbonate. Buttressing material is engineered to reduce perioperative leaks and bleeding in a variety of minimally invasive surgeries.</Description>
            <Size>1BSGEC60- for 60mm Ethicon Stapler Straight, 1BSGEC60A- for 60mm Ethicon Stapler, 1BSGEC45- for 45mm Ethicon Stapler, 1BSGTRI45P- for 45mm Endo GIA Tristapler Purple, 1BSGTRI45B-  for 45mm Endo GIA Tristapler Black, 1BSGTRI60P- for 60mm Endo GIA Tristapler Purple, 1BSGTRI60B- for 60mm Endo GIA Tristapler Black</Size>
            <SupplierCode>GT</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4319</SubGroupID>
            <ARTGs>
                <ARTG>153351</ARTG>
            </ARTGs>
            <MinimumBenefit>198</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GT228</BillingCode>
            <Name>GORE® SEAMGUARD® Bioabsorbable Staple Line Reinforcement (Circular)</Name>
            <Description>GORE® SEAMGUARD® Reinforcement is a synthetic 100% bioabsorbable material, constructed from Polyglycolic Acid:Trimethylene Carbonate. Buttressing material is engineered to reduce perioperative leaks and bleeding in a variety of minimally invasive surgeries. Configured for a range of circular/EEA staplers- 25mm, 28mm, 29mm, 31mm, 33mm &amp; 34mm</Description>
            <Size>Circular Seamguard is configured for a range of circular/EEA staplers- 25mm, 28mm, 29mm, 31mm, 33mm &amp; 34mm for both Johnson &amp; Johnson &amp; Medtronic Circular Staplers</Size>
            <SupplierCode>GT</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4319</SubGroupID>
            <ARTGs>
                <ARTG>153352</ARTG>
            </ARTGs>
            <MinimumBenefit>198</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ056</BillingCode>
            <Name>Proximate Articulating Linear Stapler</Name>
            <Description>Articulating linear stapler preloaded with titanium staples</Description>
            <Size>55mm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <Suffix>Articulating/Roticulating</Suffix>
            <ARTGs>
                <ARTG>132167</ARTG>
            </ARTGs>
            <MinimumBenefit>662</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI218</BillingCode>
            <Name>Roticulator Stapler</Name>
            <Description>Roticulator Stapler</Description>
            <Size>30mm, 55mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <Suffix>Articulating/Roticulating</Suffix>
            <ARTGs>
                <ARTG>181414</ARTG>
                <ARTG>181434</ARTG>
                <ARTG>182207</ARTG>
            </ARTGs>
            <MinimumBenefit>662</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS179</BillingCode>
            <Name>EEA Haemorrhoid and Prolapse Stapler</Name>
            <Description>Stapling instrument for control of rectal prolapse and haemorrhoid disease.</Description>
            <Size>33mm Circular Stapling line, 3.5 mm and 4.8mm Staple leg length.</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <Suffix>Circular</Suffix>
            <ARTGs>
                <ARTG>178674</ARTG>
            </ARTGs>
            <MinimumBenefit>648</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IJ014</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>ME218</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Frankenman Haemorrhoidal (CPH) Stapler</Name>
            <Description>Circular stapler for rectal prolapse and haemorrhoids preloaded with titanium staples</Description>
            <Size>Outside diameter: 32.5mm; 34.5mm</Size>
            <SupplierCode>IJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <Suffix>Circular</Suffix>
            <ARTGs>
                <ARTG>205330</ARTG>
            </ARTGs>
            <MinimumBenefit>648</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IJ016</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>ME217</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Frankenman Circular Stapler</Name>
            <Description>Curved intraluminal stapler preloaded with titanium staples.</Description>
            <Size>21mm; 25mm; 28mm; 32mm</Size>
            <SupplierCode>IJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <Suffix>Circular</Suffix>
            <ARTGs>
                <ARTG>292060</ARTG>
            </ARTGs>
            <MinimumBenefit>648</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ443</BillingCode>
            <Name>Proximate Intraluminal Stapler PPH</Name>
            <Description>Proximate Hemorrhoidal Circular Stapler PPH</Description>
            <Size>One Size Only</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <Suffix>Circular</Suffix>
            <ARTGs>
                <ARTG>99218</ARTG>
            </ARTGs>
            <MinimumBenefit>648</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OB004</BillingCode>
            <Name>Touchstone Circular Stapler</Name>
            <Description>A surgical implanting device for placing s specific size of double staggered row of titanium staples in a circular fashion in the large bowel, small bowel or oesophagus to maintain function of the digestive tract.  A suitable size is used to match the lumen size of the patient's digestive tract</Description>
            <Size>External dimension - 21mm, 25mm, 29mm or 33mm</Size>
            <SupplierCode>OB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <Suffix>Circular</Suffix>
            <ARTGs>
                <ARTG>263001</ARTG>
            </ARTGs>
            <MinimumBenefit>648</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OB007</BillingCode>
            <Name>Touchstone Prolapse Haemorrhoid Stapler</Name>
            <Description>A surgical implanting device for placing a specific size of double staggered row of titanium staples in a circular fashion in the Anal and/or Rectal region for the circumferential excision of the prolapsed distal rectal muscosa, as described by Dr. Longo, Italy.</Description>
            <Size>33mm and 36mm</Size>
            <SupplierCode>OB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <Suffix>Circular</Suffix>
            <ARTGs>
                <ARTG>262507</ARTG>
            </ARTGs>
            <MinimumBenefit>648</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX035</BillingCode>
            <Name>Mirus Circular Intraluminal Stapler</Name>
            <Description>Disposable circular stapler with mechanism to measure tissue thickness</Description>
            <Size>Available in 2 rows and 3 rows of staples</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <Suffix>Circular</Suffix>
            <ARTGs>
                <ARTG>289056</ARTG>
            </ARTGs>
            <MinimumBenefit>648</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX036</BillingCode>
            <Name>Mirus Hemorrhoids Stapler</Name>
            <Description>Disposable stapler with 2 or 3 staggered rows of titanium staples</Description>
            <Size>Available in models with 2 rows and 3 rows of staples</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <Suffix>Circular</Suffix>
            <ARTGs>
                <ARTG>289057</ARTG>
            </ARTGs>
            <MinimumBenefit>648</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ812</BillingCode>
            <Name>CONTOUR Curved Cutter Stapler</Name>
            <Description>Curved cutter and stapler for gastrointestinal transaction and resection.</Description>
            <Size>40mm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <Suffix>Curved</Suffix>
            <ARTGs>
                <ARTG>118291</ARTG>
            </ARTGs>
            <MinimumBenefit>559</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS075</BillingCode>
            <Name>ENDO TA*</Name>
            <Description>Titanium Surgical Stapler</Description>
            <Size>30mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <Suffix>Endoscopic</Suffix>
            <ARTGs>
                <ARTG>185016</ARTG>
            </ARTGs>
            <MinimumBenefit>473</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS077</BillingCode>
            <Name>ENDO GIA*</Name>
            <Description>Titanium Surgical Stapler</Description>
            <Size>30 - 35mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <Suffix>Endoscopic</Suffix>
            <ARTGs>
                <ARTG>181272</ARTG>
            </ARTGs>
            <MinimumBenefit>473</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ184</BillingCode>
            <Name>Endopath Multi Stapler</Name>
            <Description>Endoscopic titanium stapler with staples</Description>
            <Size>11mm shaft diameter</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <Suffix>Endoscopic</Suffix>
            <ARTGs>
                <ARTG>124512</ARTG>
            </ARTGs>
            <MinimumBenefit>473</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI219</BillingCode>
            <Name>EEA Circular Stapler</Name>
            <Description>Circular staplers</Description>
            <Size>21mm to 34mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <Suffix>Endoscopic, Circular</Suffix>
            <ARTGs>
                <ARTG>178517</ARTG>
            </ARTGs>
            <MinimumBenefit>671</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI281</BillingCode>
            <Name>EEA Circular Stapler with Tri Staple Technology</Name>
            <Description>Circular staplers with 3 row staples, slope faced cartridge with a different  staple size in each staple row.</Description>
            <Size>21mm to 33mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <Suffix>Endoscopic, Circular</Suffix>
            <ARTGs>
                <ARTG>293808</ARTG>
            </ARTGs>
            <MinimumBenefit>671</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN216</BillingCode>
            <Name>Ethicon Intraluminal Stapler</Name>
            <Description>Proximate and  Endopath staplers</Description>
            <Size>21 - 33mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <Suffix>Endoscopic, Circular</Suffix>
            <ARTGs>
                <ARTG>99218</ARTG>
                <ARTG>124512</ARTG>
            </ARTGs>
            <MinimumBenefit>671</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS033</BillingCode>
            <Name>Power Stapler and Staples (Powered LDS*)</Name>
            <Description>LDS Instrument &amp; Cartridges (Disposable Loading Unit)</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <ARTGs>
                <ARTG>182307</ARTG>
            </ARTGs>
            <MinimumBenefit>318</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS110</BillingCode>
            <Name>DFS Disposable Fascia Stapler</Name>
            <Description>Stainless Steel</Description>
            <Size>One Size Only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <ARTGs>
                <ARTG>180134</ARTG>
            </ARTGs>
            <MinimumBenefit>318</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET066</BillingCode>
            <Name>Insorb Subcuticular Stapler</Name>
            <Description>A subcuticular (dermal) surgical delivery system loaded with resorbable staples/prostheses</Description>
            <Size>Each staple is 5mm x 3mm</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <ARTGs>
                <ARTG>178665</ARTG>
            </ARTGs>
            <MinimumBenefit>318</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IJ015</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>ME219</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Frankenman Linear Cutter Stapler</Name>
            <Description>Single use, reloadable, linear cutter stapler containing titanium staples</Description>
            <Size>61mm; 81mm; 100mm</Size>
            <SupplierCode>IJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <ARTGs>
                <ARTG>205319</ARTG>
                <ARTG>205331</ARTG>
            </ARTGs>
            <MinimumBenefit>318</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IJ018</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>ME221</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Frankenman Linear Stapler</Name>
            <Description>Linear stapler preloaded with titanium staples</Description>
            <Size>32mm; 46mm; 60mm; 90mm</Size>
            <SupplierCode>IJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <ARTGs>
                <ARTG>205331</ARTG>
                <ARTG>205319</ARTG>
            </ARTGs>
            <MinimumBenefit>318</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ050</BillingCode>
            <Name>Proximate* Linear Stapler</Name>
            <Description>Metal/Plastic linear stapler preloaded with titanium staples, manual closure</Description>
            <Size>55 - 60mm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <ARTGs>
                <ARTG>132167</ARTG>
            </ARTGs>
            <MinimumBenefit>318</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI212</BillingCode>
            <Name>PI/TA Stapler</Name>
            <Description>Disposable Surgical Stapler and Loading Unit</Description>
            <Size>30mm, 45mm, 60mm, 90mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <ARTGs>
                <ARTG>181434</ARTG>
                <ARTG>185015</ARTG>
                <ARTG>185733</ARTG>
            </ARTGs>
            <MinimumBenefit>318</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI214</BillingCode>
            <Name>GIA Linear Cutter Stapler and single use loading units</Name>
            <Description>single use, reloadable stapler</Description>
            <Size>2.5mm, 3.8mm, 4.8mm,  60mm, 75mm, 80mm, 100mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <ARTGs>
                <ARTG>181272</ARTG>
                <ARTG>182206</ARTG>
                <ARTG>185453</ARTG>
            </ARTGs>
            <MinimumBenefit>318</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI456</BillingCode>
            <Name>GIA Stapler with Tri-Staple technology</Name>
            <Description>Single use, reloadable stapler</Description>
            <Size>60mm, 80mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <ARTGs>
                <ARTG>331481</ARTG>
            </ARTGs>
            <MinimumBenefit>318</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN217</BillingCode>
            <Name>Proximate</Name>
            <Description>Preloaded stapler</Description>
            <Size>30-100mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <ARTGs>
                <ARTG>132166</ARTG>
                <ARTG>132167</ARTG>
                <ARTG>133406</ARTG>
            </ARTGs>
            <MinimumBenefit>318</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OB002</BillingCode>
            <Name>Touchstone Linear Cutter Stapler 80mm</Name>
            <Description>A device that incorporates a disposable staple cartridge that lays a double staggered row of staples on each side of a cutting knife.  Used for extensive bowel, gastric, gynaecological and thoracic surgical stapling procedures.</Description>
            <Size>80mm length in staple line with choice of 3.8mm, 4.2mm and 4.5mm titanium staples</Size>
            <SupplierCode>OB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <ARTGs>
                <ARTG>262505</ARTG>
            </ARTGs>
            <MinimumBenefit>318</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OB005</BillingCode>
            <Name>Touchstone Linear Cutter Stapler 100mm</Name>
            <Description>A device that incorporates a disposable staple cartridge that lays a double staggered row of staples on each side of a cutting knife.  Used for extensive bowel, gastric, gynaecological and thoracic surgical stapling procedures.</Description>
            <Size>100mm length in staple line with choice of 3.8mm and 4.5mm titanium</Size>
            <SupplierCode>OB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <ARTGs>
                <ARTG>262505</ARTG>
            </ARTGs>
            <MinimumBenefit>318</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OB009</BillingCode>
            <Name>JustRight 5mm Stapler</Name>
            <Description>Endoscopic manual linear cutting stapler, single use</Description>
            <Size>5mm shaft diameter  25mm jaw length  20cm length</Size>
            <SupplierCode>OB</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <ARTGs>
                <ARTG>306951</ARTG>
            </ARTGs>
            <MinimumBenefit>318</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX032</BillingCode>
            <Name>Mirus Disposable Linear Cutter</Name>
            <Description>Disposable, reloadable linear cutter stapler</Description>
            <Size>Stapling line lengths of 60mm, 80mm and 100mm</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <ARTGs>
                <ARTG>289076</ARTG>
            </ARTGs>
            <MinimumBenefit>318</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX033</BillingCode>
            <Name>Mirus Dial Linear Stapler</Name>
            <Description>A disposable, reloadable linear stapler with dial</Description>
            <Size>Accommodates staple line lengths of 30mm, 45mm, 60mm and 90mm.</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <ARTGs>
                <ARTG>289086</ARTG>
            </ARTGs>
            <MinimumBenefit>318</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX034</BillingCode>
            <Name>Mirus Auto Linear Stapler</Name>
            <Description>A disposable, reloadable linear stapler</Description>
            <Size>Accommodates staple line lengths of 30mm, 45mm, 60mm and 90mm.</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4320</SubGroupID>
            <ARTGs>
                <ARTG>289086</ARTG>
            </ARTGs>
            <MinimumBenefit>318</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS246</BillingCode>
            <Name>ABSORBATACK</Name>
            <Description>Absorbable Fixation Device</Description>
            <Size>5mm</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4331</SubGroupID>
            <Suffix>Absorbable</Suffix>
            <ARTGs>
                <ARTG>181415</ARTG>
            </ARTGs>
            <MinimumBenefit>473</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA204</BillingCode>
            <Name>SorbaFix</Name>
            <Description>Open of Laparoscopic Absorbable Fixation System.</Description>
            <Size>15 Fasteners; 30 Fasteners</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4331</SubGroupID>
            <Suffix>Absorbable</Suffix>
            <ARTGs>
                <ARTG>170112</ARTG>
            </ARTGs>
            <MinimumBenefit>473</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA269</BillingCode>
            <Name>Bard Absorbable Fixation System</Name>
            <Description>Open or Laparoscopic Absorbable Fixation System</Description>
            <Size>30 Absorbable Fastners, 15 Absorbale Fastners</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4331</SubGroupID>
            <Suffix>Absorbable</Suffix>
            <ARTGs>
                <ARTG>278914</ARTG>
            </ARTGs>
            <MinimumBenefit>473</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN115</BillingCode>
            <Name>SECURESTRAP™</Name>
            <Description>5mm Absorbable Strap Fixation Device</Description>
            <Size>5mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4331</SubGroupID>
            <Suffix>Absorbable</Suffix>
            <ARTGs>
                <ARTG>193268</ARTG>
            </ARTGs>
            <MinimumBenefit>473</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN175</BillingCode>
            <Name>SECURESTRAP Open</Name>
            <Description>Open Absorbable Strap Fixation Device</Description>
            <Size>Strap length 6.7mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4331</SubGroupID>
            <Suffix>Absorbable</Suffix>
            <ARTGs>
                <ARTG>230205</ARTG>
            </ARTGs>
            <MinimumBenefit>473</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS227</BillingCode>
            <Name>ReliaTack Articulating Reloadable Fixation Device</Name>
            <Description>Articulating, reloadable, sterile, single use fixation device prepackaged with 30 standard single use, absorbable reloads</Description>
            <Size>5.1mm, 30 tacks</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4331</SubGroupID>
            <Suffix>Absorbable, Articulating/Roticulating</Suffix>
            <ARTGs>
                <ARTG>315822</ARTG>
            </ARTGs>
            <MinimumBenefit>662</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI303</BillingCode>
            <Name>ReliaTack™ Articulating Reloadable Fixation Device with Deep Purchase Tacks</Name>
            <Description>Articulating, reloadable, sterile, single use fixation device pre-packaged with 29 tacks (three eight-tack deep purchase reloads, and one five tack deep purchase reload)</Description>
            <Size>7.0 mm, 29 Tacks</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4331</SubGroupID>
            <Suffix>Absorbable, Articulating/Roticulating</Suffix>
            <ARTGs>
                <ARTG>315822</ARTG>
            </ARTGs>
            <MinimumBenefit>662</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS045</BillingCode>
            <Name>PROTACK*; Endoscopic Tacker Device; ENDO UNIVERSAL*</Name>
            <Description>Endoscopic; Titanium Surgical Tacker</Description>
            <Size>20 tacks; 30 tacks; 5mm; 4mm, 4.8mm (10 staples).</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4331</SubGroupID>
            <Suffix>Endoscopic</Suffix>
            <ARTGs>
                <ARTG>181429</ARTG>
            </ARTGs>
            <MinimumBenefit>374</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA203</BillingCode>
            <Name>Fixation Anchor Set</Name>
            <Description>Open or Laparoscopic Permanent Fixation System.</Description>
            <Size>15 Fasteners; 30 Fasteners</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4331</SubGroupID>
            <Suffix>Endoscopic</Suffix>
            <ARTGs>
                <ARTG>137898</ARTG>
            </ARTGs>
            <MinimumBenefit>374</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS091</BillingCode>
            <Name>VERSA TACK* stapler</Name>
            <Description>Titanium Surgical Stapler</Description>
            <Size>4, 4.8mm (10 staples)</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4331</SubGroupID>
            <ARTGs>
                <ARTG>181429</ARTG>
            </ARTGs>
            <MinimumBenefit>234</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS095</BillingCode>
            <Name>STATTACK </Name>
            <Description>STATTACK  Titanium Helical Tacker</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>4331</SubGroupID>
            <ARTGs>
                <ARTG>178498</ARTG>
            </ARTGs>
            <MinimumBenefit>234</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE610</BillingCode>
            <Name>Cor-Knot®Quick Load single</Name>
            <Description>The Cor-Knot®Quick Load houses one sterile Cor-Knot®Titanium Fastener for use with the Cor-Knot®device kit</Description>
            <Size>One size</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>5988</SubGroupID>
            <ARTGs>
                <ARTG>219813</ARTG>
            </ARTGs>
            <MinimumBenefit>51</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE611</BillingCode>
            <Name>Cor-Knot®Quick Load 6 Pouch</Name>
            <Description>The Cor-Knot®Quick load 6 contains six single sterile Cor-Knot® Titanium Fasteners for use with the Cor-Knot® device kit</Description>
            <Size>One size</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>5988</SubGroupID>
            <ARTGs>
                <ARTG>219813</ARTG>
            </ARTGs>
            <MinimumBenefit>308</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS229</BillingCode>
            <Name>ReliaTack Articulating Reloadable Fixation Device (Reloads x 10)</Name>
            <Description>10 x absorbable reloads to be used with ReliaTack atriculating tacking device</Description>
            <Size>5.1mm, 10 tacks</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>6003</SubGroupID>
            <Suffix>10 Tacks, Absorbable</Suffix>
            <ARTGs>
                <ARTG>275114</ARTG>
            </ARTGs>
            <MinimumBenefit>323</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS228</BillingCode>
            <Name>ReliaTack Articulating Reloadable Fixation Device (Reloads x 5)</Name>
            <Description>5 x absorbable reloads to be used with ReliaTack articulating tacking device</Description>
            <Size>5.1mm, 5 tacks</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>6003</SubGroupID>
            <Suffix>5 Tacks, Absorbable</Suffix>
            <ARTGs>
                <ARTG>275114</ARTG>
            </ARTGs>
            <MinimumBenefit>162</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI304</BillingCode>
            <Name>ReliaTack Articulating Reloadable Fixation Device with Deep Purchase Tacks (Reloads x 5)</Name>
            <Description>5 x absorbable deep purchase reloads to be used with ReliaTack articulating tacking device</Description>
            <Size>7.0 mm  5 Tacks</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>6003</SubGroupID>
            <Suffix>5 Tacks, Absorbable</Suffix>
            <ARTGs>
                <ARTG>315822</ARTG>
            </ARTGs>
            <MinimumBenefit>162</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI305</BillingCode>
            <Name>ReliaTack Articulating Reloadable Fixation Device with Deep Purchase Tacks (Reloads x 8)</Name>
            <Description>8 x absorbable deep purchase reloads to be used with ReliaTack articulating tacking device</Description>
            <Size>7.0 mm  8 tacks</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>6003</SubGroupID>
            <Suffix>8 Deep Purchase Tack, absorbable</Suffix>
            <ARTGs>
                <ARTG>315822</ARTG>
            </ARTGs>
            <MinimumBenefit>258</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE726</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MG048</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Glutack</Name>
            <Description>Catheter for controlled application of surgical adhesive.</Description>
            <Size>25, 40, 50 drops</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>6004</SubGroupID>
            <Suffix>Synthetic, Endoscopic</Suffix>
            <ARTGs>
                <ARTG>313580</ARTG>
            </ARTGs>
            <MinimumBenefit>215</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH528</BillingCode>
            <Name>LiquiBand Fix8</Name>
            <Description>Hernia Mesh Fixation System, preloaded into applicator</Description>
            <Size>33 tacks</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1582</GroupID>
            <SubGroupID>6004</SubGroupID>
            <Suffix>Synthetic, Endoscopic</Suffix>
            <ARTGs>
                <ARTG>233374</ARTG>
            </ARTGs>
            <MinimumBenefit>473</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AA017</BillingCode>
            <Name>4D - SEMI ABSORBABLE HERNIA MESH</Name>
            <Description>4DMESH semi absorbable bio mesh for abdominal reinforcement inguinal, femoral and incisional hernias</Description>
            <Size>6 x 13.5 cm &#xD;
10.5 x 14 cm &#xD;
12 x 15 cm</Size>
            <SupplierCode>AA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5434</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>283655</ARTG>
            </ARTGs>
            <MinimumBenefit>316</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA224</BillingCode>
            <Name>Bard Mesh</Name>
            <Description>Kugel Patch</Description>
            <Size>8x12cm oval; 9.5x13cm oval; 11x14oval; 8cm circle; 10.2cm circle; 12cm circle;</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5434</SubGroupID>
            <Suffix>Coated</Suffix>
            <ChangeExplanation>DELETE</ChangeExplanation>
            <MinimumBenefit>316</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Delete</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AA016</BillingCode>
            <Name>4D - DOME SEMI ABSORBABLE HERNIA MESH</Name>
            <Description>4D DOME semi absorbable bio mesh for abdominal reinforcement inguinal, femoral and incisional hernias</Description>
            <Size>2.4, 9 x 5 cm &#xD;
3.0, 9 x 5 cm &#xD;
3.8, 9 x 5 cm</Size>
            <SupplierCode>AA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5434</SubGroupID>
            <Suffix>Coated, Contoured</Suffix>
            <ARTGs>
                <ARTG>222740</ARTG>
            </ARTGs>
            <MinimumBenefit>316</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS243</BillingCode>
            <Name>Parietex™ Hydrophilic Anatomical Mesh; Parietex™ Hydrophilic 2D Mesh; Parietex™ Hydrophilic 3D Mesh</Name>
            <Description>Parietex™ hydrophilic anatomical mesh is made of non-absorbable multifilament polyester (polyethylene terephthalate) an assembly of a 2-dimensional textile and a 3-dimensional textile. Parietex™ hydrophilic anatomical mesh is available in right or left configurations and in different shapes and sizes. Parietex™ hydrophilic 2-dimensional mesh is made of non-absorbable multifilament polyester (polyethylene terephthalate) 2-dimensional textile. This folding mesh is provided with a non-absorbable pre-placed yarn tied to the mesh. Parietex™ hydrophilic 3-dimensional mesh is made of non-absorbable multifilament polyester (polyethylene terephthalate) 3-dimensional textile. This is a pre-cut and slit mesh - the mesh presents a slit for the passage of the cord.</Description>
            <Size>13 cm x 9 cm, 14 cm x 10 cm,  15 cm x 10 cm, 16 cm x 12 cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5434</SubGroupID>
            <Suffix>Contoured</Suffix>
            <ARTGs>
                <ARTG>125428</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Name, Product Description, Product Sizes</ChangeExplanation>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA222</BillingCode>
            <Name>Bard 3D Max Mesh</Name>
            <Description>3D Mesh</Description>
            <Size>Medium left, Medium Right, large Left, Large Right</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5434</SubGroupID>
            <Suffix>Contoured, Without Fixation</Suffix>
            <ARTGs>
                <ARTG>122873</ARTG>
            </ARTGs>
            <MinimumBenefit>238</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS164</BillingCode>
            <Name>Parietex™ Hydrophilic 2D Mesh; Parietex™ Hydrophilic 3D Mesh</Name>
            <Description>Parietex™ hydrophilic 2-dimensional mesh is made of non-absorbable multifilament polyester (polyethylene terephthalate) 2-dimensional textile. The mesh is available in two versions: a standard version and a rigid version. Parietex™ hydrophilic 3-dimensional mesh is made of non-absorbable multifilament polyester (polyethylene terephthalate) 3-dimensional textile.</Description>
            <Size>13 cm x 9 cm, 15 cm x 10 cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5434</SubGroupID>
            <ARTGs>
                <ARTG>125428</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Name, Product Description, Product Sizes</ChangeExplanation>
            <MinimumBenefit>72</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS174</BillingCode>
            <Name>Parietene™ Flat Sheet Mesh; Parietene™ Lightweight Mesh  </Name>
            <Description>Parietene™ flat sheet mesh is made of non-absorbable monofilament polypropylene 2-dimensional textile. Parietene™ lightweight mesh is made of non-absorbable monofilament polypropylene 2-dimensional textile.</Description>
            <Size>6 cm x 11 cm, 15 cm x 10 cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5434</SubGroupID>
            <ARTGs>
                <ARTG>125428</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Name, Product Description, Product Sizes</ChangeExplanation>
            <MinimumBenefit>72</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS232</BillingCode>
            <Name>Versatex™ Monofilament Mesh</Name>
            <Description>The mesh is made of non-absorbable monofilament three-dimensional (3D) polyester (polyethylene terephthalate) textile.</Description>
            <Size>11 cm x 6 cm, 15 cm x 10 cm  </Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5434</SubGroupID>
            <ARTGs>
                <ARTG>237409</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Name, Product Description, Product Sizes</ChangeExplanation>
            <MinimumBenefit>72</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA070</BillingCode>
            <Name>Bard Mesh  </Name>
            <Description>Flat mesh</Description>
            <Size>2.5x10cm, 4.5x10cm, 5x10cm, 6x13.7cm, 7.5x15cm, 10x15cm, 5x30.5cm</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5434</SubGroupID>
            <ARTGs>
                <ARTG>122873</ARTG>
            </ARTGs>
            <MinimumBenefit>72</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ174</BillingCode>
            <Name>Prolene Mesh </Name>
            <Description>Small polypropylene monofilament non absorbable mesh</Description>
            <Size>2.5cm x 10cm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5434</SubGroupID>
            <ARTGs>
                <ARTG>165074</ARTG>
            </ARTGs>
            <MinimumBenefit>72</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ175</BillingCode>
            <Name>Prolene Mesh</Name>
            <Description>Medium polypropylene monofilament non absorbable mesh</Description>
            <Size>7.6cm x 15cm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5434</SubGroupID>
            <ARTGs>
                <ARTG>165074</ARTG>
            </ARTGs>
            <MinimumBenefit>72</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ177</BillingCode>
            <Name>Prolene Mesh</Name>
            <Description>Small keyhole polypropylene monofilament non absorbable mesh</Description>
            <Size>4.6cm x 10.2cm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5434</SubGroupID>
            <ARTGs>
                <ARTG>165074</ARTG>
            </ARTGs>
            <MinimumBenefit>72</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ178</BillingCode>
            <Name>Prolene Mesh</Name>
            <Description>Large keyhole polypropylene monofilament non absorbable mesh</Description>
            <Size>6cm  x 13.7cm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5434</SubGroupID>
            <ARTGs>
                <ARTG>165074</ARTG>
            </ARTGs>
            <MinimumBenefit>72</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ566</BillingCode>
            <Name>PROLENE Mesh</Name>
            <Description>Polypropylene Mesh</Description>
            <Size>10 x 15cm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5434</SubGroupID>
            <ARTGs>
                <ARTG>165074</ARTG>
            </ARTGs>
            <MinimumBenefit>72</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN181</BillingCode>
            <Name>PROLENE™ Soft Polypropylene Mesh</Name>
            <Description>Nonabsorbable Synthetic Surigcal Mesh</Description>
            <Size>≤200cm2</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5434</SubGroupID>
            <ARTGs>
                <ARTG>165074</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Sizes</ChangeExplanation>
            <MinimumBenefit>72</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AA018</BillingCode>
            <Name>4D - Semi Absorbable Hernia Mesh</Name>
            <Description>4DMESH semi absorbable bio mesh for abdominal reinforcement inguinal, femoral and incisional hernias.</Description>
            <Size>12 x 17 cm&#xD;
17 x 17 cm</Size>
            <SupplierCode>AA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5435</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>283655</ARTG>
            </ARTGs>
            <MinimumBenefit>501</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA084</BillingCode>
            <Name>Bard Mesh  </Name>
            <Description>Kugel Patch</Description>
            <Size>Large Oval 14 x 18cm</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5435</SubGroupID>
            <Suffix>Coated</Suffix>
            <ChangeExplanation>DELETE</ChangeExplanation>
            <MinimumBenefit>501</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Delete</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA223</BillingCode>
            <Name>Bard 3D Max Mesh</Name>
            <Description>3D Mesh</Description>
            <Size>Extra Large Left, Extra Large Right</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5435</SubGroupID>
            <Suffix>Contoured, Without Fixation</Suffix>
            <ARTGs>
                <ARTG>122873</ARTG>
            </ARTGs>
            <MinimumBenefit>271</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS122</BillingCode>
            <Name>Parietene™ Flat Sheet Mesh; Parietene™ Lightweight Mesh</Name>
            <Description>Parietene™ flat sheet mesh is made of non-absorbable monofilament polypropylene 2-dimensional textile. Parietene™ lightweight mesh is made of non-absorbable monofilament polypropylene 2-dimensional textile.</Description>
            <Size>20 cm x 20 cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5435</SubGroupID>
            <ARTGs>
                <ARTG>125428</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Name, Product Description, Product Sizes</ChangeExplanation>
            <MinimumBenefit>77</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS165</BillingCode>
            <Name>Parietex™ Hydrophilic 2D Mesh; Parietex™ Hydrophilic 3D Mesh</Name>
            <Description>Parietex™ hydrophilic 2-dimensional mesh is made of non-absorbable multifilament polyester (polyethylene terephthalate) 2-dimensional textile. The mesh is available in two versions: a standard version and a rigid version. Parietex™ hydrophilic 3-dimensional mesh is made of non-absorbable multifilament polyester (polyethylene terephthalate) 3-dimensional textile.</Description>
            <Size>15 cm x 15 cm,</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5435</SubGroupID>
            <ARTGs>
                <ARTG>125428</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Name, Product Description, Product Sizes</ChangeExplanation>
            <MinimumBenefit>77</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS170</BillingCode>
            <Name>Parietex™ Hydrophilic 2D Mesh; Parietex™ Hydrophilic 3D Mesh</Name>
            <Description>Parietex™ hydrophilic 2-dimensional mesh is made of non-absorbable multifilament polyester (polyethylene terephthalate) 2-dimensional textile. Parietex™ hydrophilic 3-dimensional mesh is made of non-absorbable multifilament polyester (polyethylene terephthalate) 3-dimensional textile.</Description>
            <Size>20 cm x 20 cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5435</SubGroupID>
            <ARTGs>
                <ARTG>125428</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Name, Product Description, Product Sizes</ChangeExplanation>
            <MinimumBenefit>77</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS176</BillingCode>
            <Name>Parietene™ Flat Sheet Mesh; Parietene™ Lightweight Mesh</Name>
            <Description>Parietene™ flat sheet mesh is made of non-absorbable monofilament polypropylene 2-dimensional textile. Parietene™ lightweight mesh is made of non-absorbable monofilament polypropylene 2-dimensional textile.</Description>
            <Size>15 cm x 15 cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5435</SubGroupID>
            <ARTGs>
                <ARTG>125428</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Name, Product Description, Product Sizes</ChangeExplanation>
            <MinimumBenefit>77</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS234</BillingCode>
            <Name>Versatex™ Monofilament Mesh</Name>
            <Description>The mesh is made of non-absorbable monofilament three-dimensional (3D) polyester (polyethylene terephthalate) textile. A colored yarn (green) marker made of bi-dimensional monofilament polyester textile (D&amp;C Green No. 6) is available on the 15 cm x 15 cm size and present on the 20 cm x 20 cm size.</Description>
            <Size>15 cm x 15 cm, 20 cm x 20 cm  </Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5435</SubGroupID>
            <ARTGs>
                <ARTG>237409</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Name, Product Description, Product Sizes</ChangeExplanation>
            <MinimumBenefit>77</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA157</BillingCode>
            <Name>Bard Mesh</Name>
            <Description>Flat Mesh</Description>
            <Size>15X15cm</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5435</SubGroupID>
            <ARTGs>
                <ARTG>122873</ARTG>
            </ARTGs>
            <MinimumBenefit>77</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ222</BillingCode>
            <Name>Prolene Mesh - medium</Name>
            <Description>Constructed of knitted filaments of extruded polypropylene identical to that used in Prolene suture.  Material is approx. 0.027mm thick.  Non-absorbable mesh for tension free-inguinal hernia techniques.</Description>
            <Size>Medium - 6" x 6"</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5435</SubGroupID>
            <ARTGs>
                <ARTG>165074</ARTG>
            </ARTGs>
            <MinimumBenefit>77</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN162</BillingCode>
            <Name>PROLENE Soft Polypropylene Mesh</Name>
            <Description>Nonabsorbable Synthetic Surgical Mesh</Description>
            <Size>201 - 400cm2</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5435</SubGroupID>
            <ARTGs>
                <ARTG>165074</ARTG>
            </ARTGs>
            <MinimumBenefit>77</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS123</BillingCode>
            <Name>Parietene™ Flat Sheet Mesh; Parietene™ Lightweight Mesh</Name>
            <Description>Parietene™ flat sheet mesh is made of non-absorbable monofilament polypropylene 2-dimensional textile. Parietene™ lightweight mesh is made of non-absorbable monofilament polypropylene 2-dimensional textile.</Description>
            <Size>30 cm x 30 cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5437</SubGroupID>
            <ARTGs>
                <ARTG>125428</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Name, Product Description, Product Sizes</ChangeExplanation>
            <MinimumBenefit>248</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS171</BillingCode>
            <Name>Parietex™ Hydrophilic 2D Mesh; Parietex™ Hydrophilic 3D Mesh</Name>
            <Description>Parietex™ hydrophilic 2-dimensional mesh is made of non-absorbable multifilament polyester (polyethylene terephthalate) 2-dimensional textile. The mesh is available in two versions: a standard version and a rigid version. Parietex™ hydrophilic 3-dimensional mesh is made of non-absorbable multifilament polyester (polyethylene terephthalate) 3-dimensional textile.</Description>
            <Size>30 cm x 30 cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5437</SubGroupID>
            <ARTGs>
                <ARTG>125428</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Name, Product Description, Product Sizes</ChangeExplanation>
            <MinimumBenefit>248</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS221</BillingCode>
            <Name>Versatex™ Monofilament Mesh</Name>
            <Description>The mesh is made of non-absorbable monofilament three-dimensional (3D) polyester (polyethylene terephthalate) textile. A colored yarn (green) marker made of bi-dimensional monofilament polyester textile (D&amp;C Green No. 6) is present.</Description>
            <Size>30 cm x 30 cm, 45 cm x 30 cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5437</SubGroupID>
            <ARTGs>
                <ARTG>237409</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Name, Product Description, Product Sizes</ChangeExplanation>
            <MinimumBenefit>248</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA158</BillingCode>
            <Name>Bard Mesh</Name>
            <Description>Flat Mesh</Description>
            <Size>25x35.5cm</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5437</SubGroupID>
            <ARTGs>
                <ARTG>122873</ARTG>
            </ARTGs>
            <MinimumBenefit>248</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ176</BillingCode>
            <Name>Prolene Mesh</Name>
            <Description>Large polypropylene monofilament non absorbable mesh</Description>
            <Size>30cm x 30cm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5437</SubGroupID>
            <ARTGs>
                <ARTG>165074</ARTG>
            </ARTGs>
            <MinimumBenefit>248</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN180</BillingCode>
            <Name>PROLENE™ Soft Polypropylene Mesh</Name>
            <Description>Non-absorbable Synthetic Surgical Mesh</Description>
            <Size>&gt;600cm2</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5437</SubGroupID>
            <ARTGs>
                <ARTG>165074</ARTG>
            </ARTGs>
            <MinimumBenefit>248</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS240</BillingCode>
            <Name>Versatex™ Monofilament Mesh</Name>
            <Description>The mesh is made of non-absorbable monofilament three-dimensional (3D) polyester (polyethylene terephthalate) textile. A colored yarn (green) marker made of bi-dimensional monofilament polyester textile (D&amp;C Green No. 6) is present.</Description>
            <Size>50 cm x 50 cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5947</SubGroupID>
            <ARTGs>
                <ARTG>237409</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Name, Product Description, Product Sizes</ChangeExplanation>
            <MinimumBenefit>582</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN186</BillingCode>
            <Name>PROLENE Soft Polypropylene Mesh</Name>
            <Description>Nonabsorbable Synthetic Surgical Mesh</Description>
            <Size>≥2500cm²</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1782</GroupID>
            <SubGroupID>5947</SubGroupID>
            <ARTGs>
                <ARTG>165074</ARTG>
            </ARTGs>
            <MinimumBenefit>582</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS143</BillingCode>
            <Name>Parietex Composite 1510FX</Name>
            <Description>Dual sided polyester meshes with a resorbable adhesion -prevention hydrophilic film</Description>
            <Size>15x10cm square</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>214997</ARTG>
            </ARTGs>
            <MinimumBenefit>352</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS162</BillingCode>
            <Name>Parietene ProGrip Mesh (FLAT)</Name>
            <Description>Mesh with self gripping FLAT</Description>
            <Size>15 x 9cm RECTANGLE</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>149430</ARTG>
            </ARTGs>
            <MinimumBenefit>352</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS214</BillingCode>
            <Name>PROGRIP™ Laparoscopic Self-Fixating Composite Mesh</Name>
            <Description>Laparoscopic self-fixating composite mesh (knitted monofilament polyester with monofilament polylactic acid resorbable grips on one side and a resorbable film made of collagen from porcine origin and glycerol, on the other side)</Description>
            <Size>10x15, 16x12  rectangular</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>252653</ARTG>
            </ARTGs>
            <MinimumBenefit>352</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS236</BillingCode>
            <Name>Parietex Progrip Composite Mesh</Name>
            <Description>Monofilament polyester with polylactic acid monofilament resorbable pins on one of the sides</Description>
            <Size>15x9 rectangular</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>157201</ARTG>
            </ARTGs>
            <MinimumBenefit>352</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA226</BillingCode>
            <Name>Bard Mesh</Name>
            <Description>Ventralex Patch</Description>
            <Size>4.3cm circle, 6.4cm circle, 8cm circle</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>122873</ARTG>
            </ARTGs>
            <MinimumBenefit>352</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA227</BillingCode>
            <Name>Bard Mesh</Name>
            <Description>Ventrio patch</Description>
            <Size>7.6cm circle, 11.4cm circle, 8x12cm oval, 11x14cm oval</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Coated</Suffix>
            <ChangeExplanation>DELETE</ChangeExplanation>
            <MinimumBenefit>352</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Delete</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA236</BillingCode>
            <Name>Ventralex ST</Name>
            <Description>Bioresorbable Barrier/Permanent Mesh</Description>
            <Size>4.3cm circle, 6.4cm circle, 8.0cm circle</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>219323</ARTG>
            </ARTGs>
            <MinimumBenefit>352</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA237</BillingCode>
            <Name>Ventralight ST</Name>
            <Description>Bioresorbable Barrier/Permanent Mesh</Description>
            <Size>11.4cm circle, 10.2 x 15.2cm oval</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>219332</ARTG>
            </ARTGs>
            <MinimumBenefit>352</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA246</BillingCode>
            <Name>Ventrio ST</Name>
            <Description>Bioresorbable Barrier/Permanent Mesh</Description>
            <Size>7.6cm circle, 11.4cm circle, 8 x 12cm oval, 11 x 14cm oval</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>219324</ARTG>
            </ARTGs>
            <MinimumBenefit>352</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ446</BillingCode>
            <Name>PROCEED Surgical Mesh</Name>
            <Description>PROCEED Surgical Mesh B1</Description>
            <Size>2x4 (inches)</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>357230</ARTG>
            </ARTGs>
            <MinimumBenefit>352</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ447</BillingCode>
            <Name>PROCEED Surgical Mesh</Name>
            <Description>PROCEED Surgical Mesh R1</Description>
            <Size>3x6 inches</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>357230</ARTG>
            </ARTGs>
            <MinimumBenefit>352</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ448</BillingCode>
            <Name>PROCEED Surgical Mesh</Name>
            <Description>PROCEED Surgical Mesh N1</Description>
            <Size>4x6 inches oval</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>357230</ARTG>
            </ARTGs>
            <MinimumBenefit>352</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ449</BillingCode>
            <Name>PROCEED Surgical Mesh</Name>
            <Description>PROCEED Surgical Mesh D1</Description>
            <Size>4x8 inches</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>357230</ARTG>
            </ARTGs>
            <MinimumBenefit>352</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ816</BillingCode>
            <Name>Proceed™ Ventral Patch</Name>
            <Description>3D, sterile, self expanding, partially absorbable, flexible laminate mesh for hernia or other abdominal, fascial defect repair that require addition of a reinforcing or bridging material to obtain the desired surgical result.</Description>
            <Size>medium (6.4cm x 6.4cm)</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>161186</ARTG>
            </ARTGs>
            <MinimumBenefit>352</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ817</BillingCode>
            <Name>Proceed™ Ventral Patch</Name>
            <Description>3D, sterile, self expanding, partially absorbable, flexible laminate mesh for hernia or other abdominal, fascial defect repair that require addition of a reinforcing or bridging material to obtain the desired surgical result.</Description>
            <Size>small (4.3cm x 4.3cm)</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>161186</ARTG>
            </ARTGs>
            <MinimumBenefit>352</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN192</BillingCode>
            <Name>PHYSIOMESH Open</Name>
            <Description>Flexible Composite Mesh</Description>
            <Size>≤200cm²</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>274361</ARTG>
            </ARTGs>
            <MinimumBenefit>352</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MS030</BillingCode>
            <Name>Titanized Mesh Implants [TiMESH, TiLENE, TiLENE Blue]</Name>
            <Description>Prosthetic warp-knitted fabric made of monofil polypropylene threads with an encapsulating titanic coating</Description>
            <Size>Weight: 16 g/m² - 65 g/m²; Surface Area: ≤ 200cm²</Size>
            <SupplierCode>MS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>97288</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Name, Product Sizes</ChangeExplanation>
            <MinimumBenefit>352</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS161</BillingCode>
            <Name>Parietene ProGrip Mesh (PRE-SHAPED)</Name>
            <Description>Pre-Cut, slit mesh with self gripping overlapping flap - right or left</Description>
            <Size>12 x 8cm elliptic</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Coated, Contoured</Suffix>
            <ARTGs>
                <ARTG>149430</ARTG>
            </ARTGs>
            <MinimumBenefit>407</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS211</BillingCode>
            <Name>Parietex Composite Ventral Patch</Name>
            <Description>Parietex Composite ventral patch is used for the reinforcement of soft tissues during surgical repair. It is indicated for the treatment of ventral defects (primary and incisional hernias).</Description>
            <Size>4.6cm, 6.6cm, 8.6cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Coated, Contoured</Suffix>
            <ARTGs>
                <ARTG>258212</ARTG>
            </ARTGs>
            <MinimumBenefit>407</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS217</BillingCode>
            <Name>Symbotex Composite Mesh with pre placed suture</Name>
            <Description>Non-absorbable three-dimensional polyester composite mesh with pre placed sutures. (Non absorbable pre-placed sutures are tied to the mesh. A died marking is positioned on the center of the textile and helps center and orient the mesh.)</Description>
            <Size>Rectangular 15x10 cm&#xD;
Round 15 cm, 12 cm&#xD;
Elliptical 17x10&#xD;
Round 9cm</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Coated, Contoured</Suffix>
            <ARTGs>
                <ARTG>270737</ARTG>
            </ARTGs>
            <MinimumBenefit>407</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS219</BillingCode>
            <Name>PROGRIP™ Laparoscopic Self-Fixating Composite Mesh</Name>
            <Description>Laparoscopic self-fixating composite right or left or bilateral anatomical mesh (knitted monofilament polyester with monofilament polylactic acid resorbable grips on one side and a resorbable film made of collagen from porcine origin and glycerol, on the other side)</Description>
            <Size>10x15 cm  Rectangular Bilateral Anatomical,  10x15 cm  Rectangular Right Anatomical, 10x15 cm  Left Anatomical,  13x09 cm  Right Anatomical, &#xD;
13x09 cm  Left Anatomical</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Coated, Contoured</Suffix>
            <ARTGs>
                <ARTG>252653</ARTG>
            </ARTGs>
            <MinimumBenefit>407</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS220</BillingCode>
            <Name>Parietex Progrip Composite Mesh</Name>
            <Description>Pre-Cut, slit mesh with self gripping overlapping flap - right or left knitted (monofilament polyester with polylactic acid monofilament resorbable pins on one of the sides)</Description>
            <Size>Elliptic slit 12x8cm left side, elliptic slit 12x8cm right side, elliptic slit 14x9 left side, elliptic slit right side 14x9cm</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Coated, Contoured</Suffix>
            <ARTGs>
                <ARTG>157201</ARTG>
            </ARTGs>
            <MinimumBenefit>407</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS224</BillingCode>
            <Name>PROGRIP™ Laparoscopic Self-Fixating Composite Mesh</Name>
            <Description>Laparoscopic self-fixating composite right or left anatomical mesh (knitted monofilament polyester with monofilament polylactic acid resorbable grips on one side and a resorbable film made of collagen from porcine origin and glycerol, on the other side)</Description>
            <Size>16 x 12 cm right anatomical, &#xD;
16 x 12 cm left anatomical</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Coated, Contoured</Suffix>
            <ARTGs>
                <ARTG>252653</ARTG>
            </ARTGs>
            <MinimumBenefit>407</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS235</BillingCode>
            <Name>Symbotex Composite Mesh</Name>
            <Description>Non-absorbable three-dimensional polyester composite mesh. On the opposite side, the absorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera.</Description>
            <Size>Round 15 cm, 12 cm, 9 cm&#xD;
Elliptical 17x10 cm&#xD;
Rectangular 15x10 cm</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Coated, Contoured</Suffix>
            <ARTGs>
                <ARTG>270735</ARTG>
            </ARTGs>
            <MinimumBenefit>407</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS241</BillingCode>
            <Name>Symbotex Skirted Composite Mesh</Name>
            <Description>Non-absorbable three-dimensional polyester skirted composite mesh. On the opposite side, the absorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera. A flap attached to the reinforcement helps place and fix the mesh.</Description>
            <Size>8 cm Round, 15x10 cm Rectangle</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Coated, Contoured</Suffix>
            <ARTGs>
                <ARTG>270736</ARTG>
            </ARTGs>
            <MinimumBenefit>407</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS242</BillingCode>
            <Name>Parietex Composite</Name>
            <Description>Dual sided polyester meshes with a resorbable adhesion-prevention hydrophilic film</Description>
            <Size>8 cm,  9 cm,  12 cm,  15 cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Coated, Contoured</Suffix>
            <ARTGs>
                <ARTG>214997</ARTG>
                <ARTG>214998</ARTG>
            </ARTGs>
            <MinimumBenefit>407</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA272</BillingCode>
            <Name>Bard Onflex and Modified Onflex</Name>
            <Description>Multi-layer, contoured polypropylene hernia repair system incorporating positioning pockets and an absorbable ring.</Description>
            <Size>≤200cm²</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Contoured</Suffix>
            <ARTGs>
                <ARTG>122873</ARTG>
            </ARTGs>
            <MinimumBenefit>271</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ585</BillingCode>
            <Name>Ultrapro Hernia System</Name>
            <Description>Ultrapro Hernia System. Mesh Made From Composite of Monocryl &amp; Prolene</Description>
            <Size>Small to Large Oval</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <Suffix>Contoured</Suffix>
            <ARTGs>
                <ARTG>132509</ARTG>
            </ARTGs>
            <MinimumBenefit>271</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-06-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ240</BillingCode>
            <Name>VYPRO II Mesh</Name>
            <Description>Composition - equal part Vicryl polyglactin yarn - non-absorbable Prolene polypropylene yarn.  Partly absorbable lightweight mesh for tension free-inguinal hernia techniques</Description>
            <Size>Small 6 x 11cm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <ARTGs>
                <ARTG>128896</ARTG>
            </ARTGs>
            <MinimumBenefit>86</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ241</BillingCode>
            <Name>VYPRO II Mesh</Name>
            <Description>Composition - equal part Vicryl polyglactin yarn - non-absorbable Prolene polypropylene yarn.  Partly absorbable lightweight mesh for tension free-inguinal hernia techniques</Description>
            <Size>Medium 12 x 10cm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <ARTGs>
                <ARTG>128896</ARTG>
            </ARTGs>
            <MinimumBenefit>86</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ242</BillingCode>
            <Name>VYPRO II Mesh</Name>
            <Description>Composition - equal part Vicryl polyglactin yarn - non-absorbable Prolene polypropylene yarn.  Partly absorbable lightweight mesh for tension free-inguinal hernia techniques</Description>
            <Size>Large 15 x 10cm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <ARTGs>
                <ARTG>128896</ARTG>
            </ARTGs>
            <MinimumBenefit>86</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ465</BillingCode>
            <Name>ULTRAPRO Mesh</Name>
            <Description>ULTRAPRO Mesh S3</Description>
            <Size>6 x 11cm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <ARTGs>
                <ARTG>120154</ARTG>
            </ARTGs>
            <MinimumBenefit>86</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ466</BillingCode>
            <Name>ULTRAPRO Mesh</Name>
            <Description>ULTRAPRO Mesh P3</Description>
            <Size>10 x 12cm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <ARTGs>
                <ARTG>120154</ARTG>
            </ARTGs>
            <MinimumBenefit>86</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ467</BillingCode>
            <Name>ULTRAPRO Mesh</Name>
            <Description>ULTRAPRO Mesh N3</Description>
            <Size>10 x 15cm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <ARTGs>
                <ARTG>120154</ARTG>
            </ARTGs>
            <MinimumBenefit>86</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ565</BillingCode>
            <Name>ULTRAPRO Mesh</Name>
            <Description>Composite Mesh</Description>
            <Size>7.6cm x 15cm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <ARTGs>
                <ARTG>120154</ARTG>
            </ARTGs>
            <MinimumBenefit>86</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN182</BillingCode>
            <Name>Ultrapro Advanced</Name>
            <Description>Macroporous, Partially Absorbable Mesh</Description>
            <Size>≤200cm²</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5438</SubGroupID>
            <ARTGs>
                <ARTG>120154</ARTG>
            </ARTGs>
            <MinimumBenefit>86</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AA019</BillingCode>
            <Name>4D VENTRAL COMPOSITE MESH</Name>
            <Description>4D VENTRAL COMPOSITE MESH</Description>
            <Size>15 X 15 CM</Size>
            <SupplierCode>AA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5439</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>354550</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>721</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS218</BillingCode>
            <Name>PROGRIP™ Laparoscopic Self-Fixating Composite Mesh</Name>
            <Description>Laparoscopic self-fixating composite mesh (knitted monofilament polyester with monofilament polylactic acid resorbable grips on one side and a resorbable film made of collagen from porcine origin and glycerol, on the other side)</Description>
            <Size>16 x 14 cm rectangular</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5439</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>252653</ARTG>
            </ARTGs>
            <MinimumBenefit>721</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS225</BillingCode>
            <Name>Parietex Progrip Composite Mesh</Name>
            <Description>Monofilament polyester with polylactic acid monofilament resorbable pins on one of the sides</Description>
            <Size>Rectangular 15x15cm, 20x15cm</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5439</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>157201</ARTG>
            </ARTGs>
            <MinimumBenefit>721</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS245</BillingCode>
            <Name>Parietex Composite</Name>
            <Description>Dual sided polyester meshes with a resorbable adhesion-prevention hydrophilic film</Description>
            <Size>20 cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5439</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>214997</ARTG>
                <ARTG>214998</ARTG>
            </ARTGs>
            <MinimumBenefit>721</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA238</BillingCode>
            <Name>Ventralight ST</Name>
            <Description>Bioresorbable Barrier/Permanent Mesh</Description>
            <Size>15.2 x 20.3cm oval, 15.2 x 25.4cm oval</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5439</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>219332</ARTG>
            </ARTGs>
            <MinimumBenefit>721</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA247</BillingCode>
            <Name>Ventrio ST</Name>
            <Description>Bioresorbable Barrier/Permanent Mesh</Description>
            <Size>13.8 x 17.8cm oval, 15.5 x 25.7cm oval</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5439</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>219324</ARTG>
            </ARTGs>
            <MinimumBenefit>721</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ450</BillingCode>
            <Name>PROCEED Surgical Mesh</Name>
            <Description>PROCEED Surgical Mesh M1</Description>
            <Size>6x6 inches</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5439</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>357230</ARTG>
            </ARTGs>
            <MinimumBenefit>721</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ451</BillingCode>
            <Name>PROCEED Surgical Mesh</Name>
            <Description>PROCEED Surgical Mesh G1</Description>
            <Size>6x8 inches oval</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5439</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>357230</ARTG>
            </ARTGs>
            <MinimumBenefit>721</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN193</BillingCode>
            <Name>PHYSIOMESH Open</Name>
            <Description>Flexible Composite Mesh</Description>
            <Size>201-400cm²</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5439</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>274361</ARTG>
            </ARTGs>
            <MinimumBenefit>721</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MS033</BillingCode>
            <Name>Titanized Mesh Implants (TiMESH, TiLENE, TiLENE Blue, TiLOOP Bra, TiLOOP Bra MPX)</Name>
            <Description>Prosthetic warp-knitted fabric made of monofil polypropylene threads with an encapsulating titanic coating</Description>
            <Size>Weight: 16 g/m² - 65 g/m² ; Surface Area: 201cm² - 400cm²</Size>
            <SupplierCode>MS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5439</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>97288</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Name, Product Sizes</ChangeExplanation>
            <MinimumBenefit>721</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA242</BillingCode>
            <Name>Ventralight ST with ECHO PS Positioning System</Name>
            <Description>Bioresorbable Barrier/Permanent Mesh</Description>
            <Size>201-400cm2</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5439</SubGroupID>
            <Suffix>Coated, Complex delivery System</Suffix>
            <ARTGs>
                <ARTG>219333</ARTG>
            </ARTGs>
            <MinimumBenefit>911</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA304</BillingCode>
            <Name>Ventralight™ ST Mesh with Echo 2™ Positioning System </Name>
            <Description>Ventralight™ ST Mesh is an abdominal hernia surgical mesh of composite-polymer, indicated for use in the reconstruction of soft tissue deficiencies, such as for the repair of hernias. The Echo 2™ Positioning System is intended to facilitate the delivery and positioning of the soft tissue prosthesis during laparoscopic hernia repair.</Description>
            <Size>11cm  10cm x 15cm  15cm  15cm x 20cm  15cm x 25cm</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5439</SubGroupID>
            <Suffix>Coated, Complex delivery System</Suffix>
            <ARTGs>
                <ARTG>365351</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>911</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS215</BillingCode>
            <Name>Symbotex Composite Mesh</Name>
            <Description>Non-absorbable three-dimensional polyester composite mesh. (On the opposite side, the absorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera)</Description>
            <Size>Elliptical 25x15 cm, &#xD;
Elliptical 20x12 cm&#xD;
Rectangular 20x15cm</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5439</SubGroupID>
            <Suffix>Coated, Contoured</Suffix>
            <ARTGs>
                <ARTG>270735</ARTG>
            </ARTGs>
            <MinimumBenefit>721</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS238</BillingCode>
            <Name>Symbotex Skirted Composite Mesh</Name>
            <Description>Non-absorbable three-dimensional polyester skirted, coated, contoured composite mesh. On the opposite side, the absorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera. A flap attached to the reinforcement helps place and fix the mesh.</Description>
            <Size>20 x15 cm Rectangle</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5439</SubGroupID>
            <Suffix>Coated, Contoured</Suffix>
            <ARTGs>
                <ARTG>270736</ARTG>
            </ARTGs>
            <MinimumBenefit>721</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS239</BillingCode>
            <Name>Symbotex Composite Mesh with pre placed suture</Name>
            <Description>Non-absorbable three-dimensional polyester composite mesh with pre placed sutures. (Non absorbable pre-placed sutures are tied to the mesh. A died marking is positioned on the center of the textile and helps center and orient the mesh.)</Description>
            <Size>Rectangular 20x15 cm&#xD;
Elliptical 25x15 cm, &#xD;
Elliptical 20x12 cm</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5439</SubGroupID>
            <Suffix>Coated, Contoured</Suffix>
            <ARTGs>
                <ARTG>270737</ARTG>
            </ARTGs>
            <MinimumBenefit>721</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ173</BillingCode>
            <Name>VICRYL Mesh</Name>
            <Description>Polyglactin 910 - synthetic absorbable mesh.</Description>
            <Size>15cm x 15cm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5439</SubGroupID>
            <ARTGs>
                <ARTG>143774</ARTG>
            </ARTGs>
            <MinimumBenefit>137</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ243</BillingCode>
            <Name>VYPRO II Mesh</Name>
            <Description>Composition - equal part Vicryl polyglactin yarn - non-absorbable Prolene polypropylene yarn.  Partly absorbable lightweight mesh for tension free-inguinal hernia techniques</Description>
            <Size>Extra large 15 x 15cm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5439</SubGroupID>
            <ARTGs>
                <ARTG>128896</ARTG>
            </ARTGs>
            <MinimumBenefit>137</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ468</BillingCode>
            <Name>ULTRAPRO Mesh</Name>
            <Description>ULTRAPRO Mesh M3</Description>
            <Size>15 x 15cm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5439</SubGroupID>
            <ARTGs>
                <ARTG>120154</ARTG>
            </ARTGs>
            <MinimumBenefit>137</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN183</BillingCode>
            <Name>Ultrapro Advanced</Name>
            <Description>Macroporous, Partially Absorbable Mesh</Description>
            <Size>201-400cm²</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5439</SubGroupID>
            <ARTGs>
                <ARTG>120154</ARTG>
            </ARTGs>
            <MinimumBenefit>137</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AA020</BillingCode>
            <Name>4D VENTRAL COMPOSITE MESH</Name>
            <Description>4D VENTRAL COMPOSITE MESH</Description>
            <Size>15 X 30 CM, 20 X 25 CM.</Size>
            <SupplierCode>AA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5440</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>354550</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>966</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS222</BillingCode>
            <Name>Parietex Progrip Composite Mesh</Name>
            <Description>Monofilament polyester with polylactic acid monofilament resorbable pins on one of the sides</Description>
            <Size>Rectangular 30x15cm</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5440</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>157201</ARTG>
            </ARTGs>
            <MinimumBenefit>966</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS244</BillingCode>
            <Name>Parietex Composite</Name>
            <Description>Dual sided polyester meshes with a resorbable adhesion-prevention hydrophilic film</Description>
            <Size>25 cm, 30 cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5440</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>214997</ARTG>
                <ARTG>214998</ARTG>
            </ARTGs>
            <MinimumBenefit>966</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA239</BillingCode>
            <Name>Ventralight ST</Name>
            <Description>Bioresorbable Barrier/Permanent Mesh</Description>
            <Size>17.8 x 22.9cm oval, 20.3 x 25.4cm oval</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5440</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>219332</ARTG>
            </ARTGs>
            <MinimumBenefit>966</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA248</BillingCode>
            <Name>Ventrio ST</Name>
            <Description>Bioresorbable Barrier/Permanent Mesh</Description>
            <Size>19.6 x 24.6cm oval, 22.1 x 27.1cm oval</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5440</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>219324</ARTG>
            </ARTGs>
            <MinimumBenefit>966</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ452</BillingCode>
            <Name>PROCEED Surgical Mesh</Name>
            <Description>PROCEED Surgical Mesh H1</Description>
            <Size>8x10 inches oval</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5440</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>357230</ARTG>
            </ARTGs>
            <MinimumBenefit>966</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ453</BillingCode>
            <Name>PROCEED Surgical Mesh</Name>
            <Description>PROCEED Surgical Mesh J1</Description>
            <Size>8x12 inches</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5440</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>357230</ARTG>
            </ARTGs>
            <MinimumBenefit>966</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN194</BillingCode>
            <Name>PHYSIOMESH Open</Name>
            <Description>Flexible Composite Mesh</Description>
            <Size>401-600cm²</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5440</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>274361</ARTG>
            </ARTGs>
            <MinimumBenefit>966</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MS035</BillingCode>
            <Name>Titanized Mesh Implants [TiMESH, TiLOOP Bra MPX]</Name>
            <Description>Prosthetic warp-knitted fabric made of monofil polypropylene threads with an encapsulating titanic coating</Description>
            <Size>Weight: 16 g/m² - 65 g/m² ; Surface Area: 401cm² - 600cm²</Size>
            <SupplierCode>MS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5440</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>97288</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Name, Product Sizes</ChangeExplanation>
            <MinimumBenefit>966</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS216</BillingCode>
            <Name>Symbotex Composite Mesh</Name>
            <Description>Non-absorbable three-dimensional polyester mesh provides long term reinforcement of soft tissues. (On the opposite side, the absorbable&#xD;
hydrophilic film minimizes tissue attachment to the mesh in case&#xD;
of direct contact with the viscera.)</Description>
            <Size>Rectangular 30x20 cm,  &#xD;
Rectangular 25x20 cm</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5440</SubGroupID>
            <Suffix>Coated, Contoured</Suffix>
            <ARTGs>
                <ARTG>270735</ARTG>
            </ARTGs>
            <MinimumBenefit>966</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS223</BillingCode>
            <Name>Symbotex Skirted Composite Mesh</Name>
            <Description>Non-absorbable three-dimensional polyester skirted composite mesh. On the opposite side, the absorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera. A flap attached to the reinforcement helps place and fix the mesh.</Description>
            <Size>30x20 cm Rectangle&#xD;
25x20 cm Rectangle</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5440</SubGroupID>
            <Suffix>Coated, Contoured</Suffix>
            <ARTGs>
                <ARTG>270736</ARTG>
            </ARTGs>
            <MinimumBenefit>966</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS233</BillingCode>
            <Name>Symbotex Composite Mesh with pre placed suture</Name>
            <Description>Non-absorbable three-dimensional polyester composite mesh with pre placed sutures. (Non absorbable pre-placed sutures are tied to the mesh. A died marking is positioned on the center of the textile and helps center and orient the mesh.)</Description>
            <Size>Rectangular 30x20 cm, Rectangular  25x20 cm</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5440</SubGroupID>
            <Suffix>Coated, Contoured</Suffix>
            <ARTGs>
                <ARTG>270737</ARTG>
            </ARTGs>
            <MinimumBenefit>966</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA243</BillingCode>
            <Name>Ventralight ST with ECHO PS Positioning System</Name>
            <Description>Bioresorbable Barrier/Permanent Mesh</Description>
            <Size>401-600cm2</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5440</SubGroupID>
            <Suffix>Coated, Integrated Delivery System</Suffix>
            <ARTGs>
                <ARTG>219333</ARTG>
            </ARTGs>
            <MinimumBenefit>1074</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA306</BillingCode>
            <Name>Ventralight™ ST Mesh with Echo 2™ Positioning System</Name>
            <Description>Ventralight™ ST Mesh is an abdominal hernia surgical mesh of composite-polymer, indicated for use in the reconstruction of soft tissue deficiencies, such as for the repair of hernias. The Echo 2™ Positioning System is intended to facilitate the delivery and positioning of the soft tissue prosthesis during laparoscopic hernia repair.</Description>
            <Size>18cm x 23cm  20cm  20cm x 25cm  </Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5440</SubGroupID>
            <Suffix>Coated, Integrated Delivery System</Suffix>
            <ARTGs>
                <ARTG>365351</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>1074</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ469</BillingCode>
            <Name>ULTRAPRO Mesh</Name>
            <Description>ULTRAPRO Mesh T1</Description>
            <Size>15x30cm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5440</SubGroupID>
            <ARTGs>
                <ARTG>120154</ARTG>
            </ARTGs>
            <MinimumBenefit>199</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN184</BillingCode>
            <Name>Ultrapro Advanced</Name>
            <Description>Macroporous, Partially Absorbable Mesh</Description>
            <Size>401-600cm²</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5440</SubGroupID>
            <ARTGs>
                <ARTG>120154</ARTG>
            </ARTGs>
            <MinimumBenefit>199</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AA021</BillingCode>
            <Name>4D VENTRAL COMPOSITE MESH </Name>
            <Description>4D VENTRAL COMPOSITE MESH</Description>
            <Size>30 X 30 </Size>
            <SupplierCode>AA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5503</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>354550</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>1013</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS230</BillingCode>
            <Name>Symbotex Composite Mesh</Name>
            <Description>Non-absorbable three-dimensional polyester composite mesh. (On the opposite side, the absorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera.)</Description>
            <Size>Elliptical 40x24cm, 34x20cm</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5503</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>270735</ARTG>
            </ARTGs>
            <MinimumBenefit>1013</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS237</BillingCode>
            <Name>Symbotex Composite Mesh with pre placed suture</Name>
            <Description>Non-absorbable three-dimensional polyester composite mesh with pre placed sutures. (Non absorbable pre-placed sutures are tied to the mesh. A died marking is positioned on the center of the textile and helps center and orient the mesh.)</Description>
            <Size>Elliptical 40x24cm, Elliptical 34x20 cm</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5503</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>270737</ARTG>
            </ARTGs>
            <MinimumBenefit>1013</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA240</BillingCode>
            <Name>Ventralight ST</Name>
            <Description>Bioresorbable Barrier/Permanent Mesh</Description>
            <Size>22.4 x 33.0cm oval</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5503</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>219332</ARTG>
            </ARTGs>
            <MinimumBenefit>1013</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA249</BillingCode>
            <Name>Ventrio ST</Name>
            <Description>Bioresorbable Barrier/Permanent Mesh</Description>
            <Size>27.4 x 34.9cm oval</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5503</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>219324</ARTG>
            </ARTGs>
            <MinimumBenefit>1013</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ454</BillingCode>
            <Name>PROCEED Surgical Mesh</Name>
            <Description>PROCEED Surgical Mesh T1</Description>
            <Size>10x13 inches oval</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5503</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>357230</ARTG>
            </ARTGs>
            <MinimumBenefit>1013</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ455</BillingCode>
            <Name>PROCEED Surgical Mesh</Name>
            <Description>PROCEED Surgical Mesh W1</Description>
            <Size>10x14 inches</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5503</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>357230</ARTG>
            </ARTGs>
            <MinimumBenefit>1013</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ456</BillingCode>
            <Name>PROCEED Surgical Mesh</Name>
            <Description>PROCEED Surgical Mesh L1</Description>
            <Size>12x12 inches</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5503</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>357230</ARTG>
            </ARTGs>
            <MinimumBenefit>1013</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN195</BillingCode>
            <Name>PHYSIOMESH Open</Name>
            <Description>Flexible Composite Mesh&#xD;
</Description>
            <Size>601cm²-1000cm²</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5503</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>274361</ARTG>
            </ARTGs>
            <MinimumBenefit>1013</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MS038</BillingCode>
            <Name>Titanized Mesh Implants [TiLENE, TiMESH, TiLOOP Bra Pocket)</Name>
            <Description>Prosthetic warp-knitted fabric made of monofil polypropylene threads with an encapsulating titanic coating</Description>
            <Size>Weight: 16 g/m² - 65 g/m²; Surface Area: 601cm² - 1000cm²</Size>
            <SupplierCode>MS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5503</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>97288</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Name, Product Sizes</ChangeExplanation>
            <MinimumBenefit>1013</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2007-06-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA244</BillingCode>
            <Name>Ventralight ST with ECHO PS Positioning System</Name>
            <Description>Bioresorbable Barrier/Permanent Mesh</Description>
            <Size>25.4 x 33.0cm oval</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5503</SubGroupID>
            <Suffix>Coated, Integrated Delivery System</Suffix>
            <ARTGs>
                <ARTG>219333</ARTG>
            </ARTGs>
            <MinimumBenefit>1121</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA307</BillingCode>
            <Name>Ventralight™ ST Mesh with Echo 2™ Positioning System </Name>
            <Description>Ventralight™ ST Mesh is an abdominal hernia surgical mesh of composite-polymer, indicated for use in the reconstruction of soft tissue deficiencies, such as for the repair of hernias. The Echo 2™ Positioning System is intended to facilitate the delivery and positioning of the soft tissue prosthesis during laparoscopic hernia repair.</Description>
            <Size>25cm x 33cm</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5503</SubGroupID>
            <Suffix>Coated, Integrated Delivery System</Suffix>
            <ARTGs>
                <ARTG>365351</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>1121</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ020</BillingCode>
            <Name>Vicryl Mesh</Name>
            <Description>1 sheet/box</Description>
            <Size>Large - 30cm x 30cm</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5503</SubGroupID>
            <ARTGs>
                <ARTG>143774</ARTG>
            </ARTGs>
            <MinimumBenefit>271</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ470</BillingCode>
            <Name>ULTRAPRO Mesh</Name>
            <Description>ULTRAPRO Mesh L1</Description>
            <Size>30x30cm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5503</SubGroupID>
            <ARTGs>
                <ARTG>120154</ARTG>
            </ARTGs>
            <MinimumBenefit>271</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN185</BillingCode>
            <Name>Ultrapro Advanced</Name>
            <Description>Macroporous, Partially Absorbable Mesh</Description>
            <Size>601cm-1000cm²</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5503</SubGroupID>
            <ARTGs>
                <ARTG>120154</ARTG>
            </ARTGs>
            <MinimumBenefit>271</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AA022</BillingCode>
            <Name>4D VENTRAL COMPOSITE MESH</Name>
            <Description>4D VENTRAL COMPOSITE MESH</Description>
            <Size>30 X 50 CM</Size>
            <SupplierCode>AA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5505</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>354550</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>2888</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS147</BillingCode>
            <Name>Parietex Composite 3728FX</Name>
            <Description>Dual sided polyester meshes with a resorbable adhesion-prevention hydrophilic film</Description>
            <Size>37x28cm oval</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5505</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>214997</ARTG>
            </ARTGs>
            <MinimumBenefit>2888</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS226</BillingCode>
            <Name>Symbotex Composite Mesh with pre placed suture</Name>
            <Description>Non-absorbable three-dimensional polyester composite mesh with pre placed sutures. (Non absorbable pre-placed sutures are tied to the mesh. A died marking is positioned on the center of the textile and helps center and orient the mesh.)</Description>
            <Size>Rectangular 42x32 cm, Rectangular 37x28 cm</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5505</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>270737</ARTG>
            </ARTGs>
            <MinimumBenefit>2888</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS231</BillingCode>
            <Name>Symbotex Composite Mesh</Name>
            <Description>Non-absorbable three-dimensional polyester composite mesh. On the opposite side, the absorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera.</Description>
            <Size>Rectangular 42x32cm,&#xD;
Rectangular 37x28cm</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5505</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>270735</ARTG>
            </ARTGs>
            <MinimumBenefit>2888</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA241</BillingCode>
            <Name>Ventralight ST</Name>
            <Description>Bioresorbable Barrier/Permanent Mesh</Description>
            <Size>30.5 x 35.6cm oval</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5505</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>219332</ARTG>
            </ARTGs>
            <MinimumBenefit>2888</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA245</BillingCode>
            <Name>Ventralight ST with ECHO PS positioning System</Name>
            <Description>Bioresorbable Barrier/Permanent Mesh</Description>
            <Size>30.5 x 35.6cm oval</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5505</SubGroupID>
            <Suffix>Coated, Integrated Delivery System</Suffix>
            <ARTGs>
                <ARTG>219333</ARTG>
            </ARTGs>
            <MinimumBenefit>2996</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA305</BillingCode>
            <Name>Ventralight™ ST Mesh with Echo 2™ Positioning System </Name>
            <Description>Ventralight™ ST Mesh is an abdominal hernia surgical mesh of composite-polymer, indicated for use in the reconstruction of soft tissue deficiencies, such as for the repair of hernias. The Echo 2™ Positioning System is intended to facilitate the delivery and positioning of the soft tissue prosthesis during laparoscopic hernia repair</Description>
            <Size>30cm x 35cm</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1783</GroupID>
            <SubGroupID>5505</SubGroupID>
            <Suffix>Coated, Integrated Delivery System</Suffix>
            <ARTGs>
                <ARTG>365351</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>2996</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS182</BillingCode>
            <Name>Permacol  Biological Implant</Name>
            <Description>Flat sheet of acellular porcine three-dimensional, crosslinked, dermal collagen.</Description>
            <Size>3 x 3cm, 5 x 5cm, 2 x 20cm, 5 x 10cm, 4 x 18cm, 10 x 10cm, 10 x 15cm, 6 x 3cm, 10 x 15cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5491</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>269662</ARTG>
            </ARTGs>
            <MinimumBenefit>710</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA281</BillingCode>
            <Name>Phasix ST</Name>
            <Description>Fully resorbable mesh with a resorbable hydrogel coating (adhesion barrier)</Description>
            <Size>PHASIX ST 7.6CM ROUND   PHASIX ST 7CMX10CM   PHASIX ST 11CM ROUND   PHASIX ST 10CMX10CM   PHASIX ST 10X15CM   PHASIX ST 15CM ROUND   PHASIX ST 10CMX20CM</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5491</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>318512</ARTG>
            </ARTGs>
            <MinimumBenefit>710</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX332</BillingCode>
            <Name>Veritas Collagen Matrix - Small</Name>
            <Description>Bovine pericardium biologic mesh for the repair of soft tissue for size &amp;lt; 200cm²</Description>
            <Size>RM0816ANZ 8cm x 16cm; RM0818ANZ 8cm x 18cm; RM1016ANZ 10cm x 16cm; </Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5491</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>219240</ARTG>
            </ARTGs>
            <MinimumBenefit>710</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET090</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WC177</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Biodesign Tissue Graft</Name>
            <Description>Surgical Mesh composed of Sub-Intestinal Submucosa (SIS)</Description>
            <Size>Length - 10cm, Width - 7cm; Length - 7cm, Width - 4cm; Length - 3cm, Width - 2cm.</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5491</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>153047</ARTG>
            </ARTGs>
            <MinimumBenefit>710</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET091</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WC242</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Biodesign Surgisis Hernia Graft</Name>
            <Description>Biodesign Hernia Graft is 8-layer perforated and quilted porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft</Description>
            <Size>13cm x 15cm, 10cm x 10cm</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5491</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>153052</ARTG>
            </ARTGs>
            <MinimumBenefit>710</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET098</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WC255</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Surgisis Biodesign 4-layer Tissue Graft</Name>
            <Description>Surgisis Soft Tissue Graft</Description>
            <Size>Length 20cm, Width 7cm</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5491</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>153047</ARTG>
            </ARTGs>
            <MinimumBenefit>710</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET099</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WC284</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Surgisis Biodesign Hiatal Hernia Graft</Name>
            <Description>Surgisis Biodesign Hiatal Hernia Graft is an extracellular collagen matrix, non cross-linked sterile graft material, that provides support for damaged tissues and assists in host tissue regeneration and remodelling of the diaphragmatic wall following surgical repair for paraoesophageal and hiatal hernia.</Description>
            <Size>7 x 10cm rectangular and U-shaped</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5491</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>153051</ARTG>
            </ARTGs>
            <MinimumBenefit>710</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET100</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WA010</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Biodesign Rectopexy Graft</Name>
            <Description>The Biodesign Rectopexy Graft is a dried multi-layered small intestinal submucosa (SIS) sheet. The graft is used to reinforce soft tissue for the repair of rectal prolapse and rectal intussusception.</Description>
            <Size>7cm x 20cm</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5491</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>317940</ARTG>
            </ARTGs>
            <MinimumBenefit>710</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA275</BillingCode>
            <Name>Phasix</Name>
            <Description>Fully resorbable synthetic mesh</Description>
            <Size>Phasix™ Mesh – 3 in. Diameter Circle (7.6 cm.)  Phasix™ Mesh – 4.5 in. Diameter Circle (11 cm.)  Phasix™ Mesh – 2.4 x 6.3 in. Rectangle (6 x 16 cm)  Phasix™ Mesh – 3 x 3 in. Square (8 x 8 cm.)  Phasix™ Mesh – 3 x 6.3 in. Rectangle (8 x 16 cm.)  Phasix™ Mesh – 4 x 4 in. Square (10 x 10 cm.)  Phasix™ Mesh – 4 x 6 in. Rectangle (10.2 x 15.2 cm.)  Phasix™ Mesh – 3 x 8 in. Rectangle (8 x 20 cm.)  Phasix™ Mesh – 4 x 8 in. Rectangle (10 x 20 cm.)</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5491</SubGroupID>
            <Suffix>Contoured</Suffix>
            <ARTGs>
                <ARTG>318473</ARTG>
            </ARTGs>
            <MinimumBenefit>722</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER410</BillingCode>
            <Name>TIGR Matrix Surgical Mesh-Small</Name>
            <Description>TIGR Matrix Surgical Mesh-Small, biosynthetic</Description>
            <Size>10x15 cm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5491</SubGroupID>
            <Suffix>Contoured</Suffix>
            <ARTGs>
                <ARTG>202446</ARTG>
            </ARTGs>
            <MinimumBenefit>722</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GT256</BillingCode>
            <Name>BIO-A Tissue Reinforcement</Name>
            <Description>BIO-A Tissue Reinforcement</Description>
            <Size>8cm x 8cm</Size>
            <SupplierCode>GT</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5491</SubGroupID>
            <Suffix>Contoured</Suffix>
            <ARTGs>
                <ARTG>175834</ARTG>
            </ARTGs>
            <MinimumBenefit>722</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GT257</BillingCode>
            <Name>BIO-A Tissue Reinforcement</Name>
            <Description>BIO-A Tissue Reinforcement</Description>
            <Size>9cm x 15cm</Size>
            <SupplierCode>GT</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5491</SubGroupID>
            <Suffix>Contoured</Suffix>
            <ARTGs>
                <ARTG>175834</ARTG>
            </ARTGs>
            <MinimumBenefit>722</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GT258</BillingCode>
            <Name>BIO-A Tissue Reinforcement</Name>
            <Description>BIO-A Tissue Reinforcement - Configured for Hiatal Hernia</Description>
            <Size>7cm x 10cm</Size>
            <SupplierCode>GT</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5491</SubGroupID>
            <Suffix>Contoured</Suffix>
            <ARTGs>
                <ARTG>175834</ARTG>
            </ARTGs>
            <MinimumBenefit>722</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS183</BillingCode>
            <Name>Permacol  Biological Implant</Name>
            <Description>Flat sheet of acellular porcine three-dimensional, crosslinked, dermal collagen.</Description>
            <Size>15 x 20cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5492</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>269662</ARTG>
            </ARTGs>
            <MinimumBenefit>1341</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX333</BillingCode>
            <Name>Veritas Collagen Matrix- Large</Name>
            <Description>Bovine pericardium biologic mesh repair of soft tissue    &gt; 200cm²  </Description>
            <Size>12cm x 25cm</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5492</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>219240</ARTG>
            </ARTGs>
            <MinimumBenefit>1341</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET094</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WC247</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Biodesign Surgisis 8-Layer Tissue Graft</Name>
            <Description>Biodesign Surgisis 8-layer Tissue Graft is 8 layers of compressed and perforated porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft</Description>
            <Size>13cm x 22cm</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5492</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>153048</ARTG>
            </ARTGs>
            <MinimumBenefit>1341</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET095</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WC249</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Biodesign Surgisis Hernia Graft</Name>
            <Description>Biodesign Hernia Graft is 8-layer perforated and quilted porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft</Description>
            <Size>13cm x 22cm</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5492</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>153052</ARTG>
            </ARTGs>
            <MinimumBenefit>1341</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET096</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WC250</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Biodesign Surgisis Hernia Graft</Name>
            <Description>Biodesign Hernia Graft is 8-layer perforated and quilted porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft</Description>
            <Size>20cm x 20cm</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5492</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>153052</ARTG>
            </ARTGs>
            <MinimumBenefit>1341</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA286</BillingCode>
            <Name>Phasix ST</Name>
            <Description>Fully resorbable, synthetically derived biologic hernia mesh with added barrier to assist adhesion prevention</Description>
            <Size>13 cm x 25 cm  15 cm x 20 cm</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5492</SubGroupID>
            <Suffix>Contoured</Suffix>
            <ARTGs>
                <ARTG>318512</ARTG>
            </ARTGs>
            <MinimumBenefit>1399</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA288</BillingCode>
            <Name>Phasix Mesh</Name>
            <Description>Synthetic Bioresorbable Mesh</Description>
            <Size>15.2 cm x 20.3 cm rectangle  10 cm x 25 cm rectangle  15 cm x 25 cm rectangle</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5492</SubGroupID>
            <Suffix>Contoured</Suffix>
            <ARTGs>
                <ARTG>318473</ARTG>
            </ARTGs>
            <MinimumBenefit>1399</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER411</BillingCode>
            <Name>TIGR Matrix Surgical Mesh-Medium</Name>
            <Description>TIGR Matrix Surgical Mesh-Medium, biosynthetic</Description>
            <Size>15x20 cm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5492</SubGroupID>
            <Suffix>Contoured</Suffix>
            <ARTGs>
                <ARTG>202446</ARTG>
            </ARTGs>
            <MinimumBenefit>1399</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GT267</BillingCode>
            <Name>Bio A Tissue Reinforcement</Name>
            <Description>Bio A Tissue Reinforcement</Description>
            <Size>10cm x 30cm</Size>
            <SupplierCode>GT</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5492</SubGroupID>
            <Suffix>Contoured</Suffix>
            <ARTGs>
                <ARTG>175834</ARTG>
            </ARTGs>
            <MinimumBenefit>1399</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS184</BillingCode>
            <Name>Permacol  Biological Implant</Name>
            <Description>Flat sheet of acellular porcine three-dimensional, crosslinked, dermal collagen.</Description>
            <Size>18 x 28cm and 20 x 30cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5493</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>269662</ARTG>
            </ARTGs>
            <MinimumBenefit>3114</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA278</BillingCode>
            <Name>Phasix ST</Name>
            <Description>Fully resorbable mesh with a resorbable hydrogel coating (adhesion barrier)</Description>
            <Size>PHASIX ST 20X25CM</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5493</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>318512</ARTG>
            </ARTGs>
            <MinimumBenefit>3114</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET097</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WC251</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Biodesign Surgisis  Hernia Graft</Name>
            <Description>Biodesign Hernia Graft is 8-layer perforated and quilted porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft</Description>
            <Size>20cm x 30cm</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5493</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>153052</ARTG>
            </ARTGs>
            <MinimumBenefit>3114</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA276</BillingCode>
            <Name>Phasix</Name>
            <Description>Fully resorbable synthetic mesh</Description>
            <Size>Phasix™ Mesh – 6 x 12 in. Rectangle (15 x 30 cm.)  Phasix™ Mesh – 8 x 10 in. Rectangle (20.3 x 25.4 cm.)  Phasix™ Mesh – 8 x 12 in. Rectangle (20 x 30 cm.)</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5493</SubGroupID>
            <Suffix>Contoured</Suffix>
            <ARTGs>
                <ARTG>318473</ARTG>
            </ARTGs>
            <MinimumBenefit>3204</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER412</BillingCode>
            <Name>TIGR Matrix Surgical Mesh-Large</Name>
            <Description>TIGR Matrix Surgical Mesh-Large, biosynthetic</Description>
            <Size>20x30 cm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5493</SubGroupID>
            <Suffix>Contoured</Suffix>
            <ARTGs>
                <ARTG>202446</ARTG>
            </ARTGs>
            <MinimumBenefit>3204</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GT268</BillingCode>
            <Name>Bio A Tissue Reinforcement</Name>
            <Description>Bio A Tissue Reinforcement</Description>
            <Size>20cm x 30cm</Size>
            <SupplierCode>GT</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5493</SubGroupID>
            <Suffix>Contoured</Suffix>
            <ARTGs>
                <ARTG>175834</ARTG>
            </ARTGs>
            <MinimumBenefit>3204</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS187</BillingCode>
            <Name>Permacol  Biological Implant</Name>
            <Description>Flat sheet of acellular porcine three-dimensional, crosslinked, dermal collagen.</Description>
            <Size>20 x 40cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5494</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>269662</ARTG>
            </ARTGs>
            <MinimumBenefit>4061</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA279</BillingCode>
            <Name>Phasix ST</Name>
            <Description>Fully resorbable mesh with a resorbable hydrogel coating (adhesion barrier)</Description>
            <Size>PHASIX ST 25X30CM</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5494</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>318512</ARTG>
            </ARTGs>
            <MinimumBenefit>4061</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA287</BillingCode>
            <Name>Phasix Mesh</Name>
            <Description>Synthesised biologic, resorbable Hernia mesh</Description>
            <Size>25.4 cm x 30.5 cm rectangle</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5494</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>318473</ARTG>
            </ARTGs>
            <MinimumBenefit>4061</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS188</BillingCode>
            <Name>Permacol  Biological Implant</Name>
            <Description>Flat sheet of acellular porcine three-dimensional, crosslinked, dermal collagen.</Description>
            <Size>20 x 50cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5495</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>269662</ARTG>
            </ARTGs>
            <MinimumBenefit>4964</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA277</BillingCode>
            <Name>Phasix</Name>
            <Description>Fully resorbable synthetic mesh</Description>
            <Size>Phasix™ Mesh – 12 x 12 in. Square (30 x 30 cm.)  Phasix™ Mesh – 10 x 16 in. Rectangle (10 x 16 cm.)  Phasix™ Mesh – 14 x 14 in. Square (35 x 35 cm.)  Phasix™ Mesh – 12 x 18 in. Rectangle (30 x 45 cm.)  Phasix™ Mesh – 16 x 16 in. Square (40 x 40 cm.)  Phasix™ Mesh – 18 x 18 in. Square (45 x 45 cm.)  Phasix™ Mesh – 19.5 x 19.5 in. Square (50 x 50 cm.)</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5495</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>318473</ARTG>
            </ARTGs>
            <MinimumBenefit>4964</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA280</BillingCode>
            <Name>Phasix ST</Name>
            <Description>Fully resorbable mesh with a resorbable hydrogel coating (adhesion barrier)</Description>
            <Size>PHASIX ST 30X35CM</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1798</GroupID>
            <SubGroupID>5495</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>318512</ARTG>
            </ARTGs>
            <MinimumBenefit>4964</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GT201</BillingCode>
            <Name>Dualmesh Plus Biomaterial</Name>
            <Description>ePTFE</Description>
            <Size>8cm x 12cm x 1mm</Size>
            <SupplierCode>GT</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1785</GroupID>
            <SubGroupID>5446</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>233234</ARTG>
            </ARTGs>
            <MinimumBenefit>352</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GT202</BillingCode>
            <Name>Dualmesh Plus Biomaterial</Name>
            <Description>ePTFE, oval</Description>
            <Size>10cm x 15cm x 1mm</Size>
            <SupplierCode>GT</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1785</GroupID>
            <SubGroupID>5446</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>233234</ARTG>
            </ARTGs>
            <MinimumBenefit>352</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GT206</BillingCode>
            <Name>Dualmesh Plus Biomaterial</Name>
            <Description>ePTFE, oval</Description>
            <Size>10cm x 15cm x 2mm</Size>
            <SupplierCode>GT</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1785</GroupID>
            <SubGroupID>5446</SubGroupID>
            <Suffix>Coated, 2mm thickness</Suffix>
            <ARTGs>
                <ARTG>233234</ARTG>
            </ARTGs>
            <MinimumBenefit>921</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GT104</BillingCode>
            <Name>Gore-Tex DualMesh PLUS  </Name>
            <Description>ePTFE</Description>
            <Size>1mm Thickness 7.5 x 10cm</Size>
            <SupplierCode>GT</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1785</GroupID>
            <SubGroupID>5446</SubGroupID>
            <ARTGs>
                <ARTG>233234</ARTG>
            </ARTGs>
            <MinimumBenefit>316</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GT207</BillingCode>
            <Name>Dualmesh Plus Biomaterial</Name>
            <Description>ePTFE, oval</Description>
            <Size>15cm x 19cm x 2mm</Size>
            <SupplierCode>GT</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1785</GroupID>
            <SubGroupID>5447</SubGroupID>
            <Suffix>Coated, 2mm thickness</Suffix>
            <ARTGs>
                <ARTG>233234</ARTG>
            </ARTGs>
            <MinimumBenefit>1832</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GT107</BillingCode>
            <Name>Gore-Tex DualMesh PLUS  </Name>
            <Description>ePTFE</Description>
            <Size>15.0 x 19.0cm x 1mm Oval</Size>
            <SupplierCode>GT</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1785</GroupID>
            <SubGroupID>5447</SubGroupID>
            <ARTGs>
                <ARTG>233234</ARTG>
            </ARTGs>
            <MinimumBenefit>939</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GT203</BillingCode>
            <Name>Dualmesh Plus Biomaterial</Name>
            <Description>ePTFE</Description>
            <Size>18cm x 24cm x 1mm</Size>
            <SupplierCode>GT</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1785</GroupID>
            <SubGroupID>5448</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>233234</ARTG>
            </ARTGs>
            <MinimumBenefit>1645</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GT208</BillingCode>
            <Name>Dualmesh Plus Biomaterial</Name>
            <Description>ePTFE,</Description>
            <Size>18cm x 24cm x 2mm</Size>
            <SupplierCode>GT</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1785</GroupID>
            <SubGroupID>5448</SubGroupID>
            <Suffix>Coated, 2mm thickness</Suffix>
            <ARTGs>
                <ARTG>233234</ARTG>
            </ARTGs>
            <MinimumBenefit>2664</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GT205</BillingCode>
            <Name>Dualmesh Plus Biomaterial</Name>
            <Description>ePTFE, oval</Description>
            <Size>26cm x 34cm x 1mm</Size>
            <SupplierCode>GT</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1785</GroupID>
            <SubGroupID>5449</SubGroupID>
            <Suffix>Coated</Suffix>
            <ARTGs>
                <ARTG>233234</ARTG>
            </ARTGs>
            <MinimumBenefit>3044</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GT210</BillingCode>
            <Name>Dualmesh Plus Biomaterial</Name>
            <Description>ePTFE, oval</Description>
            <Size>26cm x 34cm x 2mm</Size>
            <SupplierCode>GT</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1785</GroupID>
            <SubGroupID>5449</SubGroupID>
            <Suffix>Coated, 2mm thickness</Suffix>
            <ARTGs>
                <ARTG>233234</ARTG>
            </ARTGs>
            <MinimumBenefit>4685</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET092</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WC243</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Surgisis Biodesign Anal Fistula Plug</Name>
            <Description>Surgisis Biodesign Anal Fistula Plug is a small intestine submucosal porcine derived, rolled and shaped collagen matrix, non cross-linked, that signals the body and provides support for native tissue remodeling, healing and closure of anal fistulas</Description>
            <Size>0.6cm Width Tapering to 0.2cm Width x 9.5cm Length. Conical Shape</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1691</GroupID>
            <SubGroupID>4519</SubGroupID>
            <ARTGs>
                <ARTG>153045</ARTG>
            </ARTGs>
            <MinimumBenefit>903</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET093</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WC245</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Surgisis Biodesign Recto-Vaginal Fistula Plug</Name>
            <Description>Small intestine submucous porcine collagen matrix, non-crosslinked, supports native tissue remodelling, healing and closure of recto-vaginal fistulas. Conical shape with attached button.</Description>
            <Size>2mm width x 5.5cm length; 4mm wide tapering to 2mm wide x 5.5cm length; 7mm wide tapering to 2mm wide x 5.5 length.</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1691</GroupID>
            <SubGroupID>4519</SubGroupID>
            <ARTGs>
                <ARTG>153046</ARTG>
                <ARTG>230911</ARTG>
            </ARTGs>
            <MinimumBenefit>903</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS130</BillingCode>
            <Name>Parietex-Multifilament Polyester Mesh</Name>
            <Description>Parietex-Multifilament Polyester Mesh Plug</Description>
            <Size>6 cm, 8 cm</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1691</GroupID>
            <ARTGs>
                <ARTG>125428</ARTG>
            </ARTGs>
            <MinimumBenefit>238</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA061</BillingCode>
            <Name>Bard Mesh </Name>
            <Description>PerFix Plug</Description>
            <Size>Small, Medium, Large</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1691</GroupID>
            <ARTGs>
                <ARTG>24168</ARTG>
            </ARTGs>
            <MinimumBenefit>238</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ602</BillingCode>
            <Name>ULTRAPRO Plug</Name>
            <Description>Partially Absorbable Synthetic Surgical Mesh Device</Description>
            <Size>Small- Onlay patch plug: 12cm x 7.5cm, 5cm rim diameter, 3cm anchor diameter; Medium- Onlay patch plug: 12cm x 7.5cm, 5cm rim diameter, 4cm anchor diameter; Large- Onlay patch plug: 12cm x 7.5cm, 5cm rim diameter, 5cm anchor diameter</Size>
            <SupplierCode>JJ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1691</GroupID>
            <ARTGs>
                <ARTG>142608</ARTG>
            </ARTGs>
            <MinimumBenefit>238</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MS043</BillingCode>
            <Name>TiPLUG/TiPATCH System</Name>
            <Description>Titanized polypropylene composite. Prosthetic warp-knitted fabric made of monofilament polypropylene threads with an encapsulating titanic coating.</Description>
            <Size>TiPLUG</Size>
            <SupplierCode>MS</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1691</GroupID>
            <ARTGs>
                <ARTG>97288</ARTG>
            </ARTGs>
            <MinimumBenefit>238</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-06-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER197</BillingCode>
            <Name>Anastoclips</Name>
            <Description>Vessel Closure System (VCS) (8 and 15 cm shaft)</Description>
            <Size>Small, Medium, Large, Extra Large</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1771</GroupID>
            <ARTGs>
                <ARTG>120976</ARTG>
            </ARTGs>
            <MinimumBenefit>407</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER283</BillingCode>
            <Name>AnastoClip GC</Name>
            <Description>AnastoClip GC</Description>
            <Size>Medium&#xD;
Large&#xD;
Extra Large&#xD;
Medium, with long applier&#xD;
Large, with long applier&#xD;
Extra Large, with long applier</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1771</GroupID>
            <ARTGs>
                <ARTG>278601</ARTG>
            </ARTGs>
            <MinimumBenefit>407</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM492</BillingCode>
            <Name>DermaClose</Name>
            <Description>DERMACLOSE continuous external tissue expander</Description>
            <Size>Multiple lengths to suit size of wound</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1799</GroupID>
            <SubGroupID>5499</SubGroupID>
            <ARTGs>
                <ARTG>341527</ARTG>
            </ARTGs>
            <MinimumBenefit>6318</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MZ010</BillingCode>
            <Name>ABRA Abdominal Wall Closure Set</Name>
            <Description>Abdominal Wall Closure System, for primary closure of large full thickness retrated adbominal wounds.</Description>
            <Size>For wounds up to 30cm long up 30cm across.</Size>
            <SupplierCode>MZ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1799</GroupID>
            <SubGroupID>5499</SubGroupID>
            <ARTGs>
                <ARTG>181416</ARTG>
            </ARTGs>
            <MinimumBenefit>6318</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MZ011</BillingCode>
            <Name>ABRA Abdominal Wall Closure Set (Extension Kit Only)</Name>
            <Description>Extention Kit for use with ABRA Abdominal Wall Closure Set CWK08. Used when width or length of open abdomen exceeds 30cm. ABRA is for the primary closure of large full thickness retracted abdominal wounds</Description>
            <Size>Extention Kit, used when wounds to be closed are larger than 30cm long and/or 30cm across.</Size>
            <SupplierCode>MZ</SupplierCode>
            <CategoryID>21</CategoryID>
            <SubCategoryID>194</SubCategoryID>
            <GroupID>1799</GroupID>
            <SubGroupID>5500</SubGroupID>
            <ARTGs>
                <ARTG>181416</ARTG>
            </ARTGs>
            <MinimumBenefit>1805</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB290</BillingCode>
            <Name>T-Bar Yasargil Aneurysm Clip</Name>
            <Description>T-Bar Yarsargil Aneurysm Clip, Titanium, Permanent Standard Fenestrated</Description>
            <Size>5mm-9mm, 45 Deg</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>218</SubCategoryID>
            <GroupID>1655</GroupID>
            <Suffix>Complex</Suffix>
            <ARTGs>
                <ARTG>123979</ARTG>
            </ARTGs>
            <MinimumBenefit>341</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-06-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB291</BillingCode>
            <Name>T-Bar Yasargil Aneurysm Clip</Name>
            <Description>T-Bar Yarsargil Aneurysm Clip, Titanium, Permanent Standard Fenestrated</Description>
            <Size>5mm-13mm, 90 Deg</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>218</SubCategoryID>
            <GroupID>1655</GroupID>
            <Suffix>Complex</Suffix>
            <ARTGs>
                <ARTG>123979</ARTG>
            </ARTGs>
            <MinimumBenefit>341</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-06-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB292</BillingCode>
            <Name>T-Bar Yasargil Aneurysm Clip</Name>
            <Description>T-Bar Yarsargil Aneurysm Clip, Pyhnox Cobalt Alloy, Permanent Standard Fenestrated</Description>
            <Size>5mm-9mm, 45 Deg</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>218</SubCategoryID>
            <GroupID>1655</GroupID>
            <Suffix>Complex</Suffix>
            <ARTGs>
                <ARTG>123979</ARTG>
            </ARTGs>
            <MinimumBenefit>341</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-06-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB293</BillingCode>
            <Name>T-Bar Yasargil Aneurysm Clip</Name>
            <Description>T-Bar Yarsargil Aneurysm Clip, Pyhnox Cobalt Alloy, Permanent Standard Fenestrated</Description>
            <Size>5mm-13mm, 90 Deg</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>218</SubCategoryID>
            <GroupID>1655</GroupID>
            <Suffix>Complex</Suffix>
            <ARTGs>
                <ARTG>123979</ARTG>
            </ARTGs>
            <MinimumBenefit>341</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-06-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH294</BillingCode>
            <Name>Aneurism Clip - T2</Name>
            <Description>Sugita Clips, Titanium 2, Fenestrated and Crankshaft.</Description>
            <Size>One size each</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>218</SubCategoryID>
            <GroupID>1655</GroupID>
            <Suffix>Complex</Suffix>
            <ARTGs>
                <ARTG>100120</ARTG>
            </ARTGs>
            <MinimumBenefit>341</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB108</BillingCode>
            <Name>Aneurysm Clip</Name>
            <Description>Aneurysm clip</Description>
            <Size>All sizes</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>218</SubCategoryID>
            <GroupID>1655</GroupID>
            <ARTGs>
                <ARTG>138333</ARTG>
            </ARTGs>
            <MinimumBenefit>233</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH119</BillingCode>
            <Name>Aneurism Clip - T2</Name>
            <Description>Sugita Clips, Titanium2. Slim, mini, curved and L-shape.</Description>
            <Size>One Size Each</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>218</SubCategoryID>
            <GroupID>1655</GroupID>
            <ARTGs>
                <ARTG>100108</ARTG>
            </ARTGs>
            <MinimumBenefit>233</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH147</BillingCode>
            <Name>Aneurism Clip - T2</Name>
            <Description>Sugita Clips, Titanium 2. L-shape, bayoneted, slightly curved, curved.</Description>
            <Size>One Size Each</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>218</SubCategoryID>
            <GroupID>1655</GroupID>
            <ARTGs>
                <ARTG>100108</ARTG>
            </ARTGs>
            <MinimumBenefit>233</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH148</BillingCode>
            <Name>Aneurism Clip - T2</Name>
            <Description>Sugita Clips, Titanium 2. Mini, temp, straight.</Description>
            <Size>One Size Each</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>218</SubCategoryID>
            <GroupID>1655</GroupID>
            <ARTGs>
                <ARTG>100108</ARTG>
            </ARTGs>
            <MinimumBenefit>233</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH170</BillingCode>
            <Name>Aneurism Clip - T1</Name>
            <Description>Sugita Clips, Titanium 1. Titanium alloy (Ti-6AI-4V)</Description>
            <Size>One Size Each</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>218</SubCategoryID>
            <GroupID>1655</GroupID>
            <ARTGs>
                <ARTG>100108</ARTG>
            </ARTGs>
            <MinimumBenefit>233</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH494</BillingCode>
            <Name>Aneurism Clip - Elgiloy</Name>
            <Description>Sugita Clips, Elgiloy. Cobalt Chrome alloy.</Description>
            <Size>One size each</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>218</SubCategoryID>
            <GroupID>1655</GroupID>
            <ARTGs>
                <ARTG>100108</ARTG>
            </ARTGs>
            <MinimumBenefit>233</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB218</BillingCode>
            <Name>Kopitnik Microneurosurgical AVM Clips</Name>
            <Description>Composition: Phynox (Cobalt-base-alloy)</Description>
            <Size>2mm, 3mm, 4mm, 5mm - straight. 2mm, 3mm, 4mm, 5mm - curved.</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>218</SubCategoryID>
            <GroupID>1656</GroupID>
            <ARTGs>
                <ARTG>101731</ARTG>
            </ARTGs>
            <MinimumBenefit>244</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH155</BillingCode>
            <Name>Sugita Microneurosurgical AVM Clips</Name>
            <Description>Composition: Cobalt-Chromium-molybdenum based alloy</Description>
            <Size>One Size Each</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>218</SubCategoryID>
            <GroupID>1656</GroupID>
            <ARTGs>
                <ARTG>100108</ARTG>
            </ARTGs>
            <MinimumBenefit>244</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB356</BillingCode>
            <Name>Lyoplant Onlay</Name>
            <Description>Biological Onlay &amp; Suturable Dura Substitute</Description>
            <Size>2.5 x 2.5cm</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1657</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>264832</ARTG>
            </ARTGs>
            <MinimumBenefit>325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG038</BillingCode>
            <Name>DuraGen</Name>
            <Description>Collagen dural graft matrix</Description>
            <Size>2.5cm x 2.5cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1657</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>158829</ARTG>
            </ARTGs>
            <MinimumBenefit>325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG039</BillingCode>
            <Name>DuraGen Plus</Name>
            <Description>Collagen dural graft matrix</Description>
            <Size>2.5cm x 2.5cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1657</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>158825</ARTG>
            </ARTGs>
            <MinimumBenefit>325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC750</BillingCode>
            <Name>Durepair</Name>
            <Description>Dura Substitute, Collagen</Description>
            <Size>1" x 1"</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1657</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>134482</ARTG>
            </ARTGs>
            <MinimumBenefit>325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK492</BillingCode>
            <Name>DuraMatrix</Name>
            <Description>Resorbable Collagen Dura Substitute Membrane</Description>
            <Size>1" x 1" (2.5cm x 2.5cm)</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1657</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>154606</ARTG>
                <ARTG>367947</ARTG>
                <ARTG>367948</ARTG>
            </ARTGs>
            <MinimumBenefit>325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB118</BillingCode>
            <Name>Neuropatch Dura Substitute</Name>
            <Description>Polyurethane</Description>
            <Size>1.5 x 3cm</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1657</GroupID>
            <ARTGs>
                <ARTG>138310</ARTG>
            </ARTGs>
            <MinimumBenefit>65</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IJ022</BillingCode>
            <Name>Regenerative Dural Repair Patch (ReDuraTM)</Name>
            <Description>Absorbable synthetic patch with biomimetic design.</Description>
            <Size>Small</Size>
            <SupplierCode>IJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1657</GroupID>
            <ARTGs>
                <ARTG>363114</ARTG>
            </ARTGs>
            <Note>The the PL benefit is limited to use of the device for procedures related to dura defect repair in spinal and neurosurgical procedures only.</Note>
            <MinimumBenefit>65</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB357</BillingCode>
            <Name>Lyoplant Onlay</Name>
            <Description>Biological Onlay &amp; Suturable Dura Substitute</Description>
            <Size>5 x 5cm and 2.5 x 7.5cm</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1658</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>264832</ARTG>
            </ARTGs>
            <MinimumBenefit>492</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG040</BillingCode>
            <Name>DuraGen</Name>
            <Description>Collagen dural graft matrix</Description>
            <Size>2.5cm x 7.5cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1658</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>158829</ARTG>
            </ARTGs>
            <MinimumBenefit>492</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG041</BillingCode>
            <Name>DuraGen Plus</Name>
            <Description>Collagen dural graft matrix</Description>
            <Size>2.5cm x 7.5cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1658</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>158825</ARTG>
            </ARTGs>
            <MinimumBenefit>492</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG042</BillingCode>
            <Name>DuraGen Suturable</Name>
            <Description>Collagen dural graft matrix</Description>
            <Size>2.5cm x 7.5cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1658</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>158826</ARTG>
            </ARTGs>
            <MinimumBenefit>492</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG043</BillingCode>
            <Name>DuraGen</Name>
            <Description>Collagen dural graft matrix</Description>
            <Size>5cm x 5cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1658</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>158829</ARTG>
            </ARTGs>
            <MinimumBenefit>492</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG044</BillingCode>
            <Name>DuraGen Plus</Name>
            <Description>Collagen dural graft matrix</Description>
            <Size>5cm x 5cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1658</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>158825</ARTG>
            </ARTGs>
            <MinimumBenefit>492</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG045</BillingCode>
            <Name>DuraGen Suturable</Name>
            <Description>Collagen dural graft matrix</Description>
            <Size>5cm x 5cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1658</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>158826</ARTG>
            </ARTGs>
            <MinimumBenefit>492</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI081</BillingCode>
            <Name>Durepair</Name>
            <Description>Dura Substitute, Collagen</Description>
            <Size>1"-2" x 2"-3"</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1658</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>134482</ARTG>
            </ARTGs>
            <MinimumBenefit>492</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK493</BillingCode>
            <Name>DuraMatrix</Name>
            <Description>Resorbable Collagen Dura Substitute Membrane</Description>
            <Size>1" x 3" (2.5cm x 7.5cm)</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1658</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>154606</ARTG>
                <ARTG>367947</ARTG>
                <ARTG>367948</ARTG>
            </ARTGs>
            <MinimumBenefit>492</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK496</BillingCode>
            <Name>DuraMatrix</Name>
            <Description>Resorbable Collagen Dura Substitute Membrane</Description>
            <Size>2" x 2" (5cm x 5cm)</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1658</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>154606</ARTG>
                <ARTG>367947</ARTG>
                <ARTG>367948</ARTG>
            </ARTGs>
            <MinimumBenefit>492</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB363</BillingCode>
            <Name>Neuropatch Dura Substitute</Name>
            <Description>Polyurethane</Description>
            <Size>Medium</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1658</GroupID>
            <ARTGs>
                <ARTG>138310</ARTG>
            </ARTGs>
            <MinimumBenefit>426</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IJ023</BillingCode>
            <Name>Regenerative Dural Repair Patch (ReDuraTM)</Name>
            <Description>Absorbable synthetic patch with biomimetic design.</Description>
            <Size>Medium</Size>
            <SupplierCode>IJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1658</GroupID>
            <ARTGs>
                <ARTG>363114</ARTG>
            </ARTGs>
            <Note>The the PL benefit is limited to use of the device for procedures related to dura defect repair in spinal and neurosurgical procedures only.</Note>
            <MinimumBenefit>426</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB358</BillingCode>
            <Name>Lyoplant Onlay</Name>
            <Description>Biological Onlay &amp; Suturable Dura Substitute</Description>
            <Size>7.5 x 7.5cm</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1659</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>264832</ARTG>
            </ARTGs>
            <MinimumBenefit>1011</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG046</BillingCode>
            <Name>DuraGen</Name>
            <Description>Collagen dural graft matrix</Description>
            <Size>7.5cm x 7.5cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1659</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>158829</ARTG>
            </ARTGs>
            <MinimumBenefit>1011</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG047</BillingCode>
            <Name>DuraGen Plus</Name>
            <Description>Collagen dural graft matrix</Description>
            <Size>7.5cm x 7.5cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1659</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>158825</ARTG>
            </ARTGs>
            <MinimumBenefit>1011</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG048</BillingCode>
            <Name>DuraGen Suturable</Name>
            <Description>Collagen dural graft matrix</Description>
            <Size>7.5cm x 7.5cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1659</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>158826</ARTG>
            </ARTGs>
            <MinimumBenefit>1011</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC753</BillingCode>
            <Name>Durepair</Name>
            <Description>Dura Substitute, Collagen</Description>
            <Size>3" x 3"</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1659</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>134482</ARTG>
            </ARTGs>
            <MinimumBenefit>1011</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK495</BillingCode>
            <Name>Dura Matrix</Name>
            <Description>Resorbable Collagen Dura Substitute Membrane</Description>
            <Size>3" x 3" (7.5cm x 7.5cm)</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1659</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>154606</ARTG>
                <ARTG>367947</ARTG>
                <ARTG>367948</ARTG>
            </ARTGs>
            <MinimumBenefit>1011</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB113</BillingCode>
            <Name>Neuropatch Dura Substitute</Name>
            <Description>Polyurethane</Description>
            <Size>Large</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1659</GroupID>
            <ARTGs>
                <ARTG>138310</ARTG>
            </ARTGs>
            <MinimumBenefit>709</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IJ024</BillingCode>
            <Name>Regenerative Dural Repair Patch (ReDuraTM)</Name>
            <Description>Absorbable synthetic patch with biomimetic design</Description>
            <Size>Large</Size>
            <SupplierCode>IJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1659</GroupID>
            <ARTGs>
                <ARTG>363114</ARTG>
            </ARTGs>
            <Note>The the PL benefit is limited to use of the device for procedures related to dura defect repair in spinal and neurosurgical procedures only.</Note>
            <MinimumBenefit>709</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB359</BillingCode>
            <Name>Lyoplant Onlay</Name>
            <Description>Biological Onlay &amp; Suturable Dura Substitute</Description>
            <Size>10 x 12.5cm</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1660</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>264832</ARTG>
            </ARTGs>
            <MinimumBenefit>1706</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG049</BillingCode>
            <Name>DuraGen</Name>
            <Description>Collagen Dural graft matrix</Description>
            <Size>10cm x 12.5cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1660</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>158829</ARTG>
            </ARTGs>
            <MinimumBenefit>1706</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG051</BillingCode>
            <Name>DuraGen Suturable</Name>
            <Description>Collagen dural graft matrix</Description>
            <Size>10cm x 12.5cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1660</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>158826</ARTG>
            </ARTGs>
            <MinimumBenefit>1706</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG059</BillingCode>
            <Name>DURAGEN PLUS</Name>
            <Description>Collagen Dural Graft Matrix</Description>
            <Size>10cm x 12.5cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1660</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>158825</ARTG>
            </ARTGs>
            <MinimumBenefit>1706</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG060</BillingCode>
            <Name>DURAGEN PLUS</Name>
            <Description>Collagen Dural Graft Matrix</Description>
            <Size>12.5cm x 17.5cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1660</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>158825</ARTG>
            </ARTGs>
            <MinimumBenefit>1706</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC754</BillingCode>
            <Name>Durepair</Name>
            <Description>Dura Substitute, Collagen</Description>
            <Size>4" x 5"</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1660</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>134482</ARTG>
            </ARTGs>
            <MinimumBenefit>1706</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK494</BillingCode>
            <Name>DuraMatrix</Name>
            <Description>Resorbable Collagen Dura Substitute Membrane</Description>
            <Size>4" x 5" (10cm x 12.5cm)</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1660</GroupID>
            <Suffix>Biological</Suffix>
            <ARTGs>
                <ARTG>154606</ARTG>
                <ARTG>367947</ARTG>
                <ARTG>367948</ARTG>
            </ARTGs>
            <MinimumBenefit>1706</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB015</BillingCode>
            <Name>Neuro-Patch</Name>
            <Description>Polyesterurethane</Description>
            <Size>12 x 14cm</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1660</GroupID>
            <ARTGs>
                <ARTG>138310</ARTG>
            </ARTGs>
            <MinimumBenefit>591</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IJ025</BillingCode>
            <Name>Regenerative Dural Repair Patch (ReDuraTM)</Name>
            <Description>Absorbable synthetic patch with biomimetic design.</Description>
            <Size>Extra Large</Size>
            <SupplierCode>IJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1660</GroupID>
            <ARTGs>
                <ARTG>363114</ARTG>
            </ARTGs>
            <Note>The the PL benefit is limited to use of the device for procedures related to dura defect repair in spinal and neurosurgical procedures only.</Note>
            <MinimumBenefit>591</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG142</BillingCode>
            <Name>DuraSeal Xact Spinal Dural Sealant</Name>
            <Description>Xact Dural Sealant for spine.  Packaged in sterile single use disposable tray.</Description>
            <Size>3ml</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1661</GroupID>
            <ARTGs>
                <ARTG>233759</ARTG>
            </ARTGs>
            <MinimumBenefit>722</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN202</BillingCode>
            <Name>Evicel</Name>
            <Description>Dural sealant</Description>
            <Size>0 to 3ml</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1661</GroupID>
            <ARTGs>
                <ARTG>266221</ARTG>
            </ARTGs>
            <MinimumBenefit>722</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW659</BillingCode>
            <Name>ADHERUS Dural Sealant</Name>
            <Description>Dural sealant</Description>
            <Size>6ml</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1662</GroupID>
            <ARTGs>
                <ARTG>202972</ARTG>
            </ARTGs>
            <MinimumBenefit>753</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW660</BillingCode>
            <Name>Adherus AutoSpray</Name>
            <Description>Hydrogel sealant with automatic applicator.</Description>
            <Size>6mL</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1662</GroupID>
            <ARTGs>
                <ARTG>202972</ARTG>
            </ARTGs>
            <MinimumBenefit>753</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG141</BillingCode>
            <Name>Duraseal Dural Sealant</Name>
            <Description>DuraSeal is a Synthetic, absorbable, Polyethylene Glycon, hydrogel sealant used as an adjunct to sutured dural repair to achieve watertight closure.</Description>
            <Size>5ml of hydrogel sealant</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1662</GroupID>
            <ARTGs>
                <ARTG>233618</ARTG>
            </ARTGs>
            <MinimumBenefit>753</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN203</BillingCode>
            <Name>Evicel</Name>
            <Description>Dural sealant</Description>
            <Size>&gt;3 to 6ml</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1662</GroupID>
            <ARTGs>
                <ARTG>181318</ARTG>
            </ARTGs>
            <MinimumBenefit>753</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX344</BillingCode>
            <Name>HEMOPATCH SEALING HAEMOSTAT</Name>
            <Description>HEMOPATCH is an absorbable collagen pad intended for sealing and hemostasis.  HEMOPATCH is indicated as a hemostatic device and surgical sealant for procedures in  which control of bleeding or leakage of other body fluids or air by conventional surgical  techniques is either ineffective or impractical. HEMOPATCH may be used to close dural  defects following traumatic injury, excision, retraction or shrinkage of the dura mater.</Description>
            <Size>Small: 2.7CM X 2.7 CM ( 5 pads per box)</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1663</GroupID>
            <ARTGs>
                <ARTG>360130</ARTG>
            </ARTGs>
            <Note>The prosthesis is only to be used in a surgical procedure described in item 39612, 39615, 39641, 39710 and 39712 in Group T8 of the Regulations.</Note>
            <MinimumBenefit>225</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BX343</BillingCode>
            <Name>HEMOPATCH SEALING HAEMOSTAT</Name>
            <Description>HEMOPATCH is an absorbable collagen pad intended for sealing and hemostasis.  HEMOPATCH is indicated as a hemostatic device and surgical sealant for procedures in  which control of bleeding or leakage of other body fluids or air by conventional surgical  techniques is either ineffective or impractical. HEMOPATCH may be used to close dural  defects following traumatic injury, excision, retraction or shrinkage of the dura mater.</Description>
            <Size>Medium 4.5cm X 4.5cm  ( 3 pads per box)  Large 4.5cm X 9cm  (3 pads per box)</Size>
            <SupplierCode>BX</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1664</GroupID>
            <ARTGs>
                <ARTG>360130</ARTG>
            </ARTGs>
            <Note>The prosthesis is only to be used in a surgical procedure described in item 39612, 39615, 39641, 39710 and 39712 in Group T8 of the Regulations.</Note>
            <MinimumBenefit>505</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH719</BillingCode>
            <Name>TissuePatchDural 50* 25</Name>
            <Description>Self adhesive dural sealant</Description>
            <Size>50*25mm</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1664</GroupID>
            <ARTGs>
                <ARTG>377573</ARTG>
            </ARTGs>
            <Note>The PL benefit is limited to use of the device for procedures related to dura defect repair in spinal and neurosurgical procedures only.</Note>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>505</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH720</BillingCode>
            <Name>TissuePatchDural 50 * 50</Name>
            <Description>Self adhesive dural sealant</Description>
            <Size>50*50mm</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1664</GroupID>
            <ARTGs>
                <ARTG>377573</ARTG>
            </ARTGs>
            <Note>The PL benefit is limited to use of the device for procedures related to dura defect repair in spinal and neurosurgical procedures only.</Note>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>505</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH721</BillingCode>
            <Name>TissuePatchDural 50*100</Name>
            <Description>Self adhesive dural sealant</Description>
            <Size>50*100mm</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1664</GroupID>
            <ARTGs>
                <ARTG>377573</ARTG>
            </ARTGs>
            <Note>The PL benefit is limited to use of the device for procedures related to dura defect repair in spinal and neurosurgical procedures only.</Note>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>505</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH723</BillingCode>
            <Name>TissuePatchDural 100*25</Name>
            <Description>Self adhesive dural sealant</Description>
            <Size>100*25mm</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1664</GroupID>
            <ARTGs>
                <ARTG>377573</ARTG>
            </ARTGs>
            <Note>The PL benefit is limited to use of the device for procedures related to dura defect repair in spinal and neurosurgical procedures only.</Note>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>505</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH722</BillingCode>
            <Name>TissuePatchDural 100*100</Name>
            <Description>Self adhesive dural sealant</Description>
            <Size>100*100mm</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>219</SubCategoryID>
            <GroupID>1695</GroupID>
            <ARTGs>
                <ARTG>377573</ARTG>
            </ARTGs>
            <Note>The PL benefit is limited to use of the device for procedures related to dura defect repair in spinal and neurosurgical procedures only.</Note>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>921</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC642</BillingCode>
            <Name>Strata Valve Assembly with Bioglide PSM range</Name>
            <Description>CSF Flow Valves. Polypropylene and acetal plastic base. Silicone elastomer dome.</Description>
            <Size>One size</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <Suffix>Antisyphon function, Coating, Distal catheter, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>169061</ARTG>
            </ARTGs>
            <MinimumBenefit>2857</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI019</BillingCode>
            <Name>Strata Valve with Bioglide</Name>
            <Description>Adjustable CSF Valve with five symmetric performance level steps, surface of valve bonded with hydrogel</Description>
            <Size>13-16mm x 35-47mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <Suffix>Antisyphon function, Coating, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>129681</ARTG>
            </ARTGs>
            <MinimumBenefit>2689</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB337</BillingCode>
            <Name>Miethke proGAV Shunt System</Name>
            <Description>Shunt system containing an adjustable valve with a gravitational unit, a distal catheter, a ventricular catheter and a reservoir.</Description>
            <Size>Adjustable valve: diameter 18mm, opening pressure 0-20 cmH2O, height 4.5mm.  Gravitational unit: length 14.9mm, height 4.6mm, opening pressure 0-35 cmH2O.  Distal catheter: length 1200mm, inside diameter 1200mm, inside diameter 1.2mm, outside diameter 2.5mm.  Reservoir: diameter 14/20mm.  Ventricular catheter: 180/250mm.</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <Suffix>Antisyphon function, Distal catheter, Proximal catheter, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>181718</ARTG>
            </ARTGs>
            <MinimumBenefit>2888</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG158</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>JJ219</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Hakim Programmable Valve System</Name>
            <Description>Fixed pressure hydrocephalus shunt, packaged sterile, stainless steel and ruby valve mechanism, silicone rubber ventricular and peritoneal catheters.  In line or right angled with reservoir.  Valve can be reprogrammed non-invasively 18 pressure settings a</Description>
            <Size>One size only</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <Suffix>Antisyphon function, Distal catheter, Proximal catheter, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>140904</ARTG>
                <ARTG>149291</ARTG>
            </ARTGs>
            <MinimumBenefit>2888</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC640</BillingCode>
            <Name>Strata Shunt, Unitised</Name>
            <Description>Adjustable CSF valve with five symmetric performance level steps.  Includes strata valve, pre-attached ventricular catheter, and a pre-attached peritoneal catheter. Right Angle Clip. Disposable Quick Release Ventricular Catheter Introducer. Disposable Sub</Description>
            <Size>8-13.5cm x 9-120cm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <Suffix>Antisyphon function, Distal catheter, Proximal catheter, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>129681</ARTG>
                <ARTG>145335</ARTG>
            </ARTGs>
            <MinimumBenefit>2888</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB335</BillingCode>
            <Name>Miethke proGAV with distal catheter</Name>
            <Description>Adjustable valve with a gravitational unit and a distal catheter</Description>
            <Size>Adjustable valve: diameter 18mm, opening pressure 0-20 cmH2O, height 4.5mm  Gravitational unit: length 14.9mm, height 4.6mm, opening pressure 0-35 cm H2O  Distal catheter: length 1200mm, inside diameter 1.2mm, outside diameter 2.5mm</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <Suffix>Antisyphon function, Distal catheter, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>181718</ARTG>
            </ARTGs>
            <MinimumBenefit>2757</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB338</BillingCode>
            <Name>Miethke proGAV with pre-attached reservoir</Name>
            <Description>Shunt system containing an adjustable valve with a gravitational unit and a reservoir.</Description>
            <Size>Adjustable valve: diameter 18mm, opening pressure 0-20 cmH20, height 4.5mm.  Gravitational unit: length 14.9mm, height 4.6mm, opening pressure 0-35 cmH2O  Reservoir: diameter 14/20mm.</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <Suffix>Antisyphon function, Distal catheter, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>181718</ARTG>
            </ARTGs>
            <MinimumBenefit>2757</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB339</BillingCode>
            <Name>Miethke adjustable gratitational unit with differential pressure unit (miniNAV) and distal catheter</Name>
            <Description>proSA and M.blue adjustable gravitational units for the treatment of hydracephalus. The valve can be combined with any differential pressure valve. miniNAV is a very small differential pressure unit, which is often used. The valves are made from titanium and are MR safe up to 3 tesla. The distal catheter is made of silicone.</Description>
            <Size>Adjustable gravitational unit: height 4.5mm, diameter 18mm, opening pressure 0-40 cmH2O.  Differential pressure unit (miniNAV): length 14.7mm, diameter 2.8mm.  Distal catheter: length 1200mm, inside diameter 1.2mm, outside diameter 2.5mm.</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <Suffix>Antisyphon function, Distal catheter, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>181718</ARTG>
            </ARTGs>
            <MinimumBenefit>2757</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG187</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MN110</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Codman Certas Programmable Valve - with Reservoir, Siphonguard and catheter</Name>
            <Description>Programmable valve with reservoir, siphonguard and catheters</Description>
            <Size>30-210mmH2O</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <Suffix>Antisyphon function, Distal catheter, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>186233</ARTG>
                <ARTG>186235</ARTG>
            </ARTGs>
            <MinimumBenefit>2757</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI086</BillingCode>
            <Name>Strata Shunt Assembly</Name>
            <Description>Assembly: Strata Shunt, Strata Burr Hole Shunt, Strata Snap Shunt. Adjustable CSF Valve with five symmetric performance level steps, includes integral (distal) peritoneal catheter.</Description>
            <Size>90-120cm, 35-50mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <Suffix>Antisyphon function, Distal catheter, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>129681</ARTG>
                <ARTG>134740</ARTG>
                <ARTG>169061</ARTG>
            </ARTGs>
            <MinimumBenefit>2757</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB332</BillingCode>
            <Name>Miethke proGAV</Name>
            <Description>Adjustable valve with intergrated gravitational unit.  Titanium, MR safe up to 3 tesla.</Description>
            <Size>Adjustable valve: Diameter 18mm, Opening pressure 0-20 cmH2O, Height 4.5mm.  Gravitational unit: Length 14.9mm, Height 4.6mm.</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <Suffix>Antisyphon function, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>181718</ARTG>
            </ARTGs>
            <MinimumBenefit>2591</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB340</BillingCode>
            <Name>Miethke adjustable gratitational unit with differential pressure unit (miniNAV)</Name>
            <Description>proSA and M.blue are adjustable gravitational units for the treatment of hydrocephalus. They can be combined with any differential pressure valve. miniNAV is a very small differential pressure unit, which is often used. The valves are made from titanium and are MR safe up to 3 tesla.</Description>
            <Size>Adjustable gravitational unit: height 4.5mm, diameter 18mm, opening pressure 0-40 cmH2O.  Differential pressure unit (miniNAV): length 14.7mm, diameter 2.8mm.</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <Suffix>Antisyphon function, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>181718</ARTG>
            </ARTGs>
            <MinimumBenefit>2591</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG167</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>JJ437</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Codman Hakim Programmable Valves with Siphonguard</Name>
            <Description>18 different pressure settings and SIPHONGUARD technology</Description>
            <Size>One Size Only</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <Suffix>Antisyphon function, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>140904</ARTG>
            </ARTGs>
            <MinimumBenefit>2591</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG186</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MN109</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Codman Certas Programmable Valve - with Reservoir and Siphonguard</Name>
            <Description>Programmable valve with Reservoir and Siphonguard</Description>
            <Size>30-210mmH2O</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <Suffix>Antisyphon function, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>190248</ARTG>
            </ARTGs>
            <MinimumBenefit>2591</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI087</BillingCode>
            <Name>Strata Valve</Name>
            <Description>Strata Valve, Strata Burr Hole Valve,. Adjustable CSF Valve with five symmetric performance level steps.</Description>
            <Size>13-20mm x 35-50mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <Suffix>Antisyphon function, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>129681</ARTG>
                <ARTG>169054</ARTG>
            </ARTGs>
            <MinimumBenefit>2591</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI190</BillingCode>
            <Name>StrataMR Valve</Name>
            <Description>Adjustable CSF Valve with five symmetric performance level steps</Description>
            <Size>Small, Regular</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <Suffix>Antisyphon function, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>129681</ARTG>
            </ARTGs>
            <MinimumBenefit>2591</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI080</BillingCode>
            <Name>Strata NSC LP Shunt Kit</Name>
            <Description>Strata NSC LP Shunt Kit with Lumbar Catheter and Peritoneal Catheter, Small Lumen</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <Suffix>Distal catheter, Lumboperitoneal, Proximal catheter, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>165018</ARTG>
            </ARTGs>
            <MinimumBenefit>2734</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG154</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>JJ159</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Hakim Programmable Valve System</Name>
            <Description>Standard system. Silicone casing with catheter; stainless steel ruby ball in cone mechanism with variable pressure</Description>
            <Size>Peritoneal Catheter length 80 cm, Ventricular catheter length 14 cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <Suffix>Distal catheter, Proximal catheter, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>149291</ARTG>
            </ARTGs>
            <MinimumBenefit>2437</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM463</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>NK029</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Sterile Hydrocephalic Shunts</Name>
            <Description>Plastic/magnetic. Programmable valve. Programmer kit and shunts kit.</Description>
            <Size>3, 8 settings</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <Suffix>Distal catheter, Proximal catheter, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>143218</ARTG>
            </ARTGs>
            <MinimumBenefit>2437</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG185</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MN108</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Codman Certas Programmable Valve - with reservoir and catheter</Name>
            <Description>Programmable valve with reservoir and catheters</Description>
            <Size>30-210mmH2O</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <Suffix>Distal catheter, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>186232</ARTG>
                <ARTG>186234</ARTG>
            </ARTGs>
            <MinimumBenefit>2306</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC646</BillingCode>
            <Name>Strata Valve Assembly NSC (non siphon control) PSM range</Name>
            <Description>Adjustable CSF valve with five symmetrical performance level steps. Includes a strata valve, an integral distal peritoneal catheter and catheter passer, and a female leur adaptor and prefill tubing.</Description>
            <Size>One size</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <Suffix>Distal catheter, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>134740</ARTG>
            </ARTGs>
            <MinimumBenefit>2306</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC963</BillingCode>
            <Name>Strata NSC Burr Hole Shunt Assembly</Name>
            <Description>Adjustable cerebrospinal fluid (CSF) flow valve. Polypropylene and acetal plastic base. Silicone elastomer dome. With integral catheter.</Description>
            <Size>One size only</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <Suffix>Distal catheter, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>169061</ARTG>
            </ARTGs>
            <MinimumBenefit>2306</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC928</BillingCode>
            <Name>Strata NSC L-P Shunt</Name>
            <Description>Lumboperitoneal Shunt</Description>
            <Size>44mm x 23mm x 12mm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <Suffix>Lumboperitoneal, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>129681</ARTG>
            </ARTGs>
            <MinimumBenefit>2437</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG166</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>JJ436</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Codman Hakim Programmable Valves</Name>
            <Description>Programmable valve with reservoir</Description>
            <Size>One Size Only</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <Suffix>Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>140904</ARTG>
                <ARTG>149291</ARTG>
            </ARTGs>
            <MinimumBenefit>2139</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG188</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MN111</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Codman Certas Programmable Valve - with reservoir</Name>
            <Description>Programmable valve with reservoir</Description>
            <Size>30-210mmH2O</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <Suffix>Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>190248</ARTG>
            </ARTGs>
            <MinimumBenefit>2139</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI082</BillingCode>
            <Name>Strata Valve NSC PSM Range</Name>
            <Description>Strata NSC, Strata NSC Burr Hole Valve. Adjustable cerebrospinal fluid (CSF) flow valve. Polypropylene and acetal plastic base. Silicone elastomer dome.</Description>
            <Size>13-20mm x 23-35mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <Suffix>Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>129681</ARTG>
                <ARTG>169054</ARTG>
            </ARTGs>
            <MinimumBenefit>2139</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG153</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>JJ158</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Hakim Programmable Valve System</Name>
            <Description>Valve only</Description>
            <Size>One size only</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4468</SubGroupID>
            <ARTGs>
                <ARTG>149291</ARTG>
            </ARTGs>
            <MinimumBenefit>1823</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ863</BillingCode>
            <Name>Codman Hakim Precision Fixed Pressure Valve</Name>
            <Description>Fixed Pressure Valve with Bactiseal ventricular and peritoneal catheters and reservoir: Opening pressures: 10-130mmH2O</Description>
            <Size>Standard and Micro</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4469</SubGroupID>
            <Suffix>Antibiotics, Distal catheter, Proximal catheter</Suffix>
            <ARTGs>
                <ARTG>164772</ARTG>
            </ARTGs>
            <MinimumBenefit>1570</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB324</BillingCode>
            <Name>Aesculap-Miethke gravitational shunt</Name>
            <Description>Single valve, anti-siphon gravitational shunt, titanium construction (MRI safe to 3 tesla)</Description>
            <Size>24mm and 27mm long, 4.0mm and 4.6mm diameter, 4cmH2O and 5cmH2O-40cmH2O</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4469</SubGroupID>
            <Suffix>Antisyphon function</Suffix>
            <ARTGs>
                <ARTG>181718</ARTG>
            </ARTGs>
            <MinimumBenefit>1083</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC648</BillingCode>
            <Name>Delta Valve Unitised with Bioglide PSM range</Name>
            <Description>CSF Flow Valves. Polypropylene and acetal plastic base. Silicone elastomer dome. Unitised system includes the valve, integral ventricular and peritoneal catheter (all components connected). Surface of valve bonded with hydrogel (Bioglide surface modificat</Description>
            <Size>8-13.5cm x 90-120cm (0.5-2.0)</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4469</SubGroupID>
            <Suffix>Antisyphon function, Coating, Distal catheter, Proximal catheter, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>129681</ARTG>
            </ARTGs>
            <MinimumBenefit>1796</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC651</BillingCode>
            <Name>Delta Valve Assembly with Bioglide PSM range</Name>
            <Description>CSF Flow Valves. Polypropylene and acetal plastic base. Silicone elastomer dome. Assembly system includes the valve, integral peritoneal catheter, female luer adapter and prefill tubing. Surface of the valve bonded with hydrogel (Bioglide surface modifica</Description>
            <Size>90-120cm (0.5, 1.0, 1.5, 2.0)</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4469</SubGroupID>
            <Suffix>Antisyphon function, Coating, Distal catheter, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>134740</ARTG>
            </ARTGs>
            <MinimumBenefit>1665</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC647</BillingCode>
            <Name>Delta Valve with Bioglide PSM range</Name>
            <Description>CSF Flow Valve. Polypropylene and acetal plastic base. Silicone elastomer dome. Surface of valve bonded with hydrogel (Bioglide surface modification).</Description>
            <Size>36-40mm x 9-20mm (0.5-2.0)</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4469</SubGroupID>
            <Suffix>Antisyphon function, Coating, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>129681</ARTG>
            </ARTGs>
            <MinimumBenefit>1498</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB403</BillingCode>
            <Name>Aesculap-Miethke GAV Shunt System  </Name>
            <Description>Single valve, (anti-siphon) gravitational shunt, titanium construction (MRI safe to 3 tesla), with incorporated reservoir, distal catheter and ventricular catheter.      </Description>
            <Size>Valve: do=4.2 mm, Connector: do=1.4 mm/1.9 mm  Catheter: di=1.2 mm, do=2.5 mm,  5cmH2O-30cmH2O</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4469</SubGroupID>
            <Suffix>Antisyphon function, Distal catheter, Proximal catheter, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>181718</ARTG>
            </ARTGs>
            <MinimumBenefit>1697</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG159</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>JJ220</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Hakim Precision Valve System</Name>
            <Description>Fixed pressure valve with reservoir, siphonguard, ventricular and peritoneal catheters</Description>
            <Size>Very low to very high including micro</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4469</SubGroupID>
            <Suffix>Antisyphon function, Distal catheter, Proximal catheter, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>149290</ARTG>
            </ARTGs>
            <MinimumBenefit>1697</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC649</BillingCode>
            <Name>Delta Shunt Unitised</Name>
            <Description>Delta valve is a fixed pressure CSF valve, available in four performance levels. Delta Unitised shunt includes a delta valve, pre-attached ventricular catheter, and a pre-attached peritoneal catheter. Right Angle Clip. Disposable Quick Release Ventricular</Description>
            <Size>Delta Unitised Shunt small (Distal 65cm-90cm, ventricular 11cm) - 0.5, 1.0, 1.5 and 2.0. Delta Unitised Shunt regular (Distal 90cm, ventricular catheter 13cm) - 0.5, 1.0, 1.5 and 2.0</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4469</SubGroupID>
            <Suffix>Antisyphon function, Distal catheter, Proximal catheter, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>139696</ARTG>
            </ARTGs>
            <MinimumBenefit>1697</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC650</BillingCode>
            <Name>Delta Shunt Assembly</Name>
            <Description>Delta valve is a fixed CSF pressure valve, available in four performance levels. Includes an Integral (distal) Peritoneal Catheter, Disposable Peritoneal Catheter Passer, Female Luer Adapter and Prefill Tubing.</Description>
            <Size>90-120cm (0.5 - 2.0)</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4469</SubGroupID>
            <Suffix>Antisyphon function, Distal catheter, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>134740</ARTG>
            </ARTGs>
            <MinimumBenefit>1566</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG175</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>JJ858</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Codman Hakim Precision Valves</Name>
            <Description>Valves with Siphonguard and Reservoir</Description>
            <Size>10-130mm H2O including micro</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4469</SubGroupID>
            <Suffix>Antisyphon function, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>140904</ARTG>
            </ARTGs>
            <MinimumBenefit>1399</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC532</BillingCode>
            <Name>Hydrocephalus Shunt</Name>
            <Description>With Hydrostatic Valve, Delta Valves/Shunts/BioGlide, Vent Catheters</Description>
            <Size>12mm-90cm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4469</SubGroupID>
            <Suffix>Antisyphon function, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>129681</ARTG>
            </ARTGs>
            <MinimumBenefit>1399</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG017</BillingCode>
            <Name>Precision Flow-OSV II Valve System</Name>
            <Description>Lumbar peritoneal OSV11-Lumboperitoneal System Hydrocephalus Shunt</Description>
            <Size>Lumber Catheter 80cm, F5  Peritoneal Catheter 110cm, F7</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4469</SubGroupID>
            <Suffix>Distal catheter, Lumboperitoneal</Suffix>
            <ARTGs>
                <ARTG>151647</ARTG>
            </ARTGs>
            <MinimumBenefit>1467</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG018</BillingCode>
            <Name>Precision Flow-OSV II Valve System </Name>
            <Description>Ventricular/Atrial OSV11-Ventricular /Atrial Hydrocephalus Shunt</Description>
            <Size>Drainage Cath 110 cm, F7. Ventricular Catheters 7,9,13 &amp; 15 cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4469</SubGroupID>
            <Suffix>Distal catheter, Proximal catheter</Suffix>
            <ARTGs>
                <ARTG>151647</ARTG>
            </ARTGs>
            <MinimumBenefit>1300</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG152</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>JJ157</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Hakim Precision Valve System</Name>
            <Description>Precision valve standard with reservoir, peritoneal and ventricular catheters</Description>
            <Size>Very low to very high including micro</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4469</SubGroupID>
            <Suffix>Distal catheter, Proximal catheter, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>149290</ARTG>
            </ARTGs>
            <MinimumBenefit>1616</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG160</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>JJ221</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Hakim Precision Valve System</Name>
            <Description>Fixed pressure hydrocephalus shunt, packaged sterile, stainless steel and ruby valve mechanism, silicone rubber ventricular and peritoneal catheters.  In line or right angled with reservoir.  Opening pressure  H20; Very high 130mm, high 100mm, medium 70mm</Description>
            <Size>One size only</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4469</SubGroupID>
            <Suffix>Distal catheter, Proximal catheter, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>149290</ARTG>
            </ARTGs>
            <MinimumBenefit>1616</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC531</BillingCode>
            <Name>Hydrocephalus Shunt</Name>
            <Description>Ventricular/Peritoneal. CSF Flow Control Valves, BioGlide Contoured, Ventriculostomy Kit-E, Neonatal Delta Snap Shunt</Description>
            <Size>12mm-90cm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4469</SubGroupID>
            <Suffix>Distal catheter, Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>129681</ARTG>
            </ARTGs>
            <MinimumBenefit>1485</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG168</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>JJ440</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Codman Hakim Precision Valve, Right Angle Reservoir</Name>
            <Description>features 5 operating pressures</Description>
            <Size>10, 40, 70, 100, and 130mmH2O</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4469</SubGroupID>
            <Suffix>Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>140904</ARTG>
            </ARTGs>
            <MinimumBenefit>1318</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ156</BillingCode>
            <Name>Hakim Precision Valve System</Name>
            <Description>Precision valve standard with reservoir</Description>
            <Size>Very low to very high including micro</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4469</SubGroupID>
            <Suffix>Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>140904</ARTG>
                <ARTG>149290</ARTG>
            </ARTGs>
            <MinimumBenefit>1318</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC530</BillingCode>
            <Name>Hydrocephalus Shunt</Name>
            <Description>Ventricular/Atrial, CSF Flow Control Shunts, Cont Small Valve</Description>
            <Size>38cm-90cm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4469</SubGroupID>
            <Suffix>Reservoir/Priming function</Suffix>
            <ARTGs>
                <ARTG>129681</ARTG>
            </ARTGs>
            <MinimumBenefit>1318</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB325</BillingCode>
            <Name>Aesculap-Miethke DualSwitch shunt</Name>
            <Description>Non-adjustable valve with preset values for treatment of patients susceptible to complication due to tumour cells or high protein levels. Treats patients in both supine and upright position. Titanium construction MRI compatible to 3 tesla</Description>
            <Size>28mm diameter, 5.7mm profile, 510-50cmH2O pressure setting</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4469</SubGroupID>
            <ARTGs>
                <ARTG>181718</ARTG>
            </ARTGs>
            <MinimumBenefit>1001</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG019</BillingCode>
            <Name>Precision Flow-OSV II Valve System</Name>
            <Description>Ventricular/Peritoneal OSV11-  Ventricular/Peritoneal Hydrocephalus Shunt</Description>
            <Size>Drainage Cath 110 cm, F7. Ventricular Catheters 7,9,13 &amp; 15 cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4469</SubGroupID>
            <ARTGs>
                <ARTG>151647</ARTG>
            </ARTGs>
            <MinimumBenefit>1001</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG032</BillingCode>
            <Name>Burr Hole Valve Shunt Assemblies</Name>
            <Description>Shunt Assembly: silicone encased valve, silicone ventricular and peritoneal catheters</Description>
            <Size>16mm or 12mm base; low, medium or high pressure, various kit configurations</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>4469</SubGroupID>
            <ARTGs>
                <ARTG>152728</ARTG>
            </ARTGs>
            <MinimumBenefit>1001</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB341</BillingCode>
            <Name>Miethke proSA with proGAV and distal catheter</Name>
            <Description>proSA is an adjustable gravitational unit. proGAV is an adjustable differential pressure unit. They are combined to treat pediatric and adult hydrocephalus. The valves are made from titanium and are MR safe up to 3 tesla. The distal catheters are made of silicone.</Description>
            <Size>Adjustable gravitational unit (proSA): diameter 18mm  Adjustable differential pressure unit (proGAV): diameter 18mm  Distal catheter: length 1200mm, inside  diameter 1.2mm, outside diameter 2.5mm  Distal catheter (connection between both valves): inside diameter 1.2mm, outside diameter 2.5mm  FV783T:   proSA adjustable between 0-40 cmH2O,  proGAV adjustablebetween 0-20 cmH2O</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>5978</SubGroupID>
            <Suffix>Distal Catheter</Suffix>
            <ARTGs>
                <ARTG>181718</ARTG>
            </ARTGs>
            <MinimumBenefit>3813</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB343</BillingCode>
            <Name>Miethke shunt system with reservoir and distal catheter</Name>
            <Description>Shunt system containing an adjustable gravitational unit and an adjustable differential pressure unit with distal catheters and a ventircular catheter, combined with a deflector, a pediatric prechamber or a reservoir.  There are two types of reservoirs: Control reservoir and pediatric Burrhole reservoir. The shunt system is used for the treatment of pediatric and adult hydrocephalus. The valves, the prechamber, the deflector and the reservoirs are made from titanium. The catheters are made from silicone. The shunt system is MR safe up to 3 tesla.</Description>
            <Size>Adjustable gravitational unit: height 4.5mm, diameter 18mm  Adjustable differential pressure unit: diameter 18mm  Distal catheter: length 1200mm, inside diameter 1.2mm, outside diameter 2.5mm  Distal catheter for connections: inside diameter 1.2mm, outside diameter 2.5mm, adjustable between 0-40 cmH2O, 0-20 cmH2O.</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>5978</SubGroupID>
            <Suffix>Distal Catheter, Reservoir/Priming Function</Suffix>
            <ARTGs>
                <ARTG>181718</ARTG>
            </ARTGs>
            <MinimumBenefit>4129</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB342</BillingCode>
            <Name>Miethke proSA with proGAV</Name>
            <Description>proSA is an adjustable gravitational unit. proGAV is an adjustable differential pressure unit. They are combined to treat pediatric and adult hydrocephalus. The valves are made from titanium and are MR safe up to 3 tesla. They are connected by a distal catheter, which is made of silicone.</Description>
            <Size>Adjustable gravatational unit (proSA): diameter 18mm  Adjustable differential pressure unit (proGAV): diameter 18mm  Distal catheter: inside diameter 1.2mm, outside diameter 2.5mm  FV782T:  proSA adjustable between 0-40 cmH2O  proGAV adjustable between 0-20 cmH2O</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1666</GroupID>
            <SubGroupID>5978</SubGroupID>
            <ARTGs>
                <ARTG>181718</ARTG>
            </ARTGs>
            <MinimumBenefit>3646</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB322</BillingCode>
            <Name>Aesculap-Miethke gravitational shunt (with catheter)</Name>
            <Description>Single valve, (anti-siphon) gravitational shunt, titanium construction (MRI safe to 3 tesla), with incorporated distal catheter, supplied sterile</Description>
            <Size>23mm long , 4.6mm diameter, 5cmH2O - 40cmH2O, Catheter - di=1.2mm, do=2.5cm, 1200mm long</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1667</GroupID>
            <Suffix>Antisyphon function</Suffix>
            <ARTGs>
                <ARTG>181718</ARTG>
            </ARTGs>
            <MinimumBenefit>1490</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG023</BillingCode>
            <Name>Cordis Omnishunt System</Name>
            <Description>Silicone and Synthetic ruby</Description>
            <Size>Very low to very high pressures</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1667</GroupID>
            <ARTGs>
                <ARTG>151644</ARTG>
            </ARTGs>
            <MinimumBenefit>407</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG172</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>JJ855</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Codman-Medos Non-programmable Valve System</Name>
            <Description>Lumbar/peritoneal catheter, James and Holter designs</Description>
            <Size>25-80cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1667</GroupID>
            <ARTGs>
                <ARTG>149300</ARTG>
                <ARTG>150123</ARTG>
            </ARTGs>
            <MinimumBenefit>407</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC529</BillingCode>
            <Name>Hydrocephalus Shunt</Name>
            <Description>Lumbar peritoneal</Description>
            <Size>84cm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1667</GroupID>
            <ARTGs>
                <ARTG>130410</ARTG>
                <ARTG>140357</ARTG>
                <ARTG>140358</ARTG>
                <ARTG>140359</ARTG>
                <ARTG>140360</ARTG>
            </ARTGs>
            <MinimumBenefit>407</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG179</BillingCode>
            <Name>Codman Ventricular Catheter with Bactiseal Silicone </Name>
            <Description>Silicone ventricular catheter, antibiotic impregnated</Description>
            <Size>14cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Antibiotics</Suffix>
            <ARTGs>
                <ARTG>343683</ARTG>
            </ARTGs>
            <MinimumBenefit>424</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG180</BillingCode>
            <Name>Codman Peritoneal Catheter with Bactiseal Silicone</Name>
            <Description>Silicone peritoneal catheter, antibiotic impregnated</Description>
            <Size>120cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Antibiotics</Suffix>
            <ARTGs>
                <ARTG>343684</ARTG>
            </ARTGs>
            <MinimumBenefit>424</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI165</BillingCode>
            <Name>ARES Antibiotic-Impregnated Catheter</Name>
            <Description>ARES antibiotic-impregnated ventricular catheter</Description>
            <Size>23cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Antibiotics</Suffix>
            <ARTGs>
                <ARTG>245273</ARTG>
            </ARTGs>
            <MinimumBenefit>424</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI166</BillingCode>
            <Name>ARES antibiotic -impregnated catheter</Name>
            <Description>ARES antibiotic-impregnated peritoneal catheter</Description>
            <Size>120cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Antibiotics</Suffix>
            <ARTGs>
                <ARTG>245274</ARTG>
            </ARTGs>
            <MinimumBenefit>424</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG155</BillingCode>
            <Name>Codman Ventricular Catheter and Codman Peritoneal Catheter with Bactiseal Silicone</Name>
            <Description>Silicone antibiotic impregnated catheter kit</Description>
            <Size>Kit</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Antibiotics, Distal, Proximal</Suffix>
            <ARTGs>
                <ARTG>343682</ARTG>
            </ARTGs>
            <MinimumBenefit>609</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI167</BillingCode>
            <Name>ARES antibiotic-impregnated catheter kit</Name>
            <Description>ARES antibiotic catheter kit includes ventricular and peritoneal catheter</Description>
            <Size>23 - 120cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Antibiotics, Distal, Proximal</Suffix>
            <ARTGs>
                <ARTG>245275</ARTG>
            </ARTGs>
            <MinimumBenefit>609</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB329</BillingCode>
            <Name>Miethke Peritoneal Catheter</Name>
            <Description>Peritoneal catheter, barium impregnated, radio-opaque silicon&#xD;
2) Peritoneal catheter with integrated barium strip</Description>
            <Size>d 1.2mm od =2.5mm; 600,900 1200mm long</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Distal</Suffix>
            <ARTGs>
                <ARTG>181747</ARTG>
            </ARTGs>
            <MinimumBenefit>167</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG010</BillingCode>
            <Name>Shunt</Name>
            <Description>Components - catheter: Atrial</Description>
            <Size>55cm - 60cm, Low - High pressure range</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Distal</Suffix>
            <ARTGs>
                <ARTG>151659</ARTG>
            </ARTGs>
            <MinimumBenefit>167</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG011</BillingCode>
            <Name>Shunt</Name>
            <Description>Peritoneal</Description>
            <Size>90 - 120cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Distal</Suffix>
            <ARTGs>
                <ARTG>151659</ARTG>
            </ARTGs>
            <MinimumBenefit>167</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG020</BillingCode>
            <Name>Atrial Catheter </Name>
            <Description>Components - catheter: Atrial Atrial Catheters  Hydrocephalux Valve Accessories</Description>
            <Size>Length: 46cm, F7.  OD: 2.1mm; ID:1.1mm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Distal</Suffix>
            <ARTGs>
                <ARTG>151659</ARTG>
            </ARTGs>
            <MinimumBenefit>167</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG021</BillingCode>
            <Name>Peritoneal Catheter</Name>
            <Description>Peritoneal Catheters</Description>
            <Size>Length: 91cm, F7.  OD: 2.1mm; ID:1.1mm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Distal</Suffix>
            <ARTGs>
                <ARTG>151659</ARTG>
            </ARTGs>
            <MinimumBenefit>167</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG030</BillingCode>
            <Name>Cardiac/Peritoneal Catheters</Name>
            <Description>SiliconDistal Catheter, ID 1.3mm, OD 2.5mm</Description>
            <Size>90cm, barium impregnated silicone catheter, closed or open ended, with or without slits</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Distal</Suffix>
            <ARTGs>
                <ARTG>150579</ARTG>
            </ARTGs>
            <MinimumBenefit>167</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG162</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>JJ229</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Codman Medos Peritoneal Catheter</Name>
            <Description>85cm, packaged sterile, silicone rubber</Description>
            <Size>85cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Distal</Suffix>
            <ARTGs>
                <ARTG>149295</ARTG>
            </ARTGs>
            <MinimumBenefit>167</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG163</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>JJ261</PriorBillingCode>
            </PriorBillingCodes>
            <Name>ACCU-FLO Intracranial Pressure shunt</Name>
            <Description>ACCU-FLO catheter, packaged sterile, silicone rubber</Description>
            <Size>91cm in length</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Distal</Suffix>
            <ARTGs>
                <ARTG>150089</ARTG>
            </ARTGs>
            <MinimumBenefit>167</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG174</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>JJ857</PriorBillingCode>
            </PriorBillingCodes>
            <Name>HOLTER Intracranial Pressure Shunt</Name>
            <Description>HOLTER distal peritoneal catheter/Salmon, packaged sterile, silicone</Description>
            <Size>90cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Distal</Suffix>
            <ARTGs>
                <ARTG>149299</ARTG>
            </ARTGs>
            <MinimumBenefit>167</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC584</BillingCode>
            <Name>CSF - Distal Catheters</Name>
            <Description>Non metallic and latex free, Models 43418,43103,43111,43209,43522,43551,27211</Description>
            <Size>Distal cardiac/peritoneal catheters ID 1.3mm OD 2.5mm Length 90cm, 96cm, 110cm, 120cm, ID 1.2mm, OD 2.1mm, Length 90cm, 75cm, 58cm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Distal</Suffix>
            <ARTGs>
                <ARTG>140357</ARTG>
            </ARTGs>
            <MinimumBenefit>167</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC857</BillingCode>
            <Name>Small Lumen Peritoneal Catheter</Name>
            <Description>CSF Distal Catheter</Description>
            <Size>ID - 0.7mm OD - 2.5mm Length - 120cm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Distal</Suffix>
            <ARTGs>
                <ARTG>130410</ARTG>
            </ARTGs>
            <MinimumBenefit>167</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC638</BillingCode>
            <Name>Peritoneal Catheter PSM range with Bioglide</Name>
            <Description>Translucent silicone elastomer with Barium impregnated stripe.  Catheter surface bonded with Hydrogel.</Description>
            <Size>60-90cm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Distal, Coating</Suffix>
            <ARTGs>
                <ARTG>130410</ARTG>
            </ARTGs>
            <MinimumBenefit>230</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB331</BillingCode>
            <Name>Miethke Ventricular catheter with deflector</Name>
            <Description>Ventricular catheters (with deflector) are used to drain CSF out of the ventricle. All catheters are made of radiopaque silicone. The deflectors allow 90 degree deflection of the ventricular catheter in the burrhole without kinking the catheter. All deflectors are made of titanium. The deflectors are adjustable on the catheter, have suture fixation holes and are radiopaque.</Description>
            <Size>Ventricular catheter with deflector:&#xD;
Inside diameter 1.2mm, Outside diameter 2.5mm.&#xD;
FV075P: Ventricular catheter 180mm, graduated.&#xD;
Deflector: Large.&#xD;
FV078P: Ventricular catheter 250mm, graduated.&#xD;
Deflector: Large.&#xD;
Ventricular catheter with deflector (for pediatric application):&#xD;
Inside diameter 1.2mm, Outside diameter 2.5mm.&#xD;
FV076P: Ventricular catheter 180mm, graduated.&#xD;
Deflector: Small.</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Proximal</Suffix>
            <ARTGs>
                <ARTG>196110</ARTG>
            </ARTGs>
            <MinimumBenefit>167</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB336</BillingCode>
            <Name>Miethke Ventricular Catheter with stylet</Name>
            <Description>Ventricluar catheters (with stylet) are used to drain CSF out of the ventricle. All catheters are made of radiopaque silicone.</Description>
            <Size>Inside diameter 1.2mm, Outside diameter 2.5mm.&#xD;
FV074P: 180mm, graduated.&#xD;
FV077P: 250mm, graduated.</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Proximal</Suffix>
            <ARTGs>
                <ARTG>196110</ARTG>
            </ARTGs>
            <MinimumBenefit>167</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG012</BillingCode>
            <Name>Shunt</Name>
            <Description>Ventricular</Description>
            <Size>14.5cm - 23cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Proximal</Suffix>
            <ARTGs>
                <ARTG>163262</ARTG>
            </ARTGs>
            <MinimumBenefit>167</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG014</BillingCode>
            <Name>Heyer Schulte Portnoy Flanged Ventricular Catheter</Name>
            <Description>Composition - silicone with tantalum markings</Description>
            <Size>Length 18cm, outer diameter 8mm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Proximal</Suffix>
            <ARTGs>
                <ARTG>163262</ARTG>
            </ARTGs>
            <MinimumBenefit>167</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG025</BillingCode>
            <Name>Right Angle Ventricular Catheter</Name>
            <Description>Silicone, integral right angle</Description>
            <Size>3-11cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Proximal</Suffix>
            <ARTGs>
                <ARTG>151660</ARTG>
            </ARTGs>
            <MinimumBenefit>167</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG031</BillingCode>
            <Name>Ventricular Catheters</Name>
            <Description>Silicon Ventricular Catheter</Description>
            <Size>15cm - 25cm, optional flanges or right angle or endoscopic tip. ID 1.3mm, OD 2.5mm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Proximal</Suffix>
            <ARTGs>
                <ARTG>150579</ARTG>
            </ARTGs>
            <MinimumBenefit>167</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG157</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>JJ218</PriorBillingCode>
            </PriorBillingCodes>
            <Name>HOLTER Intracranial Pressure Shunt</Name>
            <Description>HOLTER Ventricular Catheter, packaged sterile, silicone rubber</Description>
            <Size>3 - 7cm and 15cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Proximal</Suffix>
            <ARTGs>
                <ARTG>150090</ARTG>
            </ARTGs>
            <MinimumBenefit>167</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG161</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>JJ227</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Codman Medos Straight Ventricular Catheter</Name>
            <Description>14cm, packaged sterile, silicone rubber</Description>
            <Size>14cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Proximal</Suffix>
            <ARTGs>
                <ARTG>150085</ARTG>
            </ARTGs>
            <MinimumBenefit>167</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG164</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>JJ263</PriorBillingCode>
            </PriorBillingCodes>
            <Name>ACCU-FLO Intracranial Pressure shunt</Name>
            <Description>ACCU-FLO barium ventricular catheter, packaged sterile, silicone rubber</Description>
            <Size>One size only</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Proximal</Suffix>
            <ARTGs>
                <ARTG>150088</ARTG>
            </ARTGs>
            <MinimumBenefit>167</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI122</BillingCode>
            <Name>CSF Ventricular Catheter PSM range</Name>
            <Description>Ventricular catheter, non metallic latex free. Barium impregnated, include stainless steel stylet.</Description>
            <Size>1.3 - 35cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Proximal</Suffix>
            <ARTGs>
                <ARTG>141100</ARTG>
            </ARTGs>
            <MinimumBenefit>167</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC639</BillingCode>
            <Name>Ventricular Catheter PSM range with Bioglide</Name>
            <Description>Translucent silicone elastomer with Barium impregnated stripe. Catheter surface bonded with Hydrogel.</Description>
            <Size>15-23cm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1668</GroupID>
            <Suffix>Proximal, Coating</Suffix>
            <ARTGs>
                <ARTG>141102</ARTG>
            </ARTGs>
            <MinimumBenefit>225</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB323</BillingCode>
            <Name>Aesculap-Miethke SHUNTASSISTANT</Name>
            <Description>Anti-siphon gravitational unit to treat standing pressure over drainage in conjunction with existing shunts in children and adults, titanium construction (MRI safe to 3 tesla).</Description>
            <Size>19.5mm long and 23.7mm long , 4.0mm diameter and 4.6mm diameter, 10cmH2O and 15-35cmH2O. Straight and u-shaped.</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1669</GroupID>
            <ARTGs>
                <ARTG>181718</ARTG>
            </ARTGs>
            <MinimumBenefit>794</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG156</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>JJ164</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Siphonguard CSF Control Device</Name>
            <Description>PET shell anti-siphon device for shunt</Description>
            <Size>One size only</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1669</GroupID>
            <ARTGs>
                <ARTG>165962</ARTG>
            </ARTGs>
            <MinimumBenefit>794</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB330</BillingCode>
            <Name>Miethke Reservoir with integrated catheter</Name>
            <Description>The reservoirs are all made of titanium and are radiopaque. They have a low overall height for easy and safe positioning and fixation of the ventricular catheter. They allow CSF extraction and drug injection by inserting a syringe through the silicone dome. The solid titanium base prevents penetration with a syringe needle.&#xD;
The reservoirs come with integrated catheters. There are 4 different types of reservoirs with integrated catheters: Burrhole reservoir, sprung reservoir, flushing reservoir and control reservoir.</Description>
            <Size>Burrhole reservoir: &#xD;
FV027T - Diameter 20mm, Height 5.65mm, with integrated catheter 600mm. &#xD;
FV054T - Diameter 14mm, Height 4.8mm, with integrated catheter 200mm (pediatric).&#xD;
Sprung reservoir: &#xD;
FV044T - Diameter 20mm, Height 5.65mm, with integrated catheter 600mm.&#xD;
Flushing reservoir: &#xD;
FV034T - Diameter 20mm, Height 5.65mm, with integrated 600mm.&#xD;
FV081T - Diameter 14mm, Height 4.8mm, with integrated catheter 600mm (pediatric).&#xD;
Control reservoir: &#xD;
FV048T - Diameter 20mm, Height 5.65mm, with integrated catheter 600mm.</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1670</GroupID>
            <Suffix>Integrated Catheter</Suffix>
            <ARTGs>
                <ARTG>181719</ARTG>
            </ARTGs>
            <MinimumBenefit>451</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB326</BillingCode>
            <Name>Aesculap-Miethke Shunt inline Flushing reservoir</Name>
            <Description>Titanium, (MRI safe 3 tesla), radio- opaque with low overall height for easy and safe positioning of ventricular catheter. Allows CSF extraction and drug injection by syringe through silicone dome. Solid Titanium base ensures syringes will not penetrate.</Description>
            <Size>Radio-opaque titanium. 14mm diameter,4.8mmheight; 20mm diameter, 5.65mm height. For catheters - id = 1.2mm,od = 2.5mm</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1670</GroupID>
            <ARTGs>
                <ARTG>181719</ARTG>
            </ARTGs>
            <MinimumBenefit>338</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB327</BillingCode>
            <Name>Aesculap-Miethke Shunt Burr hole port</Name>
            <Description>Titanium, (MRI safe 3 tesla), radio-opaque with low overall height for easy and safe positioning of ventricular catheter. Allows CSF extraction and drug injection by syringe through silicone dome. Solid Titanium base ensures syringes will not penetrate, supplied sterile.</Description>
            <Size>Radio- opaque titanium. 14mm diameter, 4.8mm height; 20/9.5mm diameter, 5.65mm height. For catheters - id =1.2mm, od =2.5mm</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1670</GroupID>
            <ARTGs>
                <ARTG>181719</ARTG>
            </ARTGs>
            <MinimumBenefit>338</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB333</BillingCode>
            <Name>Miethke Port / Reservoir</Name>
            <Description>The ports / reservoirs are all made of titanium and are radiopaque. They have a low overall height for easy and safe positioning and fixation of the ventricular catheter. They allow CSF extraction and drug injection by inserting a syringe through the silicone dome. The solid titanium base prevents penetration with a syringe needle. There are 6 different types: Burrhole port, CSF port, Burrhole reservoir, Sprung reservoir, Flushing reservoir, Control reservoir.</Description>
            <Size>Burrhole port:&#xD;
FV030T: Diameter 20mm, Height 5.65mm.&#xD;
FV040T: Diameter 14mm, Height 4.8mm (for pediatric application).&#xD;
CSF port:&#xD;
FV060T: Diameter 20mm, Height 5.65mm.&#xD;
Burrhole reservoir:&#xD;
FV028T: Diameter 20mm, Height 5.65mm.&#xD;
FV029T: Diameter 20mm, Height 5.65mm with adjustable connector.&#xD;
FV039T: Diameter 14mm, Height 4.8mm (for pediatric application).&#xD;
Sprung reservoir:&#xD;
FV043T: Diameter 20mm, Height 5.65mm.&#xD;
Flushing reservoir:&#xD;
FV033T: Diameter 20mm, Height 5.65mm.&#xD;
FV035T: Diameter 14mm, Height 4.8mm (for pediatric application).&#xD;
Control reservoir:&#xD;
FV047T: Diameter 20mm, Height 5.65mm.</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1670</GroupID>
            <ARTGs>
                <ARTG>181719</ARTG>
            </ARTGs>
            <MinimumBenefit>338</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG008</BillingCode>
            <Name>Heyer-Schulte Ommaya CSF Reservoir</Name>
            <Description>Standard, side-inlet, convertible, mini</Description>
            <Size>1.5 - 2.5cm and mini</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1670</GroupID>
            <ARTGs>
                <ARTG>161176</ARTG>
            </ARTGs>
            <MinimumBenefit>338</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG013</BillingCode>
            <Name>Shunt</Name>
            <Description>Reservoir</Description>
            <Size>Standard, Large</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1670</GroupID>
            <ARTGs>
                <ARTG>151646</ARTG>
            </ARTGs>
            <MinimumBenefit>338</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG033</BillingCode>
            <Name>Reservoirs</Name>
            <Description>Shunt component</Description>
            <Size>9mm to 25mm, with or without convertible outlet port, burr hole or flat bottom style</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1670</GroupID>
            <ARTGs>
                <ARTG>163539</ARTG>
            </ARTGs>
            <MinimumBenefit>338</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG173</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>JJ856</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Burr Hole Button Reservoirs</Name>
            <Description>Various ventriculostomy reservoirs</Description>
            <Size>Standard, dome, flat profile and large</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1670</GroupID>
            <ARTGs>
                <ARTG>140900</ARTG>
                <ARTG>149297</ARTG>
                <ARTG>149298</ARTG>
            </ARTGs>
            <MinimumBenefit>338</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC534</BillingCode>
            <Name>Pressure valve (anti-siphon device or  flushing valve or flush pump)</Name>
            <Description>Neonatal Reservior, CSF Lumbo Peritoneal</Description>
            <Size>2 - 90cm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1670</GroupID>
            <ARTGs>
                <ARTG>129650</ARTG>
            </ARTGs>
            <MinimumBenefit>338</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI018</BillingCode>
            <Name>Reservoir</Name>
            <Description>CSF Reservoir, Port, Neonatal, Snap assembly</Description>
            <Size>Various</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1670</GroupID>
            <ARTGs>
                <ARTG>129650</ARTG>
                <ARTG>145332</ARTG>
                <ARTG>145336</ARTG>
            </ARTGs>
            <MinimumBenefit>338</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB328</BillingCode>
            <Name>Miethke Titanium connectors &amp; deflectors</Name>
            <Description>Titanium, (MRI safe 3 tesla), deflector allows 90 degree deflection of the ventricular catheter in the burr hole without kinking, adjustable on length of catheter, suture fixture hole</Description>
            <Size>Radio-opaque titanium, connector diameter: 1,9mm for use with catheters of id = 1.2mm; of id 1.2mm; od = 2.5mm</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1671</GroupID>
            <SubGroupID>4470</SubGroupID>
            <ARTGs>
                <ARTG>181719</ARTG>
            </ARTGs>
            <MinimumBenefit>34</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG022</BillingCode>
            <Name>Connectors</Name>
            <Description>Silicone and Stainless Steel</Description>
            <Size>Straight, right angle, Y, T</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1671</GroupID>
            <SubGroupID>4470</SubGroupID>
            <ARTGs>
                <ARTG>151592</ARTG>
            </ARTGs>
            <MinimumBenefit>34</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG184</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>JJ934</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Codman Hydrocephalus Connectors</Name>
            <Description>Metal and plastic connectors</Description>
            <Size>8mm to 20mm length</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1671</GroupID>
            <SubGroupID>4470</SubGroupID>
            <ARTGs>
                <ARTG>140901</ARTG>
                <ARTG>150104</ARTG>
            </ARTGs>
            <MinimumBenefit>34</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI022</BillingCode>
            <Name>Shunt Component Connector</Name>
            <Description>Connectors, fixation tabs</Description>
            <Size>Various</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1671</GroupID>
            <SubGroupID>4470</SubGroupID>
            <ARTGs>
                <ARTG>128403</ARTG>
                <ARTG>128523</ARTG>
                <ARTG>134760</ARTG>
                <ARTG>95539</ARTG>
            </ARTGs>
            <MinimumBenefit>34</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB334</BillingCode>
            <Name>Miethke Titanium connectors - right angled / shaped</Name>
            <Description>In general, titanium connectors are preferably used with catheters of internal diameter 1.2m and external diameter 2.5mm.&#xD;
Step-down connectors are designed for connecting standard catheters to lumbar catheters.&#xD;
L-P connectors are designed for connecting two lumbar catheters to each other.</Description>
            <Size>Titanium connector: Connector diameter, 1.9mm.&#xD;
L-shape:&#xD;
FV051T: 1pc&#xD;
Y-shape:&#xD;
FV015T: 1 pc, FV016T: 5 pcs, FV017T: 10 pcs.&#xD;
T-shape:&#xD;
FV018T: 1 pc, FV019T: 5 pcs, FV020T: 10 pcs.&#xD;
X-shape:&#xD;
FV021T: 1 pc, FV022T: 5 pcs, FV023T: 10 pcs.&#xD;
Y-shape:&#xD;
FV056T: 1 pc.&#xD;
U-shape:&#xD;
FV057T: 1 pc.&#xD;
F-shape:&#xD;
FV058T: 1 pc.&#xD;
L-shape:&#xD;
FV059T: 1 pc.&#xD;
Titanium connector, step-down: Connector diameters: 1.9mm to 1.4mm:&#xD;
L-shape: &#xD;
FV052T: 1 pc.&#xD;
Titanium connector, L-P drainage: Connector diameters 1.4mm to 1.4mm:&#xD;
L-shape: &#xD;
FV053T: 1 pc.</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1671</GroupID>
            <SubGroupID>4471</SubGroupID>
            <ARTGs>
                <ARTG>194850</ARTG>
            </ARTGs>
            <MinimumBenefit>181</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG052</BillingCode>
            <Name>Electa right angle guide</Name>
            <Description>Silicone</Description>
            <Size>One Size Only</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>220</SubCategoryID>
            <GroupID>1671</GroupID>
            <SubGroupID>4471</SubGroupID>
            <ARTGs>
                <ARTG>151661</ARTG>
            </ARTGs>
            <MinimumBenefit>181</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS318</BillingCode>
            <Name>Vercise PC</Name>
            <Description>Dual channel primary cell deep brain stimulation system</Description>
            <Size>One size only</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1672</GroupID>
            <SubGroupID>4472</SubGroupID>
            <Suffix>Dual Channel</Suffix>
            <ARTGs>
                <ARTG>279185</ARTG>
            </ARTGs>
            <MinimumBenefit>13592</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS382</BillingCode>
            <Name>Vercise Genus </Name>
            <Description>8, 16 &amp; 32 Contact Dual channel primary cell pulse generator with anodic stimulation</Description>
            <Size>One size only</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1672</GroupID>
            <SubGroupID>4472</SubGroupID>
            <Suffix>Dual Channel</Suffix>
            <ARTGs>
                <ARTG>363570</ARTG>
                <ARTG>363571</ARTG>
                <ARTG>363572</ARTG>
            </ARTGs>
            <MinimumBenefit>13592</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM433</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>NK111</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Dual Channel Implantable Pulse generator</Name>
            <Description>Dual Channel Implantable Pulse generator</Description>
            <Size>Sizes as suitable for patient anatomy</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1672</GroupID>
            <SubGroupID>4472</SubGroupID>
            <Suffix>Dual Channel</Suffix>
            <ARTGs>
                <ARTG>307525</ARTG>
            </ARTGs>
            <MinimumBenefit>13592</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC838</BillingCode>
            <Name>Medtronic ACTIVA PC Neurostimulator for Deep Brain Stimulation</Name>
            <Description>ACTIVA PC Dual channel primary cell neuro stimulator for Deep Brain Stimulation (37601)</Description>
            <Size>One size only</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1672</GroupID>
            <SubGroupID>4472</SubGroupID>
            <Suffix>Dual Channel</Suffix>
            <ARTGs>
                <ARTG>160118</ARTG>
            </ARTGs>
            <MinimumBenefit>13592</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI401</BillingCode>
            <Name>Medtronic Percept PC Neurostimulator for Deep Brain Stimulation</Name>
            <Description>Percept PC Dual channel primary cell neuro stimulator for Deep Brain Stimulation with Brain Sensing Technology</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1672</GroupID>
            <SubGroupID>4472</SubGroupID>
            <Suffix>Dual Channel</Suffix>
            <ARTGs>
                <ARTG>351590</ARTG>
                <ARTG>351630</ARTG>
            </ARTGs>
            <MinimumBenefit>13592</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ206</BillingCode>
            <Name>Libra XP DBS IPG 6644</Name>
            <Description>Implantable pulse generation for deep brain stimulation - Dual 4 Channel</Description>
            <Size>76mm x 58mm x 14mm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1672</GroupID>
            <SubGroupID>4472</SubGroupID>
            <Suffix>Dual Channel</Suffix>
            <ARTGs>
                <ARTG>161009</ARTG>
            </ARTGs>
            <MinimumBenefit>13592</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ376</BillingCode>
            <Name>Infinity IPG</Name>
            <Description>Implantable Pulse Generator</Description>
            <Size>55mm, 68mm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1672</GroupID>
            <SubGroupID>4472</SubGroupID>
            <Suffix>Dual Channel</Suffix>
            <ARTGs>
                <ARTG>278846</ARTG>
                <ARTG>278847</ARTG>
                <ARTG>278849</ARTG>
                <ARTG>278850</ARTG>
            </ARTGs>
            <MinimumBenefit>13592</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM429</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>NK107</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Single Channel Implantable Pulse Generator</Name>
            <Description>Single Channel Implantable Pulse Generator</Description>
            <Size>Suitable for patient anatomy</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1672</GroupID>
            <SubGroupID>4472</SubGroupID>
            <ARTGs>
                <ARTG>307524</ARTG>
            </ARTGs>
            <MinimumBenefit>8168</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI031</BillingCode>
            <Name>Medtronic Activa SC Neurostimulator for Deep Brain Stimulation</Name>
            <Description>Single channel neurostimulator for Deep Brain stimulation</Description>
            <Size>New or Old Header choice</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1672</GroupID>
            <SubGroupID>4472</SubGroupID>
            <ARTGs>
                <ARTG>188034</ARTG>
                <ARTG>188274</ARTG>
            </ARTGs>
            <MinimumBenefit>8168</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ197</BillingCode>
            <Name>Libra Deep Brain Stimulation System - Libra IPG - 6608</Name>
            <Description>Implantable pulse generator for deep brain stimulation - 8 channel</Description>
            <Size>50mm x 54mm x 14mm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1672</GroupID>
            <SubGroupID>4472</SubGroupID>
            <ARTGs>
                <ARTG>161008</ARTG>
            </ARTGs>
            <MinimumBenefit>8168</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM434</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>NK112</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Dual Channel Rechargeable Implantable Pulse Generator</Name>
            <Description>Dual Channel Rechargeable Implantable Pulse Generator</Description>
            <Size>Sized as suitable for patient anatomy</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1672</GroupID>
            <SubGroupID>4473</SubGroupID>
            <Suffix>Dual Channel</Suffix>
            <ARTGs>
                <ARTG>307526</ARTG>
            </ARTGs>
            <MinimumBenefit>17283</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC946</BillingCode>
            <Name>Medtronic ACTIVA RC Neurostimulator for Deep  Brain Stimulation</Name>
            <Description>ACTIVA RC Dual channel rechargeable neurostimulator for Deep Brain Stimulation (37612)</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1672</GroupID>
            <SubGroupID>4473</SubGroupID>
            <Suffix>Dual Channel</Suffix>
            <ARTGs>
                <ARTG>160117</ARTG>
            </ARTGs>
            <MinimumBenefit>17283</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ202</BillingCode>
            <Name>Brio DBS Implantable Pulse Generator 6788</Name>
            <Description>Dual Channel 16 Contact rechargeable IPG</Description>
            <Size>29g, 17cc</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1672</GroupID>
            <SubGroupID>4473</SubGroupID>
            <Suffix>Dual Channel</Suffix>
            <ARTGs>
                <ARTG>164510</ARTG>
            </ARTGs>
            <MinimumBenefit>17283</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS237</BillingCode>
            <Name>Vercise IPG Kit</Name>
            <Description>Dual Channel, 16 Contact, Zero Volt Rechargeable Deep Brain Stimulation IPG</Description>
            <Size>One size only</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1672</GroupID>
            <SubGroupID>4473</SubGroupID>
            <Suffix>Unlimited Deep Discharge Battery</Suffix>
            <ARTGs>
                <ARTG>201944</ARTG>
            </ARTGs>
            <MinimumBenefit>19855</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS358</BillingCode>
            <Name>Vercise Gevia IPG Kit</Name>
            <Description>Dual Channel, 16 Contact, Zero Volt Rechargeable Deep Brain Stimulation IPG</Description>
            <Size>51.3 mm x 46 mm x 10.8 mm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1672</GroupID>
            <SubGroupID>4473</SubGroupID>
            <Suffix>Unlimited Deep Discharge Battery</Suffix>
            <ARTGs>
                <ARTG>308573</ARTG>
            </ARTGs>
            <MinimumBenefit>19855</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS387</BillingCode>
            <Name>Vercise Genus</Name>
            <Description>Dual Channel,16 &amp; 32 Contact, Zero Volt Rechargeable Deep Brain Stimulation IPG with anodic stimulation</Description>
            <Size>52 mm x 46 mm x 11 mm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1672</GroupID>
            <SubGroupID>4473</SubGroupID>
            <Suffix>Unlimited Deep Discharge Battery</Suffix>
            <ARTGs>
                <ARTG>363573</ARTG>
                <ARTG>363574</ARTG>
            </ARTGs>
            <MinimumBenefit>19855</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS243</BillingCode>
            <Name>Vercise Remote Control, Vercise Remote Control 2, Vercise Remote Control 3, Vercise Remote Control 4</Name>
            <Description>Remote patient control for DBS, remote patient control kit for DBS</Description>
            <Size>One size only</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1673</GroupID>
            <SubGroupID>4474</SubGroupID>
            <ARTGs>
                <ARTG>202019</ARTG>
                <ARTG>279188</ARTG>
                <ARTG>308575</ARTG>
                <ARTG>308577</ARTG>
                <ARTG>363576</ARTG>
            </ARTGs>
            <MinimumBenefit>1264</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM431</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>NK109</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Patient or Clinician Programmer</Name>
            <Description>Patient or Clinician Programmer</Description>
            <Size>N/A</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1673</GroupID>
            <SubGroupID>4474</SubGroupID>
            <ARTGs>
                <ARTG>308945</ARTG>
            </ARTGs>
            <MinimumBenefit>1264</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC837</BillingCode>
            <Name>Medtronic Activa Patient Programmer</Name>
            <Description>Medtronic Activa Patient Programmer (Model 37642)</Description>
            <Size>One size only</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1673</GroupID>
            <SubGroupID>4474</SubGroupID>
            <ARTGs>
                <ARTG>160115</ARTG>
            </ARTGs>
            <MinimumBenefit>1264</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI367</BillingCode>
            <Name>Medtronic Activa Patient Programming System</Name>
            <Description>Medtronic Activa Patient Programming System</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1673</GroupID>
            <SubGroupID>4474</SubGroupID>
            <ARTGs>
                <ARTG>339925</ARTG>
            </ARTGs>
            <MinimumBenefit>1264</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI400</BillingCode>
            <Name>Medtronic Percept PC Patient Programmer</Name>
            <Description>Medtronic Percept PC Patient Programmer</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1673</GroupID>
            <SubGroupID>4474</SubGroupID>
            <ARTGs>
                <ARTG>351590</ARTG>
            </ARTGs>
            <MinimumBenefit>1264</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ204</BillingCode>
            <Name>Brio DBS Patient Controller 6856</Name>
            <Description>Patient Controller for DBS</Description>
            <Size>One size only</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1673</GroupID>
            <SubGroupID>4474</SubGroupID>
            <ARTGs>
                <ARTG>164509</ARTG>
            </ARTGs>
            <MinimumBenefit>1264</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS245</BillingCode>
            <Name>Vercise Charging System</Name>
            <Description>Recharging system for DBS</Description>
            <Size>N/A</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1673</GroupID>
            <SubGroupID>4475</SubGroupID>
            <ARTGs>
                <ARTG>202018</ARTG>
                <ARTG>203085</ARTG>
                <ARTG>308576</ARTG>
                <ARTG>363579</ARTG>
            </ARTGs>
            <MinimumBenefit>1782</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM432</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>NK110</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Patient programmer Recharger</Name>
            <Description>Patient programmer Recharger</Description>
            <Size>N/A</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1673</GroupID>
            <SubGroupID>4475</SubGroupID>
            <ARTGs>
                <ARTG>309804</ARTG>
            </ARTGs>
            <MinimumBenefit>1782</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC945</BillingCode>
            <Name>Medtronic ACTIVA Recharging System for Deep Brain Stimulation</Name>
            <Description>Recharging System for Deep Brain Stimulation</Description>
            <Size>One size only</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1673</GroupID>
            <SubGroupID>4475</SubGroupID>
            <ARTGs>
                <ARTG>121279</ARTG>
            </ARTGs>
            <MinimumBenefit>1782</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI398</BillingCode>
            <Name>Medtronic Recharging System for Deep Brain Stimulation</Name>
            <Description>Wireless recharging System for Deep Brain Stimulation</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1673</GroupID>
            <SubGroupID>4475</SubGroupID>
            <ARTGs>
                <ARTG>121279</ARTG>
                <ARTG>341408</ARTG>
                <ARTG>341712</ARTG>
            </ARTGs>
            <MinimumBenefit>1782</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ351</BillingCode>
            <Name>Brio LE Charging System 6722</Name>
            <Description>Charging system for Brio Deep Brain Stimualtion Device</Description>
            <Size>One size only </Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1673</GroupID>
            <SubGroupID>4475</SubGroupID>
            <ARTGs>
                <ARTG>231655</ARTG>
            </ARTGs>
            <MinimumBenefit>1782</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS319</BillingCode>
            <Name>Cartesia Directional Lead</Name>
            <Description>Deep brain stimulation lead with 8 in-line contact electrodes. Independent 19-filar platinum-core. Contacts are separated circumferentially allowing for both axial and&#xD;
rotational stimulation selectivity.</Description>
            <Size>30cm - 45cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1674</GroupID>
            <SubGroupID>4476</SubGroupID>
            <Suffix>Current steering</Suffix>
            <ARTGs>
                <ARTG>279186</ARTG>
            </ARTGs>
            <MinimumBenefit>4120</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ378</BillingCode>
            <Name>Infinity directional lead</Name>
            <Description>Lead with 8 electrode segmented contacts. Steerable and directional current.</Description>
            <Size>30-40cm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1674</GroupID>
            <SubGroupID>4476</SubGroupID>
            <Suffix>Current steering</Suffix>
            <ARTGs>
                <ARTG>279017</ARTG>
            </ARTGs>
            <MinimumBenefit>4120</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS238</BillingCode>
            <Name>Boston Scientific DBS Lead Kit</Name>
            <Description>Deep brain stimulation lead with 8 in-line contact electrodes. Independent 19-filar platinum-core.</Description>
            <Size>30cm - 45cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1674</GroupID>
            <SubGroupID>4476</SubGroupID>
            <ARTGs>
                <ARTG>202017</ARTG>
            </ARTGs>
            <MinimumBenefit>3746</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM430</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>NK108</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Implantable Lead Kits</Name>
            <Description>Implantable Lead Kits</Description>
            <Size>Multiple sizes suitable for patient anatomy</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1674</GroupID>
            <SubGroupID>4476</SubGroupID>
            <ARTGs>
                <ARTG>313134</ARTG>
            </ARTGs>
            <MinimumBenefit>3746</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC244</BillingCode>
            <Name>Medtronic Australasia DBS Lead Model 3389,  Medtronic quadripolar Itrel II- 7424DBS, Active Implantable Stimulator &amp; Ancillary Equipment</Name>
            <Description>Deep brain stimulation lead with four platinum iridium electrodes Models 3387 and 3389.  Electrode spacing is 1.5mm apart for Model 3387 and 0.5mm apart for Model 3389.  PTFE, polyurethane, platinum/iridium, nickel alloy, tungsten</Description>
            <Size>28 - 40cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1674</GroupID>
            <SubGroupID>4476</SubGroupID>
            <ARTGs>
                <ARTG>137138</ARTG>
                <ARTG>137374</ARTG>
            </ARTGs>
            <MinimumBenefit>3746</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ148</BillingCode>
            <Name>Libra Deep Brain Stimulation System  - Leads 6142 - 6149</Name>
            <Description>DBS Leads 6142-6145 1.5mm electrode and space 1.5mm; 6146-6149 1.5mm electrode and 0.5mm space</Description>
            <Size>25-40cm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1674</GroupID>
            <SubGroupID>4476</SubGroupID>
            <ARTGs>
                <ARTG>160826</ARTG>
            </ARTGs>
            <MinimumBenefit>3746</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ377</BillingCode>
            <Name>Infinity Lead</Name>
            <Description>Lead with 4 electrodes</Description>
            <Size>30-90cm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1674</GroupID>
            <SubGroupID>4476</SubGroupID>
            <ARTGs>
                <ARTG>278555</ARTG>
            </ARTGs>
            <MinimumBenefit>3746</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS239</BillingCode>
            <Name>Boston Scientific DBS Extension Kit</Name>
            <Description>Deep brain stimulation extension kit</Description>
            <Size>55 &amp; 95 cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1674</GroupID>
            <SubGroupID>4477</SubGroupID>
            <ARTGs>
                <ARTG>363575</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS293</BillingCode>
            <Name>B26 Pocket Adaptor</Name>
            <Description>Pocket Adaptor for Deep Brain Stimulation IPG</Description>
            <Size>15cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1674</GroupID>
            <SubGroupID>4477</SubGroupID>
            <ARTGs>
                <ARTG>231754</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS324</BillingCode>
            <Name>Vercise M8 Adapter</Name>
            <Description>1 x 8 in-line connector designed to connect another manufacturer's previously implanted lead extensions to the Vercise Stimulator</Description>
            <Size>15 - 55cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1674</GroupID>
            <SubGroupID>4477</SubGroupID>
            <ARTGs>
                <ARTG>281579</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM435</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>NK113</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Implantable Extension Kit</Name>
            <Description>Implantable Extension Kit</Description>
            <Size>Suitable for patient anatomy</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1674</GroupID>
            <SubGroupID>4477</SubGroupID>
            <ARTGs>
                <ARTG>313133</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC305</BillingCode>
            <Name>Low Profile Impedance Extension Kit for DBS Model 7482</Name>
            <Description>Silicone Rubber</Description>
            <Size>25, 40, 51, 66, 95cm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1674</GroupID>
            <SubGroupID>4477</SubGroupID>
            <ARTGs>
                <ARTG>156265</ARTG>
                <ARTG>96927</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC852</BillingCode>
            <Name>Medtronic Extension for Deep Brain Stimulation</Name>
            <Description>Medtronic ACTIVA Stretch Coil Extension for use with ACTIVA RC and PC</Description>
            <Size>40cm, 60cm, 95cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1674</GroupID>
            <SubGroupID>4477</SubGroupID>
            <ARTGs>
                <ARTG>239412</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC940</BillingCode>
            <Name>Pocket Adaptors for Deep Brain Stimulation</Name>
            <Description>Pocket Adaptors for Deep Brain Stimulation (Single and Dual Channel)</Description>
            <Size>25.5cm and 27.4cm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1674</GroupID>
            <SubGroupID>4477</SubGroupID>
            <ARTGs>
                <ARTG>165114</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ234</BillingCode>
            <Name>Pocket Adaptor</Name>
            <Description>IS-1 Pocket Adaptor</Description>
            <Size>25cm and 50cm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1674</GroupID>
            <SubGroupID>4477</SubGroupID>
            <ARTGs>
                <ARTG>170021</ARTG>
                <ARTG>233169</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ350</BillingCode>
            <Name>8-Channel Adapter</Name>
            <Description>8-Channel Adapter</Description>
            <Size>10cm and 60cm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1674</GroupID>
            <SubGroupID>4477</SubGroupID>
            <ARTGs>
                <ARTG>233169</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ373</BillingCode>
            <Name>St Jude Deep Brain Stimulation System</Name>
            <Description>Extension Lead for DBS</Description>
            <Size>50-90cm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1674</GroupID>
            <SubGroupID>4477</SubGroupID>
            <ARTGs>
                <ARTG>160827</ARTG>
                <ARTG>183454</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER612</BillingCode>
            <Name>Alpha Omega NeuroProbe Microelectrodes</Name>
            <Description>Alpha Omega Neuroprobe family of microtargeting electrodes; shielded, Sonus  shielded or unshielded, various configurations, sterile</Description>
            <Size>Length: 240-300 mm  Microtip length: 2.5-27 mm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1675</GroupID>
            <ARTGs>
                <ARTG>346530</ARTG>
            </ARTGs>
            <MinimumBenefit>1354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER647</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>SJ198</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MicroTargeting Electrodes</Name>
            <Description>Microtargeting mono- and bipolar- electrodes</Description>
            <Size>100-300mm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1675</GroupID>
            <ARTGs>
                <ARTG>161735</ARTG>
            </ARTGs>
            <MinimumBenefit>1354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI073</BillingCode>
            <Name>Medtronic MicroTargeting Electrodes</Name>
            <Description>Microelectrodes used for intra-operative recording of neuronal activity for DBS</Description>
            <Size>Various</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1675</GroupID>
            <ARTGs>
                <ARTG>133619</ARTG>
            </ARTGs>
            <MinimumBenefit>1354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS244</BillingCode>
            <Name>SureTek Burr Hole Cover</Name>
            <Description>Burr hole cover</Description>
            <Size>14mm compatability</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1676</GroupID>
            <SubGroupID>4478</SubGroupID>
            <ARTGs>
                <ARTG>203999</ARTG>
            </ARTGs>
            <MinimumBenefit>497</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC767</BillingCode>
            <Name>Stimloc</Name>
            <Description>Burr Hole Cover</Description>
            <Size>14mm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1676</GroupID>
            <SubGroupID>4478</SubGroupID>
            <ARTGs>
                <ARTG>151095</ARTG>
            </ARTGs>
            <MinimumBenefit>497</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ199</BillingCode>
            <Name>Guardian Burr Hole Cover System</Name>
            <Description>Cranial Burr Hole Cover</Description>
            <Size>14 - 17mm outer diameter</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1676</GroupID>
            <SubGroupID>4478</SubGroupID>
            <ARTGs>
                <ARTG>163234</ARTG>
            </ARTGs>
            <MinimumBenefit>497</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS242</BillingCode>
            <Name>Boston Scientific DBS OR Cable &amp; Extension</Name>
            <Description>OR cable and extension for DBS</Description>
            <Size>One size only</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1676</GroupID>
            <SubGroupID>4479</SubGroupID>
            <ARTGs>
                <ARTG>157994</ARTG>
            </ARTGs>
            <MinimumBenefit>181</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER614</BillingCode>
            <Name>Alpha Omega Electrode cable</Name>
            <Description>Alpha Omega Elecrode cable, sterile </Description>
            <Size>Various</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1676</GroupID>
            <SubGroupID>4479</SubGroupID>
            <ARTGs>
                <ARTG>321642</ARTG>
            </ARTGs>
            <MinimumBenefit>181</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC764</BillingCode>
            <Name>Microelectrode Cable</Name>
            <Description>Cable used for intracranial recording of neural activity prior to DBS</Description>
            <Size>One size</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1676</GroupID>
            <SubGroupID>4479</SubGroupID>
            <ARTGs>
                <ARTG>138186</ARTG>
            </ARTGs>
            <MinimumBenefit>181</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC770</BillingCode>
            <Name>Snap Lid Connector</Name>
            <Description>Connector for implanted lead to external Implantable Pulse Generator</Description>
            <Size>2.5" x 5.0"</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1676</GroupID>
            <SubGroupID>4479</SubGroupID>
            <ARTGs>
                <ARTG>119991</ARTG>
            </ARTGs>
            <MinimumBenefit>181</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC842</BillingCode>
            <Name>Medtronic Screening Cable (Twist Lock)</Name>
            <Description>Screening Cable with Twist Lock for Intraoperative testing</Description>
            <Size>One size only</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1676</GroupID>
            <SubGroupID>4479</SubGroupID>
            <ARTGs>
                <ARTG>119991</ARTG>
            </ARTGs>
            <MinimumBenefit>181</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC843</BillingCode>
            <Name>Medtronic Screening Cable (Alligator Clip)</Name>
            <Description>Screening Cable with Alligator Clip for Intraoperative testing</Description>
            <Size>One size only</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1676</GroupID>
            <SubGroupID>4479</SubGroupID>
            <ARTGs>
                <ARTG>119991</ARTG>
            </ARTGs>
            <MinimumBenefit>181</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS240</BillingCode>
            <Name>Vercise Physician's Spare Kit</Name>
            <Description>Boots accessory kit for DBS</Description>
            <Size>N/A</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1676</GroupID>
            <SubGroupID>4498</SubGroupID>
            <ARTGs>
                <ARTG>203998</ARTG>
            </ARTGs>
            <MinimumBenefit>158</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS241</BillingCode>
            <Name>Boston Scientific DBS Tunneling Tool</Name>
            <Description>Tunneling tool for DBS - straw, long</Description>
            <Size>N/A</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1676</GroupID>
            <SubGroupID>4498</SubGroupID>
            <ARTGs>
                <ARTG>156757</ARTG>
            </ARTGs>
            <MinimumBenefit>158</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER613</BillingCode>
            <Name>Alpha Omega Cannula</Name>
            <Description>Alpha Omega Cannula, standard or tapered used for microelectrodes recording (MER) and for lead insertion; stylet, sterile</Description>
            <Size>Length: 130-300 mm  Inner diameter: 0.6-1.6 mm  Outer diameter: 1.83 mm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1676</GroupID>
            <SubGroupID>4498</SubGroupID>
            <ARTGs>
                <ARTG>346590</ARTG>
            </ARTGs>
            <MinimumBenefit>158</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC826</BillingCode>
            <Name>Medtronic Accessory Kit for Deep Brain Stimulation</Name>
            <Description>Boots accessory kit for DBS (3550-25)</Description>
            <Size>N/A</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1676</GroupID>
            <SubGroupID>4498</SubGroupID>
            <ARTGs>
                <ARTG>240576</ARTG>
            </ARTGs>
            <MinimumBenefit>158</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI003</BillingCode>
            <Name>Medtronic DBS Tunneling Tool Accessory Kit</Name>
            <Description>DBS Tunneling Tool Accessory Kit</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1676</GroupID>
            <SubGroupID>4498</SubGroupID>
            <ARTGs>
                <ARTG>121281</ARTG>
            </ARTGs>
            <MinimumBenefit>158</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI119</BillingCode>
            <Name>Electrode Insertion Tube set</Name>
            <Description>Electrode Insertion Tube Set for DBS</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>221</SubCategoryID>
            <GroupID>1676</GroupID>
            <SubGroupID>4498</SubGroupID>
            <ARTGs>
                <ARTG>212222</ARTG>
            </ARTGs>
            <MinimumBenefit>158</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS322</BillingCode>
            <Name>Precision Novi IPG</Name>
            <Description>16-output, multi-channel, neurostimulation system IPG with 3D algorythmic programming</Description>
            <Size>One Size Only</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1677</GroupID>
            <SubGroupID>4480</SubGroupID>
            <Suffix>Multi waveforms</Suffix>
            <ARTGs>
                <ARTG>283692</ARTG>
                <ARTG>283693</ARTG>
            </ARTGs>
            <MinimumBenefit>21660</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS383</BillingCode>
            <Name>WaveWriter Alpha</Name>
            <Description>16 &amp; 32 output, multi-channel, neurostimulation system IPG with 3D Algorythmic Programming, Combination Therapy and Multi Waveform capability </Description>
            <Size>One Size Only</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1677</GroupID>
            <SubGroupID>4480</SubGroupID>
            <Suffix>Multi waveforms</Suffix>
            <ARTGs>
                <ARTG>362970</ARTG>
                <ARTG>362971</ARTG>
            </ARTGs>
            <MinimumBenefit>21660</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ379</BillingCode>
            <Name>Proclaim IPG</Name>
            <Description>Implantable pulse generator</Description>
            <Size>55mm, 68mm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1677</GroupID>
            <SubGroupID>4480</SubGroupID>
            <Suffix>Multi waveforms</Suffix>
            <ARTGs>
                <ARTG>279015</ARTG>
                <ARTG>279016</ARTG>
            </ARTGs>
            <MinimumBenefit>21660</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ389</BillingCode>
            <Name>Proclaim DRG</Name>
            <Description>Implantable Pulse Generator</Description>
            <Size>one size only</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1677</GroupID>
            <SubGroupID>4480</SubGroupID>
            <Suffix>Multi waveforms</Suffix>
            <ARTGs>
                <ARTG>289235</ARTG>
                <ARTG>333461</ARTG>
            </ARTGs>
            <MinimumBenefit>21660</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ432</BillingCode>
            <Name>Proclaim XR IPG</Name>
            <Description>Implantable pulse generator</Description>
            <Size>55mm and 68mm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1677</GroupID>
            <SubGroupID>4480</SubGroupID>
            <Suffix>Multi waveforms</Suffix>
            <ARTGs>
                <ARTG>351631</ARTG>
                <ARTG>351632</ARTG>
            </ARTGs>
            <MinimumBenefit>21660</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI135</BillingCode>
            <Name>PrimeAdvanced Surescan MRI Neurostimulator</Name>
            <Description>16 electrode non-rechargeable implantable neurostimulator for pain management with Surescan MRI technology Model 97702</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1677</GroupID>
            <SubGroupID>4480</SubGroupID>
            <ARTGs>
                <ARTG>215751</ARTG>
            </ARTGs>
            <MinimumBenefit>17283</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PQ004</BillingCode>
            <Name>Reactiv8 Implantable Pulse Generator</Name>
            <Description>Two channel implantable stimulator</Description>
            <Size>One size only</Size>
            <SupplierCode>PQ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1677</GroupID>
            <SubGroupID>4480</SubGroupID>
            <ARTGs>
                <ARTG>327089</ARTG>
            </ARTGs>
            <MinimumBenefit>17283</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ362</BillingCode>
            <Name>Axium Neurostimulator System - Implantable Neurostimulator</Name>
            <Description>Spinal modulation implantable neurostimulator.</Description>
            <Size>1 size; 31cc (1 presentation)</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1677</GroupID>
            <SubGroupID>4480</SubGroupID>
            <ARTGs>
                <ARTG>202323</ARTG>
            </ARTGs>
            <MinimumBenefit>17283</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI132</BillingCode>
            <Name>RestoreSensor Surescan MRI Neurostimulator</Name>
            <Description>16 electrode rechargeable implantable neurostimulator for pain management with AdaptiveStim and Surescan MRI technology</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1677</GroupID>
            <SubGroupID>4481</SubGroupID>
            <Suffix>Adaptive Stimulation</Suffix>
            <ARTGs>
                <ARTG>215750</ARTG>
            </ARTGs>
            <MinimumBenefit>21660</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI274</BillingCode>
            <Name>Intellis AdaptiveStim Neurostimulator</Name>
            <Description>16 Electrode Rechargeable, multi-channel, implantable Neurostimulator for pain management with AdaptiveStim, SureScan MRI, and Overdrive technology</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1677</GroupID>
            <SubGroupID>4481</SubGroupID>
            <Suffix>Adaptive Stimulation, Multi waveform, Recharge protection, Unlimited Deep Discharge Battery,</Suffix>
            <ARTGs>
                <ARTG>298746</ARTG>
            </ARTGs>
            <MinimumBenefit>23465</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>UY003</BillingCode>
            <Name>Evoke Closed Loop Stimulator (CLS)  </Name>
            <Description>A 24 contact implantable, rechargeable spinal cord stimulator capable of providing ECAP-controlled closed-loop stimulation. </Description>
            <Size>N/A</Size>
            <SupplierCode>UY</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1677</GroupID>
            <SubGroupID>4481</SubGroupID>
            <Suffix>Adaptive Stimulation, Multi waveform, Recharge protection, Unlimited Deep Discharge Battery,</Suffix>
            <ARTGs>
                <ARTG>336330</ARTG>
            </ARTGs>
            <MinimumBenefit>23465</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS254</BillingCode>
            <Name>Precision Spectra IPG</Name>
            <Description>32-output, multi-channel, zero-volt rechargeable neurostimulation system IPG with 3D alogrythmic programming</Description>
            <Size>One Size Only</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1677</GroupID>
            <SubGroupID>4481</SubGroupID>
            <Suffix>Adaptive Stimulation, Unlimited Deep Discharge Battery, 32 Electrode IPG</Suffix>
            <ARTGs>
                <ARTG>205793</ARTG>
            </ARTGs>
            <MinimumBenefit>23465</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS362</BillingCode>
            <Name>Precision Spectra WaveWriter IPG</Name>
            <Description>32-output, multi-channel, zero-volt rechargeable neurostimulation system IPG with Combination Therapy, Sub-Perception Algorithms and Waveform Automation</Description>
            <Size>One Size Only</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1677</GroupID>
            <SubGroupID>4481</SubGroupID>
            <Suffix>Adaptive Stimulation, Unlimited Deep Discharge Battery, 32 Electrode IPG</Suffix>
            <ARTGs>
                <ARTG>318260</ARTG>
            </ARTGs>
            <MinimumBenefit>23465</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS389</BillingCode>
            <Name>WaveWriter Alpha</Name>
            <Description>16 or 32-output, multi-channel, zero-volt rechargeable neurostimulation system IPG with Combination Therapy, Sub-Perception Algorithms and Waveform Automation</Description>
            <Size>One Size Only</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1677</GroupID>
            <SubGroupID>4481</SubGroupID>
            <Suffix>Adaptive Stimulation, Unlimited Deep Discharge Battery, 32 Electrode IPG</Suffix>
            <ARTGs>
                <ARTG>362972</ARTG>
                <ARTG>362973</ARTG>
            </ARTGs>
            <MinimumBenefit>23465</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FP001</BillingCode>
            <Name>StimRouter Neuromodulation System Kit</Name>
            <Description>Implantable multi-electrode lead with integrated receiver, delivery tools, external pulse transmitter, patient programmer, and charger set.</Description>
            <Size>One size only</Size>
            <SupplierCode>FP</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1677</GroupID>
            <SubGroupID>4481</SubGroupID>
            <Suffix>Integrated Leads</Suffix>
            <ARTGs>
                <ARTG>313344</ARTG>
            </ARTGs>
            <MinimumBenefit>18032</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS330</BillingCode>
            <Name>Precision Montage MRI IPG</Name>
            <Description>MRI Conditional, 16-output, multi-channel, zero-volt rechargeable neurostimulation system IPG with 3D algorythmic programming</Description>
            <Size>One Size Only</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1677</GroupID>
            <SubGroupID>4481</SubGroupID>
            <Suffix>Multi waveform, Recharge protection</Suffix>
            <ARTGs>
                <ARTG>286709</ARTG>
            </ARTGs>
            <MinimumBenefit>23465</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ374</BillingCode>
            <Name>Prodigy IPG</Name>
            <Description>Implantable Pulse Generator</Description>
            <Size>26g</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1677</GroupID>
            <SubGroupID>4481</SubGroupID>
            <Suffix>Multi waveform, Recharge protection</Suffix>
            <ARTGs>
                <ARTG>230721</ARTG>
                <ARTG>279911</ARTG>
            </ARTGs>
            <MinimumBenefit>23465</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI275</BillingCode>
            <Name>Intellis Neurostimulator</Name>
            <Description>16 Electrode Rechargeable, multi-channel, implantable Neurostimulator for pain management with SureScan MRI and Overdrive technology</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1677</GroupID>
            <SubGroupID>4481</SubGroupID>
            <Suffix>Multi waveform, Recharge protection, Unlimited deep discharge battery</Suffix>
            <ARTGs>
                <ARTG>298747</ARTG>
            </ARTGs>
            <MinimumBenefit>23465</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER496</BillingCode>
            <Name>Senza II IPG Kit</Name>
            <Description>Implantable Pulse Generator Kit</Description>
            <Size>One size only</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1677</GroupID>
            <SubGroupID>4481</SubGroupID>
            <Suffix>Unlimited Deep Discharge Battery, 10kHz Stimulation</Suffix>
            <ARTGs>
                <ARTG>186043</ARTG>
            </ARTGs>
            <MinimumBenefit>23465</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER535</BillingCode>
            <Name>Senza Omnia IPG Kit</Name>
            <Description>Implantable Pulse Generator Kit</Description>
            <Size>One size only</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1677</GroupID>
            <SubGroupID>4481</SubGroupID>
            <Suffix>Unlimited Deep Discharge Battery, 10kHz Stimulation</Suffix>
            <ARTGs>
                <ARTG>330704</ARTG>
            </ARTGs>
            <MinimumBenefit>23465</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ388</BillingCode>
            <Name>Patient Programmer</Name>
            <Description>Patient Programmer - bluetooth</Description>
            <Size>iPod Touch</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4483</SubGroupID>
            <Suffix>Bluetooth</Suffix>
            <ARTGs>
                <ARTG>277756</ARTG>
            </ARTGs>
            <MinimumBenefit>632</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS106</BillingCode>
            <Name>Precision Plus Remote Patient Programmer; Precision Plus with MultiwaveTechnology Remote Patient Programmer</Name>
            <Description>Hand held remote control External Patient Programmer</Description>
            <Size>One Size Only</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4483</SubGroupID>
            <ARTGs>
                <ARTG>128681</ARTG>
                <ARTG>166929</ARTG>
                <ARTG>231196</ARTG>
            </ARTGs>
            <MinimumBenefit>1354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-06-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS253</BillingCode>
            <Name>Precision Spectra Patient Remote Programmer</Name>
            <Description>Hand held remote control External Patient Programmer</Description>
            <Size>One size only</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4483</SubGroupID>
            <ARTGs>
                <ARTG>206305</ARTG>
                <ARTG>206306</ARTG>
            </ARTGs>
            <MinimumBenefit>1354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS325</BillingCode>
            <Name>FreeLink Remote Control Kit</Name>
            <Description>Hand held remote control/external patient programmer</Description>
            <Size>One size only</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4483</SubGroupID>
            <ARTGs>
                <ARTG>283694</ARTG>
                <ARTG>287237</ARTG>
                <ARTG>287738</ARTG>
                <ARTG>318330</ARTG>
                <ARTG>318331</ARTG>
                <ARTG>362974</ARTG>
                <ARTG>362991</ARTG>
            </ARTGs>
            <MinimumBenefit>1354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER608</BillingCode>
            <Name>Nevro PTRC2300 Patient Remote Control </Name>
            <Description>External patient programmer for Senza spinal cord stimulation system</Description>
            <Size>One size only</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4483</SubGroupID>
            <ARTGs>
                <ARTG>330707</ARTG>
            </ARTGs>
            <MinimumBenefit>1354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI138</BillingCode>
            <Name>Surescan MRI Patient programmer</Name>
            <Description>Patient controller for Surescan MRI Neurostimulators</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4483</SubGroupID>
            <ARTGs>
                <ARTG>214421</ARTG>
            </ARTGs>
            <MinimumBenefit>1354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI276</BillingCode>
            <Name>Intellis Rechargeable Neurostimulation System - PTM Patient Programmer</Name>
            <Description>External Patient Programmer Model 97745</Description>
            <Size>One Size Only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4483</SubGroupID>
            <ARTGs>
                <ARTG>298760</ARTG>
            </ARTGs>
            <MinimumBenefit>1354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PQ005</BillingCode>
            <Name>Reactiv8 Activator</Name>
            <Description>Patient Activator for use with Reactiv8 Implantable Pulse Generator </Description>
            <Size>One size only</Size>
            <SupplierCode>PQ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4483</SubGroupID>
            <ARTGs>
                <ARTG>327090</ARTG>
            </ARTGs>
            <MinimumBenefit>1354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ177</BillingCode>
            <Name>ANS Spinal Cord Stimulation System (SCS) GENESIS</Name>
            <Description>QuikLink Patient Programmer Model 3860</Description>
            <Size>One Size Only</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4483</SubGroupID>
            <ARTGs>
                <ARTG>106669</ARTG>
            </ARTGs>
            <MinimumBenefit>1354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ183</BillingCode>
            <Name>Eon Neurostimulation System</Name>
            <Description>Eon Programmer #3851</Description>
            <Size>.</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4483</SubGroupID>
            <ARTGs>
                <ARTG>127127</ARTG>
            </ARTGs>
            <MinimumBenefit>1354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ348</BillingCode>
            <Name>Prodigy Patient Programmer</Name>
            <Description>Prodigy Patient Programmer for use with Prodigy Neurostimulator.</Description>
            <Size>One size. </Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4483</SubGroupID>
            <ARTGs>
                <ARTG>230778</ARTG>
            </ARTGs>
            <MinimumBenefit>1354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ355</BillingCode>
            <Name>Axium Neurostimulator System - Programmer - Patient</Name>
            <Description>Programmer - patient</Description>
            <Size>1 size (1 presentation)</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4483</SubGroupID>
            <ARTGs>
                <ARTG>202322</ARTG>
                <ARTG>300051</ARTG>
            </ARTGs>
            <MinimumBenefit>1354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>UY007</BillingCode>
            <Name>Evoke Pocket Console </Name>
            <Description>A handheld remote control for an implantable closed-loop stimulator.  </Description>
            <Size>N/A</Size>
            <SupplierCode>UY</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4483</SubGroupID>
            <ARTGs>
                <ARTG>336570</ARTG>
            </ARTGs>
            <MinimumBenefit>1354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC694</BillingCode>
            <Name>Restore Rechargeable Neurostimulation System</Name>
            <Description>External Patient Programmer Antenna Model 37092</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4484</SubGroupID>
            <ARTGs>
                <ARTG>146936</ARTG>
            </ARTGs>
            <MinimumBenefit>161</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER009</BillingCode>
            <Name>Nevro Spinal Cord Stimulation System (SCSS) - Patient Remote Kit</Name>
            <Description>The patient remote control is a handheld, battery operated unit able to communicate via radiofrequency (RF) with the Implantable Pulse Generator and trial stimulator</Description>
            <Size>N/A</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4485</SubGroupID>
            <ARTGs>
                <ARTG>185994</ARTG>
            </ARTGs>
            <MinimumBenefit>1264</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER536</BillingCode>
            <Name>Senza Omnia Patient Remote</Name>
            <Description>Handheld, battery operated unit able to communicate via radiofrequency with the Senza Omnia IPG,  </Description>
            <Size>One size only</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4485</SubGroupID>
            <ARTGs>
                <ARTG>330708</ARTG>
            </ARTGs>
            <MinimumBenefit>1264</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PQ001</BillingCode>
            <Name>Reactiv8 Magnet</Name>
            <Description>Communication Magnet</Description>
            <Size>One size</Size>
            <SupplierCode>PQ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4485</SubGroupID>
            <ARTGs>
                <ARTG>327094</ARTG>
            </ARTGs>
            <MinimumBenefit>1264</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ433</BillingCode>
            <Name>ANS Spinal Cord Stimulation System (SCS) GENESIS</Name>
            <Description>Communication Magnet 1210</Description>
            <Size> One type only</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4485</SubGroupID>
            <ARTGs>
                <ARTG>267026</ARTG>
                <ARTG>342820</ARTG>
            </ARTGs>
            <MinimumBenefit>1264</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS143</BillingCode>
            <Name>Precision SCS External Patient Recharger System</Name>
            <Description>External Patient Recharging System: Base Station, Charger, Cradle power supply, charger base station.</Description>
            <Size>One size only</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4497</SubGroupID>
            <ARTGs>
                <ARTG>149462</ARTG>
                <ARTG>155857</ARTG>
                <ARTG>155859</ARTG>
                <ARTG>155924</ARTG>
            </ARTGs>
            <MinimumBenefit>1215</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER008</BillingCode>
            <Name>Nevro Spinal Cord Stimulation System (SCSS) - Charger Kit</Name>
            <Description>The Charger is a battery powered rechargeable device intended to recharge the Implantable Pulse Generator (IPG) battery transcutaneously</Description>
            <Size>N/A</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4497</SubGroupID>
            <ARTGs>
                <ARTG>181182</ARTG>
            </ARTGs>
            <MinimumBenefit>1215</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER540</BillingCode>
            <Name>Senza Omnia Charger</Name>
            <Description>Battery powered rechargeable device intended to recharge the Senza Omnia IPG battery transcutaneously</Description>
            <Size>One size only</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4497</SubGroupID>
            <ARTGs>
                <ARTG>328684</ARTG>
            </ARTGs>
            <MinimumBenefit>1215</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI139</BillingCode>
            <Name>Medtronic Patient Recharger System</Name>
            <Description>Recharging system for Surescan MRI Neurostimulators Model 97754</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4497</SubGroupID>
            <ARTGs>
                <ARTG>121279</ARTG>
            </ARTGs>
            <MinimumBenefit>1215</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI277</BillingCode>
            <Name>Intellis Rechargeable Neurostimulation System - RTM Recharger</Name>
            <Description>External Patient Recharger Model 97755</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4497</SubGroupID>
            <ARTGs>
                <ARTG>121279</ARTG>
            </ARTGs>
            <MinimumBenefit>1215</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ342</BillingCode>
            <Name>Eon Mini Charger </Name>
            <Description>Charger to recharge Implantable Pulse Generator</Description>
            <Size>One size</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4497</SubGroupID>
            <ARTGs>
                <ARTG>221544</ARTG>
            </ARTGs>
            <MinimumBenefit>1215</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ349</BillingCode>
            <Name>Prodigy Charging System</Name>
            <Description>Prodigy Charging System for use with Prodigy Neurostimulator.</Description>
            <Size>One size</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4497</SubGroupID>
            <ARTGs>
                <ARTG>230779</ARTG>
            </ARTGs>
            <MinimumBenefit>1215</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ352</BillingCode>
            <Name>Eon Charging System 3726</Name>
            <Description>Eon Charging System </Description>
            <Size>One size</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4497</SubGroupID>
            <ARTGs>
                <ARTG>233616</ARTG>
            </ARTGs>
            <MinimumBenefit>1215</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>UY005</BillingCode>
            <Name>Evoke Charger (AU)</Name>
            <Description>External recharging system for an implantable closed-loop stimulator.  </Description>
            <Size>N/A</Size>
            <SupplierCode>UY</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>4497</SubGroupID>
            <ARTGs>
                <ARTG>338061</ARTG>
            </ARTGs>
            <MinimumBenefit>1215</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI280</BillingCode>
            <Name>Intellis Wireless External Neurostimulator</Name>
            <Description>Wireless External Neurostimulator</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1678</GroupID>
            <SubGroupID>5854</SubGroupID>
            <ARTGs>
                <ARTG>293256</ARTG>
            </ARTGs>
            <MinimumBenefit>1083</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC827</BillingCode>
            <Name>Medtronic Pisces Quad Leads</Name>
            <Description>Pisces Quad Lead (3487A), Pisces Quad Compact Lead (3887), Pisces Quad Plus Lead (3888)</Description>
            <Size>Various</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>4 electrodes</Suffix>
            <ARTGs>
                <ARTG>137348</ARTG>
                <ARTG>143034</ARTG>
                <ARTG>143035</ARTG>
            </ARTGs>
            <MinimumBenefit>3069</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PQ003</BillingCode>
            <Name>Reactiv8 Percutaneous Lead</Name>
            <Description>Four electrode lead kit</Description>
            <Size>45cm; 65cm</Size>
            <SupplierCode>PQ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>4 electrodes</Suffix>
            <ARTGs>
                <ARTG>327091</ARTG>
            </ARTGs>
            <MinimumBenefit>3069</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ162</BillingCode>
            <Name>ANS Spinal Cord Stimulation System (SCS)</Name>
            <Description>Quattrode Lead. 4 Electrode.</Description>
            <Size>30cm, 60cm, 90cm 110cm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>4 electrodes</Suffix>
            <ARTGs>
                <ARTG>131944</ARTG>
            </ARTGs>
            <MinimumBenefit>3069</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ186</BillingCode>
            <Name>Lamitrode S Series Leads</Name>
            <Description>Lamitrode S Series, 4 Channel, Model # 3243</Description>
            <Size>Length = 30cm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>4 electrodes</Suffix>
            <ARTGs>
                <ARTG>126076</ARTG>
            </ARTGs>
            <MinimumBenefit>3069</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ187</BillingCode>
            <Name>Lamitrode S Series Leads</Name>
            <Description>Lamitrode S Series, 4 Channel, Model # 3246</Description>
            <Size>Length = 60cm, 90cm, 110cm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>4 electrodes</Suffix>
            <ARTGs>
                <ARTG>126076</ARTG>
            </ARTGs>
            <MinimumBenefit>3069</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ359</BillingCode>
            <Name>Axium Neurostimulator System - Implant Lead Kit</Name>
            <Description>Implant lead kit and Implant lead kit, slim tip</Description>
            <Size>Package containing either 50cm or 90cm lead</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>4 electrodes</Suffix>
            <ARTGs>
                <ARTG>301386</ARTG>
                <ARTG>301387</ARTG>
                <ARTG>333462</ARTG>
                <ARTG>333463</ARTG>
                <ARTG>202325</ARTG>
            </ARTGs>
            <MinimumBenefit>3069</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS109</BillingCode>
            <Name>Precision SCS Eight Contact Leads</Name>
            <Description>Eight contact percutaneous leads.</Description>
            <Size>30cm to 70cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>8 electrodes</Suffix>
            <ARTGs>
                <ARTG>128775</ARTG>
            </ARTGs>
            <MinimumBenefit>3817</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-06-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS331</BillingCode>
            <Name>Avista MRI 8 Contact Lead</Name>
            <Description>Eight contact percutaneous leads, MRI Conditional</Description>
            <Size>56cm - 74cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>8 electrodes</Suffix>
            <ARTGs>
                <ARTG>287236</ARTG>
            </ARTGs>
            <MinimumBenefit>3817</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER006</BillingCode>
            <Name>Nevro Spinal Cord Stimulation System (SCSS) - Lead Kit</Name>
            <Description>The percutaneous lead is intended to be single use and interfaces with the Implantable Pulse Generator, lead extender OR cable, and lead accessories.</Description>
            <Size>Spacing: 1-9mm spacing, 1-9mm in 1mm increments; Length: 30-90cm in 5cm increments</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>8 electrodes</Suffix>
            <ARTGs>
                <ARTG>185992</ARTG>
            </ARTGs>
            <MinimumBenefit>3817</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER606</BillingCode>
            <Name>Surpass-C Surgical Lead</Name>
            <Description>Surgical lead, 8 electrode</Description>
            <Size>50cm, 70cm, 90cm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>8 electrodes</Suffix>
            <ARTGs>
                <ARTG>368530</ARTG>
            </ARTGs>
            <MinimumBenefit>3817</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC690</BillingCode>
            <Name>Neurostimulation System - Octad Leads</Name>
            <Description>Octad Standard Lead Kit without Percutaneous Extension Model 3777,</Description>
            <Size>45, 60 &amp; 75cm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>8 electrodes</Suffix>
            <ARTGs>
                <ARTG>123243</ARTG>
            </ARTGs>
            <MinimumBenefit>3817</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC710</BillingCode>
            <Name>Neurostimulation System - Octad Leads</Name>
            <Description>Octad Standard Lead Kit with Percutaneous extension model 3877</Description>
            <Size>45, 60 &amp; 75cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>8 electrodes</Suffix>
            <ARTGs>
                <ARTG>123241</ARTG>
            </ARTGs>
            <MinimumBenefit>3817</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC711</BillingCode>
            <Name>Neurostimulation System - Octad Leads</Name>
            <Description>Octad Compact Lead Kit without Percutaneous Extension Model 3778</Description>
            <Size>45, 60 &amp; 75cm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>8 electrodes</Suffix>
            <ARTGs>
                <ARTG>123243</ARTG>
            </ARTGs>
            <MinimumBenefit>3817</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC712</BillingCode>
            <Name>Neurostimulation System - Octad Leads</Name>
            <Description>Octad Compact Lead Kit with Percutaneous Extension Model 3878</Description>
            <Size>45, 60 &amp; 75cm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>8 electrodes</Suffix>
            <ARTGs>
                <ARTG>123243</ARTG>
            </ARTGs>
            <MinimumBenefit>3817</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC740</BillingCode>
            <Name>SCS Sub Compact Lead</Name>
            <Description>Octad Sub Compact Lead Kit without Percutaneous Extension Model 3776</Description>
            <Size>45, 60 and 75cm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>8 electrodes</Suffix>
            <ARTGs>
                <ARTG>137079</ARTG>
            </ARTGs>
            <MinimumBenefit>3817</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI136</BillingCode>
            <Name>Vectris Surescan MRI Neurostimulation Leads</Name>
            <Description>Octad Compact Lead Kit Model 977A2, Subcompact lead Kit Model 977A1</Description>
            <Size>60cm, 75cm, 90cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>8 electrodes</Suffix>
            <ARTGs>
                <ARTG>214838</ARTG>
                <ARTG>214839</ARTG>
            </ARTGs>
            <MinimumBenefit>3817</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ161</BillingCode>
            <Name>ANS Spinal Cord Stimulation System (SCS)</Name>
            <Description>Octrode Lead. 8 Electrode (thoracic or cervical placement).</Description>
            <Size>30cm, 60cm, 90cm 110cm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>8 electrodes</Suffix>
            <ARTGs>
                <ARTG>132097</ARTG>
            </ARTGs>
            <MinimumBenefit>3817</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ168</BillingCode>
            <Name>ANS Spinal Cord Stimulation System (SCS)</Name>
            <Description>Lamitrode Plate Electrode</Description>
            <Size>60cm, 90cm, 110cm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>8 electrodes</Suffix>
            <ARTGs>
                <ARTG>126005</ARTG>
                <ARTG>126079</ARTG>
                <ARTG>126076</ARTG>
            </ARTGs>
            <MinimumBenefit>3817</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ185</BillingCode>
            <Name>Lamitrode S Series</Name>
            <Description>Lamitrode S Series, 8 Channel</Description>
            <Size>Length = 30-110cm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>8 electrodes</Suffix>
            <ARTGs>
                <ARTG>126002</ARTG>
            </ARTGs>
            <MinimumBenefit>3817</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ188</BillingCode>
            <Name>Lamitrode C Series Leads</Name>
            <Description>Lamitrode C Series, 8 Channel, Model # 3245</Description>
            <Size>Length = 60cm, 90cm, 110cmm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>8 electrodes</Suffix>
            <ARTGs>
                <ARTG>126142</ARTG>
            </ARTGs>
            <MinimumBenefit>3817</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS255</BillingCode>
            <Name> CoverEdge 32 Contact Surgical Leads</Name>
            <Description>CoverEdge, CoverEdge MRI, CoverEdge X, CoverEdge X MRI - 4x8 spaced electrodes.    </Description>
            <Size>Up to 70cm in length</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>≥32 electrodes</Suffix>
            <ARTGs>
                <ARTG>218230</ARTG>
            </ARTGs>
            <MinimumBenefit>11011</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS356</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>BS110</PriorBillingCode>
            </PriorBillingCodes>
            <Name>INFINION Lead</Name>
            <Description>16 contact point leads with multiple independent current control</Description>
            <Size>50cm - 70cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>greater than 8 and less than 32 electrodes</Suffix>
            <ARTGs>
                <ARTG>197909</ARTG>
            </ARTGs>
            <MinimumBenefit>6895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS357</BillingCode>
            <Name>ARTISAN, ARTISAN MRI Lead</Name>
            <Description>16 contact point leads with multiple independent current control</Description>
            <Size>50cm - 70cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>greater than 8 and less than 32 electrodes</Suffix>
            <ARTGs>
                <ARTG>163471</ARTG>
                <ARTG>308180</ARTG>
            </ARTGs>
            <MinimumBenefit>6895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC776</BillingCode>
            <Name>Specify 5-6-5 Surgical Lead</Name>
            <Description>Triple Array 16 Electrode Surgical Lead with Duraloc Technology</Description>
            <Size>30, 65cm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>greater than 8 and less than 32 electrodes</Suffix>
            <ARTGs>
                <ARTG>148397</ARTG>
            </ARTGs>
            <MinimumBenefit>6895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI199</BillingCode>
            <Name>Specify SureScan MRI 5-6-5 Lead Kit</Name>
            <Description>Triple Array 16 Electrode Surgical Lead MRICS</Description>
            <Size>65 - 90 cms</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>greater than 8 and less than 32 electrodes</Suffix>
            <ARTGs>
                <ARTG>280179</ARTG>
            </ARTGs>
            <MinimumBenefit>6895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI209</BillingCode>
            <Name>Specify SureScan MRI 2x8 Surgical Lead Kit</Name>
            <Description>MRI conditional surgical lead</Description>
            <Size>65-90cms</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>greater than 8 and less than 32 electrodes</Suffix>
            <ARTGs>
                <ARTG>280180</ARTG>
            </ARTGs>
            <MinimumBenefit>6895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ138</BillingCode>
            <Name>Lamitrode Lead - Tripole 16C</Name>
            <Description>Tripole 16C - 3214, 3128, 3219, 3220, 3221</Description>
            <Size>30-110cm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>greater than 8 and less than 32 electrodes</Suffix>
            <ARTGs>
                <ARTG>155013</ARTG>
            </ARTGs>
            <MinimumBenefit>6895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ169</BillingCode>
            <Name>ANS Spinal Cord Stimulation System (SCS)</Name>
            <Description>Lamitrode Dual 8 Plate Electrode Lead</Description>
            <Size>One size only</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>greater than 8 and less than 32 electrodes</Suffix>
            <ARTGs>
                <ARTG>126004</ARTG>
            </ARTGs>
            <MinimumBenefit>6895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>UY009</BillingCode>
            <Name>Evoke 12C Percutaneous Lead Kit </Name>
            <Description>A 12 contact lead that delivers electrical stimulation to neural tissue and captures ECAPs from the same tissue. </Description>
            <Size>60 and 90cm lengths</Size>
            <SupplierCode>UY</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>greater than 8 and less than 32 electrodes</Suffix>
            <ARTGs>
                <ARTG>336573</ARTG>
            </ARTGs>
            <MinimumBenefit>6895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS312</BillingCode>
            <Name>Infinion CX Lead</Name>
            <Description>1 x 16 lead with two 8 contact tails</Description>
            <Size>50 - 70cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>greater than 8 and less than 32 electrodes, Bifurcated proximal tail</Suffix>
            <ARTGs>
                <ARTG>275241</ARTG>
            </ARTGs>
            <MinimumBenefit>8123</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER388</BillingCode>
            <Name>Surpass Surgical Lead</Name>
            <Description>16 Contact Lead with two bifurcating 8 contact tails with embedded differentiating colour pigment in tail</Description>
            <Size>Length: 30 - 90 cm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>greater than 8 and less than 32 electrodes, Bifurcated proximal tail</Suffix>
            <ARTGs>
                <ARTG>284256</ARTG>
            </ARTGs>
            <MinimumBenefit>8123</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER607</BillingCode>
            <Name>Surpass-C Surgical Lead</Name>
            <Description>Surgical lead, 10, 12 and 14 electrode</Description>
            <Size>50cm, 70cm, 90cm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>greater than 8 and less than 32 electrodes, Bifurcated proximal tail</Suffix>
            <ARTGs>
                <ARTG>368530</ARTG>
            </ARTGs>
            <MinimumBenefit>8123</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ231</BillingCode>
            <Name>Penta Leads</Name>
            <Description>Paddle leads (Penta Leads have a curved paddle instead of a conventional flat paddle)</Description>
            <Size>2-3mm, 30cm-110cm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4486</SubGroupID>
            <Suffix>greater than 8 and less than 32 electrodes, Bifurcated proximal tail</Suffix>
            <ARTGs>
                <ARTG>170450</ARTG>
            </ARTGs>
            <MinimumBenefit>8123</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS118</BillingCode>
            <Name>Precision SCS Lead Blanks</Name>
            <Description>Lead Blank</Description>
            <Size>One Size Only</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4487</SubGroupID>
            <ARTGs>
                <ARTG>156757</ARTG>
            </ARTGs>
            <MinimumBenefit>438</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-06-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI137</BillingCode>
            <Name>Medtronic Vectris Neurostimulation Trial Lead</Name>
            <Description>Octad Compact Trial lead Kit Model 977D2 and Subcompact Model 977D1</Description>
            <Size>60cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1679</GroupID>
            <SubGroupID>4487</SubGroupID>
            <ARTGs>
                <ARTG>219258</ARTG>
                <ARTG>219259</ARTG>
            </ARTGs>
            <MinimumBenefit>438</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS111</BillingCode>
            <Name>Precision SCS Lead Extensions</Name>
            <Description>Lead Extensions</Description>
            <Size>25cm to 55cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1680</GroupID>
            <ARTGs>
                <ARTG>128679</ARTG>
            </ARTGs>
            <MinimumBenefit>1362</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-06-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS158</BillingCode>
            <Name>Precision Connector M1</Name>
            <Description>Lead extension for Precision SCS System</Description>
            <Size>35. 55. 70 cm length</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1680</GroupID>
            <ARTGs>
                <ARTG>162422</ARTG>
            </ARTGs>
            <MinimumBenefit>1362</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS169</BillingCode>
            <Name>Precision SCS Splitter</Name>
            <Description>Lead extension for connection of multiple leads</Description>
            <Size>Multiple Configurations</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1680</GroupID>
            <ARTGs>
                <ARTG>167101</ARTG>
                <ARTG>167102</ARTG>
                <ARTG>197908</ARTG>
            </ARTGs>
            <MinimumBenefit>1362</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS323</BillingCode>
            <Name>Precision M8 Adaptor</Name>
            <Description>Designed to connect a Precision IPG or Precision Spectra IPG to another manufacturer's previously implanted compatible lead or lead extension</Description>
            <Size>15cm - 55cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1680</GroupID>
            <ARTGs>
                <ARTG>281250</ARTG>
            </ARTGs>
            <MinimumBenefit>1362</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER007</BillingCode>
            <Name>Nevro Spinal Cord Stimulation System (SCSS) - Lead Extension Kit</Name>
            <Description>The lead extender is intended to be used when the implant site for the Implantable Pulse Generator is too far from the stimulation site to directly connect the stimulation lead.</Description>
            <Size>Length: 15cm-60cm, in increments of 5cm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1680</GroupID>
            <ARTGs>
                <ARTG>185993</ARTG>
            </ARTGs>
            <MinimumBenefit>1362</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER102</BillingCode>
            <Name>Nevro Spinal Cord Stimulation System (SCSS) - Pocket Adaptor Kit - S8</Name>
            <Description>The Pocket Adaptor is intended to be used when replacing a previously implanted Pulse Generator with the Nevro Implantable Pulse Generator. The Pocket Adaptor interfaces the Nevro Implantable Pulse Generator to another manufacturer's previously implanted compatible lead or lead extension.</Description>
            <Size>Length of 10cm to 60cm, in increments of 1cm.</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1680</GroupID>
            <ARTGs>
                <ARTG>199081</ARTG>
            </ARTGs>
            <MinimumBenefit>1362</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER130</BillingCode>
            <Name>Nevro Spinal Cord Stimulation System (SCSS) - Pocket Adaptor Kit - M8</Name>
            <Description>The Pocket Adaptor is intended to be used when replacing a previously implanted Pulse Generator with the Nevro Implantable Pulse Generator. The Pocket Adaptor interfaces the Nevro Implantable Pulse Generator to another manufacturer's previously implanted compatible lead or lead extension</Description>
            <Size>Length of 10cm to 60cm, in increments of 1cm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1680</GroupID>
            <ARTGs>
                <ARTG>204062</ARTG>
            </ARTGs>
            <MinimumBenefit>1362</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC733</BillingCode>
            <Name>Quadripolar Stretch-Coil Extensions</Name>
            <Description>Model 37083 Single, Silver and Silicone Rubber</Description>
            <Size>20cm - 60cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1680</GroupID>
            <ARTGs>
                <ARTG>239412</ARTG>
            </ARTGs>
            <MinimumBenefit>1362</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-06-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC734</BillingCode>
            <Name>Quadripolar Stretch-Coil Extensions</Name>
            <Description>Model 37082 Bifurcated, Silver and Silicone Rubber</Description>
            <Size>20cm - 60cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1680</GroupID>
            <ARTGs>
                <ARTG>239412</ARTG>
            </ARTGs>
            <MinimumBenefit>1362</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-06-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC941</BillingCode>
            <Name>Pocket Adaptors for Spinal Cord Stimulation</Name>
            <Description>Pocket Adaptors for Spinal Cord Stimulation (Single and Dual Channel)</Description>
            <Size>12.9cm, 25.5cm and 27.4cm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1680</GroupID>
            <ARTGs>
                <ARTG>165114</ARTG>
            </ARTGs>
            <MinimumBenefit>1362</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI445</BillingCode>
            <Name>Neurostimulation System - Extensions</Name>
            <Description>1 x 8 Extension Kit Model 37081</Description>
            <Size>20, 40 &amp; 60cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1680</GroupID>
            <ARTGs>
                <ARTG>239412</ARTG>
            </ARTGs>
            <MinimumBenefit>1362</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ160</BillingCode>
            <Name>ANS Spinal Cord Stimulation System (SCS)</Name>
            <Description>Lead Extensions - in addition to 3341, 3342, 3343, 3382 and 3383, additional model 3346 - Dual Quad Extension and 3386 - single octrode extension</Description>
            <Size>60cm length</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1680</GroupID>
            <ARTGs>
                <ARTG>126001</ARTG>
                <ARTG>126078</ARTG>
            </ARTGs>
            <MinimumBenefit>1362</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ178</BillingCode>
            <Name>A127 Lead Extension</Name>
            <Description>A127 Lead Extension</Description>
            <Size>15cm, 40cm, 60cm, 90cm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1680</GroupID>
            <ARTGs>
                <ARTG>119863</ARTG>
            </ARTGs>
            <MinimumBenefit>1362</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ358</BillingCode>
            <Name>Axium Neurostimulator System - Lead Extension Kit</Name>
            <Description>Lead extension kit.</Description>
            <Size>1 size (1 presentation)</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1680</GroupID>
            <ARTGs>
                <ARTG>203096</ARTG>
                <ARTG>301410</ARTG>
                <ARTG>333448</ARTG>
            </ARTGs>
            <MinimumBenefit>1362</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>UY004</BillingCode>
            <Name>Evoke 12C Lead Extension Kit - 55cm</Name>
            <Description> A 12 contact lead extension.</Description>
            <Size>55cm</Size>
            <SupplierCode>UY</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1680</GroupID>
            <ARTGs>
                <ARTG>336571</ARTG>
            </ARTGs>
            <MinimumBenefit>1362</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC689</BillingCode>
            <Name>Lead Revision Kits</Name>
            <Description>Sterile Revision Kit for Octad leads 45cm (3550-26), Sterile Revision Kit for Octad leads 60-75cm (3550-27)</Description>
            <Size>30 &amp; 45cm; 60 &amp; 75cm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4499</SubGroupID>
            <ARTGs>
                <ARTG>240576</ARTG>
            </ARTGs>
            <MinimumBenefit>492</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI140</BillingCode>
            <Name>Revision kit Surescan MRI leads</Name>
            <Description>Sterile Revision Kit for Surescan MRI leads</Description>
            <Size>60cm, 75cm, 90cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4499</SubGroupID>
            <ARTGs>
                <ARTG>240576</ARTG>
            </ARTGs>
            <MinimumBenefit>492</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ356</BillingCode>
            <Name>Axium Neurostimulator System - Lead accessories kit</Name>
            <Description>Lead accessories kit.</Description>
            <Size>1 size (1 presentation)</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4499</SubGroupID>
            <ARTGs>
                <ARTG>197024</ARTG>
                <ARTG>297581</ARTG>
                <ARTG>329428</ARTG>
            </ARTGs>
            <MinimumBenefit>492</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>UY006</BillingCode>
            <Name>Evoke Spares Kit</Name>
            <Description>A sterile revision kit for the Evoke 12C Lead. </Description>
            <Size>N/A</Size>
            <SupplierCode>UY</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4499</SubGroupID>
            <ARTGs>
                <ARTG>336575</ARTG>
            </ARTGs>
            <MinimumBenefit>492</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS121</BillingCode>
            <Name>Precision SCS IPG Port</Name>
            <Description>IPG Port Plug</Description>
            <Size>One Size Only</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4500</SubGroupID>
            <ARTGs>
                <ARTG>156761</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-06-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER042</BillingCode>
            <Name>Nevro Spinal Cord Stimulation System (SCSS) - IPG Port Plug Kit</Name>
            <Description>The Implantable Pulse Generator (IPG) Port Plug is provided to seal the port of the IPG that is not is use.</Description>
            <Size>N/A</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4500</SubGroupID>
            <ARTGs>
                <ARTG>190837</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC687</BillingCode>
            <Name>Neurostimulation System - Accessory Kits</Name>
            <Description>Lead Accessory Plug and Closed Boot Kit Model 3550-29</Description>
            <Size>.</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4500</SubGroupID>
            <ARTGs>
                <ARTG>121280</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC825</BillingCode>
            <Name>Medtronic Percutaneous Quad extension</Name>
            <Description>Percutaneous extension (in line connector for quadripolar leads only)</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4500</SubGroupID>
            <ARTGs>
                <ARTG>239412</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ461</BillingCode>
            <Name>Port Plug</Name>
            <Description>Port Plug</Description>
            <Size>One size only</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4500</SubGroupID>
            <ARTGs>
                <ARTG>333461</ARTG>
                <ARTG>279015</ARTG>
                <ARTG>278846</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS120</BillingCode>
            <Name>Clik Anchor Kit</Name>
            <Description>Clik, Clik X, Clik X MRI Anchors</Description>
            <Size>Two anchors</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>156760</ARTG>
            </ARTGs>
            <MinimumBenefit>303</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-06-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS246</BillingCode>
            <Name>Introducer Kit</Name>
            <Description>Introducer intended for the percutaneous introduction and placement of leads.</Description>
            <Size>Length: 13cm; 23cm.</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>166195</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS247</BillingCode>
            <Name>Stylet Kit</Name>
            <Description>Stylet Kit with steering cap and stiffer stylet</Description>
            <Size>Stiffer stylet length: Up to 74cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>156759</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS249</BillingCode>
            <Name>Medical Adhesive</Name>
            <Description>Medical adhesive is used to assist in fixing the lead to the suture sleeve.</Description>
            <Size>One size</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>156755</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS256</BillingCode>
            <Name>Tunnelling Tools</Name>
            <Description>Aid in placement of leads.</Description>
            <Size>Various</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>156757</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS257</BillingCode>
            <Name>Wrenches</Name>
            <Description>Used to secure leads and anchors.</Description>
            <Size>One size only</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>157487</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS258</BillingCode>
            <Name>Insertion Needles</Name>
            <Description>Aid in placement of leads.</Description>
            <Size>Various</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>156758</ARTG>
                <ARTG>254954</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS259</BillingCode>
            <Name>Passing Elevators and Paddle Blanks</Name>
            <Description>Aid in placement of leads, helps verify that the epidural space is cleared.</Description>
            <Size>Various</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>156762</ARTG>
                <ARTG>218730</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER036</BillingCode>
            <Name>Nevro Spinal Cord Stimulation System (SCSS) - Coiled Lead Blank Kit</Name>
            <Description>The Coiled Lead Blank made out of stainless steel is optionally used during surgery to clear a path for the introduction of the SCS Lead into the epidural space. The coiled lead blank is a tool used to help clear obstructions within the cannula of the insertion needle and may be used by the physician to verify access to the epidural space.</Description>
            <Size>N/A</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>181179</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER037</BillingCode>
            <Name>Nevro Spinal Cord Stimulation System (SCSS) - Insertion Needle Kit</Name>
            <Description>The Insertion Needle is used during implant surgery to introduce the Lead between the vetebra into the epidural space. The insertion needle is a two part needle that contains a cannula and stylet to facilitate access to the spinal canal for lead placement</Description>
            <Size>Length: 5-15cm, in increments of 1cm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>180426</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER038</BillingCode>
            <Name>Nevro Spinal Cord Stimulation System (SCSS) - Tunneling Tool Kit</Name>
            <Description>The Tunneling Tool creates a subcutaneous tunnel from the Implantable Pulse Generator (IPG) site to the midline incision. The tunneling tool is passed subcutanously to deliver the leads from needle insertion site to the IPG site</Description>
            <Size>Length: 20-50cm, in increments of 1cm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>180556</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER039</BillingCode>
            <Name>Nevro Spinal Cord Stimulation System (SCSS) - Cable Kit</Name>
            <Description>The cables are used during the Lead implant procedure and patient trial to make electrical and mechanical connections between the Trial Stimulator and the Lead or Lead extension. There is a separate adaptor cable that allows the use of the Medtronic lead with the Nevro Senza System</Description>
            <Size>N/A</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>181180</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER041</BillingCode>
            <Name>Nevro Spinal Cord Stimulation System (SCSS) - Torque Wrench Kit</Name>
            <Description>The Torque Wrench is used to tighten the set screws that lock the lead into the Implantable Pulse Generator or to lock the lead into a lead extension</Description>
            <Size>N/A</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>181181</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER043</BillingCode>
            <Name>Nevro Spinal Cord Stimulation System (SCSS) - IPG Template Kit</Name>
            <Description>The Implantable Pulse Generator (IPG) Template is an aid for the physician to assist in the proper sizing of the IPG pocket.</Description>
            <Size>N/A</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>185414</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER044</BillingCode>
            <Name>Nevro Spinal Cord Stimulation System (SCSS) - Stylet Kit</Name>
            <Description>The Stylets are used to push and "steer" the stimulation Lead into place. These are standard configurations offered across industry offering the implanter the flexibility to maneuver the leads through the epidural space to the desired implant location.</Description>
            <Size>Offered in Straight, Curved or Tapered versions.  Diameter:  0.35, 0.40 mm   Length: 50,70,90 cm;   Angle: 15-30 degrees </Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>180653</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Sizes</ChangeExplanation>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER511</BillingCode>
            <Name>Senza II IPG Template</Name>
            <Description>Aid for physicians in proper sizing of the IPG implant pocket</Description>
            <Size>One size only</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>186043</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER557</BillingCode>
            <Name>Nevro Passing Elevator Tool</Name>
            <Description>Passing elevator tool</Description>
            <Size>One size only</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>337490</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER562</BillingCode>
            <Name>Nevro Spinal Cord Stimulation System (SCSS) – Lead Anchor Kit</Name>
            <Description>The Lead Anchors are used to anchor the lead to the fascia or supraspinous ligament. Lead Anchors are designed to slide freely over the lead length to the required fixation position and sutures are then tied around the anchor clamping the sleeve in place on the lead or a torque wrench is used to tighten the anchor to the lead.</Description>
            <Size>One size only</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>180541</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC930</BillingCode>
            <Name>3550-P4 Passing Elevator Accessory Kit</Name>
            <Description>Kit Contents: 4 Passing Elevators compatible with various leads</Description>
            <Size>One size</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>121280</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC931</BillingCode>
            <Name>3550-63 Percutaneous Lead Introducer Accessory Kit</Name>
            <Description>Percutaneous Lead Introducer Accessory Kit</Description>
            <Size>One size only</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>121280</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC951</BillingCode>
            <Name>Multi-Lead Trialing Cable</Name>
            <Description>Connector for implanted lead to External Neurostimulator</Description>
            <Size>One size only</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>119991</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI038</BillingCode>
            <Name>Medtronic Neurostimulation Accessories (Wrenches and screws)</Name>
            <Description>Accessories for implant of neurostimulation lead</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>121280</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI039</BillingCode>
            <Name>Medtronic Neurostimulation Accessories (Needles)</Name>
            <Description>Accessories for implant of neurostimulation lead</Description>
            <Size>Various</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>121280</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI051</BillingCode>
            <Name>Medtronic Neurostimulation Tunnelling Tools</Name>
            <Description>Tunnelling Tools</Description>
            <Size>Various</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>121281</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI052</BillingCode>
            <Name>Medtronic Neurostimulation Accessory Kits</Name>
            <Description>EZ Anchor, Boot and Anchor Kit</Description>
            <Size>Various</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>240576</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI067</BillingCode>
            <Name>Injex Anchor Kit</Name>
            <Description>Neurostimulation Anchor Kit</Description>
            <Size>One Size</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>133358</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PQ002</BillingCode>
            <Name>Reactiv8 Torque Wrench</Name>
            <Description>A tool used to set or release the Implantable Pulse Generator (IPG) set screw  that connects an implanted lead to the IPG header.</Description>
            <Size>One size</Size>
            <SupplierCode>PQ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>284000</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PQ006</BillingCode>
            <Name>Mainstay Tunneller</Name>
            <Description>Catheter tunnellng tool to establish subcutaneous lead delivery pathway</Description>
            <Size>One size</Size>
            <SupplierCode>PQ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>283718</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ285</BillingCode>
            <Name>Strain Relief</Name>
            <Description>Strain Relief</Description>
            <Size>One size only</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>134307</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ286</BillingCode>
            <Name>Anchor (Swift Lock)</Name>
            <Description>Swift Lock Anchor</Description>
            <Size>One size only</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>129858</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ287</BillingCode>
            <Name>Anchor (Cinch)</Name>
            <Description>Cinch Anchor</Description>
            <Size>One size only</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>129858</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ288</BillingCode>
            <Name>Anchor (Butterfly)</Name>
            <Description>Lead Anchor (Butterfly)</Description>
            <Size>One size only</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>129858</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ289</BillingCode>
            <Name>Anchor (long)</Name>
            <Description>Lead Anchor (Long)</Description>
            <Size>One size only</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>129858</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ302</BillingCode>
            <Name>Epidural Needle</Name>
            <Description>A tool used to introduce a lead percutaneously.</Description>
            <Size>14-15 Gauge, 4-6 inch</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>133910</ARTG>
                <ARTG>352928</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ304</BillingCode>
            <Name>Introde-AK Lead Introducer</Name>
            <Description>A flexible tool passed over a partially-implanted lead or guide wire in order to establish the appropriate pathway for a lead to follow in the epidural space despite obstructions.</Description>
            <Size>4" and 9"</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>133910</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ305</BillingCode>
            <Name>Tunneling Tool</Name>
            <Description>A tool used to creat a subcutaneous passage to pass the lead from the lead implant site to the IPG pocket site.</Description>
            <Size>12", 20"</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>134305</ARTG>
                <ARTG>353157</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ307</BillingCode>
            <Name>Straight and Curved Stylet</Name>
            <Description>A tool used to aid in positioning and repositioning the lead intra-operatively to ensure accurate placement.</Description>
            <Size>30cm - 90cm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>124057</ARTG>
                <ARTG>353082</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ308</BillingCode>
            <Name>Torque Wrench</Name>
            <Description>A tool to set or release the IPG setscrew that connects an implanted lead to the IPG header.</Description>
            <Size>One size</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>353637</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ315</BillingCode>
            <Name>Standard Trial Cable Octrode and Quattrode</Name>
            <Description>Connector which connects implanted lead to external stimulator</Description>
            <Size>One size</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>133958</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ357</BillingCode>
            <Name>Axium Neurostimulator System - Connector Cable Kit</Name>
            <Description>Connector cable kit.</Description>
            <Size>1 size (1 presentation)</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>197025</ARTG>
                <ARTG>296963</ARTG>
                <ARTG>329119</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ360</BillingCode>
            <Name>Axium Neurostimulator System - Tunneling Tool</Name>
            <Description>Tunneling tool.</Description>
            <Size>30cm or 51cm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>197024</ARTG>
                <ARTG>296964</ARTG>
                <ARTG>329360</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ361</BillingCode>
            <Name>Axium Neurostimulator System - Curved Needle</Name>
            <Description>A curved needle (one size 14G,4.5in), a single use accessory, providing access to the epidural space during the surgical procedure of inserting a Neurostimulation System.</Description>
            <Size>One Size - (14G, 4.5in)</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>296962</ARTG>
                <ARTG>338752</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ411</BillingCode>
            <Name>Abbott IPG Pocket Sizer</Name>
            <Description>Implant accessory designed to aid in the creation of a pocket for Abbott implantable neurostimulators</Description>
            <Size>55-58mm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>278847</ARTG>
                <ARTG>279015</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ428</BillingCode>
            <Name>Guide Wire for Percutaneous Leads</Name>
            <Description>A tool used to establish and/or access the appropriate pathway in the epidural space before implanting the lead. </Description>
            <Size>One size only</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>196837</ARTG>
                <ARTG>352921</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>UY001</BillingCode>
            <Name>Evoke Epidural Needle 6.5"</Name>
            <Description>Epidural needle for the introduction of percutaneous leads.  </Description>
            <Size> 6.5"</Size>
            <SupplierCode>UY</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>323172</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>UY008</BillingCode>
            <Name>Evoke Tunneling Tool  </Name>
            <Description>Surgical tool to aid the implantation of an SCS system.</Description>
            <Size>N/A</Size>
            <SupplierCode>UY</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4501</SubGroupID>
            <ARTGs>
                <ARTG>323171</ARTG>
            </ARTGs>
            <MinimumBenefit>152</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ283</BillingCode>
            <Name>Epiducer - Lead Delivery System</Name>
            <Description>Lead Delivery System</Description>
            <Size>13cm, 19cm</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4502</SubGroupID>
            <ARTGs>
                <ARTG>133910</ARTG>
            </ARTGs>
            <MinimumBenefit>658</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ354</BillingCode>
            <Name>Axium Neurostimulator System - 22cm Delivery Sheath Kit - small curve and big curve</Name>
            <Description>22cm delivery sheath kit - small curve and big curve.</Description>
            <Size>2 sizes (2 presentations)  1 x Big Curve -MN23950AU  1 x Small Curve - MN23850AU</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>4502</SubGroupID>
            <ARTGs>
                <ARTG>197024</ARTG>
                <ARTG>296964</ARTG>
                <ARTG>329240</ARTG>
                <ARTG>329301</ARTG>
            </ARTGs>
            <MinimumBenefit>658</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS248</BillingCode>
            <Name>OR Cable</Name>
            <Description>OR Cable</Description>
            <Size>Lengths up to 65cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>5484</SubGroupID>
            <ARTGs>
                <ARTG>157994</ARTG>
            </ARTGs>
            <MinimumBenefit>181</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI049</BillingCode>
            <Name>Medtronic Neurostimulation Screening Cable</Name>
            <Description>Screening Cable</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>5484</SubGroupID>
            <ARTGs>
                <ARTG>119991</ARTG>
            </ARTGs>
            <MinimumBenefit>181</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ371</BillingCode>
            <Name>St Jude neurostimulation screening cable</Name>
            <Description>MultiLead screening cable</Description>
            <Size>one size only</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>5484</SubGroupID>
            <ARTGs>
                <ARTG>133958</ARTG>
                <ARTG>343673</ARTG>
            </ARTGs>
            <MinimumBenefit>181</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SJ372</BillingCode>
            <Name>St Jude neurostimulation trial header connector</Name>
            <Description>Trial System Header Connector</Description>
            <Size>one size only</Size>
            <SupplierCode>SJ</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>5484</SubGroupID>
            <ARTGs>
                <ARTG>238692</ARTG>
                <ARTG>342819</ARTG>
            </ARTGs>
            <MinimumBenefit>181</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>UY002</BillingCode>
            <Name>Evoke Lead Adapter Kit  </Name>
            <Description>Sterile cable to connect the Evoke 12C Lead to an external stimulator. </Description>
            <Size>N/A</Size>
            <SupplierCode>UY</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>222</SubCategoryID>
            <GroupID>1690</GroupID>
            <SubGroupID>5484</SubGroupID>
            <ARTGs>
                <ARTG>323488</ARTG>
            </ARTGs>
            <MinimumBenefit>181</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC313</BillingCode>
            <Name>Synchro Med II Pump</Name>
            <Description>Model No's 8637-20 &amp; 8637-40, Composition - Titanium</Description>
            <Size>20 ml &amp; 40 ml</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>223</SubCategoryID>
            <GroupID>1681</GroupID>
            <Suffix>Variable Flow Rate</Suffix>
            <ARTGs>
                <ARTG>97770</ARTG>
            </ARTGs>
            <MinimumBenefit>14666</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC944</BillingCode>
            <Name>8835 Personal Therapy Manager for Synchromed Pumps</Name>
            <Description>Personal Therapy Manager for SynchroMed II implantable infusion pumps</Description>
            <Size>One size only</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>223</SubCategoryID>
            <GroupID>1682</GroupID>
            <ARTGs>
                <ARTG>151719</ARTG>
            </ARTGs>
            <MinimumBenefit>1354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI450</BillingCode>
            <Name>Medtronic myPTM™ Patient Programmer</Name>
            <Description>Patient Programmer for SynchroMed™ II</Description>
            <Size>One size</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>223</SubCategoryID>
            <GroupID>1682</GroupID>
            <ARTGs>
                <ARTG>358310</ARTG>
            </ARTGs>
            <MinimumBenefit>1354</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI027</BillingCode>
            <Name>Medtronic Ascenda Intrathecal Catheter</Name>
            <Description>Intrathecal Catheter</Description>
            <Size>114cm, 140cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>223</SubCategoryID>
            <GroupID>1683</GroupID>
            <SubGroupID>4492</SubGroupID>
            <Suffix>Reinforced</Suffix>
            <ARTGs>
                <ARTG>192057</ARTG>
                <ARTG>192058</ARTG>
            </ARTGs>
            <MinimumBenefit>993</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC774</BillingCode>
            <Name>8578 Sutureless Pump Connector</Name>
            <Description>Sutureless Pump Connector: Material radiopaque silicon titanium, nylon</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>223</SubCategoryID>
            <GroupID>1684</GroupID>
            <SubGroupID>4503</SubGroupID>
            <ARTGs>
                <ARTG>133523</ARTG>
            </ARTGs>
            <MinimumBenefit>542</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC817</BillingCode>
            <Name>Medtronic Intrathecal Catheter Revision Kit (Proximal)</Name>
            <Description>Revision kit to repair proximal end of intrathecal catheter (8596SC)</Description>
            <Size>66cm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>223</SubCategoryID>
            <GroupID>1684</GroupID>
            <SubGroupID>4503</SubGroupID>
            <ARTGs>
                <ARTG>153487</ARTG>
            </ARTGs>
            <MinimumBenefit>542</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC818</BillingCode>
            <Name>Medtronic Intrathecal Catheter Revision Kit (Distal)</Name>
            <Description>Revision kit to repair distal end of intrathecal catheter (8598A)</Description>
            <Size>38.1cm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>223</SubCategoryID>
            <GroupID>1684</GroupID>
            <SubGroupID>4503</SubGroupID>
            <ARTGs>
                <ARTG>153486</ARTG>
            </ARTGs>
            <MinimumBenefit>542</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI029</BillingCode>
            <Name>Medtronic Ascenda Spinal Segment Revision Kit</Name>
            <Description>Intrathecal Catheter Spinal Segment Revision Kit</Description>
            <Size>One Size</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>223</SubCategoryID>
            <GroupID>1684</GroupID>
            <SubGroupID>4503</SubGroupID>
            <ARTGs>
                <ARTG>192043</ARTG>
            </ARTGs>
            <MinimumBenefit>542</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI030</BillingCode>
            <Name>Medtronic Ascenda Pump Segment Revision Kit</Name>
            <Description>Intrathecal Catheter Pump Segment Revision Kit</Description>
            <Size>One Size</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>223</SubCategoryID>
            <GroupID>1684</GroupID>
            <SubGroupID>4503</SubGroupID>
            <ARTGs>
                <ARTG>192044</ARTG>
            </ARTGs>
            <MinimumBenefit>542</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI040</BillingCode>
            <Name>Medtronic Infusion Pump Accessories</Name>
            <Description>Accessories for refill/catheter access of infusion pumps</Description>
            <Size>Various</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>223</SubCategoryID>
            <GroupID>1684</GroupID>
            <SubGroupID>5483</SubGroupID>
            <ARTGs>
                <ARTG>133764</ARTG>
            </ARTGs>
            <MinimumBenefit>36</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI164</BillingCode>
            <Name>Medtronic Infusion Pump Refill Kit</Name>
            <Description>Bulk Refill Kit containing 8 refill packs</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>223</SubCategoryID>
            <GroupID>1684</GroupID>
            <SubGroupID>5483</SubGroupID>
            <ARTGs>
                <ARTG>133764</ARTG>
            </ARTGs>
            <MinimumBenefit>146</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI028</BillingCode>
            <Name>Medtronic Ascenda Component Accessory Kits</Name>
            <Description>Accessories for implantable drug pumps&#xD;
&#xD;
The Ascenda Kit consists of single-use aids integral for implanting the Intrathecal Catheter (App 028), which are only suitable for use with the patient in whom the intrathecal catheter is implanted.&#xD;
&#xD;
Kit includes:&#xD;
- Anchor with anchor dispenser&#xD;
- Anchor removal tool&#xD;
- Catheter connector with 2 attached coils.&#xD;
&#xD;
The Ascenda provides better stabilization and reduced catheter dislodgement due to a newly designed anchor and dispensing tool.</Description>
            <Size>One size</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>223</SubCategoryID>
            <GroupID>1684</GroupID>
            <ARTGs>
                <ARTG>133523</ARTG>
                <ARTG>133763</ARTG>
            </ARTGs>
            <MinimumBenefit>147</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI048</BillingCode>
            <Name>Intrathecal catheter accessory</Name>
            <Description>Tunnelling rods - Stainless steel</Description>
            <Size>38-60cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>223</SubCategoryID>
            <GroupID>1684</GroupID>
            <ARTGs>
                <ARTG>121281</ARTG>
            </ARTGs>
            <MinimumBenefit>147</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SA174</BillingCode>
            <Name>VNS Therapy Pulse/Pulse Duo</Name>
            <Description>Model 102/102R Generator</Description>
            <Size>One size only</Size>
            <SupplierCode>SA</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>224</SubCategoryID>
            <GroupID>1685</GroupID>
            <SubGroupID>4493</SubGroupID>
            <ARTGs>
                <ARTG>130202</ARTG>
                <ARTG>130203</ARTG>
                <ARTG>131044</ARTG>
                <ARTG>131045</ARTG>
                <ARTG>131046</ARTG>
                <ARTG>131047</ARTG>
                <ARTG>168817</ARTG>
                <ARTG>169837</ARTG>
                <ARTG>192080</ARTG>
                <ARTG>192081</ARTG>
            </ARTGs>
            <MinimumBenefit>11435</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SA185</BillingCode>
            <Name>VNS Therapy Demipulse Generator 103</Name>
            <Description>The generator is an implantable multiprogrammable pulse generator that delivers electrical signals to the vagus nerve. The pulse generator is housed in a hermetically sealed titanium case and is powered by a single battery. Electrical signals are transmitted from the pulse generator to the vagus nerve&#xD;
by the lead. The VNS Therapy System is indicated for use as an adjunctive&#xD;
therapy in reducing the frequency of seizures in patients whose epileptic disorder is dominated by partial seizures (with or without secondary generalization) or generalized seizures that are refractory to seizure medications.</Description>
            <Size>Lead Receptacle 0.126 in (3.2 mm)&#xD;
Dimension 1.8 in x 1.3 in x 0.27 in (45 mm x 32 mm x 6.9mm)&#xD;
Weight 0.56 oz (16 g)&#xD;
&#xD;
The 103 is smaller than previous devices, and fits in the palm of your hand and may be used in pediatric patients</Size>
            <SupplierCode>SA</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>224</SubCategoryID>
            <GroupID>1685</GroupID>
            <SubGroupID>4493</SubGroupID>
            <ARTGs>
                <ARTG>168817</ARTG>
            </ARTGs>
            <MinimumBenefit>11435</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SA186</BillingCode>
            <Name>Aspire SR Pulse Generator Model 106</Name>
            <Description>The 106 VNS therapy system is indicated for use as a adjunctive therapy in reducing the frequency of seizures in patients whose epileptic disorder is dominated by partial seizures (with or without secondary generalization) or generalized seizures that are refractory to seizure medications. Model 106 has the added feature of Autostim. In patients who experience Ictal Tachycardia which is defined as an increase in heart rate during a seizure specifically from baseline to a rate greater than 100 BPM and is at least 55% increase or 35 BPM increase from baseline delivering a therapeutic stimulation automatically delivered on detection of a physiological signal indicative of the onset of a seizure.</Description>
            <Size>Lead receptacle -  0.126 in (3.2 mm) nominal&#xD;
Dimensions -2.0 in x 2.0 in x 0.27 in (52 mm x 52 mm x 6.9 mm)&#xD;
Weight- 0.88 oz (25 g)</Size>
            <SupplierCode>SA</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>224</SubCategoryID>
            <GroupID>1685</GroupID>
            <SubGroupID>4493</SubGroupID>
            <ARTGs>
                <ARTG>275135</ARTG>
            </ARTGs>
            <MinimumBenefit>11435</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SA190</BillingCode>
            <Name>LivaNova Demipulse Duo Model 104 Generator for Vagus Nerve Stimulation</Name>
            <Description>The LivaNova Demipulse Duo Model 104 is an implantable, dual pin lead compatible and multiprogrammable pulse generator that delivers electrical signals to the vagus nerve.</Description>
            <Size>one size only</Size>
            <SupplierCode>SA</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>224</SubCategoryID>
            <GroupID>1685</GroupID>
            <SubGroupID>4493</SubGroupID>
            <ARTGs>
                <ARTG>169837</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>11435</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SA175</BillingCode>
            <Name>VNS Therapy Lead</Name>
            <Description>Model 302</Description>
            <Size>One size only</Size>
            <SupplierCode>SA</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>224</SubCategoryID>
            <GroupID>1685</GroupID>
            <SubGroupID>5351</SubGroupID>
            <ARTGs>
                <ARTG>131047</ARTG>
            </ARTGs>
            <MinimumBenefit>3069</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SA187</BillingCode>
            <Name>VNS Therapy PerenniaFLEX Model 304.2 &amp; 304.3</Name>
            <Description>Model 304 lead is a silicone insulated implantable patient lead, delivering the electrical signal from the Pulse Generator to the Vagus Nerve.</Description>
            <Size>Lead Body &#xD;
Diameter : 2mm (.08 in)&#xD;
Insulation: Silicone&#xD;
Overall Length: 43cm&#xD;
&#xD;
Inner Diameter of Helix&#xD;
Model 304.20 ; 2mm (.08 in) inner diameter&#xD;
Model 304.30 ; 3mm (.12 in) inner diameter</Size>
            <SupplierCode>SA</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>224</SubCategoryID>
            <GroupID>1685</GroupID>
            <SubGroupID>5351</SubGroupID>
            <ARTGs>
                <ARTG>192081</ARTG>
            </ARTGs>
            <MinimumBenefit>3069</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SA191</BillingCode>
            <Name>LivaNova PerenniaDURA Lead Model 303 for Vagus Nerve Stimulation</Name>
            <Description>The PerenniaDURA Lead Model 303 is a silicone insulated implantable patient lead, delivering the electrical signal from the VNS Generators to the left vagus nerve.</Description>
            <Size>Available in two sizes: Model 303.20 (2.0 millimeter inner diameter of helical coil) and Model 303.30 (3.0 millimeter inner diameter of helical coil).</Size>
            <SupplierCode>SA</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>224</SubCategoryID>
            <GroupID>1685</GroupID>
            <SubGroupID>5351</SubGroupID>
            <ARTGs>
                <ARTG>192080</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>3069</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS196</BillingCode>
            <Name>Solitaire</Name>
            <Description>Solitaire Neurovascular Remodelling Device is a self-expanding, fully retrievable device which can be delivered and deployed by a single operator.</Description>
            <Size>Diameter: 3-6mm&#xD;
Length: 15-40mm</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1687</GroupID>
            <ARTGs>
                <ARTG>155038</ARTG>
            </ARTGs>
            <MinimumBenefit>6769</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CB012</BillingCode>
            <Name>LVIS Intraluminal Support Device</Name>
            <Description>Self-expanding intracranial vascular stent</Description>
            <Size>Diameters: 2.5, 3.0, 3.5, 4.0, 4.5, 5.5mm  Lengths: 8-67mm</Size>
            <SupplierCode>CB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1687</GroupID>
            <ARTGs>
                <ARTG>194409</ARTG>
            </ARTGs>
            <MinimumBenefit>6769</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW470</BillingCode>
            <Name>Wingspan Stent System</Name>
            <Description>Wingspan Self Expanding Nitonol Stent and delivery catheter</Description>
            <Size>Stent diameters: 2.5mm to 4.5mm; Stent lengths: 9.0mm to 20.0mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1687</GroupID>
            <ARTGs>
                <ARTG>128926</ARTG>
                <ARTG>130061</ARTG>
            </ARTGs>
            <MinimumBenefit>6769</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW567</BillingCode>
            <Name>Neuroform ATLAS Stent System</Name>
            <Description>The Neuroform Atlas (Atlas) Stent System is intended to be used for stent assisted embolization for intracranial aneurysm therapy. The purpose of the stent is to retain the occlusive devices within the aneurysm. Occlusive devices can be delivered prior to stent placement or after stent placement. The Atlas Stent System consists of a self-expanding, sterile, nitinol stent preloaded over a delivery wire inside an introducer sheath.  The sheath and delivery wire are used to transfer the stent into a 0.0165 to 0.017 inch internal diameter microcatheter.  After transferring the stent, the sheath is removed from the proximal end of the delivery wire. The delivery wire is then used to advance the stent to the distal end of the microcatheter. The microcatheter and stent system are repositioned as a unit to ensure the stent is located across the aneurysm. The stent is deployed by stabilizing the delivery wire and withdrawing the microcatheter. The Neuroform Atlas stent cannot be repositioned or captured once deployed.</Description>
            <Size>Stent Diameter (mm): 3.0, 4.0, 4.5&#xD;
Stent Length (mm): 15, 21, 24, 30</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1687</GroupID>
            <ARTGs>
                <ARTG>278675</ARTG>
            </ARTGs>
            <MinimumBenefit>6769</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ650</BillingCode>
            <Name>Cordis Enterprise Vascular Reconstruction Device and Delivery System</Name>
            <Description>Closed Cell Design Nitinol Neurovascular</Description>
            <Size>4.5 mm in diameter and 4 different lengths:  14mm, 22mm, 28mm and 37mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1687</GroupID>
            <ARTGs>
                <ARTG>140555</ARTG>
            </ARTGs>
            <MinimumBenefit>6769</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ME209</BillingCode>
            <Name>Leo+</Name>
            <Description>Leo+ Stent</Description>
            <Size>D 2.0mm L 12mm, 18mm, 25mm.&#xD;
D 2.5mm L 12mm, 18mm, 25mm, 30mm, 35mm.&#xD;
D 3.0mm L 12mm, 18mm, 25mm, 35mm &#xD;
D 3.5mm L 12mm, 18mm, 25mm, 30mm, 35mm, 50mm.&#xD;
D 4.5mm L 15mm, 20mm, 25mm, 30mm, 40mm, 50mm, 75mm.&#xD;
D 5.5mm L 25mm, 30mm, 35mm, 50mm, 60mm, 75mm.</Size>
            <SupplierCode>ME</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1687</GroupID>
            <ARTGs>
                <ARTG>197947</ARTG>
            </ARTGs>
            <MinimumBenefit>6769</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PN022</BillingCode>
            <Name>ACCLINO Flex Plus Stent</Name>
            <Description>Acclino Flex Plus Stent is a self-expanding lasercut Nitinol stent for aneurysm neck bridging in case of stent assisted coiling procedures. It is intended for use with embolisation materials for the treatment of intracranial aneurysms. It provides an increased range and is suitable for vessel diameters from 1.5 to 6.0 mm. For an easy handling all sizes from 3.0  - 5.5 mm are deliverable through microcatheters with 0.0165 -   0.017  ID. This allows a sequential stent and coil placement without the changing of the microcatheter. The 6.5 mm diameter devices are deliverable through  microcatheters with 0.021   ID.</Description>
            <Size>Diameter: 3.0 - 6.5mm    Length: 15 - 35 mm</Size>
            <SupplierCode>PN</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1687</GroupID>
            <ARTGs>
                <ARTG>281032</ARTG>
            </ARTGs>
            <MinimumBenefit>6769</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PN023</BillingCode>
            <Name>ACCERO Stent</Name>
            <Description>ACCERO Stent is a highly visible,braided self-expanding stent with BlueXide® surface technology.The self-expanding braided stent is characterised by an excellent opening behaviour,  superior wall apposition and a very smooth surface. It is intended for use with embolization materials in the treatment of intracranial aneurysms. Accero’s full range of sizes can be delivered through a small 0.0170” microcatheter and can be resheathed up to 95%.    </Description>
            <Size>Stent Diameter (mm): 2.5, 3.0, 3.5,4.0, 4.5           Stent Length (mm): 10, 15, 20, 25</Size>
            <SupplierCode>PN</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1687</GroupID>
            <ARTGs>
                <ARTG>321603</ARTG>
            </ARTGs>
            <MinimumBenefit>6769</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS193</BillingCode>
            <Name>Axium Detachable Coil System</Name>
            <Description>Platinum alloy coils (including coils enlaced with PGLA filaments and Nylon Fibers)  attached to a composite implant delivery pusher with a radiopaque positioning marker.  The proximal end of the pusher is loaded into the Actuator which detaches the coil.</Description>
            <Size>Diameter:  1.5 - 25mm; Length:  1 - 50cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1688</GroupID>
            <ARTGs>
                <ARTG>149398</ARTG>
                <ARTG>162494</ARTG>
                <ARTG>162495</ARTG>
                <ARTG>194132</ARTG>
            </ARTGs>
            <MinimumBenefit>1359</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CB010</BillingCode>
            <Name>Hydrocoils</Name>
            <Description>Framing and filling coils with Hydrogel.</Description>
            <Size>Diam: 1-24mm&#xD;
Length: 1-50cm</Size>
            <SupplierCode>CB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1688</GroupID>
            <ARTGs>
                <ARTG>137933</ARTG>
            </ARTGs>
            <MinimumBenefit>1359</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CB011</BillingCode>
            <Name>Microplex Coils</Name>
            <Description>Framing and filling coils</Description>
            <Size>Diam: 1-24mm&#xD;
Length: 1-68cm</Size>
            <SupplierCode>CB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1688</GroupID>
            <ARTGs>
                <ARTG>137934</ARTG>
            </ARTGs>
            <MinimumBenefit>1359</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW467</BillingCode>
            <Name>Target Detachable Coils</Name>
            <Description>Detachable Platinum coils</Description>
            <Size>Coil Diameter: 1mm to 24mm  Coil Length: 1cm to 50cm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1688</GroupID>
            <ARTGs>
                <ARTG>170214</ARTG>
            </ARTGs>
            <MinimumBenefit>1359</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ960</BillingCode>
            <Name>Galaxy G3</Name>
            <Description>Stretch Resistant Coil</Description>
            <Size>Length 1.5 to 30cm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1688</GroupID>
            <ARTGs>
                <ARTG>219194</ARTG>
                <ARTG>219195</ARTG>
            </ARTGs>
            <MinimumBenefit>1359</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ME226</BillingCode>
            <Name>Optima Coil System</Name>
            <Description>Implantable embolization Coil comprised of platinum-tungsten alloy attached to a proximal stainless steel hypo-tube and distal body coil delivery pusher with a radiopaque distal positioning marker and a proximal fluorosafe marker.</Description>
            <Size>Various sizes as attached.</Size>
            <SupplierCode>ME</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1688</GroupID>
            <ARTGs>
                <ARTG>302253</ARTG>
            </ARTGs>
            <MinimumBenefit>1359</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI240</BillingCode>
            <Name>Axium Prime Detachable Coil - Extra Soft</Name>
            <Description>Platinum alloy embolization coil attached to a composite implant delivery pusher with a radiopaque positioning marker and hand-held Instant Detacher, which when activated, mechanically detaches the coil from the delivery pusher tip.</Description>
            <Size>3D Shape: diameter 1 to 3.5 mm;  length 2 to 10 cm; Volume 1.34 to 6.70 mm3&#xD;
Helical Shape: diameter 1 to 3 mm;  length 1 to 10 cm; Volume 0.67  to 6.70 mm3</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1688</GroupID>
            <ARTGs>
                <ARTG>287418</ARTG>
            </ARTGs>
            <MinimumBenefit>1359</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN137</BillingCode>
            <Name>Ultipaq Microcoil System</Name>
            <Description>Platinum Coil</Description>
            <Size>2 to 4mm loop diameter</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1688</GroupID>
            <ARTGs>
                <ARTG>201672</ARTG>
            </ARTGs>
            <MinimumBenefit>1359</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN139</BillingCode>
            <Name>Helipaq Microcoil System</Name>
            <Description>Platinum Coil</Description>
            <Size>2 to 20mm coil diameter</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1688</GroupID>
            <ARTGs>
                <ARTG>201605</ARTG>
                <ARTG>201607</ARTG>
            </ARTGs>
            <MinimumBenefit>1359</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN140</BillingCode>
            <Name>Micrusframe</Name>
            <Description>Stretch Resistant Coil</Description>
            <Size>2 to 18mm loop diameter</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1688</GroupID>
            <ARTGs>
                <ARTG>201612</ARTG>
                <ARTG>201635</ARTG>
            </ARTGs>
            <MinimumBenefit>1359</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN142</BillingCode>
            <Name>Helipaq Microcoil System</Name>
            <Description>Cerecyte coils</Description>
            <Size>2 to 20mm loop diameter</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1688</GroupID>
            <ARTGs>
                <ARTG>202314</ARTG>
            </ARTGs>
            <MinimumBenefit>1359</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN143</BillingCode>
            <Name>Ultipaq Microcoil System</Name>
            <Description>Cerecyte coils</Description>
            <Size>2 to 4mm loop diameter</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1688</GroupID>
            <ARTGs>
                <ARTG>201674</ARTG>
            </ARTGs>
            <MinimumBenefit>1359</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN144</BillingCode>
            <Name>Micrusphere Microcoil System</Name>
            <Description>Cerecyte coils</Description>
            <Size>2 to 18mm loop diameter</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1688</GroupID>
            <ARTGs>
                <ARTG>201606</ARTG>
            </ARTGs>
            <MinimumBenefit>1359</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN145</BillingCode>
            <Name>Presidio Microcoil System</Name>
            <Description>Cerecyte coils</Description>
            <Size>4 to 20mm loop diameter</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1688</GroupID>
            <ARTGs>
                <ARTG>201922</ARTG>
            </ARTGs>
            <MinimumBenefit>1359</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN146</BillingCode>
            <Name>Cashmere Microcoil System</Name>
            <Description>Platinum and Cerecyte coils</Description>
            <Size>2 to 12mm loop diameter</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1688</GroupID>
            <ARTGs>
                <ARTG>201636</ARTG>
            </ARTGs>
            <MinimumBenefit>1359</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN165</BillingCode>
            <Name>Delta Coiling Systems</Name>
            <Description>Stretch Resistant Coiling</Description>
            <Size>1.5 to 24mm diameter</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1688</GroupID>
            <ARTGs>
                <ARTG>201609</ARTG>
                <ARTG>201610</ARTG>
                <ARTG>203283</ARTG>
            </ARTGs>
            <MinimumBenefit>1359</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PN003</BillingCode>
            <Name>Penumbra Coil System / Penumbra Complex Standard Coil 400</Name>
            <Description>Frame configuration coil, three-dimensional complex shape, stiffest coil within the system, first coil to be placed, frames area of embolisation and holds subsequent coils within this zone.</Description>
            <Size>Diameters: 3-24mm&#xD;
Lengths: 6-57cm</Size>
            <SupplierCode>PN</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1688</GroupID>
            <ARTGs>
                <ARTG>182354</ARTG>
            </ARTGs>
            <MinimumBenefit>1359</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PN004</BillingCode>
            <Name>Penumbra Coil System / Penumbra Complex Soft Coil 400</Name>
            <Description>Fill configuration coil is used to fill empty space within the frame coil. The stiffness allows for a traumatic interaction with the aneurysm wall and primary packing of the occlusion site (aneurysm).</Description>
            <Size>Diameters: 3-24mm&#xD;
Lengths: 6-57cm</Size>
            <SupplierCode>PN</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1688</GroupID>
            <ARTGs>
                <ARTG>182354</ARTG>
            </ARTGs>
            <MinimumBenefit>1359</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PN005</BillingCode>
            <Name>Penumbra Coil System / Penumbra J Soft Coil 400</Name>
            <Description>Finish Coil Implant (J Soft) fills small empty pockets remaining within the occlusion site. The J shaped tip and stiffness allows the coils to manoeuvre and fill the remaining pockets after use of the primary Fill Coils.</Description>
            <Size>Lengths: 1-15cm</Size>
            <SupplierCode>PN</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1688</GroupID>
            <ARTGs>
                <ARTG>182354</ARTG>
            </ARTGs>
            <MinimumBenefit>1359</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PN006</BillingCode>
            <Name>Penumbra Coil System / Penumbra Curve Extra Soft 400</Name>
            <Description>The Soft Finish Coil Implant (Curve Extra Soft) is used for final packing of the aneurysm. The serpentine shape and the lowest stiffness allow the coils to manoeuvre and fill any remaining pockets after use of the other coil types.</Description>
            <Size>Diameters: 2-4mm&#xD;
Lengths: 1-20cm</Size>
            <SupplierCode>PN</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1688</GroupID>
            <ARTGs>
                <ARTG>182354</ARTG>
            </ARTGs>
            <MinimumBenefit>1359</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PN009</BillingCode>
            <Name>Penumbra Complex Extra Soft Coil 400</Name>
            <Description>The Soft Finish Coil Implants (Complex Extra Soft) are used for final packing of the aneurysm. The coil combines the shape of the complex standard coil, with the lowest stiffness of the Curve Extra Soft coil. The Soft Finish Coil Implants are available in varying diameters and lengths to accommodate physician need.</Description>
            <Size>Secondary diameters: 2-4mm; Lengths: 2-10mm</Size>
            <SupplierCode>PN</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1688</GroupID>
            <ARTGs>
                <ARTG>182354</ARTG>
            </ARTGs>
            <MinimumBenefit>1359</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PN014</BillingCode>
            <Name>Penumbra Smart Coil</Name>
            <Description>The Penumbra Smart Coil System is comprised of the The Penumbra Smart Coil, a platinum embolization coil attached to a composite delivery pusher with a radiopaque positioning marker and the Penumbra Smart Coil Detachment Handle.</Description>
            <Size>Standard: Diameter 3-18mm, Length 3-60cm;&#xD;
Soft: Diameter 1-14mm, Length 2-45cm;&#xD;
Extra Soft: Diameter 1-6mm, Length 1-20cm;&#xD;
Helical Extra Soft: Diameter 1-6mm, Length 1-20cm.</Size>
            <SupplierCode>PN</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1688</GroupID>
            <ARTGs>
                <ARTG>242752</ARTG>
            </ARTGs>
            <MinimumBenefit>1359</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC061</BillingCode>
            <Name>Detachable Coil System</Name>
            <Description>Microembolisation Coils - Platinum</Description>
            <Size>011/018 2-20mm diameter, 2 - 50cm length</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1688</GroupID>
            <ARTGs>
                <ARTG>154899</ARTG>
            </ARTGs>
            <MinimumBenefit>1359</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS201</BillingCode>
            <Name>Marksman Microcatheters</Name>
            <Description>The MARKSMAN Microcatheter is a variable stiffness, single lumen catheter designed to access small, tortuous vascular areas.  The outer surface of the catheter's distal segment is coated with a hydrophilic material to provide lubricity during use. The catheter also incorporates a PTFE liner to facilitate movement of delivery devices passed through its lumen and has a radiopaque marker at the distal tip to facilitate fluoroscopic visualization. The distal tip of the catheter is shapeable.</Description>
            <Size>Outer Diameter: 2.8F  Inner Diameter: 0.027"  Length: 105-160 cm</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4494</SubGroupID>
            <ARTGs>
                <ARTG>193795</ARTG>
            </ARTGs>
            <MinimumBenefit>632</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS202</BillingCode>
            <Name>Apollo Micro Catheters</Name>
            <Description>For the delivery of therapeutic agents (e.g. embolisation coils and liquid embolics); and diagnostic agents such as contrast media.</Description>
            <Size>Proximal outer  diameter 2.7F; distal outer diameter 1.5F; inner diameter 0.013 inch; total length 165 cm; tip length 1.5, 3 or 5 cm.</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4494</SubGroupID>
            <ARTGs>
                <ARTG>215658</ARTG>
            </ARTGs>
            <MinimumBenefit>632</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS208</BillingCode>
            <Name>Navien Intracranial Catheter</Name>
            <Description>The Navien Intracranial Support Catheter is a single lumen, flexible, variable stiffness composite catheter. The catheter shaft has a hydrophilic coating to reduce friction during use. The Navien Intracranial Support Catheter is visible under fluoroscopy.</Description>
            <Size>105 - 130cm length; 5.0 - 6.3 Fr gauge</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4494</SubGroupID>
            <ARTGs>
                <ARTG>218532</ARTG>
            </ARTGs>
            <MinimumBenefit>632</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CB014</BillingCode>
            <Name>Headway Microcatheter</Name>
            <Description>Single lumen microcatheter</Description>
            <Size>Internal diameter: 0.42mm - 0.69mm&#xD;
Outside diameter - distal: 1.6 - 2.6 Fr&#xD;
Outside diameter - proximal 2.1 -3.1 Fr&#xD;
Length: 150cm to 167cm</Size>
            <SupplierCode>CB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4494</SubGroupID>
            <ARTGs>
                <ARTG>162633</ARTG>
            </ARTGs>
            <MinimumBenefit>632</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CB021</BillingCode>
            <Name>Headway Duo</Name>
            <Description>Single Lumen Microcatheter</Description>
            <Size>Proximal&#xD;
ID = .0165in min. (0.42 mm)&#xD;
OD =  .027in (0.70 mm)&#xD;
Distal&#xD;
ID = .0165in min. (0.42 mm)&#xD;
OD = .023in (0.58 mm)&#xD;
&#xD;
Length: 156cm and 167cm</Size>
            <SupplierCode>CB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4494</SubGroupID>
            <ARTGs>
                <ARTG>296334</ARTG>
            </ARTGs>
            <MinimumBenefit>632</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CB022</BillingCode>
            <Name>Chaperon Guiding Catheter System</Name>
            <Description>Guiding Catheter</Description>
            <Size>Guiding Catheter:	5Fr - 0.059”/1.5mm ID &amp; 6Fr - 0.071"/1.8mm ID&#xD;
Inner Catheter:	4Fr - 0.041”/1.05mm ID &amp; 5Fr - 0.048"/1.22mm ID</Size>
            <SupplierCode>CB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4494</SubGroupID>
            <ARTGs>
                <ARTG>162770</ARTG>
            </ARTGs>
            <MinimumBenefit>632</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW468</BillingCode>
            <Name>Neuro Renegade Hi-Flo Microcatheter</Name>
            <Description>Microcatheter for deployment of neuroform stent system</Description>
            <Size>2.5-4.5mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4494</SubGroupID>
            <ARTGs>
                <ARTG>171934</ARTG>
            </ARTGs>
            <MinimumBenefit>632</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW488</BillingCode>
            <Name>Excelsior SL-10 &amp; Excelsior 1018</Name>
            <Description>Excelsior SL-10 &amp; the Excelsior 1018 Microcatheter is indicated to assist in the delivery of diagnostic agents, such as contrast media, and therapeutic agents, such as occlusion coils, into the peripheral, coronary and neurovasculature.</Description>
            <Size>Length: 150cm  Outer Diameter: 2.4F - 2.6F  Inner Diameter: 0.165" - 0.019"</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4494</SubGroupID>
            <ARTGs>
                <ARTG>147430</ARTG>
                <ARTG>149440</ARTG>
                <ARTG>174576</ARTG>
                <ARTG>177031</ARTG>
            </ARTGs>
            <MinimumBenefit>632</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW530</BillingCode>
            <Name>Excelsior XT27</Name>
            <Description>Stryker Neurovascular Excelsior XT-27 Microcatheter is intended to assist in the delivery of diagnostic agents, such as contrast media, therapeutic agents and interventional devices, into the neurovasculature</Description>
            <Size>Length: 150cm / 135cm&#xD;
Distal Lengths: 6cm / 18cm&#xD;
Outer Diameter: 2.7F - 2.9F&#xD;
Inner Diameter: 0.027"</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4494</SubGroupID>
            <ARTGs>
                <ARTG>202911</ARTG>
            </ARTGs>
            <MinimumBenefit>632</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW585</BillingCode>
            <Name>Excelsior XT-17 Microcatheter</Name>
            <Description>Excelsior XT-17 Microcatheter - single lumen devices</Description>
            <Size>Outer Diameter: 2.4F (Proximal) &amp; 1.7F (Distal)&#xD;
Inner Diameter: 0.017 inches&#xD;
Length: 150cm&#xD;
Shapes: Straight 45, 90 &amp; J</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4494</SubGroupID>
            <ARTGs>
                <ARTG>285509</ARTG>
            </ARTGs>
            <MinimumBenefit>632</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW635</BillingCode>
            <Name>AXS Infinity LS Long Sheath</Name>
            <Description>AXS Infinity LS Long Sheath</Description>
            <Size>Outer Diameter: 8F (max 0.109 inches)&#xD;
Inner Diameter: 0.088 inches&#xD;
Length: 70cm, 80cm, 90cm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4494</SubGroupID>
            <ARTGs>
                <ARTG>291432</ARTG>
            </ARTGs>
            <MinimumBenefit>632</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ488</BillingCode>
            <Name>Prowler Infusion Catheters</Name>
            <Description>Braid/coil catheter</Description>
            <Size>Size:  50cm - 170cm.</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4494</SubGroupID>
            <ARTGs>
                <ARTG>138704</ARTG>
                <ARTG>138705</ARTG>
                <ARTG>138706</ARTG>
                <ARTG>138708</ARTG>
            </ARTGs>
            <MinimumBenefit>632</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ME212</BillingCode>
            <Name>VASCO+</Name>
            <Description>A progressive step braided micro-catheter with radio-opaque markers on the distal tip used to assist in the treatment of aneurysms and other neurological disorders.</Description>
            <Size>Distal outer Diameter: 1.5 - 5F&#xD;
Proximal Outer Diameter: 2.4F - 5F&#xD;
Length: 135 - 155mm</Size>
            <SupplierCode>ME</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4494</SubGroupID>
            <ARTGs>
                <ARTG>155391</ARTG>
            </ARTGs>
            <MinimumBenefit>632</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ME213</BillingCode>
            <Name>Fargo</Name>
            <Description>Guiding Catheters</Description>
            <Size>Outer Ø Proximal . 4.2F - 6.0F&#xD;
Outer Ø Distal : 3.9F - 6.0F&#xD;
Inner Ø: 1.02mm (.040") - 1.78mm (.070")&#xD;
Total Length: 95cm - 135cm&#xD;
Distall tip Length: 2.5cm -15cm</Size>
            <SupplierCode>ME</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4494</SubGroupID>
            <ARTGs>
                <ARTG>161937</ARTG>
            </ARTGs>
            <MinimumBenefit>632</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI198</BillingCode>
            <Name>Rebar microcatheter (Rebar-10; Rebar-14; Rebar-18; Rebar-27)</Name>
            <Description>For the delivery of therapeutic agents (e.g. embolisation coils and liquid embolics) and diagnostic agents such as contrast media.</Description>
            <Size>Proximal OD/Distal OD (F): 2.3, 2.4, 2.8/1.7, 1.9, 2.7, 2.8; distal ID (in) 0.015, 0.017, 0.021, 0.027; total length (cm): 158, 135, 115.</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4494</SubGroupID>
            <ARTGs>
                <ARTG>274593</ARTG>
            </ARTGs>
            <MinimumBenefit>632</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI207</BillingCode>
            <Name>Marathon Flow Directed Micro Catheter (with or without stylet)</Name>
            <Description>For the delivery of therapeutic agents (e.g. embolisation coils and liquid embolics) and diagnostic agents such as contrast media.</Description>
            <Size>OD 2.7-1.5 Fr; Distal ID 0.013 in; total length 170 cm; usable &#xD;
Length 165 cm; distal length 25 cm; max. guidewire 0.010 in.</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4494</SubGroupID>
            <ARTGs>
                <ARTG>274595</ARTG>
                <ARTG>274596</ARTG>
            </ARTGs>
            <MinimumBenefit>632</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI211</BillingCode>
            <Name>Echelon Microcatheter (Echelon-10; Echelon-14)</Name>
            <Description>For the delivery of therapeutic agents (e.g. embolisation coils and liquid embolics) and diagnostic agents such as contrast media</Description>
            <Size>Tip configuration: straight; 450, 900; tip length: 3 mm, 5 mm; total length/usable length: 155 cm/150 cm; proximal OD/distal OD: 2.1F/1.7F; proximal ID/distal ID: 0.017”/0.017”</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4494</SubGroupID>
            <ARTGs>
                <ARTG>274594</ARTG>
            </ARTGs>
            <MinimumBenefit>632</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN136</BillingCode>
            <Name>Envoy Guiding Catheters</Name>
            <Description>Guiding Catheters</Description>
            <Size>90 to 105cm length</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4494</SubGroupID>
            <ARTGs>
                <ARTG>141866</ARTG>
                <ARTG>204770</ARTG>
            </ARTGs>
            <MinimumBenefit>632</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN166</BillingCode>
            <Name>Transit Microcatheter System</Name>
            <Description>Transit and Rapidtransit Microcatheters</Description>
            <Size>75 to 175cm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4494</SubGroupID>
            <ARTGs>
                <ARTG>162995</ARTG>
                <ARTG>162996</ARTG>
            </ARTGs>
            <MinimumBenefit>632</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN167</BillingCode>
            <Name>Ascent Balloon Catheter System</Name>
            <Description>Coaxial dual lumen balloon catheter</Description>
            <Size>4-6mm diameter</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4494</SubGroupID>
            <ARTGs>
                <ARTG>173989</ARTG>
            </ARTGs>
            <MinimumBenefit>632</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PN013</BillingCode>
            <Name>Penumbra Neuron Max Intracranial Access System</Name>
            <Description>The Neuron MAX System is a three-component system comprised of the Neuron MAX Delivery Catheter, Neuron 6F Select Catheter, and a Dilator. The Neuron MAX Delivery Catheter can be used individually with a 0.038in guidewire or together with the Neuron 6F Select Catheter to access the desired anatomy. Neuron MAX Delivery Catheter: The Neuron MAX Delivery Catheter is a single lumen, braid-reinforced, variable stiffness catheter with a radiopaque zone on the distal end and a Luerhub on the proximal end. The Neuron MAX Delivery Catheter dimensions are included on the individual device label. The Neuron MAX Delivery Catheter is compatible with introducer sheaths appropriately sized for the outer diameter of Neuron MAX.</Description>
            <Size>Delivery Catheter: Length 80 &amp; 90cm, Outer Diameter Proximal 8F, Distal 8F.&#xD;
Select Catheter: Length 105 &amp; 125cm, Outer Diameter 5.6F, Proximal 6F, Distal 5F.&#xD;
Long Sheath: Length 80 &amp; 90cm, Outer Diameter Proximal 8F, Distal 8F.</Size>
            <SupplierCode>PN</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4494</SubGroupID>
            <ARTGs>
                <ARTG>202250</ARTG>
                <ARTG>202251</ARTG>
                <ARTG>216374</ARTG>
            </ARTGs>
            <MinimumBenefit>632</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PN018</BillingCode>
            <Name>Penumbra Lantern Delivery Microcatheter</Name>
            <Description>Delivery Microcatheter</Description>
            <Size>115cm, 135cm, 150cm length &#xD;
Tip - Straight, 45 degree and 90 degree</Size>
            <SupplierCode>PN</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4494</SubGroupID>
            <ARTGs>
                <ARTG>290962</ARTG>
            </ARTGs>
            <MinimumBenefit>632</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PN019</BillingCode>
            <Name>Benchmark</Name>
            <Description>The Benchmark Delivery Catheter is a guide catheter used to support other diagnostic or therapeutic devices.</Description>
            <Size>95cm &amp; 105cm Straight &amp; Multi Purpose</Size>
            <SupplierCode>PN</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4494</SubGroupID>
            <ARTGs>
                <ARTG>292315</ARTG>
            </ARTGs>
            <MinimumBenefit>632</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS197</BillingCode>
            <Name>LRS Actuator</Name>
            <Description>LRS Actuator is a sterile, hand held mechanical unit with a thumb slide that detaches the coil. When the slider is retracted while the pusher is loaded, it releases the coil into the targeted vaculature. Coils cannot be deployed without the use of the actuator.</Description>
            <Size>Length 5.75", Diameter 1", Weight 28 grams</Size>
            <SupplierCode>AS</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4495</SubGroupID>
            <ARTGs>
                <ARTG>150013</ARTG>
            </ARTGs>
            <MinimumBenefit>316</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CB015</BillingCode>
            <Name>V-Grip Detachment Controller</Name>
            <Description>A battery powered device used to control detachment of an implantable embolisation coil from a delivery pusher.</Description>
            <Size>One size only</Size>
            <SupplierCode>CB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4495</SubGroupID>
            <ARTGs>
                <ARTG>148674</ARTG>
            </ARTGs>
            <MinimumBenefit>316</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW466</BillingCode>
            <Name>InZone Detachment System</Name>
            <Description>InZone Detachment System is specifically designed for use with the Target Detachable Coils</Description>
            <Size>One size</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4495</SubGroupID>
            <ARTGs>
                <ARTG>208838</ARTG>
            </ARTGs>
            <MinimumBenefit>316</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ME227</BillingCode>
            <Name>Optima XCEL Detachment Controller</Name>
            <Description>The EXCEL Detachment Controller is used to detach the Pusher from the Coil after the coil is deployed, it is compatible with all Optima Coil configurations and is used to detach all coils needed for a single patient.</Description>
            <Size>one size</Size>
            <SupplierCode>ME</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4495</SubGroupID>
            <ARTGs>
                <ARTG>312282</ARTG>
            </ARTGs>
            <MinimumBenefit>316</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN168</BillingCode>
            <Name>EnPOWER Detachment Control System</Name>
            <Description>Sterile Field Coil Detachment Control</Description>
            <Size>Single unit</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4495</SubGroupID>
            <ARTGs>
                <ARTG>132921</ARTG>
            </ARTGs>
            <MinimumBenefit>316</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PN008</BillingCode>
            <Name>Penumbra Coil System / Penumbra Coil Detachment Handle</Name>
            <Description>A single detachment handle which is compatible with all Penumbra Coil configurations and can be used to detach all coils needed for a single patient.</Description>
            <Size>One size only</Size>
            <SupplierCode>PN</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4495</SubGroupID>
            <ARTGs>
                <ARTG>193558</ARTG>
            </ARTGs>
            <MinimumBenefit>316</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PN015</BillingCode>
            <Name>Penumbra Smart Coil Detachment Handle</Name>
            <Description>The Penumbra Smart Coil System is comprised of the Penumbra Smart Coil and the Penumbra Smart Coil Detachment Handle. The SMART Coil Detachment Handle is a plastic handle used to mechanically detach the Penumbra SMART Coil Implant. The Detachment Handle is a sterile, single patient device</Description>
            <Size>One size only</Size>
            <SupplierCode>PN</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>4495</SubGroupID>
            <ARTGs>
                <ARTG>233479</ARTG>
            </ARTGs>
            <MinimumBenefit>238</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AS198</BillingCode>
            <Name>ev3 Occlusion Balloon Catheters</Name>
            <Description>Single lumen balloon catheter to temporarily occlude the central lumen allowing inflation of the balloon during neurosurgical and vascular procedures.</Description>
            <Size>3-7mm diameter; 7-30mm length</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>6022</SubGroupID>
            <ARTGs>
                <ARTG>152746</ARTG>
            </ARTGs>
            <MinimumBenefit>1559</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CB013</BillingCode>
            <Name>Scepter Occlusion Balloon Catheter</Name>
            <Description>Intravascular occlusion balloon catheter</Description>
            <Size>Balloon diameter: 4mm&#xD;
Balloon lengths: 10 - 20mm</Size>
            <SupplierCode>CB</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>6022</SubGroupID>
            <ARTGs>
                <ARTG>194400</ARTG>
            </ARTGs>
            <MinimumBenefit>1559</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW558</BillingCode>
            <Name>TransForm Occlusion Balloon Catheters</Name>
            <Description>The TransForm Occlusion Balloon Catheter consists of a single lumen catheter shaft with a balloon attached at the distal end. The balloon is available in a compliant version and a super compliant version. Radiopaque markers are located at the proximal and distal ends of the balloon to facilitate fluoroscopic visualization. The balloon catheter is recommended for use with a Stryker Neurovascular 0.014 in (0.36 mm) guidewire to seal the distal segment of the catheter lumen allowing inflation of the balloon. The guidewire can be moved distally or proximally once beyond the distal tip (seal portion) of the catheter and still maintain a positive seal for inflating the balloon. The distal outer segment of the catheter shaft is coated with a hydrophilic material that reduces friction during manipulation in the vessel. A luer fitting hub at the proximal end of the catheter is used for the attachment of accessories.</Description>
            <Size>Effective Length: 150 cm  Balloon Outer Diameter: 3 mm - 7 mm  Balloon Nominal Length: 5 mm - 30 mm  Maximum Catheter Shaft Outer Diameter: 2.8 F</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>6022</SubGroupID>
            <ARTGs>
                <ARTG>223661</ARTG>
            </ARTGs>
            <MinimumBenefit>1559</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ME215</BillingCode>
            <Name>Copernic RC</Name>
            <Description>Venous remodelling balloon</Description>
            <Size>Diameter:  8.0 - 10mm&#xD;
Balloon Length:  80mm&#xD;
Catheter Length:  160mm</Size>
            <SupplierCode>ME</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>225</SubCategoryID>
            <GroupID>1689</GroupID>
            <SubGroupID>6022</SubGroupID>
            <ARTGs>
                <ARTG>170159</ARTG>
            </ARTGs>
            <MinimumBenefit>1559</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AT086</BillingCode>
            <Name>NEUROVENT-P catheter</Name>
            <Description>RAUMEDIC NEUROVENT-P catheter for the continuous measurement of ICP (intracranial pressure) within the parenchyma.</Description>
            <Size>5F</Size>
            <SupplierCode>AT</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>253</SubCategoryID>
            <GroupID>1794</GroupID>
            <Suffix>Catheter</Suffix>
            <ARTGs>
                <ARTG>282695</ARTG>
            </ARTGs>
            <MinimumBenefit>1173</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG181</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>JJ906</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MicroSensor Monitoring System</Name>
            <Description>Ventricular catheter with transducer</Description>
            <Size>Catheter length 38cm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>253</SubCategoryID>
            <GroupID>1794</GroupID>
            <Suffix>Catheter</Suffix>
            <ARTGs>
                <ARTG>150087</ARTG>
            </ARTGs>
            <MinimumBenefit>1173</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM449</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>NK101</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Intracranial Pressure and Temperature Catheter</Name>
            <Description>Intracranial Pressure and Temperature Catheter</Description>
            <Size>Suitable for all patient anatomy</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>253</SubCategoryID>
            <GroupID>1794</GroupID>
            <Suffix>Catheter</Suffix>
            <ARTGs>
                <ARTG>308492</ARTG>
                <ARTG>308491</ARTG>
            </ARTGs>
            <MinimumBenefit>1173</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG189</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MN158</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MicroSensor Monitoring System</Name>
            <Description>Skull bolt with ICP transducer</Description>
            <Size>0.7mm sensor lead diameter</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>253</SubCategoryID>
            <GroupID>1794</GroupID>
            <Suffix>Skull Bolt</Suffix>
            <ARTGs>
                <ARTG>149558</ARTG>
            </ARTGs>
            <MinimumBenefit>948</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG183</BillingCode>
            <Name>Codman Bactiseal External Ventricular Drain (EVD) Catheter</Name>
            <Description>Antibiotic impregated External Ventricular Drain</Description>
            <Size>1.5mm &amp; 1.9mm lumen diameter</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>255</SubCategoryID>
            <GroupID>1796</GroupID>
            <Suffix>Antibiotics</Suffix>
            <ARTGs>
                <ARTG>343680</ARTG>
                <ARTG>343681</ARTG>
            </ARTGs>
            <MinimumBenefit>424</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG182</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>JJ907</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Codman External Ventricular Drain (EVD) Catheter</Name>
            <Description>External Ventricular Drain</Description>
            <Size>1.5mm &amp; 1.9mm diameter</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>255</SubCategoryID>
            <GroupID>1796</GroupID>
            <ARTGs>
                <ARTG>123031</ARTG>
            </ARTGs>
            <MinimumBenefit>167</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI123</BillingCode>
            <Name>EDM Ventricular Catheter</Name>
            <Description>External drainage ventricular catheter, non metallic latex free. Barium impregnated, includes stainless steel stylet.</Description>
            <Size>35cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>25</CategoryID>
            <SubCategoryID>255</SubCategoryID>
            <GroupID>1796</GroupID>
            <ARTGs>
                <ARTG>141103</ARTG>
            </ARTGs>
            <MinimumBenefit>167</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AM050</BillingCode>
            <Name>Urinary Control System Pump</Name>
            <Description>Pump with InhiboZone Antibiotic Surface Treatment</Description>
            <Size>One size only.</Size>
            <SupplierCode>AM</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1696</GroupID>
            <SubGroupID>5306</SubGroupID>
            <Suffix>A</Suffix>
            <ARTGs>
                <ARTG>165326</ARTG>
            </ARTGs>
            <MinimumBenefit>5076</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VO008</BillingCode>
            <Name>Conti Artificial Urinary Sphincter Control Pump (HydroShield coated)</Name>
            <Description>Conti Artificial Urinary Sphincter Control Pump with HydroShield Hydrophilic coating for Conti Artificial Urinary Sphincter</Description>
            <Size>Two models.</Size>
            <SupplierCode>VO</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1696</GroupID>
            <SubGroupID>5306</SubGroupID>
            <Suffix>A</Suffix>
            <ARTGs>
                <ARTG>338270</ARTG>
            </ARTGs>
            <MinimumBenefit>5076</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AM029</BillingCode>
            <Name>AMS 800 Artificial Urinary Sphincter Pump</Name>
            <Description>Control Pump</Description>
            <Size>One size</Size>
            <SupplierCode>AM</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1696</GroupID>
            <SubGroupID>5306</SubGroupID>
            <ARTGs>
                <ARTG>131706</ARTG>
            </ARTGs>
            <MinimumBenefit>4700</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET085</BillingCode>
            <Name>VICTO Adjustable Artificial Sphincter Pump Replacement Kit</Name>
            <Description>A replacement control pump for the VICTO Adjustable Artificial Sphincter, artificial urinary sphincter.</Description>
            <Size>1 size.</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1696</GroupID>
            <SubGroupID>5306</SubGroupID>
            <ARTGs>
                <ARTG>203685</ARTG>
            </ARTGs>
            <MinimumBenefit>4700</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AM051</BillingCode>
            <Name>AMS 800 Urinary Control System with InhibiZone - cuff</Name>
            <Description>Occlusive Cuff with InhibiZone Antibiotic Surface Treatment</Description>
            <Size>13 Cuff sizes from 3.5 to 11.0 cm</Size>
            <SupplierCode>AM</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1696</GroupID>
            <SubGroupID>5307</SubGroupID>
            <Suffix>A</Suffix>
            <ARTGs>
                <ARTG>165326</ARTG>
            </ARTGs>
            <MinimumBenefit>2708</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VO003</BillingCode>
            <Name>Conti Artificial Urinary Sphincter Occlusive Cuff (HydroShield coated)</Name>
            <Description>Conti Artificial Urinary Sphincter Occlusive Cuff with HydroShield Hydrophilic coating for Conti Artificial Urinary Sphincter</Description>
            <Size>3.5, 3.75, 4.0, 4.25, 4.5, 4.75. 5.0, 5.5, 6.0, 6.5, 7.0, 7.5, 8.0, 8.5, 9.0, 9.5, 10, 11, 12, 13cm.</Size>
            <SupplierCode>VO</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1696</GroupID>
            <SubGroupID>5307</SubGroupID>
            <Suffix>A</Suffix>
            <ARTGs>
                <ARTG>338270</ARTG>
            </ARTGs>
            <MinimumBenefit>2708</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AM001</BillingCode>
            <Name>AMS 800 Artificial Urinary Sphincter Cuff</Name>
            <Description>Occlusive Cuff</Description>
            <Size>13 Cuff sizes from 3.5 to 11.0 cm: Size: 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 9, 10, 11cm</Size>
            <SupplierCode>AM</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1696</GroupID>
            <SubGroupID>5307</SubGroupID>
            <ARTGs>
                <ARTG>131706</ARTG>
            </ARTGs>
            <MinimumBenefit>2483</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AM021</BillingCode>
            <Name>AMS 800 Artificial Urinary Sphincter Cuff</Name>
            <Description>Silicone cuff for artificial urinary sphincter. For the implantation of the second cuff for the AMS 800</Description>
            <Size>13 Cuff sizes from 3.5 to 11.0 cm: Size: 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 9, 10, 11cm</Size>
            <SupplierCode>AM</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1696</GroupID>
            <SubGroupID>5307</SubGroupID>
            <ARTGs>
                <ARTG>131706</ARTG>
            </ARTGs>
            <MinimumBenefit>2483</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET087</BillingCode>
            <Name>VICTO Adjustable Artificial Sphincter Cuff Replacement Kit</Name>
            <Description>A replacement cuff for a VICTO Adjustable Artificial Sphincter, artificial urinary sphincter.</Description>
            <Size>3.7cm, 4.0cm, 4.5cm, and 5.0cm.</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1696</GroupID>
            <SubGroupID>5307</SubGroupID>
            <ARTGs>
                <ARTG>203685</ARTG>
            </ARTGs>
            <MinimumBenefit>2483</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AM028</BillingCode>
            <Name>AMS 800 Artificial urinary sphincter Pressure Regulating Balloon</Name>
            <Description>Pressure Regulating Balloon</Description>
            <Size>51 - 60cm, 61 -70cm, 71 - 80cm</Size>
            <SupplierCode>AM</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1696</GroupID>
            <SubGroupID>5308</SubGroupID>
            <ARTGs>
                <ARTG>131706</ARTG>
            </ARTGs>
            <MinimumBenefit>1954</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET086</BillingCode>
            <Name>VICTO Adjustable Artificial Sphincter Balloon Replacement Kit</Name>
            <Description>A replacement pressure regulating balloon for the VICTO Adjustable Artificial Sphincter, artificial urinary sphincter.</Description>
            <Size>1 size.</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1696</GroupID>
            <SubGroupID>5308</SubGroupID>
            <ARTGs>
                <ARTG>203685</ARTG>
            </ARTGs>
            <MinimumBenefit>1954</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VO009</BillingCode>
            <Name>Conti Artificial Urinary Sphincter Pressure Regulating Balloon (HydroShield coated) </Name>
            <Description>Conti Artificial Urinary Sphincter Pressure Regulating Balloon with HydroShield Hydrophilic coating for Conti Artificial Urinary Sphincter</Description>
            <Size>40-49cm, 50-59cm, 60-69cm, 70-79cm, 80-89cm.</Size>
            <SupplierCode>VO</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1696</GroupID>
            <SubGroupID>5308</SubGroupID>
            <ARTGs>
                <ARTG>338270</ARTG>
            </ARTGs>
            <MinimumBenefit>1954</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AM030</BillingCode>
            <Name>AMS 800 Artificial Urinary Sphincter Accessory Kit</Name>
            <Description>Accessory Kit</Description>
            <Size>One Size</Size>
            <SupplierCode>AM</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1696</GroupID>
            <SubGroupID>5310</SubGroupID>
            <ARTGs>
                <ARTG>131706</ARTG>
            </ARTGs>
            <MinimumBenefit>655</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VO010</BillingCode>
            <Name>Conti Artificial Urinary Sphincter Accessory Kit</Name>
            <Description>Accessory Kit for Conti Artificial Urinary Sphincters with HydroShield coated connectors</Description>
            <Size>One size</Size>
            <SupplierCode>VO</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1696</GroupID>
            <SubGroupID>5310</SubGroupID>
            <ARTGs>
                <ARTG>338270</ARTG>
            </ARTGs>
            <MinimumBenefit>655</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET057</BillingCode>
            <Name>VICTO Artificial Urinary Sphincter</Name>
            <Description>VICTO Artificial Urinary Sphincter with conditional occlusion, inflatable hydraulic device.</Description>
            <Size>Four cuff sizes: 3.7cm, 4.0cm, 4.5cm, and 5.0cm.</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1696</GroupID>
            <SubGroupID>5311</SubGroupID>
            <ARTGs>
                <ARTG>203685</ARTG>
            </ARTGs>
            <MinimumBenefit>9500</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET084</BillingCode>
            <Name>ATOMS with Integrated Scrotal Port</Name>
            <Description>The ATOMS with Integrated Scrotal Port is a long-term hydraulically adjustable substitute urinary sphincter. The implant is supplied as a single piece system which includes a hydraulically adjusted urethral cuff and a silicone coated adjustment port which rests in the patient's scrotum. The pressure applied by the cuff is evenly distributed over the bulbar urethra, providing ventral closure in order to achieve continence. The adjustment port is designed to allow for non-surgical postoperative adjustment of cuff pressure.</Description>
            <Size>1 size only  Width of tape: 12mm  Dimensions of cushion: 40 x 45mm  Port Diameter: 11mm</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1696</GroupID>
            <SubGroupID>5311</SubGroupID>
            <ARTGs>
                <ARTG>154803</ARTG>
            </ARTGs>
            <MinimumBenefit>9500</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MB003</BillingCode>
            <Name>Adjustable Continence Therapy for Women</Name>
            <Description>ACT Device: Prosthesis designed for the treatment of female SUI comprising of a single silicone balloon attached via a conduit to titanium and rubber ports allowing for post operative adjustment.</Description>
            <Size>6 - 14cm</Size>
            <SupplierCode>MB</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1786</GroupID>
            <SubGroupID>5450</SubGroupID>
            <ARTGs>
                <ARTG>163939</ARTG>
            </ARTGs>
            <MinimumBenefit>3938</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MB006</BillingCode>
            <Name>Adjustable Continence Therapy for Men</Name>
            <Description>ProACT Device: Prosthesis designed for the treatment of male SUI comprising of a single silicone balloon attached via a conduit to titanium and rubber ports allowing for post operative adjustment.</Description>
            <Size>6 - 14cm</Size>
            <SupplierCode>MB</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1786</GroupID>
            <SubGroupID>5450</SubGroupID>
            <ARTGs>
                <ARTG>163939</ARTG>
            </ARTGs>
            <MinimumBenefit>3938</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET074</BillingCode>
            <Name>ATOMS System</Name>
            <Description>The ATOMS System is a long term, adjustable prostheses that substitutes urinary sphincter function in incontinent males. It is a hydraulic system comprising of a suburethral sphincter cushion/cuff which can be adjusted hydraulically intra-operatively or post-operatively through an implanted titanium port. Fixation arms and attachment sutures hold the implant in situ.</Description>
            <Size>1 size only - ATS 5011 (Length of Implant 560mm, width of tape 12mm, dimensions of cushion 40x45mm, max. filling volume of cushion 25mL). Titanium port-reservoir with hydraulic tubing, one size.</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1786</GroupID>
            <SubGroupID>5451</SubGroupID>
            <ARTGs>
                <ARTG>154803</ARTG>
            </ARTGs>
            <MinimumBenefit>7876</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MB004</BillingCode>
            <Name>Adjustable Continence Therapy device for women</Name>
            <Description>ACT Device: prosthesis designed for the treatment of female SUI comprising of silicone balloons x 2 attached via a conduit to titanium and rubber ports allowing for post operative adjustment.</Description>
            <Size>6 - 14cm</Size>
            <SupplierCode>MB</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1786</GroupID>
            <SubGroupID>5451</SubGroupID>
            <ARTGs>
                <ARTG>163939</ARTG>
            </ARTGs>
            <MinimumBenefit>7876</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MB005</BillingCode>
            <Name>Adjustable Continence Therapy for Men</Name>
            <Description>ProACT Device: prosthesis designed for the treatment of male SUI comprising of silicone balloons x2 attached via a conduit to titanium and rubber ports allowing for post operative adjustment.</Description>
            <Size>6 - 14cm</Size>
            <SupplierCode>MB</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1786</GroupID>
            <SubGroupID>5451</SubGroupID>
            <ARTGs>
                <ARTG>163939</ARTG>
            </ARTGs>
            <MinimumBenefit>7876</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET075</BillingCode>
            <Name>AMI ATOMS Infusion Port</Name>
            <Description>Hydraulic Infusion port for use with AMI ATOMS System - seperate</Description>
            <Size>22mm Diameter, 9.8mm High</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1786</GroupID>
            <SubGroupID>5987</SubGroupID>
            <ARTGs>
                <ARTG>148776</ARTG>
            </ARTGs>
            <MinimumBenefit>950</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AM048</BillingCode>
            <Name>AdVance XP Male Sling System</Name>
            <Description>Sub-urethral sling implant for treatment of male stress urinary incontinence. Made from polypropylene monofilament mesh</Description>
            <Size>Arm width: 1.2cm, Centre width: 3.55cm, Total Length: 35.5cm, 43.5cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1698</GroupID>
            <SubGroupID>5314</SubGroupID>
            <ARTGs>
                <ARTG>297821</ARTG>
            </ARTGs>
            <MinimumBenefit>5432</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET050</BillingCode>
            <Name>ARGUS</Name>
            <Description>Adjustable Male Sling made of silicone adjustable self fixating columns and urethral cushion</Description>
            <Size>One size only</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1698</GroupID>
            <SubGroupID>5314</SubGroupID>
            <ARTGs>
                <ARTG>118082</ARTG>
            </ARTGs>
            <MinimumBenefit>5432</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ070</BillingCode>
            <Name>GYNECARE TVT™: Device Tension Free Vaginal Tape / EXACT™ Continence System</Name>
            <Description>Female stress urinary incontinence surgical mesh</Description>
            <Size>Tape - 133 mm (W) x 190 mm (H); EXACT™ - Flat:460 mm (W) x 546 mm (H)</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1698</GroupID>
            <SubGroupID>5315</SubGroupID>
            <ARTGs>
                <ARTG>351636</ARTG>
                <ARTG>351635</ARTG>
            </ARTGs>
            <MinimumBenefit>822</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ442</BillingCode>
            <Name>GYNECARE TVT™ Obturator System</Name>
            <Description>Female stress urinary incontinence surgical mesh</Description>
            <Size>461.86 mm X 548.96 mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1698</GroupID>
            <SubGroupID>5315</SubGroupID>
            <ARTGs>
                <ARTG>351637</ARTG>
            </ARTGs>
            <MinimumBenefit>822</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN039</BillingCode>
            <Name>GYNECARE TVT™ ABBREVO™ Continence System</Name>
            <Description>Female stress urinary incontinence surgical mesh</Description>
            <Size>459.91 mm X 545.9 mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1698</GroupID>
            <SubGroupID>5315</SubGroupID>
            <ARTGs>
                <ARTG>351638</ARTG>
            </ARTGs>
            <MinimumBenefit>822</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GN001</BillingCode>
            <Name>Opsys Injectable SUI</Name>
            <Description>Opsys is a manually injectable, non-absorbable, permanent, synthetic tissue bulking agent used in the endoscopic treatment of female Stress Urinary Incontinence.</Description>
            <Size>Opsys Kit contains 5 x 1ml syringes.</Size>
            <SupplierCode>GN</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1699</GroupID>
            <SubGroupID>5316</SubGroupID>
            <ARTGs>
                <ARTG>169958</ARTG>
            </ARTGs>
            <MinimumBenefit>504</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GN002</BillingCode>
            <Name>Opsys Injectable SUI</Name>
            <Description>Opsys is a manually injectable, non-absorbable, permanent, synthetic tissue bulking agent used in the endoscopic treatment of female Stress Urinary Incontinence.</Description>
            <Size>1 x 1ml syringe.</Size>
            <SupplierCode>GN</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1699</GroupID>
            <SubGroupID>5316</SubGroupID>
            <ARTGs>
                <ARTG>169958</ARTG>
            </ARTGs>
            <MinimumBenefit>504</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH376</BillingCode>
            <Name>Durasphere SUI</Name>
            <Description>Injectable Bulking agent for Stress Urinary Incontinence</Description>
            <Size>1ml</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1699</GroupID>
            <SubGroupID>5316</SubGroupID>
            <ARTGs>
                <ARTG>151023</ARTG>
                <ARTG>151323</ARTG>
            </ARTGs>
            <MinimumBenefit>504</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SC001</BillingCode>
            <Name>BULKAMID Urethral Bulking System</Name>
            <Description>Transparent polyacrylamide gel for female urinary incontinence. Kit comprises 2 syringe, 2 needles, 1 applicator</Description>
            <Size>2 x 1ml syringes, 2 x BULKAMID 23G needles, 1 x disposable sheath</Size>
            <SupplierCode>SC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1699</GroupID>
            <SubGroupID>5318</SubGroupID>
            <ARTGs>
                <ARTG>152085</ARTG>
            </ARTGs>
            <MinimumBenefit>1009</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET053</BillingCode>
            <Name>Macroplastique</Name>
            <Description>Sterile, textured, highly cross linked polydimethylsiloxane elastomer implants suspended in a bio-excretable carrier gel.</Description>
            <Size>2.5ml Implants</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1699</GroupID>
            <SubGroupID>5319</SubGroupID>
            <ARTGs>
                <ARTG>146732</ARTG>
            </ARTGs>
            <MinimumBenefit>1262</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH379</BillingCode>
            <Name>Durasphere SUI</Name>
            <Description>Injectable Bulking agent for Stress Urinary Incontinence</Description>
            <Size>3ml</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>226</SubCategoryID>
            <GroupID>1699</GroupID>
            <SubGroupID>5320</SubGroupID>
            <ARTGs>
                <ARTG>151023</ARTG>
                <ARTG>151323</ARTG>
            </ARTGs>
            <MinimumBenefit>1513</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC022</BillingCode>
            <Name>C-Flex Double Pigtail Ureteric Stent Set</Name>
            <Description>Set includes: Stent, Wire, Positioner</Description>
            <Size>Multiple French Sizes, Multi-length</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5321</SubGroupID>
            <Suffix>P</Suffix>
            <ARTGs>
                <ARTG>216072</ARTG>
            </ARTGs>
            <MinimumBenefit>171</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC236</BillingCode>
            <Name>Paterson-Forrester Subcutaneous Urinary Diversion Stent</Name>
            <Description>Subcutaneous Urinary Diversion Stent</Description>
            <Size>Stent 8.5 French, 65cm long</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5321</SubGroupID>
            <Suffix>SP</Suffix>
            <ARTGs>
                <ARTG>218155</ARTG>
            </ARTGs>
            <MinimumBenefit>229</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PY012</BillingCode>
            <Name>Ex-Stent Tumour Ureteral Stent Set</Name>
            <Description>Open end stent with guide wire and pusher</Description>
            <Size>Diameter: 6Fr-8Fr&#xD;
Length: 26cm-36cm</Size>
            <SupplierCode>PY</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5321</SubGroupID>
            <Suffix>T</Suffix>
            <ARTGs>
                <ARTG>171564</ARTG>
            </ARTGs>
            <MinimumBenefit>187</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TX004</BillingCode>
            <Name>Ureteric Stent Set</Name>
            <Description>Open end for coaxial applications. Polyurethane stents with hydrogel coating with introducer and with/without guidewires. </Description>
            <Size>12 - 28cm</Size>
            <SupplierCode>TX</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5321</SubGroupID>
            <Suffix>T</Suffix>
            <ARTGs>
                <ARTG>277254</ARTG>
            </ARTGs>
            <MinimumBenefit>187</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TX005</BillingCode>
            <Name>Paediatric Ureteric Valve Stent Set</Name>
            <Description>Fixed length wirthan stent</Description>
            <Size>12 - 22cm</Size>
            <SupplierCode>TX</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5321</SubGroupID>
            <Suffix>T</Suffix>
            <ARTGs>
                <ARTG>136657</ARTG>
            </ARTGs>
            <MinimumBenefit>187</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC214</BillingCode>
            <Name>Cook Ureteral Stents</Name>
            <Description>Amplatz Ureteral Stent Set, Ultrathane RB Design Radioplaque Band and AQ Hydrophilic Coating Set includes one stent positioner with flexible stent introducer catheter</Description>
            <Size>8.5Fr - 12,20,22,24,26,28cm and 10.2Fr - 22,24,26,28cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5321</SubGroupID>
            <Suffix>T</Suffix>
            <ARTGs>
                <ARTG>137913</ARTG>
            </ARTGs>
            <MinimumBenefit>187</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CT024</BillingCode>
            <Name>PU-R Double Loop Ureteral Stents</Name>
            <Description>Double Loop Ureteral Stents in Rigid Polyurethane, with pusher. With or without guidewire depending on the model.</Description>
            <Size>Various in 4.8, 6, 7, 8Fr.&#xD;
Various in 24, 26, 28, 30cm lengths.&#xD;
Various in O/O or O/C.&#xD;
Various with or without guidewire.&#xD;
With either streerable or simple pusher</Size>
            <SupplierCode>CT</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5321</SubGroupID>
            <ARTGs>
                <ARTG>142907</ARTG>
            </ARTGs>
            <MinimumBenefit>133</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CT034</BillingCode>
            <Name>PU-S Double Loop Ureteral Stents</Name>
            <Description>Double Loop Ureteral Stents in Soft Polyurethane, with pusher and guidewire.</Description>
            <Size>Various in 6 and 7Fr.&#xD;
Various in 24, 26, 28 cm lengths.&#xD;
Various in O/O or O/C.&#xD;
With either Steerable or simple pusher.</Size>
            <SupplierCode>CT</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5321</SubGroupID>
            <ARTGs>
                <ARTG>142907</ARTG>
            </ARTGs>
            <MinimumBenefit>133</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MH010</BillingCode>
            <Name>Silhouette Ureteral Stent</Name>
            <Description>The Silhouette Ureteric Stent is manufactured with a soft material that provides superior comfort.  It has superior column strength through a coil-reinforced body providing effortless placement.  The tight coils prevent migration.  The smaller outside dia</Description>
            <Size>Multiple French Sizes &amp; Lengths</Size>
            <SupplierCode>MH</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5321</SubGroupID>
            <ARTGs>
                <ARTG>116728</ARTG>
            </ARTGs>
            <MinimumBenefit>133</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PY011</BillingCode>
            <Name>Optimed Opti-J Stents</Name>
            <Description>Dual Use directional Double J stent and delivery system. Can also be used as urinary diversion stent.</Description>
            <Size>4.5Fr to 8Fr&#xD;
Length:  22cm to 36cm</Size>
            <SupplierCode>PY</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5321</SubGroupID>
            <ARTGs>
                <ARTG>171564</ARTG>
            </ARTGs>
            <MinimumBenefit>133</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC281</BillingCode>
            <Name>Universa Soft Ureteral Stent Set</Name>
            <Description>Universa Soft Ureteral Stent Set, with or without the TFE WireGuide, fixed length</Description>
            <Size>5, 6, 7 and 8FR in fixed lengths (18 - 30CM)</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5321</SubGroupID>
            <ARTGs>
                <ARTG>174924</ARTG>
                <ARTG>216072</ARTG>
            </ARTGs>
            <MinimumBenefit>133</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MH013</BillingCode>
            <Name>Paediatric Silhouette System Set</Name>
            <Description>Coil reinforced body.  SL-6 hydrophilic coating.  UroWire 0.035" 3-in-1 guidewire with kink resistant nitinol core.  Design divided into 3 sections: silver section (front end) floppy SL - 6 hydrophilic coating; Blue section (mid) super stiff PTFE (not hydrophilicaly coated); and Green section (back) flexible</Description>
            <Size>4F, 8 - 12cm</Size>
            <SupplierCode>MH</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5322</SubGroupID>
            <Suffix>P</Suffix>
            <ARTGs>
                <ARTG>116727</ARTG>
                <ARTG>116728</ARTG>
            </ARTGs>
            <MinimumBenefit>233</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-06-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CT025</BillingCode>
            <Name>Stenostent Double Loop Ureteral Stents</Name>
            <Description>STENOSTENT® Double loop ureteral stent in silicone open/open, total reinforcement with connectable pusher and fixed core guidewire</Description>
            <Size>16 - 30cm</Size>
            <SupplierCode>CT</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5322</SubGroupID>
            <Suffix>SP</Suffix>
            <ARTGs>
                <ARTG>142923</ARTG>
            </ARTGs>
            <MinimumBenefit>222</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CT028</BillingCode>
            <Name>Pyelostent Double Loop Ureteral Stent</Name>
            <Description>Pyelostent, Silicone stent for long-term implantation (up to 12 months)</Description>
            <Size>26 - 30cm</Size>
            <SupplierCode>CT</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5322</SubGroupID>
            <Suffix>SP</Suffix>
            <ARTGs>
                <ARTG>142923</ARTG>
            </ARTGs>
            <MinimumBenefit>222</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PY001</BillingCode>
            <Name>Optimed Ureteral Stents</Name>
            <Description>Soft-Polyurethane. Ureteral. Paediatric Ureteral. Renal Transplantation. Urinary Diversion.</Description>
            <Size>Ureteral -&#xD;
Diameter: 4.5Fr-8Fr&#xD;
Length: 22cm-36cm&#xD;
Paediatric Ureteral - Diameter: 3Fr-4Fr &#xD;
Length: 10cm-16cm&#xD;
Renal Transplantation -  &#xD;
Diameter: 6Fr-8Fr&#xD;
Length:8cm-18cm&#xD;
Urinary Diversion -&#xD;
Diameter: 4.5Fr-9Fr &#xD;
Length: 70cm</Size>
            <SupplierCode>PY</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5322</SubGroupID>
            <Suffix>SP</Suffix>
            <ARTGs>
                <ARTG>171564</ARTG>
            </ARTGs>
            <MinimumBenefit>222</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-06-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC024</BillingCode>
            <Name>Ultrathane Endoureteratomy Stent Set</Name>
            <Description>Ultrathane Endoureteratomy Stent Set</Description>
            <Size>6/9.5 Fr &amp; 7/14.0Fr , Multiple Length</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5322</SubGroupID>
            <Suffix>SP</Suffix>
            <ARTGs>
                <ARTG>216072</ARTG>
            </ARTGs>
            <MinimumBenefit>222</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS086</BillingCode>
            <Name>Polaris Ultra Ureteral Stent</Name>
            <Description>Dual durometer ureteral stent with attached suture</Description>
            <Size>Diameters up to 14Fr &amp; lengths up to 40cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5322</SubGroupID>
            <Suffix>Therm</Suffix>
            <ARTGs>
                <ARTG>104324</ARTG>
                <ARTG>129379</ARTG>
            </ARTGs>
            <MinimumBenefit>203</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS091</BillingCode>
            <Name>Percuflex; Percuflex Plus; Percuflex Plus SureDrive</Name>
            <Description>Ureteral stent with attached suture</Description>
            <Size>Diameters up to 14Fr &amp; lengths up to 40cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5322</SubGroupID>
            <Suffix>Therm</Suffix>
            <ARTGs>
                <ARTG>104324</ARTG>
                <ARTG>132306</ARTG>
            </ARTGs>
            <MinimumBenefit>203</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS092</BillingCode>
            <Name>Contour Ureteral Stent, Contour SureDrive Ureteral Stent</Name>
            <Description>Ureteral stent with attached suture</Description>
            <Size>Diameters up to 14Fr &amp; lengths up to 40cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5322</SubGroupID>
            <Suffix>Therm</Suffix>
            <ARTGs>
                <ARTG>104324</ARTG>
            </ARTGs>
            <MinimumBenefit>203</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS093</BillingCode>
            <Name>Retromax Plus Ureteral Stent</Name>
            <Description>Ureteral stent</Description>
            <Size>Diameters up to 14Fr &amp; lengths up to 40cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5322</SubGroupID>
            <Suffix>Therm</Suffix>
            <ARTGs>
                <ARTG>104324</ARTG>
                <ARTG>129379</ARTG>
            </ARTGs>
            <MinimumBenefit>203</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS116</BillingCode>
            <Name>Polaris Loop Ureteral Stent</Name>
            <Description>Dual durometer ureteral stent with attached suture</Description>
            <Size>Diameters up to 14Fr &amp; lengths up to 40cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5322</SubGroupID>
            <Suffix>Therm</Suffix>
            <ARTGs>
                <ARTG>104324</ARTG>
                <ARTG>129376</ARTG>
            </ARTGs>
            <MinimumBenefit>203</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-06-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS192</BillingCode>
            <Name>Percuflex® Helical</Name>
            <Description>Ureteral Stent with Hydro Plus™ Coating</Description>
            <Size>6fr to 8fr and 10cm to 30cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5322</SubGroupID>
            <Suffix>Therm</Suffix>
            <ARTGs>
                <ARTG>129376</ARTG>
            </ARTGs>
            <MinimumBenefit>203</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS363</BillingCode>
            <Name>Tria Ureteral Stent</Name>
            <Description>Tria Firm ureteral stent with attached suture</Description>
            <Size>Diameters up to 8Fr &amp; lengths up to 30cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5322</SubGroupID>
            <Suffix>Therm</Suffix>
            <ARTGs>
                <ARTG>129376</ARTG>
            </ARTGs>
            <MinimumBenefit>203</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MB029</BillingCode>
            <Name>YellowStar Ureteric Stent</Name>
            <Description>PUR ureteral stent with PC treatment (Phosphorylcholine-coating) and Dirigenta Steering Device</Description>
            <Size>4.7-8Fr   Lengths 24-30cm</Size>
            <SupplierCode>MB</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5322</SubGroupID>
            <Suffix>Therm</Suffix>
            <ARTGs>
                <ARTG>327784</ARTG>
            </ARTGs>
            <MinimumBenefit>203</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC130</BillingCode>
            <Name>Ureteric Stent Set</Name>
            <Description>Set includes Aqueous Coated (AQ) firm fixed length ureteric stent, positioner, with or without wire guide</Description>
            <Size>Multiple French Sizes, and Lengths</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5322</SubGroupID>
            <Suffix>Therm</Suffix>
            <ARTGs>
                <ARTG>216072</ARTG>
            </ARTGs>
            <MinimumBenefit>203</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CT026</BillingCode>
            <Name>Biosoft Duo Double Loop Ureteral Stents</Name>
            <Description>Biosoft Duo double loop ureteral stents supplied with simple or steerable pusher, with or without guidewire and with or without flush catheter depending on the model. Duration of Implantation: 12 months</Description>
            <Size>6 - 9 Fr&#xD;
20 - 30 cm&#xD;
Either O/O or O/C</Size>
            <SupplierCode>CT</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5322</SubGroupID>
            <ARTGs>
                <ARTG>142925</ARTG>
                <ARTG>224254</ARTG>
            </ARTGs>
            <MinimumBenefit>188</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CT027</BillingCode>
            <Name>Vortek Single Loop Ureteral Stents</Name>
            <Description>Vortek Single Loop Ureteral Stents for drainage and urine collection</Description>
            <Size>6, 7, 8 Fr&#xD;
90cm length</Size>
            <SupplierCode>CT</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5322</SubGroupID>
            <ARTGs>
                <ARTG>142924</ARTG>
                <ARTG>224254</ARTG>
            </ARTGs>
            <MinimumBenefit>188</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CT029</BillingCode>
            <Name>Vortek Double Loop Ureteral Stents</Name>
            <Description>Vortek Double Loop Ureteral Stents have a double layered structure which make them easy to insert over guidewire, the stiffness of each size has been adapted in order to keep the mechanical properties.</Description>
            <Size>4.8, 6, 7 &amp; 8 Fr&#xD;
with steerable or simple pusher&#xD;
with or without guidewire&#xD;
O/O or O/C</Size>
            <SupplierCode>CT</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5322</SubGroupID>
            <ARTGs>
                <ARTG>142924</ARTG>
                <ARTG>224254</ARTG>
            </ARTGs>
            <MinimumBenefit>188</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CT030</BillingCode>
            <Name>Biosoft Minute Stent</Name>
            <Description>Biosoft minute double loop ureteral stent. Ready to use; the stent is in place over the guidewire and connected to the steerable pusher. Duration of implantation: 6 months.</Description>
            <Size>6 - 8 Fr&#xD;
24 - 30 cm length</Size>
            <SupplierCode>CT</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5322</SubGroupID>
            <ARTGs>
                <ARTG>142925</ARTG>
                <ARTG>224219</ARTG>
            </ARTGs>
            <MinimumBenefit>188</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CT031</BillingCode>
            <Name>Vortek TUMOR STENT Double loop ureteral stent</Name>
            <Description>Vortek Tumor Stent is reinforced with stiffness of material offering excellent resistance to compression.</Description>
            <Size>7-8Fr&#xD;
26-30cm in length</Size>
            <SupplierCode>CT</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5322</SubGroupID>
            <ARTGs>
                <ARTG>224254</ARTG>
            </ARTGs>
            <MinimumBenefit>188</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CT032</BillingCode>
            <Name>Silicone Double Loop Ureteral Stent</Name>
            <Description>Silicone Double Loop Ureteral Stent with guidewire and pusher</Description>
            <Size>6 - 8Fr&#xD;
16cm - 30cm</Size>
            <SupplierCode>CT</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5322</SubGroupID>
            <ARTGs>
                <ARTG>142923</ARTG>
            </ARTGs>
            <MinimumBenefit>188</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CT035</BillingCode>
            <Name>Vortek Hydro-Coated Double Loop Ureteral Stents</Name>
            <Description>Vortek Hydro-Coated Double Loop Ureteral Stents with simple or steerable pusher and with or without guidewire</Description>
            <Size>4.8 - 7Fr&#xD;
22 - 30cm lengths</Size>
            <SupplierCode>CT</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5322</SubGroupID>
            <ARTGs>
                <ARTG>224254</ARTG>
            </ARTGs>
            <MinimumBenefit>188</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL078</BillingCode>
            <Name>Ureteral Stents </Name>
            <Description>Diversion Stent, silicone</Description>
            <Size>7 - 8.5 F x 90cm</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5322</SubGroupID>
            <ARTGs>
                <ARTG>130442</ARTG>
                <ARTG>136671</ARTG>
            </ARTGs>
            <MinimumBenefit>188</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TX003</BillingCode>
            <Name>DD Ureteric Tumor Stent Set</Name>
            <Description>Open/Closed end with introducer and guide wire, Polyurethane</Description>
            <Size>20 - 28cm</Size>
            <SupplierCode>TX</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5322</SubGroupID>
            <ARTGs>
                <ARTG>136657</ARTG>
            </ARTGs>
            <MinimumBenefit>188</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC273</BillingCode>
            <Name>Ureteric Stent Set</Name>
            <Description>Set includes soft Aqueous Coated (AQ) ureteric stent, positioner, with or without wire guide</Description>
            <Size>Multiple French Sizes and Lengths</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5322</SubGroupID>
            <ARTGs>
                <ARTG>216072</ARTG>
            </ARTGs>
            <MinimumBenefit>188</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC226</BillingCode>
            <Name>RESONANCE Metallic Ureteral Stent Set</Name>
            <Description>Metallic Double Pigtail Stent</Description>
            <Size> 6 Fr, lengths 12-30cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5323</SubGroupID>
            <Suffix>T</Suffix>
            <ARTGs>
                <ARTG>118616</ARTG>
            </ARTGs>
            <MinimumBenefit>1634</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET055</BillingCode>
            <Name>Memokath Ureteric Stent</Name>
            <Description>Memokath Model 051CW.</Description>
            <Size>30mm - 200mm</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5323</SubGroupID>
            <Suffix>Therm</Suffix>
            <ARTGs>
                <ARTG>141654</ARTG>
            </ARTGs>
            <MinimumBenefit>3589</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MB016</BillingCode>
            <Name>Allium Ureteral Stent</Name>
            <Description>Round Nitinol stent with copolymer covering and supplied premounted on a delivery tool. Intended to be inserted into the lower ureter to allow free flow of urine from the kidney to the bladder.</Description>
            <Size>8mm x 100mm, 8mm x 120mm, 10mm x 100mm, 10mm x 120mm</Size>
            <SupplierCode>MB</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5323</SubGroupID>
            <Suffix>Therm</Suffix>
            <ARTGs>
                <ARTG>205005</ARTG>
            </ARTGs>
            <MinimumBenefit>3589</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MB028</BillingCode>
            <Name>Allium URS Long Ureteral stent</Name>
            <Description>Fully covered, flexible, extra long ureteral stent</Description>
            <Size>9 mm diameter&#xD;
200 mm length</Size>
            <SupplierCode>MB</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5323</SubGroupID>
            <Suffix>Therm</Suffix>
            <ARTGs>
                <ARTG>205005</ARTG>
            </ARTGs>
            <MinimumBenefit>3589</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PY030</BillingCode>
            <Name>Taewoong ePTFE covered dual nitinol ureteral/urethral stent</Name>
            <Description>Taewoong ePTFE covered dual nitinol ureteral/urethral stent</Description>
            <Size>Diameter: 6mm to 16mm&#xD;
Length: 4cm to 20cm</Size>
            <SupplierCode>PY</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1701</GroupID>
            <SubGroupID>5323</SubGroupID>
            <Suffix>Therm</Suffix>
            <ARTGs>
                <ARTG>130532</ARTG>
                <ARTG>220258</ARTG>
            </ARTGs>
            <MinimumBenefit>3589</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC218</BillingCode>
            <Name>C-Flex Multilength Ureteric Stent Set</Name>
            <Description>Set includes: Paediatric Stent, Wire, Positioner</Description>
            <Size>3.7 Fr, Multiple Lengths</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1702</GroupID>
            <SubGroupID>5324</SubGroupID>
            <Suffix>P</Suffix>
            <ARTGs>
                <ARTG>216072</ARTG>
            </ARTGs>
            <MinimumBenefit>241</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC219</BillingCode>
            <Name>C-Flex Double Pigtail Ureteric Stent Set</Name>
            <Description>Set includes: Paediatric Stent, Wire and Positioner</Description>
            <Size>3.7 Fr, Multilple Lengths</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1702</GroupID>
            <SubGroupID>5324</SubGroupID>
            <Suffix>P</Suffix>
            <ARTGs>
                <ARTG>216072</ARTG>
            </ARTGs>
            <MinimumBenefit>241</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA044</BillingCode>
            <Name>Ureteral Stent</Name>
            <Description>Hydrophilic coated ureteral stent</Description>
            <Size>Fr 4.7 – 8.0, Length 22-32cm</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1702</GroupID>
            <SubGroupID>5324</SubGroupID>
            <ARTGs>
                <ARTG>235658</ARTG>
            </ARTGs>
            <MinimumBenefit>189</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC282</BillingCode>
            <Name>Universa Soft Ureteral Stent Set</Name>
            <Description>Universa Soft Ureteral Stent Set, with or without the TFE WireGuide, multi-length</Description>
            <Size>5, 6, 7 and 8FR in multi-length (21-31CM)</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1702</GroupID>
            <SubGroupID>5324</SubGroupID>
            <ARTGs>
                <ARTG>174924</ARTG>
                <ARTG>216072</ARTG>
            </ARTGs>
            <MinimumBenefit>189</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC217</BillingCode>
            <Name>Sof-Flex Multilength Ureteric Stent Set</Name>
            <Description>Set includes: Paediatric Stent, Wire, Positioner</Description>
            <Size>3 Fr, Multiple Lengths</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1702</GroupID>
            <SubGroupID>5325</SubGroupID>
            <Suffix>P</Suffix>
            <ARTGs>
                <ARTG>216072</ARTG>
            </ARTGs>
            <MinimumBenefit>246</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC220</BillingCode>
            <Name>Sof-Flex Double Pigtail Ureteric Stent Set</Name>
            <Description>Set includes: Paediatric Stent, Wire, Positioner</Description>
            <Size>3 Fr, Multiple Lengths</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1702</GroupID>
            <SubGroupID>5325</SubGroupID>
            <Suffix>P</Suffix>
            <ARTGs>
                <ARTG>216072</ARTG>
            </ARTGs>
            <MinimumBenefit>246</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC023</BillingCode>
            <Name>Greene Renal Transplant Stent Set</Name>
            <Description>Transplant stent set</Description>
            <Size>Multiple French Sizes, Multi-length</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1702</GroupID>
            <SubGroupID>5325</SubGroupID>
            <Suffix>SP</Suffix>
            <ARTGs>
                <ARTG>216072</ARTG>
            </ARTGs>
            <MinimumBenefit>231</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC138</BillingCode>
            <Name>Filiform Double Pugtail Silicone Stent Set</Name>
            <Description>Stent, Wire, Positioner</Description>
            <Size>Multiple French Sizes and Lengths</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1702</GroupID>
            <SubGroupID>5325</SubGroupID>
            <Suffix>T</Suffix>
            <ARTGs>
                <ARTG>216072</ARTG>
            </ARTGs>
            <MinimumBenefit>252</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS094</BillingCode>
            <Name>Contour VL; Stretch VL Flexima; Ureteral Stents</Name>
            <Description>Ureteral stent with attached suture</Description>
            <Size>Diameters up to 14Fr &amp; lengths up to 40cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1702</GroupID>
            <SubGroupID>5325</SubGroupID>
            <Suffix>Therm</Suffix>
            <ARTGs>
                <ARTG>129376</ARTG>
            </ARTGs>
            <MinimumBenefit>201</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC035</BillingCode>
            <Name>Ureteric Stent Set</Name>
            <Description>Set includes Aqueous Coated (AQ) firm multilength ureteric stent, positioner, with or without wire guide</Description>
            <Size>Multiple French Sizes, Multi-Length</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1702</GroupID>
            <SubGroupID>5325</SubGroupID>
            <Suffix>Therm</Suffix>
            <ARTGs>
                <ARTG>216072</ARTG>
            </ARTGs>
            <MinimumBenefit>201</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC171</BillingCode>
            <Name>Universa Firm</Name>
            <Description>Universa Firm Multi-length Stent and Positioner only</Description>
            <Size>Multiple French Sizes and Lengths</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1702</GroupID>
            <SubGroupID>5325</SubGroupID>
            <Suffix>Therm</Suffix>
            <ARTGs>
                <ARTG>174924</ARTG>
            </ARTGs>
            <MinimumBenefit>201</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CT023</BillingCode>
            <Name>Biosoft Duo Multi Length Hydro-Coated Ureteral Stents</Name>
            <Description>Biosoft Duo Multi Length Hydro-Coated Stents for drainage of upper urinary tract.</Description>
            <Size>4.8, 6. 7 Fr</Size>
            <SupplierCode>CT</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1702</GroupID>
            <SubGroupID>5325</SubGroupID>
            <ARTGs>
                <ARTG>142925</ARTG>
            </ARTGs>
            <MinimumBenefit>188</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL076</BillingCode>
            <Name>Ureteral Stents </Name>
            <Description>Single J Ureteric Stent, silicone</Description>
            <Size>7 - 8.5 F x 90cm</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1702</GroupID>
            <SubGroupID>5325</SubGroupID>
            <ARTGs>
                <ARTG>130442</ARTG>
                <ARTG>136671</ARTG>
            </ARTGs>
            <MinimumBenefit>188</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL077</BillingCode>
            <Name>Ureteral Stents</Name>
            <Description>Double J Ureteric stent, silicone</Description>
            <Size>6-8.5 F, 12 - 30 cm</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1702</GroupID>
            <SubGroupID>5325</SubGroupID>
            <ARTGs>
                <ARTG>130442</ARTG>
            </ARTGs>
            <MinimumBenefit>188</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL080</BillingCode>
            <Name>Ureteral Stents</Name>
            <Description>Tecoflex polymer, hydrophilic coating/PTFE coating</Description>
            <Size>4.5F-8.5F x length 8 - 32cm</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1702</GroupID>
            <SubGroupID>5325</SubGroupID>
            <ARTGs>
                <ARTG>130442</ARTG>
            </ARTGs>
            <MinimumBenefit>188</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC002</BillingCode>
            <Name>Sof-Flex Multi-length Ureteric Stent Set</Name>
            <Description>Set includes Stent, Wire, Positioner</Description>
            <Size>Multiple French Sizes, Multi-length</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1702</GroupID>
            <SubGroupID>5325</SubGroupID>
            <ARTGs>
                <ARTG>216072</ARTG>
            </ARTGs>
            <MinimumBenefit>188</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC003</BillingCode>
            <Name>Sof-Flex Multi-length Ureteric Stent Set</Name>
            <Description>Stent and Positioner only</Description>
            <Size>Multiple French Sizes, Multi-length</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1702</GroupID>
            <SubGroupID>5325</SubGroupID>
            <ARTGs>
                <ARTG>216072</ARTG>
            </ARTGs>
            <MinimumBenefit>188</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC104</BillingCode>
            <Name>Cook Ureteral Stent - Sof-Flex Double Pigtail Stent Set - Special</Name>
            <Description>Radiopaque Sof-Flex Stent, Stainless Steel Wire Guide, Radiopaque Polyurethane Catheter and Radiolucent Vinyl Positioner</Description>
            <Size>Multiple French Sizes and Lengths</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1702</GroupID>
            <SubGroupID>5325</SubGroupID>
            <ARTGs>
                <ARTG>216072</ARTG>
            </ARTGs>
            <MinimumBenefit>188</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC150</BillingCode>
            <Name>Sof-Flex Double Pigtail Ureteric Stent Set</Name>
            <Description>Set includes: Stent, Wire, Positioner</Description>
            <Size>Multiple French Sizes and Lengths</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1702</GroupID>
            <SubGroupID>5325</SubGroupID>
            <ARTGs>
                <ARTG>216072</ARTG>
            </ARTGs>
            <MinimumBenefit>188</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC272</BillingCode>
            <Name>Ureteric Stent Set</Name>
            <Description>Set includes soft Aqueous Coated (AQ) ureteric stent, positioner, with or without wire guide</Description>
            <Size>Multiple French Sizes, multi-length</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1702</GroupID>
            <SubGroupID>5325</SubGroupID>
            <ARTGs>
                <ARTG>216072</ARTG>
            </ARTGs>
            <MinimumBenefit>188</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC128</BillingCode>
            <Name>Bander Ureteral Diversion Stent Set</Name>
            <Description>Left and Right Stents</Description>
            <Size>Multiple French Sizes and Lengths</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1703</GroupID>
            <Suffix>D</Suffix>
            <ARTGs>
                <ARTG>216072</ARTG>
            </ARTGs>
            <MinimumBenefit>201</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS095</BillingCode>
            <Name>Urinary Diversion Stents</Name>
            <Description>Percuflex urinary diversion stent</Description>
            <Size>Diameters up to 14Fr &amp; lengths up to 95cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1703</GroupID>
            <ARTGs>
                <ARTG>104324</ARTG>
                <ARTG>129379</ARTG>
            </ARTGs>
            <MinimumBenefit>125</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC031</BillingCode>
            <Name>Bander Ureteral Diversion Stent Set</Name>
            <Description>Left or right stent</Description>
            <Size>Multiple French Sizes and Lengths</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>227</SubCategoryID>
            <GroupID>1703</GroupID>
            <ARTGs>
                <ARTG>216072</ARTG>
            </ARTGs>
            <MinimumBenefit>125</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET054</BillingCode>
            <Name>Memokath Prostatic - Urethral Stents</Name>
            <Description>Memokath Models: 028S, 028SW, 028T, 028TW, 044T, 044TW, 045T, 045TW, 045TTW</Description>
            <Size> 5mm - 90mm</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>256</SubCategoryID>
            <GroupID>1800</GroupID>
            <SubGroupID>5501</SubGroupID>
            <ARTGs>
                <ARTG>141653</ARTG>
            </ARTGs>
            <MinimumBenefit>2351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MB013</BillingCode>
            <Name>Allium Bulbar Urethral Stent</Name>
            <Description>Round Nitinol stent with co-polymer covering and supplied premounted on a delivery tool.</Description>
            <Size>50, 55, 60, 80 mm</Size>
            <SupplierCode>MB</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>256</SubCategoryID>
            <GroupID>1800</GroupID>
            <SubGroupID>5501</SubGroupID>
            <ARTGs>
                <ARTG>205004</ARTG>
            </ARTGs>
            <MinimumBenefit>2351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MB014</BillingCode>
            <Name>Allium Round Posterior Urethral Stent</Name>
            <Description>Round Nitinol stent with copolymer covering and supplied premounted on a delivery tool. For longer term temporary treatment of bladder outlet obstruction caused by  male stenotic posterior urethra or  stenotic bladder-neck.</Description>
            <Size>The RPS has a body length of 40mm and a main body calibre of 45Fr</Size>
            <SupplierCode>MB</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>256</SubCategoryID>
            <GroupID>1800</GroupID>
            <SubGroupID>5501</SubGroupID>
            <ARTGs>
                <ARTG>205004</ARTG>
            </ARTGs>
            <MinimumBenefit>2351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MB015</BillingCode>
            <Name>Allium Triangle Prostatic Urethral Stent</Name>
            <Description>Round Nitinol stent with copolymer covering and supplied premounted on a delivery tool. For longer term temporary treatment of bladder outlet obstruction caused by enlarged prostate.</Description>
            <Size>Body lengths 30, 40, 50, 60, 65mm&#xD;
main body calibre 45Fr</Size>
            <SupplierCode>MB</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>256</SubCategoryID>
            <GroupID>1800</GroupID>
            <SubGroupID>5501</SubGroupID>
            <ARTGs>
                <ARTG>205004</ARTG>
            </ARTGs>
            <MinimumBenefit>2351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC126</BillingCode>
            <Name>Firlit-Kluge Urethral Stent</Name>
            <Description>Firlit-Kluge urethral stent</Description>
            <Size>Multiple French Sizes, Length 30cm</Size>
            <SupplierCode>WA</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>256</SubCategoryID>
            <GroupID>1800</GroupID>
            <SubGroupID>5502</SubGroupID>
            <ARTGs>
                <ARTG>214821</ARTG>
            </ARTGs>
            <MinimumBenefit>55</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC136</BillingCode>
            <Name>Zaontz Urethral Stent</Name>
            <Description>Zaontz Urethral Stent</Description>
            <Size>Multiple French Sizes, Length 12cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>256</SubCategoryID>
            <GroupID>1800</GroupID>
            <SubGroupID>5502</SubGroupID>
            <ARTGs>
                <ARTG>214821</ARTG>
            </ARTGs>
            <MinimumBenefit>55</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TX055</BillingCode>
            <Name>UroLift® System</Name>
            <Description>Prostatic urethral tissue-retaining retractor with adjustable retraction.</Description>
            <Size>One system</Size>
            <SupplierCode>TX</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>256</SubCategoryID>
            <GroupID>1801</GroupID>
            <ARTGs>
                <ARTG>200361</ARTG>
            </ARTGs>
            <MinimumBenefit>712</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS185</BillingCode>
            <Name>Xenform Soft Tissue Repair Matrix 2x7cm</Name>
            <Description>Graft derived from fetal dermal bovine tissues</Description>
            <Size>2x7cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>229</SubCategoryID>
            <GroupID>1707</GroupID>
            <SubGroupID>5328</SubGroupID>
            <ARTGs>
                <ARTG>174878</ARTG>
            </ARTGs>
            <MinimumBenefit>747</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS186</BillingCode>
            <Name>Xenform Soft Tissue Repair Matrix 4x7cm</Name>
            <Description>Graft derived from fetal dermal bovine tissues</Description>
            <Size>4x7cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>229</SubCategoryID>
            <GroupID>1707</GroupID>
            <SubGroupID>5328</SubGroupID>
            <ARTGs>
                <ARTG>174878</ARTG>
            </ARTGs>
            <MinimumBenefit>747</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS187</BillingCode>
            <Name>Xenform Soft Tissue Repair Matrix 6x10cm</Name>
            <Description>Graft derived from fetal dermal bovine tissues</Description>
            <Size>6x10cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>229</SubCategoryID>
            <GroupID>1707</GroupID>
            <SubGroupID>5328</SubGroupID>
            <ARTGs>
                <ARTG>174878</ARTG>
            </ARTGs>
            <MinimumBenefit>747</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS188</BillingCode>
            <Name>Xenform Soft Tissue Repair Matrix 8x12cm</Name>
            <Description>Graft derived from fetal dermal bovine tissues</Description>
            <Size>8x12cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>229</SubCategoryID>
            <GroupID>1707</GroupID>
            <SubGroupID>5329</SubGroupID>
            <ARTGs>
                <ARTG>174878</ARTG>
            </ARTGs>
            <MinimumBenefit>1140</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CT007</BillingCode>
            <Name>Genesis Penile Prosthesis (Resist Coated)</Name>
            <Description>Malleable Penile Prosthesis (Resist Coated)</Description>
            <Size>Dia: 9.5 mm (14 - 23cm lengths), Dia: 11mm (16 - 25cm lengths), Dia: 13mm (18 - 27cm lengths)</Size>
            <SupplierCode>CT</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1721</GroupID>
            <Suffix>A</Suffix>
            <ARTGs>
                <ARTG>140302</ARTG>
            </ARTGs>
            <MinimumBenefit>855</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VO004</BillingCode>
            <Name>Rigi10 - Hydrophilic Malleable Penile Prosthesis  </Name>
            <Description>Hydrophilic Malleable Penile Prosthesis</Description>
            <Size>9mm x 23cm, 10mm x 23cm, 11mm x 25cm, 12mm x 25cm, 13mm x 25cm, 14mm x 25cm.</Size>
            <SupplierCode>VO</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1721</GroupID>
            <Suffix>A</Suffix>
            <ARTGs>
                <ARTG>337610</ARTG>
            </ARTGs>
            <MinimumBenefit>855</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AM054</BillingCode>
            <Name>AMS Spectra Concealable Penile Prosthesis</Name>
            <Description>AMS Spectra Concealable Penile Prosthesis</Description>
            <Size>9.5 mm x 12cm AMS Spectra&#xD;
9.5 mm x 16cm AMS Spectra&#xD;
9.5 mm x 20cm AMS Spectra&#xD;
12 mm x 12cm AMS Spectra&#xD;
12 mm x 16cm AMS Spectra&#xD;
12 mm x 20cm AMS Spectra&#xD;
14 mm x 12cm AMS Spectra&#xD;
14 mm x 16cm AMS Spectra&#xD;
14 mm x 20cm AMS Spectra&#xD;
9.5mm Spectra Rear</Size>
            <SupplierCode>AM</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1721</GroupID>
            <ARTGs>
                <ARTG>165751</ARTG>
            </ARTGs>
            <MinimumBenefit>776</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS367</BillingCode>
            <Name>Tactra</Name>
            <Description>Malleable Penile Prosthesis</Description>
            <Size>9.5mm - 13mm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1721</GroupID>
            <ARTGs>
                <ARTG>165751</ARTG>
            </ARTGs>
            <MinimumBenefit>776</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AM041</BillingCode>
            <Name>AMS Ambicor</Name>
            <Description>AMS Ambicor Inflatable Penile Prostheses</Description>
            <Size>AMS Ambicor Inflatable Penile Prostheses 12.5mm in 14, 16 &amp; 18cm length, 14mm in 16, 18 &amp; 20cm length, 15.5mm in 18, 20 &amp; 22cm length</Size>
            <SupplierCode>AM</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1709</GroupID>
            <Suffix>A</Suffix>
            <ARTGs>
                <ARTG>131717</ARTG>
            </ARTGs>
            <MinimumBenefit>9893</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CT001</BillingCode>
            <Name>Excel Inflatable Penile Prosthesis (Resist Coated)</Name>
            <Description>Two-piece inflatable penile prosthesis (Resist Coated)</Description>
            <Size>Cylinder lengths 10,12,14,16,18,20,22cm &amp; six rear-tip extenders (two each 1, 2 &amp; 3cm)</Size>
            <SupplierCode>CT</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1709</GroupID>
            <Suffix>A</Suffix>
            <ARTGs>
                <ARTG>140110</ARTG>
            </ARTGs>
            <MinimumBenefit>9893</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MB022</BillingCode>
            <Name>Zephyr Hydraulic  Penile Implant</Name>
            <Description>This hydraulic  penile implant is made from silicone elastomer and comprises of two inflatable cylinders. a reservoir and a pump.</Description>
            <Size>All sizes contained in one system pack. (13, 16, 19 cm)</Size>
            <SupplierCode>MB</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1709</GroupID>
            <Suffix>A</Suffix>
            <ARTGs>
                <ARTG>216415</ARTG>
            </ARTGs>
            <MinimumBenefit>9893</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MB027</BillingCode>
            <Name>Zephyr Hydraulic Phalloplasty Penile Implant</Name>
            <Description>Hydraulic phalloplasty penile implant</Description>
            <Size>120-210 mm</Size>
            <SupplierCode>MB</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1709</GroupID>
            <Suffix>A</Suffix>
            <ARTGs>
                <ARTG>320689</ARTG>
            </ARTGs>
            <MinimumBenefit>9893</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AM004</BillingCode>
            <Name>AMS 700 Series Inflatable Penile Prostheses with Inhibizone Cylinders</Name>
            <Description>700 Series with InhibiZone</Description>
            <Size>12, 14, 15, 16, 18, 21cm</Size>
            <SupplierCode>AM</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1710</GroupID>
            <SubGroupID>5330</SubGroupID>
            <Suffix>A</Suffix>
            <ARTGs>
                <ARTG>125444</ARTG>
            </ARTGs>
            <MinimumBenefit>3638</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CT008</BillingCode>
            <Name>Titan Inflatable Penile Prosthesis (Resist Coated) - Cylinders</Name>
            <Description>Cylinders for three component penile prosthesis (Resist Coated)</Description>
            <Size>10, 12, 14,  16, 18, 20, 22cm</Size>
            <SupplierCode>CT</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1710</GroupID>
            <SubGroupID>5330</SubGroupID>
            <Suffix>A</Suffix>
            <ARTGs>
                <ARTG>140111</ARTG>
            </ARTGs>
            <MinimumBenefit>3638</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AM022</BillingCode>
            <Name>AMS 700 Series Inflatable Penile Prostheses Cylinders</Name>
            <Description>700 Series (Non InhibiZone)</Description>
            <Size>12, 14, 15, 16, 18, 21cm</Size>
            <SupplierCode>AM</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1710</GroupID>
            <SubGroupID>5330</SubGroupID>
            <ARTGs>
                <ARTG>106606</ARTG>
            </ARTGs>
            <MinimumBenefit>3344</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AM038</BillingCode>
            <Name>AMS 700 Series Inflatable Penile Prostheses InhibiZone Reservoir</Name>
            <Description>700 Series InhibiZone</Description>
            <Size>50, 65, 100ml</Size>
            <SupplierCode>AM</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1710</GroupID>
            <SubGroupID>5331</SubGroupID>
            <Suffix>A</Suffix>
            <ARTGs>
                <ARTG>125444</ARTG>
            </ARTGs>
            <MinimumBenefit>1881</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CT010</BillingCode>
            <Name>Titan Inflatable Penile Prosthesis (Resist Coated) - Lock-out Valve Reservoir</Name>
            <Description>Reservoir for three component penile prosthesis (Resist Coated)</Description>
            <Size>60, 75, 100ml</Size>
            <SupplierCode>CT</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1710</GroupID>
            <SubGroupID>5331</SubGroupID>
            <Suffix>A</Suffix>
            <ARTGs>
                <ARTG>140111</ARTG>
            </ARTGs>
            <MinimumBenefit>1881</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VO005</BillingCode>
            <Name>Infla10 Inflatable Penile Prosthesis - Reservoir (HydroShield coated)</Name>
            <Description>Reservoir for Infla10 Inflatable Penile Prosthesis (HydroShield Coated)</Description>
            <Size>65ml, 70ml, 110ml</Size>
            <SupplierCode>VO</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1710</GroupID>
            <SubGroupID>5331</SubGroupID>
            <Suffix>A</Suffix>
            <ARTGs>
                <ARTG>337611</ARTG>
            </ARTGs>
            <MinimumBenefit>1881</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AM044</BillingCode>
            <Name>AMS 700 Series Inflatable Penile Prostheses Reservoir non Inhibizone</Name>
            <Description>700 Series (Non InhibiZone)</Description>
            <Size> 50, 65, 100ml</Size>
            <SupplierCode>AM</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1710</GroupID>
            <SubGroupID>5331</SubGroupID>
            <ARTGs>
                <ARTG>106606</ARTG>
            </ARTGs>
            <MinimumBenefit>1705</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AM036</BillingCode>
            <Name>AMS 700 Series Inflatable Penile Prostheses with InhibiZone Pump</Name>
            <Description>700 Series with InhibiZone</Description>
            <Size>One Size</Size>
            <SupplierCode>AM</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1710</GroupID>
            <SubGroupID>5332</SubGroupID>
            <Suffix>A</Suffix>
            <ARTGs>
                <ARTG>125444</ARTG>
            </ARTGs>
            <MinimumBenefit>4432</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CT011</BillingCode>
            <Name>Titan Inflatable Penile Prosthesis (Resist Coated) - Pump</Name>
            <Description>Pump for three component penile prosthesis (Resist Coated)</Description>
            <Size>One Size</Size>
            <SupplierCode>CT</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1710</GroupID>
            <SubGroupID>5332</SubGroupID>
            <Suffix>A</Suffix>
            <ARTGs>
                <ARTG>140111</ARTG>
            </ARTGs>
            <MinimumBenefit>4432</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AM042</BillingCode>
            <Name>AMS 700 Series Inflatable Penile Prostheses Pump</Name>
            <Description>700 Series (Non InhibiZone)</Description>
            <Size>One Size</Size>
            <SupplierCode>AM</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1710</GroupID>
            <SubGroupID>5332</SubGroupID>
            <ARTGs>
                <ARTG>106606</ARTG>
            </ARTGs>
            <MinimumBenefit>4076</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AM040</BillingCode>
            <Name>AMS 700 Series Inflatable Penile Prostheses with InhibiZone Deactivation Package</Name>
            <Description>700 Series with InhibiZone</Description>
            <Size>One Size</Size>
            <SupplierCode>AM</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1710</GroupID>
            <SubGroupID>5333</SubGroupID>
            <ARTGs>
                <ARTG>125444</ARTG>
            </ARTGs>
            <MinimumBenefit>128</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AM046</BillingCode>
            <Name>AMS 700 Series Inflatable Penile Prostheses Deactivation Package</Name>
            <Description>700 Series (Non InhibiZone)</Description>
            <Size>One Size</Size>
            <SupplierCode>AM</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1710</GroupID>
            <SubGroupID>5333</SubGroupID>
            <ARTGs>
                <ARTG>106606</ARTG>
            </ARTGs>
            <MinimumBenefit>128</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CT012</BillingCode>
            <Name>Titan Inflatable Penile Prosthesis (Resist Coated) - True-lock Plug</Name>
            <Description>True Lock Plug for deactivation of three component penile prosthesis (Resist Coated)</Description>
            <Size>One Size</Size>
            <SupplierCode>CT</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1710</GroupID>
            <SubGroupID>5333</SubGroupID>
            <ARTGs>
                <ARTG>140111</ARTG>
            </ARTGs>
            <MinimumBenefit>128</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CT005</BillingCode>
            <Name>Titan Inflatable Penile Prosthesis (Resist Coated) - Assembly Kit</Name>
            <Description>Assembly kit for three component penile prosthesis (Resist Coated)</Description>
            <Size>Standard &amp; Narrow -base</Size>
            <SupplierCode>CT</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1710</GroupID>
            <SubGroupID>5334</SubGroupID>
            <Suffix>A</Suffix>
            <ARTGs>
                <ARTG>140111</ARTG>
            </ARTGs>
            <MinimumBenefit>655</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VO006</BillingCode>
            <Name>Infla10 Inflatable Penile Prosthesis - Accessory Kit</Name>
            <Description>Accessory Kit for Infla10 Inflatable Penile Prosthesis (HydroShield Coated). Accessory kit includes Easy-Click Connectors and ConnectSecure Extenders.</Description>
            <Size>Standard &amp; Narrow </Size>
            <SupplierCode>VO</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1710</GroupID>
            <SubGroupID>5334</SubGroupID>
            <Suffix>A</Suffix>
            <ARTGs>
                <ARTG>337611</ARTG>
            </ARTGs>
            <MinimumBenefit>655</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AM045</BillingCode>
            <Name>AMS 700 Series Inflatable Penile Prostheses Accessory Kit</Name>
            <Description>700 Series (Non InhibiZone)</Description>
            <Size>One Size</Size>
            <SupplierCode>AM</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1710</GroupID>
            <SubGroupID>5334</SubGroupID>
            <ARTGs>
                <ARTG>106606</ARTG>
            </ARTGs>
            <MinimumBenefit>655</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AM037</BillingCode>
            <Name>AMS 700 Series Inflatable Penile Prostheses with InhibiZone Pump &amp; Cylinders Preconnected</Name>
            <Description>700 Series with InhibiZone</Description>
            <Size>12-24cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1710</GroupID>
            <SubGroupID>5335</SubGroupID>
            <Suffix>A</Suffix>
            <ARTGs>
                <ARTG>352831</ARTG>
                <ARTG>125444</ARTG>
            </ARTGs>
            <MinimumBenefit>8070</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CT009</BillingCode>
            <Name>Titan Inflatable Penile Prosthesis (Resist Coated) - Cylinders &amp; Pump Preconnected</Name>
            <Description>Preconnected Cylinders &amp; pump for three component penile prosthesis (Resist Coated)</Description>
            <Size>10, 12, 14, 16, 18, 20, 22cm (in both infrapubic &amp; scrotal models)</Size>
            <SupplierCode>CT</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1710</GroupID>
            <SubGroupID>5335</SubGroupID>
            <Suffix>A</Suffix>
            <ARTGs>
                <ARTG>140111</ARTG>
            </ARTGs>
            <MinimumBenefit>8070</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VO007</BillingCode>
            <Name>Infla10 Inflatable Penile Prosthesis - Pump &amp; Cylinder (HydroShield coated)</Name>
            <Description>Preconnected Cylinders &amp; Pump for three piece penile prosthesis (Hydrophilic Coated).</Description>
            <Size>10, 12, 14, 15, 16, 18, 22, 24cm (in both infrapubic &amp; scrotal models)</Size>
            <SupplierCode>VO</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1710</GroupID>
            <SubGroupID>5335</SubGroupID>
            <Suffix>A</Suffix>
            <ARTGs>
                <ARTG>337611</ARTG>
            </ARTGs>
            <MinimumBenefit>8070</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AM043</BillingCode>
            <Name>AMS 700 Series Inflatable Penile Prostheses Pump &amp; Cylinders Preconnected</Name>
            <Description>700 Series (Non InhibiZone)</Description>
            <Size>12, 14, 15, 16, 18, 21cm</Size>
            <SupplierCode>AM</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>230</SubCategoryID>
            <GroupID>1710</GroupID>
            <SubGroupID>5335</SubGroupID>
            <ARTGs>
                <ARTG>106606</ARTG>
            </ARTGs>
            <MinimumBenefit>7419</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CT003</BillingCode>
            <Name>Saline Filled Testicular Prosthesis</Name>
            <Description> Testicular Prosthesis</Description>
            <Size>Extra Small, Small, Medium, Large</Size>
            <SupplierCode>CT</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>231</SubCategoryID>
            <GroupID>1711</GroupID>
            <ARTGs>
                <ARTG>140205</ARTG>
            </ARTGs>
            <MinimumBenefit>620</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CT004</BillingCode>
            <Name>Soft Solid Testicular Prosthesis</Name>
            <Description>Gel filled Testicular Prosthesis</Description>
            <Size>Small, Medium, Large &amp; Extra Large</Size>
            <SupplierCode>CT</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>231</SubCategoryID>
            <GroupID>1711</GroupID>
            <ARTGs>
                <ARTG>179463</ARTG>
            </ARTGs>
            <MinimumBenefit>620</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EG026</BillingCode>
            <Name>Testicular Implant</Name>
            <Description>Gel Filled Testicular Implant</Description>
            <Size>Height : 25 , 34, 40, 50, 53mm</Size>
            <SupplierCode>EG</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>231</SubCategoryID>
            <GroupID>1711</GroupID>
            <ARTGs>
                <ARTG>343218</ARTG>
            </ARTGs>
            <MinimumBenefit>620</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ET028</BillingCode>
            <Name>Promedon Testicular Prosthesis</Name>
            <Description>Silicone Elastomer</Description>
            <Size>Small - 31 x 23 mm,  Medium - 37 x 28 mm,  Large - 42 x 32 mm,  Xlarge</Size>
            <SupplierCode>ET</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>231</SubCategoryID>
            <GroupID>1711</GroupID>
            <ARTGs>
                <ARTG>136709</ARTG>
            </ARTGs>
            <MinimumBenefit>620</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JK001</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>UQ001</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Testicular Implant</Name>
            <Description>Silicone Elastomer</Description>
            <Size>Small / Medium / Large</Size>
            <SupplierCode>JK</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>231</SubCategoryID>
            <GroupID>1711</GroupID>
            <ARTGs>
                <ARTG>137352</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from UQ001</ChangeExplanation>
            <MinimumBenefit>620</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JT008</BillingCode>
            <Name>Testicular Implants</Name>
            <Description>Testicular Implants with needle guide or reinforced cap for fixation</Description>
            <Size>The Testicular Implants with needle guide or reinforced cap are available in 5 different sizes ranging from 5, 12, 21, 27 and 36 grams.</Size>
            <SupplierCode>JT</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>231</SubCategoryID>
            <GroupID>1711</GroupID>
            <ARTGs>
                <ARTG>168141</ARTG>
            </ARTGs>
            <MinimumBenefit>620</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VO001</BillingCode>
            <Name>Testi10 Firm Testicular Prosthesis</Name>
            <Description>Firm Silicon Testicular Prosthesis.</Description>
            <Size>XS, S, M, L, XL</Size>
            <SupplierCode>VO</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>231</SubCategoryID>
            <GroupID>1711</GroupID>
            <ARTGs>
                <ARTG>345571</ARTG>
            </ARTGs>
            <MinimumBenefit>620</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VO002</BillingCode>
            <Name>Testi10 Saline Filled Testicular Prosthesis</Name>
            <Description>Saline filled testicular prosthesis</Description>
            <Size>XS, S, M, L, XL</Size>
            <SupplierCode>VO</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>231</SubCategoryID>
            <GroupID>1711</GroupID>
            <ARTGs>
                <ARTG>345571</ARTG>
            </ARTGs>
            <MinimumBenefit>620</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC755</BillingCode>
            <Name>InterStim II Neurostimulator</Name>
            <Description>Titanium</Description>
            <Size>Weight 22g</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>232</SubCategoryID>
            <GroupID>1712</GroupID>
            <ARTGs>
                <ARTG>136721</ARTG>
            </ARTGs>
            <MinimumBenefit>9073</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC756</BillingCode>
            <Name>InterStim iCON Patient Programmer</Name>
            <Description>Hand held device Model 3037 to be used with implantable neurostimulation devices</Description>
            <Size>One size only</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>232</SubCategoryID>
            <GroupID>1713</GroupID>
            <SubGroupID>5337</SubGroupID>
            <ARTGs>
                <ARTG>137808</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI128</BillingCode>
            <Name>Medtronic Controller</Name>
            <Description>Patient programmer</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>232</SubCategoryID>
            <GroupID>1713</GroupID>
            <SubGroupID>5337</SubGroupID>
            <ARTGs>
                <ARTG>207835</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI443</BillingCode>
            <Name>InterStim neurostimulator- Programmer</Name>
            <Description>Programmer</Description>
            <Size>One size</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>232</SubCategoryID>
            <GroupID>1713</GroupID>
            <SubGroupID>5337</SubGroupID>
            <ARTGs>
                <ARTG>355036</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI126</BillingCode>
            <Name>Verify External Neurostimulator</Name>
            <Description>External Neurostimulator</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>232</SubCategoryID>
            <GroupID>1713</GroupID>
            <SubGroupID>5518</SubGroupID>
            <ARTGs>
                <ARTG>215635</ARTG>
            </ARTGs>
            <MinimumBenefit>1140</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI451</BillingCode>
            <Name>InterStim MRI rechargeable neurostimulator- Recharger</Name>
            <Description>Recharger kit</Description>
            <Size>One size</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>232</SubCategoryID>
            <GroupID>1713</GroupID>
            <SubGroupID>7367</SubGroupID>
            <ARTGs>
                <ARTG>121279</ARTG>
            </ARTGs>
            <MinimumBenefit>1215</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI074</BillingCode>
            <Name>Sacral Nerve Stimulation Lead</Name>
            <Description>4 Electrode tined lead (Non-MRI and MRI Leads)</Description>
            <Size>28 - 41cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>232</SubCategoryID>
            <GroupID>1714</GroupID>
            <SubGroupID>5339</SubGroupID>
            <Suffix>tined</Suffix>
            <ARTGs>
                <ARTG>355030</ARTG>
                <ARTG>355041</ARTG>
            </ARTGs>
            <MinimumBenefit>4199</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC185</BillingCode>
            <Name>Sacral Nerve Stimulation Unilateral</Name>
            <Description>Interstim Temporary test stimulation lead</Description>
            <Size>Various</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>232</SubCategoryID>
            <GroupID>1714</GroupID>
            <SubGroupID>5340</SubGroupID>
            <ARTGs>
                <ARTG>137440</ARTG>
            </ARTGs>
            <MinimumBenefit>373</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC777</BillingCode>
            <Name>Interstim Extension Lead</Name>
            <Description>Quadripolar Extension Kit</Description>
            <Size>10, 25, 51cm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>232</SubCategoryID>
            <GroupID>1714</GroupID>
            <SubGroupID>5341</SubGroupID>
            <ARTGs>
                <ARTG>150165</ARTG>
            </ARTGs>
            <MinimumBenefit>1434</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI169</BillingCode>
            <Name>Interstim Trial Lead and Screener Kit </Name>
            <Description>Trial lead and screener cables kit</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>232</SubCategoryID>
            <GroupID>1714</GroupID>
            <SubGroupID>6036</SubGroupID>
            <ARTGs>
                <ARTG>137440</ARTG>
            </ARTGs>
            <MinimumBenefit>753</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC775</BillingCode>
            <Name>Interstim Lead Introducer Kit</Name>
            <Description>Lead Introducer Kit for Sacral Nerve Stimulation</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>232</SubCategoryID>
            <GroupID>1715</GroupID>
            <SubGroupID>5342</SubGroupID>
            <ARTGs>
                <ARTG>355030</ARTG>
                <ARTG>355041</ARTG>
            </ARTGs>
            <MinimumBenefit>514</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI387</BillingCode>
            <Name>InterStim neurostimulator- Lead Introducer Kit</Name>
            <Description>Sacral Nerve Stimulation Lead Introducer Kit</Description>
            <Size>One size</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>232</SubCategoryID>
            <GroupID>1715</GroupID>
            <SubGroupID>5342</SubGroupID>
            <ARTGs>
                <ARTG>240576</ARTG>
            </ARTGs>
            <MinimumBenefit>514</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI444</BillingCode>
            <Name>InterStim neurostimulator- Extension Lead</Name>
            <Description>Sacral Nerve Stimulation Extension Lead</Description>
            <Size>One size</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>232</SubCategoryID>
            <GroupID>1715</GroupID>
            <SubGroupID>5342</SubGroupID>
            <ARTGs>
                <ARTG>239412</ARTG>
            </ARTGs>
            <MinimumBenefit>514</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI333</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MC186</PriorBillingCode>
                <PriorBillingCode>MI318</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Sacral Nerve Stimulation Accessories</Name>
            <Description>Foramen Needle. Sterile individual units.Stainless steel.</Description>
            <Size>8.9 to 12.7 cm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>232</SubCategoryID>
            <GroupID>1715</GroupID>
            <SubGroupID>5343</SubGroupID>
            <ARTGs>
                <ARTG>121280</ARTG>
            </ARTGs>
            <MinimumBenefit>21</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI127</BillingCode>
            <Name>Medtronic Cables</Name>
            <Description>Stimulation Cables for Intraoperative testing</Description>
            <Size>Various</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>232</SubCategoryID>
            <GroupID>1715</GroupID>
            <SubGroupID>5517</SubGroupID>
            <ARTGs>
                <ARTG>355030</ARTG>
                <ARTG>355041</ARTG>
            </ARTGs>
            <MinimumBenefit>190</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FE003</BillingCode>
            <Name>Filshie Clips - Sterishot</Name>
            <Description>With Disposable Applicator</Description>
            <Size>One Size</Size>
            <SupplierCode>FE</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>233</SubCategoryID>
            <GroupID>1716</GroupID>
            <SubGroupID>5344</SubGroupID>
            <Suffix>With applicator</Suffix>
            <ARTGs>
                <ARTG>157661</ARTG>
            </ARTGs>
            <MinimumBenefit>389</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FE001</BillingCode>
            <Name>Filshie Clip</Name>
            <Description>Titanium</Description>
            <Size>One size only</Size>
            <SupplierCode>FE</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>233</SubCategoryID>
            <GroupID>1716</GroupID>
            <SubGroupID>5344</SubGroupID>
            <ARTGs>
                <ARTG>153023</ARTG>
            </ARTGs>
            <MinimumBenefit>147</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OL079</BillingCode>
            <Name>Falope-Ring Bands</Name>
            <Description>Fallopian Tube Clip (each)</Description>
            <Size>5mm - 12mm</Size>
            <SupplierCode>OL</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>233</SubCategoryID>
            <GroupID>1716</GroupID>
            <SubGroupID>5345</SubGroupID>
            <ARTGs>
                <ARTG>130442</ARTG>
                <ARTG>136671</ARTG>
            </ARTGs>
            <MinimumBenefit>37</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BA250</BillingCode>
            <Name>Navarre Drainage Catheter</Name>
            <Description>A drainage catheter intended for use for Nephrostomy applications either by direct stick or modified seldinger technique.</Description>
            <Size>6-12 French, Length: 15-40cm</Size>
            <SupplierCode>BA</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>234</SubCategoryID>
            <GroupID>1718</GroupID>
            <ARTGs>
                <ARTG>180316</ARTG>
                <ARTG>180317</ARTG>
            </ARTGs>
            <MinimumBenefit>114</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BS228</BillingCode>
            <Name>Flexima Nephrostomy Catheter</Name>
            <Description>Urinary drainage catheters for internal and external drainage of the urinary tract.</Description>
            <Size>Length up to 25cm</Size>
            <SupplierCode>BS</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>234</SubCategoryID>
            <GroupID>1718</GroupID>
            <ARTGs>
                <ARTG>132027</ARTG>
            </ARTGs>
            <MinimumBenefit>114</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CB018</BillingCode>
            <Name>Skater Nephrostomy Drainage Catheter</Name>
            <Description>A drainage catheter intended for use for Nephrostomy applications either by direct stick or modified seldinger technique.</Description>
            <Size>6 - 14 Fr</Size>
            <SupplierCode>CB</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>234</SubCategoryID>
            <GroupID>1718</GroupID>
            <ARTGs>
                <ARTG>223260</ARTG>
            </ARTGs>
            <MinimumBenefit>114</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ME216</BillingCode>
            <Name>NEPHRO-CATH Nephrostomy Drainage Catheter</Name>
            <Description>Nephrostomy Drainage Catheter</Description>
            <Size>Diameters: 8fr to 14fr sizes; Lengths 27cm through to 29cm</Size>
            <SupplierCode>ME</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>234</SubCategoryID>
            <GroupID>1718</GroupID>
            <ARTGs>
                <ARTG>98030</ARTG>
            </ARTGs>
            <MinimumBenefit>114</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>WC291</BillingCode>
            <Name>Dawson-Mueller Drainage Catheter</Name>
            <Description>A drainage catheter intended for use for Nephrostomy applications either by direct stick or modified seldinger technique.</Description>
            <Size>5-14 Fr, Length: 15-25cm</Size>
            <SupplierCode>WC</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>234</SubCategoryID>
            <GroupID>1718</GroupID>
            <ARTGs>
                <ARTG>139357</ARTG>
            </ARTGs>
            <MinimumBenefit>114</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GN003</BillingCode>
            <Name>Vantris</Name>
            <Description>Bulking agent for the treatment of Vesicoureteric Reflux</Description>
            <Size>1ml Syringe</Size>
            <SupplierCode>GN</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>235</SubCategoryID>
            <GroupID>1719</GroupID>
            <ARTGs>
                <ARTG>169958</ARTG>
            </ARTGs>
            <MinimumBenefit>950</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RW001</BillingCode>
            <Name>Deflux</Name>
            <Description>Deflux is a sterile, highly viscous gel of dextranomer microspheres and non-animal stabilised hyaluronic acid constituting a biocompatible and biodegradable implant for the treatment of vesicoureteral reflux.  The stabilised hyaluronic acid acts mainly as</Description>
            <Size>1ml in syringe</Size>
            <SupplierCode>RW</SupplierCode>
            <CategoryID>26</CategoryID>
            <SubCategoryID>235</SubCategoryID>
            <GroupID>1719</GroupID>
            <ARTGs>
                <ARTG>345790</ARTG>
            </ARTGs>
            <MinimumBenefit>950</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW894</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR367</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Salto Talaris Ankle Prosthesis - Tibial insert</Name>
            <Description>Tibial insert, fixed, UHMWPE</Description>
            <Size>Sizes 0,1,2,3, Left and Right, each size available in the following thicknesses, 8mm, 9mm,10mm,11mm, 13mm,15mm, 17mm, 19mm, 21mm.  Sizes 00, Left and Right, available in the following thicknesses, 8mm,9mm,10mm,11mm.</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1269</GroupID>
            <SubGroupID>3645</SubGroupID>
            <ARTGs>
                <ARTG>134055</ARTG>
                <ARTG>198095</ARTG>
            </ARTGs>
            <MinimumBenefit>627</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW995</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR322</PriorBillingCode>
            </PriorBillingCodes>
            <Name>INFINITY Total Ankle System: Poly Insert</Name>
            <Description>UHMWPE poly insert, Standard or Plus</Description>
            <Size>Sizes 1-5; 6-13mm thick</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1269</GroupID>
            <SubGroupID>3645</SubGroupID>
            <ARTGs>
                <ARTG>168052</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from WR322</ChangeExplanation>
            <MinimumBenefit>627</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW996</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR272</PriorBillingCode>
            </PriorBillingCodes>
            <Name>INBONE® Total Ankle System: Poly Insert</Name>
            <Description>Poly Insert, Standard or Plus</Description>
            <Size>Sizes 1-6, 6-20mm thick</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1269</GroupID>
            <SubGroupID>3645</SubGroupID>
            <ARTGs>
                <ARTG>168052</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from WR272</ChangeExplanation>
            <MinimumBenefit>627</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA022</BillingCode>
            <Name>TM Ankle</Name>
            <Description>Tibial Polyethylene Insert</Description>
            <Size>6 sizes of the polyethylene insert with standard, +2 mm and +4 mm offsets</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1269</GroupID>
            <SubGroupID>3645</SubGroupID>
            <ARTGs>
                <ARTG>202429</ARTG>
            </ARTGs>
            <MinimumBenefit>627</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CR219</BillingCode>
            <Name>Zenith Total Ankle Replacement System – Meniscal Component</Name>
            <Description>The Meniscal component the mobile bearing component of the Zenith total ankle&#xD;
replacement system.</Description>
            <Size>size x thickness:&#xD;
Sizes 1-4,&#xD;
Thickness 5mm,6mm,7mm,8mm,10mm,12mm</Size>
            <SupplierCode>CR</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1269</GroupID>
            <SubGroupID>3646</SubGroupID>
            <ARTGs>
                <ARTG>115739</ARTG>
            </ARTGs>
            <MinimumBenefit>591</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD077</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>SK626</PriorBillingCode>
            </PriorBillingCodes>
            <Name> STAR Ankle Prosthesis</Name>
            <Description>UHMWPE Sliding Core</Description>
            <Size>6- 14mm</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1269</GroupID>
            <SubGroupID>3646</SubGroupID>
            <ARTGs>
                <ARTG>237795</ARTG>
            </ARTGs>
            <MinimumBenefit>591</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DY408</BillingCode>
            <Name>Mobility Ankle</Name>
            <Description>Mobile Bearing</Description>
            <Size>1-6 from 3-11mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1269</GroupID>
            <SubGroupID>3646</SubGroupID>
            <ARTGs>
                <ARTG>98045</ARTG>
            </ARTGs>
            <MinimumBenefit>591</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER385</BillingCode>
            <Name>Hintermann Series H3™ Total Ankle Prosthesis-Inlay</Name>
            <Description>Hintermann Series H3™ Total Ankle Prosthesis-Inlay, UHMW Polyethylene</Description>
            <Size>0-6, thickness 5-9 mm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1269</GroupID>
            <SubGroupID>3646</SubGroupID>
            <ARTGs>
                <ARTG>289319</ARTG>
            </ARTGs>
            <MinimumBenefit>591</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW884</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR356</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Cheville Salto Ankle Prostheses</Name>
            <Description>Mobile insert UHMWPE</Description>
            <Size>Sizes 0,1,2,3. Each size has thickness 4,5,6 &amp; 7mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1269</GroupID>
            <SubGroupID>3646</SubGroupID>
            <ARTGs>
                <ARTG>198095</ARTG>
            </ARTGs>
            <MinimumBenefit>591</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU103</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE293</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Prostop</Name>
            <Description>Arthroereisis Subtalar implant</Description>
            <Size>7x12mm 8x12mm 9x14mm 10x14mm 11x16mm 12x16mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1219</GroupID>
            <SubGroupID>3261</SubGroupID>
            <ARTGs>
                <ARTG>350870</ARTG>
            </ARTGs>
            <MinimumBenefit>1321</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW681</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR001</PriorBillingCode>
            </PriorBillingCodes>
            <Name>BioArch Subtalar Arthroereisis Implant</Name>
            <Description>Conical, tapered, titanium implant with blunt thread design.</Description>
            <Size>8, 9, 10, 11, 12mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1219</GroupID>
            <SubGroupID>3261</SubGroupID>
            <ARTGs>
                <ARTG>164928</ARTG>
            </ARTGs>
            <MinimumBenefit>1321</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW912</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR389</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Futura Conical Subtalar Implant</Name>
            <Description>The Conical Subtalar Implant (CSI) is designed to treat hyperpronated foot and to stabilize the subtalar joint. It is intended to block forward, downward and medial displacement of the talus, allowing for normal subtalar joint motion while simultaneously </Description>
            <Size>7 - 12</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1219</GroupID>
            <SubGroupID>3261</SubGroupID>
            <ARTGs>
                <ARTG>130055</ARTG>
            </ARTGs>
            <MinimumBenefit>1321</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IT017</BillingCode>
            <Name>Arch It</Name>
            <Description>Subtalar Arthroereisis Implant</Description>
            <Size>8mm, 9mm, 10mm, 11mm &amp; 12mm</Size>
            <SupplierCode>IT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1219</GroupID>
            <SubGroupID>3261</SubGroupID>
            <ARTGs>
                <ARTG>266192</ARTG>
            </ARTGs>
            <MinimumBenefit>1321</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IT035</BillingCode>
            <Name>Fuse It Healing Screw</Name>
            <Description>Fenestrated conical fusion cage - intended to be used in situations where an aid is required to help facilitate bone fusion and alignment generally following an osteotomy but also in the instance of large bone deformities and complex fusion procedures.</Description>
            <Size>Diameters from 6mm-16mm, lengths from 10mm-30mm</Size>
            <SupplierCode>IT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1219</GroupID>
            <SubGroupID>3261</SubGroupID>
            <ARTGs>
                <ARTG>308601</ARTG>
            </ARTGs>
            <MinimumBenefit>1321</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM100</BillingCode>
            <Name>Hyprocure</Name>
            <Description>Sinus Tarsi Implant</Description>
            <Size>5-9mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1219</GroupID>
            <SubGroupID>3261</SubGroupID>
            <ARTGs>
                <ARTG>291288</ARTG>
            </ARTGs>
            <MinimumBenefit>1321</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM373</BillingCode>
            <Name>Subtalar Implants</Name>
            <Description>Subtalar Implants</Description>
            <Size>All sizes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1219</GroupID>
            <SubGroupID>3261</SubGroupID>
            <ARTGs>
                <ARTG>308018</ARTG>
            </ARTGs>
            <MinimumBenefit>1321</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB045</BillingCode>
            <Name>Subtalar Implant</Name>
            <Description>Conical tapered titanium implant to treat flat foot and stabilise subtalar joint</Description>
            <Size>7 – 12mm</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1219</GroupID>
            <SubGroupID>3261</SubGroupID>
            <ARTGs>
                <ARTG>223188</ARTG>
            </ARTGs>
            <MinimumBenefit>1321</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SF090</BillingCode>
            <Name>R2 Subtalar Implant</Name>
            <Description>R2 Subtalar Implant</Description>
            <Size>Size 7/13mm to 12/18mm</Size>
            <SupplierCode>SF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1219</GroupID>
            <SubGroupID>3261</SubGroupID>
            <ARTGs>
                <ARTG>184460</ARTG>
            </ARTGs>
            <MinimumBenefit>1321</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL189</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG053</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MBA Titanium Subtalar Implant</Name>
            <Description>Implant for subtalar joint arthroereisis</Description>
            <Size>6, 8, 9, 10, 12mm and guide pin 2mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1219</GroupID>
            <SubGroupID>3261</SubGroupID>
            <ARTGs>
                <ARTG>177631</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG053</ChangeExplanation>
            <MinimumBenefit>1321</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI975</BillingCode>
            <Name>Vario Subtalar Screw System</Name>
            <Description>Titanium screw system for the subtalar arthroereisis</Description>
            <Size>10-16mm diameter</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1219</GroupID>
            <SubGroupID>3261</SubGroupID>
            <ARTGs>
                <ARTG>274567</ARTG>
            </ARTGs>
            <MinimumBenefit>1321</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CR217</BillingCode>
            <Name>Zenith Total Ankle Replacement System - Talar Component</Name>
            <Description>Talar Component is a components of the Zenith total ankle replacement system.</Description>
            <Size>Sizes 1 - 4</Size>
            <SupplierCode>CR</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>4040</SubGroupID>
            <Suffix>CS</Suffix>
            <ARTGs>
                <ARTG>115739</ARTG>
            </ARTGs>
            <MinimumBenefit>2185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD075</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>SK624</PriorBillingCode>
            </PriorBillingCodes>
            <Name> STAR Ankle Prosthesis</Name>
            <Description>Talar Component, cemented</Description>
            <Size>xx-Small - x- large</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>4040</SubGroupID>
            <ARTGs>
                <ARTG>237795</ARTG>
            </ARTGs>
            <MinimumBenefit>2185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD078</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>SK627</PriorBillingCode>
            </PriorBillingCodes>
            <Name>STAR Ankle Prosthesis</Name>
            <Description>Talar Component, cementless</Description>
            <Size>xx- small - x-large</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>4040</SubGroupID>
            <ARTGs>
                <ARTG>237795</ARTG>
            </ARTGs>
            <MinimumBenefit>2185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DY419</BillingCode>
            <Name>Mobile Ankle </Name>
            <Description>Uncemented Porocoat Talar component</Description>
            <Size>Size 1-6</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>4040</SubGroupID>
            <ARTGs>
                <ARTG>98045</ARTG>
            </ARTGs>
            <MinimumBenefit>2185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER383</BillingCode>
            <Name>Hintermann Series H3™ Total Ankle Prosthesis-Talar Component</Name>
            <Description>Hintermann Series H3™ Total Ankle Prosthesis-Talar component, left or right, primary or revision, CoCr, plasma sprayed titanium coating and a hydroxyapatite coating</Description>
            <Size>0-6</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>4040</SubGroupID>
            <ARTGs>
                <ARTG>289321</ARTG>
            </ARTGs>
            <MinimumBenefit>2185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW827</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR273</PriorBillingCode>
            </PriorBillingCodes>
            <Name>INBONE® II Total Ankle System: Talar Component</Name>
            <Description>Modular Talar Dome and Talar Stem</Description>
            <Size>Sizes 1-6</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>4040</SubGroupID>
            <ARTGs>
                <ARTG>168052</ARTG>
            </ARTGs>
            <MinimumBenefit>2185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW860</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR328</PriorBillingCode>
            </PriorBillingCodes>
            <Name>INVISION Talar Component</Name>
            <Description>Talar Dome</Description>
            <Size>Size 1, 2, 3, 4, 5</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>4040</SubGroupID>
            <ARTGs>
                <ARTG>168052</ARTG>
            </ARTGs>
            <MinimumBenefit>2185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW883</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR355</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Salto Ankle Prostheses</Name>
            <Description>Talar component mobile bearing CoCr, Ti, HA</Description>
            <Size>Sizes 0,1,2,3 left and right</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>4040</SubGroupID>
            <ARTGs>
                <ARTG>198095</ARTG>
            </ARTGs>
            <MinimumBenefit>2185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW892</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR365</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Salto Talaris Ankle Prosthesis - Talar component</Name>
            <Description>Talar compoment, CrCo + Ti</Description>
            <Size>Sizes 0, 1, 2, 3, Left and Right</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>4040</SubGroupID>
            <ARTGs>
                <ARTG>198095</ARTG>
            </ARTGs>
            <MinimumBenefit>2185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW965</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR456</PriorBillingCode>
            </PriorBillingCodes>
            <Name>INVISION Talar Component</Name>
            <Description>Talar Dome</Description>
            <Size>Size 1, 2, 3, 4, 5  - Standard and Thick (+3mm)</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>4040</SubGroupID>
            <ARTGs>
                <ARTG>168052</ARTG>
            </ARTGs>
            <MinimumBenefit>2185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW984</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR321</PriorBillingCode>
            </PriorBillingCodes>
            <Name>INFINITY Total Ankle System: Talar Component</Name>
            <Description>Talar dome</Description>
            <Size>Sizes 1-5</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>4040</SubGroupID>
            <ARTGs>
                <ARTG>168052</ARTG>
            </ARTGs>
            <MinimumBenefit>2185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA027</BillingCode>
            <Name>TM Ankle</Name>
            <Description>Talar Component</Description>
            <Size>6 sizes of left and right</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>4040</SubGroupID>
            <ARTGs>
                <ARTG>202429</ARTG>
            </ARTGs>
            <MinimumBenefit>2185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>CR218</BillingCode>
            <Name>Zenith Total Ankle Replacement System - Tibial Component</Name>
            <Description>The Tibial Component a component of the Zenith total ankle replacement system.</Description>
            <Size>Sizes 1 - 4</Size>
            <SupplierCode>CR</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>4041</SubGroupID>
            <ARTGs>
                <ARTG>115739</ARTG>
            </ARTGs>
            <MinimumBenefit>1900</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD076</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>SK625</PriorBillingCode>
            </PriorBillingCodes>
            <Name> STAR Ankle Prosthesis</Name>
            <Description>Tibial Component, cemented</Description>
            <Size>xx-small - x-large</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>4041</SubGroupID>
            <ARTGs>
                <ARTG>237795</ARTG>
            </ARTGs>
            <MinimumBenefit>1900</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD079</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>SK628</PriorBillingCode>
            </PriorBillingCodes>
            <Name> STAR Ankle Prosthesis</Name>
            <Description>Tibial Component, cementless</Description>
            <Size>xx-small - x-large</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>4041</SubGroupID>
            <ARTGs>
                <ARTG>237795</ARTG>
            </ARTGs>
            <MinimumBenefit>1900</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DY418</BillingCode>
            <Name>Mobile Ankle </Name>
            <Description>Uncemented Porocoat Tibial component</Description>
            <Size>Size 1-6</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>4041</SubGroupID>
            <ARTGs>
                <ARTG>98045</ARTG>
            </ARTGs>
            <MinimumBenefit>1900</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER384</BillingCode>
            <Name>Hintermann Series H3™ Total Ankle Prosthesis-Tibial Component</Name>
            <Description>Hintermann Series H3™ Total Ankle Prosthesis-Tibial Component, left or right, primary or revision, CoCr, plasma sprayed titanium coating and a hydroxyapatite coating</Description>
            <Size>0-6, 8 or 12mm thickness (revision)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>4041</SubGroupID>
            <ARTGs>
                <ARTG>289424</ARTG>
            </ARTGs>
            <MinimumBenefit>1900</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW882</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR354</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Cheville Salto Ankle Prostheses</Name>
            <Description>Tibial component mobile bearing CoCr, Ti, HA</Description>
            <Size>Sizes 0,1,2,3 left and right</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>4041</SubGroupID>
            <ARTGs>
                <ARTG>134055</ARTG>
            </ARTGs>
            <MinimumBenefit>1900</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK629</BillingCode>
            <Name>STAR Ankle Prosthesis</Name>
            <Description>Revision Tibial Component, Cemented</Description>
            <Size>Extra small - Extra large</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>4041</SubGroupID>
            <ARTGs>
                <ARTG>167057</ARTG>
            </ARTGs>
            <MinimumBenefit>1900</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW828</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR274</PriorBillingCode>
            </PriorBillingCodes>
            <Name>INBONE® II Total Ankle System: Tibial Component</Name>
            <Description>Modular Tibial Tray, Tibial Base Stem, Tibial Top Stem</Description>
            <Size>Sizes 2-5</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>4042</SubGroupID>
            <ARTGs>
                <ARTG>168052</ARTG>
            </ARTGs>
            <MinimumBenefit>1638</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW859</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR327</PriorBillingCode>
            </PriorBillingCodes>
            <Name>INVISION Tibial Component</Name>
            <Description>Tibial Tray, Standard or Long</Description>
            <Size>Sizes 2, 3, 4, 5; Standard or Long; +4mm; +8mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>4042</SubGroupID>
            <ARTGs>
                <ARTG>168052</ARTG>
            </ARTGs>
            <MinimumBenefit>1638</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW893</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR366</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Salto Talaris Ankle Prosthesis - Tibial component</Name>
            <Description>Tibial component, fixed bearing, CrCo + Ti</Description>
            <Size>Sizes 0, 1,2,3</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>4042</SubGroupID>
            <ARTGs>
                <ARTG>134055</ARTG>
            </ARTGs>
            <MinimumBenefit>1638</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW983</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR320</PriorBillingCode>
            </PriorBillingCodes>
            <Name>INFINITY Total Ankle System: Tibial Component</Name>
            <Description>Tibial tray</Description>
            <Size>Sizes 1-5 and 3 Long, 4 Long, 5 Long</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>4042</SubGroupID>
            <ARTGs>
                <ARTG>168052</ARTG>
            </ARTGs>
            <MinimumBenefit>1638</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA024</BillingCode>
            <Name>TM Ankle</Name>
            <Description>tibial base component</Description>
            <Size>6 sizes</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>4042</SubGroupID>
            <ARTGs>
                <ARTG>202429</ARTG>
            </ARTGs>
            <MinimumBenefit>1638</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW861</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR329</PriorBillingCode>
            </PriorBillingCodes>
            <Name>INVISION Talar Augment</Name>
            <Description>Talar Augment</Description>
            <Size>15, 20, 25, 30, 35mm Diameter; 6mm and 10mm Depth</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>6021</SubGroupID>
            <ARTGs>
                <ARTG>168052</ARTG>
            </ARTGs>
            <MinimumBenefit>719</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW862</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR330</PriorBillingCode>
            </PriorBillingCodes>
            <Name>INVISION Talar Plate</Name>
            <Description>Talar Plate</Description>
            <Size>Sizes 1 – 5, Left or right, standard or long, 3mm, 6mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>6021</SubGroupID>
            <ARTGs>
                <ARTG>168052</ARTG>
            </ARTGs>
            <MinimumBenefit>719</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW980</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR275</PriorBillingCode>
            </PriorBillingCodes>
            <Name>INBONE II Total Ankle System: Tibial Stem Extender</Name>
            <Description>Modular Tibial Segment – Mid Stem</Description>
            <Size>12mm, 14mm, 16mm, 18mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1460</GroupID>
            <SubGroupID>6021</SubGroupID>
            <ARTGs>
                <ARTG>168052</ARTG>
            </ARTGs>
            <MinimumBenefit>719</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM265</BillingCode>
            <Name>Reflexion 1st MPJ Implant System</Name>
            <Description>Reflexion metatarsal stems, 3 part 1st MPJ reconstruction system, 2 part composition - titanium/cobalt chrome, 1 part composition - titanium/UHMWPE,</Description>
            <Size>Small, medium, large</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1461</GroupID>
            <SubGroupID>4044</SubGroupID>
            <ARTGs>
                <ARTG>202432</ARTG>
            </ARTGs>
            <MinimumBenefit>760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM267</BillingCode>
            <Name>Reflexion 1st MPJ Implant System</Name>
            <Description>ReflexionPhalangeal Bases, 3 part 1st MPJ reconstruction system, 2 part composition - titanium/cobalt chrome, 1 part composition - titanium/UHMWPE,</Description>
            <Size>Small, medium, large</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1461</GroupID>
            <SubGroupID>4045</SubGroupID>
            <ARTGs>
                <ARTG>202432</ARTG>
            </ARTGs>
            <MinimumBenefit>751</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM266</BillingCode>
            <Name>Reflexion 1st MPJ Implant System</Name>
            <Description>Reflexion metatarsal heads, 3 part 1st MPJ reconstruction system, 2 part composition - titanium/cobalt chrome, 1 part composition - titanium/UHMWPE,</Description>
            <Size>Standard, long, extra-long</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1461</GroupID>
            <SubGroupID>4046</SubGroupID>
            <ARTGs>
                <ARTG>202432</ARTG>
            </ARTGs>
            <MinimumBenefit>503</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AE138</BillingCode>
            <Name>Hemi CAP Articular Resurfacing Great Toe System</Name>
            <Description>Articular Component</Description>
            <Size>12mm (1-2mm x 1.5-3mm offset), 15mm (1.5-2.5mm x 2.5-4.5mm offset)</Size>
            <SupplierCode>AE</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1461</GroupID>
            <SubGroupID>4047</SubGroupID>
            <ARTGs>
                <ARTG>123538</ARTG>
            </ARTGs>
            <MinimumBenefit>703</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AE139</BillingCode>
            <Name>Hemi CAP Articular Resurfacing Great Toe System</Name>
            <Description>Fixation Component</Description>
            <Size>8mm x 16mm, 9.5mm x 18mm</Size>
            <SupplierCode>AE</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1461</GroupID>
            <SubGroupID>4047</SubGroupID>
            <ARTGs>
                <ARTG>123538</ARTG>
            </ARTGs>
            <MinimumBenefit>703</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM264</BillingCode>
            <Name>Hemi-Great Toe Implant</Name>
            <Description>Great Toe implant, Cobalt Chromium</Description>
            <Size>XS, S, M, L</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1461</GroupID>
            <SubGroupID>4048</SubGroupID>
            <ARTGs>
                <ARTG>202433</ARTG>
            </ARTGs>
            <MinimumBenefit>1145</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM363</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>LH232</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Toe Joint</Name>
            <Description>Metallic Hemiarthroplasty resurfacing prosthesis for the Metatarsophalangeal Joint</Description>
            <Size>8mm - 23 mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1461</GroupID>
            <SubGroupID>4048</SubGroupID>
            <ARTGs>
                <ARTG>141544</ARTG>
            </ARTGs>
            <MinimumBenefit>1145</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW705</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR044</PriorBillingCode>
            </PriorBillingCodes>
            <Name>WMT Orthopaedics Implants Hinge Toe and Hammertoe Implant</Name>
            <Description>Silastic flexible hinge toe with/without grommets</Description>
            <Size>0, 1, 2, 3, 4, 5, 6, 7</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>124</SubCategoryID>
            <GroupID>1461</GroupID>
            <SubGroupID>4049</SubGroupID>
            <ARTGs>
                <ARTG>131003</ARTG>
            </ARTGs>
            <MinimumBenefit>548</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO416</BillingCode>
            <Name>Motec Wrist Joint Prosthesis</Name>
            <Description>Metacarpal Threaded Implant</Description>
            <Size>45-70mm lengths in 5mm increments, both in Small and Large sizes</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>3664</SubGroupID>
            <ARTGs>
                <ARTG>35727</ARTG>
            </ARTGs>
            <MinimumBenefit>1710</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK596</BillingCode>
            <Name>Total Wrist Implant System</Name>
            <Description>Carpal Component</Description>
            <Size>Small, Medium, Large</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>3664</SubGroupID>
            <ARTGs>
                <ARTG>237799</ARTG>
            </ARTGs>
            <MinimumBenefit>1710</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL211</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG110</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Universal2 Carpal Component</Name>
            <Description>Carpal plate (titanium) with fixed central peg and porous coating</Description>
            <Size>xs, small, med, large</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>3664</SubGroupID>
            <ARTGs>
                <ARTG>177632</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG110</ChangeExplanation>
            <MinimumBenefit>1710</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM347</BillingCode>
            <Name>KinematX Wrist Arthroplasty System</Name>
            <Description>Modular Wrist Arthroplasty</Description>
            <Size>1, 2, 3</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>3665</SubGroupID>
            <ARTGs>
                <ARTG>242002</ARTG>
            </ARTGs>
            <MinimumBenefit>3111</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO417</BillingCode>
            <Name>Motec Wrist Joint Prosthesis</Name>
            <Description>Radius Threaded Implant</Description>
            <Size>Radius threaded Implant, lengths 32-70mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>3665</SubGroupID>
            <ARTGs>
                <ARTG>194619</ARTG>
            </ARTGs>
            <MinimumBenefit>3111</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK592</BillingCode>
            <Name>Total Wrist Implant System</Name>
            <Description>Left and Right Radial Components</Description>
            <Size>Small, Medium, Large</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>3665</SubGroupID>
            <ARTGs>
                <ARTG>237794</ARTG>
            </ARTGs>
            <MinimumBenefit>3111</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK623</BillingCode>
            <Name>Stability Sigmoid Notch Total DRUJ system / Stability Sigmoid Notch Radial Stem and Insert.  Total Wrist Implant System</Name>
            <Description>Radial stem is made of Cobalt chromium with a CPTi plasma spray on the back for bone ongrowth.  Radial Insert is made of UHMWP Polyethyelene</Description>
            <Size>Small &amp; Large</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>3665</SubGroupID>
            <ARTGs>
                <ARTG>239452</ARTG>
                <ARTG>240015</ARTG>
                <ARTG>252452</ARTG>
            </ARTGs>
            <MinimumBenefit>3111</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL213</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG112</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Universal2 Radial Component</Name>
            <Description>Radial Implant (cobalt chrome) with integral stem and porous coating</Description>
            <Size>x-small - left &amp; right, small - left &amp; right, medium - left &amp; right, large - left &amp; right</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>3665</SubGroupID>
            <ARTGs>
                <ARTG>177632</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG112</ChangeExplanation>
            <MinimumBenefit>3111</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW702</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR041</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Orthosphere</Name>
            <Description>The Orthosphere is a spherical interpositional implant that may be used in both the carpometacarpal joint and tarsometatarsal joint as a spherical interpositional device.  It is used to replace the sympotmatic joint - either between the trapezium and firs</Description>
            <Size>9mm - 14mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>3666</SubGroupID>
            <ARTGs>
                <ARTG>130998</ARTG>
            </ARTGs>
            <MinimumBenefit>2043</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW923</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR403</PriorBillingCode>
            </PriorBillingCodes>
            <Name>BioProfile Pyrocarbon Total Wrist Replacement (Capitate Resurfacing)</Name>
            <Description>Low Temperature Isotropic Pyrolytic Carbon Implants for capitate resurfacing (reverse total wrist arthroplasty)</Description>
            <Size>Medium, Large</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>3666</SubGroupID>
            <ARTGs>
                <ARTG>94262</ARTG>
            </ARTGs>
            <MinimumBenefit>2043</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW924</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR404</PriorBillingCode>
            </PriorBillingCodes>
            <Name>BioProfile Pyrocarbon Carpal Implants</Name>
            <Description>Low temperature Isotropic Pyrolytic Carbon Implants for carpal replacement/interposition, includes Proximal Scaphoid, Scapho/Trapezio/Trapezoid &amp; Trapezium</Description>
            <Size>Small, Medium, Large &amp; Extra Large</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>3666</SubGroupID>
            <ARTGs>
                <ARTG>94262</ARTG>
            </ARTGs>
            <MinimumBenefit>2043</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM297</BillingCode>
            <Name>Pyrocarbon Lunate</Name>
            <Description>Pyrocarbon Lunate replacement</Description>
            <Size>Mulitple</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>3666</SubGroupID>
            <ARTGs>
                <ARTG>92524</ARTG>
            </ARTGs>
            <MinimumBenefit>2043</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO418</BillingCode>
            <Name>Motec Wrist Joint Prosthesis</Name>
            <Description>Modular Radius Cups available with 15mm PEEK insert bearing and Cobalt Chromium Molybdenum coated with Ceramic Chromium Nitride 15mm &amp; 18mm. Modular Metacarpal Heads available with 4 neck lengths</Description>
            <Size>Modular Radius Cup PEEK 15mm Ceramitised 15mm &amp; 17mm.&#xD;
Modular Metacarpal Head 15mm short, med, long &amp; Extra long Neck - 18mm short medium &amp; long Neck</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>3666</SubGroupID>
            <ARTGs>
                <ARTG>35727</ARTG>
            </ARTGs>
            <MinimumBenefit>2043</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK594</BillingCode>
            <Name>Total Wrist Implant System</Name>
            <Description>Carpal Ball</Description>
            <Size>Small, Medium, Large</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>3666</SubGroupID>
            <ARTGs>
                <ARTG>237794</ARTG>
            </ARTGs>
            <MinimumBenefit>2043</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL212</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG111</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Universal2 Carpal Poly Component</Name>
            <Description>Polyethylene carpal component to restore proper carpal height in Universal2 total wrist implant</Description>
            <Size>xs-standard, xs +1, xs+2, small - standard, small +1, small +2, Med-standard, med+1, med+2; large-standard, large+1, large+2</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>3666</SubGroupID>
            <ARTGs>
                <ARTG>177632</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG111</ChangeExplanation>
            <MinimumBenefit>2043</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW926</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR406</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Eclypse Modular Pyrocarbon Ulnar Head</Name>
            <Description>A modular titanium stem for ulnar head prostheses</Description>
            <Size>6, 7.5, 9mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>3667</SubGroupID>
            <ARTGs>
                <ARTG>121874</ARTG>
            </ARTGs>
            <MinimumBenefit>1064</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KT076</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OH502</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Martin Ulna Head prosthesis</Name>
            <Description>Ulnar Stem Titanium</Description>
            <Size>Small, medium and large,2mm,4mm and 17mm collar</Size>
            <SupplierCode>KT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>3667</SubGroupID>
            <ARTGs>
                <ARTG>225176</ARTG>
            </ARTGs>
            <MinimumBenefit>1064</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM148</BillingCode>
            <Name>Ascension DRUJ Ulna Head, Implant System</Name>
            <Description>Cobalt chromium stem with PyroCarbon or Cobalt Chromium Articular Surface</Description>
            <Size>0, 1, 2, 3, 4</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>3667</SubGroupID>
            <ARTGs>
                <ARTG>118638</ARTG>
            </ARTGs>
            <MinimumBenefit>1064</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM356</BillingCode>
            <Name>Radio-Ulnar Joint Stem</Name>
            <Description>Radio-Ulnar Joint Stem</Description>
            <Size>Multiple Sizes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>3667</SubGroupID>
            <ARTGs>
                <ARTG>178232</ARTG>
            </ARTGs>
            <MinimumBenefit>1064</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK605</BillingCode>
            <Name>Ulnar Head Implants</Name>
            <Description>UlnarHead CoCr</Description>
            <Size>1,2,3,4</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>3667</SubGroupID>
            <ARTGs>
                <ARTG>237798</ARTG>
            </ARTGs>
            <MinimumBenefit>1064</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW925</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR405</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Eclypse Modular Pyrocarbon Ulnar Head</Name>
            <Description>A modular pyrocarbon ulnar head prosthesis</Description>
            <Size>14, 16, 18mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>3668</SubGroupID>
            <ARTGs>
                <ARTG>121874</ARTG>
            </ARTGs>
            <MinimumBenefit>1064</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KT075</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OH500</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Martin Ulna Head prosthesis</Name>
            <Description>UHP Ceramic Head</Description>
            <Size>Small, medium and large</Size>
            <SupplierCode>KT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>3668</SubGroupID>
            <ARTGs>
                <ARTG>225176</ARTG>
            </ARTGs>
            <MinimumBenefit>1064</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KT077</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OH501</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Martin Ulna Head prosthesis</Name>
            <Description>UHP Cobalt Chrome Head</Description>
            <Size>Small, medium and large</Size>
            <SupplierCode>KT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>3668</SubGroupID>
            <ARTGs>
                <ARTG>225176</ARTG>
            </ARTGs>
            <MinimumBenefit>1064</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM149</BillingCode>
            <Name>Ascension DRUJ Ulna Head, Implant System</Name>
            <Description>Cobalt chromium stem with PyroCarbon or Cobalt Chromium Articular Surface</Description>
            <Size>0, 1, 2, 3, 4</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>3668</SubGroupID>
            <ARTGs>
                <ARTG>118638</ARTG>
            </ARTGs>
            <MinimumBenefit>1064</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM357</BillingCode>
            <Name>UHMWP Ball</Name>
            <Description>UHMWP Ball</Description>
            <Size>Multiple</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>3668</SubGroupID>
            <ARTGs>
                <ARTG>178232</ARTG>
            </ARTGs>
            <MinimumBenefit>1064</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK606</BillingCode>
            <Name>Ulnar Head Implants</Name>
            <Description>Ulnar Stem CoCr</Description>
            <Size>1,2,3,4</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>3668</SubGroupID>
            <ARTGs>
                <ARTG>237798</ARTG>
            </ARTGs>
            <MinimumBenefit>1064</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW710</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR053</PriorBillingCode>
            </PriorBillingCodes>
            <Name>WMT Orthopaedic Implants Hand</Name>
            <Description>Silastic tendon spacer</Description>
            <Size>24in long, 3, 4, 5, 6mm wide</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>4050</SubGroupID>
            <ARTGs>
                <ARTG>141772</ARTG>
            </ARTGs>
            <MinimumBenefit>294</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM245</BillingCode>
            <Name>Universal Tendon Spacer</Name>
            <Description>Tendon Spacer</Description>
            <Size>1 size only</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>4050</SubGroupID>
            <ARTGs>
                <ARTG>235820</ARTG>
            </ARTGs>
            <MinimumBenefit>294</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM366</BillingCode>
            <Name>Distal Radio-Ulnar Joint Prosthesis</Name>
            <Description>Distal Radio-Ulnar Joint Prosthesis</Description>
            <Size>Multiple sizes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1273</GroupID>
            <SubGroupID>7061</SubGroupID>
            <ARTGs>
                <ARTG>178232</ARTG>
            </ARTGs>
            <MinimumBenefit>2333</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK601</BillingCode>
            <Name>Elektra Neck</Name>
            <Description>Cobalt Chromium</Description>
            <Size>Extra Short, Short, Medium, Long</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>5530</SubGroupID>
            <ARTGs>
                <ARTG>167056</ARTG>
            </ARTGs>
            <MinimumBenefit>420</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK602</BillingCode>
            <Name>Trapezio Metacarpal Prosthesis DLC</Name>
            <Description>Cup, Polyethylene</Description>
            <Size>One size only</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>5530</SubGroupID>
            <ARTGs>
                <ARTG>252453</ARTG>
            </ARTGs>
            <MinimumBenefit>420</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK604</BillingCode>
            <Name>Elektra Cup</Name>
            <Description>Cobalt Chromium and Hydroxyapatite coating</Description>
            <Size>One size only</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>5530</SubGroupID>
            <ARTGs>
                <ARTG>167056</ARTG>
            </ARTGs>
            <MinimumBenefit>420</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI978</BillingCode>
            <Name>ARPE Cup</Name>
            <Description>HA coated titanium cup with polyethylene insert</Description>
            <Size>9 and 10 mm diametre</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>5530</SubGroupID>
            <ARTGs>
                <ARTG>284215</ARTG>
            </ARTGs>
            <MinimumBenefit>420</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI979</BillingCode>
            <Name>ARPE Head</Name>
            <Description>Straight and offset heads</Description>
            <Size>medium, long or extra long</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>5530</SubGroupID>
            <ARTGs>
                <ARTG>284215</ARTG>
            </ARTGs>
            <MinimumBenefit>420</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW704</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR043</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Wright Swanson Titanium Carpal Scaphoid, Carpal Lunate, Basal Thumb Implant</Name>
            <Description>The Swanson Basal Thumb implant is a one-piece intramedullary-stemmed implant designed to be used as an adjunct to resection arthroplasty of the trapeziometacarpal joint.  It acts as a spacer to preserve joint relationship and allow appropriate capsulolig</Description>
            <Size>1 to 5 - length 19.3 to 26.3mm, width 9.5 to 13.6mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6041</SubGroupID>
            <ARTGs>
                <ARTG>131003</ARTG>
            </ARTGs>
            <MinimumBenefit>420</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM389</BillingCode>
            <Name>Modular Thumb Head and Stem </Name>
            <Description>Modular Thumb Head and Stem</Description>
            <Size>Suitable for patient anatomy</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6041</SubGroupID>
            <ARTGs>
                <ARTG>329234</ARTG>
            </ARTGs>
            <MinimumBenefit>420</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK600</BillingCode>
            <Name>Elektra Stem</Name>
            <Description>Cobalt Chromium/Hydroxyapatite coated</Description>
            <Size>6-8mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6041</SubGroupID>
            <ARTGs>
                <ARTG>167056</ARTG>
            </ARTGs>
            <MinimumBenefit>420</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI977</BillingCode>
            <Name>ARPE Stem</Name>
            <Description>Metacarpal stem HA</Description>
            <Size>4 sizes (7-10)</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6041</SubGroupID>
            <ARTGs>
                <ARTG>284215</ARTG>
            </ARTGs>
            <MinimumBenefit>420</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD067</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>HW565</PriorBillingCode>
            </PriorBillingCodes>
            <Name>SR Hand Implant System</Name>
            <Description>SR Hand MCP Proximal, CoCr - Titanium Alloy, UHMWPE</Description>
            <Size>XS/S/M/L/XL</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6044</SubGroupID>
            <ARTGs>
                <ARTG>237799</ARTG>
            </ARTGs>
            <MinimumBenefit>665</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM294</BillingCode>
            <Name>Ascension MCP Finger Joint Replacement</Name>
            <Description>PyroCarbon MCP Proximal Component</Description>
            <Size>05P, 10P, 20P, 30P, 40P, 50P</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6044</SubGroupID>
            <ARTGs>
                <ARTG>94980</ARTG>
            </ARTGs>
            <MinimumBenefit>665</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK598</BillingCode>
            <Name>MCP Finger Prosthesis "Ariadna"</Name>
            <Description>Proximal part, Stainless Steel</Description>
            <Size>1,2,or 3</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6044</SubGroupID>
            <ARTGs>
                <ARTG>167056</ARTG>
            </ARTGs>
            <MinimumBenefit>665</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD068</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>HW566</PriorBillingCode>
            </PriorBillingCodes>
            <Name>SR Hand Implant System</Name>
            <Description>SR Hand MCP Distal CoCr - Titanium Alloy, UHMWPE</Description>
            <Size>XS/S/M/L/XL</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6143</SubGroupID>
            <ARTGs>
                <ARTG>237799</ARTG>
            </ARTGs>
            <MinimumBenefit>665</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM293</BillingCode>
            <Name>Ascension MCP Finger Joint Replacement</Name>
            <Description>PyroCarbon MCP Distal Component</Description>
            <Size>05D, 10D, 20D, 30D, 40D, 50D</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6143</SubGroupID>
            <ARTGs>
                <ARTG>94980</ARTG>
            </ARTGs>
            <MinimumBenefit>665</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD071</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>SK597</PriorBillingCode>
            </PriorBillingCodes>
            <Name>PIP Finger Prosthesis</Name>
            <Description>Proximal part PIP joint</Description>
            <Size>0-5</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6144</SubGroupID>
            <ARTGs>
                <ARTG>237793</ARTG>
            </ARTGs>
            <MinimumBenefit>760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD073</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>HW675</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Tactys PIP - Proximal System</Name>
            <Description>Proximal Surface and Stem</Description>
            <Size>XS, S, M &amp; L</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6144</SubGroupID>
            <ARTGs>
                <ARTG>237793</ARTG>
            </ARTGs>
            <MinimumBenefit>760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KT092</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OH655</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Martin Endoprosthesis System CapFlex PIP</Name>
            <Description>CapFlex PIP Proximal</Description>
            <Size>S,M,L</Size>
            <SupplierCode>KT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6144</SubGroupID>
            <ARTGs>
                <ARTG>266373</ARTG>
            </ARTGs>
            <MinimumBenefit>760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM296</BillingCode>
            <Name>Ascension PIP Finger Joint Replacement</Name>
            <Description>PyroCarbon PIP Proximal Component.</Description>
            <Size>10P, 20P, 30P, 40P</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6144</SubGroupID>
            <ARTGs>
                <ARTG>94980</ARTG>
            </ARTGs>
            <MinimumBenefit>760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MJ022</BillingCode>
            <Name>PIPR Finger Joint</Name>
            <Description>Proximal Interphalangeal Replacement Joint:&#xD;
Proximal Component&#xD;
CoCr, HA</Description>
            <Size>Sizes 7 through to 11</Size>
            <SupplierCode>MJ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6144</SubGroupID>
            <ARTGs>
                <ARTG>138339</ARTG>
                <ARTG>192787</ARTG>
            </ARTGs>
            <MinimumBenefit>760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD072</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>SK603</PriorBillingCode>
            </PriorBillingCodes>
            <Name>PIP Finger Prosthesis</Name>
            <Description>Distal part PIP joint</Description>
            <Size>0-5</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6145</SubGroupID>
            <ARTGs>
                <ARTG>237793</ARTG>
            </ARTGs>
            <MinimumBenefit>760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD074</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>HW676</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Tactys PIP - Distal System </Name>
            <Description>Distal Surface and Stem</Description>
            <Size>XS, S, M &amp; L</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6145</SubGroupID>
            <ARTGs>
                <ARTG>237793</ARTG>
            </ARTGs>
            <MinimumBenefit>760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KT093</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OH656</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Martin Endoprosthesis System CapFlex PIP</Name>
            <Description>CapFlex PIP Distal</Description>
            <Size>S,M,L, Height: 2.1, 3.0 &amp; 4.4mm</Size>
            <SupplierCode>KT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6145</SubGroupID>
            <ARTGs>
                <ARTG>266373</ARTG>
            </ARTGs>
            <MinimumBenefit>760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM295</BillingCode>
            <Name>Ascension PIP Finger Joint Replacement</Name>
            <Description>PyroCarbon PIP Distal Component</Description>
            <Size>10D, 20D, 30D, 40D</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6145</SubGroupID>
            <ARTGs>
                <ARTG>94980</ARTG>
            </ARTGs>
            <MinimumBenefit>760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MJ023</BillingCode>
            <Name>PIPR Finger Joint</Name>
            <Description>Proximal Interphalangeal Replacement Joint:&#xD;
Middle Component and Insert&#xD;
CoCr, HA, UHMWPE</Description>
            <Size>Sizes 7 through to 11</Size>
            <SupplierCode>MJ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6145</SubGroupID>
            <ARTGs>
                <ARTG>138339</ARTG>
                <ARTG>192787</ARTG>
            </ARTGs>
            <MinimumBenefit>760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK595</BillingCode>
            <Name>MCP Finger Prosthesis "Ariadna"</Name>
            <Description>Distal part, Stainless Steel</Description>
            <Size>1,2 or3</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6145</SubGroupID>
            <ARTGs>
                <ARTG>167056</ARTG>
            </ARTGs>
            <MinimumBenefit>760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD069</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>SK588</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Sbi PIP Silicone Implant System</Name>
            <Description>Silicone finger joint</Description>
            <Size>Various</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6146</SubGroupID>
            <Suffix>Total</Suffix>
            <ARTGs>
                <ARTG>237800</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD070</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>SK589</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Sbi Silicone MCP Implant System</Name>
            <Description>Silicon finger joint</Description>
            <Size>Various</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6146</SubGroupID>
            <Suffix>Total</Suffix>
            <ARTGs>
                <ARTG>237799</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW706</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR046</PriorBillingCode>
            </PriorBillingCodes>
            <Name>WMT Orthopaedic Implants Finger/Thumb</Name>
            <Description>Silastic finger joint with/without Ti grommets 470 series</Description>
            <Size>00, 0, 1, 2, 3, 4, 5, 6, 7, 8, 9</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6146</SubGroupID>
            <Suffix>Total</Suffix>
            <ARTGs>
                <ARTG>131003</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM053</BillingCode>
            <Name>Osteotec Silicone PIP Joint Replacement</Name>
            <Description>2 component hinged joint replacement for the proximal interphalangeal joint</Description>
            <Size>5 - 50</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6146</SubGroupID>
            <Suffix>Total</Suffix>
            <ARTGs>
                <ARTG>118424</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM102</BillingCode>
            <Name>Ascension Silicone Finger joint replacement</Name>
            <Description>MCP moulded silicone finger joint</Description>
            <Size>Various</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6146</SubGroupID>
            <Suffix>Total</Suffix>
            <ARTGs>
                <ARTG>92524</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM103</BillingCode>
            <Name>Ascension Silicone Finger joint replacement</Name>
            <Description>PIP moulded silicone finger joint</Description>
            <Size>00-05</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6146</SubGroupID>
            <Suffix>Total</Suffix>
            <ARTGs>
                <ARTG>92524</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN187</BillingCode>
            <Name>Neuflex Finger</Name>
            <Description>Silicon Interpositional device</Description>
            <Size>0-60</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6146</SubGroupID>
            <Suffix>Total</Suffix>
            <ARTGs>
                <ARTG>97976</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW703</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR042</PriorBillingCode>
            </PriorBillingCodes>
            <Name>WMT Orthopaedic Implants Hand</Name>
            <Description>The Swanson Trapezium Implant is a flexible, one-piece intramedullary-stemmed implant developed to restore function to thumbs disabled by degenerative arthritis or post-traumatic arthritis.</Description>
            <Size>1, 2, 3, 4, 5</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6146</SubGroupID>
            <ARTGs>
                <ARTG>130998</ARTG>
            </ARTGs>
            <MinimumBenefit>665</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW933</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR418</PriorBillingCode>
            </PriorBillingCodes>
            <Name>BIOProfile Pyrocarbon Carpometacarpal Implants</Name>
            <Description>Low Temperature Isotropic Pyrolytic Carbon Implants for carpometacarpal resurfacing (arthroplasty)</Description>
            <Size>Small, Medium, Large &amp; Extra Large</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6146</SubGroupID>
            <ARTGs>
                <ARTG>94262</ARTG>
            </ARTGs>
            <MinimumBenefit>665</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM298</BillingCode>
            <Name>Pyrocarbon carpal implants</Name>
            <Description>Pyrocarbon carpal replacement implants</Description>
            <Size>Multiple sizes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1274</GroupID>
            <SubGroupID>6146</SubGroupID>
            <ARTGs>
                <ARTG>92524</ARTG>
            </ARTGs>
            <MinimumBenefit>665</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH060</BillingCode>
            <Name>Discovery Elbow System</Name>
            <Description>Humeral Component, Hydroxy Apatite + porous coated or cemented</Description>
            <Size>(3-6)mm diam x (75-150)mm length</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3673</SubGroupID>
            <ARTGs>
                <ARTG>126999</ARTG>
            </ARTGs>
            <MinimumBenefit>4387</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH338</BillingCode>
            <Name>Comprehensive Segmental Revision System (SRS)</Name>
            <Description>Comprehensive SRS Distal Humeral Body</Description>
            <Size>50mm to 70mm</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3673</SubGroupID>
            <ARTGs>
                <ARTG>104347</ARTG>
            </ARTGs>
            <MinimumBenefit>4387</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW377</BillingCode>
            <Name>Souter Strathclyde Elbow</Name>
            <Description>Humeral - Long stem, left and right</Description>
            <Size>Medium, Large</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3673</SubGroupID>
            <ARTGs>
                <ARTG>16236</ARTG>
                <ARTG>166620</ARTG>
            </ARTGs>
            <MinimumBenefit>4387</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW379</BillingCode>
            <Name>Souter Strathclyde Elbow</Name>
            <Description>Revision Humeral  - Custom, Long Stem</Description>
            <Size>A, B, C, D</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3673</SubGroupID>
            <ARTGs>
                <ARTG>16236</ARTG>
                <ARTG>166620</ARTG>
            </ARTGs>
            <MinimumBenefit>4387</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW985</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR432</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Latitude EV Humeral Stem</Name>
            <Description>Cobalt-chromium humeral stem with Ti Plasma spray</Description>
            <Size>Stem length: Standard, 150mm, 200mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3673</SubGroupID>
            <ARTGs>
                <ARTG>200974</ARTG>
            </ARTGs>
            <MinimumBenefit>4387</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH663</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OO123</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MUTARS Distal Humerus</Name>
            <Description>MUTARS Distal Humerus</Description>
            <Size>50mm, 30mm</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3673</SubGroupID>
            <ARTGs>
                <ARTG>221739</ARTG>
                <ARTG>284227</ARTG>
            </ARTGs>
            <MinimumBenefit>4387</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ST818</BillingCode>
            <Name>Osteonics Solar Elbow System - humeral assembly</Name>
            <Description>Titanium alloy with polyethylene bushing</Description>
            <Size>Standard, large</Size>
            <SupplierCode>ST</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3673</SubGroupID>
            <ARTGs>
                <ARTG>12875</ARTG>
                <ARTG>166619</ARTG>
            </ARTGs>
            <MinimumBenefit>4387</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ST819</BillingCode>
            <Name>Osteonics Solar Elbow System - long humeral assembly</Name>
            <Description>Titanium alloy with polyethylene bushing</Description>
            <Size>Standard, large</Size>
            <SupplierCode>ST</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3673</SubGroupID>
            <ARTGs>
                <ARTG>12875</ARTG>
                <ARTG>166620</ARTG>
            </ARTGs>
            <MinimumBenefit>4387</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA026</BillingCode>
            <Name>Nexel Elbow</Name>
            <Description>Humeral Component</Description>
            <Size>Sizes 4-6 with multiple stem lengths</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3673</SubGroupID>
            <ARTGs>
                <ARTG>213309</ARTG>
            </ARTGs>
            <MinimumBenefit>4387</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI004</BillingCode>
            <Name>Coonrad-Morrey Elbow</Name>
            <Description>Humerus - Titanium</Description>
            <Size>4, 6, 8 inch, Left &amp; Right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3673</SubGroupID>
            <ARTGs>
                <ARTG>95733</ARTG>
            </ARTGs>
            <MinimumBenefit>4387</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH059</BillingCode>
            <Name>Explor Radial Head</Name>
            <Description>Stem</Description>
            <Size>(5-10)mm x (22-32)mm</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3674</SubGroupID>
            <ARTGs>
                <ARTG>127000</ARTG>
            </ARTGs>
            <MinimumBenefit>1259</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW694</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR022</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Evolve Modular Radial Head</Name>
            <Description>Cobalt chromium alloy, standard and plus stems</Description>
            <Size>Stem 4.5 - 9.5mm Standard, +2 &amp; +4mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3674</SubGroupID>
            <ARTGs>
                <ARTG>118455</ARTG>
            </ARTGs>
            <MinimumBenefit>1259</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW885</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR357</PriorBillingCode>
            </PriorBillingCodes>
            <Name>RHS Radial Head System, Radial Stem</Name>
            <Description>RHS Elbow prosthesis, Proximal Radial Stem, Press-fit Short Stems or Long Cemented Stems, Ti Co</Description>
            <Size>Press-Fit Short Stems: 6 to 10mm , neck 13mm or 16mm. Cementeed Long Stems: 6.5 or 8mm, neck 19 or 22mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3674</SubGroupID>
            <ARTGs>
                <ARTG>94231</ARTG>
            </ARTGs>
            <MinimumBenefit>1259</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW888</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR360</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Latitude Elbow Prosthesis</Name>
            <Description>Latitude Radial Stem component</Description>
            <Size>Diam 6.5mm or 5mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3674</SubGroupID>
            <ARTGs>
                <ARTG>200973</ARTG>
            </ARTGs>
            <MinimumBenefit>1259</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW928</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR408</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MoPyC-Modular Pyrocarbon Radial head Prosthesis</Name>
            <Description>A modular titanium stem for radial head prosthesis</Description>
            <Size>7mm, 8mm, 9mm, 10mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3674</SubGroupID>
            <ARTGs>
                <ARTG>94231</ARTG>
            </ARTGs>
            <MinimumBenefit>1259</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG145</BillingCode>
            <Name>Katalyst Bipolar Radial Head System - Stem</Name>
            <Description>Katalyst Bipolar Radial Head System (head and stem) to restore the support and bearing surface of the radial head in fracture, arthritis or failed prior radial head implantation.</Description>
            <Size>6.5mm and 7.5mm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3674</SubGroupID>
            <ARTGs>
                <ARTG>177627</ARTG>
            </ARTGs>
            <MinimumBenefit>1259</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM104</BillingCode>
            <Name>Ascension Radial Head</Name>
            <Description>Proximal Radial Stem</Description>
            <Size>01/02/03/04, standard &amp; long</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3674</SubGroupID>
            <ARTGs>
                <ARTG>112685</ARTG>
            </ARTGs>
            <MinimumBenefit>1259</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO271</BillingCode>
            <Name>Acumed Total Radial Head</Name>
            <Description>Stem</Description>
            <Size>Standard Stems 6-10mm diameter 0-8mm neck height, Long Stems 6-12mm diameter</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3674</SubGroupID>
            <ARTGs>
                <ARTG>126428</ARTG>
            </ARTGs>
            <MinimumBenefit>1259</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH058</BillingCode>
            <Name>Explor Radial Head</Name>
            <Description>Head</Description>
            <Size>(10-20)mm x (20-24)mm</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3675</SubGroupID>
            <ARTGs>
                <ARTG>127000</ARTG>
            </ARTGs>
            <MinimumBenefit>1267</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW381</BillingCode>
            <Name>Radial Head Prostheses</Name>
            <Description>Radial Head - Small, Medium, Large</Description>
            <Size>8 - 15mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3675</SubGroupID>
            <ARTGs>
                <ARTG>166613</ARTG>
            </ARTGs>
            <MinimumBenefit>1267</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW695</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR023</PriorBillingCode>
            </PriorBillingCodes>
            <Name>WMT Orthopaedic Implants Radial/Ulna Head</Name>
            <Description>Radial head implant HP silastic</Description>
            <Size>1, 1.5, 2, 2.5, 3</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3675</SubGroupID>
            <ARTGs>
                <ARTG>118455</ARTG>
            </ARTGs>
            <MinimumBenefit>1267</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW696</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR025</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Evolve Modular Radial Head</Name>
            <Description>Cobalt chromium alloy head</Description>
            <Size>Head 18-28mm Std, +2 and +4mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3675</SubGroupID>
            <ARTGs>
                <ARTG>118455</ARTG>
            </ARTGs>
            <MinimumBenefit>1267</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW886</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR358</PriorBillingCode>
            </PriorBillingCodes>
            <Name>RHS Radial Head System, Radial Head</Name>
            <Description>RHS Elbow prosthesis, Radial Head, Ti Co</Description>
            <Size>18mm to 24mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3675</SubGroupID>
            <ARTGs>
                <ARTG>94231</ARTG>
            </ARTGs>
            <MinimumBenefit>1267</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW887</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR359</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Latitude Elbow Prosthesis</Name>
            <Description>Latitude Radial Head component</Description>
            <Size>Small, Medium, Large, Large +</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3675</SubGroupID>
            <ARTGs>
                <ARTG>200973</ARTG>
            </ARTGs>
            <MinimumBenefit>1267</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW927</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR407</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MoPyC-Modular Pyrocarbon Radial head Prosthesis</Name>
            <Description>A modular pyrocarbon radial head / neck prosthesis</Description>
            <Size>18mm, 20mm, 22mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3675</SubGroupID>
            <ARTGs>
                <ARTG>94231</ARTG>
            </ARTGs>
            <MinimumBenefit>1267</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG144</BillingCode>
            <Name>Katalyst Bipolar Radial Head System - Head</Name>
            <Description>Katalyst Bipolar Radial Head System (head and stem) to restore the support and bearing surface of the radial head in fracture, arthritis or failed prior radial head implantation</Description>
            <Size>18mm, 21mm and 24mm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3675</SubGroupID>
            <ARTGs>
                <ARTG>177627</ARTG>
            </ARTGs>
            <MinimumBenefit>1267</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM105</BillingCode>
            <Name>Ascension Radial head</Name>
            <Description>Proximal Radial Head</Description>
            <Size>20/22/24mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3675</SubGroupID>
            <ARTGs>
                <ARTG>112685</ARTG>
            </ARTGs>
            <MinimumBenefit>1267</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO270</BillingCode>
            <Name>Acumed Total Radial Head</Name>
            <Description>Head</Description>
            <Size>20-28mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3675</SubGroupID>
            <ARTGs>
                <ARTG>126428</ARTG>
            </ARTGs>
            <MinimumBenefit>1267</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH061</BillingCode>
            <Name>Discovery Elbow System</Name>
            <Description>Ulnar Component; Hydroxy apatite + porous coated or cemented</Description>
            <Size>(3-5)mm dia x (75-115)mm length</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3676</SubGroupID>
            <ARTGs>
                <ARTG>126999</ARTG>
            </ARTGs>
            <MinimumBenefit>3398</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW378</BillingCode>
            <Name>Souter Strathclyde Elbow</Name>
            <Description>Ulnar - Retentive, non retentive</Description>
            <Size>50 - 90mm (Non), 70 - 90mm (Retentive)</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3676</SubGroupID>
            <ARTGs>
                <ARTG>16236</ARTG>
                <ARTG>166619</ARTG>
            </ARTGs>
            <MinimumBenefit>3398</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW380</BillingCode>
            <Name>Souter Strathclyde Elbow</Name>
            <Description>Revision Ulnar - Custom, Long stem</Description>
            <Size>Small, Medium</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3676</SubGroupID>
            <ARTGs>
                <ARTG>16236</ARTG>
                <ARTG>166619</ARTG>
            </ARTGs>
            <MinimumBenefit>3398</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW866</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR335</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Tornier Latitude Total Elbow Prosthesis</Name>
            <Description>Ulnar component, CoCr + UHMWPE</Description>
            <Size>Small, Medium, Large</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3676</SubGroupID>
            <ARTGs>
                <ARTG>201352</ARTG>
            </ARTGs>
            <MinimumBenefit>3398</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW944</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR433</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Latitude EV Ulnar Stem</Name>
            <Description>Chromium cobalt ulnar stem with Ti Plasma spray</Description>
            <Size>Stem length: Short, Standard, 70mm, 125mm, 150mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3676</SubGroupID>
            <ARTGs>
                <ARTG>201352</ARTG>
            </ARTGs>
            <MinimumBenefit>3398</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH671</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OO132</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MUTARS Proximal ulna</Name>
            <Description>MUTARS Proximal ulna</Description>
            <Size>60mm</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3676</SubGroupID>
            <ARTGs>
                <ARTG>221739</ARTG>
                <ARTG>284268</ARTG>
            </ARTGs>
            <MinimumBenefit>3398</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH673</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OO134</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MUTARS ulna anchorage</Name>
            <Description>MUTARS ulna anchorage</Description>
            <Size>left/right 70mm</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3676</SubGroupID>
            <ARTGs>
                <ARTG>221739</ARTG>
            </ARTGs>
            <MinimumBenefit>3398</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH685</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OO177</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MUTARS Ulna Anchorage</Name>
            <Description>MUTARS Ulna Anchorage Component</Description>
            <Size>Left/Right 70-100mm</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3676</SubGroupID>
            <ARTGs>
                <ARTG>221739</ARTG>
            </ARTGs>
            <MinimumBenefit>3398</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA028</BillingCode>
            <Name>Nexel Elbow</Name>
            <Description>Ulnar Component</Description>
            <Size>75mm-115mm</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3676</SubGroupID>
            <ARTGs>
                <ARTG>213309</ARTG>
            </ARTGs>
            <MinimumBenefit>3398</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI003</BillingCode>
            <Name>Coonrad-Morrey Elbow</Name>
            <Description>Ulna - Titanium</Description>
            <Size>Petite, Left, Right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3676</SubGroupID>
            <ARTGs>
                <ARTG>95731</ARTG>
            </ARTGs>
            <MinimumBenefit>3398</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW224</BillingCode>
            <Name>Howmedica Modular Resection System</Name>
            <Description>Humeral Axis -  Vitallium</Description>
            <Size>One size only</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3678</SubGroupID>
            <ARTGs>
                <ARTG>242296</ARTG>
            </ARTGs>
            <MinimumBenefit>788</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW938</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR425</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Latitude Elbow Prosthesis – Humeral Screw</Name>
            <Description>Humeral Screw for revision surgery</Description>
            <Size>Small, Medium and Large</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>3678</SubGroupID>
            <ARTGs>
                <ARTG>200974</ARTG>
            </ARTGs>
            <MinimumBenefit>788</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH062</BillingCode>
            <Name>Discovery Elbow System</Name>
            <Description>2 x Condyle Bearings, 2 x screws, Poly articulation bearings</Description>
            <Size>Std, Revision</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>4052</SubGroupID>
            <ARTGs>
                <ARTG>126999</ARTG>
            </ARTGs>
            <MinimumBenefit>1368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW881</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR352</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Latitude Elbow Prosthesis</Name>
            <Description>Latitude Humeral Spool component, standard or anatomic, CoCr + PEEK</Description>
            <Size>Standard spool: Small, Medium, Large, Large +, anterior, posterior or centered,   Anatomic Spool: Small, Medium, Large, Large +, Left and Right, Anterior Centred and Posterior Offset</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>4052</SubGroupID>
            <ARTGs>
                <ARTG>200974</ARTG>
            </ARTGs>
            <MinimumBenefit>1368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW937</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR424</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Latitude Total Elbow Prosthesis – Ulnar Bushing</Name>
            <Description>Ultra-high molecular weight polyethylene ulnar bushing</Description>
            <Size>Small, Medium, Large – Right and Left</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>4052</SubGroupID>
            <ARTGs>
                <ARTG>201352</ARTG>
            </ARTGs>
            <MinimumBenefit>1368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA029</BillingCode>
            <Name>Nexel Elbow</Name>
            <Description>Accessories (1 Humeral Bearing, 2 Ulnar Bearings and 1 Axle Pin)</Description>
            <Size>Various</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>4052</SubGroupID>
            <ARTGs>
                <ARTG>213309</ARTG>
            </ARTGs>
            <MinimumBenefit>1368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI005</BillingCode>
            <Name>Coonrad-Morrey Elbow</Name>
            <Description>Bushing -  Polyethylene, Titanium</Description>
            <Size>1 &amp; 2</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>4052</SubGroupID>
            <ARTGs>
                <ARTG>95733</ARTG>
            </ARTGs>
            <MinimumBenefit>1368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW199</BillingCode>
            <Name>Howmedica Modular Resection System</Name>
            <Description>Circlip -  Vitallium</Description>
            <Size>One size only</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>4053</SubGroupID>
            <ARTGs>
                <ARTG>242296</ARTG>
                <ARTG>261514</ARTG>
            </ARTGs>
            <MinimumBenefit>70</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW223</BillingCode>
            <Name>Howmedica Modular Resection System</Name>
            <Description>Ulna Joint -  Vitallium</Description>
            <Size>One size only</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1275</GroupID>
            <SubGroupID>4055</SubGroupID>
            <ARTGs>
                <ARTG>128026</ARTG>
            </ARTGs>
            <MinimumBenefit>3594</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD059</BillingCode>
            <Name>RSP Monoblock Humeral Stem Cemented</Name>
            <Description>RSP Monoblock Humeral Stem cemented</Description>
            <Size>6 x 101mm, 7 x 101mm, 8 x 101mm, 10 x 101mm, 12 x 101mm&#xD;
6 x 175mm, 8 x 175mm,10 x 175mm, 12 x 175mm</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4057</SubGroupID>
            <Suffix>Reverse</Suffix>
            <ARTGs>
                <ARTG>283578</ARTG>
                <ARTG>283579</ARTG>
            </ARTGs>
            <MinimumBenefit>6460</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD065</BillingCode>
            <Name>Altivate Reverse Humeral Stem</Name>
            <Description>Altivate Reverse Humeral Stem</Description>
            <Size>108, 175, and 220mm Length</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4057</SubGroupID>
            <Suffix>Reverse</Suffix>
            <ARTGs>
                <ARTG>297842</ARTG>
                <ARTG>297843</ARTG>
            </ARTGs>
            <MinimumBenefit>6460</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW874</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR344</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis Reversed fracture-standard</Name>
            <Description>Monobloc Humeral Stem CoCr cemented</Description>
            <Size>Length 130mm Dia 7 9 11 13 15</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4057</SubGroupID>
            <Suffix>Reverse</Suffix>
            <ARTGs>
                <ARTG>211015</ARTG>
            </ARTGs>
            <MinimumBenefit>6460</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW875</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR345</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis Reversed Fracture Shoulder - Revision</Name>
            <Description>Monobloc Humeral Stem CoCr and HA coated proximally</Description>
            <Size>Length 170, 180 or 210mm Dia 7 9 11 13mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4057</SubGroupID>
            <Suffix>Reverse</Suffix>
            <ARTGs>
                <ARTG>211015</ARTG>
            </ARTGs>
            <MinimumBenefit>6460</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ971</BillingCode>
            <Name>DELTA Xtend</Name>
            <Description>Monoblock Humeral Stem</Description>
            <Size>8-14mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4057</SubGroupID>
            <Suffix>Reverse</Suffix>
            <ARTGs>
                <ARTG>126913</ARTG>
            </ARTGs>
            <MinimumBenefit>6460</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MA526</BillingCode>
            <Name>Affinis Inverse Stem, cemented</Name>
            <Description>Humeral component - cemented. Monoblock primary stem for reverse inlay</Description>
            <Size>6,9,12,15mm</Size>
            <SupplierCode>MA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4057</SubGroupID>
            <Suffix>Reverse</Suffix>
            <ARTGs>
                <ARTG>215275</ARTG>
            </ARTGs>
            <MinimumBenefit>6460</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MA528</BillingCode>
            <Name>Affinis Inverse revision stem, cemented</Name>
            <Description>Monoblock Revision Humeral Stem</Description>
            <Size>6x180 to 12x230mm</Size>
            <SupplierCode>MA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4057</SubGroupID>
            <Suffix>Reverse</Suffix>
            <ARTGs>
                <ARTG>224955</ARTG>
            </ARTGs>
            <MinimumBenefit>6460</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BI884</BillingCode>
            <Name>Comprehensive Fracture Stem</Name>
            <Description>Fracture Stem Cobalt Chrome, Titanium</Description>
            <Size>4,6,8,10,12,14mm</Size>
            <SupplierCode>BI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4057</SubGroupID>
            <ARTGs>
                <ARTG>104347</ARTG>
            </ARTGs>
            <MinimumBenefit>3771</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD005</BillingCode>
            <Name>Turon Shoulder System - Humeral Stems</Name>
            <Description>Turon Humeral Stem, Primary and Revision</Description>
            <Size>6-16mm x 115mm and 6-16mm x 200mm</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4057</SubGroupID>
            <ARTGs>
                <ARTG>210938</ARTG>
                <ARTG>215958</ARTG>
            </ARTGs>
            <MinimumBenefit>3771</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EX055</BillingCode>
            <Name>Equinoxe Humeral Stem, Fracture</Name>
            <Description>The fracture stem is intended for cemented fixation only and is advised for 3 &amp; 4 part fractures of the proximal humerus</Description>
            <Size>Fracture: left: 6.5mm - 12.5mm, right 6.5mm- 12.5mm Long stem fracture: left&#xD;
6.5mmx200mm right 6.5mmx200mm</Size>
            <SupplierCode>FA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4057</SubGroupID>
            <ARTGs>
                <ARTG>293561</ARTG>
                <ARTG>293562</ARTG>
            </ARTGs>
            <MinimumBenefit>3771</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ969</BillingCode>
            <Name>Global Shoulder System</Name>
            <Description>Humeral Stem</Description>
            <Size>6-16mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4057</SubGroupID>
            <ARTGs>
                <ARTG>137608</ARTG>
                <ARTG>138093</ARTG>
                <ARTG>138288</ARTG>
            </ARTGs>
            <MinimumBenefit>3771</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LC044</BillingCode>
            <Name>SMR Large Resection Stem</Name>
            <Description>Resection Stem Large Ti6AI4V</Description>
            <Size>7-10mm Dia x 50-80 Height</Size>
            <SupplierCode>LC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4057</SubGroupID>
            <ARTGs>
                <ARTG>211984</ARTG>
            </ARTGs>
            <MinimumBenefit>3771</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MA523</BillingCode>
            <Name>Affinis Shoulder System</Name>
            <Description>Stem Cemented - adjustable cone</Description>
            <Size>6, 9, 12 and 15mm</Size>
            <SupplierCode>MA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4057</SubGroupID>
            <ARTGs>
                <ARTG>215496</ARTG>
                <ARTG>219396</ARTG>
            </ARTGs>
            <MinimumBenefit>3771</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD060</BillingCode>
            <Name>RSP Monoblock Humeral Stem Uncemented</Name>
            <Description>RSP Monoblock Humeral Stem Uncemented</Description>
            <Size>6 x 101mm, 7 x 101mm, 8 x 101mm, 10 x 101mm,12 x 101mm&#xD;
6 x 175mm, 8 x 175mm, 10 x 175mm, 12 x 175mm</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4058</SubGroupID>
            <Suffix>Reverse</Suffix>
            <ARTGs>
                <ARTG>283578</ARTG>
                <ARTG>283579</ARTG>
            </ARTGs>
            <MinimumBenefit>6013</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD066</BillingCode>
            <Name>Altivate Reverse Humeral Stem</Name>
            <Description>Altivate Reverse Humeral Stem</Description>
            <Size>108, 175 &amp; 220mm Length</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4058</SubGroupID>
            <Suffix>Reverse</Suffix>
            <ARTGs>
                <ARTG>297842</ARTG>
                <ARTG>297843</ARTG>
            </ARTGs>
            <MinimumBenefit>6013</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MA527</BillingCode>
            <Name>Affinis Inverse Stem, uncemented</Name>
            <Description>Monoblock Humeral Stem</Description>
            <Size>6 to 15 mm</Size>
            <SupplierCode>MA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4058</SubGroupID>
            <Suffix>Reverse</Suffix>
            <ARTGs>
                <ARTG>215274</ARTG>
            </ARTGs>
            <MinimumBenefit>6013</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MA529</BillingCode>
            <Name>Affinis Inverse Revision stem, uncemented</Name>
            <Description>Monoblock Revision Humeral Stem</Description>
            <Size>6 to 12 x180 to 230mm</Size>
            <SupplierCode>MA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4058</SubGroupID>
            <Suffix>Reverse</Suffix>
            <ARTGs>
                <ARTG>238292</ARTG>
            </ARTGs>
            <MinimumBenefit>6013</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ119</BillingCode>
            <Name>Verso Shoulder System - Humeral Shell</Name>
            <Description>Verso Shoulder Humeral Shell</Description>
            <Size>Standard &amp; Stemmed</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4058</SubGroupID>
            <Suffix>Reverse</Suffix>
            <ARTGs>
                <ARTG>284179</ARTG>
                <ARTG>284180</ARTG>
            </ARTGs>
            <MinimumBenefit>6013</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI528</BillingCode>
            <Name>Zimmer Trabecular Metal Reverse Shoulder System</Name>
            <Description>Trabecular Metal Humeral Stem Titanium Alloy and Tantalum</Description>
            <Size>8mm-18mm x 130mm-170mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4058</SubGroupID>
            <Suffix>Reverse</Suffix>
            <ARTGs>
                <ARTG>228451</ARTG>
                <ARTG>230880</ARTG>
            </ARTGs>
            <MinimumBenefit>6013</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH047</BillingCode>
            <Name>Comprehensive Shoulder System</Name>
            <Description>Humeral Stems, standard, mini, micro and revision, porous coated, Ti</Description>
            <Size>4mm to 20mm Diameter</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4058</SubGroupID>
            <ARTGs>
                <ARTG>104347</ARTG>
            </ARTGs>
            <MinimumBenefit>3325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD029</BillingCode>
            <Name>Foundation Shoulder System</Name>
            <Description>Humeral Stem, Ti</Description>
            <Size>6mm to 16mm</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4058</SubGroupID>
            <ARTGs>
                <ARTG>161910</ARTG>
            </ARTGs>
            <MinimumBenefit>3325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD032</BillingCode>
            <Name>Reverse Shoulder System</Name>
            <Description>Humeral Stem, Ti</Description>
            <Size>6mm to 12mm</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4058</SubGroupID>
            <ARTGs>
                <ARTG>210915</ARTG>
                <ARTG>210917</ARTG>
            </ARTGs>
            <MinimumBenefit>3325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE168</BillingCode>
            <Name>Univers 3D Shoulder Prostheses</Name>
            <Description>Stem</Description>
            <Size>6-12mm</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4058</SubGroupID>
            <ARTGs>
                <ARTG>121575</ARTG>
            </ARTGs>
            <MinimumBenefit>3325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FA007</BillingCode>
            <Name>Equinoxe Humeral Stem, Primary, Press-Fit</Name>
            <Description>Press-Fit Humeral Stem</Description>
            <Size>7 – 19mm</Size>
            <SupplierCode>FA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4058</SubGroupID>
            <ARTGs>
                <ARTG>244995</ARTG>
            </ARTGs>
            <MinimumBenefit>3325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU257</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE173</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Univers Fracture Prostheses</Name>
            <Description>Shaft</Description>
            <Size>8-13mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4058</SubGroupID>
            <ARTGs>
                <ARTG>308823</ARTG>
            </ARTGs>
            <MinimumBenefit>3325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW867</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR337</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis Fracture Shoulder HA Coated</Name>
            <Description>Fracture shoulder humeral stem Cobalt Chrome, HA coated</Description>
            <Size>Diam 6.5mm - 130mm and 170mm lengths, Diam 9mm - 130mm, 180mm and 210mm lengths. Diam 12mm - 130mm, 180mm and 210mm lengths</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4058</SubGroupID>
            <ARTGs>
                <ARTG>208886</ARTG>
            </ARTGs>
            <MinimumBenefit>3325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW946</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR435</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Simpliciti - Nucleus</Name>
            <Description>Uncemented humeral component, titanium, coated with a sintered titanium CP Ti bead coating</Description>
            <Size>1,2,3</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4058</SubGroupID>
            <ARTGs>
                <ARTG>222657</ARTG>
            </ARTGs>
            <MinimumBenefit>3325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW948</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR437</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis Ascend Flex PTC Humeral Stem</Name>
            <Description>Convertible humeral stem with proximal PTC titanium plasma spray coating</Description>
            <Size>Length: 66mm, 70mm, 74mm, 78mm, 82mm, 86mm, 88mm, 90mm, 93mm, 94mm, 98mm, 104mm, 109mm, 115mm, 120mm, 125mm, 130mm  Sizes: 1 to 9  Angulation: 127.5º, 132.5º, 137.5º</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4058</SubGroupID>
            <ARTGs>
                <ARTG>218732</ARTG>
            </ARTGs>
            <MinimumBenefit>3325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ966</BillingCode>
            <Name>Global Shoulder System</Name>
            <Description>Humeral Stem</Description>
            <Size>6-16mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4058</SubGroupID>
            <ARTGs>
                <ARTG>138288</ARTG>
            </ARTGs>
            <MinimumBenefit>3325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MA522</BillingCode>
            <Name>Affinis Shoulder System</Name>
            <Description>Stem Cementless - Titanium, adjustable cone</Description>
            <Size>6, 7.5, 9, 10.5, 12, 13.5 and 15mm</Size>
            <SupplierCode>MA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4058</SubGroupID>
            <ARTGs>
                <ARTG>219395</ARTG>
            </ARTGs>
            <MinimumBenefit>3325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MA543</BillingCode>
            <Name>Affinis Shoulder System – Humeral Stem</Name>
            <Description>Humeral stem and trunion, uncemented, Ti with Ti Plasma Spray and CaP coating</Description>
            <Size>1-6</Size>
            <SupplierCode>MA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4058</SubGroupID>
            <ARTGs>
                <ARTG>215479</ARTG>
            </ARTGs>
            <MinimumBenefit>3325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ST674</BillingCode>
            <Name>Osteonics Solar Shoulder Prostheses </Name>
            <Description>Humeral stem polyethylene</Description>
            <Size>3,5,7,9,11</Size>
            <SupplierCode>ST</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4058</SubGroupID>
            <ARTGs>
                <ARTG>128449</ARTG>
                <ARTG>12875</ARTG>
            </ARTGs>
            <MinimumBenefit>3325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY431</BillingCode>
            <Name>Epoca Custom Offset Shoulder Prosthesis</Name>
            <Description>Epoca ZF Cementless Stem</Description>
            <Size>6 - 14mm, Length: 115 - 135mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4058</SubGroupID>
            <ARTGs>
                <ARTG>161141</ARTG>
            </ARTGs>
            <MinimumBenefit>3325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA017</BillingCode>
            <Name>Comprehensive Nano Humeral Component</Name>
            <Description>stemless humeral component</Description>
            <Size>30-40mm</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4058</SubGroupID>
            <ARTGs>
                <ARTG>220712</ARTG>
            </ARTGs>
            <MinimumBenefit>3325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI326</BillingCode>
            <Name>Bigliani/Flatow Trabecular Metal Humeral Shoulder</Name>
            <Description>Porous Tantulum Humeral Stem</Description>
            <Size>6mm-19mm diameter</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4058</SubGroupID>
            <ARTGs>
                <ARTG>227172</ARTG>
            </ARTGs>
            <MinimumBenefit>3325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI992</BillingCode>
            <Name>Sidus Stem-Free Shoulder</Name>
            <Description>Humeral Anchor</Description>
            <Size>S,M,L</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4058</SubGroupID>
            <ARTGs>
                <ARTG>210098</ARTG>
            </ARTGs>
            <MinimumBenefit>3325</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH339</BillingCode>
            <Name>Comprehensive Segmental Revision System (SRS)</Name>
            <Description>Comprepehnsive SRS Proximal Body</Description>
            <Size>42mm to 62mm</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4059</SubGroupID>
            <ARTGs>
                <ARTG>104347</ARTG>
            </ARTGs>
            <MinimumBenefit>2314</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH340</BillingCode>
            <Name>Comprehensive Segmental Revision System (SRS)</Name>
            <Description>Comprehensive SRS Tumour Body</Description>
            <Size>51mm to 71mm</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4059</SubGroupID>
            <ARTGs>
                <ARTG>104347</ARTG>
            </ARTGs>
            <MinimumBenefit>2314</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD036</BillingCode>
            <Name>Reverse Shoulder System</Name>
            <Description>Humeral Socket Shell - Ti</Description>
            <Size>Neutral, +4mm, +8mm offset</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4059</SubGroupID>
            <ARTGs>
                <ARTG>210937</ARTG>
            </ARTGs>
            <MinimumBenefit>2314</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LC189</BillingCode>
            <Name>SMR Reverse Humeral Body with Locking Screw</Name>
            <Description>SMR  Humeral Body -Reverse</Description>
            <Size>Reverse Humeral body - short;  Reverse humeral body - finned;  Reverse humeral body - Standard HA Coated; 140° Reverse Humeral body - short; 140° Reverse humeral body - finned;  140°Reverse humeral body - Standard HA Coated</Size>
            <SupplierCode>LC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4060</SubGroupID>
            <Suffix>Reverse</Suffix>
            <ARTGs>
                <ARTG>234748</ARTG>
                <ARTG>225315</ARTG>
                <ARTG>234749</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Sizes</ChangeExplanation>
            <MinimumBenefit>2451</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU258</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE256</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Eclipse Humeral Head Prosthesis</Name>
            <Description>Eclipse Humeral Head Prosthesis Trunnion</Description>
            <Size>41 - 53mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4060</SubGroupID>
            <ARTGs>
                <ARTG>308802</ARTG>
            </ARTGs>
            <MinimumBenefit>2451</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW870</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR340</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis Reversed Shoulder -Metaphysis (Cemented or Cementless)</Name>
            <Description>Cemented: CoCr and UMWHPE, Cementless: CoCr, HA Coated and UMWHPE</Description>
            <Size>D.36mm &amp; 42mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4060</SubGroupID>
            <ARTGs>
                <ARTG>208525</ARTG>
                <ARTG>208524</ARTG>
            </ARTGs>
            <MinimumBenefit>2451</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ973</BillingCode>
            <Name>Delta Shoulder System</Name>
            <Description>Ephiphysis</Description>
            <Size>1 – 4 in 26-42mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4060</SubGroupID>
            <ARTGs>
                <ARTG>126913</ARTG>
                <ARTG>143529</ARTG>
            </ARTGs>
            <MinimumBenefit>2451</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LC188</BillingCode>
            <Name>SMR Humeral Body with Locking Screw</Name>
            <Description>Humeral Body Ti6aI4V - Finned - Trauma</Description>
            <Size>Short/Medium/Long</Size>
            <SupplierCode>LC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4060</SubGroupID>
            <ARTGs>
                <ARTG>234232</ARTG>
                <ARTG>235005</ARTG>
            </ARTGs>
            <MinimumBenefit>2451</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MA481</BillingCode>
            <Name>Affinis Shoulder System</Name>
            <Description>Affinis Fracture Stem - metaphyseal, uncemented</Description>
            <Size>15.5, Part 2- 18</Size>
            <SupplierCode>MA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4060</SubGroupID>
            <ARTGs>
                <ARTG>219732</ARTG>
            </ARTGs>
            <MinimumBenefit>2451</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MA536</BillingCode>
            <Name>Affinis Fracture Inverse</Name>
            <Description>Metaphyseal body with Ti plama spray plus CaPcoating- includes humeralcup with CoCr bearing surface</Description>
            <Size>39 to 42</Size>
            <SupplierCode>MA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4060</SubGroupID>
            <ARTGs>
                <ARTG>224971</ARTG>
            </ARTGs>
            <MinimumBenefit>2451</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN221</BillingCode>
            <Name>Global Unite Shoulder System</Name>
            <Description>Anatomic Proximal Body</Description>
            <Size>6 to 16</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4060</SubGroupID>
            <ARTGs>
                <ARTG>231183</ARTG>
            </ARTGs>
            <MinimumBenefit>2451</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI580</BillingCode>
            <Name>Anatomical shoulder</Name>
            <Description>Anatomical Inverse/Reverse Humeral Cup</Description>
            <Size>Zero degree Retro; Zero degree Retro +6; +10 degree Retro; –10 degree Retro; +20 degree Retro; -20 degree Retro;9mm 0 degree Retro; 9mm 0 degree Retro +6.</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4060</SubGroupID>
            <ARTGs>
                <ARTG>100226</ARTG>
            </ARTGs>
            <MinimumBenefit>2451</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK427</BillingCode>
            <Name>Solar Reunion Humeral Fracture System</Name>
            <Description>Solar Reunion Humeral Fracture System</Description>
            <Size>Short &amp; Long</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4062</SubGroupID>
            <ARTGs>
                <ARTG>128450</ARTG>
            </ARTGs>
            <MinimumBenefit>3627</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-06-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH337</BillingCode>
            <Name>Comprehensive Segmental Revision System</Name>
            <Description>Comprehensive SRS Modular Stem</Description>
            <Size>(6 to 20) mm dia x (50 to 200)mm length</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4063</SubGroupID>
            <ARTGs>
                <ARTG>104347</ARTG>
            </ARTGs>
            <MinimumBenefit>3800</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EX051</BillingCode>
            <Name>Equinoxe Humeral Long Stem</Name>
            <Description>The long/revision stem is intended for cemented fixation only. The long/revision stem is advised when the distal bone quality is insufficient to adequately anchor the primary stems (typically as a result of mid-humeral fractures)</Description>
            <Size>8x175mm, 8x215mm, 10x200mm, 12x200mm</Size>
            <SupplierCode>FA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4063</SubGroupID>
            <ARTGs>
                <ARTG>264382</ARTG>
            </ARTGs>
            <MinimumBenefit>3800</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW889</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR361</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis Reversed Shoulder, Cemented Stem</Name>
            <Description>Aequalis Reversed Shoulder prosthesis, Cemented Stem, CoCr</Description>
            <Size>Diam 6.5mm to 15mm, Length 100 to 210mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4063</SubGroupID>
            <ARTGs>
                <ARTG>208476</ARTG>
            </ARTGs>
            <MinimumBenefit>3800</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW967</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR458</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis Ascend Flex Cemented Humeral Stem</Name>
            <Description>Convertible humeral stem for cemented used</Description>
            <Size>Length: 66mm, 74mm, 82mm, 88mm, 90mm, 98mm, 109mm, 120mm.    Size: 2 to 8.     Angulation: 127.5º, 132.5º, 137.5º</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4063</SubGroupID>
            <ARTGs>
                <ARTG>218731</ARTG>
            </ARTGs>
            <MinimumBenefit>3800</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ972</BillingCode>
            <Name>Delta/Global Shoulder System</Name>
            <Description>Distal humeral stem</Description>
            <Size>6-16mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4063</SubGroupID>
            <ARTGs>
                <ARTG>143529</ARTG>
                <ARTG>220179</ARTG>
            </ARTGs>
            <MinimumBenefit>3800</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LC042</BillingCode>
            <Name>SMR Shoulder System</Name>
            <Description>Short and Revision Cemented Stem</Description>
            <Size>Dia 12-20mm x length 80-210mm</Size>
            <SupplierCode>LC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4063</SubGroupID>
            <ARTGs>
                <ARTG>218715</ARTG>
                <ARTG>218783</ARTG>
            </ARTGs>
            <MinimumBenefit>3800</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MA479</BillingCode>
            <Name>Affinis Shoulder System</Name>
            <Description>Affinis Fracture Stem - diaphyseal, cemented, short</Description>
            <Size>6/125, 9/125, 12/125, 12/125, 9/200, 12/200</Size>
            <SupplierCode>MA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4063</SubGroupID>
            <ARTGs>
                <ARTG>219731</ARTG>
            </ARTGs>
            <MinimumBenefit>3800</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY571</BillingCode>
            <Name>Epoca Custom Offset Shoulder Prosthesis</Name>
            <Description>Epoca Stem - Cemented</Description>
            <Size>6-14mm, Length: 115-215mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4063</SubGroupID>
            <ARTGs>
                <ARTG>161141</ARTG>
            </ARTGs>
            <MinimumBenefit>3800</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU259</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE258</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Eclipse Humeral Head Prosthesis</Name>
            <Description>Eclipse Humeral Head Prosthesis Cage Screw</Description>
            <Size>Small - X-Large</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4064</SubGroupID>
            <ARTGs>
                <ARTG>308799</ARTG>
            </ARTGs>
            <MinimumBenefit>2660</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW890</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR362</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis Reversed Shoulder, Cementless Stem</Name>
            <Description>Aequalis Reversed Shoulder prosthetis, Cementless stem Ti, HA Coated</Description>
            <Size>Diam 6.5mm to 154mm, Length 100mm to 210mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4064</SubGroupID>
            <ARTGs>
                <ARTG>208459</ARTG>
            </ARTGs>
            <MinimumBenefit>2660</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LC178</BillingCode>
            <Name>SMR Mini - Finned &amp; Revision Humeral Stem</Name>
            <Description>Mini - Finned Humeral Stem Ti6AI4V</Description>
            <Size>Dia 11-24mm x Length 60 - 80mm&#xD;
Dia 13-16mm x H 150 - 180mm</Size>
            <SupplierCode>LC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4064</SubGroupID>
            <ARTGs>
                <ARTG>218726</ARTG>
                <ARTG>274360</ARTG>
            </ARTGs>
            <MinimumBenefit>2660</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LC179</BillingCode>
            <Name>SMR Resurfacing Humeral Stem</Name>
            <Description>Resurfacing Humeral Stem Ti6AI4V - Uncemented</Description>
            <Size>Dia 11-13mm x length 32-36mm</Size>
            <SupplierCode>LC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4064</SubGroupID>
            <ARTGs>
                <ARTG>211983</ARTG>
            </ARTGs>
            <MinimumBenefit>2660</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY572</BillingCode>
            <Name>Epoca Custom Offset Shoulder Prosthesis</Name>
            <Description>Epoca Stem - Uncemented</Description>
            <Size>6-14mm, Length: 115-215mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4064</SubGroupID>
            <ARTGs>
                <ARTG>161141</ARTG>
            </ARTGs>
            <MinimumBenefit>2660</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MA480</BillingCode>
            <Name>Affinis Humeral Head</Name>
            <Description>Affinis Humeral Head - Ceramic</Description>
            <Size>39 to 53</Size>
            <SupplierCode>MA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4067</SubGroupID>
            <Suffix>Cer</Suffix>
            <ARTGs>
                <ARTG>215480</ARTG>
                <ARTG>215501</ARTG>
            </ARTGs>
            <MinimumBenefit>1449</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ554</BillingCode>
            <Name>DELTA Xtend</Name>
            <Description>Delta Xtend CTA Head Extended Lip</Description>
            <Size>48 + 52; 21, 26mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4067</SubGroupID>
            <Suffix>EL</Suffix>
            <ARTGs>
                <ARTG>126913</ARTG>
            </ARTGs>
            <MinimumBenefit>5220</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ970</BillingCode>
            <Name>Global Shoulder System</Name>
            <Description>CTA humeral head</Description>
            <Size>Sizes 44-56mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4067</SubGroupID>
            <Suffix>EL</Suffix>
            <ARTGs>
                <ARTG>138288</ARTG>
            </ARTGs>
            <MinimumBenefit>5220</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LC181</BillingCode>
            <Name>SMR CTA Humeral Head</Name>
            <Description>CTA Humeral Head CoCRMo</Description>
            <Size>42 - 54mm</Size>
            <SupplierCode>LC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4067</SubGroupID>
            <Suffix>EL</Suffix>
            <ARTGs>
                <ARTG>211950</ARTG>
            </ARTGs>
            <MinimumBenefit>5220</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH126</BillingCode>
            <Name>Versadial Humeral Head</Name>
            <Description>Humeral Head</Description>
            <Size>(38 -58)mm x (19 -37)mm x (39-61)mm</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4067</SubGroupID>
            <ARTGs>
                <ARTG>104347</ARTG>
            </ARTGs>
            <MinimumBenefit>1261</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH349</BillingCode>
            <Name>Comprehensive Segmental Revision System (SRS)</Name>
            <Description>Comprehensive SRS Super EAS Head</Description>
            <Size>Short, Long</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4067</SubGroupID>
            <ARTGs>
                <ARTG>104347</ARTG>
            </ARTGs>
            <MinimumBenefit>1261</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD003</BillingCode>
            <Name>Turon Shoulder System - Humeral Head</Name>
            <Description>Turon Standard Humeral Head, Standard and Offset</Description>
            <Size>38-54mm x 14-26mm</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4067</SubGroupID>
            <ARTGs>
                <ARTG>215957</ARTG>
            </ARTGs>
            <MinimumBenefit>1261</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD030</BillingCode>
            <Name>Foundation Shoulder System</Name>
            <Description>Humeral Head, CrCo</Description>
            <Size>38mm to 54mm</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4067</SubGroupID>
            <ARTGs>
                <ARTG>161910</ARTG>
            </ARTGs>
            <MinimumBenefit>1261</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE171</BillingCode>
            <Name>Univers 3D Shoulder Prostheses</Name>
            <Description>Metal Head</Description>
            <Size>40/14 - 54/23</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4067</SubGroupID>
            <ARTGs>
                <ARTG>121575</ARTG>
            </ARTGs>
            <MinimumBenefit>1261</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DP962</BillingCode>
            <Name>Delta Shoulder system</Name>
            <Description>DELTA Humeral Head INOX / ST.Steel / Nichtrostender St.</Description>
            <Size>36 - 42 mm in +0-+4</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4067</SubGroupID>
            <ARTGs>
                <ARTG>126913</ARTG>
            </ARTGs>
            <MinimumBenefit>1261</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EX058</BillingCode>
            <Name>Equinoxe Humeral Head</Name>
            <Description>The humeral head is used in hemi-shoulder and total-shoulder joint replacement procedures and for use in fractures of the proximal humerus and for use in total-shoulder joint replacement procedures in conjunction with an irreparable or nonfunctional rotator cuff. Multiple head heights for each diameter provides surgeon flexibility in patients with soft tissue challenges</Description>
            <Size>38mm - 53mm</Size>
            <SupplierCode>FA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4067</SubGroupID>
            <ARTGs>
                <ARTG>265513</ARTG>
            </ARTGs>
            <MinimumBenefit>1261</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU260</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE174</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Univers Fracture Prostheses</Name>
            <Description>Metal head</Description>
            <Size>43/15 - 51/22</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4067</SubGroupID>
            <ARTGs>
                <ARTG>308825</ARTG>
                <ARTG>308824</ARTG>
            </ARTGs>
            <MinimumBenefit>1261</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU261</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE257</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Eclipse Humeral Head Prosthesis</Name>
            <Description>Eclipse Humeral Head Prosthesis Head</Description>
            <Size>39/16 - 55/23</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4067</SubGroupID>
            <ARTGs>
                <ARTG>308800</ARTG>
            </ARTGs>
            <MinimumBenefit>1261</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW214</BillingCode>
            <Name>Howmedica Modular Resection System</Name>
            <Description>Humeral Head Fixed -  Vitallium</Description>
            <Size>One size only</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4067</SubGroupID>
            <ARTGs>
                <ARTG>142278</ARTG>
            </ARTGs>
            <MinimumBenefit>1261</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW863</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR332</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis Primary Shoulder Prostheses</Name>
            <Description>Aequalis Primary Eccentric Humeral Head, CoCr</Description>
            <Size>Diameter: 37, 39, 41, 43, 46, 48, 50, 52, 54mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4067</SubGroupID>
            <ARTGs>
                <ARTG>206492</ARTG>
            </ARTGs>
            <MinimumBenefit>1261</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW945</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR434</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Simpliciti - Humeral Head</Name>
            <Description>Anatomic humeral head, centred, CoCr</Description>
            <Size>39 x 14, 41 x 15, 43 x 16, 46 x 17, 48 x 18, 50 x 16, 50 x 19, 52 x 19, 52 x 23</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4067</SubGroupID>
            <ARTGs>
                <ARTG>211853</ARTG>
            </ARTGs>
            <MinimumBenefit>1261</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW949</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR438</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis Ascend Flex Humeral Head</Name>
            <Description>Cobalt chrome humeral head</Description>
            <Size>Diameter: 37mm, 39mm, 41mm, 43mm, 46mm, 48mm, 50mm, 52mm, 54mm  Height: 13.5mm, 14mm, 15mm, 16mm, 17mm, 18mm, 19mm, 23mm, 27mm  Offset: 1.5mm, 3.5mm, 4mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4067</SubGroupID>
            <ARTGs>
                <ARTG>218733</ARTG>
            </ARTGs>
            <MinimumBenefit>1261</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ965</BillingCode>
            <Name>Global Shoulder System</Name>
            <Description>Humeral heads</Description>
            <Size>40–56mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4067</SubGroupID>
            <ARTGs>
                <ARTG>132151</ARTG>
                <ARTG>138288</ARTG>
            </ARTGs>
            <MinimumBenefit>1261</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LC180</BillingCode>
            <Name>SMR Humeral Head</Name>
            <Description>Humeral Head CoCrMo</Description>
            <Size>Diameter (mm) 38 to 54  Offset 2 - 7 mm Eccentric  Shape Standard or Flattened</Size>
            <SupplierCode>LC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4067</SubGroupID>
            <ARTGs>
                <ARTG>221715</ARTG>
            </ARTGs>
            <MinimumBenefit>1261</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MA448</BillingCode>
            <Name>Affinis Total Shoulder</Name>
            <Description>Humeral Head - CoCr</Description>
            <Size>Diameter 39, 41, 43, 45, 47, 49, 51, 53mm</Size>
            <SupplierCode>MA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4067</SubGroupID>
            <ARTGs>
                <ARTG>220762</ARTG>
            </ARTGs>
            <MinimumBenefit>1261</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ST027</BillingCode>
            <Name>Solar Total Shoulder System</Name>
            <Description>Dual Offset Humeral Heads</Description>
            <Size>40-50mm diameter, 15-21mm thickness</Size>
            <SupplierCode>ST</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4067</SubGroupID>
            <ARTGs>
                <ARTG>128450</ARTG>
                <ARTG>12875</ARTG>
            </ARTGs>
            <MinimumBenefit>1261</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ST672</BillingCode>
            <Name>Osteonics Solar Shoulder Prostheses </Name>
            <Description>Humeral head polyethylene</Description>
            <Size>40-55mm by 12-34mm</Size>
            <SupplierCode>ST</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4067</SubGroupID>
            <ARTGs>
                <ARTG>128450</ARTG>
                <ARTG>12875</ARTG>
            </ARTGs>
            <MinimumBenefit>1261</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ST673</BillingCode>
            <Name>Osteonics Solar Shoulder Prostheses</Name>
            <Description>Dual offset humeral head polyethylene</Description>
            <Size>40,45,50mm Diameter by 15, 18, 21mm Thickness</Size>
            <SupplierCode>ST</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4067</SubGroupID>
            <ARTGs>
                <ARTG>128450</ARTG>
                <ARTG>12875</ARTG>
            </ARTGs>
            <MinimumBenefit>1261</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY432</BillingCode>
            <Name>Epoca Custom Offset Shoulder Prosthesis</Name>
            <Description>Epoca Head</Description>
            <Size>40 - 54mm, Height: 15 - 20.25mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4067</SubGroupID>
            <ARTGs>
                <ARTG>161141</ARTG>
            </ARTGs>
            <MinimumBenefit>1261</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI300</BillingCode>
            <Name>Bigliani Shoulder System</Name>
            <Description>Bigliani-Flatow Shoulder - Heads (Cobalt chrome)</Description>
            <Size>40, 46, 52, 52mm diameters</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4067</SubGroupID>
            <ARTGs>
                <ARTG>207472</ARTG>
            </ARTGs>
            <MinimumBenefit>1261</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI991</BillingCode>
            <Name>Sidus Stem-Free Shoulder</Name>
            <Description>Humeral Head</Description>
            <Size>38-52mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4067</SubGroupID>
            <ARTGs>
                <ARTG>205725</ARTG>
            </ARTGs>
            <MinimumBenefit>1261</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LC183</BillingCode>
            <Name>SMR Resurfacing CTA Humeral Head</Name>
            <Description>CTA Resurfacing Humeral Head CoCrMo +Poro+Ti+Ha Coated</Description>
            <Size>42 - 54mm</Size>
            <SupplierCode>LC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4068</SubGroupID>
            <Suffix>EL</Suffix>
            <ARTGs>
                <ARTG>211951</ARTG>
            </ARTGs>
            <MinimumBenefit>5220</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW868</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR338</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis Resurfacing Shoulder</Name>
            <Description>Resurfacing humeral head</Description>
            <Size>12 head sizes from 37mm x 13.5mm to 54mm x 27mm, 3 stem lengths: 30, 35 and 40mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4068</SubGroupID>
            <ARTGs>
                <ARTG>207910</ARTG>
            </ARTGs>
            <MinimumBenefit>3040</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ787</BillingCode>
            <Name>Global CAP Resurfacing Humeral Head Implant</Name>
            <Description>Global CAP Conservative Anatomical Prosthesis (Shoulder Humeral Head Surface Replacement)</Description>
            <Size>40-56mm Diameter</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4068</SubGroupID>
            <ARTGs>
                <ARTG>138288</ARTG>
            </ARTGs>
            <MinimumBenefit>3040</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LC182</BillingCode>
            <Name>SMR Resurfacing Humeral Head</Name>
            <Description>Resurfacing Humeral Head CoCrMo + Poro+Ti+HA coated</Description>
            <Size>42 - 54mm</Size>
            <SupplierCode>LC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4068</SubGroupID>
            <ARTGs>
                <ARTG>211982</ARTG>
            </ARTGs>
            <MinimumBenefit>3040</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM078</BillingCode>
            <Name>Ascension HRA - Humeral Resurfacing Arthroplasty</Name>
            <Description>A anatomic semi constrained, monobody device intended for resurfacing of the humeral head.</Description>
            <Size>40mm x 16mm to 56mm x21mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4068</SubGroupID>
            <ARTGs>
                <ARTG>149178</ARTG>
            </ARTGs>
            <MinimumBenefit>3040</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY438</BillingCode>
            <Name>Epoca Resurfacing Head</Name>
            <Description>Humeral head surface replacement, HA coating</Description>
            <Size>Diameter 40 - 54mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4068</SubGroupID>
            <ARTGs>
                <ARTG>161141</ARTG>
            </ARTGs>
            <MinimumBenefit>3040</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA110</BillingCode>
            <Name>Comprehensive Reverse Humeral Cup</Name>
            <Description>Humeral Cup</Description>
            <Size>Standard or Retentive</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4069</SubGroupID>
            <Suffix>Reverse</Suffix>
            <ARTGs>
                <ARTG>324463</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>2358</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH055</BillingCode>
            <Name>Comprehensive shoulder - reverse humeral cup</Name>
            <Description>Reverse shoulder humeral bearing, highly cross linked UHMWPE</Description>
            <Size>(Standard or Retentive) x (std, +3) x (31 to 41)mm</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4069</SubGroupID>
            <ARTGs>
                <ARTG>104347</ARTG>
            </ARTGs>
            <MinimumBenefit>774</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD035</BillingCode>
            <Name>Reverse Shoulder System</Name>
            <Description>Humeral Socket Insert - UHMWPE</Description>
            <Size>32mm to 44mm</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4069</SubGroupID>
            <ARTGs>
                <ARTG>210914</ARTG>
                <ARTG>210933</ARTG>
            </ARTGs>
            <MinimumBenefit>774</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EX048</BillingCode>
            <Name>Equinoxe Humeral Liner</Name>
            <Description>The Equinoxe Reverse Shoulder System includes a reverse semi-constrained prosthesis for use in total-shoulder joint replacement procedures in cases with an irreparable or nonfunctional rotator cuff.</Description>
            <Size>Liner: 36mm+0, 36mm+2.5, 38mm+0, 38mm+2.5, 42mm+0, 42mm+2.5, 46mm+0, 46mm+2.5  Constrained Humeral Liner: 36mm+0, 36mm+2.5, 38mm+0, 38mm+2.5, 42mm+0, 42mm+2.5, 46mm+0, 46mm+2.5</Size>
            <SupplierCode>FA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4069</SubGroupID>
            <ARTGs>
                <ARTG>264172</ARTG>
                <ARTG>279721</ARTG>
            </ARTGs>
            <MinimumBenefit>774</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW869</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR339</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis Reversed Shoulder Eccentric humeral Insert (High Mobility Cup)</Name>
            <Description>Eccentric Humeral Insert (High Mobility Cup) for Aequalis Reversed Shoulder</Description>
            <Size>36mm and 42mm, 2mm eccentric +6mm and +9mm, 4mm eccentric +9mm and +12mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4069</SubGroupID>
            <ARTGs>
                <ARTG>209514</ARTG>
            </ARTGs>
            <MinimumBenefit>774</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW950</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR439</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis Ascend Flex Reversed Insert</Name>
            <Description>Reversed insert/ retentive reversed insert - UHMWPE and Ti Alloy</Description>
            <Size>Diameter: 33mm, 36mm, 39mm, 42mm  Thickness: 6mm, 9mm  Angulation: 7.5º, 12.5º, 17.5º</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4069</SubGroupID>
            <ARTGs>
                <ARTG>218735</ARTG>
            </ARTGs>
            <MinimumBenefit>774</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LC176</BillingCode>
            <Name>SMR Reverse Liner (Cup) UHMWPE X-Lima</Name>
            <Description>Reverse Liner UHMWPE X-Lima</Description>
            <Size>36mm x +3/+6mm Standard &amp; Retentive</Size>
            <SupplierCode>LC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4069</SubGroupID>
            <ARTGs>
                <ARTG>212774</ARTG>
            </ARTGs>
            <MinimumBenefit>774</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LC177</BillingCode>
            <Name>SMR Reverse Liner (Cup) CoCrMo</Name>
            <Description>Reverse Liner Standard &amp; Excentric CoCrMo</Description>
            <Size>Dia 40 - 44mm x Short to Long</Size>
            <SupplierCode>LC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4069</SubGroupID>
            <ARTGs>
                <ARTG>212775</ARTG>
            </ARTGs>
            <MinimumBenefit>774</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MA532</BillingCode>
            <Name>Affinis Inverse inlay</Name>
            <Description>Humeral Cup</Description>
            <Size>36+0 to 42+6mm</Size>
            <SupplierCode>MA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4069</SubGroupID>
            <ARTGs>
                <ARTG>215500</ARTG>
            </ARTGs>
            <MinimumBenefit>774</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN170</BillingCode>
            <Name>Delta Shoulder System</Name>
            <Description>Humeral cup</Description>
            <Size>36 to 42</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4069</SubGroupID>
            <ARTGs>
                <ARTG>126913</ARTG>
            </ARTGs>
            <MinimumBenefit>774</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH341</BillingCode>
            <Name>Comprehensive Segmental Revision System (SRS)</Name>
            <Description>Comprehensive SRS Intercalary Segment</Description>
            <Size>30-120mm</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4073</SubGroupID>
            <ARTGs>
                <ARTG>104347</ARTG>
            </ARTGs>
            <MinimumBenefit>11856</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH342</BillingCode>
            <Name>Comprehensive Segmental Revision System (SRS)</Name>
            <Description>Comprehensive SRS Humeral Coupler</Description>
            <Size>100mm</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4073</SubGroupID>
            <ARTGs>
                <ARTG>104347</ARTG>
            </ARTGs>
            <MinimumBenefit>11856</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH343</BillingCode>
            <Name>Comprehensive Segmental Revision System (SRS)</Name>
            <Description>Comprehensive SRS Anti Rotation Intercalary Segment</Description>
            <Size>30mm</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4073</SubGroupID>
            <ARTGs>
                <ARTG>104347</ARTG>
            </ARTGs>
            <MinimumBenefit>11856</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD002</BillingCode>
            <Name>Turon Shoulder System - Humeral Neck</Name>
            <Description>Turon - Humeral Neck</Description>
            <Size>Neutral and 7.5 Degree</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4076</SubGroupID>
            <ARTGs>
                <ARTG>216043</ARTG>
            </ARTGs>
            <MinimumBenefit>998</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ616</BillingCode>
            <Name>Global AP Shoulder</Name>
            <Description>Ball Taper Adjustable Neck Assembly</Description>
            <Size>N/A</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1276</GroupID>
            <SubGroupID>4076</SubGroupID>
            <ARTGs>
                <ARTG>138288</ARTG>
            </ARTGs>
            <MinimumBenefit>998</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH050</BillingCode>
            <Name>Comprehensive Shoulder - Glenoid Stem</Name>
            <Description>Glenoid Post, Ti Regenerx or Polyethylene</Description>
            <Size>1 size</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3701</SubGroupID>
            <ARTGs>
                <ARTG>144584</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD004</BillingCode>
            <Name>Turon Shoulder System - All-Poly Glenoid</Name>
            <Description>Turon - All-Poly Glenoid, Keeled and Pegged</Description>
            <Size>38mm, 42mm, 46mm, 50mm, 54mm</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3701</SubGroupID>
            <ARTGs>
                <ARTG>210954</ARTG>
                <ARTG>210955</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD031</BillingCode>
            <Name>Foundation Shoulder System</Name>
            <Description>Pegged &amp; Keeled Glenoid, compression moulded UHMWPE</Description>
            <Size>38mm to 54mm</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3701</SubGroupID>
            <ARTGs>
                <ARTG>161910</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EX060</BillingCode>
            <Name>Equinoxe Glenoid, keeled</Name>
            <Description>UHMWPE component used to replace the Glenoid during total shoulder arthroplasty. This component is to be used with the Equinoxe total shoulder replacement</Description>
            <Size>small, medium, large</Size>
            <SupplierCode>FA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3701</SubGroupID>
            <ARTGs>
                <ARTG>159609</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FA028</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>EX061</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Equinoxe Glenoid, pegged</Name>
            <Description>UHMWPE component used to replace the Glenoid during total shoulder arthroplasty. This component is to be used with the Equinoxe total shoulder replacement</Description>
            <Size>small, medium, large, X-Large</Size>
            <SupplierCode>FA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3701</SubGroupID>
            <ARTGs>
                <ARTG>278648</ARTG>
                <ARTG>264381</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU262</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE172</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Univers Glenoid Shoulder Prostheses</Name>
            <Description>Cemented glenoid</Description>
            <Size>Small, Medium, Large, Extra-Large</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3701</SubGroupID>
            <ARTGs>
                <ARTG>308803</ARTG>
                <ARTG>308804</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW947</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR436</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis PerFORM Glenoid - CortiLoc</Name>
            <Description>UHMWPE pegged glenoid with CortiLoc central peg</Description>
            <Size>Small - backside radius of 30mm, 35mm and 40mm  Medium - backside radius of 30mm, 35mm and 40mm  Large - backside radius of 40mm, 50mm and 60mm  Extra large - backside radius of 40mm, 50mm and 60mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3701</SubGroupID>
            <ARTGs>
                <ARTG>206662</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW952</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR441</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis PerFORM Pegged Glenoid</Name>
            <Description>UHMWPE pegged glenoid</Description>
            <Size>Small - backside radius: 30mm, 35mm, 40mm  Medium - backside radius: 30mm, 35mm, 40mm  Large - backside radius: 40mm, 50mm, 60mm  Extra large - backside radius: 40mm, 50mm, 60mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3701</SubGroupID>
            <ARTGs>
                <ARTG>206662</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW986</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR442</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis PerFORM Keeled Glenoid</Name>
            <Description>UHMWPE keeled glenoid</Description>
            <Size>Small - backside radius: 30mm, 35mm, 40mm  Medium - backside radius: 30mm, 35mm, 40mm  Large - backside radius: 40mm, 50mm, 60mm  Extra large - backside radius: 40mm, 50mm, 60mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3701</SubGroupID>
            <ARTGs>
                <ARTG>206662</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ964</BillingCode>
            <Name>Global Shoulder System</Name>
            <Description>Glenoid component</Description>
            <Size>40 to 56mm including XL</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3701</SubGroupID>
            <ARTGs>
                <ARTG>129404</ARTG>
                <ARTG>138288</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LC172</BillingCode>
            <Name>SMR Cemented Glenoid</Name>
            <Description>All Poly Glenoid Cemented UHMWPE</Description>
            <Size>Small - Large</Size>
            <SupplierCode>LC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3701</SubGroupID>
            <ARTGs>
                <ARTG>211974</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LC173</BillingCode>
            <Name>SMR - Glenoid 3 Peg UHMWPE</Name>
            <Description>Glenoid 3 Peg UHMWPE X-Lima</Description>
            <Size>Extra small, Standard, Small, and Large</Size>
            <SupplierCode>LC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3701</SubGroupID>
            <ARTGs>
                <ARTG>210963</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH698</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OO155</PriorBillingCode>
            </PriorBillingCodes>
            <Name>PE Glenoid</Name>
            <Description>PE glenoid</Description>
            <Size>Small and Standard</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3701</SubGroupID>
            <ARTGs>
                <ARTG>244654</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MA450</BillingCode>
            <Name>Affinis Total Shoulder</Name>
            <Description>Glenoid - UHMWPE</Description>
            <Size>Size 1 to 4</Size>
            <SupplierCode>MA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3701</SubGroupID>
            <ARTGs>
                <ARTG>219394</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MA547</BillingCode>
            <Name>Affinis Glenoid cemented vitamys</Name>
            <Description>Cemented glenoid - vitamys UHMWPE</Description>
            <Size>Sizes 1 - 4</Size>
            <SupplierCode>MA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3701</SubGroupID>
            <ARTGs>
                <ARTG>238288</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN332</BillingCode>
            <Name>StepTech Anchor Peg Glenoid</Name>
            <Description>Glenoid component</Description>
            <Size>40 to 56 mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3701</SubGroupID>
            <ARTGs>
                <ARTG>381043</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ST675</BillingCode>
            <Name>Osteonics Solar Shoulder Prostheses </Name>
            <Description>Glenoid component polyethylene</Description>
            <Size>5,7,9,11</Size>
            <SupplierCode>ST</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3701</SubGroupID>
            <ARTGs>
                <ARTG>128449</ARTG>
                <ARTG>12875</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY434</BillingCode>
            <Name>Epoca Custom Offset Shoulder Prosthesis</Name>
            <Description>Epoca Glenoid</Description>
            <Size>40mm - 54mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3701</SubGroupID>
            <ARTGs>
                <ARTG>161142</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI304</BillingCode>
            <Name>Bigliani Shoulder System</Name>
            <Description>Bigliani-Flatow shoulder - Glenoid (UHMWPE)</Description>
            <Size>40, 46 and 52mm diameters</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3701</SubGroupID>
            <ARTGs>
                <ARTG>208339</ARTG>
                <ARTG>208639</ARTG>
            </ARTGs>
            <MinimumBenefit>1895</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH049</BillingCode>
            <Name>Comprehensive shoulder - glenoid</Name>
            <Description>Modular hybrid glenoid base UHMWPE; Titanium</Description>
            <Size>small, medium, large</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3702</SubGroupID>
            <ARTGs>
                <ARTG>144584</ARTG>
            </ARTGs>
            <MinimumBenefit>2109</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LC038</BillingCode>
            <Name>SMR Shoulder System</Name>
            <Description>Metal Back Glenoid</Description>
            <Size> Small, Small R, Standard, Large</Size>
            <SupplierCode>LC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3702</SubGroupID>
            <ARTGs>
                <ARTG>218703</ARTG>
            </ARTGs>
            <MinimumBenefit>2109</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SF176</BillingCode>
            <Name>Signature PMGA Glenoid Insert</Name>
            <Description>3D porous glenoid insert</Description>
            <Size>5 Sizes, 15 - 30 degree inclination</Size>
            <SupplierCode>SF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3702</SubGroupID>
            <ARTGs>
                <ARTG>313285</ARTG>
            </ARTGs>
            <MinimumBenefit>2109</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY436</BillingCode>
            <Name>Epoca Custom Offset Shoulder Prosthesis</Name>
            <Description>Epoca Reco Glenoid</Description>
            <Size>42 - 52mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3702</SubGroupID>
            <ARTGs>
                <ARTG>161142</ARTG>
            </ARTGs>
            <MinimumBenefit>2109</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FA029</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>EX061</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Equinoxe Glenoid, Cage Pegged</Name>
            <Description>UHMWPE component with Ti Alloy peripheral pegs and a Ti Alloy &amp; Ti plasma-coated central peg. It is used to replace the Glenoid during total shoulder arthroplasty. This component is to be used with the Equinoxe total shoulder replacement.</Description>
            <Size>small, medium, large, X-Large</Size>
            <SupplierCode>FA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3703</SubGroupID>
            <ARTGs>
                <ARTG>270232</ARTG>
                <ARTG>293762</ARTG>
            </ARTGs>
            <MinimumBenefit>3884</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI319</BillingCode>
            <Name>Bigliani Flatow Total Shoulder System - Glenoids</Name>
            <Description>Trabecular Metal Backed Glenoid (uncemented)  </Description>
            <Size>Diameter 40 - 52mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3703</SubGroupID>
            <ARTGs>
                <ARTG>223567</ARTG>
            </ARTGs>
            <MinimumBenefit>3884</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LC174</BillingCode>
            <Name>SMR - Glenoid Component UHMWPE</Name>
            <Description>Glenoid - MB Liner - UHMWPE</Description>
            <Size>3 to 6mm thick x small-R to Large</Size>
            <SupplierCode>LC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3704</SubGroupID>
            <ARTGs>
                <ARTG>221714</ARTG>
            </ARTGs>
            <MinimumBenefit>1862</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ120</BillingCode>
            <Name>Verso Shoulder System - Liner</Name>
            <Description>Verso Shoulder Liner</Description>
            <Size>3-12mm Offsets</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3704</SubGroupID>
            <ARTGs>
                <ARTG>284175</ARTG>
                <ARTG>284176</ARTG>
            </ARTGs>
            <MinimumBenefit>1862</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY437</BillingCode>
            <Name>Epoca Custom Offset Shoulder Prosthesis</Name>
            <Description>Epoca Glenoid Insert</Description>
            <Size>42 - 54mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3704</SubGroupID>
            <ARTGs>
                <ARTG>161142</ARTG>
            </ARTGs>
            <MinimumBenefit>1862</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI529</BillingCode>
            <Name>Zimmer Trabecular Metal Reverse Shoulder System</Name>
            <Description>Polyethylene Liner</Description>
            <Size>Standard 7 Deg. &amp; Retentive 65 Deg; 36mm - Neutral, Plus 3mm, Plus 6mm; 40mm - Neutral, Plus 3mm, Plus 6mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3704</SubGroupID>
            <ARTGs>
                <ARTG>231818</ARTG>
            </ARTGs>
            <MinimumBenefit>1862</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI577</BillingCode>
            <Name>Anatomical Shoulder</Name>
            <Description>Anatomical Inverse/Reverse Humeral Poly inlay</Description>
            <Size>36mm x 0, 3 &amp; 6mm; 40mm x 0, 3 &amp; 6mm.</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>3704</SubGroupID>
            <ARTGs>
                <ARTG>100226</ARTG>
            </ARTGs>
            <MinimumBenefit>1862</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH052</BillingCode>
            <Name>Comprehensive Shoulder - Reverse Glenoid Baseplate</Name>
            <Description>Reverse glenoid baseplate, Ti, Porous coating</Description>
            <Size>28mm, 25mm</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>4078</SubGroupID>
            <ARTGs>
                <ARTG>144584</ARTG>
            </ARTGs>
            <MinimumBenefit>1991</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD057</BillingCode>
            <Name>Reverse Shoulder - Glenoid Baseplate</Name>
            <Description>Reverse Glenoid Component, Baseplate</Description>
            <Size>6.5mm x 30mm</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>4078</SubGroupID>
            <ARTGs>
                <ARTG>210932</ARTG>
            </ARTGs>
            <MinimumBenefit>1991</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EX049</BillingCode>
            <Name>Equinoxe Glenoid Plate</Name>
            <Description>The glenoid plate provides multiple options for screw insertion</Description>
            <Size>0 degree, 8 degree, 10 degree</Size>
            <SupplierCode>FA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>4078</SubGroupID>
            <ARTGs>
                <ARTG>262854</ARTG>
                <ARTG>284693</ARTG>
                <ARTG>284694</ARTG>
                <ARTG>284695</ARTG>
            </ARTGs>
            <MinimumBenefit>1991</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW879</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR349</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis Reversed Shoulder, Glenoid Base Plate</Name>
            <Description>Glenoid Base Plate (Metaglene) with Long Post option for revision</Description>
            <Size>Standard or Revision (Long Post)  dia 25mm and dia 29mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>4078</SubGroupID>
            <ARTGs>
                <ARTG>209243</ARTG>
            </ARTGs>
            <MinimumBenefit>1991</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW940</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR427</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis Reversed Shoulder - Hemi Prosthesis Adaptor</Name>
            <Description>Hemi Prosthesis Adaptor including union screw</Description>
            <Size>36mm and 42mm diameter</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>4078</SubGroupID>
            <ARTGs>
                <ARTG>209724</ARTG>
            </ARTGs>
            <MinimumBenefit>1991</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW990</BillingCode>
            <Name>Aequalis Reversed II Threaded Post Baseplate</Name>
            <Description>Glenoid Base Plate</Description>
            <Size>Length (mm) Post: 20 - 50  Diameter (mm): 25 - 29</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>4078</SubGroupID>
            <ARTGs>
                <ARTG>230918</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>1991</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ974</BillingCode>
            <Name>Delta Shoulder System</Name>
            <Description>Metaglene</Description>
            <Size>Standard, Revision, +10 to +15mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>4078</SubGroupID>
            <ARTGs>
                <ARTG>126913</ARTG>
                <ARTG>126914</ARTG>
            </ARTGs>
            <MinimumBenefit>1991</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LC186</BillingCode>
            <Name>SMR Reverse Glenoid Base Plate</Name>
            <Description>Reverse Glenoid Base Plate</Description>
            <Size>Small-R or Small/Standard</Size>
            <SupplierCode>LC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>4078</SubGroupID>
            <ARTGs>
                <ARTG>210956</ARTG>
            </ARTGs>
            <MinimumBenefit>1991</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MA534</BillingCode>
            <Name>Affinis Inverse Metaglene</Name>
            <Description>Metaglene, uncemented. Ti plasma plus CaP coating</Description>
            <Size>one size only</Size>
            <SupplierCode>MA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>4078</SubGroupID>
            <ARTGs>
                <ARTG>215497</ARTG>
            </ARTGs>
            <MinimumBenefit>1991</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MA535</BillingCode>
            <Name>Affinis Inverse revision metaglene</Name>
            <Description>Revision Metaglene, Ti plasma plus CaP Coating</Description>
            <Size>one size only</Size>
            <SupplierCode>MA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>4078</SubGroupID>
            <ARTGs>
                <ARTG>224964</ARTG>
            </ARTGs>
            <MinimumBenefit>1991</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ117</BillingCode>
            <Name>Verso Shoulder System - Glenoid Baseplate</Name>
            <Description>Verso Shoulder Glenoid Base Plate</Description>
            <Size>Standard, Long (Revision)</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>4078</SubGroupID>
            <ARTGs>
                <ARTG>284178</ARTG>
            </ARTGs>
            <MinimumBenefit>1991</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA095</BillingCode>
            <Name>Comprehensive Reverse Augmented Baseplate</Name>
            <Description>Augmented Baseplate</Description>
            <Size>25mm</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>4078</SubGroupID>
            <ARTGs>
                <ARTG>345190</ARTG>
            </ARTGs>
            <MinimumBenefit>1991</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI533</BillingCode>
            <Name>Zimmer Trabecular Metal Reverse Shoulder System</Name>
            <Description>Trabecular Metal Reverse Base Plate - Ti Alloy &amp; Tantalum</Description>
            <Size>15mm, 25mm, 30mm</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>4078</SubGroupID>
            <ARTGs>
                <ARTG>228451</ARTG>
            </ARTGs>
            <MinimumBenefit>1991</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH051</BillingCode>
            <Name>Comprehensive Shoulder - Reverse Glenosphere</Name>
            <Description>Reverse glenosphere</Description>
            <Size>36mm to 41mm  (standard, +3, +6)</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>4079</SubGroupID>
            <ARTGs>
                <ARTG>227969</ARTG>
                <ARTG>324462</ARTG>
            </ARTGs>
            <MinimumBenefit>2176</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD058</BillingCode>
            <Name>Reverse Shoulder – Glenosphere Head</Name>
            <Description>Glenosphere</Description>
            <Size>32mm to 44mm, neutral or -4mm offset</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>4079</SubGroupID>
            <ARTGs>
                <ARTG>210932</ARTG>
            </ARTGs>
            <MinimumBenefit>2176</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EX050</BillingCode>
            <Name>Equinoxe Glenosphere</Name>
            <Description>The glenosphere aids in glenosphere insertion and protects any remaining intact soft tissues.</Description>
            <Size>36mm, 38mm, 42mm &amp; 46mm</Size>
            <SupplierCode>FA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>4079</SubGroupID>
            <ARTGs>
                <ARTG>279903</ARTG>
                <ARTG>266161</ARTG>
            </ARTGs>
            <MinimumBenefit>2176</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW880</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR350</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis Reversed Shoulder, Glenoid Sphere</Name>
            <Description>Glenoid Sphere, standard, eccentric, wear compensation or   lateralised</Description>
            <Size>Diameter 33, 36, 39 and 42mm  Centre, or Eccentricity +2mm, or Wear Compensations 10deg, or Lateralised +6mm / +8mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>4079</SubGroupID>
            <ARTGs>
                <ARTG>209244</ARTG>
            </ARTGs>
            <MinimumBenefit>2176</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ967</BillingCode>
            <Name>Delta Shoulder System</Name>
            <Description>Glenosphere</Description>
            <Size>36 to 42</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>4079</SubGroupID>
            <ARTGs>
                <ARTG>126914</ARTG>
                <ARTG>137537</ARTG>
            </ARTGs>
            <MinimumBenefit>2176</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LC184</BillingCode>
            <Name>SMR Reverse Poly Gleonsphere</Name>
            <Description>Reverse Glenophere UHMWPE X-Lima Ti6AI4V</Description>
            <Size>40 - 44 Standard &amp; Exxentric</Size>
            <SupplierCode>LC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>4079</SubGroupID>
            <ARTGs>
                <ARTG>211987</ARTG>
            </ARTGs>
            <MinimumBenefit>2176</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LC185</BillingCode>
            <Name>SMR Reverse Glenosphere</Name>
            <Description>Reverse Glenosphere CoCrMo</Description>
            <Size>36mm Standard and Eccentric</Size>
            <SupplierCode>LC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>4079</SubGroupID>
            <ARTGs>
                <ARTG>211985</ARTG>
            </ARTGs>
            <MinimumBenefit>2176</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MA533</BillingCode>
            <Name>Affinis Inverse glenosphere</Name>
            <Description>Glenosphere</Description>
            <Size>36 to 42mm</Size>
            <SupplierCode>MA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>4079</SubGroupID>
            <ARTGs>
                <ARTG>215499</ARTG>
            </ARTGs>
            <MinimumBenefit>2176</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MA551</BillingCode>
            <Name>Affinis Inverse Glenosphere</Name>
            <Description>Glenosphere vitamys</Description>
            <Size>36mm, 39mm, 42mm</Size>
            <SupplierCode>MA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>4079</SubGroupID>
            <ARTGs>
                <ARTG>238290</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>2176</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ118</BillingCode>
            <Name>Verso Shoulder System - Glenoid Head</Name>
            <Description>Verso Shoulder Glenoid Head</Description>
            <Size>36mm, 41mm</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>4079</SubGroupID>
            <ARTGs>
                <ARTG>284177</ARTG>
            </ARTGs>
            <MinimumBenefit>2176</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI532</BillingCode>
            <Name>Zimmer Trabecular Metal Reverse Shoulder System</Name>
            <Description>Glenosphere - CoCr - Mo Alloy</Description>
            <Size>36mm, 40mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1277</GroupID>
            <SubGroupID>4079</SubGroupID>
            <ARTGs>
                <ARTG>230876</ARTG>
            </ARTGs>
            <MinimumBenefit>2176</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH344</BillingCode>
            <Name>Comprehensive Segmental Revision System (SRS)</Name>
            <Description>Comprehensive SRS Modular Regenerex Augment</Description>
            <Size>Small, Large</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4080</SubGroupID>
            <ARTGs>
                <ARTG>104347</ARTG>
            </ARTGs>
            <MinimumBenefit>903</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW865</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR334</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis Shoulder Prostheses Reverse</Name>
            <Description>CoCr Reverse Humeral Neck</Description>
            <Size>diameter 36 &amp; 42mm wide x 9mm high</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4081</SubGroupID>
            <ARTGs>
                <ARTG>242575</ARTG>
            </ARTGs>
            <MinimumBenefit>950</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW942</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR430</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis Reversed Fracture - Humeral Spacer</Name>
            <Description>Lateralized Spacer</Description>
            <Size>9mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4081</SubGroupID>
            <ARTGs>
                <ARTG>242575</ARTG>
            </ARTGs>
            <MinimumBenefit>950</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ968</BillingCode>
            <Name>Delta Shoulder System</Name>
            <Description>Humeral Spacer</Description>
            <Size>36 to 42 +9mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4081</SubGroupID>
            <ARTGs>
                <ARTG>126913</ARTG>
                <ARTG>137537</ARTG>
                <ARTG>144505</ARTG>
            </ARTGs>
            <MinimumBenefit>950</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LC036</BillingCode>
            <Name>SMR Shoulder - Modular Augment</Name>
            <Description>Modular Augment Ti6AI4V</Description>
            <Size>20 - 50mm</Size>
            <SupplierCode>LC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4081</SubGroupID>
            <ARTGs>
                <ARTG>225458</ARTG>
            </ARTGs>
            <MinimumBenefit>950</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI530</BillingCode>
            <Name>Zimmer Trabecular Metal Reverse Shoulder System</Name>
            <Description>Spacer</Description>
            <Size>9mm, 12mm Taper Insert</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4081</SubGroupID>
            <ARTGs>
                <ARTG>94829</ARTG>
            </ARTGs>
            <MinimumBenefit>950</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI531</BillingCode>
            <Name>Zimmer Trabecular Metal Reverse Shoulder System</Name>
            <Description>Dual Taper Insert</Description>
            <Size>One Size Only</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4081</SubGroupID>
            <ARTGs>
                <ARTG>232002</ARTG>
            </ARTGs>
            <MinimumBenefit>950</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ615</BillingCode>
            <Name>Global AP Shoulder</Name>
            <Description>Fixed 135 Degree Taper Assembly</Description>
            <Size>135 Degree Angle</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4083</SubGroupID>
            <ARTGs>
                <ARTG>138288</ARTG>
            </ARTGs>
            <MinimumBenefit>1062</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LC117</BillingCode>
            <Name>SMR Shoulder Accessories</Name>
            <Description>SMR Connector and Screw</Description>
            <Size>Small R / Small STD</Size>
            <SupplierCode>LC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4083</SubGroupID>
            <ARTGs>
                <ARTG>210861</ARTG>
            </ARTGs>
            <MinimumBenefit>1062</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH127</BillingCode>
            <Name>Versadial Humeral Head</Name>
            <Description>Eccentric adaptor, taper insert</Description>
            <Size>Std, reverse</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4084</SubGroupID>
            <ARTGs>
                <ARTG>104347</ARTG>
            </ARTGs>
            <MinimumBenefit>1159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD061</BillingCode>
            <Name>RSP Hemi Adaptor</Name>
            <Description>Adaptor for conversion of Reverse Shoulder Prostheses (RSP) to a hemi arthroplasty prosthesis</Description>
            <Size>One size only</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4084</SubGroupID>
            <ARTGs>
                <ARTG>302695</ARTG>
            </ARTGs>
            <MinimumBenefit>1159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD062</BillingCode>
            <Name>RSP Humeral Stem Adapter</Name>
            <Description>RSP Humeral Stem Adapter for conversion to hemiarthroplasty prostheses</Description>
            <Size>6 &amp; 12mm</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4084</SubGroupID>
            <ARTGs>
                <ARTG>302694</ARTG>
            </ARTGs>
            <MinimumBenefit>1159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD063</BillingCode>
            <Name>RSP Spacer</Name>
            <Description>Spacer</Description>
            <Size>8mm</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4084</SubGroupID>
            <ARTGs>
                <ARTG>284539</ARTG>
            </ARTGs>
            <MinimumBenefit>1159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FA001</BillingCode>
            <Name>Equinoxe Replicator Plate</Name>
            <Description>The Equinoxe Replicator Plate is intended to connect the humeral head to the stem and to position the replacement humeral head in a variety of positions to match patient’s anatomy.</Description>
            <Size>0mm – 4.5mm Offset</Size>
            <SupplierCode>FA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4084</SubGroupID>
            <ARTGs>
                <ARTG>266159</ARTG>
                <ARTG>278519</ARTG>
            </ARTGs>
            <MinimumBenefit>1159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW943</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR431</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis Reversed Fracture - Hemi-prosthesis Adaptor</Name>
            <Description>Hemi-prosthesis Adaptor including union screw</Description>
            <Size>One size only</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4084</SubGroupID>
            <ARTGs>
                <ARTG>211056</ARTG>
            </ARTGs>
            <MinimumBenefit>1159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LC037</BillingCode>
            <Name>SMR Adaptor</Name>
            <Description>Adaptor Eccentric / Neutral / CTA</Description>
            <Size>Standard &amp; long 0 to +8mm</Size>
            <SupplierCode>LC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4084</SubGroupID>
            <ARTGs>
                <ARTG>221473</ARTG>
                <ARTG>221712</ARTG>
            </ARTGs>
            <MinimumBenefit>1159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LC175</BillingCode>
            <Name>SMR Reverse Modular Humeral Body Extension</Name>
            <Description>Reverse Modular Mumeral Body Extension Ti6AI4V</Description>
            <Size>+9mm</Size>
            <SupplierCode>LC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4084</SubGroupID>
            <ARTGs>
                <ARTG>168581</ARTG>
            </ARTGs>
            <MinimumBenefit>1159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MA537</BillingCode>
            <Name>Affinis Inverse head adaptor</Name>
            <Description>Adaptor for conversion tohemi prostheses, includes fixation screw</Description>
            <Size>One size only</Size>
            <SupplierCode>MA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4084</SubGroupID>
            <ARTGs>
                <ARTG>224965</ARTG>
            </ARTGs>
            <MinimumBenefit>1159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MA538</BillingCode>
            <Name>Affinis Inverse inlay spacer</Name>
            <Description>Humeral offset spacer. Supplied with screw</Description>
            <Size>+9mm</Size>
            <SupplierCode>MA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4084</SubGroupID>
            <ARTGs>
                <ARTG>224412</ARTG>
            </ARTGs>
            <MinimumBenefit>1159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY433</BillingCode>
            <Name>Epoca Custom Offset Shoulder Prosthesis</Name>
            <Description>Modular press-fit component for independent adjustments of the head or shaft; both medial and posterior offset</Description>
            <Size>One size only</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4084</SubGroupID>
            <ARTGs>
                <ARTG>161142</ARTG>
            </ARTGs>
            <MinimumBenefit>1159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EX062</BillingCode>
            <Name>Equinoxe Reverse Torque Definition Screw Kit</Name>
            <Description>Reverse Torque Definition Screw with Drive</Description>
            <Size>One size only</Size>
            <SupplierCode>FA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>5428</SubGroupID>
            <ARTGs>
                <ARTG>252473</ARTG>
            </ARTGs>
            <MinimumBenefit>1159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EX065</BillingCode>
            <Name>Equinoxe Torque Definition Screw Kit.</Name>
            <Description>Torque Definition Screw with Drive.</Description>
            <Size>One size only.</Size>
            <SupplierCode>FA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>5428</SubGroupID>
            <ARTGs>
                <ARTG>252473</ARTG>
            </ARTGs>
            <MinimumBenefit>1159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MA531</BillingCode>
            <Name>Affinis Fixation Screw</Name>
            <Description>Fixation Screw Long</Description>
            <Size>one size only</Size>
            <SupplierCode>MA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>5428</SubGroupID>
            <ARTGs>
                <ARTG>257052</ARTG>
            </ARTGs>
            <MinimumBenefit>1159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH054</BillingCode>
            <Name>Comprehensive Shoulder - reverse humeral tray</Name>
            <Description>Modular Reverse Humeral tray, to mount onto Comprehensive stem</Description>
            <Size>Std, +5, +10</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4086</SubGroupID>
            <ARTGs>
                <ARTG>104347</ARTG>
            </ARTGs>
            <MinimumBenefit>829</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD064</BillingCode>
            <Name>Turon to RSP Conversion Module</Name>
            <Description>Conversion Module</Description>
            <Size>Neutral and Offset</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4086</SubGroupID>
            <ARTGs>
                <ARTG>302688</ARTG>
            </ARTGs>
            <MinimumBenefit>829</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EX064</BillingCode>
            <Name>Equinoxe Reverse Shoulder, Fracture Humeral Adapter Tray.</Name>
            <Description>Reverse, fracture humeral adapter tray.</Description>
            <Size>+0mm, +5mm, +10mm, +15mm</Size>
            <SupplierCode>FA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4086</SubGroupID>
            <ARTGs>
                <ARTG>244994</ARTG>
            </ARTGs>
            <MinimumBenefit>829</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW871</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR341</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis Reversed Shoulder - Lateralized Insert</Name>
            <Description>The humeral cup is made of UHMWPE. It comes in two diameters (36 + 42mm) to correspond with the humeral metaphyseal components with the following heights 6, 9, 12  and 15mm.</Description>
            <Size>D. 36mm +6mm, D.36mm +9mm, D.36mm +12mm, D.36mm +15mm, D.42mm +6mm, D. 42mm +9mm, D.42mm +12mm D.42mm +15mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4086</SubGroupID>
            <ARTGs>
                <ARTG>209514</ARTG>
            </ARTGs>
            <MinimumBenefit>829</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW941</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR429</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis Reversed Fracture - Humeral Insert</Name>
            <Description>Polyethylene Insert</Description>
            <Size>Height 6.25 -13.5mm, Width 6mm-12mm, Articular Diameter- 36mm &amp; 42mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4086</SubGroupID>
            <ARTGs>
                <ARTG>211016</ARTG>
            </ARTGs>
            <MinimumBenefit>829</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW951</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR440</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis Ascend Flex Reversed Tray</Name>
            <Description>Reverse humeral tray - Titanium</Description>
            <Size>Thickness: 0mm, 6mm, 12mm  Offset: 0mm, 1.5mm, 3.5mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4086</SubGroupID>
            <ARTGs>
                <ARTG>218734</ARTG>
            </ARTGs>
            <MinimumBenefit>829</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA109</BillingCode>
            <Name>Comprehensive Reverse Humeral Tray</Name>
            <Description>Epiphysis</Description>
            <Size>Std, +5, +10</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>131</SubCategoryID>
            <GroupID>1278</GroupID>
            <SubGroupID>4086</SubGroupID>
            <ARTGs>
                <ARTG>324465</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>829</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH313</BillingCode>
            <Name>Affixus Hip Fracture Nail System</Name>
            <Description>Short Hip fracture nails</Description>
            <Size>9-13mm diameter, 180mm length</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3326</SubGroupID>
            <ARTGs>
                <ARTG>177870</ARTG>
            </ARTGs>
            <MinimumBenefit>1010</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ019</BillingCode>
            <Name>Austofix Femoral and Tibial Nailing System</Name>
            <Description>H2 Hip Nail 4.8/6.5, stainless steel or titanium</Description>
            <Size>Dia 11mm, Lengths 170mm – 240mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3326</SubGroupID>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>1010</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ058</BillingCode>
            <Name>F1 Proximal Femoral Nail</Name>
            <Description>F1 Femoral Nail, Titanium</Description>
            <Size>170mm, 200mm&#xD;
120deg, 125deg, 130deg</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3326</SubGroupID>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>1010</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW051</BillingCode>
            <Name>WEGO Nailing Systems</Name>
            <Description>Femoral Nail</Description>
            <Size>≤ 200mm</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3326</SubGroupID>
            <ARTGs>
                <ARTG>324374</ARTG>
            </ARTGs>
            <MinimumBenefit>1010</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JD015</BillingCode>
            <Name>Proximal Femur Nails</Name>
            <Description>Nails</Description>
            <Size>Diameter 11mm&#xD;
Proximal Diameter 17mm&#xD;
&lt;220mm length</Size>
            <SupplierCode>JD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3326</SubGroupID>
            <ARTGs>
                <ARTG>222647</ARTG>
            </ARTGs>
            <MinimumBenefit>1010</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK246</BillingCode>
            <Name>Gamma LN</Name>
            <Description>Standard - Titanium</Description>
            <Size>120, 125, 130 Deg; Diameter 10-12mm; Length 170-200mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3326</SubGroupID>
            <ARTGs>
                <ARTG>95185</ARTG>
            </ARTGs>
            <MinimumBenefit>1010</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN763</BillingCode>
            <Name>IMHS CP</Name>
            <Description>Intramedullary Hip Nail, stainless steel</Description>
            <Size>10 - 16mm x 19.5cm left and right</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3326</SubGroupID>
            <ARTGs>
                <ARTG>104370</ARTG>
            </ARTGs>
            <MinimumBenefit>1010</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN838</BillingCode>
            <Name>Trigen InterTAN Nail</Name>
            <Description>Nail, Titanium</Description>
            <Size>diameter 10-13mm
length 18-46cm
Angle 125°-135°</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3326</SubGroupID>
            <ARTGs>
                <ARTG>104370</ARTG>
            </ARTGs>
            <MinimumBenefit>1010</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ158</BillingCode>
            <Name>PediNail Platform</Name>
            <Description>Pediatric Nailing Platform Femur</Description>
            <Size>7mm x 200mm  Child  Left, Right</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3326</SubGroupID>
            <ARTGs>
                <ARTG>191587</ARTG>
            </ARTGs>
            <MinimumBenefit>1010</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY790</BillingCode>
            <Name>AO/ASIF Intramedullary Nails</Name>
            <Description>Femoral Nail</Description>
            <Size>9-15mm D &lt;220mm length</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3326</SubGroupID>
            <ARTGs>
                <ARTG>161140</ARTG>
            </ARTGs>
            <MinimumBenefit>1010</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI723</BillingCode>
            <Name>Zimmer Natural Nail System</Name>
            <Description>Cephalomedullary, Short Nails, Titanium</Description>
            <Size>10mm to 14.5mm (in 1.5mm increments) x 21.5cm 125 to 135 CCD (in 5 CCD increments) Left and Right.</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3326</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>1010</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH314</BillingCode>
            <Name>Affixus Hip Fracture Nail System</Name>
            <Description>Long Hip fracture nails</Description>
            <Size>9-15mm diameter, 260-460mm length</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3327</SubGroupID>
            <ARTGs>
                <ARTG>177870</ARTG>
            </ARTGs>
            <MinimumBenefit>1370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ007</BillingCode>
            <Name>F3 Femoral Nail</Name>
            <Description>F3 Femoral Nail Titanium</Description>
            <Size>Length 320mm to 440mm, left and right</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3327</SubGroupID>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>1370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ018</BillingCode>
            <Name>Austofix Femoral &amp; Tibial Nailing System</Name>
            <Description>F2 Femoral Nail 4.8/6.2; s-s</Description>
            <Size>Dia 9 - 12mm; Lengths 320 - 460mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3327</SubGroupID>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>1370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ067</BillingCode>
            <Name>F1 Proximal Femoral Nail</Name>
            <Description>F1 Femoral Nail - Long</Description>
            <Size>340mm - 460mm&#xD;
120deg, 125deg, 130deg</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3327</SubGroupID>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>1370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW052</BillingCode>
            <Name>WEGO Nailing Systems</Name>
            <Description>Femoral Nail</Description>
            <Size>≥220mm</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3327</SubGroupID>
            <ARTGs>
                <ARTG>324374</ARTG>
            </ARTGs>
            <MinimumBenefit>1370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JD016</BillingCode>
            <Name>Proximal Femur Nail</Name>
            <Description>Femoral Nail</Description>
            <Size>Diameter 11mm&#xD;
Proximal Diameter 17mm&#xD;
Length ≥220mm</Size>
            <SupplierCode>JD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3327</SubGroupID>
            <ARTGs>
                <ARTG>222647</ARTG>
            </ARTGs>
            <MinimumBenefit>1370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK214</BillingCode>
            <Name>Stryker Trauma Locking Nail System</Name>
            <Description>Reconstruction Nail</Description>
            <Size>Recon Nail Left/RightDiameter 9-15mm, Length 240-480mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3327</SubGroupID>
            <ARTGs>
                <ARTG>95185</ARTG>
            </ARTGs>
            <MinimumBenefit>1370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK244</BillingCode>
            <Name>Stryker Intramedullary Nailing System</Name>
            <Description>Gamma Long</Description>
            <Size>120, 125, 130 Deg; Diameter 10-15mm; Length 280-480mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3327</SubGroupID>
            <ARTGs>
                <ARTG>95185</ARTG>
            </ARTGs>
            <MinimumBenefit>1370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL065</BillingCode>
            <Name>Trigen</Name>
            <Description>Femoral Nail, Titanium</Description>
            <Size>9, 10, 11.5 &amp; 13mm diameter</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3327</SubGroupID>
            <ARTGs>
                <ARTG>104730</ARTG>
            </ARTGs>
            <MinimumBenefit>1370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN521</BillingCode>
            <Name>TriGen</Name>
            <Description>Femoral Nail</Description>
            <Size>8-18mm D ≥ 220mm length</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3327</SubGroupID>
            <ARTGs>
                <ARTG>104370</ARTG>
            </ARTGs>
            <MinimumBenefit>1370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN764</BillingCode>
            <Name>IMHS CP</Name>
            <Description>Intramedullary Hip Nail, stainless steel</Description>
            <Size>10 - 14mm x 32 - 44cm left and right</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3327</SubGroupID>
            <ARTGs>
                <ARTG>104370</ARTG>
            </ARTGs>
            <MinimumBenefit>1370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ086</BillingCode>
            <Name>PediNail System</Name>
            <Description>Intramedullary Femoral Nail</Description>
            <Size>7-10mm x 12-42cm&#xD;
Left, Right</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3327</SubGroupID>
            <ARTGs>
                <ARTG>191587</ARTG>
            </ARTGs>
            <MinimumBenefit>1370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ157</BillingCode>
            <Name>PediNail Platform</Name>
            <Description>Pediatric Nailing Platform Femur</Description>
            <Size>7-12mm x 220-420mm  Left, Right  Child, Adolescent</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3327</SubGroupID>
            <ARTGs>
                <ARTG>191587</ARTG>
            </ARTGs>
            <MinimumBenefit>1370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY791</BillingCode>
            <Name>AO/ASIF Intramedullary Nails</Name>
            <Description>Femoral Nail</Description>
            <Size>9-15mm D ≥ 220mm length</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3327</SubGroupID>
            <ARTGs>
                <ARTG>161140</ARTG>
            </ARTGs>
            <MinimumBenefit>1370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI715</BillingCode>
            <Name>Zimmer Natural Nail System</Name>
            <Description>Cephalomedullary, Femoral Long Nails, Titanium</Description>
            <Size>10mm to 14.5mm (in 1.5mm increments) x 30 to 48cm (in 2cm increments) x 125 &amp; 130 CCD Left and Right.</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3327</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>1370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI722</BillingCode>
            <Name>Zimmer Natural Nail System</Name>
            <Description>Antegrade Femoral Nails, Greater Trochanter, Titanium</Description>
            <Size>8 to 14mm x 24 to 48cm (in 2cm increments) Left and Right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3327</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>1370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AX020</BillingCode>
            <Name>S2 Nail System</Name>
            <Description>Cannulated supracondylar nail, stainless steel</Description>
            <Size>11/13mm x 160-380mm</Size>
            <SupplierCode>AX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3328</SubGroupID>
            <ARTGs>
                <ARTG>119002</ARTG>
            </ARTGs>
            <MinimumBenefit>1065</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ064</BillingCode>
            <Name>S2 Nail System</Name>
            <Description>Cannulated supracondylar nail, stainless steel</Description>
            <Size>11/13mm x 160-380mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3328</SubGroupID>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>1065</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JD019</BillingCode>
            <Name>Femoral Nail</Name>
            <Description>Femoral Nail</Description>
            <Size>Diameter 10 - 12mm</Size>
            <SupplierCode>JD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3328</SubGroupID>
            <ARTGs>
                <ARTG>222647</ARTG>
            </ARTGs>
            <MinimumBenefit>1065</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN299</BillingCode>
            <Name>AO/ASIF Intramedullary Nails</Name>
            <Description>Retrograde Femoral Nail</Description>
            <Size>9-15mm / 160-420mm Length</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3328</SubGroupID>
            <ARTGs>
                <ARTG>161140</ARTG>
            </ARTGs>
            <MinimumBenefit>1065</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK202</BillingCode>
            <Name>Stryker Trauma Locking Nail System</Name>
            <Description>SCN</Description>
            <Size>Diameter 8mm - 15mm, &#xD;
Length 170mm - 480mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3328</SubGroupID>
            <ARTGs>
                <ARTG>95185</ARTG>
            </ARTGs>
            <MinimumBenefit>1065</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN522</BillingCode>
            <Name>TriGen</Name>
            <Description>Femoral nail</Description>
            <Size>8.5-13mm x 15-50cm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3328</SubGroupID>
            <ARTGs>
                <ARTG>104370</ARTG>
            </ARTGs>
            <MinimumBenefit>1065</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY264</BillingCode>
            <Name>AO/ASIF Intramedullary Nails</Name>
            <Description>Distal Femoral Nail - DFN</Description>
            <Size>9-15mm / 160-420mm Length</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3328</SubGroupID>
            <ARTGs>
                <ARTG>161140</ARTG>
            </ARTGs>
            <MinimumBenefit>1065</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI721</BillingCode>
            <Name>Zimmer Natural Nail System</Name>
            <Description>Retrograde Femoral Nail - Titanium</Description>
            <Size>10mm to 13mm x 16, 20, 24, 28, 30, 32, 34, 36, 38, 40, 42, 44cm Universal.  </Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3328</SubGroupID>
            <ARTGs>
                <ARTG>169891</ARTG>
            </ARTGs>
            <MinimumBenefit>1065</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ012</BillingCode>
            <Name>Austofix Femoral and Tibial Nailing System</Name>
            <Description>Universal Tibial Nail (UTN) 4.0/4.8, stainless steel or titanium</Description>
            <Size>Diameter 8 – 11mm, Lengths 260mm – 420mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3329</SubGroupID>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>1268</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW002</BillingCode>
            <Name>WEGO Nailing Systems</Name>
            <Description>Tibial Nail</Description>
            <Size>&gt; 220mm</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3329</SubGroupID>
            <ARTGs>
                <ARTG>324375</ARTG>
            </ARTGs>
            <MinimumBenefit>1268</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU149</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE684</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Fibulock, Fibular Nail System</Name>
            <Description>Fibular Nail for Fibular Fracture Fixation</Description>
            <Size>4 Sizes (Left &amp; Right Side Specific)</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3329</SubGroupID>
            <ARTGs>
                <ARTG>350831</ARTG>
            </ARTGs>
            <MinimumBenefit>1268</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW536</BillingCode>
            <Name>Stryker Intermedullary Nailing System</Name>
            <Description>Femoral Nails</Description>
            <Size>7-15mm Diameter , 140 to 480 lengths</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3329</SubGroupID>
            <ARTGs>
                <ARTG>95185</ARTG>
            </ARTGs>
            <MinimumBenefit>1268</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW537</BillingCode>
            <Name>Stryker Intramedullary Nailing System</Name>
            <Description>Tibial nails</Description>
            <Size>8-15mm Diameter, 240- 420mm lengths</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3329</SubGroupID>
            <ARTGs>
                <ARTG>139722</ARTG>
            </ARTGs>
            <MinimumBenefit>1268</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JD020</BillingCode>
            <Name>Tibial Nail</Name>
            <Description>Tibial Nail</Description>
            <Size>10 - 11mm diameter</Size>
            <SupplierCode>JD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3329</SubGroupID>
            <ARTGs>
                <ARTG>222647</ARTG>
            </ARTGs>
            <MinimumBenefit>1268</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO280</BillingCode>
            <Name>Acumed Fibula Rod System</Name>
            <Description>Intramedullary Nail, fibula lower limb specific</Description>
            <Size>3.00mm &amp; 3.6mm diameter left and right specific rods with lengths of 110mm, 145mm, 180mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3329</SubGroupID>
            <ARTGs>
                <ARTG>99822</ARTG>
            </ARTGs>
            <MinimumBenefit>1268</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN841</BillingCode>
            <Name>Trigen META</Name>
            <Description>Metaphyseal Nail, Titanium</Description>
            <Size>8.5-13mm
15x50cm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3329</SubGroupID>
            <ARTGs>
                <ARTG>117591</ARTG>
            </ARTGs>
            <MinimumBenefit>1268</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY788</BillingCode>
            <Name>AO/ASIF Intramedullary Nails</Name>
            <Description>Tibial Nail</Description>
            <Size>7-19; 200-600mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3329</SubGroupID>
            <ARTGs>
                <ARTG>161138</ARTG>
            </ARTGs>
            <MinimumBenefit>1268</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI719</BillingCode>
            <Name>Zimmer Natural Nail System</Name>
            <Description>Tibial Nails - Titanium</Description>
            <Size>8.3mm; 9.3mm; 10mm; 11mm; 12mm; 14mm x 24 to 44cm in 2cm increments</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3329</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>1268</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH367</BillingCode>
            <Name>Fassier-Duval Telescopic IM System Component: Male</Name>
            <Description>The Fassier-Dual Telescopic IM System is an endomedular nail designed for patients suffering from Osteogenesis Impecfecta (OI), Skeletal Displasia, Congenital Tibial Pseudoarthrosis, Limb lengthening over nail, Segmental Tumour removal and other bone deformities</Description>
            <Size>The system is composed of a total of 108 rods in 9 different diameters per type.  The nail is manufactured in both Ti alloy (Ti6A14V ASTM-136) and medical grade Stainless Steel (315L, ASTM 138).  It is available in five diameters: 3.2, 4,4.8,5.6 and 6.4 mm</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3330</SubGroupID>
            <Suffix>Gth</Suffix>
            <ARTGs>
                <ARTG>141020</ARTG>
            </ARTGs>
            <MinimumBenefit>3348</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH368</BillingCode>
            <Name>Fassier-Duval Telescopic IM System Component: Female</Name>
            <Description>The Fassier-Duval Telescopic IM System is an endomedular nail designed for patients suffering from Osteogenesis Imperfecta (OI), Skeletal Displasia, Congenital Tibial Pseudoarthrosis, Limb lengthening over nail, Segmental Tumor removal and other bone defo</Description>
            <Size>The system is composed of a total of 108 rods in 9 different diameters per type.  The nail is manufactured in both Ti alloy (Ti6A14V ASTM-136) and medical grade stainless steel (316L, ASTM 138).  It is available in five diameters: 3.2,4.4,8,5.6 and 6.4mm;</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3330</SubGroupID>
            <Suffix>Gth</Suffix>
            <ARTGs>
                <ARTG>141020</ARTG>
            </ARTGs>
            <MinimumBenefit>3348</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VK035</BillingCode>
            <Name>Telescopic Nail</Name>
            <Description>The Telescopic Nail consists of two parts, D profile bar (male nail) and suitable D profile tube (female nail) with threaded end. It is made of high grade medical stainless steel. The male and female nails have five different diameter choices. The male nail comes in one length for each diameter. The female nails have five different length choices for each diameter. The Telescopic Nail includes a special designed corkscrew end on the distal part of the male nail that holds the nail firmly in the bone and prevents damage to the growth plate. The Telescopic Nail is indicated for children with long bone deformity corrections, fracture stabilisation, patients with osteoporotic bone and for children older than 18 months who are diagnosed with osteogenesis imperfecta.</Description>
            <Size>Female Nail 3.5mm diameter 110, 120, 130, 140, 150mm lengths.  Angled Female Nail 3.5mm diameter 110, 130, 150mm lengths.  Male Nail 2.0mm diameter 180mm length.    Female Nail 4.0mm diameter 150, 170, 180, 190, 200mm lengths.  Angled Female Nail 4.0mm diameter 150, 180, 200mm lengths.  Male Nail 2.5mm diameter 250mm length.    Female Nail 5.0mm diameter 150, 200, 210, 230, 250mm lengths.  Angled Female Nail 5.0mm diameter 150, 210, 250mm lengths.  Male Nail 3.5mm diameter 300mm length.    Female Nail 6.0mm diameter 250, 270, 280, 290, 300mm lengths.  Angled Female Nail 6.0mm diameter 150, 210, 250mm lengths.  Male Nail 4.0mm diameter 350mm length.    Female Nail 6.5mm diameter 190, 200, 250, 280, 300mm lengths.  Angled Female Nail 6.5mm diameter 150, 210, 250mm lengths.  Male Nail 5.0mm diameter 350mm length.</Size>
            <SupplierCode>VK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3330</SubGroupID>
            <Suffix>Gth</Suffix>
            <ARTGs>
                <ARTG>305115</ARTG>
                <ARTG>307686</ARTG>
                <ARTG>307748</ARTG>
                <ARTG>308017</ARTG>
                <ARTG>310263</ARTG>
            </ARTGs>
            <MinimumBenefit>3348</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH357</BillingCode>
            <Name>VersaNail IM Nailing Platform</Name>
            <Description>Humeral Nails, Universal and Proximal, Titanium, Locking, cannulated</Description>
            <Size>7-10 mm x 150-300mm</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3330</SubGroupID>
            <ARTGs>
                <ARTG>212593</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Sizes</ChangeExplanation>
            <MinimumBenefit>878</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ016</BillingCode>
            <Name>Proximal Humeral Nail</Name>
            <Description>Stainless Steel</Description>
            <Size>Diameter 8 mm, Length 170 mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3330</SubGroupID>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>878</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ075</BillingCode>
            <Name>Cannulated Humeral Nail</Name>
            <Description>Humeral Nail</Description>
            <Size>Diameter: 7mm to 9mm  Length: 170mm to 280mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3330</SubGroupID>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>878</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW876</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR346</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis Humeral Nail</Name>
            <Description>Humeral Nail, straight, cannulated, Ti</Description>
            <Size>Right/Left, dia 7mm and 8mm, Lg 130mm, 210mm, 230mm, 250mm and 270mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3330</SubGroupID>
            <ARTGs>
                <ARTG>164794</ARTG>
            </ARTGs>
            <MinimumBenefit>878</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO424</BillingCode>
            <Name>ACUMED POLARUS® 3 Solution Nails</Name>
            <Description>ACUMED POLARUS 3 SOLUTION HUMERAL NAILS</Description>
            <Size>A range of proximal and distal nails, 150mm, 200mm, 220mm, 240mm, 260mm, 280mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3330</SubGroupID>
            <ARTGs>
                <ARTG>99822</ARTG>
            </ARTGs>
            <MinimumBenefit>878</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK006</BillingCode>
            <Name>Stryker Trauma Locking Nail System</Name>
            <Description>Titanium - Humeral Nail</Description>
            <Size>Dia 7,8,9mm length 140 - 320mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3330</SubGroupID>
            <ARTGs>
                <ARTG>139723</ARTG>
            </ARTGs>
            <MinimumBenefit>878</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK199</BillingCode>
            <Name>Stryker Trauma Locking Nail System</Name>
            <Description>Proximal Humeral Nail</Description>
            <Size>Nail Left/Right</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3330</SubGroupID>
            <ARTGs>
                <ARTG>139723</ARTG>
                <ARTG>76714</ARTG>
            </ARTGs>
            <MinimumBenefit>878</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN740</BillingCode>
            <Name>Trigen</Name>
            <Description>Humeral Nail</Description>
            <Size>7-11cm x 16-30cm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3330</SubGroupID>
            <ARTGs>
                <ARTG>117600</ARTG>
            </ARTGs>
            <MinimumBenefit>878</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY129</BillingCode>
            <Name>AO/ASIF Intramedullary Nails</Name>
            <Description>Humeral Nail</Description>
            <Size>6.0 - 12.0 mm length 100 - 400mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3330</SubGroupID>
            <ARTGs>
                <ARTG>161139</ARTG>
            </ARTGs>
            <MinimumBenefit>878</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY416</BillingCode>
            <Name>AO/ASIF Intramedullary Nails ASLS</Name>
            <Description>Intramedullary Angular Stable Locking System</Description>
            <Size>4-6mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3330</SubGroupID>
            <ARTGs>
                <ARTG>168395</ARTG>
            </ARTGs>
            <MinimumBenefit>878</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY689</BillingCode>
            <Name>MultiLoc Humeral Nail</Name>
            <Description>Humeral Nail</Description>
            <Size>7.0mm-9.5mm D, 160mm-315mm L</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3330</SubGroupID>
            <ARTGs>
                <ARTG>161139</ARTG>
            </ARTGs>
            <MinimumBenefit>878</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA071</BillingCode>
            <Name>Affixus Humeral Nail System</Name>
            <Description>Humeral Nails, Universal and Proximal, Titanium, Locking, cannulated</Description>
            <Size>7-11mm x 160-280mm</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3330</SubGroupID>
            <ARTGs>
                <ARTG>124766</ARTG>
            </ARTGs>
            <MinimumBenefit>878</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LO100</BillingCode>
            <Name>LINK Knee Fusion Nail</Name>
            <Description>Cobalt Chromium</Description>
            <Size>180mm, 220mm, 260mm</Size>
            <SupplierCode>LO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3331</SubGroupID>
            <ARTGs>
                <ARTG>140661</ARTG>
                <ARTG>140663</ARTG>
            </ARTGs>
            <MinimumBenefit>4464</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK337</BillingCode>
            <Name>Stryker Trauma Locking Nail System</Name>
            <Description>Arthrodesis Nail - Knee</Description>
            <Size>Arthrodesis Nail Left/Right; 11.5mm and 13mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3331</SubGroupID>
            <ARTGs>
                <ARTG>139633</ARTG>
            </ARTGs>
            <MinimumBenefit>4464</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN497</BillingCode>
            <Name>Intramedullary Nailing System</Name>
            <Description>Knee Fusion Nail</Description>
            <Size>Diameter 11- 13 mm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3331</SubGroupID>
            <ARTGs>
                <ARTG>104370</ARTG>
            </ARTGs>
            <MinimumBenefit>4464</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH044</BillingCode>
            <Name>Biomet Phoenix Nail Arthrodesis Nailing System - Nail</Name>
            <Description>Ankle Arthrodesis Locking Nail, Titanium Alloy</Description>
            <Size>9 - 12mm diameter x 150 - 420mm length</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3332</SubGroupID>
            <ARTGs>
                <ARTG>114474</ARTG>
            </ARTGs>
            <MinimumBenefit>4493</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW798</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR208</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Valor Hindfoot Fusion System</Name>
            <Description>Valor Hindfoot Fusion Nail, Titanium Alloy</Description>
            <Size>10 &amp; 11.5mm diameter, 150, 200 &amp; 250mm length, left and right</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3332</SubGroupID>
            <ARTGs>
                <ARTG>198549</ARTG>
            </ARTGs>
            <MinimumBenefit>4493</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW929</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR411</PriorBillingCode>
            </PriorBillingCodes>
            <Name>611 Ankle Fusion Nail</Name>
            <Description>The 611 ankle arthrodesis nail is made out of titanium alloy (Ti6AI4V) and is associated with self locking screws, a plug and an internal screw. The nail is delivered sterile. The self locking screws, plug and internal locking screw are delivered non-sterile with the instrumentation</Description>
            <Size>10mm x 180mm, 6 deg left, 10mm x 180mm, 6 deg right  12mm x 180mm, 6 deg left, 12mm x 180mm, 6 deg right  10mm x 180mm, 11 deg left, 10mm x 180mm, 11 deg right  12mm x 180mm, 11 deg left, 12mmx180mm, 11 right</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3332</SubGroupID>
            <ARTGs>
                <ARTG>198776</ARTG>
            </ARTGs>
            <MinimumBenefit>4493</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JD010</BillingCode>
            <Name>Ankle Arthrodesis Nail</Name>
            <Description>Arthrodesis Nail</Description>
            <Size>10 &amp; 12mm diameter</Size>
            <SupplierCode>JD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3332</SubGroupID>
            <ARTGs>
                <ARTG>222647</ARTG>
            </ARTGs>
            <MinimumBenefit>4493</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM369</BillingCode>
            <Name>Ankle Arthrodesis Nail</Name>
            <Description>Ankle Arthrodesis Nail</Description>
            <Size>Multiple sizes to suit patient anatomy</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3332</SubGroupID>
            <ARTGs>
                <ARTG>308941</ARTG>
            </ARTGs>
            <MinimumBenefit>4493</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB074</BillingCode>
            <Name>Ankle Arthrodesis Nail</Name>
            <Description>Ankle Arthrodesis Nail</Description>
            <Size>10mm - 12mm diameter</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3332</SubGroupID>
            <ARTGs>
                <ARTG>229660</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>4493</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PF019</BillingCode>
            <Name>Tylos</Name>
            <Description>Ankle arthrodesis nail for Tibial Talo Calcaneal fusion</Description>
            <Size>10 - 12mm diameter</Size>
            <SupplierCode>PF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3332</SubGroupID>
            <ARTGs>
                <ARTG>274577</ARTG>
            </ARTGs>
            <MinimumBenefit>4493</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PF022</BillingCode>
            <Name>Calcanail</Name>
            <Description>Subtalar fusion and fracture nail</Description>
            <Size>10-12mm Diameter, 45-85mm length</Size>
            <SupplierCode>PF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3332</SubGroupID>
            <ARTGs>
                <ARTG>274577</ARTG>
            </ARTGs>
            <MinimumBenefit>4493</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK450</BillingCode>
            <Name>T2 Ankle Arthrodesis Nail</Name>
            <Description>T2 Ankle Arthrodesis Type II Anodized Titanium Alloy (Ti6A14V)</Description>
            <Size>10, 11, 12mm Diameters &amp; 150,200 &amp; 300mm Lengths</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3332</SubGroupID>
            <ARTGs>
                <ARTG>139633</ARTG>
                <ARTG>16221</ARTG>
            </ARTGs>
            <MinimumBenefit>4493</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-06-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL205</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG100</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Panta Arthrodesis Nail</Name>
            <Description>Ankle Nail, Titanium</Description>
            <Size>Diameter 10 -13 mm  Length - 150-240 mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3332</SubGroupID>
            <ARTGs>
                <ARTG>173962</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG100</ChangeExplanation>
            <MinimumBenefit>4493</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN772</BillingCode>
            <Name>Trigen</Name>
            <Description>Hindfoot Fusion Nail, Titanium</Description>
            <Size>10 - 11.5mm Diameter</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3332</SubGroupID>
            <ARTGs>
                <ARTG>116509</ARTG>
            </ARTGs>
            <MinimumBenefit>4493</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY130</BillingCode>
            <Name>AO/ASIF Arthrodesis system</Name>
            <Description>Arthrodesis</Description>
            <Size>26 - 240mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>3332</SubGroupID>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>4493</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH265</BillingCode>
            <Name>Small Bone Fixation System - Small Bone Fixation System Kit</Name>
            <Description>Intramedullary Nail Fixation System Kit</Description>
            <Size>1.6mm and 1.1mm</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>5360</SubGroupID>
            <ARTGs>
                <ARTG>137673</ARTG>
            </ARTGs>
            <MinimumBenefit>223</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ072</BillingCode>
            <Name>Elastic Nails</Name>
            <Description>Flexible/Paediatric Nails</Description>
            <Size>1.5mm to 5.5mm diameter, 300mm to 440mm length</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>5360</SubGroupID>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>223</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK506</BillingCode>
            <Name>T2 Kids Paediatric Nail</Name>
            <Description>Paediatric Flexible Nail</Description>
            <Size>1.5-4mm, 300-450mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>5360</SubGroupID>
            <ARTGs>
                <ARTG>169585</ARTG>
            </ARTGs>
            <MinimumBenefit>223</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ094</BillingCode>
            <Name>PediFlex System</Name>
            <Description>Intramedullary Flexible Nail, Titanium, Stainless Steel, Standard, Tapered Tip, Round Tip</Description>
            <Size>1.5-4.5mm x 300-450mm</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>5360</SubGroupID>
            <ARTGs>
                <ARTG>191587</ARTG>
            </ARTGs>
            <MinimumBenefit>223</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY064</BillingCode>
            <Name>Titanium Elastic Nail</Name>
            <Size>1.5mm - 4.0mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>5360</SubGroupID>
            <ARTGs>
                <ARTG>141931</ARTG>
            </ARTGs>
            <MinimumBenefit>223</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA065</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>BH179</PriorBillingCode>
                <PriorBillingCode>BH180</PriorBillingCode>
                <PriorBillingCode>BH181</PriorBillingCode>
                <PriorBillingCode>BH183</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Nancy Nail System</Name>
            <Description>Pediatric Flexible Nail</Description>
            <Size>2-4mm x 130-450mm</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>5360</SubGroupID>
            <ARTGs>
                <ARTG>212593</ARTG>
            </ARTGs>
            <MinimumBenefit>223</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO159</BillingCode>
            <Name>Polarus Humeral Rod System</Name>
            <Description>Polarus Ulna Rod Titanium</Description>
            <Size>210 to 270mm length</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>5361</SubGroupID>
            <ARTGs>
                <ARTG>99822</ARTG>
            </ARTGs>
            <MinimumBenefit>1481</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO161</BillingCode>
            <Name>Polarus Humeral Rod System</Name>
            <Description>Polarus Radius Rod Titanium</Description>
            <Size>190 to 230mm length</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>5361</SubGroupID>
            <ARTGs>
                <ARTG>99822</ARTG>
            </ARTGs>
            <MinimumBenefit>1481</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY781</BillingCode>
            <Name>AO/ASIF Intramedullary Nails</Name>
            <Description>Olecranon Osteotomy Nail</Description>
            <Size>63mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>5361</SubGroupID>
            <ARTGs>
                <ARTG>161139</ARTG>
            </ARTGs>
            <MinimumBenefit>1481</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH542</BillingCode>
            <Name>Precice Intramedullary Limb Lengthening System , Nail</Name>
            <Description>Precice Intramedullary Nail</Description>
            <Size>(8.5 -13)mm diameter x (130- 365)mm length</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>5362</SubGroupID>
            <ARTGs>
                <ARTG>244568</ARTG>
                <ARTG>244569</ARTG>
                <ARTG>290819</ARTG>
            </ARTGs>
            <MinimumBenefit>16741</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VK015</BillingCode>
            <Name>ISKD Internal Limb Lengthening System</Name>
            <Description>Titanium Alloy</Description>
            <Size>Diameter 12.5 - 14.5mm</Size>
            <SupplierCode>VK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>5362</SubGroupID>
            <ARTGs>
                <ARTG>118320</ARTG>
                <ARTG>189940</ARTG>
                <ARTG>189941</ARTG>
            </ARTGs>
            <MinimumBenefit>16741</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BU013</BillingCode>
            <Name>Lync Intramedullary Implant</Name>
            <Description>Lync is a titanium intramedullary implant</Description>
            <Size>12mm to 20mm Length, Angled 0 degrees and 10 degrees</Size>
            <SupplierCode>BU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>5474</SubGroupID>
            <ARTGs>
                <ARTG>235763</ARTG>
            </ARTGs>
            <MinimumBenefit>548</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER380</BillingCode>
            <Name>Paragon 28 Phantom Lapidus Nail System-Intramedullary nail, foot</Name>
            <Description>Phantom Lapidus intramedullary nail, foot, left or right</Description>
            <Size>dia 5.5 mmx length (38-60 mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>5474</SubGroupID>
            <ARTGs>
                <ARTG>290443</ARTG>
            </ARTGs>
            <MinimumBenefit>548</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER387</BillingCode>
            <Name>Paragon 28 Hammer Tube System</Name>
            <Description>Paragon 28 Hammer tube, proximal interphalangeal joint arthrodesis; solid or cannulated, Peek, sterile</Description>
            <Size>dia (2.50-3.75 mm); angle 0-10°; length (14-16mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>5474</SubGroupID>
            <ARTGs>
                <ARTG>290441</ARTG>
            </ARTGs>
            <MinimumBenefit>548</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU157</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE550</PriorBillingCode>
            </PriorBillingCodes>
            <Name>RetroFusion</Name>
            <Description>Implant for PIP Arthrodesis for Hammertoe and Clawtoe Deformity</Description>
            <Size>20mm Length  24mm Length</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>5474</SubGroupID>
            <ARTGs>
                <ARTG>350672</ARTG>
            </ARTGs>
            <MinimumBenefit>548</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW787</BillingCode>
            <Name>SALVATION 2 Midfoot Nail</Name>
            <Description>Intramedullary Nail</Description>
            <Size>60-160mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>5474</SubGroupID>
            <ARTGs>
                <ARTG>328561</ARTG>
            </ARTGs>
            <MinimumBenefit>548</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW821</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR252</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Pro-toe VO</Name>
            <Description>Hammertoe Fixation System</Description>
            <Size>Small, Large, Straight &amp; Angled</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>5474</SubGroupID>
            <ARTGs>
                <ARTG>198485</ARTG>
            </ARTGs>
            <MinimumBenefit>548</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW839</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR298</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Phalinx / Pro-toe VO*</Name>
            <Description>Hammertoe Fixation System Implants</Description>
            <Size>Extra Small - Large, Straight &amp; Angled</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>5474</SubGroupID>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>548</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM246</BillingCode>
            <Name>Duafit</Name>
            <Description>Interphalangeal implant</Description>
            <Size>11 - 20 mm implant length, zero, 10.0 or 17.0 degrees of plantarflexion</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>5474</SubGroupID>
            <ARTGs>
                <ARTG>236773</ARTG>
            </ARTGs>
            <MinimumBenefit>548</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM300</BillingCode>
            <Name>Intramedullary Arthrodesis Implant</Name>
            <Description>Implant for small joint Arthrodesis</Description>
            <Size>Small, Medium, Large</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>5474</SubGroupID>
            <ARTGs>
                <ARTG>164980</ARTG>
            </ARTGs>
            <MinimumBenefit>548</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN045</BillingCode>
            <Name>Newclip Hammertoe</Name>
            <Description>Proximal Interphalangeal Implant</Description>
            <Size>XS, S, M, L</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>5474</SubGroupID>
            <ARTGs>
                <ARTG>299344</ARTG>
            </ARTGs>
            <MinimumBenefit>548</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN061</BillingCode>
            <Name>Interphalangeal implants</Name>
            <Description>Interphalangeal implants</Description>
            <Size>XS, S, M, L</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>5474</SubGroupID>
            <ARTGs>
                <ARTG>299344</ARTG>
            </ARTGs>
            <MinimumBenefit>548</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VK038</BillingCode>
            <Name>Fusion Beaming System</Name>
            <Description>The Fusion Beaming System has been designed to address the specific demands of advanced deformity and trauma reconstructions of foot and ankle applications. The system was developed for the treatment of neuropathic deformities, such as Charcot, requiring fusion of the medial and/or lateral columns, with or without corrective osteotomies as well as for joint fusions within the mid and hindfoot. The Fusion Beaming System consists of two different diameter implant ranges, designed for optimal implant selection for wide ranging patient anatomies, and an instrumentation including the dedicated Sterilization Tray. The Fusion Beaming System is designed with an instrumentation and technique that have been developed to simplify the surgery.</Description>
            <Size>5.4mm diameter implants: Lengths - 50mm, 55mm, 60mm, 65mm, 70mm, 75mm, 80mm, 85mm, 90mm, 95mm, 100mm, 105mm, 110mm, 115mm, 120mm, 125mm, 130mm, 135mm, 140mm, 145mm, 150mm, 155mm, 160mm, 165mm, 170mm.  7.4mm diameter implants: Lengths - 50mm, 55mm, 60mm, 65mm, 70mm, 75mm, 80mm, 85mm, 90mm, 95mm, 100mm, 105mm, 110mm, 115mm, 120mm, 125mm, 130mm, 135mm, 140mm, 145mm, 150mm, 155mm, 160mm, 165mm, 170mm, 175mm, 180mm, 185mm, 190mm, 195mm, 200mm.</Size>
            <SupplierCode>VK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>5474</SubGroupID>
            <ARTGs>
                <ARTG>295285</ARTG>
                <ARTG>307583</ARTG>
                <ARTG>307749</ARTG>
            </ARTGs>
            <MinimumBenefit>548</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI980</BillingCode>
            <Name>Nextra hammertoe Correction Prosthesis</Name>
            <Description>Interdigital Fusion Implant</Description>
            <Size>3.5mm MPI / 3.2mm PI&#xD;
4.5mm MPI / 3.2mm PI&#xD;
5.5mm MPI / 3.2mm PI&#xD;
4.5mm MPI / 4.5mm PI&#xD;
5.5mm MPI / 4.5mm PI</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>5474</SubGroupID>
            <ARTGs>
                <ARTG>202866</ARTG>
                <ARTG>259860</ARTG>
            </ARTGs>
            <MinimumBenefit>548</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ079</BillingCode>
            <Name>Austofix Orthofuse</Name>
            <Description>Titanium Intramedullary Fusion Devices</Description>
            <Size>3.3mm Prox, 4.3mm Mid  2.8mm Prox, 3.8mm Mid  </Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>6561</SubGroupID>
            <Suffix>Interphalangeal</Suffix>
            <ARTGs>
                <ARTG>284755</ARTG>
            </ARTGs>
            <MinimumBenefit>548</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU219</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE715</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Dynanite PIP Hammertoe Implant</Name>
            <Description>PIP Arthrodesis Implant</Description>
            <Size>12mm, 14mm, 16mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>6561</SubGroupID>
            <Suffix>Interphalangeal</Suffix>
            <ARTGs>
                <ARTG>354292</ARTG>
            </ARTGs>
            <MinimumBenefit>548</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN205</BillingCode>
            <Name>Hammerlock</Name>
            <Description>Intramedulary Nitinol Implant</Description>
            <Size>Small to large</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>6561</SubGroupID>
            <Suffix>Interphalangeal</Suffix>
            <ARTGs>
                <ARTG>95685</ARTG>
            </ARTGs>
            <MinimumBenefit>548</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB073</BillingCode>
            <Name>Hammer Fusion System</Name>
            <Description>Interphalangeal Arthrodesis Implant</Description>
            <Size>2.0mm - 4.0mm</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>6561</SubGroupID>
            <Suffix>Interphalangeal</Suffix>
            <ARTGs>
                <ARTG>229660</ARTG>
            </ARTGs>
            <MinimumBenefit>548</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PF025</BillingCode>
            <Name>TicTac</Name>
            <Description>Interphalangeal implant</Description>
            <Size>Straight and angled</Size>
            <SupplierCode>PF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>6561</SubGroupID>
            <Suffix>Interphalangeal</Suffix>
            <ARTGs>
                <ARTG>290541</ARTG>
            </ARTGs>
            <MinimumBenefit>548</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB064</BillingCode>
            <Name>C Nail</Name>
            <Description>Intramedullary Nail</Description>
            <Size>60mm - 100mm </Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>7362</SubGroupID>
            <ARTGs>
                <ARTG>229660</ARTG>
            </ARTGs>
            <MinimumBenefit>1200</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VK039</BillingCode>
            <Name>C-Nail</Name>
            <Description>C-Nail is an intramedullary nail for minimal-invasive fixation of intraarticular calcaneal fractures. The principle is to stabilise with the nail the four to five main fragments of the fractured calcaneus in conjunction with up to seven interlocking screws and thus creating angular stable fixation. The maximum stability is achieved by fixing the sustentacular fragment towards the nail with two interlocking screws guided by a very precise aiming devise. The design of the nail is clearly marked "L" for left foot and "R" for right foot. The nail length is 65mm with a diameter of 8mm. The nail can be extended and closed with an end cap that comes in 0mm, 5mm, 10mm, 15mm and 20mm sizes.</Description>
            <Size>C-Nail: 65mm length x 8mm diameter (Left and Right option).</Size>
            <SupplierCode>VK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1228</GroupID>
            <SubGroupID>7362</SubGroupID>
            <ARTGs>
                <ARTG>301836</ARTG>
                <ARTG>305133</ARTG>
                <ARTG>308207</ARTG>
                <ARTG>308208</ARTG>
                <ARTG>308209</ARTG>
                <ARTG>308210</ARTG>
            </ARTGs>
            <MinimumBenefit>1200</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK490</BillingCode>
            <Name>Gamma</Name>
            <Description>U-Blade Lag Screw Set</Description>
            <Size>Dia. 10.5mm, 70-130mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3341</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>139625</ARTG>
            </ARTGs>
            <MinimumBenefit>472</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY285</BillingCode>
            <Name>AO/ASIF Intramedullary nails</Name>
            <Description>Helical blade</Description>
            <Size>50-150mm length</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3341</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>157068</ARTG>
            </ARTGs>
            <MinimumBenefit>472</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL066</BillingCode>
            <Name>TriGen</Name>
            <Description>Integrated Lag / Compression Screw Kit</Description>
            <Size>65 mm - 120 mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3341</SubGroupID>
            <Suffix>Comp</Suffix>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>243</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL067</BillingCode>
            <Name>TriGen</Name>
            <Description>Compression Screw</Description>
            <Size>35 mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3341</SubGroupID>
            <Suffix>Comp</Suffix>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>243</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN774</BillingCode>
            <Name>IMHS CP</Name>
            <Description>Captured Compression Screw, Stainless Steel</Description>
            <Size>19mm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3341</SubGroupID>
            <Suffix>Comp</Suffix>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>243</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ST035</BillingCode>
            <Name>Stryker Intramedullary Nailing System</Name>
            <Description>Compression Screw -Titanium</Description>
            <Size>0 – 35mm</Size>
            <SupplierCode>ST</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3341</SubGroupID>
            <Suffix>Comp</Suffix>
            <ARTGs>
                <ARTG>139625</ARTG>
            </ARTGs>
            <MinimumBenefit>243</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH315</BillingCode>
            <Name>Affixus Hip Fracture Nail System</Name>
            <Description>Lag Screw</Description>
            <Size>70-130mm</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3341</SubGroupID>
            <ARTGs>
                <ARTG>177876</ARTG>
            </ARTGs>
            <MinimumBenefit>199</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ011</BillingCode>
            <Name>Austofix Femoral and Tibial Nailing System</Name>
            <Description>6.2/6.5 Hip Screw, stainless steel or titanium</Description>
            <Size>Diameter 6.2-6.5mm, Lengths 70-120mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3341</SubGroupID>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>199</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ059</BillingCode>
            <Name>F1 Proximal Femoral Nail</Name>
            <Description>F1 10.4mm Helical Blade</Description>
            <Size>10.4mm width, 60-120mm length</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3341</SubGroupID>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>199</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ060</BillingCode>
            <Name>F1 Proximal Femoral Nail</Name>
            <Description>10.4mm Hip Screw</Description>
            <Size>10.4mm width, 60-120mm length</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3341</SubGroupID>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>199</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW046</BillingCode>
            <Name>WEGO Nailing Systems</Name>
            <Description>Femoral Neck Lag Screw</Description>
            <Size>75 - 120mm</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3341</SubGroupID>
            <ARTGs>
                <ARTG>324374</ARTG>
            </ARTGs>
            <MinimumBenefit>199</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JD017</BillingCode>
            <Name>Proximal Femur Lag Screws</Name>
            <Description>Lag Screws</Description>
            <Size>80-110mm Length</Size>
            <SupplierCode>JD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3341</SubGroupID>
            <ARTGs>
                <ARTG>222647</ARTG>
            </ARTGs>
            <MinimumBenefit>199</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM370</BillingCode>
            <Name>Intramedullary Nail Screw</Name>
            <Description>Intramedullary Nail Screw</Description>
            <Size>Multiple sizes to suit patient anatomy</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3341</SubGroupID>
            <ARTGs>
                <ARTG>266217</ARTG>
            </ARTGs>
            <MinimumBenefit>199</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK243</BillingCode>
            <Name>Gamma LN</Name>
            <Description>Lag Screw - Titanium</Description>
            <Size>10.5mmx70mm - 10.5mmx130mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3341</SubGroupID>
            <ARTGs>
                <ARTG>95185</ARTG>
            </ARTGs>
            <MinimumBenefit>199</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL026</BillingCode>
            <Name>Compresion Hip Screw</Name>
            <Description>Lag Screws</Description>
            <Size>55-140mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3341</SubGroupID>
            <ARTGs>
                <ARTG>104369</ARTG>
                <ARTG>104370</ARTG>
            </ARTGs>
            <MinimumBenefit>199</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL228</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG137</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Panta Arthrodesis Nail</Name>
            <Description>Partially threaded lag Screw, Titanium</Description>
            <Size>Diameter 5 mm Length - 20 - 110 mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3341</SubGroupID>
            <ARTGs>
                <ARTG>173963</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG137</ChangeExplanation>
            <MinimumBenefit>199</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN761</BillingCode>
            <Name>IMHS CP</Name>
            <Description>Subtrochanteric lag screw</Description>
            <Size>12.7mm x 70mm to 12.7mm x 140mm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3341</SubGroupID>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>199</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY126</BillingCode>
            <Name>AO/ASIF Intramedullary Nails</Name>
            <Description>Spiral blade</Description>
            <Size>Length 20 - 150mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3341</SubGroupID>
            <ARTGs>
                <ARTG>133923</ARTG>
            </ARTGs>
            <MinimumBenefit>199</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY803</BillingCode>
            <Name>AO/ASIF Intramedullary Nails</Name>
            <Description>Femoral Neck Screw Perforated</Description>
            <Size>70mm - 130mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3341</SubGroupID>
            <ARTGs>
                <ARTG>157068</ARTG>
            </ARTGs>
            <MinimumBenefit>199</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI713</BillingCode>
            <Name>Zimmer Natural Nail System</Name>
            <Description>Lag Screws, Titanium</Description>
            <Size>10.5mm x 70 to 130mm in 5mm increments</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3341</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>199</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PF023</BillingCode>
            <Name>Calcanail Screw</Name>
            <Description>Cannulated Screw</Description>
            <Size>5mm diameter, 28 - 40mm length</Size>
            <SupplierCode>PF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3712</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>274577</ARTG>
            </ARTGs>
            <MinimumBenefit>264</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK203</BillingCode>
            <Name>Stryker Trauma Locking Nail System</Name>
            <Description>SCN</Description>
            <Size>Condyle Screws 5mm x (40mm-120mm)</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3712</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>139625</ARTG>
                <ARTG>76714</ARTG>
            </ARTGs>
            <MinimumBenefit>264</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK215</BillingCode>
            <Name>Stryker Trauma Locking Nail System</Name>
            <Description>Reconstruction Nail</Description>
            <Size>Recon Lag Screw</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3712</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>139625</ARTG>
                <ARTG>76714</ARTG>
            </ARTGs>
            <MinimumBenefit>264</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AX021</BillingCode>
            <Name>S2 Nail System</Name>
            <Description>6.2mm condylar screws</Description>
            <Size>6.5mm x 60-85mm</Size>
            <SupplierCode>AX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3712</SubGroupID>
            <ARTGs>
                <ARTG>119002</ARTG>
            </ARTGs>
            <MinimumBenefit>222</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ065</BillingCode>
            <Name>S2 Nail System</Name>
            <Description>6.2mm condylar screws</Description>
            <Size>6.5mm x 60-85mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3712</SubGroupID>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>222</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PF021</BillingCode>
            <Name>Tylos</Name>
            <Description>Tylos trans-calcaneal reconstruction pin</Description>
            <Size>0-35, 0-45, 0-55, 10-35, 10-45, 10-55, 20-35, 20-45, 20-55, 30-35, 30-45, 30-55, 40-35, 40-45, 40-55</Size>
            <SupplierCode>PF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3712</SubGroupID>
            <ARTGs>
                <ARTG>274577</ARTG>
            </ARTGs>
            <MinimumBenefit>222</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL229</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG138</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Panta Arthrodesis Nail</Name>
            <Description>Fully threaded lag Screw, Titanium</Description>
            <Size>Diameter 5 mm Length - 20 - 110 mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3712</SubGroupID>
            <ARTGs>
                <ARTG>173963</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG138</ChangeExplanation>
            <MinimumBenefit>222</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN519</BillingCode>
            <Name>TriGen</Name>
            <Description>Capture Reconstruction Screws Titanium</Description>
            <Size>6.4mm diameter 65-125mm length</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3712</SubGroupID>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>222</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY263</BillingCode>
            <Name>AO/ASIF Intramedullary Nails</Name>
            <Description>Reconstruction Screw, Titanium Alloy</Description>
            <Size>26-200mm Length</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3712</SubGroupID>
            <ARTGs>
                <ARTG>227971</ARTG>
                <ARTG>157068</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Description</ChangeExplanation>
            <MinimumBenefit>222</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VK036</BillingCode>
            <Name>C-Nail Bone Screws</Name>
            <Description>C-Nail is an intramedullary nail for minimally invasive fixation of intraarticular calcaneal fractures. The principle is to stabilise with the nail the four to five main fragments of the fractured calcaneus in conjunction with up to seven interlocking screws and thus creating angular stable fixation. The maximum stability is achieved by fixing the sustentacular fragment towards the nail with two interlocking screws guided by a very precise aiming device. The design of the nail is clearly marked "L" for left foot and "R" for right foot. The nail length is 65mm with a diameter of 8mm. The nail can be extended and closed with an end cap that comes in 0mm, 5mm, 10mm, 15mm and 20mm sizes.</Description>
            <Size>Self-tapping cortical bone screws 3.5mm in diameter with 2.5mm hexagonal head. Lengths 22mm, 24mm, 26mm, 28mm, 30mm, 32mm, 34mm, 36mm, 38mm, 40mm, 42mm, 44mm 46mm, 48mm, 50mm, 52mm, 54mm, 56mm, 58mm, 60mm, 62mm, 64mm, 66mm, 68mm, 70mm.</Size>
            <SupplierCode>VK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3712</SubGroupID>
            <ARTGs>
                <ARTG>308210</ARTG>
            </ARTGs>
            <MinimumBenefit>222</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA069</BillingCode>
            <Name>Affixus Humeral Nail System</Name>
            <Description>Cancellous Screws Titanium - Partially Threaded &amp; Fixed Angle</Description>
            <Size>4x34mm - 4x80mm (in 2mm increments)</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3712</SubGroupID>
            <ARTGs>
                <ARTG>274566</ARTG>
            </ARTGs>
            <MinimumBenefit>222</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI717</BillingCode>
            <Name>Zimmer Natural Nail System</Name>
            <Description>Cancellous Screws Titanium - Partially Threaded &amp; Fixed Angle</Description>
            <Size>6.0mm x 50 to 145mm at 5mm increments</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3712</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>222</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH046</BillingCode>
            <Name>Biomet Phoenix Ankle Nailing System - 5mm Double-lead thread screw</Name>
            <Description>Double lead screw - Ti-6Al-4V Standard or osseotite finish</Description>
            <Size>5mm Dia x (20 to 110)mm length</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3713</SubGroupID>
            <ARTGs>
                <ARTG>114474</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ024</BillingCode>
            <Name>Austofix Femoral and Tibial Nailing System</Name>
            <Description>4.0/4.8 Screws, Locking, stainless steel or titanium</Description>
            <Size>Diameter 4.0-4.8mm, Lengths 20-90mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3713</SubGroupID>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ063</BillingCode>
            <Name>F1 Proximal Femoral Nail</Name>
            <Description>Set Screw</Description>
            <Size>Single Size</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3713</SubGroupID>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER382</BillingCode>
            <Name>Paragon 28 Phantom Lapidus Nail-Screw, small (2.71mm – 4.49mm)</Name>
            <Description>Paragon 28 Phantom Lapidus Nail-Screw, small</Description>
            <Size>dia 3.5 mm x length (10-46 mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3713</SubGroupID>
            <ARTGs>
                <ARTG>290443</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW003</BillingCode>
            <Name>WEGO Nailing Systems</Name>
            <Description>Locking Screw for IM Nails</Description>
            <Size>4.0-6.5mm x 18-130mm</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3713</SubGroupID>
            <ARTGs>
                <ARTG>324374</ARTG>
                <ARTG>324375</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JD011</BillingCode>
            <Name>Screws - Reconstruction</Name>
            <Description>Screws</Description>
            <Size>3.5 - 5 mm diameter</Size>
            <SupplierCode>JD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3713</SubGroupID>
            <ARTGs>
                <ARTG>222647</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JD018</BillingCode>
            <Name>Nail Set Screw</Name>
            <Description>Nail Set Screw</Description>
            <Size>Static &amp; Dynamic</Size>
            <SupplierCode>JD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3713</SubGroupID>
            <ARTGs>
                <ARTG>222647</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LC187</BillingCode>
            <Name>SMR Revision Modular Locking Ring</Name>
            <Description>Modular Locking Collar (Ring) Ti6AI4V</Description>
            <Size>One Size</Size>
            <SupplierCode>LC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3713</SubGroupID>
            <ARTGs>
                <ARTG>168582</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH541</BillingCode>
            <Name>Precice Intramedullary Limb Lengthening System</Name>
            <Description>Precice  Locking Screw</Description>
            <Size>Diameter (3.5 -5.0)mm diameter x (20- 80)mm length</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3713</SubGroupID>
            <ARTGs>
                <ARTG>244568</ARTG>
                <ARTG>244569</ARTG>
                <ARTG>290819</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OY006</BillingCode>
            <Name>Dual Cone Locking Extension (as a component of the Orthodynamics The Integral Leg Prosthesis</Name>
            <Description>Orthodynamics The Integral Leg Prosthesis-Dual Cone Locking Extension</Description>
            <Size>6 sizes</Size>
            <SupplierCode>OY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3713</SubGroupID>
            <ARTGs>
                <ARTG>109214</ARTG>
                <ARTG>195008</ARTG>
                <ARTG>195009</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB075</BillingCode>
            <Name>Intramedullary Nailing System Locking Screw </Name>
            <Description>Intramedullary Nailing System Locking Screw </Description>
            <Size>5.0mm - 6.0mm </Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3713</SubGroupID>
            <ARTGs>
                <ARTG>223188</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PF020</BillingCode>
            <Name>Tylos Screw</Name>
            <Description>Cortical Screw for Tibio Talo Calcaneal fusion</Description>
            <Size>5mm x 25mm, 30mm, 35mm, 40mm, 45mm, 50mm, 55mm</Size>
            <SupplierCode>PF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3713</SubGroupID>
            <ARTGs>
                <ARTG>274577</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK216</BillingCode>
            <Name>Stryker Trauma Locking Nail System</Name>
            <Description>Reconstruction Nail</Description>
            <Size>Blocking Screw</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3713</SubGroupID>
            <ARTGs>
                <ARTG>139625</ARTG>
                <ARTG>76714</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK245</BillingCode>
            <Name>Stryker Intramedullary Nailing System</Name>
            <Description>Locking Screw - Titanium</Description>
            <Size>25mm - 120mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3713</SubGroupID>
            <ARTGs>
                <ARTG>95185</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK247</BillingCode>
            <Name>Gamma LN</Name>
            <Description>Set Screw - Titanium</Description>
            <Size>8x17.5mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3713</SubGroupID>
            <ARTGs>
                <ARTG>95185</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN467</BillingCode>
            <Name>Compressing Screw</Name>
            <Description>For Intramedullary and compression Hip Screw Systems</Description>
            <Size>19mm &amp; 28.5mm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3713</SubGroupID>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN739</BillingCode>
            <Name>Trigen</Name>
            <Description>Self Tapping Cortical Screw</Description>
            <Size>20mm - 110mm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3713</SubGroupID>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN762</BillingCode>
            <Name>IMHS CP</Name>
            <Description>Captured locking screw</Description>
            <Size>4.5mm x 22mm to 4.5mm x 64mm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3713</SubGroupID>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN775</BillingCode>
            <Name>IMHS CP</Name>
            <Description>Set Screw, Stainless Steel</Description>
            <Size>Standard</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3713</SubGroupID>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ST043</BillingCode>
            <Name>Stryker Intramedullary Nailing System</Name>
            <Description>Locking Screw - Titanium</Description>
            <Size>20-120mm</Size>
            <SupplierCode>ST</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3713</SubGroupID>
            <ARTGs>
                <ARTG>139625</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY789</BillingCode>
            <Name>AO/ASIF intramedullary Nails</Name>
            <Description>Locking Screws/Bolts/Nuts, Titanium Alloy</Description>
            <Size>3.0mm-6.0mm D 10mm- 150mm L</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3713</SubGroupID>
            <ARTGs>
                <ARTG>157068</ARTG>
                <ARTG>297881</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Description</ChangeExplanation>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI718</BillingCode>
            <Name>Zimmer Natural Nail System</Name>
            <Description>Cortical Screws - Fixed Angle (Fully Threaded) Titanium</Description>
            <Size>4.0mm &amp; 5.0mm x 20 to 60mm (2.5mm increments); 4.0mm &amp; 5.0mm x 65 to 100mm (5mm increments)</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>3713</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH045</BillingCode>
            <Name>Biomet Phoenix Arthrodesis Nailing System - End Cap</Name>
            <Description>Offset end cap, Titanium</Description>
            <Size>0mm - 20mm</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>5363</SubGroupID>
            <ARTGs>
                <ARTG>114474</ARTG>
            </ARTGs>
            <MinimumBenefit>96</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH316</BillingCode>
            <Name>Affixus Hip Fracture Nail System</Name>
            <Description>End Caps</Description>
            <Size>5mm, flush or impinging</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>5363</SubGroupID>
            <ARTGs>
                <ARTG>177871</ARTG>
            </ARTGs>
            <MinimumBenefit>96</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BR007</BillingCode>
            <Name>OPRA System - Graft Screw</Name>
            <Description>Graft Screw</Description>
            <Size>One size only</Size>
            <SupplierCode>BR</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>5363</SubGroupID>
            <ARTGs>
                <ARTG>145488</ARTG>
            </ARTGs>
            <MinimumBenefit>96</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ021</BillingCode>
            <Name>Austofix Femoral and Tibial Nailing System</Name>
            <Description>M8 End Cap, Intramedullary Nails, stainless steel or titanium</Description>
            <Size>1mm-20mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>5363</SubGroupID>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>96</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ061</BillingCode>
            <Name>F1 Proximal Femoral Nail</Name>
            <Description>F1 Helical End Cap</Description>
            <Size>5mm, 10mm, 15mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>5363</SubGroupID>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>96</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ062</BillingCode>
            <Name>F1 Proximal Femoral Nail</Name>
            <Description>Screw End Cap</Description>
            <Size>5mm, 10mm, 15mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>5363</SubGroupID>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>96</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ071</BillingCode>
            <Name>Elastic Nails</Name>
            <Description>End Caps</Description>
            <Size>1.5mm to 5.5mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>5363</SubGroupID>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>96</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW012</BillingCode>
            <Name>WEGO Nailing Systems</Name>
            <Description>End Cap for Nails</Description>
            <Size>0-20mm</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>5363</SubGroupID>
            <ARTGs>
                <ARTG>324374</ARTG>
                <ARTG>324375</ARTG>
            </ARTGs>
            <MinimumBenefit>96</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW797</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR207</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Valor Hindfoot Fusion System - Endcap</Name>
            <Description>Valor Endcap</Description>
            <Size>n/a</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>5363</SubGroupID>
            <ARTGs>
                <ARTG>198549</ARTG>
            </ARTGs>
            <MinimumBenefit>96</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW931</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR413</PriorBillingCode>
            </PriorBillingCodes>
            <Name>611 Ankle Fusion Nail - Component: PLUGS</Name>
            <Description>The 611 ankle arthrodesis nail, 2mm &amp; 7mm plugs are made out of titanium alloy (Ti6AI4V). They are delivered non-sterile</Description>
            <Size>0mm - 7.5mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>5363</SubGroupID>
            <ARTGs>
                <ARTG>198776</ARTG>
            </ARTGs>
            <MinimumBenefit>96</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JD012</BillingCode>
            <Name>Nail Caps</Name>
            <Description>Nail Cap</Description>
            <Size>0, 5, 10 &amp; 11mm diameter</Size>
            <SupplierCode>JD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>5363</SubGroupID>
            <ARTGs>
                <ARTG>222647</ARTG>
            </ARTGs>
            <MinimumBenefit>96</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH540</BillingCode>
            <Name>Precice Intramedullary Limb Lengthening System</Name>
            <Description>Precice  End Cap</Description>
            <Size>0-20mm length</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>5363</SubGroupID>
            <ARTGs>
                <ARTG>244568</ARTG>
                <ARTG>244569</ARTG>
                <ARTG>290819</ARTG>
            </ARTGs>
            <MinimumBenefit>96</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO200</BillingCode>
            <Name>Polarus Humeral Fixation System</Name>
            <Description>End cap screw, titanium</Description>
            <Size>0-6mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>5363</SubGroupID>
            <ARTGs>
                <ARTG>99822</ARTG>
            </ARTGs>
            <MinimumBenefit>96</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OY007</BillingCode>
            <Name>Orthodynamics The Integral Leg Prostheses-Central Screw (as a component of the Orthodynamics The Integral Leg Prosthesis</Name>
            <Description>Orthodynamics The Integral Leg Prosthesis-Central Screw</Description>
            <Size>1 size</Size>
            <SupplierCode>OY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>5363</SubGroupID>
            <ARTGs>
                <ARTG>109214</ARTG>
                <ARTG>195008</ARTG>
                <ARTG>195009</ARTG>
            </ARTGs>
            <MinimumBenefit>96</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB065</BillingCode>
            <Name>End Cap</Name>
            <Description>Nail End Cap</Description>
            <Size>One size</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>5363</SubGroupID>
            <ARTGs>
                <ARTG>229660</ARTG>
            </ARTGs>
            <MinimumBenefit>96</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK248</BillingCode>
            <Name>Gamma LN</Name>
            <Description>Proximal/Extension Plug - Titanium</Description>
            <Size>0mm, +5mm, +10mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>5363</SubGroupID>
            <ARTGs>
                <ARTG>95185</ARTG>
            </ARTGs>
            <MinimumBenefit>96</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK491</BillingCode>
            <Name>U-Blade End Cap</Name>
            <Description>U-Blade Lag Screw End Cap</Description>
            <Size>One size 9mm x 10.5mm (diameter)</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>5363</SubGroupID>
            <ARTGs>
                <ARTG>139625</ARTG>
            </ARTGs>
            <MinimumBenefit>96</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL206</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG102</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Panta Arthrodesis Nail</Name>
            <Description>End Cap, Titanium</Description>
            <Size>One Size</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>5363</SubGroupID>
            <ARTGs>
                <ARTG>173962</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG102</ChangeExplanation>
            <MinimumBenefit>96</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN498</BillingCode>
            <Name>Intramedullary Nailing System</Name>
            <Description>Nail Cap</Description>
            <Size>0 - 30 mm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>5363</SubGroupID>
            <ARTGs>
                <ARTG>104369</ARTG>
                <ARTG>104370</ARTG>
                <ARTG>137602</ARTG>
            </ARTGs>
            <MinimumBenefit>96</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN713</BillingCode>
            <Name>Trigen</Name>
            <Description>Stable-Lok Nut</Description>
            <Size>One Size Only</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>5363</SubGroupID>
            <ARTGs>
                <ARTG>141019</ARTG>
            </ARTGs>
            <MinimumBenefit>96</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ087</BillingCode>
            <Name>Intramedullary Nail End Caps</Name>
            <Description>PediNail End Caps&#xD;
PediFlex End Caps</Description>
            <Size>0-20mm</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>5363</SubGroupID>
            <ARTGs>
                <ARTG>191587</ARTG>
            </ARTGs>
            <MinimumBenefit>96</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ST045</BillingCode>
            <Name>Stryker Intramedullary Nailing System</Name>
            <Description>End Caps - Titanium</Description>
            <Size>Standard to +35mm</Size>
            <SupplierCode>ST</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>5363</SubGroupID>
            <ARTGs>
                <ARTG>144000</ARTG>
            </ARTGs>
            <MinimumBenefit>96</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY125</BillingCode>
            <Name>AO/ASIF Intramedullary Nails</Name>
            <Description>End caps - Femoral, Tibial, Nailing Systems - TFNA, TNA, FRNA, RFNA, ETN, PFNA</Description>
            <Size>0 - 40mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>5363</SubGroupID>
            <ARTGs>
                <ARTG>182344</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Description</ChangeExplanation>
            <MinimumBenefit>96</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VK037</BillingCode>
            <Name>C-Nail End Caps</Name>
            <Description>C-Nail is an intramedullary nail for minimally invasive fixation of intraarticular calcaneal fractures. The principle is to stabilise with the nail the four to five main fragments of the fractured calcaneus in conjunction with up to seven interlocking screws and thus creating angular stable fixation. The maximum stability is achieved by fixing the sustentacular fragment towards the nail with two interlocking screws guided by a very precise aiming device. The design of the nail is clearly marked "L" for left foot and "R" for right foot. The nail length is 65mm with a diameter of 8mm. The nail can be extended and closed with an end cap that comes in 0mm, 5mm, 10mm, 15mm and 20mm sizes.</Description>
            <Size>End Cap: 0mm, 5mm, 10mm, 15mm, 20mm.</Size>
            <SupplierCode>VK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>5363</SubGroupID>
            <ARTGs>
                <ARTG>308209</ARTG>
            </ARTGs>
            <MinimumBenefit>96</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA064</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>ZI710</PriorBillingCode>
                <PriorBillingCode>ZI711</PriorBillingCode>
                <PriorBillingCode>ZI720</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Zimmer Natural Nail System</Name>
            <Description>Nail caps - titanium</Description>
            <Size>0-15mm</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>5363</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>96</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA070</BillingCode>
            <Name>Affixus Humeral Nail System</Name>
            <Description>End caps for Affixus Humeral Nail System</Description>
            <Size>0mm, 8.5x0mm - 8.5x20mm, 9.5x5mm - 9.5x20mm, 10.5x2.5mm - 10.5x7.5mm, 11x2.5mm - 11x7.5mm</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1229</GroupID>
            <SubGroupID>5363</SubGroupID>
            <ARTGs>
                <ARTG>170659</ARTG>
            </ARTGs>
            <MinimumBenefit>96</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU196</BillingCode>
            <Name>Stainless Steel Square Wedge Tibial Osteotomy Plate</Name>
            <Description>Steel Square Wedge Tibial Osteotomy Plate with 4 non locking holes </Description>
            <Size>3mm - 17.5mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
                <ARTG>350871</ARTG>
            </ARTGs>
            <MinimumBenefit>922</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU198</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE094</PriorBillingCode>
            </PriorBillingCodes>
            <Name> Anterior Posterior Sloped Stainless Steel Tibial Osteotomy Plate</Name>
            <Description>Anterior Posterior Sloped Stainless Steel Tibial Osteotomy Plate with 4 non locking holes</Description>
            <Size>5 - 15mm length</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>922</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG087</BillingCode>
            <Name>Newdeal Femoral Osteosynthesis Plates</Name>
            <Description>Composition - 316L Stainless Steel.  To be used only with Newdeal screws/lock screws</Description>
            <Size>8/9/10 hole, left and right</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>173932</ARTG>
            </ARTGs>
            <MinimumBenefit>922</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IT001</BillingCode>
            <Name>Hawk Anterior Ankle Fusion Set</Name>
            <Description>Anatomically contoured 6 hole plate and screw set for anterior fixation of the ankle joint.</Description>
            <Size>77mm in length&#xD;
22mm in width&#xD;
23mm depth</Size>
            <SupplierCode>IT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>177278</ARTG>
            </ARTGs>
            <MinimumBenefit>922</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK075</BillingCode>
            <Name>Stryker Plating System Basic Fragment Set</Name>
            <Description>4.5mm Reconstruction Plate</Description>
            <Size>3-9 Holes</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
                <ARTG>25735</ARTG>
            </ARTGs>
            <MinimumBenefit>922</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL200</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG088</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Newdeal Distal Femoral Varus Osteotomy Plate</Name>
            <Description>Stainless steel periarticular anatomically shaped plate fixed with 3 locking screws into femoral condyle </Description>
            <Size>1 Size </Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>173932</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG088</ChangeExplanation>
            <MinimumBenefit>922</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL201</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG089</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Newdeal Femoral Varus and De-rotation Osteotomy Plates</Name>
            <Description>Stainless steel periarticular anatomic plate fixed with locking screws into proximal femur </Description>
            <Size>Newdeal Femoral Varus and De-rotation Osteotomy Plates - 3 holes, Newdeal Femoral Varus and De-rotation Osteotomy Plates - 4 holes, Newdeal Reinforced Femoral Newdeal and De-rotation Osteotomy Plates - left and right</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>173932</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG089</ChangeExplanation>
            <MinimumBenefit>922</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN143</BillingCode>
            <Name>TC 100 </Name>
            <Description>4.5mm Reconstruction Plate         </Description>
            <Size>&lt; 6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>922</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ075</BillingCode>
            <Name>PediPlates Plating System</Name>
            <Description>I-Plate&#xD;
Center Hole</Description>
            <Size>16-32mm</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>191530</ARTG>
            </ARTGs>
            <MinimumBenefit>922</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY622</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Non Locking Specialty Plates</Description>
            <Size>≤ 6 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>922</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI752</BillingCode>
            <Name>ZPS-Zimmer Plate &amp; Screw System</Name>
            <Description>3.5mm and 4.5mm pelvic plates</Description>
            <Size>6 holes or less</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>922</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB311</BillingCode>
            <Name>Position HTO Implant System - HTO Plate</Name>
            <Description>Titanium Osteotomy Plate, internal fixation plate used in proximal tibial repositioning osteotomy.</Description>
            <Size>One size</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>150084</ARTG>
            </ARTGs>
            <MinimumBenefit>1178</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU104</BillingCode>
            <Name>Ankle Fusion Plate</Name>
            <Description>Plate for Arthrodesis</Description>
            <Size>One Universal Size</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
                <ARTG>350871</ARTG>
            </ARTGs>
            <MinimumBenefit>1178</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU113</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE348</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Calcaneal Step Plate</Name>
            <Description>Calcaneal Step Plate</Description>
            <Size>5mm, 7.5mm, 10mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>1178</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW716</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR067</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Displacement Plate - DPS</Name>
            <Description>Unique steep plate design allows for controlled fixation of displacement calcaneal osteotomies. 3 step variations allows for accurate corrections. 3.5mm Titanium locking plate</Description>
            <Size>6, 8 &amp; 10mm step, 4 hole</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>1178</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG090</BillingCode>
            <Name>Newdeal Proximal Humeral Plate</Name>
            <Description>Composition - 316L Stainless Steel. To be used only with Newdeal screws/lock screws</Description>
            <Size>6  holes</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>173932</ARTG>
            </ARTGs>
            <MinimumBenefit>1178</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IT014</BillingCode>
            <Name>Superior Fusion Plate System - Plate</Name>
            <Description>Anatomically contoured 6 hole plate and screw set with locking screw hole option, for&#xD;
anterior fixation of ankle joint. Used for Primary, Revision and Pantalar fusions.</Description>
            <Size>The fixation plate is 77mm in length, 22mm in width and 23mm in depth. 6 hole plate</Size>
            <SupplierCode>IT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>177278</ARTG>
            </ARTGs>
            <MinimumBenefit>1178</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM367</BillingCode>
            <Name>Calcaneal Osteotomy Device</Name>
            <Description>Calcaneal Osteotomy Device</Description>
            <Size>All sizes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>306780</ARTG>
            </ARTGs>
            <MinimumBenefit>1178</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL202</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG091</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Newdeal HTO Plates</Name>
            <Description>Stainless steel anatomically shaped plates for high tibial osteotomy;4 or 5 holes </Description>
            <Size>Opening wedge HTO plates, left and right. Closing wedge HTO plates, left and right. Reinforced closing wedge HTO plates, left and right</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>173932</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG091</ChangeExplanation>
            <MinimumBenefit>1178</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ077</BillingCode>
            <Name>PediLoc Plating System</Name>
            <Description>4.5mm Locking Plate</Description>
            <Size>2-6 Holes</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>191530</ARTG>
            </ARTGs>
            <MinimumBenefit>1178</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ111</BillingCode>
            <Name>Iso-Elastic SuperCable Trochanteric Grips and Cable-Plates System</Name>
            <Description>Cable Plates Titanium</Description>
            <Size>6 Hole 185mm</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>260681</ARTG>
            </ARTGs>
            <MinimumBenefit>1178</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU199</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE216</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Titanium Anterior Posterior Sloped Tibial Osteotomy Plate</Name>
            <Description>Titanium Anterior Posterior Sloped Tibial Osteotomy Plate with 4 variable angle locking holes and 6 variable angle locking holes </Description>
            <Size>0-17.5mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>Com,VAL</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
                <ARTG>350871</ARTG>
            </ARTGs>
            <MinimumBenefit>1473</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU200</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE217</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Titanium Femoral Osteotomy Plate </Name>
            <Description>Titanium Femoral Osteotomy Plate with 7 Variable Angle Locking Holes </Description>
            <Size>5mm - 17.5mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>Com,VAL</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
                <ARTG>350871</ARTG>
            </ARTGs>
            <MinimumBenefit>1473</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB312</BillingCode>
            <Name>Position HTO Implant System - Spacer Block with Fixation Screw</Name>
            <Description>Osteotomy Spacer Block, solid titanium. Consists of block and fixation screw.</Description>
            <Size>5mm - 16mm</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>150084</ARTG>
            </ARTGs>
            <MinimumBenefit>798</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX014</BillingCode>
            <Name>ARMAR 4.5mm Meril Locking Plate System ≤ 6 holes</Name>
            <Description>TiCP locking plates</Description>
            <Size>2-6 Holes&#xD;
44-120mm Length</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>798</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PJ001</BillingCode>
            <Name>Flexit System, Flexit HTO Opening Wedge Tibial Plate</Name>
            <Description>Anatomic Locking Tibial Plates</Description>
            <Size>51mm,63mm,2.8mm thick 4-6 holes</Size>
            <SupplierCode>PJ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>206422</ARTG>
            </ARTGs>
            <MinimumBenefit>798</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK532</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Locking Compression Anatomical Shape</Description>
            <Size>2-6 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>798</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK535</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Locking Reconstruction Plates</Description>
            <Size>5.0mm, 4-6 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>798</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL176</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Large Fragment Plate – Locking</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
                <ARTG>368492</ARTG>
            </ARTGs>
            <MinimumBenefit>798</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL198</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG083</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Newdeal Reinforced Bendable Osteosynthesis Plates</Name>
            <Description>Stainless Steel 2 - 4 Holes </Description>
            <Size>2 holes, 4 holes/77mm, 4 holes/112mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>173932</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG083</ChangeExplanation>
            <MinimumBenefit>798</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL199</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG084</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Newdeal Bendable Osteosynthesis Plates</Name>
            <Description>Composition - 316L Stainless Steel.  To be used only with Newdeal screws/lock screws.</Description>
            <Size>3-6 holes </Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>173932</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG084</ChangeExplanation>
            <MinimumBenefit>798</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ149</BillingCode>
            <Name>PediLoc Plating System</Name>
            <Description>PediFrag Clavicle Plates</Description>
            <Size>2.7-3.5mm&#xD;
6 Holes&#xD;
Left, Right</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>191530</ARTG>
            </ARTGs>
            <MinimumBenefit>798</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ150</BillingCode>
            <Name>PediLoc Plating System</Name>
            <Description>PediFrag Clavicle Plates</Description>
            <Size>2.7-3.5mm&#xD;
7-8 Holes&#xD;
Left, Right</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>191530</ARTG>
            </ARTGs>
            <MinimumBenefit>798</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY116</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>LCP Large Fragement Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>798</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN058</BillingCode>
            <Name>Plating system Com, LK</Name>
            <Description>Plating system Com, LK</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>798</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN076</BillingCode>
            <Name>Newclip pelvis plates</Name>
            <Description>Pariarticular anatomic pelvis plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>798</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH281</BillingCode>
            <Name>ALPS LFS</Name>
            <Description>4.5mm titanium plates</Description>
            <Size>1-6 holes</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>153056</ARTG>
            </ARTGs>
            <MinimumBenefit>1112</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER610</BillingCode>
            <Name>Paragon 28 Gorilla Plating System-Plate, tibial (≤ 6 holes), Periarticular, Posterior, TT</Name>
            <Description>Paragon 28 Gorilla Silverback tibiotalar (TTC) posterior ankle fusion plate, left or  right, variable ankle locking, complex shape, left or right</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>289248</ARTG>
            </ARTGs>
            <MinimumBenefit>1112</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN008</BillingCode>
            <Name>Newclip Activmotion HTO Plate</Name>
            <Description>Fixation plates for high tibial osteotomy (HTO)</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>1112</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH188</BillingCode>
            <Name>Small / Large  Fragment Set</Name>
            <Description>3.5mm Titanium plates</Description>
            <Size>2 to 6 holes</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <ARTGs>
                <ARTG>153056</ARTG>
            </ARTGs>
            <MinimumBenefit>542</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU105</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE651</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Mesh Plate</Name>
            <Description>Plate for Fracture fixation and Arthrodesis</Description>
            <Size>Short  Long</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>542</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG086</BillingCode>
            <Name>Newdeal Distal Humeral Plates</Name>
            <Description>Composition - 316L Stainless Steel.  To be used only with Newdeal screws/lock screws</Description>
            <Size>4 holes</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <ARTGs>
                <ARTG>173932</ARTG>
            </ARTGs>
            <MinimumBenefit>542</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM066</BillingCode>
            <Name>TriMed Olecranon Sled</Name>
            <Description>Washer</Description>
            <Size>one size</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>542</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN071</BillingCode>
            <Name>TC 100</Name>
            <Description>4.5mm Straight Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>542</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN942</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>4.5 Straight Non Locking Plates</Description>
            <Size>≤6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>542</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ074</BillingCode>
            <Name>PediPlates Plating System</Name>
            <Description>O-Plate, Delta Plate, Center Hole</Description>
            <Size>12-24mm</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <ARTGs>
                <ARTG>191530</ARTG>
            </ARTGs>
            <MinimumBenefit>542</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ST039</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>L-Plates</Description>
            <Size>4-6hole</Size>
            <SupplierCode>ST</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <ARTGs>
                <ARTG>119848</ARTG>
                <ARTG>25735</ARTG>
            </ARTGs>
            <MinimumBenefit>542</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY603</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Non Locking Fragment plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>542</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VK027</BillingCode>
            <Name>eight-Plate Plus</Name>
            <Description>The guided growth plate system plus consists of different sizes of eight-Plate plus. The device is designed for the gradual correction of paediatric congenital as well as acquired deformities in both upper and lower extremities.</Description>
            <Size>12mm  16mm  20mm</Size>
            <SupplierCode>VK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5255</SubGroupID>
            <ARTGs>
                <ARTG>289399</ARTG>
            </ARTGs>
            <MinimumBenefit>542</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH199</BillingCode>
            <Name>Periarticular Plating System</Name>
            <Description>Tibial Plate - Titanium</Description>
            <Size>7 - 15 Holes</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>153056</ARTG>
            </ARTGs>
            <MinimumBenefit>1054</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ078</BillingCode>
            <Name>PediLoc System ≥7 to ≤15 holes, screw size ≥4.5mm</Name>
            <Description>4.5mm Bowed locking compression femur 10, 12, 14 hole plates&#xD;
4.5mm contour locking compression femur 8, 10, 12, 14 hole plates left and right</Description>
            <Size>4.5mm bowed 10, 12, 14 hole&#xD;
4.5mm contour 8,10,12,14 hole right&#xD;
4.5mm contour 8, 10, 12, 14 hole left</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>191586</ARTG>
            </ARTGs>
            <MinimumBenefit>1054</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY814</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Non Locking Fragment Plate</Description>
            <Size>7 - 15 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1054</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU148</BillingCode>
            <Name>Ankle Fusion Plating System</Name>
            <Description>Fusion Plate</Description>
            <Size>Anterior Plate </Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
                <ARTG>350871</ARTG>
            </ARTGs>
            <MinimumBenefit>1311</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU305</BillingCode>
            <Name>Anterolateral Pilon Fusion Plate</Name>
            <Description>Plate for Arthrodesis</Description>
            <Size>7-15 Holes  </Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>1311</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ112</BillingCode>
            <Name>Iso-Elastic SuperCable Trochanteric Grips and Cable-Plates System</Name>
            <Description>Cable Plates Titanium</Description>
            <Size>8 Hole 240mm  10 Hole 290mm</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>260681</ARTG>
            </ARTGs>
            <MinimumBenefit>1311</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI948</BillingCode>
            <Name>Ankle Fix - Plate ≥ 7 to ≤ 15 holes</Name>
            <Description>Ankle Fusion plate</Description>
            <Size>Standard and Large</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>140687</ARTG>
            </ARTGs>
            <MinimumBenefit>1311</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER541</BillingCode>
            <Name>Paragon 28 Gorilla Plating System-Plate, tibial ( ≥ 7 to ≤ 15 holes), Tibiotalarcalcaneal (TTC)</Name>
            <Description>Paragon 28 Gorilla Silverback tibiotalarcalcaneal (TTC) anterior ankle fusion plate, left or right, variable ankle locking, complex shape, flat or contoured, left or right</Description>
            <Size>( ≥ 7 to ≤ 15 holes); 65-109 mm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>Com,VAL</Suffix>
            <ARTGs>
                <ARTG>290443</ARTG>
            </ARTGs>
            <MinimumBenefit>1244</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW956</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR446</PriorBillingCode>
            </PriorBillingCodes>
            <Name>ORTHOLOC Universal Ankle Fusion Plating System</Name>
            <Description>The ORTHOLOC Universal Ankle Fusion Plating System is intended to facilitate arthrodesis of the ankle including tibiotalocalcaneal and tibiotalar joints and tibiocalcaneal arthrodeses, in conjunction with osteotomies and fractures of the distal tibia, talus, and calcaneus.</Description>
            <Size>82mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>Com,VAL</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>1244</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK633</BillingCode>
            <Name>VariAx Wrist plates</Name>
            <Description>Wrist plates</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>Com,VAL</Suffix>
            <ARTGs>
                <ARTG>269713</ARTG>
            </ARTGs>
            <MinimumBenefit>1244</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH065</BillingCode>
            <Name>Sternalock</Name>
            <Description>Plate, locking, &gt;6 hole, Various shapes </Description>
            <Size>8-12 hole</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>119508</ARTG>
            </ARTGs>
            <MinimumBenefit>931</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU203</BillingCode>
            <Name>Ankle Fusion Plating System</Name>
            <Description>Fusion Plate for Ankle Joint Arthritis</Description>
            <Size>Anterior, Posterior, Lateral</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>931</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU303</BillingCode>
            <Name>Posterior Pilon Fusion Plate</Name>
            <Description>Plate for Arthrodesis</Description>
            <Size>13-15 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>931</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG085</BillingCode>
            <Name>Newdeal Bendable Osteosynthesis Plates</Name>
            <Description>Stainless steel bendable plates 7 - 9 holes </Description>
            <Size>7-9 holes     </Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>173932</ARTG>
            </ARTGs>
            <MinimumBenefit>931</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX015</BillingCode>
            <Name>ARMAR 4.5mm Meril Locking Plate System ≥ 7 to ≤ 15 holes</Name>
            <Description>TiCP humeral locking plates</Description>
            <Size>7-15 Holes&#xD;
118-283mm Length</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>931</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PJ002</BillingCode>
            <Name>FlexiSystem, Flexit HTO Opening wedge Tibial Plate</Name>
            <Description>Anatomic Locking Tibial Plates</Description>
            <Size>80mm, 7-15 holes</Size>
            <SupplierCode>PJ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>206422</ARTG>
            </ARTGs>
            <MinimumBenefit>931</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK533</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Locking Compression Anatomical Shape</Description>
            <Size>7-15 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>931</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK536</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Locking Reconstruction Plates</Description>
            <Size>5.0mm, 8-14 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>931</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL177</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Large Fragment Plate – Locking </Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
                <ARTG>368492</ARTG>
            </ARTGs>
            <MinimumBenefit>931</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY636</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>LC-LCP Fragment Plates</Description>
            <Size>7-15 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>931</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN038</BillingCode>
            <Name>Newclip Activmotion HTO Plate</Name>
            <Description>Fixation plates for high tibial osteotomy (HTO)</Description>
            <Size>7 to 15 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>931</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN060</BillingCode>
            <Name>Plating System Com, LK</Name>
            <Description>Plating System Com, LK</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>931</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN077</BillingCode>
            <Name>Newclip pelvis plates</Name>
            <Description>Pariarticular anatomic pelvis plates</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>931</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH282</BillingCode>
            <Name>ALPS LFS</Name>
            <Description> 4.5mm titanium plates,</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>153056</ARTG>
            </ARTGs>
            <MinimumBenefit>1244</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER609</BillingCode>
            <Name>Paragon 28 Gorilla Plating System-Plate, tibial ( ≥ 7 to ≤ 15 holes), Periarticular, Posterior, TT</Name>
            <Description>Paragon 28 Gorilla Silverback tibiotalar (TT) posterior ankle fusion plate, left or right</Description>
            <Size>( ≥ 7 to ≤ 15 holes); 65-109 mm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>290443</ARTG>
            </ARTGs>
            <MinimumBenefit>1244</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER611</BillingCode>
            <Name>Paragon 28 Gorilla Plating System-Plate, tibial ( ≥ 7 to ≤ 15 holes), Periarticular, Posterior, TTC</Name>
            <Description>Paragon 28 Gorilla Silverback tibiotalarcalcaneal (TTC) posterior ankle fusion plate, left or right, variable ankle locking, complex shape, flat or contoured, left or right</Description>
            <Size>( ≥ 7 to ≤ 15 holes); 65-109 mm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>290443</ARTG>
            </ARTGs>
            <MinimumBenefit>1244</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM524</BillingCode>
            <Name>Ankle Fusion Plate</Name>
            <Description>Ankle Fusion Plate</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>306780</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>1244</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN043</BillingCode>
            <Name>Newclip Plating System</Name>
            <Description>VAL Locking plates</Description>
            <Size>Standard ≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>1244</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH198</BillingCode>
            <Name>Periarticular Plating System</Name>
            <Description>Fibula Composite Plate - Titanium  </Description>
            <Size>9 Hole </Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <ARTGs>
                <ARTG>153056</ARTG>
                <ARTG>97981</ARTG>
            </ARTGs>
            <MinimumBenefit>674</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU114</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE342</PriorBillingCode>
            </PriorBillingCodes>
            <Name>PEEKPower HTO Plate</Name>
            <Description>Medial High Tibial Osteotomy Implant Device System</Description>
            <Size>One Universal Size</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <ARTGs>
                <ARTG>350871</ARTG>
            </ARTGs>
            <MinimumBenefit>674</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU176</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE502</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Arthrex Clavicle Plating System</Name>
            <Description>Locking clavicle plate and screw system for fixation of clavicle fractures.</Description>
            <Size>7-10 holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <ARTGs>
                <ARTG>351000</ARTG>
                <ARTG>350871</ARTG>
            </ARTGs>
            <MinimumBenefit>674</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK544</BillingCode>
            <Name>Stryker Plating System Basic Fragment Set</Name>
            <Description>4.5mm Reconstruction Plate</Description>
            <Size>7-15 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>674</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN098</BillingCode>
            <Name>TC-100</Name>
            <Description>4.5mm Reconstruction Plate</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>674</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN133</BillingCode>
            <Name>TC-100</Name>
            <Description>4.5mm Straight Plates</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>674</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN943</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>4.5 Straight Non Locking Plates</Description>
            <Size>≥7 to ≤15 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>674</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY813</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Non Locking Fragment Plate</Description>
            <Size>7 - 15 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>674</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI168</BillingCode>
            <Name>Zimmer Internal Fixation Systems: Cable System</Name>
            <Description>Cable-Ready 8 Hole Plate - Stainless Steel</Description>
            <Size>246mm long</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <ARTGs>
                <ARTG>108377</ARTG>
            </ARTGs>
            <MinimumBenefit>674</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI795</BillingCode>
            <Name>ZPS-Zimmer Plate and Screw System</Name>
            <Description>4.5mm Broad Compression Plate</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>674</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI805</BillingCode>
            <Name>ZPS-Zimmer Plate and Screw System</Name>
            <Description>4.5mm Dual Compression Plate</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5256</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>674</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN075</BillingCode>
            <Name>TC 100</Name>
            <Description> 4.5mm Reconstruction Plates </Description>
            <Size>≥ 16 Holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5257</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1121</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ079</BillingCode>
            <Name>PediLoc - Periarticular Locking Plating System Femur- &gt; 16 holes, screw size ≥4.5mm</Name>
            <Description>4.5mm Bowed locking compression femur 16 hole plate&#xD;
4.5mm Bowed locking compression femur 18 hole plate&#xD;
4.5mm contour locking compression femur 16 hole plate right&#xD;
4.5mm contour locking compression femur 18 hole plate right&#xD;
4.5mm contour locking compression femur 20 hole plate right&#xD;
4.5mm contour locking compression femur 16 hole plate left&#xD;
4.5mm contour locking compression femur 18 hole plate left&#xD;
4.5mm contour locking compression femur 20 hole plate left</Description>
            <Size>4.5mm Bowed, 16 hole&#xD;
4.5mm Bowed, 18 hole&#xD;
4.5mm contour,16 hole, right&#xD;
4.5mm contour,18 hole, right&#xD;
4.5mm contour,20 hole, right&#xD;
4.5mm contour,16 hole, left&#xD;
4.5mm contour,18 hole, left&#xD;
4.5mm contour,20 hole, left</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5257</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>191586</ARTG>
            </ARTGs>
            <MinimumBenefit>1121</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY716</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Non Locking specialty Plates</Description>
            <Size>≥16 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5257</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1121</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU106</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE572</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Plantar Lapidus Plates</Name>
            <Description>Arthrodesis Plate</Description>
            <Size>Short and Standard  Left &amp; Right side specific</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5257</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>1378</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU306</BillingCode>
            <Name>Anterolateral Pilon Fusion Plate</Name>
            <Description>Plate for Arthrodesis</Description>
            <Size>&gt;16 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5257</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
                <ARTG>350871</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>1378</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI943</BillingCode>
            <Name>Ankle Fix -Plate ≥ 16 holes</Name>
            <Description>Ankle fusion plate</Description>
            <Size>One size only</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5257</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>140687</ARTG>
            </ARTGs>
            <MinimumBenefit>1378</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU304</BillingCode>
            <Name>Posterior Pilon Fusion Plate</Name>
            <Description>Plate for Arthrodesis</Description>
            <Size>≥ 16 Holes  </Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5257</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
                <ARTG>350871</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>998</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX016</BillingCode>
            <Name>ARMAR 4.5mm Meril Locking Plate System ≥ 16 holes</Name>
            <Description>TiCP locking plates</Description>
            <Size>16-26 Holes&#xD;
262-481mm Length</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5257</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>998</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK534</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Locking Compression Anatomical Shape</Description>
            <Size>16-22 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5257</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>998</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK537</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Locking Reconstruction Plates</Description>
            <Size>5.0mm, 16-22 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5257</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>998</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL178</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Large Fragment Plate – Locking </Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5257</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
                <ARTG>368492</ARTG>
            </ARTGs>
            <MinimumBenefit>998</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY637</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>LC-LCP Plates</Description>
            <Size>≥ 16 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5257</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>998</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN078</BillingCode>
            <Name>Newclip pelvis plates</Name>
            <Description>Pariarticular anatomic pelvis plates</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5257</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>998</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN034</BillingCode>
            <Name>Newclip Femoral Plate</Name>
            <Description>Variable angle plates for femur</Description>
            <Size>Standard ≥ 16 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5257</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>1311</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK545</BillingCode>
            <Name>Stryker Plating System Basic Fragment Set</Name>
            <Description>4.5mm Reconstruction Plate</Description>
            <Size>16-22 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5257</SubGroupID>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>741</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN078</BillingCode>
            <Name>TC-100</Name>
            <Description>4.5mm Straight Plates</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5257</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>741</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN784</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Plates, Stainless Steel, Non-Locking, Broad, Left &amp; Rights</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5257</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>741</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY661</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Non Locking Large Fragment Plates</Description>
            <Size>≥ 16 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5257</SubGroupID>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>741</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW708</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR050</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Charlotte MTP Fusion System</Name>
            <Description>MTP plate, stainless steel</Description>
            <Size>Left &amp; Right extended,9 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>594</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG106</BillingCode>
            <Name>B-BOP Plantar Basal Osteotomy Plate (Sterile)</Name>
            <Description>Titanium, 4 hole plate for fixation of osteotomy of the base of the first metatarsal</Description>
            <Size>Moderate Correction(5°) Left, Right. Severe Correction (10°) Left, Right</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>173932</ARTG>
            </ARTGs>
            <MinimumBenefit>594</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG128</BillingCode>
            <Name>Spider Limited Wrist Fusion System</Name>
            <Description>Recessed, circular stainless steel plate</Description>
            <Size>6 hole</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>177622</ARTG>
            </ARTGs>
            <MinimumBenefit>594</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK546</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>T-Plates, pre-shaped</Description>
            <Size>2-6 holes</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>594</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL125</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System- EVOS</Name>
            <Description>Small Fragment Plate</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>594</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN800</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>3.5mm Recon Plate </Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>594</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ST738</BillingCode>
            <Name>Leibinger Titanium Implant System</Name>
            <Description>Leibinger profyle hand &amp; small  fragment system, fixation, 3D plate, titanium</Description>
            <Size>1.7mm system, 2x2 holes</Size>
            <SupplierCode>ST</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>124318</ARTG>
                <ARTG>64730</ARTG>
            </ARTGs>
            <MinimumBenefit>594</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY704</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Specialty Plate</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>594</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI786</BillingCode>
            <Name>ZPS-Zimmer Plate and Screw System</Name>
            <Description>3.5mm T-Plates</Description>
            <Size>2 holes - 6 holes</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>594</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BI930</BillingCode>
            <Name>Sternalock</Name>
            <Description>≤ 6 holes, various shapes</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>BI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>128458</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EF001</BillingCode>
            <Name>Merete TTF Anterior Ankle Plate</Name>
            <Description>Anterior Ankle Plates</Description>
            <Size>≤ 6 holes Left and right</Size>
            <SupplierCode>EF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>203737</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU107</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE644</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Proximal 1st Metatarsal Osteotomy Plate</Name>
            <Description>1st Metatarsal Osteotomy Plate</Description>
            <Size>Petite - Left and Right Side Specific  Standard - Left and Right Side Specific</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU174</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE565</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Lisfranc Plates</Name>
            <Description>Arthrodesis Plate</Description>
            <Size>Small, Medium, Large  Plates come in Left &amp; Right</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU175</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE555</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Locking POW Plate</Name>
            <Description>Wedged Fusion Plate</Description>
            <Size>0-7mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU186</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE290</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Titanium Plate with or without Wedge</Name>
            <Description>Titanium Plate with or without wedge with 4 and non locking holes. Left and right side specific.</Description>
            <Size>Flat Plates - left large, right large, left medium, right medium, left small, right small  Wedge Plates - 10mm wedge left, 10mm wedge right, 8mm wedge left, 8mm wedge right, 6mm wedge left, 6mm wedge right</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU192</BillingCode>
            <Name>Locking Lateral Hook Plate</Name>
            <Description>Locking Lateral Hook Plate for Fracture Fixation of the Lateral Malleolus</Description>
            <Size>3-5 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
                <ARTG>350871</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU194</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE417</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Locking Medial Hook Plate</Name>
            <Description>Locking Medial Hook Plate for Fixation of medial malleolus fractures</Description>
            <Size>3-5 holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW707</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR049</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Charlotte MTP Fusion System</Name>
            <Description>MTP plate, stainless steel</Description>
            <Size>Left &amp; Right small &amp; standard, 6 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW711</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR057</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Lapidus Plate</Name>
            <Description>Titanium locking plate with unique stepped displacement in 1mm increments permits accurate plantarisation and lateralisation in midfoot fusions.</Description>
            <Size> 3.5mm: neutral, 1-6mm step</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW715</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR066</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Arthrodesis Flat Plate - AFP</Name>
            <Description>Flat plate intended for use in isolated tarsal fusions, titanium locking plate, 2mm thickness</Description>
            <Size>12, 14 &amp; 16mm length - 4 hole</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW902</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR378</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MaxLock Extreme System - Small Plates ≤ 6 holes</Name>
            <Description>Small variable angle locking plates, titanium, ≤ 6 holes</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>214671</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW936</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR423</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MaxLock Extreme System – Edgelock II STP Plate</Name>
            <Description>Calcaneal displacement osteotomies locking plate, Titanium.</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>214671</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW978</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR069</PriorBillingCode>
            </PriorBillingCodes>
            <Name>TOM Plate</Name>
            <Description>Designed for base osteotomies and fusions of MT1 with correction achieved through one cut. It is a titanium locking plate, anatomically designed with a smaller radius to fit the contour of the first metatarsal and 5 step variation in 1mm increments for ac</Description>
            <Size>- L &amp; R: neutral, 1-5mm step, 4 hole</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM125</BillingCode>
            <Name>TriMed Sidewinder</Name>
            <Description>Ankle Fixation Plate</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM291</BillingCode>
            <Name>Forearm Locking Plate</Name>
            <Description>Forearm plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SF083</BillingCode>
            <Name>Islay Universial Locking Plate</Name>
            <Description>Titanium Plate with or without wedge with 4 and non locking holes. Left and right side specific.</Description>
            <Size>Various length plates from 18-24mm with and without wedges (2-7mm), plates with valugus angle built in range.</Size>
            <SupplierCode>SF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>208160</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SF119</BillingCode>
            <Name>Islay Arthrodesis Wedge Plate</Name>
            <Description>Islay Arthrodesis Wedge Plate</Description>
            <Size>Arthrodesis Wedge Plate 0mm-8mm(AWP), - 30mm (3.5mm universal locking plate 12mm - 30mm (3.5ULP))</Size>
            <SupplierCode>SF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>208160</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SF126</BillingCode>
            <Name>Islay Recon Plate</Name>
            <Description>Islay Recon Plate</Description>
            <Size>Recon Plate, 6 Hole (RRP)&#xD;
Recon Plate, 8 Hole (RRP)&#xD;
Recon Plate, 14 Hole (RRP)</Size>
            <SupplierCode>SF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>208160</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL130</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System- EVOS</Name>
            <Description>Small Fragment Plate</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL217</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG117</PriorBillingCode>
            </PriorBillingCodes>
            <Name>UNI-CP Compression plating system</Name>
            <Description>2 or 4 hole stainless steel compression plate, with 3 plate configurations (2 or 4 hole 'straight' design, 4 hole T-design)</Description>
            <Size>2 or 4 hole, 4 interaxis sizes: 17, 20, 25 and 30mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>173932</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG117</ChangeExplanation>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL227</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG136</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Uni-CP Compression plating system</Name>
            <Description>4 hole U design</Description>
            <Size>4 hole, 3 interaxis sizes: 17,19,21mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>173932</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG136</ChangeExplanation>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ154</BillingCode>
            <Name>PediLoc Plating System</Name>
            <Description>Locking Cannulated Blade Plate</Description>
            <Size>Infant, Child, Adolescent, 90-130 degrees, 0-14 mm offset, 25-80 mm blade, 2-4 holes</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>191530</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY703</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Specialty Locking Plate</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN028</BillingCode>
            <Name>Newclip Plating System</Name>
            <Description>Complex Locking Bone Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI543</BillingCode>
            <Name>Zimmer Universal Locking System</Name>
            <Description>3.5mm Locking T plate</Description>
            <Size>3 hole head 5 hole shaft 73mm length; 4 hole head 6 hole shaft 85mm length; 3 hole head 3 hole shaft left 51mm length; 3 hole head 4 hole shaft left 63mm length; 3 hole head 3 hole shaft right 51mm length; 3 hole head 4 hole shaft right 63mm length.</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH242</BillingCode>
            <Name>ALPS Foot System</Name>
            <Description>Complex periarticular foot plates</Description>
            <Size>small to large</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>153056</ARTG>
            </ARTGs>
            <MinimumBenefit>1164</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE763</BillingCode>
            <Name>MaxForce MTP</Name>
            <Description>Plate for Arthrodesis</Description>
            <Size>6 Holes</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>284416</ARTG>
            </ARTGs>
            <MinimumBenefit>1164</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO080</BillingCode>
            <Name>APTUS Foot</Name>
            <Description>TriLock Plates</Description>
            <Size>2.8</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>141170</ARTG>
            </ARTGs>
            <MinimumBenefit>1164</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER480</BillingCode>
            <Name>Paragon 28 Gorilla Plating System-Plate, small (≤ 6 holes);variable angle locking, complex</Name>
            <Description>Paragon28 Gorilla, small titanium compression plates; universal; variable angle locking; compression; various complex shapes</Description>
            <Size>thickness 1.3 - 2.0 mm; multi screw diameter purchase</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>289248</ARTG>
            </ARTGs>
            <MinimumBenefit>1164</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU242</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE763</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MaxForce MTP</Name>
            <Description>Plate for Arthrodesis</Description>
            <Size>6 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>1164</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW596</BillingCode>
            <Name>Stryker Locked Plating System</Name>
            <Description>Periarticular variable angle locking plate - clavicle</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>237797</ARTG>
            </ARTGs>
            <MinimumBenefit>1164</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW713</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR064</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MPJ Fusion Plate</Name>
            <Description>Titanium locking plate with built-in 1- degree valgus angle for anatomic fixation of 1st MTP joint</Description>
            <Size>Small, Medium &amp; Revision, Left &amp; Right, 0, 5 &amp; 10 degree</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>1164</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM304</BillingCode>
            <Name>OsteoMed FPS</Name>
            <Description>Titanium locking footplates</Description>
            <Size>3.5mm and 4mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>202319</ARTG>
            </ARTGs>
            <MinimumBenefit>1164</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM518</BillingCode>
            <Name>OMNI Plating System</Name>
            <Description>X and Dog Bone Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>306780</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>1164</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL223</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG132</PriorBillingCode>
            </PriorBillingCodes>
            <Name>TIBIAXYS Distal Tibia System - Ankle Arthrodesis - Medial anterior plate</Name>
            <Description>Titanium medial anterior plate with 6 holes; left or right</Description>
            <Size>3mm thick, 77mm long</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>173932</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG132</ChangeExplanation>
            <MinimumBenefit>1164</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BU023</BillingCode>
            <Name>Airlock Plating System</Name>
            <Description>Airlock Plating System</Description>
            <Size>None Plates 2 - 6 Holes</Size>
            <SupplierCode>BU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>235766</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ031</BillingCode>
            <Name>Valetis Ankle - Plates</Name>
            <Description>1/3 Tubular Plate</Description>
            <Size>4 to 6 hole</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>284755</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ033</BillingCode>
            <Name>Valens Shoulder and Elbow - Plates</Name>
            <Description>Locking Compression Plates</Description>
            <Size>3.5mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ035</BillingCode>
            <Name>Valens Shoulder and Elbow - Plates</Name>
            <Description>LCP, Right/Oblique Angled, T-Plate</Description>
            <Size>1-6 Holes</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW047</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Locking Plate Systems</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU108</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE455</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Low Profile T-Plate</Name>
            <Description>Plate for fusion</Description>
            <Size>2-4 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU109</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE533</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Posterolateral Distal Fibula Plate</Name>
            <Description>Plate for fracture fixation</Description>
            <Size>4-6 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU110</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE568</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Posterolateral Distal Fibula Plate</Name>
            <Description>Plate for fracture fixation</Description>
            <Size>8 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU164</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE372</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Low Profile MTP Plate</Name>
            <Description>Athrodesis Plate - 6 hole plates</Description>
            <Size>Contoured small left,contoured small right, contoured standard right,contoured standard left</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU165</BillingCode>
            <Name>Locking Reconstruction Plate</Name>
            <Description>Reconstruction Plate for communited Fibula Shaft Fractures</Description>
            <Size>4-6 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
                <ARTG>350871</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU166</BillingCode>
            <Name>Locking Third Tubular Plate</Name>
            <Description>Plate for fracture fixation of the Fibula</Description>
            <Size>4-6 holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
                <ARTG>350871</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU167</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE453</PriorBillingCode>
            </PriorBillingCodes>
            <Name>X Plate</Name>
            <Description>Plate for fusion</Description>
            <Size>Medium, Large</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU168</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE457</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Low Profile Straight Plate</Name>
            <Description>Plate for fusion</Description>
            <Size>2-5 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU169</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE504</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Double Compression Plate System</Name>
            <Description>Fixation plates for surgical compression across fusion sites.</Description>
            <Size>Double Compression Plate, 2 Hole, 20 mm   Double Compression Plate, 2 Hole, 25 mm   Double Compression Plate, 2 Hole, 30 mm   Double Compression Plate, 3 Hole, 20 mm   Double Compression Plate, 3 Hole, 25 mm   Double Compression Plate, 3 Hole, 30 mm   Double Compression Plate, 4 Hole, Straight, 20 mm   Double Compression Plate, 4 Hole, Straight, 25 mm   Double Compression Plate, 4 Hole, Straight, 30 mm   Double Compression Plate, 4 Hole, Square, 20 mm   Double Compression Plate, 4 Hole, Square, 25 mm   Double Compression Plate, 4 Hole, Square, 30 mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
                <ARTG>350871</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU170</BillingCode>
            <Name>MTP Plate</Name>
            <Description>1st MTP Arthrodesis Plate</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU201</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE285</PriorBillingCode>
            </PriorBillingCodes>
            <Name> Titanium Lapidus Arthrodesis Plate </Name>
            <Description>Titanium Lapidus Arthrodesis Plate with locking holes and compresion slot</Description>
            <Size>Small, Large</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
                <ARTG>350871</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM122</BillingCode>
            <Name>TriMed Periarticular Plate</Name>
            <Description>Periarticular Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX006</BillingCode>
            <Name>ARMAR LPS Reconstruction Plates</Name>
            <Description>3.5 mm Reconstruction plates</Description>
            <Size>2-6 holes</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX009</BillingCode>
            <Name>ARMAR LPS Cloverleaf Plate</Name>
            <Description>3.5 mm cloverleaf reconstruction plate</Description>
            <Size>MT-PT1303088&#xD;
MT-PT1304104&#xD;
MT-PT1305120&#xD;
MT-PT1306136</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK538</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Locking Compression Anatomical Shape</Description>
            <Size>2-6 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK540</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Locking Reconstruction Plates</Description>
            <Size>4.0mm, 4-6 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK542</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Locking One Third Tubular Plates</Description>
            <Size>3.0mm, 2-6 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL086</BillingCode>
            <Name>PERI-LOC</Name>
            <Description>Clavicle plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN796</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Locking 1/3 Tubular &amp; 3.5mm Straight Plates </Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN914</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Clavicle plates</Description>
            <Size>≤6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ138</BillingCode>
            <Name>PediLoc Plating System</Name>
            <Description>3.5mm Locking Plate,&#xD;
PediLoc, PediFrag, PLEO</Description>
            <Size>2-6 Hole</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>191530</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY723</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>LCP Plates</Description>
            <Size>≤6 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN026</BillingCode>
            <Name>Newclip Plating System</Name>
            <Description>Locking Bone Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI774</BillingCode>
            <Name>Zimmer Universal Locking System</Name>
            <Description>3.5mm One-Third Tubular Locking Plate</Description>
            <Size>5-6 holes</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI800</BillingCode>
            <Name>Zimmer Universal Locking System</Name>
            <Description>3.5mm One Third Tubular Locking Plate</Description>
            <Size>5-6 holes</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI810</BillingCode>
            <Name>Zimmer Universal Locking System</Name>
            <Description>3.5mm Dual Compression Locking Plates</Description>
            <Size>4 - 6 holes</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH273</BillingCode>
            <Name>ALPS - Anatomic Locked Plating System</Name>
            <Description>3.5mm titanium plate</Description>
            <Size>2-6 holes</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>153056</ARTG>
            </ARTGs>
            <MinimumBenefit>784</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO135</BillingCode>
            <Name>APTUS</Name>
            <Description>Variable Angle Locking Plate </Description>
            <Size>≤ 6 holes </Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>206157</ARTG>
            </ARTGs>
            <MinimumBenefit>784</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER479</BillingCode>
            <Name>Paragon 28 Gorilla Plating System-Plate, small (≤ 6 holes), variable angle locking</Name>
            <Description>Paragon28 Gorilla, small titanium compression plates; universal; variable angle locking; compression; various shapes</Description>
            <Size>Length 15-35 mm; thickness 1.15 - 2.0 mm; multi screw diameter purchage 2.7/3.5/4.2mm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>289248</ARTG>
            </ARTGs>
            <MinimumBenefit>784</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER568</BillingCode>
            <Name>Paragon 28 Gorilla Plating System-Plate, tibial (≤ 6 holes)</Name>
            <Description>Paragon 28 Gorilla Silverback tibiotalar posterior(TT) ankle fusion plate, left or right</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>289248</ARTG>
            </ARTGs>
            <MinimumBenefit>784</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU111</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE525</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Dorsal Distal Radius Plate</Name>
            <Description>Plate for Fracture Fixation</Description>
            <Size>4 Holes Standard (Left &amp; Right)  4 Holes Narrow (Left &amp;  Right)</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>784</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU112</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE535</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Dorsal L Plate</Name>
            <Description>Plate for Fracture Fixation</Description>
            <Size>5 Holes (Left &amp; Right)</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>784</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU171</BillingCode>
            <Name>MTP Plate, Straight</Name>
            <Description>Metatarso-Phalangeal Fusion plate for 1st MTP</Description>
            <Size>Small and Standard, ≤ 6 holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
                <ARTG>350871</ARTG>
            </ARTGs>
            <MinimumBenefit>784</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU285</BillingCode>
            <Name>Dynanite Compression Plates</Name>
            <Description>Plate for Arthrodesis</Description>
            <Size>2-4 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>355042</ARTG>
            </ARTGs>
            <MinimumBenefit>784</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU301</BillingCode>
            <Name>Lateral Hook Plate</Name>
            <Description>Plate for fracture fixation</Description>
            <Size>3-5 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>784</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU302</BillingCode>
            <Name>Lateral Hook Plate</Name>
            <Description>Plate for fracture fixation</Description>
            <Size>7-15 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>784</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW535</BillingCode>
            <Name>VariAx Compression Plating System</Name>
            <Description>VAL 1/3 Tubular Plate</Description>
            <Size>&gt;/=6 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>237797</ARTG>
                <ARTG>269713</ARTG>
                <ARTG>295226</ARTG>
            </ARTGs>
            <MinimumBenefit>784</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW991</BillingCode>
            <Name>VariAx 2 Locking Plate System – Distal Ulna</Name>
            <Description>VAL Fixation Plates for Distal Ulna Fractures</Description>
            <Size>625102  625102S</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>357433</ARTG>
                <ARTG>340044</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>784</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW994</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR237</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Ortholoc Fracture System - Plates</Name>
            <Description>Universal</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from WR237</ChangeExplanation>
            <MinimumBenefit>784</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG116</BillingCode>
            <Name>TIBIAXYS Distal Tibial Osteotomy System - Fibula plate</Name>
            <Description>Titanium 4 or 6 hole fibula plate</Description>
            <Size>4 hole plate - 48.7mm length; 6 hole plate - 68.5mm length</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>173932</ARTG>
            </ARTGs>
            <MinimumBenefit>784</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JD021</BillingCode>
            <Name>1/3 Tubular Plate</Name>
            <Description>1/3 Tubular Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>JD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>222648</ARTG>
            </ARTGs>
            <MinimumBenefit>784</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JD022</BillingCode>
            <Name>MTP Plate</Name>
            <Description>Fusion Plates</Description>
            <Size>Left and Right</Size>
            <SupplierCode>JD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>222648</ARTG>
            </ARTGs>
            <MinimumBenefit>784</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM516</BillingCode>
            <Name>OMNI plating system</Name>
            <Description>MTP, Lapidus, Straight, T Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>306780</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>784</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN297</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>3.5 mm LCP Medial Anterior Clavicle Plate  </Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>784</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL096</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Small Fragment Plate</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>784</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN938</BillingCode>
            <Name>Peri-Loc VLP</Name>
            <Description>VAL/LK 3.5 1/3 Tubular</Description>
            <Size>≤6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>784</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN979</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Fibula Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>784</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ178</BillingCode>
            <Name>PediFoot Deformity Correction System</Name>
            <Description>3.5mm Plates, Compression/Neutral, Recon, Angle Iron, Wedge, Clover    </Description>
            <Size>7-70mm length, 4-6mm wedge length, 2-6 holes</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>191530</ARTG>
            </ARTGs>
            <MinimumBenefit>784</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN050</BillingCode>
            <Name>VAL plates screw size 2.71-4.49</Name>
            <Description>VAL complex plates</Description>
            <Size>screw size 2.71-4.49 &#xD;
≤  6 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>784</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN067</BillingCode>
            <Name>Newclip Plating System</Name>
            <Description>VAL Locking plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>784</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW034</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Small Fragment Plating System</Description>
            <Size>≤ 6 Holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>214</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU150</BillingCode>
            <Name>Dual Syndesmosis Tightrope Plate</Name>
            <Description>Buttress plate for syndesmosis repair</Description>
            <Size>1 size (2 Hole Plate)</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>214</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW979</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR269</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Locking Plate</Name>
            <Description>Titanium locking plates anatomically contoured for forefoot and midfoot osteotomies.</Description>
            <Size>2.7mm &amp; 3.5mm, neutral, step, left, right, 1mm, 2mm, 3mm, 4mm, 5mm, 6mm, 7mm, 4-6Holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>214</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG096</BillingCode>
            <Name>Basal Osteotomy Plate</Name>
            <Description>Titanium</Description>
            <Size>5 Deg, Left and Right, 10Deg, Left and Right</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <ARTGs>
                <ARTG>173932</ARTG>
            </ARTGs>
            <MinimumBenefit>214</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM121</BillingCode>
            <Name>'TriMed Wire Plates</Name>
            <Description>Wire Fixation plate</Description>
            <Size>3 &amp; 5 hole</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>214</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO446</BillingCode>
            <Name>Acumed Small Fragment Plates</Name>
            <Description>One Third Tubular Plates</Description>
            <Size>3 to 6 Holes</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>214</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK548</BillingCode>
            <Name>Stryker Plating System Small Fragment Set</Name>
            <Description>3.5mm Reconstruction Plate</Description>
            <Size>4-6 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>214</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL094</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System- EVOS</Name>
            <Description>Small Fragment Plate</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>214</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN012</BillingCode>
            <Name>TC-100 &amp; Peri-Loc</Name>
            <Description>1/3 Tubular Plates</Description>
            <Size>≤ 6 holes.</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>214</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN044</BillingCode>
            <Name>TC-100 &amp; Peri-Loc</Name>
            <Description> 3.5mm Straight Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>214</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN109</BillingCode>
            <Name>TC100</Name>
            <Description>3.5mm Reconstruction Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>214</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN136</BillingCode>
            <Name>TC-100 </Name>
            <Description>Small right angle &amp; T plates </Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>214</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ST037</BillingCode>
            <Name>Stryker Plating System Small Fragment Set </Name>
            <Description>One Third Tubular Plate with Collar</Description>
            <Size>2-6 Holes</Size>
            <SupplierCode>ST</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <ARTGs>
                <ARTG>119848</ARTG>
                <ARTG>25735</ARTG>
            </ARTGs>
            <MinimumBenefit>214</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ST730</BillingCode>
            <Name>Leibinger Titanium Implant System</Name>
            <Description>Hand system, fixation plate, L-shape, right/left</Description>
            <Size>1.7mm, 6 holes</Size>
            <SupplierCode>ST</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <ARTGs>
                <ARTG>124318</ARTG>
                <ARTG>64730</ARTG>
            </ARTGs>
            <MinimumBenefit>214</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY702</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>DCS DHS Plate, Angled blade, Osteotomy</Description>
            <Size>≤6 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>214</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY726</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Non-Locking Fragment Plates</Description>
            <Size>≤6 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>214</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VK016</BillingCode>
            <Name>Orthofix eight-Plate</Name>
            <Description>Guided growth plate for correction of angular deformities over an open growth plate. Titanium, two screw holes, wire guided.</Description>
            <Size>12mm, 16mm</Size>
            <SupplierCode>VK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <ARTGs>
                <ARTG>118320</ARTG>
                <ARTG>189806</ARTG>
            </ARTGs>
            <MinimumBenefit>214</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VK028</BillingCode>
            <Name>Quad Plate Plus</Name>
            <Description>The Guided Growth Plate System Plus consists of different sizes of quad- Plate plus, different cannulated and solid screw options. The device is designed for the gradual correction of paediatric congenital as well as acquired deformities in both the upper and lower extremities, provided that the physics are not fused. The plates feature a contoured waist and low profile for paediatric usage. There is a centre hole in the plates for a temporary guide pin to be implanted to aid application and removal of the plate. The plates are attached to the external surface of the bone over the growth plate by screws. These screws are not locked to the plate, but rather are allowed to swivel and diverge in their position as bone growth occurs. The implant acts like a flexible hinge, permitting growth at the growth plate to gradually straighten the limb.</Description>
            <Size>16mm plate  22mm plate</Size>
            <SupplierCode>VK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <ARTGs>
                <ARTG>289399</ARTG>
            </ARTGs>
            <MinimumBenefit>214</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI778</BillingCode>
            <Name>ZPS-Zimmer Plate and Screw System</Name>
            <Description>3.5mm Straight Compression Plate</Description>
            <Size>2-6 holes</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>214</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI781</BillingCode>
            <Name>ZPS-Zimmer Plate and Screw System</Name>
            <Description>3.5mm ZPS One Third Tubular Plates</Description>
            <Size>2-6 holes left and right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>214</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI789</BillingCode>
            <Name>ZPS-Zimmer Plate and Screw System</Name>
            <Description>3.5mm Straight Reconstruction Plates</Description>
            <Size>3-6 holes</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5258</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>214</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG127</BillingCode>
            <Name>Spider Limited Wrist Fusion System - Spider Plate</Name>
            <Description>Recessed, circular stainless steel plate</Description>
            <Size>8 holes</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>177622</ARTG>
            </ARTGs>
            <MinimumBenefit>659</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO208</BillingCode>
            <Name>Acumed Bone Plate</Name>
            <Description>Wrist Fusion Plate - Titanium</Description>
            <Size>Standard/Mini 7-9 holes.      </Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>659</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK547</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>T-Plates, pre-shaped</Description>
            <Size>7-13 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>659</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL126</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Small Fragment Plate</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>659</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN069</BillingCode>
            <Name> TC-100 </Name>
            <Description>3.5mm Reconstruction Plates </Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>659</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN801</BillingCode>
            <Name>Peri-Loc </Name>
            <Description>3.5mm Recon Plates   </Description>
            <Size>  &gt; 7 to &lt; 15 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>659</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN936</BillingCode>
            <Name>TC-100</Name>
            <Description>3.5mm Curved Reconstruction Plate</Description>
            <Size>≥7 to ≤15 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>659</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ST051</BillingCode>
            <Name>Stryker Plating System Small Fragment Set</Name>
            <Description>Cloverleaf Plate</Description>
            <Size>8-15 Holes</Size>
            <SupplierCode>ST</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
                <ARTG>25735</ARTG>
            </ARTGs>
            <MinimumBenefit>659</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY037</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Specialty Plate</Description>
            <Size>7-15 hole</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>659</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU191</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE420</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Locking Lateral Hook Plate</Name>
            <Description>Locking Lateral Hook Plate for Fixation of Lateral Malleolus</Description>
            <Size>7 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>916</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU193</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE418</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Locking Medial Hook Plate</Name>
            <Description>Locking Medial Hook Plate for fixation of Medial malleolus fractures</Description>
            <Size>7 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>916</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG064</BillingCode>
            <Name>Integra Total Wrist Fusion System - Plates</Name>
            <Description>Straight (bendable), Standard bend, Short Bend</Description>
            <Size>1 size only of each type of plate:&#xD;
Straight: 105.5mm length&#xD;
Standard and short bend: 110mm length</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>177662</ARTG>
            </ARTGs>
            <MinimumBenefit>916</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM126</BillingCode>
            <Name>TriMed Sidewinder</Name>
            <Description>Ankle Fixation Plate</Description>
            <Size>7 hole sidewinder plate</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>916</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM337</BillingCode>
            <Name>Trimed Plates</Name>
            <Description>Elbow, Forearm, clavicle and Wrist Plates</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>916</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN209</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Locking Specialty Plate</Description>
            <Size>7-15 Holes</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>286609</ARTG>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>916</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB017</BillingCode>
            <Name>Ankle Fusion Locking Plate</Name>
            <Description>Ankle Fusion Locking Plate</Description>
            <Size>7 holes</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>261562</ARTG>
            </ARTGs>
            <MinimumBenefit>916</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL138</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System- EVOS</Name>
            <Description>Small Fragment plate</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>916</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN029</BillingCode>
            <Name>Newclip Plating System</Name>
            <Description>Locking bone plates</Description>
            <Size>7 to 15 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>916</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN032</BillingCode>
            <Name>Newclip Calcaneal Plates</Name>
            <Description>Plates for calcaneus</Description>
            <Size>7 to 15 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>916</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH244</BillingCode>
            <Name>ALPS foot system</Name>
            <Description>periarticular foot, metatarsal and tarsal plates</Description>
            <Size>small to large</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>153056</ARTG>
            </ARTGs>
            <MinimumBenefit>1229</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE760</BillingCode>
            <Name>MaxForce MTP</Name>
            <Description>Plate for Arthrodesis</Description>
            <Size>7-8 Holes</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>284416</ARTG>
            </ARTGs>
            <MinimumBenefit>1229</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO081</BillingCode>
            <Name>APTUS Foot</Name>
            <Description>TriLock Plates</Description>
            <Size>2.8</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>141170</ARTG>
            </ARTGs>
            <MinimumBenefit>1229</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER482</BillingCode>
            <Name>Paragon 28 Gorilla Plating System-Plate, small ( ≥ 7 to ≤ 15 holes); variable angle locking, complex</Name>
            <Description>Paragon 28 Gorilla Plating System-Plate, small, titanium, malleus/column rescue/stradle/arch (proximal or distal), variable angle locking, complex</Description>
            <Size>Thickness 1.5mm; multi screw diameter purchase</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>289248</ARTG>
            </ARTGs>
            <MinimumBenefit>1229</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU243</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE760</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MaxForce MTP</Name>
            <Description>Plate for Arthrodesis</Description>
            <Size>7-8 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>1229</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW598</BillingCode>
            <Name>Stryker Locked Plate System</Name>
            <Description>Periarticular variable angle locking plate - clavicle</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>196764</ARTG>
            </ARTGs>
            <MinimumBenefit>1229</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW934</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR420</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MaxLock Extreme System - Small Complex VAL Plates &gt;6 holes</Name>
            <Description>Small complex variable angle lockig plates, Titanium, &gt;6 holes</Description>
            <Size>&gt; 6 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>214671</ARTG>
            </ARTGs>
            <MinimumBenefit>1229</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM213</BillingCode>
            <Name>Fusion Cup</Name>
            <Description>PEEK curved and round plate</Description>
            <Size>7, 9, 10, 11 &amp; 12 hole</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>229707</ARTG>
            </ARTGs>
            <MinimumBenefit>1229</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM471</BillingCode>
            <Name>TriMed ASET Foot Plating System</Name>
            <Description>Lapidus Plate</Description>
            <Size>≥ 7 Holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>1229</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM519</BillingCode>
            <Name>OMNI Plating System</Name>
            <Description>Lisfranc Plates</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>306780</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>1229</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL215</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG114</PriorBillingCode>
            </PriorBillingCodes>
            <Name>TIBIAXYS Distal Tibial Osteotomy System: Medial right/lateral left osteotomy plate: lateral right/medial left osteotomy plate</Name>
            <Description>Titanium contoured right and left design plates for wedge osteotomy of distal tibia</Description>
            <Size>8 hole; Lateral plates 75.2mm length</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>173932</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG114</ChangeExplanation>
            <MinimumBenefit>1229</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL219</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG119</PriorBillingCode>
            </PriorBillingCodes>
            <Name>HALLU-Lock MTP Arthrodesis System - HALLU-Lock S Plate</Name>
            <Description>Titanium contoured Hallu-Lock S plate for revision of Keller osteotomy, failed arthroplasty, failed fusion</Description>
            <Size>7 holes, sizes 0 to 3, length 40 to 55mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>173932</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG119</ChangeExplanation>
            <MinimumBenefit>1229</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL222</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG131</PriorBillingCode>
            </PriorBillingCodes>
            <Name>TIBIAXYS Distal Tibia System - Ankle Arthrodesis - Lateral anterior plate</Name>
            <Description>Titanium lateral anterior plate with 8 holes; left or right</Description>
            <Size>3mm thick, 92mm long</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>173932</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG131</ChangeExplanation>
            <MinimumBenefit>1229</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY798</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Variable Angle Locking Specialty Plate</Description>
            <Size>7-15 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1229</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN066</BillingCode>
            <Name>Newclip Plating System</Name>
            <Description>VAL Locking plates</Description>
            <Size>7 to  15 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>1229</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN074</BillingCode>
            <Name>Newclip Foot Plate</Name>
            <Description>Variable-Angle Locking anatomic plates</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>1229</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ032</BillingCode>
            <Name>Valetis Ankle - Plates</Name>
            <Description>1/3 Tubular Plate</Description>
            <Size>7 to 12 hole</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>284755</ARTG>
            </ARTGs>
            <MinimumBenefit>536</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ034</BillingCode>
            <Name>Valens Shoulder and Elbow - Plates</Name>
            <Description>Locking Compression Plates</Description>
            <Size>3.5mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>536</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW048</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Locking Plate Systems</Description>
            <Size>7-15 Holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>536</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU183</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE441</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Medial Column Plate</Name>
            <Description>Plate for fusion</Description>
            <Size>Small, Medium, Large (Left and Right)</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>536</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU187</BillingCode>
            <Name>Locking Third Tubular Plate</Name>
            <Description>Plate for fracture of the Fibula</Description>
            <Size>7-12 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
                <ARTG>350871</ARTG>
            </ARTGs>
            <MinimumBenefit>536</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU188</BillingCode>
            <Name>Locking Reconstruction Plate</Name>
            <Description>Reconstruction Plate for communited Fibula Shaft Fractures</Description>
            <Size>7-12 holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
                <ARTG>350871</ARTG>
            </ARTGs>
            <MinimumBenefit>536</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM123</BillingCode>
            <Name>TriMed Periarticular Plate</Name>
            <Description>Periarticular Plates</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>536</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN335</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Locking Specialty Plates, LCP Clavicle, MatrixRIB, Titanium</Description>
            <Size>7-15 Holes</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>536</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX007</BillingCode>
            <Name>ARMAR LPS Reconstruction Plates</Name>
            <Description>3.5 mm reconstruction plates</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>536</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK539</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Locking Compression Anatomical Shape</Description>
            <Size>7-14 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>536</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK541</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Locking Reconstruction Plates</Description>
            <Size>4.0mm, 7-14 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>536</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK543</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Locking One Third Tubular Plates</Description>
            <Size>3.0mm, 7-14 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>536</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL087</BillingCode>
            <Name>PERI-LOC</Name>
            <Description>Clavicle plates</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>536</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN797</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Locking 1/3 Tubular &amp; 3.5mm Straight Plates</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>536</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ081</BillingCode>
            <Name>PediLoc-Periarticular Locking Plating System Femur - &gt;7 to &gt;15 holes, screw size 2.71 - 4.49mm</Name>
            <Description>3.5mm Contour or Bowed Locking Compression, 8-14 Hole Plate, Left-Right</Description>
            <Size>3.5mm Bowed, 14 hole&#xD;
3.5mm contour, 8 - 14 Hole Left-Right</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>191586</ARTG>
            </ARTGs>
            <MinimumBenefit>536</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ192</BillingCode>
            <Name>PediLoc Plating System</Name>
            <Description>3.5mm Locking Plate</Description>
            <Size>8 Hole</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>191530</ARTG>
            </ARTGs>
            <MinimumBenefit>536</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY722</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>LCP T, L, Straight Plates, Stainless Steel, Titanium</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
                <ARTG>286609</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Description</ChangeExplanation>
            <MinimumBenefit>536</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN027</BillingCode>
            <Name>Newclip Plating System</Name>
            <Description>Locking Bone Plates</Description>
            <Size>7 to 15 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>536</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI775</BillingCode>
            <Name>Zimmer Universal Locking System</Name>
            <Description>3.5mm One-Third Tubular Locking Plate</Description>
            <Size>7-10 holes</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>536</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI801</BillingCode>
            <Name>Zimmer Universal Locking System</Name>
            <Description>3.5mm One Third Tubular Locking Plate</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>536</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI811</BillingCode>
            <Name>Zimmer Universal Locking System</Name>
            <Description>3.5mm Dual Compression Locking Plates</Description>
            <Size>7 - 14 holes</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>536</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH274</BillingCode>
            <Name>ALPS - Anatomic Locked Plating System</Name>
            <Description>3.5mm Titanium  plates</Description>
            <Size>7 to 15 holes</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>153056</ARTG>
            </ARTGs>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO133</BillingCode>
            <Name>APTUS</Name>
            <Description>Variable angle locking plate </Description>
            <Size>7 - 15 holes </Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>206157</ARTG>
            </ARTGs>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO134</BillingCode>
            <Name>APTUS </Name>
            <Description>Clavicle Variable Angle Locking Plates </Description>
            <Size>7 - 15 holes </Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>206157</ARTG>
            </ARTGs>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO136</BillingCode>
            <Name>APTUS </Name>
            <Description>Variable Angle Locking Plates </Description>
            <Size>7 - 15 holes </Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>206157</ARTG>
            </ARTGs>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER481</BillingCode>
            <Name>Paragon 28 Gorilla Plating System-Plate, small ( ≥ 7 to ≤ 15 holes); variable angle locking</Name>
            <Description>Paragon 28 Gorilla Plating System-Plate, small, titanium, malleus/column rescue/stradle/arch (proximal or distal)</Description>
            <Size>Thickness 1.5/2.0 mm ; multi screw diameter purchase 2.7/3.5/4.2mm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>289248</ARTG>
            </ARTGs>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER604</BillingCode>
            <Name>Paragon 28 Gorilla Plates- ≥ 7 to ≤ 15 holes, medial, anterior, anterolateral</Name>
            <Description>Paragon 28 Gorilla Plates- tibia  ≥ 7 to ≤ 15 holes, medial, anterior, anterolateral. left or right, variable angle locking, complex shapes</Description>
            <Size>≥ 7 to ≤ 15 holes, thickness 1.8 mm; multi screw diameter purchase</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>290443</ARTG>
            </ARTGs>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU123</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE531</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Wrist Spanning Plate</Name>
            <Description>Plate for Fracture Fixation</Description>
            <Size>9 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU177</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE505</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MTP Plate, Straight , Long</Name>
            <Description>1st MTP Arthrodesis Plate , Straight, Long - 8 Holes</Description>
            <Size>8 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
                <ARTG>350871</ARTG>
            </ARTGs>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU299</BillingCode>
            <Name>Locking Distal Fibula Plate</Name>
            <Description>Plate for Fracture Fixation</Description>
            <Size>7-15 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU308</BillingCode>
            <Name>Posterolateral Fibula Plate</Name>
            <Description>Plate for Fracture fixation</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU309</BillingCode>
            <Name>Posterolateral Fibula Plate</Name>
            <Description>Plate for fracture fixation</Description>
            <Size>8 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU310</BillingCode>
            <Name>Anatomic Posterolateral Distal Fibula Plate</Name>
            <Description>Plate for fracture fixation</Description>
            <Size>4-6 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU311</BillingCode>
            <Name>Anatomic Posterolateral Distal Fibula Plate</Name>
            <Description>Plate for fracture fixation</Description>
            <Size>7-15 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU312</BillingCode>
            <Name>Locking Medial Hook Plate</Name>
            <Description>Plate for fracture fixation</Description>
            <Size>7-15 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU314</BillingCode>
            <Name>Locking Medial Hook Plate</Name>
            <Description>Plate for fracture fixation</Description>
            <Size>&amp;lt;6 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW533</BillingCode>
            <Name>VariAx Compression Plating System</Name>
            <Description>Periarticular variable angle locking plate</Description>
            <Size>≥ 7 to ≤ 15</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>139635</ARTG>
                <ARTG>295226</ARTG>
            </ARTGs>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW811</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR238</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Ortholoc Fracture System - Plates</Name>
            <Description>Universal</Description>
            <Size>8 Hole</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW992</BillingCode>
            <Name>VariAx 2 Locking Plate System – Distal Ulna</Name>
            <Description>VAL Fixation Plates for Distal Ulna Fractures</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>357433</ARTG>
                <ARTG>340044</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JD023</BillingCode>
            <Name>1/3 Tubular Plate</Name>
            <Description>1/3 Tubular Plate</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>JD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>222648</ARTG>
            </ARTGs>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KT078</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OH513</PriorBillingCode>
            </PriorBillingCodes>
            <Name>RECOS Ulna Shortening and Radius Reconstruction System</Name>
            <Description>Ulna Shortening / Radius Reconstruction plates</Description>
            <Size>80/90mm x 10mm short / long, 70mm x 21-24mm</Size>
            <SupplierCode>KT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>236206</ARTG>
            </ARTGs>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM309</BillingCode>
            <Name>Osteomed FPS</Name>
            <Description>Tubular Plates</Description>
            <Size>7 to 15 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>202319</ARTG>
            </ARTGs>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM360</BillingCode>
            <Name>MTP Plate</Name>
            <Description>MTP Plate</Description>
            <Size>7 to 15 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>266216</ARTG>
            </ARTGs>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM517</BillingCode>
            <Name>OMNI Plating System</Name>
            <Description>Straight Plates</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>306780</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN210</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Variable Angle Locking  Plate</Description>
            <Size>7-15 Holes</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN296</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>VA-LCP Anterior Clavicle Plates</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN298</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>3.5 mm LCP Medial Anterior Clavicle Plate  </Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB076</BillingCode>
            <Name>Marathon variable angle Fibula Plate</Name>
            <Description>Marathon variable angle Fibula Plate</Description>
            <Size>1 - 6 holes</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>261562</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB077</BillingCode>
            <Name>Marathon variable angle Fibula plates</Name>
            <Description>Marathon variable angle Fibula plates</Description>
            <Size>7 - 15 holes</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>261562</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL095</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Small Fragment plate</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL216</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG115</PriorBillingCode>
            </PriorBillingCodes>
            <Name>TIBIAXYS Distal Tibial Osteotomy System - Medial osteotomy plate</Name>
            <Description>Inverted T-shape medial osteotomy plate to fit medial malleolus</Description>
            <Size>8 hole; 70mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>173932</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG115</ChangeExplanation>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN939</BillingCode>
            <Name>Peri-Loc VLP</Name>
            <Description>VAL/LK 3.5mm 1/3 Tubular Plates</Description>
            <Size>≥7 to ≤15 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN980</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Fibula Plates</Description>
            <Size>≥ 7 to   ≤15 Holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ174</BillingCode>
            <Name>PediFoot Deformity Correction System</Name>
            <Description>3.5mm Plates, Recon</Description>
            <Size>70mm length, 8 holes</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>191530</ARTG>
            </ARTGs>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN044</BillingCode>
            <Name>Newclip Clavicle Plate</Name>
            <Description>Plate for fixation of fractures of the clavicle or Locking Clavicle Plate</Description>
            <Size>7 to 15 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN051</BillingCode>
            <Name>VAL plates screw size 2.71-4.49</Name>
            <Description>VAL complex plates screw size 2.71-4.49</Description>
            <Size>7≥ to ≤ 15 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN063</BillingCode>
            <Name>Newclip Locking plates</Name>
            <Description>Variable Angle Locking Plate</Description>
            <Size>7 to 15 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN071</BillingCode>
            <Name>Periarticular Clavicle plate</Name>
            <Description>Periarticular plate for clavicle    </Description>
            <Size>  ≥ 7 to ≤ 15 holes  </Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA082</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>ZA073</PriorBillingCode>
            </PriorBillingCodes>
            <Name>ALPS Clavicle Plating System</Name>
            <Description>clavicle variable angle locking plates  </Description>
            <Size>7-15 holes  </Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>275084</ARTG>
            </ARTGs>
            <MinimumBenefit>849</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW066</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>1/3 Tubular Plate</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>279</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM372</BillingCode>
            <Name>Tibial Osteotomy Plates</Name>
            <Description>Tibial Osteotomy Plates</Description>
            <Size>Multiple sizes to suit patient anatomy</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <ARTGs>
                <ARTG>266216</ARTG>
            </ARTGs>
            <MinimumBenefit>279</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM376</BillingCode>
            <Name>Fibular Osteotomy Plates</Name>
            <Description>Fibular Osteotomy Plates</Description>
            <Size>Multiple sizes to suit patient anatomy</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <ARTGs>
                <ARTG>266216</ARTG>
            </ARTGs>
            <MinimumBenefit>279</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM377</BillingCode>
            <Name>Fibular Osteotomy Plates</Name>
            <Description>Fibular Osteotomy Plates</Description>
            <Size>Sizes to suit patient anatomy</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <ARTGs>
                <ARTG>266216</ARTG>
            </ARTGs>
            <MinimumBenefit>279</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM379</BillingCode>
            <Name>Ankle Fusion Plate</Name>
            <Description>Ankle Fusion Plate</Description>
            <Size>Suitable for patient anatomy</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <ARTGs>
                <ARTG>266216</ARTG>
            </ARTGs>
            <MinimumBenefit>279</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO445</BillingCode>
            <Name>Acumed Small Fragment Plates</Name>
            <Description>One Third Tubular Plates</Description>
            <Size>7 to 15 Holes</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>279</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK099</BillingCode>
            <Name>Stryker Plating System Small Fragment Set</Name>
            <Description>One Third Tubular Plate with Collar</Description>
            <Size>7-14 Holes</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <ARTGs>
                <ARTG>119848</ARTG>
                <ARTG>25735</ARTG>
            </ARTGs>
            <MinimumBenefit>279</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK549</BillingCode>
            <Name>Stryker Plating System Small Fragment Set</Name>
            <Description>3.5mm Reconstruction Plate</Description>
            <Size>7-14 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>279</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL097</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Small Fragment Plate</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>279</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN118</BillingCode>
            <Name>TC-100 &amp; Peri-Loc </Name>
            <Description>3.5mm Straight Plates </Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>279</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN130</BillingCode>
            <Name>TC-100 &amp; Peri-Loc </Name>
            <Description> 3.5mm Straight Plates</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>279</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY721</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Non-Locking Fragment Plates</Description>
            <Size>7-15 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>279</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN059</BillingCode>
            <Name>Periarticular Clavicle plate</Name>
            <Description>Periarticular plate for clavicle</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>279</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI779</BillingCode>
            <Name>ZPS-Zimmer Plate and Screw System</Name>
            <Description>3.5mm Straight Compression Plate</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>279</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI782</BillingCode>
            <Name>ZPS-Zimmer Plate and Screw System</Name>
            <Description>3.5mm ZPS One Third Tubular Plates</Description>
            <Size>7 holes - 15 holes left and right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>279</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI790</BillingCode>
            <Name>ZPS-Zimmer Plate and Screw System</Name>
            <Description>3.5mm Straight Reconstruction Plates</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5259</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>279</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU124</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE642</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Dorsal Midfoot Fusion Plate</Name>
            <Description>Plate for fusion</Description>
            <Size>Small, Medium, Large</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5260</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>1141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL127</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Small Fragment plate</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5260</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN134</BillingCode>
            <Name>TC-100</Name>
            <Description>3.5mm Reconstruction Plates</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5260</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN937</BillingCode>
            <Name>TC-100</Name>
            <Description>3.5mm Curved Reconstruction Plate</Description>
            <Size>≥16 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5260</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY717</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Non Locking Specialty Plates</Description>
            <Size>≥16 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5260</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO427</BillingCode>
            <Name>ACUMED ACU-LOC Wrist Spanning Plate</Name>
            <Description>Wrist Spanning Plate</Description>
            <Size>Plates available in 13 hole configerations.</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5260</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1397</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL139</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Small Fragment Plate</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5260</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1397</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY809</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Locking Specialty Plate</Description>
            <Size>≥16 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5260</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1397</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW058</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Locking Compression Plates</Description>
            <Size>≥16 holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5260</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>1017</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM124</BillingCode>
            <Name>TriMed Periarticular Plate</Name>
            <Description>Periarticular Plates</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5260</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>1017</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX008</BillingCode>
            <Name>ARMAR LPS Reconstruction Plates</Name>
            <Description>3.5 mm reconstruction locking plates</Description>
            <Size>16-22 holes</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5260</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>1017</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN798</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Plates, Stainless Steel, Locking, Compression, Lefts and Rights</Description>
            <Size>3.5mm, 20 - 22 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5260</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1017</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ083</BillingCode>
            <Name>PediLoc - Anterolateral and Medial Distal Tibial Paediatric Locking Plate</Name>
            <Description>3.5 mm distal tibial locking compression plate (narrow/wide; 2-5 holes)</Description>
            <Size>3.5mm anterolateral left (2,3,4,5, holes)&#xD;
3.5mm anterolateral right (2,3,4,5 holes)&#xD;
3.5mm Narrow Left (2,3,4,5, holes)&#xD;
3.5mm narrow right (2,3,4,5 holes)&#xD;
3.5mm wide left (2,3,4,5 holes)&#xD;
3.5mm wide right (2,3,4,5 holes)</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5260</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>191586</ARTG>
            </ARTGs>
            <MinimumBenefit>1017</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY810</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Locking Specialty Plate</Description>
            <Size>≥16 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5260</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1017</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO114</BillingCode>
            <Name>APTUS</Name>
            <Description>Variable angle locking plates</Description>
            <Size>≥ 16 holes </Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5260</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>206157</ARTG>
            </ARTGs>
            <MinimumBenefit>1331</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER605</BillingCode>
            <Name>Paragon 28 Gorilla Plates- ≥ 16 holes, medial, anterolateral</Name>
            <Description>Paragon 28 Gorilla Plates- tibia  ≥ 16 holes, medial, anterolateral, left or right, variable angle locking, complex shapes</Description>
            <Size>≥ 16 holes, thickness 1.8 mm; multi screw diameter purchase</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5260</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>289248</ARTG>
            </ARTGs>
            <MinimumBenefit>1331</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU300</BillingCode>
            <Name>Locking Distal Fibula Plate</Name>
            <Description>Plate for Fracture Fixation</Description>
            <Size>&gt;16 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5260</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>1331</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW534</BillingCode>
            <Name>Stryker Locking Plate System</Name>
            <Description>Variable Angle Locking Plates</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5260</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>139635</ARTG>
                <ARTG>237797</ARTG>
                <ARTG>295226</ARTG>
            </ARTGs>
            <MinimumBenefit>1331</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK550</BillingCode>
            <Name>Stryker Plating System Small Fragment Set</Name>
            <Description>3.5mm Reconstruction Plate</Description>
            <Size>16-22 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5260</SubGroupID>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>761</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN011</BillingCode>
            <Name>TC-100 &amp;Peri-Loc </Name>
            <Description>Sterile, 14 - 26 hole</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5260</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>761</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY724</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Non-Locking Fragment Plates</Description>
            <Size>≥16 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5260</SubGroupID>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>761</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU172</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE554</PriorBillingCode>
            </PriorBillingCodes>
            <Name>LPS Cotton Osteotomy Plates</Name>
            <Description>Wedged Fusion Plate</Description>
            <Size>Flat, 2mm - 8mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>1007</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU266</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE215</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Titanium Metatarsal Opening Wedge Osteotomy Plate </Name>
            <Description>Titanium Metatarsal Opening Wedge Osteotomy Plate with 4 non locking holes and square wedge </Description>
            <Size>2mm - 8mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>1007</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM209</BillingCode>
            <Name>Jones Fracture Plate</Name>
            <Description>Fracture Fixation Systems</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>1007</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK591</BillingCode>
            <Name>Diamond Plate/Carpal Button</Name>
            <Description>Carpal Fusion Plate</Description>
            <Size>Large, Small</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>239452</ARTG>
            </ARTGs>
            <MinimumBenefit>1007</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL136</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Small Fragment Plate</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1007</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN068</BillingCode>
            <Name>TC 100</Name>
            <Description>Plate: Condylar</Description>
            <Size>1.5mm, 2.0mm &amp;2.7mm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1007</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN081</BillingCode>
            <Name>TC 100 2.0mm H-plates</Name>
            <Description>Sterile</Description>
            <Size>One size only</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1007</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN129</BillingCode>
            <Name>TC 100 1.5mm Mini Plates</Name>
            <Description>Stainless steel, Sterile</Description>
            <Size>H-Plates 4 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1007</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SR086</BillingCode>
            <Name>Stryker Locking Plate System</Name>
            <Description>Plates including Locking, Standard and Compression</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>ST</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>200615</ARTG>
                <ARTG>295882</ARTG>
                <ARTG>237797</ARTG>
                <ARTG>239452</ARTG>
                <ARTG>269713</ARTG>
                <ARTG>295226</ARTG>
            </ARTGs>
            <MinimumBenefit>1007</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ST786</BillingCode>
            <Name>Leibinger Titanium Implant System</Name>
            <Description>Leibinger Forefoot Reconstruction System, straight plate, Titanium</Description>
            <Size>4 holes</Size>
            <SupplierCode>ST</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>124318</ARTG>
                <ARTG>64730</ARTG>
            </ARTGs>
            <MinimumBenefit>1007</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ST787</BillingCode>
            <Name>Leibinger Titanium Implant System</Name>
            <Description>Leibinger Forefoot Reconstruction System, straight plate, Titanium</Description>
            <Size>6 holes</Size>
            <SupplierCode>ST</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>124318</ARTG>
                <ARTG>64730</ARTG>
            </ARTGs>
            <MinimumBenefit>1007</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY747</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Condylar plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1007</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW013</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Locking Compression Plates</Description>
            <Size>≤ 6 Holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>1263</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU173</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE442</PriorBillingCode>
            </PriorBillingCodes>
            <Name>X Plate</Name>
            <Description>Plate for fusion</Description>
            <Size>Small</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>1263</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW899</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR375</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Mini MaxLock Extreme System - Mini Plates ≤ 6 holes</Name>
            <Description>Mini variable angle locking plates, Titanium, ≤ 6 holes</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>214671</ARTG>
            </ARTGs>
            <MinimumBenefit>1263</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO395</BillingCode>
            <Name>RibLoc Rib fracture plating System</Name>
            <Description>RibLoc Plate</Description>
            <Size>46mmL X 8-14mm W</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>158695</ARTG>
            </ARTGs>
            <MinimumBenefit>1263</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SF118</BillingCode>
            <Name>Islay MTP Plate</Name>
            <Description>Islay MTP / TMT Plate</Description>
            <Size>2.7mm Univeral locking plate 18mm (2.7ULP), up to 24mm &#xD;
Open wedge locking plate 4mm (OW) up to 7mm&#xD;
Open wedge locking plate 0mm&#xD;
Open wedge osteotomy plate 4mm to 7.00mm</Size>
            <SupplierCode>SF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>208160</ARTG>
            </ARTGs>
            <MinimumBenefit>1263</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SF123</BillingCode>
            <Name>Islay Opening Wedge Locking plate</Name>
            <Description>Islay Opening Wedge Locking plate</Description>
            <Size>universal locking plate 12 MM - 30mm/&#xD;
Opening Wedge Locking plate 0MM-7MM&#xD;
Opening Wedge osteotomy plate OMM-7MM</Size>
            <SupplierCode>SF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>208160</ARTG>
            </ARTGs>
            <MinimumBenefit>1263</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL133</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System- EVOS</Name>
            <Description>Small Fragment Plate</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1263</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN930</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>2.7mm LK Reconstruction Plates</Description>
            <Size>≤6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1263</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ139</BillingCode>
            <Name>PediLoc - Plating System ≤ 6 holes, screw size ≤ 2.7mm</Name>
            <Description>2.7mm Locking Plate</Description>
            <Size>3-6 Hole</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>191586</ARTG>
            </ARTGs>
            <MinimumBenefit>1263</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY808</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Pre-contoured locking plates</Description>
            <Size>≤6 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1263</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY817</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Locking plates</Description>
            <Size>Less than 6 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1263</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA104</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MZ016</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Tritium SCP (Sternal Cable Plate)</Name>
            <Description>V Shaped Titanium Sternal Plate, 4 Holes, Locking Screw/Plate, Complex Shape</Description>
            <Size>one size</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>193369</ARTG>
            </ARTGs>
            <MinimumBenefit>1263</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI946</BillingCode>
            <Name>Normed fracture fixation plates</Name>
            <Description>Titanium locking foot plates</Description>
            <Size>4/6 hole and 2.7mm screws</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>140687</ARTG>
            </ARTGs>
            <MinimumBenefit>1263</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO060</BillingCode>
            <Name>Aptus Wrist Arthrodesis</Name>
            <Description>STT Fusion Plate</Description>
            <Size>2.0 system</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>141170</ARTG>
            </ARTGs>
            <MinimumBenefit>1577</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO082</BillingCode>
            <Name>APTUS Hand and Foot</Name>
            <Description>TriLock Plates</Description>
            <Size>1.2 - 2.3</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>141170</ARTG>
            </ARTGs>
            <MinimumBenefit>1577</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER484</BillingCode>
            <Name>Paragon 28 Gorilla Plating System-Plate, mini (≤ 6 holes);variable angle locking, complex</Name>
            <Description>Paragon 28 Gorilla Plating System-Plate, titanium mini plate, compression, variable angle locking, complex</Description>
            <Size>thickness 1.1mm; multi screw diameter purchase</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>289248</ARTG>
            </ARTGs>
            <MinimumBenefit>1577</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU244</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE755</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Hook Plate</Name>
            <Description>Plate for Fracture Fixation</Description>
            <Size>6 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <MinimumBenefit>1577</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW825</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR266</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Locking Plate</Name>
            <Description>Titanium locking plates anatomically contoured for forefoot and midfoot osteotomies.</Description>
            <Size>2.7mm &amp; 3.5mm. Neutral, 1mm, 2mm, 3mm, 4mm, 4.5mm, 5mm, 5.5mm, 6mm, 6.5mm, 7mm, 8mm, 10mm. 4-6Holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>1577</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW829</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR279</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Biotech Easy Lock System</Name>
            <Description>Easy Lock Plating System</Description>
            <Size>Various</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>291615</ARTG>
            </ARTGs>
            <MinimumBenefit>1577</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW968</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR459</PriorBillingCode>
            </PriorBillingCodes>
            <Name>ORTHOLOC 2 Small Bones Plates – Complex and VAL – up to 6 holes</Name>
            <Description>Titanium mini plates, complex, variable angle locking, up to 6 holes, various designs (Hook plate, Y-plates and Pinch plates).</Description>
            <Size>Up to 6 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>1577</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KT087</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OH534</PriorBillingCode>
            </PriorBillingCodes>
            <Name>KLS Martin Hand Fracture System - Plates</Name>
            <Description>Various Size and Shapes plates</Description>
            <Size>1 to 6 hole</Size>
            <SupplierCode>KT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>276674</ARTG>
                <ARTG>236206</ARTG>
            </ARTGs>
            <MinimumBenefit>1577</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM470</BillingCode>
            <Name>TriMed ASET Foot Plating System </Name>
            <Description>Lapidus and Universal Plates</Description>
            <Size>≤ 6 holes  </Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>1577</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM481</BillingCode>
            <Name>Complex Variable Locking Hand Plates</Name>
            <Description>Complex Variable Locking Hand Plates</Description>
            <Size>6 holes or less</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>337193</ARTG>
            </ARTGs>
            <MinimumBenefit>1577</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO433</BillingCode>
            <Name>ACUMED Hand Fracture System</Name>
            <Description>0.8mm Avulsion Hook Plate</Description>
            <Size>0.8mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1577</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB023</BillingCode>
            <Name>Mallet Finger Plate</Name>
            <Description>Finger Plates</Description>
            <Size>1 &amp; 2 Holes</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>229660</ARTG>
            </ARTGs>
            <MinimumBenefit>1577</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL035</BillingCode>
            <Name>VLP</Name>
            <Description>VAL mini plates</Description>
            <Size>Mini Plates ≤2.7mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1577</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY713</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>LCP, Condylar, Mini Fragment Plates - Various</Description>
            <Size>≤6 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1577</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZZ074</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>EF020</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Arix Hand Plating System</Name>
            <Description>Mini Locking Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>ZZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>239812</ARTG>
            </ARTGs>
            <MinimumBenefit>1577</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BU028</BillingCode>
            <Name>Airlock Plate</Name>
            <Description>Airlock Plating System</Description>
            <Size>Left and Right, Size 0 - 6</Size>
            <SupplierCode>BU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>235766</ARTG>
            </ARTGs>
            <MinimumBenefit>883</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ039</BillingCode>
            <Name>Mini-Fragment Plates</Name>
            <Description>Locking Compression Plates</Description>
            <Size>1.5mm, 2.0mm, 2.5mm, 2.7mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>883</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW040</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Locking Compression Plates</Description>
            <Size>≤ 6 Holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>883</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU181</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE444</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Low Profile Straight Plate</Name>
            <Description>Plate for Fusion</Description>
            <Size>4-6 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>883</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU182</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE443</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Low Profile T-Plate</Name>
            <Description>Plate for fusion</Description>
            <Size>3-6 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>883</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW792</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR077</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Charlotte LisfrancReconstruction System - Bridge Plate.</Name>
            <Description>Stainless steel plate for stabilisation of the tarsometatarsal joint.</Description>
            <Size>4, 6, 5 &amp; 9 hole.</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>883</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM342</BillingCode>
            <Name>Orthopaedic Fixation Plate</Name>
            <Description>Orthopaedic Fixation Plates</Description>
            <Size>Screw size 2.7mm or less&#xD;
6 holes or less</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>266216</ARTG>
            </ARTGs>
            <MinimumBenefit>883</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM361</BillingCode>
            <Name>Jones Fracture Plate</Name>
            <Description>Jones Fracture Plate</Description>
            <Size>6 holes or less</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>266216</ARTG>
            </ARTGs>
            <MinimumBenefit>883</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB026</BillingCode>
            <Name>Plates ≤ 6 holes</Name>
            <Description>Plates ≤ 6 holes</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>261562</ARTG>
            </ARTGs>
            <MinimumBenefit>883</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB028</BillingCode>
            <Name>Mini Locking System - Condylar Locking Plates ≤ 6 holes</Name>
            <Description>Condylar Locking Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>261562</ARTG>
            </ARTGs>
            <MinimumBenefit>883</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY737</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Locking Plates</Description>
            <Size>≤6 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>883</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY806</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Pre-contoured locking plates</Description>
            <Size>≤6 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>883</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH355</BillingCode>
            <Name>ALPS Fibula Plating System</Name>
            <Description>Composite Locking Plate</Description>
            <Size>6 holes</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>153056</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER483</BillingCode>
            <Name>Paragon 28 Gorilla Plating System-Plate, mini (≤ 6 holes); variable angle locking</Name>
            <Description>Paragon 28 Gorilla Plating System-Plate, titanium mini plate, compression, variable angle locking, variable sizes and shapes</Description>
            <Size>thickness 1.1/1.3 mm; multi screw diameter purchase 2.0/2.5mm or 2.7/3.5/4.2 mm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>289248</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER492</BillingCode>
            <Name>Paragon 28 Proximal Rotational Metatarsal Osteotomy (“PROMO”) Plating System</Name>
            <Description>PROMO left or right contoured plates designed specifically around the angle of the osteotomy, allowing space for optimal cross screw trajectory. Plates are used with  Paragon 28 Baby Gorilla or Mini Monster screws.</Description>
            <Size>Size 1-4, osteotomy angles 13-55°</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>289248</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU276</BillingCode>
            <Name>V-Plate</Name>
            <Description>Plate for fracture fixation</Description>
            <Size>6 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU281</BillingCode>
            <Name>Straight Plate</Name>
            <Description>Plate for fracture fixation</Description>
            <Size>6 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU286</BillingCode>
            <Name>Rotation Correction Plate</Name>
            <Description>Plate for arthrodesis</Description>
            <Size>5 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU287</BillingCode>
            <Name>Bridge Plate</Name>
            <Description>Plate for fracture fixation</Description>
            <Size>6 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU289</BillingCode>
            <Name>T- Plate</Name>
            <Description>Plate for fracture fixation</Description>
            <Size>6 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU290</BillingCode>
            <Name>T-Plate, Wide</Name>
            <Description>Plate for fracture fixation</Description>
            <Size>6 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU291</BillingCode>
            <Name>Straight Plate, Reinforced</Name>
            <Description>Plate for fracture fixation</Description>
            <Size>6 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU293</BillingCode>
            <Name>T-Plate, Reinforced</Name>
            <Description>Plate for fracture fixation</Description>
            <Size>6 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU294</BillingCode>
            <Name>Y-Plate</Name>
            <Description>Plate for Arthrodesis</Description>
            <Size>6 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW563</BillingCode>
            <Name>Leibinger Titanium Implant System</Name>
            <Description>Profyle hand and small fragment plate system</Description>
            <Size>screw size ≤2.7mm   ≤ 6 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>340042</ARTG>
                <ARTG>357433</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW969</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR460</PriorBillingCode>
            </PriorBillingCodes>
            <Name>ORTHOLOC 2 Small Bones Plates – VAL – up to 6 holes</Name>
            <Description>Titanium mini plates, variable angle locking, up to 6 holes, various designs (Straight plates, T-plate and Jones Fracture Plates).</Description>
            <Size>Up to 6 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KT086</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OH533</PriorBillingCode>
            </PriorBillingCodes>
            <Name>KLS Martin Hand Fracture System - Plates</Name>
            <Description>Various Size and Shaped Plates</Description>
            <Size>1 to 6 Hole</Size>
            <SupplierCode>KT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>276674</ARTG>
                <ARTG>236206</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM254</BillingCode>
            <Name>OsteoMed FPS</Name>
            <Description>Titanium locking footplates</Description>
            <Size>2mm and 2.7mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>202319</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM473</BillingCode>
            <Name>TriMed ASET Foot Plating System</Name>
            <Description>Straight and T Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM479</BillingCode>
            <Name>Variable Locking Hand Plates</Name>
            <Description>Variable Locking Hand Plates</Description>
            <Size>6 holes or less</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>337193</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO436</BillingCode>
            <Name>Acumed Hand Fracture System</Name>
            <Description>Straight Plates Variable Angle Locking</Description>
            <Size>6 hole</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO447</BillingCode>
            <Name>Acumed Small Fragment Plates</Name>
            <Description>2.7mm Fragment Plates</Description>
            <Size>6 Hole</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB056</BillingCode>
            <Name>Marathon VA System</Name>
            <Description>Variable Angle Bone Plates</Description>
            <Size>&lt;6 Holes</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>261562</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL039</BillingCode>
            <Name>VLP EVOS</Name>
            <Description>Mini Plates Straight</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL068</BillingCode>
            <Name>VLP</Name>
            <Description>VAL mini plates - Hand</Description>
            <Size>Mini Plates ≤2.7mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL218</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG118</PriorBillingCode>
            </PriorBillingCodes>
            <Name>HALLU-Lock MTP Arthrodesis System - HALLU-Lock C Plate</Name>
            <Description>Titanium contoured plate for 1st MTP arthrodesis, fixation of fractures and osteotomies</Description>
            <Size>4, 5 or 6 holes; sizes 0 to 3, length 35 to 50mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>173932</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG118</ChangeExplanation>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN940</BillingCode>
            <Name>Peri-Loc VLP</Name>
            <Description>VAL/LK, 2.7mm Quarter Tubular Plates</Description>
            <Size>≤6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ182</BillingCode>
            <Name>PediFoot Deformity Correction System</Name>
            <Description>2.7mm Plates, Compression/Neutral, Recon, Angle Iron, Wedge, Clover</Description>
            <Size>5-56mm length, 2-4mm wedge length, 2-6 holes</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>191530</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY804</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Locking Plates</Description>
            <Size>≤6 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY821</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomic Locking Hand Plates</Description>
            <Size>2-6 holes</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN046</BillingCode>
            <Name>VAL plates screw size ≤2.7mm</Name>
            <Description>Variable angle locking complex plates</Description>
            <Size>Mini : screw size ≤2.7mm  &lt;= 6 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN072</BillingCode>
            <Name>Newclip Anatomic Locking plates</Name>
            <Description>Variable Angle Anatomic Locking Plate</Description>
            <Size>≤6 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZZ073</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>EF019</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Arix Hand Plating System</Name>
            <Description>Mini Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>ZZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>239812</ARTG>
            </ARTGs>
            <MinimumBenefit>1197</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO084</BillingCode>
            <Name>APTUS Hand</Name>
            <Description>Fixation Plates</Description>
            <Size>1.2 - 2.3</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <ARTGs>
                <ARTG>141170</ARTG>
            </ARTGs>
            <MinimumBenefit>627</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW026</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Non-Locking Plate Systems</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>627</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU125</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE575</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Straight Plate</Name>
            <Description>Plate for Fracture Fixation</Description>
            <Size>2-5 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>627</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO202</BillingCode>
            <Name>Acumed Bone Plate</Name>
            <Description>MCP Fusion Plate - Titanium</Description>
            <Size> 4 Hole</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>627</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB029</BillingCode>
            <Name>Mini Locking System - Condylar Plates ≤ 6 holes</Name>
            <Description>Condylar Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <ARTGs>
                <ARTG>261562</ARTG>
            </ARTGs>
            <MinimumBenefit>627</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL038</BillingCode>
            <Name>VLP EVOS</Name>
            <Description>VAL mini plates - Hand</Description>
            <Size>Mini Plates ≤2.7mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>627</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN073</BillingCode>
            <Name>TC-100 </Name>
            <Description>Mini L Plates &amp; T Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>627</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN083</BillingCode>
            <Name>TC-100</Name>
            <Description>2.0mm T Plates </Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>627</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN088</BillingCode>
            <Name>TC-100</Name>
            <Description>Semitubular Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>627</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN116</BillingCode>
            <Name>TC-100  </Name>
            <Description>2.7mm T Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>627</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN928</BillingCode>
            <Name>TC-100</Name>
            <Description>Quarter Tubular Plates, L/E 6 holes</Description>
            <Size>≤6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>627</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN932</BillingCode>
            <Name>TC-100</Name>
            <Description>2.0mm Straight Plates</Description>
            <Size>≤6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>627</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ST788</BillingCode>
            <Name>Leibinger Titanium Implant System</Name>
            <Description>Leibinger System, anatomical shap, Titanium</Description>
            <Size>screw size ≤2.7mm ≤ 6 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <ARTGs>
                <ARTG>340042</ARTG>
                <ARTG>357433</ARTG>
            </ARTGs>
            <MinimumBenefit>627</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY736</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Non-Locking Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5261</SubGroupID>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>627</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM210</BillingCode>
            <Name>Jones Fracture Plate</Name>
            <Description>Fracture Fixation Systems</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>762</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL137</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Small Fragment Plate</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>762</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY748</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Condylar plates</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>762</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH064</BillingCode>
            <Name>Sternalock</Name>
            <Description>plates, various shapes</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>128458</ARTG>
            </ARTGs>
            <MinimumBenefit>1018</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW033</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Locking Compression Plate</Description>
            <Size>7 - 15 Holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>1018</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW900</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR376</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Mini MaxLock Extreme System - Mini Plates &gt; 6 holes</Name>
            <Description>Mini Variable angle locking plates, Titanium, &gt; 6 holes</Description>
            <Size>&gt; 6 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>214671</ARTG>
            </ARTGs>
            <MinimumBenefit>1018</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO393</BillingCode>
            <Name>RibLoc rib fracture plating system</Name>
            <Description>RibLoc Plate</Description>
            <Size>61mm-76mm L X8-14mm W</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>158695</ARTG>
            </ARTGs>
            <MinimumBenefit>1018</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO428</BillingCode>
            <Name>ACUMED Total Wrist Fusion Plating System</Name>
            <Description>Total Wrist Fusion System</Description>
            <Size>Plates available in 9 and 10 hole configurations</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1018</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB027</BillingCode>
            <Name>Mini Locking System - Locking Plates ≥ 7 to ≤ 15 holes</Name>
            <Description>Foot &amp; hand plates - steel - titanium multiple hole</Description>
            <Size>2-2.7 mm, ≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>261562</ARTG>
            </ARTGs>
            <MinimumBenefit>1018</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL140</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Small Fragment Plate</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1018</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN931</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>2.7mm LK Reconstruction Plates</Description>
            <Size>≥7 to ≤15 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1018</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ140</BillingCode>
            <Name>PediLoc - Plating System ≥ 7 to ≤ 15 holes, screw size ≤ 2.7mm</Name>
            <Description>2.7mm Locking Plate</Description>
            <Size>7-15 Hole</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>191586</ARTG>
            </ARTGs>
            <MinimumBenefit>1018</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY807</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Pre-contoured locking plates</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1018</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY818</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Locking plates</Description>
            <Size>7 to 15 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1018</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH367</BillingCode>
            <Name>ALPS Hand Fracture System - Locking Plate</Name>
            <Description>1.5mm and 2.5mm titanium hand plates</Description>
            <Size>7 to 15 holes</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>209306</ARTG>
            </ARTGs>
            <MinimumBenefit>1332</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO061</BillingCode>
            <Name>Aptus Wrist Arthrodesis</Name>
            <Description>RSL Fusion Plate</Description>
            <Size>7 to 15 holes</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>141170</ARTG>
            </ARTGs>
            <MinimumBenefit>1332</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO094</BillingCode>
            <Name>APTUS Hand and Foot</Name>
            <Description>TriLock Plates</Description>
            <Size>1.2 - 2.3</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>206157</ARTG>
            </ARTGs>
            <MinimumBenefit>1332</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER486</BillingCode>
            <Name>Paragon 28 Gorilla Plating System-Plate, mini (≥ 7 to ≤ 15 holes); variable angle locking, complex</Name>
            <Description>Paragon 28 Gorilla Plating System-Plate, mini, Titanium, compression, variable angle locking, complex shapes</Description>
            <Size>thickness 1.1mm; multi screw diameter purchase</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>289248</ARTG>
            </ARTGs>
            <MinimumBenefit>1332</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU126</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE587</PriorBillingCode>
            </PriorBillingCodes>
            <Name>5th Metatarsal Fracture Plate</Name>
            <Description>Hook Plate for Fracture fixation</Description>
            <Size>2 Sizes Side Specific  Long Left - 7 Holes  Long Right - 7 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>1332</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KT085</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OH532</PriorBillingCode>
            </PriorBillingCodes>
            <Name>KLS Martin Hand Fracture System - Plates</Name>
            <Description>Various size and shaped plates</Description>
            <Size>7 to 15 hole</Size>
            <SupplierCode>KT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>236206</ARTG>
                <ARTG>276674</ARTG>
            </ARTGs>
            <MinimumBenefit>1332</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM263</BillingCode>
            <Name>OsteoMed HPS</Name>
            <Description>Low Profile hand plates</Description>
            <Size>1.2/1.6/2.0/2.4mm 4-12 hole; Complex</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>202319</ARTG>
            </ARTGs>
            <MinimumBenefit>1332</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM482</BillingCode>
            <Name>Complex Variable Locking Hand Plates</Name>
            <Description>Complex Variable Locking Hand Plates</Description>
            <Size>7 to 15 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>337193</ARTG>
            </ARTGs>
            <MinimumBenefit>1332</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO432</BillingCode>
            <Name>ACUMED Hand Fracture System</Name>
            <Description>0.8mm Offset Plate</Description>
            <Size>0.8mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1332</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO434</BillingCode>
            <Name>ACUMED Hand Fracture System</Name>
            <Description>1.3mm Rolando Fracture Hook Plate</Description>
            <Size>1.3mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1332</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY799</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>LCP, Condylar, Mini Fragment Plates - Various</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>286609</ARTG>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1332</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY802</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Locking Plates</Description>
            <Size>7-15 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1332</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZZ076</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>EF022</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Arix Hand Plating System</Name>
            <Description>Mini Locking Plate</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>ZZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>239812</ARTG>
            </ARTGs>
            <MinimumBenefit>1332</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ040</BillingCode>
            <Name>Mini Fragment Plates</Name>
            <Description>Locking Compression Plates</Description>
            <Size>1.5mm, 2.0mm, 2.5mm, 2.7mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>638</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW017</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Locking Compression Plate</Description>
            <Size>7 - 15 Holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>638</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU179</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE456</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Low Profile Straight Plate</Name>
            <Description>Plate for fusion</Description>
            <Size>7-8 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>638</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU180</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE454</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Low Profile T-Plate</Name>
            <Description> Plate for fusion</Description>
            <Size>7-9 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>638</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU195</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE373</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Low Profile MTP Plate</Name>
            <Description>Arthodesis Plate - 8 Hole plate</Description>
            <Size>8 Hole plate</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>638</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM343</BillingCode>
            <Name>Orthopaedic Fixation Plate</Name>
            <Description>Orthopaedic Fixation Plate</Description>
            <Size>Screw size 2.7mm or less&#xD;
7 to 15 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>266216</ARTG>
            </ARTGs>
            <MinimumBenefit>638</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ151</BillingCode>
            <Name>PediLoc Plating System</Name>
            <Description>PediFrag Wrist Fusion Plates</Description>
            <Size>2.7/3.5mm&#xD;
99-112mm</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>191530</ARTG>
            </ARTGs>
            <MinimumBenefit>638</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY624</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Reconstruction, J, Low Profile</Description>
            <Size>7-14 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>638</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY628</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>LCP, Condylar , mini Fragment Plates - Various</Description>
            <Size>7 - 15 holes</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>638</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH297</BillingCode>
            <Name>ALPS Hand Fracture System - Locking Plate</Name>
            <Description>1.0 - 2.5mm titanium hand plates</Description>
            <Size>7 to 25 holes</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>153056</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH356</BillingCode>
            <Name>ALPS Fibula Plating System</Name>
            <Description>Composite Locking Plate</Description>
            <Size>7 to 14 holes</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>153056</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH366</BillingCode>
            <Name>ALPS Hand Fracture System - Locking Plate</Name>
            <Description>1.5mm and 2.5mm titanium hand plates</Description>
            <Size>7 to 15 holes</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>209306</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER485</BillingCode>
            <Name>Paragon 28 Gorilla Plating System-Plate, mini (≥ 7 to ≤ 15 holes); variable angle locking</Name>
            <Description>Paragon 28 Gorilla Plating System-Plate, mini, Titanium, compression, variable angle locking, various shapes (e.g. straight/oblique, right/left)</Description>
            <Size>thickness 1.1 mm, multi screw diameter purchase 2.0/2.5mm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>289248</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU245</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE753</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Reinforced T-Plate</Name>
            <Description>Plate for Fracture Fixation</Description>
            <Size>8 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU246</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE754</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Wide T-Plate</Name>
            <Description>Plate for Fracture Fixation</Description>
            <Size>10 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU275</BillingCode>
            <Name>Triangle Plate</Name>
            <Description>Plate for fracture fixation</Description>
            <Size>8 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU277</BillingCode>
            <Name>V-Plate</Name>
            <Description>Plate for fracture fixation</Description>
            <Size>10 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU282</BillingCode>
            <Name>Straight Plate</Name>
            <Description>Plate for fracture fixation</Description>
            <Size>10 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU283</BillingCode>
            <Name>Z-Plate</Name>
            <Description>Plate for fracture fixation</Description>
            <Size>10 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU284</BillingCode>
            <Name>Cage Plate</Name>
            <Description>Plate for fracture fixation</Description>
            <Size>10 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU288</BillingCode>
            <Name>T- Plate</Name>
            <Description>Plate for fracture fixation</Description>
            <Size>8 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU292</BillingCode>
            <Name>Straight Plate, Reinforced</Name>
            <Description>Plate for fracture fixation</Description>
            <Size>8 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU295</BillingCode>
            <Name>Y-Plate</Name>
            <Description>Plate for Arthrodesis</Description>
            <Size>8 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW564</BillingCode>
            <Name>Leibinger Titanium Implant System</Name>
            <Description>Profyle hand and small fragment plate system</Description>
            <Size>size ≤2.7mm ≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>340042</ARTG>
                <ARTG>357433</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW826</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR267</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Locking Plate</Name>
            <Description>Titanium locking plates anatomically contoured for forefoot and midfoot osteotomies.</Description>
            <Size>2.7mm &amp; 3.5mm, neutral, 1mm, 2mm, 3mm, 4mm, 5mm, 6mm, 7mm, 7-9 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW970</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR461</PriorBillingCode>
            </PriorBillingCodes>
            <Name>ORTHOLOC 2 Small Bones Plates – VAL – 7 to 15 holes</Name>
            <Description>Titanium mini plates, variable angle locking, 7-15 holes, various designs (Straight plate, T-plates).</Description>
            <Size>From 7 to 15 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KT084</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OH531</PriorBillingCode>
            </PriorBillingCodes>
            <Name>KLS Martin Hand Fracture System - Plates</Name>
            <Description>Various size and shaped plates</Description>
            <Size>7 to 15 hole</Size>
            <SupplierCode>KT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>236206</ARTG>
                <ARTG>276674</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KT094</BillingCode>
            <Name>RECOS Ulna </Name>
            <Description>Ulna Plate</Description>
            <Size>Short 80mm, Long 90mm x 10mm  </Size>
            <SupplierCode>KT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>236206</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM253</BillingCode>
            <Name>OsteoMed FPS</Name>
            <Description>Titanium locking footplates</Description>
            <Size>2mm and 2.7mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>202319</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM262</BillingCode>
            <Name>Osteomed Plates</Name>
            <Description>Low Profile plates</Description>
            <Size>1.2/1.6/2.0/2.4mm 4-12 hole; straight, L, T</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>202319</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM472</BillingCode>
            <Name>TriMed ASET Foot Plating System </Name>
            <Description>MTP Plates</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM480</BillingCode>
            <Name>Variable Locking Hand Plates</Name>
            <Description>Variable Locking Hand Plates</Description>
            <Size>7 to 15 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>337193</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN306</BillingCode>
            <Name>AO/ASIF Plate</Name>
            <Description>VA Locking Patella Plate</Description>
            <Size>13 holes</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN309</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>VA-LCP Clavicle Plates, Shaft</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
                <ARTG>286609</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN336</BillingCode>
            <Name>AO/ASIF Plate</Name>
            <Description>VA Locking Patella Plate Titanium</Description>
            <Size>13 holes</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO430</BillingCode>
            <Name>ACUMED Hand Fracture System, plates</Name>
            <Description>Hand plating System, including plates and screws</Description>
            <Size>Plates available in 7 to 12 hole configurations</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO448</BillingCode>
            <Name>Acumed Small Fragment Plates</Name>
            <Description>2.7mm Fragment Plates</Description>
            <Size>7 to 15 Holes</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB058</BillingCode>
            <Name>Marathon VA System</Name>
            <Description>Variable Angle Bone plates</Description>
            <Size>&gt;7 - &lt;15 holes</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>261562</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL032</BillingCode>
            <Name>VLP</Name>
            <Description>VAL mini plates</Description>
            <Size>Mini Plates ≤2.7mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL040</BillingCode>
            <Name>VLP EVOS</Name>
            <Description>Mini Plates Straight</Description>
            <Size>≥7 to ≤15 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL069</BillingCode>
            <Name>VLP</Name>
            <Description>VAL mini plates - Hand</Description>
            <Size>Mini Plates ≤2.7mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL098</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Small Fragment Plate</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN941</BillingCode>
            <Name>Peri-Loc VLP</Name>
            <Description>VAL/LK, 2.7mm Quarter Tubular Plates</Description>
            <Size>≥7 to ≤15 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ177</BillingCode>
            <Name>PediFoot Deformity Correction System</Name>
            <Description>2.7mm Plates, Recon</Description>
            <Size>56mm length, 8 holes</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>191530</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SR089</BillingCode>
            <Name>Stryker Locking Plate System</Name>
            <Description>Periarticular Plates, Locking</Description>
            <Size>4-6</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
                <ARTG>124319</ARTG>
                <ARTG>357433</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SR090</BillingCode>
            <Name>Stryker Locking Plates System</Name>
            <Description>Locking Plates</Description>
            <Size>7-13</Size>
            <SupplierCode>SR</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>35241</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY822</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>VA Locking Plates</Description>
            <Size>7-12 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZZ075</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>EF021</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Locking Plate System</Name>
            <Description>Variable Locking Plate</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>ZZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>239812</ARTG>
            </ARTGs>
            <MinimumBenefit>952</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO085</BillingCode>
            <Name>APTUS Hand</Name>
            <Description>Fixation Plates</Description>
            <Size>1.2 - 2.3</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <ARTGs>
                <ARTG>141170</ARTG>
            </ARTGs>
            <MinimumBenefit>382</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW004</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Non-Locking Plate Systems</Description>
            <Size>7-15 Holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>382</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB030</BillingCode>
            <Name>Mini Locking System - Condylar Plates ≥ 7 to ≤ 15 holes</Name>
            <Description>Condylar Plates</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <ARTGs>
                <ARTG>261562</ARTG>
            </ARTGs>
            <MinimumBenefit>382</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB031</BillingCode>
            <Name>Mini Locking System - Non Locking Plates</Name>
            <Description>Non Locking Plate</Description>
            <Size>screw size ≤ 2.7mm, ≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <ARTGs>
                <ARTG>261562</ARTG>
            </ARTGs>
            <MinimumBenefit>382</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN087</BillingCode>
            <Name>TC-100</Name>
            <Description>Semi-tubular plates</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>382</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN929</BillingCode>
            <Name>TC-100</Name>
            <Description>Quarter Tubular Plates, G/E 7 to L/E 15 holes</Description>
            <Size>≥7 to ≤15 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>382</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN934</BillingCode>
            <Name>TC-100</Name>
            <Description>1.5mm Mini Plates</Description>
            <Size>≥7 to ≤15 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>382</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SR087</BillingCode>
            <Name>Stryker Locking Plate System</Name>
            <Description>Plates including Locking, Standard and Compression</Description>
            <Size>7-15 hole</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <ARTGs>
                <ARTG>124319</ARTG>
                <ARTG>340042</ARTG>
            </ARTGs>
            <MinimumBenefit>382</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY735</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Non-Locking Plates</Description>
            <Size>7-15 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5262</SubGroupID>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>382</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL141</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Small Fragment Plate</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5263</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1273</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY819</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Pre-contoured Locking plate</Description>
            <Size>≥16 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5263</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1273</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO062</BillingCode>
            <Name>Aptus Wrist Arthrodesis</Name>
            <Description>Total Wrist Fusion Plate, Straight, long bend and short bend</Description>
            <Size>&gt;16 holes</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5263</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>141170</ARTG>
            </ARTGs>
            <MinimumBenefit>1587</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER500</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>ER420</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Paragon 28 Gorilla Plating System-Plate, mini (≥ 16 holes);variable angle locking, complex</Name>
            <Description>Paragon 28 Gorilla Plating System-Plate, mini, titanium, compression, variable angle locking, various complex shapes and sizes, left or right</Description>
            <Size>thickness 2.0mm; multi screw diameter purchase</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5263</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>289248</ARTG>
            </ARTGs>
            <MinimumBenefit>1587</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM483</BillingCode>
            <Name>Complex Variable Locking Hand Plates</Name>
            <Description>Complex Variable Locking Hand Plates</Description>
            <Size>16 holes or more</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5263</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>337193</ARTG>
            </ARTGs>
            <MinimumBenefit>1587</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SR088</BillingCode>
            <Name>Stryker Locking Plate System</Name>
            <Description>Plates including Locking, Standard, and Compression</Description>
            <Size>16 hole</Size>
            <SupplierCode>SR</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5263</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>124319</ARTG>
            </ARTGs>
            <MinimumBenefit>1587</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY800</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>LCP, Condylar, Mini Fragment Plates - Various</Description>
            <Size>≥16 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5263</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1587</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY820</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Pre-contoured Locking plate</Description>
            <Size>≥16 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5263</SubGroupID>
            <Suffix>Com, VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1587</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER499</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>ER420</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Paragon 28 Gorilla Plating System-Plate, mini (≥ 16 holes);variable angle locking</Name>
            <Description>Paragon 28 Gorilla Plating System-Plate, mini, titanium, compression, variable angle locking, various shapes and sizes (small-extra large)</Description>
            <Size>thickness 1.1-2.0 mm; multi screw diameter purchase</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5263</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>289248</ARTG>
            </ARTGs>
            <MinimumBenefit>1207</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN305</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>VA Locking Patella Plating System</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5263</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1207</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN339</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>VA Locking Patella Plating System Titanium</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5263</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>1207</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL033</BillingCode>
            <Name>VLP</Name>
            <Description>VAL mini plates</Description>
            <Size>Mini Plates ≤2.7mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5263</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1207</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL041</BillingCode>
            <Name>VLP EVOS</Name>
            <Description>Mini Plates Straight</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5263</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1207</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL099</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Small Fragment Plate</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5263</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1207</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SR091</BillingCode>
            <Name>Stryker Locking Plate System</Name>
            <Description>Locking Plates</Description>
            <Size>≥16 hole</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5263</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>357433</ARTG>
            </ARTGs>
            <MinimumBenefit>1207</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY111</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Specially manufactured plate</Description>
            <Size>1.0mm - 6.5mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5263</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1207</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO086</BillingCode>
            <Name>APTUS Hand</Name>
            <Description>Fixation Plates</Description>
            <Size>1.2 - 2.3</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5263</SubGroupID>
            <ARTGs>
                <ARTG>141170</ARTG>
            </ARTGs>
            <MinimumBenefit>637</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW015</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Non-Locking Plate Systems</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5263</SubGroupID>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>637</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW788</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Non-locking Plates</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5263</SubGroupID>
            <ARTGs>
                <ARTG>340042</ARTG>
                <ARTG>357433</ARTG>
            </ARTGs>
            <MinimumBenefit>637</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL131</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Small Fragment plate</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5263</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>637</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN933</BillingCode>
            <Name>TC-100</Name>
            <Description>2.0mm Straight Plates</Description>
            <Size>≥16 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5263</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>637</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN935</BillingCode>
            <Name>TC-100</Name>
            <Description>1.5mm Mini Plates</Description>
            <Size>≥16 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5263</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>637</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY629</BillingCode>
            <Name>'AO/ASIF Plates</Name>
            <Description>Non-locking Plates</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5263</SubGroupID>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>637</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY606</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>DHS Plates</Description>
            <Size>2-6 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5264</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>502</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK551</BillingCode>
            <Name>Omega3 Compression Hip Screw System</Name>
            <Description>Omega3 Locking Plate</Description>
            <Size>2-6 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5264</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>139622</ARTG>
            </ARTGs>
            <MinimumBenefit>502</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY609</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>DHS Plates</Description>
            <Size>2-6 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5264</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>502</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL158</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>SN471</PriorBillingCode>
                <PriorBillingCode>SN473</PriorBillingCode>
                <PriorBillingCode>SN476</PriorBillingCode>
                <PriorBillingCode>SN926</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Compression Hip Screw System</Name>
            <Description>Compression Hip Screw Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5264</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>312</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN488</BillingCode>
            <Name>Intermediate Osteotomy System</Name>
            <Description>Compressing</Description>
            <Size>One size only</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5264</SubGroupID>
            <ARTGs>
                <ARTG>108429</ARTG>
            </ARTGs>
            <MinimumBenefit>312</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN493</BillingCode>
            <Name>Paediatric Osteotomy System</Name>
            <Description> Paediatric Osteotomy System</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5264</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>312</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN912</BillingCode>
            <Name>Intermediate Osteotomy System</Name>
            <Description>Plate (hip screw)</Description>
            <Size>≤6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5264</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>312</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI768</BillingCode>
            <Name>Zimmer Internal Fixation System: Compression Hip Screw</Name>
            <Description>Versa Fx II CHS Tube Plates</Description>
            <Size>2-6 holes left and right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5264</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>312</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY607</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>DHS Plates</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5265</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY610</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>DHS Plates</Description>
            <Size>8-14 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5265</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK552</BillingCode>
            <Name>Omega3 Compression Hip Screw System</Name>
            <Description>Omega3 Locking Plate</Description>
            <Size>7-14 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5265</SubGroupID>
            <ARTGs>
                <ARTG>139622</ARTG>
            </ARTGs>
            <MinimumBenefit>660</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL157</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>SN470</PriorBillingCode>
                <PriorBillingCode>SN475</PriorBillingCode>
                <PriorBillingCode>SN927</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Compression Hip Screw System</Name>
            <Description>Compression Hip Screw Plates</Description>
            <Size>  ≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5265</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>660</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN913</BillingCode>
            <Name>Intermediate Osteotomy System</Name>
            <Description>Plate (hip screw)</Description>
            <Size>≥7 to ≤15 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5265</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>660</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI769</BillingCode>
            <Name>Versa Fx II Compression Hip Screw</Name>
            <Description>Versa Fx II CHS Tube Plates</Description>
            <Size>7-15 holes left and right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5265</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>660</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY608</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>DHS Plates</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5266</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY611</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>DHS Plates</Description>
            <Size>≥ 16-20 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5266</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY738</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Osteotomy, Dynamic Supracondylar Plates</Description>
            <Size>≤6 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5267</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW055</BillingCode>
            <Name>WEGO Trauma Systems </Name>
            <Description>Supracondylar Femur Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5267</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK553</BillingCode>
            <Name>Stryker Compression Hip Screw System</Name>
            <Description>Omega3 Supracondylar Plate</Description>
            <Size>6 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5267</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>139622</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN922</BillingCode>
            <Name>Compression Hip Screw System</Name>
            <Description>Classic Supracondylar Plate</Description>
            <Size>≤6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5267</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>660</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY641</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>DCS DHS plate</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5267</SubGroupID>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>660</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI770</BillingCode>
            <Name>Versa Fx II Compression Hip Screw</Name>
            <Description>Versa Fx II CHS Tube Plates</Description>
            <Size>2-6 holes left and right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5267</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>660</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY739</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Osteotomy, Dynamic Supracondylar Plates</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5268</SubGroupID>
            <Suffix>Com</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW014</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Supracondylar Femur Plates</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5268</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK554</BillingCode>
            <Name>Stryker Compression Hip Screw System</Name>
            <Description>Omega3 Supracondylar Plate</Description>
            <Size>8-14 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5268</SubGroupID>
            <Suffix>Com, LK</Suffix>
            <ARTGs>
                <ARTG>139622</ARTG>
            </ARTGs>
            <MinimumBenefit>850</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN923</BillingCode>
            <Name>Compression Hip Screw System</Name>
            <Description>Classic Supracondylar Plate</Description>
            <Size>≥7 to ≤15 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5268</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>660</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY642</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>DCS DHS plate</Description>
            <Size>7- 15 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5268</SubGroupID>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>660</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI771</BillingCode>
            <Name>Versa Fx II Compression Hip Screw</Name>
            <Description>Versa Fx II CHS Tube Plates</Description>
            <Size>7-15 holes left and right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5268</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>660</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY740</BillingCode>
            <Name>Ao/ASIF Plates</Name>
            <Description>Osteotomy, Dynamic Supracondylar Plates</Description>
            <Size>≥16 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5269</SubGroupID>
            <Suffix>COM</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1153</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY643</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>DCS DHS plate</Description>
            <Size>≥ 16 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5269</SubGroupID>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1153</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AE148</BillingCode>
            <Name>ASDM Clavicle Plating System - Plates</Name>
            <Description>Clavicle fracture plating system consisting of anatomic pre-contoured stainless steel locking compression plates and screws (cortical, cancellous &amp; locking)</Description>
            <Size>6 holes(L&amp;R),</Size>
            <SupplierCode>AE</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5270</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>258572</ARTG>
            </ARTGs>
            <MinimumBenefit>1349</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ005</BillingCode>
            <Name>Valens Shoulder and Elbow - Clavicle</Name>
            <Description>Clavicle - Superior, Anterior, Hook, Locking Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5270</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>1349</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN294</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>LCP Clavicle Hook Plate</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5270</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1349</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO371</BillingCode>
            <Name>Acumed Locking Scapula Plate System</Name>
            <Description>Locking Bone Plate, Scapula</Description>
            <Size>≤6 hole</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5270</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1349</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO384</BillingCode>
            <Name>Acumed Locking Clavical Plating System</Name>
            <Description>Locking Clavicle Plates Mid Shaft Anterior and Distal</Description>
            <Size>≥ 6 holes</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5270</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1349</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX022</BillingCode>
            <Name>ARMAR LPS Clavicle Hook Plates</Name>
            <Description>3.5 mm anatomical clavicle hook locking plate</Description>
            <Size>4-6 holes</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5270</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>1349</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX023</BillingCode>
            <Name>ARMAR Superior Anterior Clavicle Plates</Name>
            <Description>Superior Anterior Clavicle anatomical plates</Description>
            <Size>3-6 holes</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5270</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>1349</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY616</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>LCP Clavicle - superior, anterior, hook</Description>
            <Size>1-6 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5270</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1349</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY617</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Pre-contoured, anatomic rib</Description>
            <Size>1-6 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5270</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1349</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ006</BillingCode>
            <Name>Valens Shoulder and Elbow - Clavicle</Name>
            <Description>Clavicle – Superior, Anterior, Hook, Locking Plates</Description>
            <Size>7-15 Holes</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5270</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>1663</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW595</BillingCode>
            <Name>Stryker Locked Plating System</Name>
            <Description>Periarticular variable angle locking plate - clavicle</Description>
            <Size>1-6 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5270</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>196764</ARTG>
            </ARTGs>
            <MinimumBenefit>1663</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN323</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>VA-LCP Clavicle Plate 2.7 System - Button Hook Plate</Description>
            <Size> ≤ 6 holes, 9-, 12- and 15-mm hook depth</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5270</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1663</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL142</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>VAL Periarticular Anatomical Small Fragment plate - Clavicle</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5270</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1663</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AE153</BillingCode>
            <Name>ADSM Clavicle Plating System - Plates</Name>
            <Description>Clavicle fracture plating system consisting of anatomic pre-contoured stainless steel locking compression plates and screws (cortical, cancellous &amp; locking)</Description>
            <Size>8-13 holes (L &amp; R),</Size>
            <SupplierCode>AE</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5271</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>258572</ARTG>
            </ARTGs>
            <MinimumBenefit>1682</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW049</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Clavicle Plating System</Description>
            <Size>7 - 15 Holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5271</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>1682</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM184</BillingCode>
            <Name>Trimed Clavicle Fixation Plates</Name>
            <Description>Plates for fixation of fractures of the clavicle</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5271</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>1682</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN295</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>LCP Clavicle Hook Plates</Description>
            <Size>≥7 to ≤ 15 holes</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5271</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1682</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO372</BillingCode>
            <Name>Acumed Locking Scapula plate System</Name>
            <Description>Locking Bone Plate, Scapula</Description>
            <Size>≥7 to ≤15 holes</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5271</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1682</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO385</BillingCode>
            <Name>Acumed Locking Clavical Plating System</Name>
            <Description>Locking Clavicle Plates Mid Shaft, Anterior and Distal</Description>
            <Size>≥7 to  ≤15 holes</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5271</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1682</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX024</BillingCode>
            <Name>ARMAR LPS Clavicle Hook Plates</Name>
            <Description>3.5mm anatomical clavicle hook plates</Description>
            <Size>7 holes</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5271</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>1682</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX025</BillingCode>
            <Name>ARMAR Superior Anterior Clavicle Plate</Name>
            <Description>3.5mm anatomical clavicle plate</Description>
            <Size>7-8 holes</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5271</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>1682</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL088</BillingCode>
            <Name>PERI-LOC</Name>
            <Description>Clavicle plates</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5271</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1682</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY618</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>LCP Clavicle - superior, anterior, hook</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5271</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1682</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN019</BillingCode>
            <Name>NewClip Clavicle Plate</Name>
            <Description>Locking Clavicle plates</Description>
            <Size>7 to 15 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5271</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>260233</ARTG>
                <ARTG>260234</ARTG>
                <ARTG>260232</ARTG>
                <ARTG>260229</ARTG>
            </ARTGs>
            <MinimumBenefit>1682</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO126</BillingCode>
            <Name>APTUS Shoulder Clavicle</Name>
            <Description>Lateral clavicle plates</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5271</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>206157</ARTG>
            </ARTGs>
            <MinimumBenefit>1995</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW597</BillingCode>
            <Name>Stryker Locked Plate System</Name>
            <Description>Periarticular variable angle locking plate - clavicle</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5271</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>196764</ARTG>
            </ARTGs>
            <MinimumBenefit>1995</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW907</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR384</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MaxLock Extreme System - Clavicle Plates</Name>
            <Description>Clavicle Variable angle locking plates, Titanium</Description>
            <Size>9 to 13 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5271</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>214671</ARTG>
            </ARTGs>
            <MinimumBenefit>1995</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN308</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>VA-LCP Clavicle Plates, Lateral &amp; Medial</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5271</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
                <ARTG>286609</ARTG>
            </ARTGs>
            <MinimumBenefit>1995</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN327</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>VA-LCP Clavicle Plate 2.7 System - Short and Long Hook Plates</Description>
            <Size>9, 11  holes; 9-, 12- and 15-mm hook depths</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5271</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1995</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL153</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>VAL Periarticular Anatomical Small Fragment plate - Clavicle</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5271</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1995</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY619</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>LCP Clavicle - Anterior</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5271</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1995</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN062</BillingCode>
            <Name>Newclip Clavicle plates</Name>
            <Description>Locking Clavicle plates</Description>
            <Size>7 to 15 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5271</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>1995</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA081</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>ZA073</PriorBillingCode>
            </PriorBillingCodes>
            <Name>ALPS Clavicle Plating System</Name>
            <Description>clavicle variable angle locking plates  </Description>
            <Size>7-15 holes  </Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5271</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>275084</ARTG>
            </ARTGs>
            <MinimumBenefit>1995</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO386</BillingCode>
            <Name>Acumed Locking Clavical Plating System</Name>
            <Description>Lockinh Clavicle Plates Mid Shaft, Anterior and Distal.</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5272</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1349</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ001</BillingCode>
            <Name>Valens Shoulder and Elbow - Elbow</Name>
            <Description>Distal Humerus, Lateral, Medial, Olecranon, Locking Plates</Description>
            <Size>1-6 Holes</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5273</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW035</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Distal Humerus Plating System</Description>
            <Size>≤ 6 Holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5273</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX001</BillingCode>
            <Name>ARMAR LPS Humerus Plates</Name>
            <Description>TiCP humeral locking plates</Description>
            <Size>3-6 holes</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5273</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL184</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Periarticular Anatomical Plate - Humerus</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5273</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
                <ARTG>368492</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN916</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Humerus Plates</Description>
            <Size>≤6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5273</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY680</BillingCode>
            <Name>AO/ASIF Plate</Name>
            <Description>Locking Periarticular Anatomic Humerus plate</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5273</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ073</BillingCode>
            <Name>Austofix Proximal Humeral Plating System - Austofix Proximal Humeral Plate</Name>
            <Description>Anatomic Periarticular Humeral Variable Angle Locking Plate, Titanium</Description>
            <Size>3-5 holes</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5273</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW551</BillingCode>
            <Name>VariAx Elbow Plating System</Name>
            <Description>Periarticular anatomic humerus</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5273</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>237797</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO352</BillingCode>
            <Name>Acumed Tap Loc Elbow plates</Name>
            <Description>Variable angle locking plate system</Description>
            <Size>≤6 holes lateral</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5273</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL143</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>VAL Periarticular Anatomical Small Fragment plate - Humerus</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5273</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI743</BillingCode>
            <Name>NCB Polyaxial Locking Plate System</Name>
            <Description>NCB Variable Angle Locking Plate - Humerus - Ti Alloy</Description>
            <Size>80 - 93mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5273</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>100337</ARTG>
                <ARTG>100349</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI929</BillingCode>
            <Name>Proximal Humerus Plating System</Name>
            <Description>Proximal Humerus Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5273</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>275084</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX003</BillingCode>
            <Name>ARMAR Distal Humerus Plates</Name>
            <Description>TiCP anatomic humeral locking plates</Description>
            <Size>3-6 holes and left and right</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5273</SubGroupID>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>1073</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW036</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Humerus Plating Systems</Description>
            <Size>7 - 15 Holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5274</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO425</BillingCode>
            <Name>ACUMED POLARUS® 3 Solution Plates</Name>
            <Description>ACUMED POLARUS 3 SOLUTION, includes plates, intramedullary nails, screws and accessories designed to address fractures, fusions and osteotomies of the humerus</Description>
            <Size>12 and 14 hole plates</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5274</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX002</BillingCode>
            <Name>ARMAR LPS Humerus Plates</Name>
            <Description>TiCP anatomical humeral locking plates</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5274</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK555</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Proximal Humerus Anatomical Locking Plates</Description>
            <Size>11-14 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5274</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL185</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Periarticular Anatomical Plate - Humerus</Description>
            <Size> ≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5274</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
                <ARTG>368492</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN917</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Humerus Plates</Description>
            <Size>≥7 to ≤15 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5274</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY762</BillingCode>
            <Name>AO/ASIF Plate</Name>
            <Description>Locking Perarticular Anatomic Humerus plate</Description>
            <Size>≥ 7 - ≤ 15 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5274</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN033</BillingCode>
            <Name>Newclip Humerus Plates</Name>
            <Description>Plates for fixation of fractures of the distal humerus and proximal ulnar</Description>
            <Size>7 - 15 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5274</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH290</BillingCode>
            <Name>ALPS Elbow System</Name>
            <Description>Humeral Titanium Plates</Description>
            <Size>Small - Large, 7 to 15 holes</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5274</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>153056</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ002</BillingCode>
            <Name>Valens Shoulder and Elbow - Elbow</Name>
            <Description>Distal Humerus, Lateral, Medial, Olecranon, Locking Plates</Description>
            <Size>7-15 Holes</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5274</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ025</BillingCode>
            <Name>Austofix PHP - Proximal Humeral Plating System</Name>
            <Description>Anatomic Periarticular Humeral Variable Angle Locking Plate, Titanium</Description>
            <Size>7-15 Hole</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5274</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO078</BillingCode>
            <Name>Aptus Elbow</Name>
            <Description>Distal Humerus Plpates, Lateral,Middle and Posterolateral</Description>
            <Size>2.8mm</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5274</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>141170</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW803</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR225</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Evolve Ortholco EPS System - Distal Humerus</Name>
            <Description>Stainless Steel, Polyaxial Locking Plate, Straight, Coronal, Medial, Lateral, Posterolateral</Description>
            <Size>Right &amp; left, 2.7 &amp; 3.5mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5274</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW953</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR443</PriorBillingCode>
            </PriorBillingCodes>
            <Name>ORTHOLOC SPS Humeral Plates - Standard &amp; Posterior</Name>
            <Description>Stainless steel variable angle locking periarticular anatomic humeral plate, standard and posterior.</Description>
            <Size>≥ 7 to ≤ 15 holes, right &amp; left</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5274</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>370409</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW957</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR447</PriorBillingCode>
            </PriorBillingCodes>
            <Name>ORTHOLOC SPS Greater Tuberosity Plate</Name>
            <Description>Stainless steel peri-articular anatomic variable angle locking plate for greater tuberosity fixation</Description>
            <Size>One size only</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5274</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>370409</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JD006</BillingCode>
            <Name>CarboFix Piccolo Proximal Humerus Plate Systems – Plate component</Name>
            <Description>CFR-PEEK proximal humerus plate</Description>
            <Size>100mm, 120mm, 154mm, 190mm, 262mm</Size>
            <SupplierCode>JD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5274</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>222648</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM275</BillingCode>
            <Name>PANTERA Proximal Humerus Fracture Fixation Plate System - Plates</Name>
            <Description>Proximal Humerus Plate</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5274</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>182168</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO353</BillingCode>
            <Name>Acumed Tap Loc Elbow plates</Name>
            <Description>Variable angle locking plate system</Description>
            <Size>≥7 to ≤15 holes medial lateral</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5274</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>199824</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK569</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Stryker locked plating system</Description>
            <Size>7-15 Holes</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5274</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL135</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>VAL Periarticular Anatomical Small Fragment plate - Humerus</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5274</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY763</BillingCode>
            <Name>AO/ASIF Plate</Name>
            <Description>Locking Perarticular Anatomic Humerus plate</Description>
            <Size>≥ 7 - ≤ 15 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5274</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN013</BillingCode>
            <Name>Newclip Distal Humerus Plates - Periarticular 7-15 holes</Name>
            <Description>Plates for the fixation of fractures of the elbow</Description>
            <Size>Periarticular anatomic - Humerus ≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5274</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN020</BillingCode>
            <Name>Newclip Proximal Humerus Plate</Name>
            <Description>Proximal Humerus Plate</Description>
            <Size>1/2/3</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5274</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI744</BillingCode>
            <Name>NCB Polyaxial Locking Plate System</Name>
            <Description>NCB Variable Angle Locking Plate - Humerus - Ti Alloy</Description>
            <Size>7 - 12 Holes</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5274</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>100337</ARTG>
                <ARTG>100349</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI930</BillingCode>
            <Name>Proximal Humerus Plating System</Name>
            <Description>Proximal Humerus Plates</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5274</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>209306</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX004</BillingCode>
            <Name>ARMAR Distal Humerus Plates</Name>
            <Description>TiCP distal humeral anatomical locking plates</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5274</SubGroupID>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>1073</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW023</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Humerus Plating Systems</Description>
            <Size>≥ 16 Holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5275</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO429</BillingCode>
            <Name>ACUMED POLARUS* 3 Solution, Humeral Plates, Sterile and Non-Sterile</Name>
            <Description>ACUMED POLARUS 3 SOLUTION, includes plates, intramedullary nails, screws and accessories designed to address fractures, fusions and osteotomies of the humerus</Description>
            <Size>16 , 18 , 22 , 26  and 30 hole plates</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5275</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK556</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Proximal Humerus Anatomical Locking Plates</Description>
            <Size>16-27 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5275</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY754</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomical Locking Humerus Plate</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5275</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN042</BillingCode>
            <Name>Newclip Humerus Plates</Name>
            <Description>Plates for fixation of fractures of the distal humerus and proximal ulna</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5275</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO079</BillingCode>
            <Name>Aptus Elbow</Name>
            <Description>Distal Humerus Plates Posterolateral</Description>
            <Size>2.8mm System</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5275</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>141170</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO087</BillingCode>
            <Name>Aptus Shoulder (Proximal Humerus Plates)</Name>
            <Description>Proximal Humerus Fixation plates</Description>
            <Size>3.5mm System</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5275</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>141170</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW804</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR226</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Evolve Ortholco EPS System - Distal Humerus</Name>
            <Description>Stainless Steel, Polyaxial Locking Plate, Straight, Coronal, Medial, Lateral, Posterolateral</Description>
            <Size>Right &amp; left, 2.7 &amp; 3.5mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5275</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW958</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR448</PriorBillingCode>
            </PriorBillingCodes>
            <Name>ORTHOLOC SPS Humeral Plates - Standard (Long)</Name>
            <Description>Stainless steel variable angle locking periarticular anatomic humeral plate</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5275</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>370409</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM276</BillingCode>
            <Name>PANTERA Proximal Humerus Fracture Fixation Plate System - Plate ≥ 16 holes</Name>
            <Description>Proximal Humerus Plate</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5275</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>182168</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO354</BillingCode>
            <Name>Acumed Tap Loc Elbow plates</Name>
            <Description>Variable angle locking plate system</Description>
            <Size>≥16 holes</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5275</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK570</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Stryker locked plating system</Description>
            <Size>16-17 Hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5275</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL128</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>VAL Periarticular Anatomical Small Fragment plate - Humerus</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5275</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY755</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomical Locking Humerus Plate</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5275</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN012</BillingCode>
            <Name>Newclip Disal Humerus Plates - Perarticular 16+ holes</Name>
            <Description>Plates for the fixation of fractures of the elbow</Description>
            <Size>Periarticular anatomic - Humerus ≥ 16 holes, VAL</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5275</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN070</BillingCode>
            <Name>Newclip Humerus Plates</Name>
            <Description>Periarticular plate for humerus</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5275</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI745</BillingCode>
            <Name>NCB Polyaxial Locking Plate System</Name>
            <Description>NCB Variable Angle Locking Plate - Humerus - Ti Alloy</Description>
            <Size>17 Holes</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5275</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>100337</ARTG>
                <ARTG>100349</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX005</BillingCode>
            <Name>ARMAR Distal Humerus Plates</Name>
            <Description>TiCP distal humeral locking plates</Description>
            <Size>16-18 holes</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5275</SubGroupID>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>1074</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW038</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Periarticular Radius Plating Systems</Description>
            <Size>≤ 6 Holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM211</BillingCode>
            <Name>Trimed Volar &amp; Dorsal Hook Plate</Name>
            <Description>Wrist Fixation System - Volar &amp; Dorsal Hook Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO194</BillingCode>
            <Name>Acumed Congruent Plate System</Name>
            <Description>Elbow plate  titanium, locking radial head</Description>
            <Size>Locking radial head, 3 hole std curve 31mm, 5 hole std curve 46mm, 3 hole curve 31mm, 5 hole curve 46mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>126428</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO362</BillingCode>
            <Name>Anatomic Midshaft Forearm Plates</Name>
            <Description>Internal Fixation Plate Anatomic Forearm, Radius</Description>
            <Size>≤6 holes</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO366</BillingCode>
            <Name>Acu-Loc Distal Radius Plating System</Name>
            <Description>Volar, Dorsal, Distal Ulna, Standard, Long, Extra long, wide, narrow, left, right, extra-articular plates</Description>
            <Size>Radius ≤6 holes`</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX026</BillingCode>
            <Name>ARMAR 2.4 Locking Distal Radial Plate System - ≤ 6 holes</Name>
            <Description>TiCP Distal Radial Locking Plates</Description>
            <Size>3-6 Holes&#xD;
40-57 Length&#xD;
Left, Straight and Right</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN920</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Radius Plates</Description>
            <Size>≤6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY675</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Locking Distal Radius; Ulna Column Plate System</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ003</BillingCode>
            <Name>Valens Shoulder and Elbow - Elbow</Name>
            <Description>Locking Compression Plate Proximal Radius</Description>
            <Size>1-6 Holes</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO067</BillingCode>
            <Name>Aptus Wrist</Name>
            <Description>2.5 TriLock Distal Radius Small Fragment Plates</Description>
            <Size>2.5mm diameter system</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>141170</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER543</BillingCode>
            <Name>Osteomed ExtremiLock Plate (≤ 6 holes)</Name>
            <Description>VDR Radial/Intermediate Column; Standard; Left or Right and Styloid Plates; 6 hole  </Description>
            <Size>6 holes</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>337239</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU127</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE563</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Volar Hook PLate</Name>
            <Description>Plate for Fracture Fixation</Description>
            <Size>4 Holes  6 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU128</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE579</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Radial Styloid Plate</Name>
            <Description>Plate for Fracture Fixation</Description>
            <Size>5 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU178</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE470</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Titanium Volar Distal Radius Plating System</Name>
            <Description>Fixation Plate for Distal Radius Fractures</Description>
            <Size>6 holes or less</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KT072</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OH472</PriorBillingCode>
            </PriorBillingCodes>
            <Name>IXOS Radius Plating System</Name>
            <Description>Straight/L plate R&amp;L</Description>
            <Size>7.5-15mm x 43-52mm</Size>
            <SupplierCode>KT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>276674</ARTG>
                <ARTG>236206</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM140</BillingCode>
            <Name>TriMed Wrist Fixation System</Name>
            <Description>TriMed Volar Bearing Plate</Description>
            <Size>3 and 5 hole</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM321</BillingCode>
            <Name>GEMINUS Volar Distal Radius Plates</Name>
            <Description>Fixation Plate for Distal Radius Fractures</Description>
            <Size>3 and 4 hole</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>278692</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI292</BillingCode>
            <Name>VariLoc Locking Compression Plate System</Name>
            <Description>Wrist Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>307502</ARTG>
                <ARTG>307501</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK571</BillingCode>
            <Name>Universal Distal Radius System</Name>
            <Description>SMARTLock Column Locking Plates</Description>
            <Size>4-6 Hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>124319</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL075</BillingCode>
            <Name>VLP</Name>
            <Description>Distal Radius Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL148</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>VAL Periarticular anatomic Radius Plate</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY676</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Locking Distal Radius Ulna Column Plate System</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN021</BillingCode>
            <Name>Xpert 2.4 Distal Radius Platform</Name>
            <Description>Fragment specific radius plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW913</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR392</PriorBillingCode>
            </PriorBillingCodes>
            <Name>NexFix MTP Fusion System</Name>
            <Description>A bendable stainless steel bone plate and screw system with unique low profile locking screw option.  Indicated for use in primary MTP fusion</Description>
            <Size>Left 2 + 3; Right 2 + 3</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <ARTGs>
                <ARTG>177214</ARTG>
            </ARTGs>
            <MinimumBenefit>869</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM033</BillingCode>
            <Name>Trimed Wrist Fixation System, Volar Peg Plate</Name>
            <Description>Stainless Steel</Description>
            <Size>Volar Peg Plate 3-hole, Right &amp; Left, 4 and 5 Peg; Volar Peg Plate 5-hole, Right &amp; Left, 4 and 5 Peg</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>869</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM117</BillingCode>
            <Name>TriMed Radial Column Plates</Name>
            <Description>Radial Column Plate</Description>
            <Size>3 &amp; 5 hole</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>869</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM119</BillingCode>
            <Name>TriMed Ulna Column Plates</Name>
            <Description>Ulna Column Plate</Description>
            <Size>3 &amp; 5 hole</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>869</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK590</BillingCode>
            <Name>SCS Distal Radius Plate System</Name>
            <Description>Left and Right, Tined</Description>
            <Size>Small and Large 3 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5276</SubGroupID>
            <ARTGs>
                <ARTG>141005</ARTG>
            </ARTGs>
            <MinimumBenefit>869</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ009</BillingCode>
            <Name>VRP Distal Radius Fixation System Volar Distal Radius Plate - Standard</Name>
            <Description>Volar Distal Radius Plate - Standard</Description>
            <Size>Standard, 3 and 4 hole, left and right</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>149433</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW041</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Periarticular Radius Plating Systems</Description>
            <Size>7 - 15 Holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW973</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR048</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Evolve Radial Head Plate</Name>
            <Description>Evolve Radial Plate System Stainless Steel</Description>
            <Size>32mm x 20-26mm in 2mm increments, 7 &amp; 8 hole</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM212</BillingCode>
            <Name>Trimed Volar &amp; Dorsal Hook Plate</Name>
            <Description>Wrist Fixation System - Volar &amp; Dorsal Hook Plate</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM318</BillingCode>
            <Name>PROTEAN Plate</Name>
            <Description>Plate</Description>
            <Size>One size</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>278692</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO363</BillingCode>
            <Name>Anatomic Midshaft Forearm Plates</Name>
            <Description>Internal Fixation Plate Anatomic Forearm, Radius</Description>
            <Size>≥7 to ≤15 holes</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO406</BillingCode>
            <Name>Acu-Loc Distal Radius Plating System</Name>
            <Description>Volar, Dorsal, Distal Ulna, Standard, Long, Extra long, wide, narrow, left, right, extra-articular plates</Description>
            <Size>&gt;7 - &gt;15</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX027</BillingCode>
            <Name>ARMAR 2.4 Locking Distal Radial Plate System - ≥ 7 to ≤ 15 holes</Name>
            <Description>TiCP Distal Radial Locking Plates</Description>
            <Size>7-15 Holes&#xD;
43-120mm Length&#xD;
Left, Straight and Right</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN921</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Radius Plates</Description>
            <Size>≥7 to ≤15 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY677</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomical Locking Radial Plates</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH253</BillingCode>
            <Name>Distal Radius Plating System</Name>
            <Description>DVR titanium radius plates</Description>
            <Size>7 to 15 holes</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>209306</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH256</BillingCode>
            <Name>Distal Radius Fracture Repair System</Name>
            <Description>Fragment locking plate, titanium</Description>
            <Size>Right, left, straight, Y</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>97981</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH352</BillingCode>
            <Name>DVR EPAK</Name>
            <Description>Sterile Distal Radius Fracture Procedure Pack</Description>
            <Size>Wide, Long, Extra Long, Extra Extra Long</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>210295</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ022</BillingCode>
            <Name>VRP Distal Radius Fixation System</Name>
            <Description>Volar Distal Radius Plate</Description>
            <Size>Standard, wide, narrow, long, short - left, right and universal</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>149433</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO068</BillingCode>
            <Name>APTUS Wrist</Name>
            <Description>2.5 TriLock Distal Radius Plates, Adaptive, Volar, Dorsal, Correction, Extra-articular</Description>
            <Size>2.5mm diameter system</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>141170</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER558</BillingCode>
            <Name>Osteomed ExtremiLock Plate (≥ 7 to ≤ 15 holes)</Name>
            <Description>VDR Narrow, standard, PQ sparing plates, left or right    </Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>337239</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW022</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Periarticular Radius Plating Systems</Description>
            <Size>7 - 15 Holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU153</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE471</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Titanium Volar Radius Plating System</Name>
            <Description>Fixation Plate for Distal Radius Fractures</Description>
            <Size>7- 15 holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JD005</BillingCode>
            <Name>CarboFix Piccolo Distal Radius Plate System – Plate component</Name>
            <Description>CFR-PEEK distal volar radius plate</Description>
            <Size>Right 52mm, 60mm, 90mm&#xD;
Left 52mm, 60mm, 90mm&#xD;
Narrow Right 50mm, 58mm&#xD;
Narrow Left 50mm, 58mm</Size>
            <SupplierCode>JD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>222648</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KT070</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OH470</PriorBillingCode>
            </PriorBillingCodes>
            <Name>IXOS Radius Plating System</Name>
            <Description>Titanium Radial Plates</Description>
            <Size>23-27mm x 43-71mm - &gt;7 to &amp;lt;15 Holes</Size>
            <SupplierCode>KT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>276674</ARTG>
                <ARTG>236206</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM057</BillingCode>
            <Name>Ascension Radial Head Locking Plate and Screws</Name>
            <Description>Titanium pre-formed anatomical radial head plate</Description>
            <Size>small and large</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>118638</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM141</BillingCode>
            <Name>TriMed Wrist Fixation System</Name>
            <Description>TriMed Volar Bearing Plate</Description>
            <Size>7,9 and 11 Hole</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM322</BillingCode>
            <Name>GEMINUS Volar Plating System</Name>
            <Description>Plates</Description>
            <Size>7 hole, Long (207mm) and Short (160mm)</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>278692</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM365</BillingCode>
            <Name>Distal Radius Plates</Name>
            <Description>Distal Radius Plates</Description>
            <Size>Multiple Sizes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>266216</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI293</BillingCode>
            <Name>VariLoc Locking Compression Plate System</Name>
            <Description>VariLoc Wrist plates</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>307502</ARTG>
                <ARTG>307501</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO407</BillingCode>
            <Name>Acu-Loc Distal Radius Plating System</Name>
            <Description>Volar, Dorsal, Distal Ulna, Standard, Long, Extra long, wide, narrow, left, right, extra articular plates</Description>
            <Size>≥ 7 to ≤ 15</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB057</BillingCode>
            <Name>Distal Radius Plate</Name>
            <Description>Distal Radius Plating System</Description>
            <Size>7 - 15 holes</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>261562</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK572</BillingCode>
            <Name>Universal Distal Radius System</Name>
            <Description>SMARTLock Column Locking Plates</Description>
            <Size>7 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>124319</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK573</BillingCode>
            <Name>Universal Distal Radius System</Name>
            <Description>Universal SMARTLock Locking plates</Description>
            <Size>9-15 Hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>124319</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK632</BillingCode>
            <Name>VariAx Volar plates</Name>
            <Description>Volar Plate Polyaxial Locking</Description>
            <Size>Radius 7-15 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL027</BillingCode>
            <Name>D-RAD SMART PACK</Name>
            <Description>D-RAD SMART PACK Plate Kit</Description>
            <Size>Standard, Wide</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>104369</ARTG>
                <ARTG>214894</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL076</BillingCode>
            <Name>VLP</Name>
            <Description>Distal Radius Plates</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL149</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>VAL Periarticular anatomic Radius Plate</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY678</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomical Variable Angle Locking Radial Plates</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN035</BillingCode>
            <Name>Newclip Radius Plates</Name>
            <Description>Variable Angle plates for the radius</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN057</BillingCode>
            <Name>Periarticular radius plate</Name>
            <Description>Periarticular VAL radius plate</Description>
            <Size>≥7 to ≤15 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN075</BillingCode>
            <Name>Newclip distal radius plates</Name>
            <Description>Pariarticular anatomic radius plates</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM118</BillingCode>
            <Name>TriMed Radial Column Plates</Name>
            <Description>Radial Column Plate</Description>
            <Size>7 hole</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>869</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM120</BillingCode>
            <Name>TriMed Ulna Column Plates</Name>
            <Description>Ulna Column Plate</Description>
            <Size>7 hole</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5277</SubGroupID>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>869</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW030</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Periarticular Radius Plating Systems</Description>
            <Size>≥ 16 Holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5278</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>1378</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO364</BillingCode>
            <Name>Acumed Acu-Loc Radius Plating system</Name>
            <Description>Volar, Dorsal, Distal Ulna, Standard, Long, Extra long, wide, narrow, left, right, extra-articular plates</Description>
            <Size>≥16 holes</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5278</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1378</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX030</BillingCode>
            <Name>ARMAR 2.4 Locking Distal Radial Plate System - ≥ 16 holes</Name>
            <Description>TiCP Distal Radial Locking Plate</Description>
            <Size>16 Holes&#xD;
140mm Length</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5278</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>1378</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY679</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomical Locking Radial Plates</Description>
            <Size>≥ 16 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5278</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1378</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH254</BillingCode>
            <Name>Distal Radius Fracture Repair System</Name>
            <Description>DVR-A, distal volar radius locking plate, titanium</Description>
            <Size>16 to 20 holes</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5278</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>153056</ARTG>
            </ARTGs>
            <MinimumBenefit>1691</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO069</BillingCode>
            <Name>APTUS Wrist</Name>
            <Description>2.5 TriLock Distal Radius Plates, Volar, Dorsal, Correction</Description>
            <Size>2.5mm diameter system</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5278</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>141170</ARTG>
            </ARTGs>
            <MinimumBenefit>1691</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KT071</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OH471</PriorBillingCode>
            </PriorBillingCodes>
            <Name>IXOS Radius Plating System</Name>
            <Description>Titanium Radial Plates</Description>
            <Size>23mm - 32mm x 60mm - 95mm</Size>
            <SupplierCode>KT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5278</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>276674</ARTG>
                <ARTG>236206</ARTG>
            </ARTGs>
            <MinimumBenefit>1691</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM382</BillingCode>
            <Name>Volar Distal Radius Plates</Name>
            <Description>Fixation Plate for Distal Radius Fractures</Description>
            <Size>16 holes or more</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5278</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>278692</ARTG>
            </ARTGs>
            <MinimumBenefit>1691</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN201</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomical  Radial Plates</Description>
            <Size>≥ 16 Holes</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5278</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1691</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK574</BillingCode>
            <Name>Universal Distal Radius System</Name>
            <Description>Universal SMARTLock Locking Plates</Description>
            <Size>17 Hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5278</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>124319</ARTG>
            </ARTGs>
            <MinimumBenefit>1691</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK576</BillingCode>
            <Name>VariAx Plate</Name>
            <Description>Volar Plate, Polyaxial Locking</Description>
            <Size>16-22 Hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5278</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>124319</ARTG>
            </ARTGs>
            <MinimumBenefit>1691</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN047</BillingCode>
            <Name>Periarticular anatomic plates VAL Radius &gt;=16 holes</Name>
            <Description>Periarticular anatomic plates VAL Radius</Description>
            <Size>≥16 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5278</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>1691</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW042</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Periarticular Ulna Plating System</Description>
            <Size>≤ 6 Holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5279</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO361</BillingCode>
            <Name>Anatomic Midshaft Forearm Plates</Name>
            <Description>Internal Fixation Plate Anatomic Forearm, Ulna</Description>
            <Size>≤6 holes</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5279</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX020</BillingCode>
            <Name>ARMAR 3.5 LPS Olecranon Plates</Name>
            <Description>3.5 mm anatomical olecranon locking plates</Description>
            <Size>2- 6 holes</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5279</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN918</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Olecranon Plates</Description>
            <Size>≤6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5279</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY743</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomic Locking Ulna Plates</Description>
            <Size>≤6  Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5279</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI842</BillingCode>
            <Name>Zimmer Periarticular Locking Plates</Name>
            <Description>2.7mm Periarticular Locking Plates - Ulna</Description>
            <Size>2 - 6 Holes Left and Right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5279</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH292</BillingCode>
            <Name>ALPS Elbow System</Name>
            <Description>Ulna Titanium Plates</Description>
            <Size>Small – Large, 3 to 6 holes</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5279</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>153056</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO059</BillingCode>
            <Name>APTUS</Name>
            <Description>Ulna Plates</Description>
            <Size>&lt;  or = 6 holes</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5279</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>206157</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL144</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>VAL Periarticular Anatomical Small Fragment plate - Ulna</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5279</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO349</BillingCode>
            <Name>Acumed Tap Loc Elbow plates</Name>
            <Description>Variable angle locking plates</Description>
            <Size>≤6 holes Coronoid</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5279</SubGroupID>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>869</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW025</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Perarticular Ulna Plating Systems</Description>
            <Size>7 - 15 holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5280</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW802</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR221</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Evolve Ortholoc EPS System - Olecranon Plate</Name>
            <Description>Stainless Steel, Polyaxial Locking Plate, Olecranon, Right &amp; Left</Description>
            <Size>Right &amp; Left, 2.7 &amp; 3.5mm, 9-16 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5280</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO360</BillingCode>
            <Name>Anatomic Midshaft Forearm Plates</Name>
            <Description>Internal Fixation Plate Anatomic Forearm, Ulna</Description>
            <Size>≥7 to ≤15 holes</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5280</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX021</BillingCode>
            <Name>ARMAR 3.5 LPS Olecranon Plates</Name>
            <Description>3.5mm anatomical olecranon locking plates</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5280</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN919</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Olecranon Plates</Description>
            <Size>≥7 to ≤15 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5280</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY767</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Locking Periarticular Ulna Plates</Description>
            <Size>≥7 to ≤15 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5280</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1126</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH293</BillingCode>
            <Name>ALPS Elbow System</Name>
            <Description>Ulna Titanium Plates</Description>
            <Size>Small – Large, 7 to 15 holes</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5280</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>153056</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ004</BillingCode>
            <Name>Valens Shoulder and Elbow - Elbow</Name>
            <Description>Ulna Hook Locking Compression Plate</Description>
            <Size>7 Holes</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5280</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO063</BillingCode>
            <Name>Aptus Elbow</Name>
            <Description>Olecranon Plates Right, Left, Straight and Tension</Description>
            <Size>&gt; 7 to &lt; 15 holes</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5280</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>141170</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO070</BillingCode>
            <Name>APTUS Wrist</Name>
            <Description>2.5 TriLock Y Plate</Description>
            <Size>2.5mm diameter system</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5280</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>141170</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM525</BillingCode>
            <Name>Proximal Ulna Plate</Name>
            <Description>Proximal Ulna Plate</Description>
            <Size>73 to 151 mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5280</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>278692</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO350</BillingCode>
            <Name>Acumed Tap Loc Elbow plates</Name>
            <Description>Variable angle locking plate system</Description>
            <Size>≥7 to ≤15 holes Olecranon</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5280</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK499</BillingCode>
            <Name>Stryker Locking Plate system</Name>
            <Description>Variable angle locking plate for olecranon fractures</Description>
            <Size>7-15 Hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5280</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL145</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>VAL Periarticular Anatomical Small Fragment plate - Ulna</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5280</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY766</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Variable Angle Locking Perarticular Ulna Plates</Description>
            <Size>≥7 to ≤15 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5280</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN010</BillingCode>
            <Name>Newclip Plating System</Name>
            <Description>Plates for fixation of fractures of the elbow and/or ulna</Description>
            <Size>Periarticular anatomic - Ulna ≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5280</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>1439</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW059</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Periarticular Ulan Plating System</Description>
            <Size>≥ 16 Holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5281</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>1159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY764</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomic Locking Ulna Plates</Description>
            <Size>≥16 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5281</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1159</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO351</BillingCode>
            <Name>Acumed Tap Loc Elbow plates</Name>
            <Description>Variable angle locking plate system</Description>
            <Size>≥16 holes Olecranon</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5281</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1473</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY765</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomic Locking Ulna Plates</Description>
            <Size>≥16 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5281</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1473</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM484</BillingCode>
            <Name>Periarticular Hand Plates</Name>
            <Description>Periarticular Hand Plates</Description>
            <Size>Multiple sizes to suit patient anatomy</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5282</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>337193</ARTG>
            </ARTGs>
            <MinimumBenefit>2557</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY623</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomical Pelvic Locking Plates</Description>
            <Size>≤ 6 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5283</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1411</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK577</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Matta Pelvic Plates</Description>
            <Size>2-6 Holes</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5283</SubGroupID>
            <ARTGs>
                <ARTG>139635</ARTG>
            </ARTGs>
            <MinimumBenefit>760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY725</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Non-Locking Anatomical Pelvic Plates</Description>
            <Size>≤6 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5283</SubGroupID>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK578</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Matta Pelvic Plates</Description>
            <Size>7-15 Holes</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5284</SubGroupID>
            <ARTGs>
                <ARTG>139635</ARTG>
            </ARTGs>
            <MinimumBenefit>760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY720</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomical Locking Pelvic Plates</Description>
            <Size>≥16 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5285</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1156</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW532</BillingCode>
            <Name>Pelvis II Plating System</Name>
            <Description>Quadrilateral Surface Plates</Description>
            <Size>Small/Large</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5285</SubGroupID>
            <ARTGs>
                <ARTG>139635</ARTG>
            </ARTGs>
            <MinimumBenefit>760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK579</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>ocking Compression Anatomical Shape</Description>
            <Size>16-22 Hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5285</SubGroupID>
            <ARTGs>
                <ARTG>139635</ARTG>
            </ARTGs>
            <MinimumBenefit>760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY719</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomical Non Locking Pelvic Plates</Description>
            <Size>≥16 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5285</SubGroupID>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>760</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW016</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Periarticular Femur Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5286</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>1397</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX045</BillingCode>
            <Name>ARMAR 4.5mm Meril Locking Plate System - Distal Femur Plate 5 Holes</Name>
            <Description>TAN Distal Femur Locking Plates</Description>
            <Size>5 Holes&#xD;
156mm Length&#xD;
Left and Right Variants</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5286</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>1397</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL079</BillingCode>
            <Name>Conquest FN</Name>
            <Description>Anatomic Locking Femur Plate</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5286</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1397</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL186</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Periarticular Anatomical Plate - Femur</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5286</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
                <ARTG>368492</ARTG>
            </ARTGs>
            <MinimumBenefit>1397</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SM180</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Proximal Femur Plates</Description>
            <Size>&lt; 6 holes</Size>
            <SupplierCode>SM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5286</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1397</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN972</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Distal Femur Plates</Description>
            <Size>≤6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5286</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1397</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ133</BillingCode>
            <Name>PediLoc - Plating System, ≤ 6 Holes, Periarticular Femoral Plates</Name>
            <Description>Periarticular Femoral Plates</Description>
            <Size>3.5mm-4.5mm, 4-6 Holes</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5286</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>191586</ARTG>
            </ARTGs>
            <MinimumBenefit>1397</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY711</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomic Locking Femur Plates</Description>
            <Size>≤6 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5286</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1397</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI844</BillingCode>
            <Name>Zimmer Periarticular Locking Plates</Name>
            <Description>5.5mm Periarticular Locking Plates - Femur</Description>
            <Size>2 - 6 holes Left &amp; Right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5286</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>1397</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL175</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Large and Periprosthetic Femur Plate – Variable Angle Locking</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5286</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
                <ARTG>368492</ARTG>
            </ARTGs>
            <MinimumBenefit>1710</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY712</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Antomic Locking Femur Plates</Description>
            <Size>≤6 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5286</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1710</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI746</BillingCode>
            <Name>NCB Polyaxial Locking Plate System</Name>
            <Description>NCB Variable Angle Locking Plate - Femur - Ti Alloy</Description>
            <Size>5 holes Left &amp; Right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5286</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>100337</ARTG>
                <ARTG>100349</ARTG>
            </ARTGs>
            <MinimumBenefit>1710</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW305</BillingCode>
            <Name>Dall Miles Cable Grip System - Stainless Steel</Name>
            <Description>Stainless Steel Plate:5 hole -  Stainless Steel</Description>
            <Size>6 inches</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5286</SubGroupID>
            <ARTGs>
                <ARTG>312160</ARTG>
            </ARTGs>
            <MinimumBenefit>1140</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY682</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomic Non-Locking Femur Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5286</SubGroupID>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1140</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW056</BillingCode>
            <Name>WEGO Trauma Systems </Name>
            <Description>Periarticular Femur Plates</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5287</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>1397</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX046</BillingCode>
            <Name>ARMAR 4.5mm Meril Locking Plate System - Distal Femur Plate ≥ 7 to ≤ 15 holes LK</Name>
            <Description>TAN Distal Femur Locking Plates</Description>
            <Size>7-13 Holes&#xD;
196-316 mm Length&#xD;
Left and Right variants</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5287</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>1397</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PJ023</BillingCode>
            <Name>Femoral Closing Wedge Osteotomy</Name>
            <Description>Symmetric plate, with locking screw technology for femoral distal closing wedge Osteotomy.</Description>
            <Size>87.5mm x 27.5mm</Size>
            <SupplierCode>PJ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5287</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>276245</ARTG>
            </ARTGs>
            <MinimumBenefit>1397</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK557</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Femur Anatomical Locking Plates</Description>
            <Size>12-14 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5287</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>1397</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL187</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Periarticular Anatomical Plate - Femur</Description>
            <Size> ≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5287</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
                <ARTG>368492</ARTG>
            </ARTGs>
            <MinimumBenefit>1397</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SM181</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Proximal Femur Plates</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5287</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1397</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN973</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Distal Femur Plates</Description>
            <Size>≥7 to  ≤15 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5287</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1397</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ134</BillingCode>
            <Name>PediLoc - Plating System, ≥ 7 to ≤ 15 holes, Periarticular Femoral Plates</Name>
            <Description>Periarticular Femoral Plates</Description>
            <Size>3.5mm-4.5mm, 8-14 Holes</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5287</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>191586</ARTG>
            </ARTGs>
            <MinimumBenefit>1397</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY709</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomic Locking Femur Plates</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5287</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1397</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI749</BillingCode>
            <Name>NCB Polyaxial Locking Plate System</Name>
            <Description>NCB Variable Angle Locking Plate - Femur - Ti Alloy</Description>
            <Size>9 holes - 13 holes Left &amp; Right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5287</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>100337</ARTG>
                <ARTG>100349</ARTG>
            </ARTGs>
            <MinimumBenefit>1397</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI845</BillingCode>
            <Name>Zimmer Periarticular Locking Plates</Name>
            <Description>5.5mm Periarticular Plates - Femur</Description>
            <Size>7 - 15 Holes Left &amp; Right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5287</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>1397</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI846</BillingCode>
            <Name>Zimmer Periarticular Locking Plates</Name>
            <Description>5.5mm Periarticular Locking Plates - Femur</Description>
            <Size>18 - 20 holes Left &amp; Right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5287</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>1397</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JD008</BillingCode>
            <Name>Distal Femur Plate</Name>
            <Description>Distal Femoral Locking Plates</Description>
            <Size>≥7 to  ≤15 holes</Size>
            <SupplierCode>JD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5287</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>222648</ARTG>
            </ARTGs>
            <MinimumBenefit>1710</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN337</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomic Locking Femur Plates Titanium</Description>
            <Size>7-15 Holes</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5287</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>1710</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RV007</BillingCode>
            <Name>PS Distal Femoral Osteotomy Plate</Name>
            <Description>Distal Femoral Osteotomy Anatomic VAL Plate</Description>
            <Size>Medial - Left     Medial - Right    Lateral - Left    Lateral - Right</Size>
            <SupplierCode>RV</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5287</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>330187</ARTG>
            </ARTGs>
            <MinimumBenefit>1710</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL173</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Large and Periprosthetic Femur Plate – Variable Angle Locking</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5287</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
                <ARTG>368492</ARTG>
            </ARTGs>
            <MinimumBenefit>1710</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY710</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomic Locking Femur Plates</Description>
            <Size>7-15 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5287</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1710</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI747</BillingCode>
            <Name>NCB Polyaxial Locking Plate System</Name>
            <Description>NCB Periprosthetic Variable Angle Locking Plate - Femur - Ti Alloy</Description>
            <Size>7 holes - 15 holes Left &amp; Right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5287</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>100337</ARTG>
                <ARTG>100349</ARTG>
            </ARTGs>
            <MinimumBenefit>1710</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU197</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE078</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Osteotomy Plates</Name>
            <Description>Osteotomy, Femoral - Stainless Steel</Description>
            <Size>7.5mm - 17.5 mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5287</SubGroupID>
            <ARTGs>
                <ARTG>351000</ARTG>
                <ARTG>350871</ARTG>
            </ARTGs>
            <MinimumBenefit>1140</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW307</BillingCode>
            <Name>Dall Miles Cable Grip System - Stainless Steel</Name>
            <Description>Stainless Steel Plate:9 hole -  Stainless Steel</Description>
            <Size>10 inches</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5287</SubGroupID>
            <ARTGs>
                <ARTG>312160</ARTG>
            </ARTGs>
            <MinimumBenefit>1140</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW308</BillingCode>
            <Name>Dall Miles Cable Grip System - Stainless Steel</Name>
            <Description>Stainless Steel Plate:11 hole -  Stainless Steel</Description>
            <Size>12 inches</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5287</SubGroupID>
            <ARTGs>
                <ARTG>312160</ARTG>
            </ARTGs>
            <MinimumBenefit>1140</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY671</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Distal Femoral</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5287</SubGroupID>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1140</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW057</BillingCode>
            <Name>WEGO Trauma Systems </Name>
            <Description>Periarticular Femur Plates</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5288</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>2018</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK558</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Femur Anatomical Locking Plates</Description>
            <Size>16-24 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5288</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>2018</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL188</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Periarticular Anatomical Plate - Femur</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5288</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
                <ARTG>368492</ARTG>
            </ARTGs>
            <MinimumBenefit>2018</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SM182</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Proximal Femur Plates</Description>
            <Size>&gt;16 holes</Size>
            <SupplierCode>SM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5288</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>2018</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN974</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Distal Femur Plates</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5288</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>2018</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ135</BillingCode>
            <Name>PediLoc - Plating System ≥ 16 holes, Periarticular Femoral Plates</Name>
            <Description>Periarticular Femoral Plates</Description>
            <Size>3.5mm-4.5mm, 16-20 Holes</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5288</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>191586</ARTG>
            </ARTGs>
            <MinimumBenefit>2018</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY768</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomic Locking Femur Plates</Description>
            <Size>≥16 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5288</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>2018</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JD009</BillingCode>
            <Name>Distal Femur Plate</Name>
            <Description>Distal Femoral Locking Plates</Description>
            <Size>≥16 Holes</Size>
            <SupplierCode>JD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5288</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>222648</ARTG>
            </ARTGs>
            <MinimumBenefit>2331</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN338</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomic Locking Femur Plates Titanium</Description>
            <Size>≥16 Holes</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5288</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>2331</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL174</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Large and Periprosthetic Femur Plate – Variable Angle Locking</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5288</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
                <ARTG>368492</ARTG>
            </ARTGs>
            <MinimumBenefit>2331</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY769</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomic Locking Femur Plates</Description>
            <Size>≥16 Holes</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5288</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>2331</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI748</BillingCode>
            <Name>NCB Polyaxial Locking Plate System</Name>
            <Description>NCB Periprosthetic Variable Angle Locking Plate - Femur - Ti Alloy</Description>
            <Size>Over 16 holes Left &amp; Right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5288</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>100337</ARTG>
                <ARTG>100349</ARTG>
            </ARTGs>
            <MinimumBenefit>2331</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY672</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomic Non Locking Femur Plates</Description>
            <Size>≥ 16 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5288</SubGroupID>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1761</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ029</BillingCode>
            <Name>Valetis Ankle - Fibular</Name>
            <Description>Distal Fibula Anatomical Locking Plates</Description>
            <Size>3 to 6 hole, left and right</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5289</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>284755</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU129</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE556</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Posterolateral Anatomic Distal Fibula Plate</Name>
            <Description>Plate for fracture fixation</Description>
            <Size>4-6 Holes Left and Right Side Specific</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5289</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM135</BillingCode>
            <Name>TriMed Hook Plate</Name>
            <Description>Hook Plate</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5289</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY686</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomic Locking Fibula</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5289</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI847</BillingCode>
            <Name>Zimmer Periarticular Locking Plates</Name>
            <Description>2.7mm Periarticular Locking Plates - Fibula</Description>
            <Size>2 - 6 Holes Left &amp; Right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5289</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH307</BillingCode>
            <Name>ALPS Fibula Plating System</Name>
            <Description>Anatomic Fibular Plating System</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5289</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>275084</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER421</BillingCode>
            <Name>Paragon 28 Gorilla Plating System-Plate, fibular (≤ 6 holes)</Name>
            <Description>Paragon 28 Gorilla Plating System-Plate, fibular, tubular,anatomic, titanium</Description>
            <Size>thickness 1.5mm; multi screw diameter purchase 2.7/3.5/4.2mm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5289</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>289248</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW813</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR240</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Ortholoc Fracture System - Plates</Name>
            <Description>Syndesmosis</Description>
            <Size>4 Holes, Right and Left</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5289</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK580</BillingCode>
            <Name>Stryker Locked Plate system</Name>
            <Description>Periarticular variable angle locking plate - fibula</Description>
            <Size>1-6 Holes</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5289</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>269713</ARTG>
                <ARTG>295226</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL129</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>VAL Periarticular Anatomical Small Fragment plate - Fibula</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5289</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI762</BillingCode>
            <Name>Zimmer Periarticular Plates</Name>
            <Description>3.5mm Periarticular Plates - Fibula</Description>
            <Size>2 - 6 holes Left &amp; Right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5289</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>1073</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW060</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Periarticular Fibula Plating System</Description>
            <Size>7 - 15 Holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5290</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU130</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE578</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Posterolateral Anatomic Distal Fibula Plate</Name>
            <Description>Plate for fracture fixation</Description>
            <Size>8-10 holes Left and Right Side Specific</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5290</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU189</BillingCode>
            <Name>Locking Distal Fibula Plate</Name>
            <Description>Locking Distal Fibula Plate for Fracture Fixation</Description>
            <Size>8 -14 Holes ( Left and Right Specific)</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5290</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
                <ARTG>350871</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU190</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE421</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Locking distal Fibula plate</Name>
            <Description>Locking Distal Fibula Plate For Fracture Fixation</Description>
            <Size>4-6 Holes ( Left and Right Specific)</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5290</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW898</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR374</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MaxLock Extreme System - Distal Fibula Plate</Name>
            <Description>Distal Fibula variable angle locking plate, Titanium</Description>
            <Size>Long, Medium, Short, Right and Left</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5290</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>214671</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM136</BillingCode>
            <Name>TriMed Periarticular Ankle Plates</Name>
            <Description>TriMed Periarticular Ankle Plates</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5290</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY811</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Distal fibula; lateral, posterolateral locking plates</Description>
            <Size>7 to 15 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5290</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI848</BillingCode>
            <Name>Zimmer Periarticular Locking Plates</Name>
            <Description>2.7 mm Periarticular Locking Plates - Fibula</Description>
            <Size>8 - 14 Holes Left &amp; Right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5290</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH308</BillingCode>
            <Name>ALPS Fibula Plating System</Name>
            <Description>Anatomic Fibular Locking Plate</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5290</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>275084</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ030</BillingCode>
            <Name>Valetis Ankle - Fibular</Name>
            <Description>Distal Fibular Anatomical Locking Plates</Description>
            <Size>7 to 9 hole, left and right</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5290</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>284755</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO102</BillingCode>
            <Name>APTUS Foot &amp; Ankle</Name>
            <Description>Fibula Plates</Description>
            <Size>7 to 15 holes</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5290</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>206157</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER422</BillingCode>
            <Name>Paragon 28 Gorilla Plating System-Plate, fibular (≥ 7 to ≤ 15 holes)</Name>
            <Description>Paragon 28 Gorilla Plating System-Plate, fibular, tubular, anatomic, titanium</Description>
            <Size>thickness 1.5mm; multi screw diameter purchase 2.7/3.5/4.2mm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5290</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>289248</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW812</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR239</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Ortholoc Fracture System - Plates</Name>
            <Description>Lateral Fibula, Posterior Fibula</Description>
            <Size>8-15 Holes, Right and Left</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5290</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JD004</BillingCode>
            <Name>CarboFix Piccolo Distal Fibula Plate System – Plate component</Name>
            <Description>CFR-PEEK distal fibula plate</Description>
            <Size>Left 72mm, 83mm, 96mm, 112mm, 153mm, 182mm&#xD;
Right 72mm, 83mm, 96mm, 112mm, 153mm, 182mm</Size>
            <SupplierCode>JD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5290</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>222648</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM308</BillingCode>
            <Name>Osteomed FPS</Name>
            <Description>Fibular Fracture Plates</Description>
            <Size>7 to 15 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5290</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>202319</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO443</BillingCode>
            <Name>Acumed Ankle 3 Plating System</Name>
            <Description>Periarticular variable angle locking plate fibula</Description>
            <Size>7-15 holes, left and right</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5290</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK581</BillingCode>
            <Name>Stryker Locked Plate System</Name>
            <Description>Periartiicular variable angle locking plate - fibula</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5290</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>124319</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL146</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>VAL Periarticular Anatomical Small Fragment plate - Fibula</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5290</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY815</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>LCP Lateral Distal Fibula</Description>
            <Size>7 to 15 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5290</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN006</BillingCode>
            <Name>Newclip Activ Ankle Plate</Name>
            <Description>Variable Angle Locking Fibular Plate</Description>
            <Size>7 to 15 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5290</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI763</BillingCode>
            <Name>Zimmer Periarticular Plates</Name>
            <Description>3.5mm Periarticular Plates - Fibula</Description>
            <Size>7 - 15 holes Left &amp; Right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5290</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>1073</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW061</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Periarticular Fibula Plating Systems</Description>
            <Size>≥ 16 Holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5291</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM375</BillingCode>
            <Name>Cluster Plates</Name>
            <Description>Cluster Plates</Description>
            <Size>18 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5291</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY812</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Distal fibula; lateral, posterolateral locking plates</Description>
            <Size>&gt;16 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5291</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1330</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO104</BillingCode>
            <Name>APTUS Foot &amp; Ankle</Name>
            <Description>Fibula Plates</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5291</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>206157</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER423</BillingCode>
            <Name>Paragon 28 Gorilla Plating System-Plate, fibular (≥ 16 holes)</Name>
            <Description>Paragon 28 Gorilla Plating System-Plate, fibular, tubular, anatomic, titanium</Description>
            <Size>thickness 1.5mm; multi screw diameter purchase 2.7/3.5/4.2mm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5291</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>289248</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO449</BillingCode>
            <Name>Acumed Ankle 3 Plating System</Name>
            <Description>Periarticular variable angle locking plate fibula</Description>
            <Size>16-18 holes</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5291</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL134</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>VAL Periarticular Anatomical Small Fragment plate - Fibula</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5291</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY816</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>LCP Lateral Distal Fibula</Description>
            <Size>&gt;16 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5291</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN037</BillingCode>
            <Name>Newclip Activ Ankle Plate</Name>
            <Description>Periarticular distal fibular VAL Plate</Description>
            <Size>L75-187mm</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5291</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260232</ARTG>
                <ARTG>260229</ARTG>
            </ARTGs>
            <MinimumBenefit>1643</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ027</BillingCode>
            <Name>Valetis Ankle - Tibial</Name>
            <Description>Distal Tibial Anatomical Locking Plates</Description>
            <Size>3 to 6 hole, left and right</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>284755</ARTG>
            </ARTGs>
            <MinimumBenefit>1415</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW018</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Periarticular Tibia Plating Systems</Description>
            <Size>≤ 6 Holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>1415</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU131</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE529</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Anterior Distal Tibia Plate</Name>
            <Description>Plate for Fracture Fixation</Description>
            <Size>3-5 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>1415</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU132</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE549</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Posterior Distal Tibia Plate</Name>
            <Description>Plate for Fracture Fixation</Description>
            <Size>3-5 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>1415</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU133</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE552</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Anterolateral Distal Tibia Plate</Name>
            <Description>Plate for Fracture Fixation</Description>
            <Size>4-6 Holes Left and Right Side Specific</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>1415</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU134</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE557</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Medial Distal Tibia Plate</Name>
            <Description>Plate for Fracture Fixation</Description>
            <Size>4-6 Holes Left and Right Side Specific</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>1415</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX042</BillingCode>
            <Name>ARMAR 3.5 LPS Tibial Plates</Name>
            <Description>3.5 mm anatomical tibial plates</Description>
            <Size>4 - 6 holes</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>1415</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX047</BillingCode>
            <Name>ARMAR 4.5mm Meril Locking Plate System - Proximal Tibial Plates ≤ 6 holes</Name>
            <Description>TAN Proximal Tibial Locking Plates</Description>
            <Size>5 Holes&#xD;
140mm Length&#xD;
Left and Right</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>1415</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB024</BillingCode>
            <Name>Low Profile Distal Medial Tibial Locking Plate - ≤ 6 Holes</Name>
            <Description>Low Profile Distal Medial Tibial Locking Plate</Description>
            <Size>≤ 6 Holes</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>261562</ARTG>
            </ARTGs>
            <MinimumBenefit>1415</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PJ022</BillingCode>
            <Name>Lateral closing wedge Tibial</Name>
            <Description>Shifting the mechanical axis from the lateral to the medial compartment in patients with lateral Osteoarthritis in combination with Valgus deformity</Description>
            <Size>61mm-24mm</Size>
            <SupplierCode>PJ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>276245</ARTG>
            </ARTGs>
            <MinimumBenefit>1415</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL101</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>SN985</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Peri-Loc</Name>
            <Description>Tibia Plates</Description>
            <Size>≤6 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1415</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY732</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomic Locking Tibial Plates</Description>
            <Size>≤ 6 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1415</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN031</BillingCode>
            <Name>Newclip Activ Ankle Plate</Name>
            <Description>Locking Tibial Plate</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>1415</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI850</BillingCode>
            <Name>Zimmer Periarticular Locking Plates</Name>
            <Description>3.5mm Periarticular Locking Plates - Tibia</Description>
            <Size>2 - 6 holes Left &amp; Right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>1415</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO105</BillingCode>
            <Name>APTUS Foot &amp; Ankle</Name>
            <Description>Tibia Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>206157</ARTG>
            </ARTGs>
            <MinimumBenefit>1728</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW809</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR233</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Ortholoc Ankle Plating</Name>
            <Description>Anterior, Posterior, Lateral or Medial</Description>
            <Size>4-6 holes, Right ad Left, 93-155mm Length</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>1728</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM305</BillingCode>
            <Name>Extremilock FPS</Name>
            <Description>Ankle Plating System</Description>
            <Size>3.5mm and 4mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>202319</ARTG>
            </ARTGs>
            <MinimumBenefit>1728</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO442</BillingCode>
            <Name>Acumed Ankle 3 Plating System</Name>
            <Description>Periarticular Anatomic variable angle locking tibial plates</Description>
            <Size>2 to 6 Holes</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1728</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL132</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>VAL Periarticular Anatomical Small Fragment plate - Tibia</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1728</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN975</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Tibia Plates</Description>
            <Size>≤6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1728</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN052</BillingCode>
            <Name>Periarticular anatomic tibia VAL ≤ 6 holes</Name>
            <Description>Periarticular anatomic tibia VAL ≤ 6 holes</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>1728</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI750</BillingCode>
            <Name>NCB Polyaxial Locking Plate System</Name>
            <Description>NCB Variable Angle Locking Plate - Tibia - Ti Alloy</Description>
            <Size>5 holes Left &amp; Right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>100337</ARTG>
                <ARTG>100349</ARTG>
            </ARTGs>
            <MinimumBenefit>1728</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH197</BillingCode>
            <Name>Periarticular Plating System</Name>
            <Description>Meta Plate - Titanium</Description>
            <Size>Sm - Lge  3 to 6 Holes</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <ARTGs>
                <ARTG>153056</ARTG>
            </ARTGs>
            <MinimumBenefit>1158</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH445</BillingCode>
            <Name>Hinge Pediatric Plating System - Hinge Plate</Name>
            <Description>Articulated growth-correction fixation plate</Description>
            <Size>12mm, 16mm, 20mm (distance between anchoring points)</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <ARTGs>
                <ARTG>161505</ARTG>
            </ARTGs>
            <MinimumBenefit>1158</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK530</BillingCode>
            <Name>Stryker Plating System.</Name>
            <Description>T-Plate, pre-shaped</Description>
            <Size>5-6 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>1158</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN581</BillingCode>
            <Name>TC-100</Name>
            <Description>Tibia Plates, L:/E 6 Holes</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1158</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY729</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomic Tibial Plates</Description>
            <Size>≤ 6 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1158</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI398</BillingCode>
            <Name>High Tibia Osteotomy</Name>
            <Description>High Tibia Osteotomy - Ti alloy</Description>
            <Size>L shaped steel alloy plate;  Standard &amp; Long</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>1158</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI823</BillingCode>
            <Name>Periarticular Plates</Name>
            <Description>Periarticular Tibial Plateau Plates - Stainless Steel</Description>
            <Size>2 holes - 6 holes Left and Right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5292</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>1158</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW062</BillingCode>
            <Name>WEGO Trauma Systems </Name>
            <Description>Periarticular Tibia Plating Systems</Description>
            <Size>7 - 15 Holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>1182</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU135</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE547</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Medial Distal Tibia Plate</Name>
            <Description>Plate for Fracture Fixation</Description>
            <Size>8-14 Holes Left and Right Side Specific</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>1182</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU136</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE562</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Anterolateral Distal Tibia Plate</Name>
            <Description>Plate for Fracture Fixation</Description>
            <Size>8-14 Holes Left and Right Side Specific</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>1182</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU137</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE569</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Posterior Distal Tibia Plate</Name>
            <Description>Plate for Fracture Fixation</Description>
            <Size>7-9 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>1182</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU138</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE571</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Anterior Distal Tibia Plate</Name>
            <Description>Plate for Fracture Fixation</Description>
            <Size>7-9 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>1182</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW897</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR373</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MaxLock Extreme System - Medial Distal Tibia Plate</Name>
            <Description>Medial distal tibia variable angle locking plate, Titanium</Description>
            <Size>Short, Medium, Long, Left and Right</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>214671</ARTG>
            </ARTGs>
            <MinimumBenefit>1182</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX043</BillingCode>
            <Name>ARMAR 3.5 LPS Tibial Plates</Name>
            <Description>3.5mm anatomical tibial plates</Description>
            <Size>7-15 holes</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>1182</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX048</BillingCode>
            <Name>ARMAR 4.5mm Meril Locking Plate System - Proximal Tibial Plates ≥ 7 to ≤ 15 holes</Name>
            <Description>TAN Proximal Tibial Locking Plates</Description>
            <Size>7-13 Holes&#xD;
180-300 Length&#xD;
Left and Right</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>1182</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB025</BillingCode>
            <Name>Low Profile Distal Medial Tibial Locking Plate - 7 to 15 Holes</Name>
            <Description>Low Profile Distal Medial Tibial Locking Plate</Description>
            <Size>7 to 15 Holes</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>261562</ARTG>
            </ARTGs>
            <MinimumBenefit>1182</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK559</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Distal Tibia Anatomical Locking Plates</Description>
            <Size>10-15 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>1182</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK561</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Tibial Anatomical Locking Plates</Description>
            <Size>7-15 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>1182</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL102</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>SN985</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Peri-Loc</Name>
            <Description>Tibia Plates</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1182</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY758</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomic Locking Tibial Plates</Description>
            <Size>7 to 15 Holes</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286609</ARTG>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1182</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI851</BillingCode>
            <Name>Zimmer Periarticular Locking Plates</Name>
            <Description>3.5mm Periarticular Locking Plates - Tibia</Description>
            <Size>8 - 14 holes Left &amp; Right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>1182</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH287</BillingCode>
            <Name>ALPS Anatomic Locked plating system</Name>
            <Description>Distal and Proximal Tibial Plates, Titanium</Description>
            <Size>7 to 15 holes</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>153056</ARTG>
                <ARTG>97981</ARTG>
            </ARTGs>
            <MinimumBenefit>1495</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ028</BillingCode>
            <Name>Valetis Ankle - Tibial</Name>
            <Description>Distal Tibial Anatomical Locking Plates</Description>
            <Size>7 to 14 hole, left and right</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>284755</ARTG>
            </ARTGs>
            <MinimumBenefit>1495</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO106</BillingCode>
            <Name>APTUS Foot &amp; Ankle</Name>
            <Description>Tibia Plates</Description>
            <Size>7 - 15 holes</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>206157</ARTG>
            </ARTGs>
            <MinimumBenefit>1495</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER502</BillingCode>
            <Name>Paragon 28 Gorilla Plating System-Plate, tibial ( ≥ 7 to ≤ 15 holes)</Name>
            <Description>Paragon 28 Gorilla Silverback tibiotalar (TT) anterior or lateral ankle fusion plate, left or right</Description>
            <Size>( ≥ 7 to ≤ 15 holes); 65-109 mm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>289308</ARTG>
            </ARTGs>
            <MinimumBenefit>1495</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW810</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR234</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Ortholoc Fracture System - Plates</Name>
            <Description>Anterolateral Tibia, Medial Tibia Plates or 1/3 Tubular</Description>
            <Size>9, 12 or 13 holes, Right and Left</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>1495</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM307</BillingCode>
            <Name>Osteomed FPS</Name>
            <Description>Anterior Lateral Plates</Description>
            <Size>7 to 15 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>202319</ARTG>
            </ARTGs>
            <MinimumBenefit>1495</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO444</BillingCode>
            <Name>Acumed Ankle 3 Plating System</Name>
            <Description>Periarticular Anatomic variable angle locking tibial plates</Description>
            <Size>7 to 15 holes</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1495</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RV006</BillingCode>
            <Name>PS High Tibial Osteotomy Plate</Name>
            <Description>High Tibial Osteotomy Anatomic VAL Plate </Description>
            <Size>Left - Medial  Right - Medial</Size>
            <SupplierCode>RV</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>330187</ARTG>
            </ARTGs>
            <MinimumBenefit>1495</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL154</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System- EVOS</Name>
            <Description>VAL Periarticular Anatomical Small Fragment plate - Tibia</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1495</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN986</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Tibia Plates</Description>
            <Size>&gt;7 to &lt;15 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1495</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY759</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomic Variable Angle Locking Tibial Plates</Description>
            <Size>7 to 15 Holes</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>286609</ARTG>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1495</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY770</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomic Variable Angle Locking Tibial Plates</Description>
            <Size>7 - 15 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1495</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN040</BillingCode>
            <Name>Newclip Activ Ankle Plate</Name>
            <Description>Locking Tibial Plate</Description>
            <Size>7 to 15 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>1495</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN053</BillingCode>
            <Name>Periarticular anatomic tibia VAL ≥ 7 to ≤ 15 holes</Name>
            <Description>Periarticular anatomic tibia VAL ≥ 7 to ≤ 15 holes</Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>1495</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN054</BillingCode>
            <Name>Periarticular anatomic tibia VAL ≥ 16 holes</Name>
            <Description>Periarticular anatomic tibia VAL ≥ 16 holes</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>260229</ARTG>
                <ARTG>260232</ARTG>
            </ARTGs>
            <MinimumBenefit>1495</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI751</BillingCode>
            <Name>NCB Polyaxial Locking Plate System</Name>
            <Description>NCB Variable Angle Locking Plate - Tibia - Ti Alloy</Description>
            <Size>9 holes - 13 holes Left &amp; Right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>100337</ARTG>
                <ARTG>100349</ARTG>
            </ARTGs>
            <MinimumBenefit>1495</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK531</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>T-Plate, pre-shaped</Description>
            <Size>7-13 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>925</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN582</BillingCode>
            <Name>TC-100</Name>
            <Description>Tibia Plates</Description>
            <Size>7 to ≤ 15 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>925</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY730</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomic Tibial Plates</Description>
            <Size>7 - 15 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>925</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI766</BillingCode>
            <Name>Zimmer Periarticular Plates</Name>
            <Description>3.5 &amp; 4.5mm Periarticular Plates - Tibia</Description>
            <Size>7 - 15 holes Left &amp; Right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>925</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI824</BillingCode>
            <Name>Periarticular Plates</Name>
            <Description>Periarticular Tibial Plateau Plates - Stainless Steel</Description>
            <Size>7 holes - 15 holes, Left and Right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5293</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>925</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW063</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Periarticular Tibia Plating Systems</Description>
            <Size>≥ 16 Holes</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5294</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>1415</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU139</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE534</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Anterolateral Distal Tibia Plate</Name>
            <Description>Plate for Fracture Fixation</Description>
            <Size>16-18 Holes Left and Right Side Specific</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5294</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>1415</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU140</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE566</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Medial Distal Tibia Plate</Name>
            <Description>Plate for Fracture Fixation</Description>
            <Size>16 Holes</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5294</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>1415</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX044</BillingCode>
            <Name>ARMAR 3.5 LPS Tibial Plates</Name>
            <Description>3.5mm tibial anatomical plates</Description>
            <Size>16-21 holes</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5294</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>1415</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK562</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Tibial Anatomical Locking Plates</Description>
            <Size>16-31 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5294</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>1415</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN976</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Tibia Plates</Description>
            <Size>≥ 16 Holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5294</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1415</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY756</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomic Locking Tibial Plates</Description>
            <Size>≥16 Holes</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5294</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286609</ARTG>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1415</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH288</BillingCode>
            <Name>ALPS-Anatomic Locked Plating system</Name>
            <Description>Distal and Proximal Tibial Plates, Titanium</Description>
            <Size>16 - 25 holes</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5294</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>153056</ARTG>
                <ARTG>97981</ARTG>
            </ARTGs>
            <MinimumBenefit>1728</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO103</BillingCode>
            <Name>APTUS Foot &amp; Ankle</Name>
            <Description>Tibia Plates</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5294</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>206157</ARTG>
            </ARTGs>
            <MinimumBenefit>1728</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER503</BillingCode>
            <Name>Paragon 28 Gorilla Plating System-Plate, tibial (≥ 16 holes)</Name>
            <Description>Paragon 28 Gorilla Silverback Plating System-Plate, tibial, lateral TTC, left or right</Description>
            <Size>≥ 16 holes, 113-154 mm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5294</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>289248</ARTG>
            </ARTGs>
            <MinimumBenefit>1728</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK560</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Distal Tibia Anatomical Locking Plates</Description>
            <Size>16-23 hole</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5294</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>119848</ARTG>
            </ARTGs>
            <MinimumBenefit>1728</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL147</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System- EVOS</Name>
            <Description>VAL Periarticular Anatomical Small Fragment plate - Tibia</Description>
            <Size>≥ 16 holes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5294</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1728</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY757</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomic Variable Locking Tibial Plates</Description>
            <Size>≥16 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5294</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1728</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY771</BillingCode>
            <Name>AO/ASIF</Name>
            <Description>Anatomic Variable Angle Locking Tibial Plates</Description>
            <Size>&gt; 16 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5294</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1728</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY731</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomic Tibial Plates</Description>
            <Size>≥16 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5294</SubGroupID>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1158</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI767</BillingCode>
            <Name>Zimmer Periarticular Plates</Name>
            <Description>3.5 &amp; 4.5mm Periarticular Plates - Tibia</Description>
            <Size>16 - 20 holes</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5294</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>1158</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI825</BillingCode>
            <Name>Periarticular Plates</Name>
            <Description>Periarticular Tibial Plateau Plates - Stainless Steel</Description>
            <Size>Over 16 holes Left and Right</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5294</SubGroupID>
            <ARTGs>
                <ARTG>11275</ARTG>
            </ARTGs>
            <MinimumBenefit>1158</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO405</BillingCode>
            <Name>Acumed Locking Calcaneal Plates</Name>
            <Description>Locking Calcaneal Plates</Description>
            <Size>&lt;6 Hole LK</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5295</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1149</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB018</BillingCode>
            <Name>Calcaneal Locking Plate MIPO System - Locking Plates</Name>
            <Description>Posterior Tuberosity Calcaneal Locking Plate II, Anterior Process Calcaneal Locking Plate, Posterior Tuberosity Calcaneal Locking Plate</Description>
            <Size>5 &amp; 6 Holes</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5295</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>261562</ARTG>
            </ARTGs>
            <MinimumBenefit>1149</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW895</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR369</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MaxLock Extreme System - CalcLock Extreme Plate</Name>
            <Description>Calcaneal variable angle locking plate, Titanium</Description>
            <Size>Standard, Large, Extra Large, Right and Left</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5296</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>214671</ARTG>
            </ARTGs>
            <MinimumBenefit>1149</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO404</BillingCode>
            <Name>Acumed Locking Calcaneal Plates</Name>
            <Description>Locking Calcaneal Plates</Description>
            <Size>≥ 7 to ≤ 15 LK</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5296</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>1149</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX013</BillingCode>
            <Name>ARMAR 3.5mm Meril Locking Plate System - Calcaneal Plate</Name>
            <Description>TiCP calcaneal locking plates</Description>
            <Size>15 Holes&#xD;
64-81mm Length&#xD;
Left and Right</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5296</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286842</ARTG>
            </ARTGs>
            <MinimumBenefit>1149</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB019</BillingCode>
            <Name>Calcaneal Locking Plate -  Locking Plates</Name>
            <Description>Calcaneal Locking Plate I, Calcaneal Locking Plate II, Compound Calcaneal Locking Plate II, Anterior Process Calcaneal Locking Plate II, Anatomical Calcaneal Locking Plate II, Anterior Process and Posterior Tuberosity Calcaneal Locking Plate</Description>
            <Size>≥ 7 to ≤ 15 holes, &#xD;
Large, medium and small</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5296</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>261562</ARTG>
            </ARTGs>
            <MinimumBenefit>1149</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SF121</BillingCode>
            <Name>Islay Calaneal Locking Plate</Name>
            <Description>Islay Calaneal Locking Plate 3.5</Description>
            <Size>Islay Calaneal Locking Plate 3.5, large&#xD;
Islay Calaneal Locking Plate 3.5, medium&#xD;
Islay Calaneal Locking Plate 3.5, small</Size>
            <SupplierCode>SF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5296</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>208160</ARTG>
            </ARTGs>
            <MinimumBenefit>1149</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN983</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Calcaneal Plates</Description>
            <Size>&gt;7 to &lt;15 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5296</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1149</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY188</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Calcaneal, Locking</Description>
            <Size>7 - 15 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5296</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1149</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH243</BillingCode>
            <Name>ALPS Foot System</Name>
            <Description>Calcaneal foot plate</Description>
            <Size>small to large</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5296</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>153056</ARTG>
            </ARTGs>
            <MinimumBenefit>1462</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO056</BillingCode>
            <Name>Aptus Foot</Name>
            <Description>Calcaneus Plates</Description>
            <Size>Left and right plates, small, medium and large</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5296</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>141170</ARTG>
            </ARTGs>
            <MinimumBenefit>1462</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER424</BillingCode>
            <Name>Paragon 28 Gorilla Plating System-Plate, Calcaneal ( ≥ 7 to ≤ 15 holes)</Name>
            <Description>Paragon 28 Gorilla Plating System-Plate, Calcaneus fracture, MTP various shapes, Titanium,</Description>
            <Size>thickness 1.1mm; multi screw diameter purchase 2.7/3.5/4.2mm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5296</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>289248</ARTG>
            </ARTGs>
            <MinimumBenefit>1462</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU202</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE464</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Calcaneal Fracture Plate</Name>
            <Description>Calcaneal Fracture Plate for fixation of Calcaneal fractures</Description>
            <Size>X-small, small, Medium, Large - LEFT and RIGHT side specific plates</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5296</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
                <ARTG>350871</ARTG>
            </ARTGs>
            <MinimumBenefit>1462</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW807</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR231</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Calcaneus Plate</Name>
            <Description>Titanium locking plate, Tab &amp; Perimeter</Description>
            <Size>14 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5296</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>1462</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM306</BillingCode>
            <Name>Osteomed FPS</Name>
            <Description>Calcaneal Plates</Description>
            <Size>7 to 15 holes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5296</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>202319</ARTG>
            </ARTGs>
            <MinimumBenefit>1462</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN984</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Calcaneal Plates</Description>
            <Size>&gt;7 to &lt;15 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5296</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>1462</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SR092</BillingCode>
            <Name>Stryker Locking Plate System</Name>
            <Description>Calcaneus Locking Plates</Description>
            <Size>12 Hole</Size>
            <SupplierCode>SR</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5296</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>124319</ARTG>
            </ARTGs>
            <MinimumBenefit>1462</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH194</BillingCode>
            <Name>Periarticular Plating System</Name>
            <Description>Plate Calcaneal  - Titanium</Description>
            <Size>Small - Large</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5296</SubGroupID>
            <ARTGs>
                <ARTG>97981</ARTG>
            </ARTGs>
            <MinimumBenefit>892</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK094</BillingCode>
            <Name>Stryker Plating System Small Fragment Set</Name>
            <Description>Calcaneal Plate</Description>
            <Size>70-80mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5296</SubGroupID>
            <ARTGs>
                <ARTG>119848</ARTG>
                <ARTG>25735</ARTG>
            </ARTGs>
            <MinimumBenefit>892</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN569</BillingCode>
            <Name>TC-100 </Name>
            <Description>Calcaneal Plates </Description>
            <Size>≥ 7 to ≤ 15 holes</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5296</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>892</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY017</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Calcaneal Plates</Description>
            <Size>7 - 15 holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5296</SubGroupID>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>892</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW808</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR232</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Calcaneus Plate</Name>
            <Description>Titanium locking plate, Tab &amp; Perimeter</Description>
            <Size>16 &amp; 17 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5297</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>1462</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SR093</BillingCode>
            <Name>Stryker Locking Plate System</Name>
            <Description>Calcaneus Locking Plates</Description>
            <Size>16 Hole</Size>
            <SupplierCode>SR</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5297</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>124319</ARTG>
            </ARTGs>
            <MinimumBenefit>1462</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BU014</BillingCode>
            <Name>Airlock Bone plate System</Name>
            <Description>Osteosynthesis bone plate system</Description>
            <Size>Left and right thickness 1.3mm to 1.35 mm, Length from 16mm to 55mm</Size>
            <SupplierCode>BU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5298</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>235766</ARTG>
            </ARTGs>
            <MinimumBenefit>693</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW709</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR052</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Charlotte MTP Fusion System</Name>
            <Description>MTP plate, stainless steel, SLIM LINE</Description>
            <Size>Left &amp; right</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5298</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>693</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW714</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR065</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Rearfoot Plate - RPS</Name>
            <Description>Unique extended plate geometry for plating complex rearfoot reconstructions, uses 3.5mm locked screws for optimal bone purchase.</Description>
            <Size>6 hole - 37mm, 8 hole - 50mm, 14 hole - 66mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5298</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>693</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO380</BillingCode>
            <Name>Acumed Congruent Plate System</Name>
            <Description>Foot and Ankle Plate Titanium</Description>
            <Size>≤ 6 hole</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5298</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>693</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO381</BillingCode>
            <Name>Acumed Congruent Plate system</Name>
            <Description>Foort and Ankle Plate titanium</Description>
            <Size>≥7 to ≤15 hole</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5298</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99824</ARTG>
            </ARTGs>
            <MinimumBenefit>693</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW459</BillingCode>
            <Name>Variax 2 Foot Plates</Name>
            <Description>Polyaxial Locking plates with compressions holes</Description>
            <Size>Broad Straight – 2-7 Hole  Slim Straight – 2-7 Hole  Broad Y-Plate – 2-7 Shaft Holes  Slim Y-Plate – 2-7 Holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5298</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>162776</ARTG>
                <ARTG>269713</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Sizes</ChangeExplanation>
            <MinimumBenefit>1007</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW796</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR082</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Ortholoc 3Di Plates</Name>
            <Description>Osteosynthesis Bone Plate System</Description>
            <Size>2-7 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5298</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>1007</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW816</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR244</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Charlotte Claw Locking Plate</Name>
            <Description>Straight, U, T Plates - 2, 3, &amp; 4 Hole</Description>
            <Size>15, 20, 25, 30mm, Sm, Med, Lge</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5298</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>1007</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW834</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR292</PriorBillingCode>
            </PriorBillingCodes>
            <Name>SALVATION 3Di Plating System - Plates</Name>
            <Description>Bridge plates and recon plates</Description>
            <Size>Small, medium and large</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5298</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>1007</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM339</BillingCode>
            <Name>Orthopaedic Fixation Plate</Name>
            <Description>Orthopaedic Fixation Plates</Description>
            <Size>2 - 8 holes and/or Small, Medium, Large</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5298</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>338649</ARTG>
            </ARTGs>
            <MinimumBenefit>1007</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY715</BillingCode>
            <Name>AO/ASIF Plates</Name>
            <Description>Anatomic Variable Angle Locking Foot Plate</Description>
            <Size>2-20 Holes</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5298</SubGroupID>
            <Suffix>VAL</Suffix>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1007</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO379</BillingCode>
            <Name>Acumed Congruent Plate System</Name>
            <Description>Foot and Ankle Plate itianium</Description>
            <Size>≤ 6 hole</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5298</SubGroupID>
            <ARTGs>
                <ARTG>98244</ARTG>
            </ARTGs>
            <MinimumBenefit>428</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL197</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG081</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Hallu-Fix Plates</Name>
            <Description>Hallu-C and Hallu-S titanium plates for first MTP arthrodesis </Description>
            <Size>Length: 40 - 55mm 3 sizes: 1, 2, 3 for left or right </Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5298</SubGroupID>
            <ARTGs>
                <ARTG>173932</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG081</ChangeExplanation>
            <MinimumBenefit>428</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN731</BillingCode>
            <Name>Accord</Name>
            <Description>Orthopaedic Cable System, Sm Cable Grip</Description>
            <Size>75-255mm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5299</SubGroupID>
            <ARTGs>
                <ARTG>140705</ARTG>
            </ARTGs>
            <MinimumBenefit>637</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY378</BillingCode>
            <Name>Trochanteric Reattachment Device</Name>
            <Description>Titanium alloy reattachment device with cables</Description>
            <Size>Standard and Long</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5299</SubGroupID>
            <ARTGs>
                <ARTG>139010</ARTG>
            </ARTGs>
            <MinimumBenefit>637</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-06-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI167</BillingCode>
            <Name>Zimmer Internal Fixation Systems: Cable System</Name>
            <Description>Cable-Ready 6 Hole Plate - Stainless Steel</Description>
            <Size>187mm long</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5299</SubGroupID>
            <ARTGs>
                <ARTG>108377</ARTG>
            </ARTGs>
            <MinimumBenefit>637</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN735</BillingCode>
            <Name>Accord</Name>
            <Description>Orthopaedic Cable System, Std Cable Grip</Description>
            <Size>85-265mm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5300</SubGroupID>
            <ARTGs>
                <ARTG>140705</ARTG>
            </ARTGs>
            <MinimumBenefit>751</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI169</BillingCode>
            <Name>Zimmer Internal Fixation Systems: Cable System</Name>
            <Description>Cable-Ready 10 Hole Plate - Stainless Steel</Description>
            <Size>305mm long</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5300</SubGroupID>
            <ARTGs>
                <ARTG>108377</ARTG>
            </ARTGs>
            <MinimumBenefit>751</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW896</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR372</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MaxLock Extreme System - Medial Malleolous Plate</Name>
            <Description>Medial malleolous variable angle locking plate, Titanium</Description>
            <Size>5 holes</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5302</SubGroupID>
            <ARTGs>
                <ARTG>214671</ARTG>
            </ARTGs>
            <MinimumBenefit>1649</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK403</BillingCode>
            <Name>Trochanteric Grip</Name>
            <Description>Trochanteric Grip Plate with 2 cables</Description>
            <Size>Large, 110 - 210mm, 2 -6 holes</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5302</SubGroupID>
            <ARTGs>
                <ARTG>144003</ARTG>
                <ARTG>16232</ARTG>
            </ARTGs>
            <MinimumBenefit>1649</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI290</BillingCode>
            <Name>Cable Ready Cable Grip System</Name>
            <Description>Titanium - comes with two cables (Co Cr), Integral Crimps</Description>
            <Size>23 x 53mm, 1.8 x 635mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5302</SubGroupID>
            <ARTGs>
                <ARTG>108377</ARTG>
            </ARTGs>
            <MinimumBenefit>1649</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ114</BillingCode>
            <Name>SuperCable Trochanteric Grips and Cable Plate System</Name>
            <Description>Trochanteric Grips - Titanium</Description>
            <Size>Short 50mm, 2 Hole Plate 135mm, 4 Hole Plate 190mm, 6 Hole Plate Straight, Right, Left 245mm</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5303</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>133719</ARTG>
            </ARTGs>
            <MinimumBenefit>2727</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW306</BillingCode>
            <Name>Dall Miles Cable Grip System - Stainless Steel</Name>
            <Description>Stainless Steel Plate:7 hole -  Stainless Steel</Description>
            <Size>8 inches</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5303</SubGroupID>
            <ARTGs>
                <ARTG>312160</ARTG>
            </ARTGs>
            <MinimumBenefit>2470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK402</BillingCode>
            <Name>Trochanteric Grip</Name>
            <Description>Trochanteric Grip Plate with 2 cables</Description>
            <Size>Medium 100 - 200mm, 2 -6 Holes</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5303</SubGroupID>
            <ARTGs>
                <ARTG>144003</ARTG>
                <ARTG>16232</ARTG>
            </ARTGs>
            <MinimumBenefit>2470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN730</BillingCode>
            <Name>Accord</Name>
            <Description>Orthopaedic Cable System, Titanium Plate</Description>
            <Size>150-250mm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5303</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
            </ARTGs>
            <MinimumBenefit>2470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI297</BillingCode>
            <Name>Cable Ready Cable Grip System</Name>
            <Description>Titanium</Description>
            <Size>5 hole GTR with 4 cables</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5303</SubGroupID>
            <ARTGs>
                <ARTG>108377</ARTG>
            </ARTGs>
            <MinimumBenefit>2470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI298</BillingCode>
            <Name>Cable Ready Cable Grip System</Name>
            <Description>Titanium</Description>
            <Size>2 hole GTR with 4 cables</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5303</SubGroupID>
            <ARTGs>
                <ARTG>108377</ARTG>
            </ARTGs>
            <MinimumBenefit>2470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI299</BillingCode>
            <Name>Cable Ready Cable Grip System</Name>
            <Description>Titanium</Description>
            <Size>4 hole GTR with 4 cables</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5303</SubGroupID>
            <ARTGs>
                <ARTG>108377</ARTG>
            </ARTGs>
            <MinimumBenefit>2470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA100</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MZ013</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Tritium SCP (Sternal Cable Plate)</Name>
            <Description>BOX Plate (4 Holes, 1 Integrated Cable)</Description>
            <Size>One Size</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5994</SubGroupID>
            <ARTGs>
                <ARTG>193369</ARTG>
            </ARTGs>
            <MinimumBenefit>982</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA101</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MZ012</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Tritium SCP (Sternal Cable Plate)  Double Cable Plate (6 Holes, 2 Integrated Cables)</Name>
            <Description>Periarticular Titanium Sternal Double Cable Plate, 6 Holes, 2 Integrated Cables, Locking Plate</Description>
            <Size>One Size</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5994</SubGroupID>
            <ARTGs>
                <ARTG>193369</ARTG>
            </ARTGs>
            <MinimumBenefit>982</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI926</BillingCode>
            <Name>Sternalock 360</Name>
            <Description>Sternal Closure System</Description>
            <Size>Box Plate (4 Holes, 1 Integrated Cable)</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5994</SubGroupID>
            <ARTGs>
                <ARTG>128458</ARTG>
            </ARTGs>
            <MinimumBenefit>982</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA102</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MZ014</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Tritium SCP (Sternal Cable Plate)</Name>
            <Description>Periarticular Titanium Sternal X Plate, 8 holes, 1 Integrated Cable, Locking Screws</Description>
            <Size>One Size</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5996</SubGroupID>
            <ARTGs>
                <ARTG>193369</ARTG>
            </ARTGs>
            <MinimumBenefit>1048</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI927</BillingCode>
            <Name>Sternalock 360</Name>
            <Description>Sternal Closure System</Description>
            <Size>X-Plate 8 Holes, 1 Integrated Cable</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1694</GroupID>
            <SubGroupID>5996</SubGroupID>
            <ARTGs>
                <ARTG>128458</ARTG>
            </ARTGs>
            <MinimumBenefit>1048</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH184</BillingCode>
            <Name>Small / Large  Fragment Set</Name>
            <Description>Cannulated Bone Screw Titanium</Description>
            <Size>4.5 - 8mm</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>153087</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BP031</BillingCode>
            <Name>Tyber Medical Trauma headed screw</Name>
            <Description>Trauma screw for compression and fixation of bone  Sterile or Non sterile, Titanium or stainless steel</Description>
            <Size>4.5mm-7.5mm</Size>
            <SupplierCode>BP</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>324189</ARTG>
                <ARTG>324190</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ036</BillingCode>
            <Name>Austofix Cannulated Screws</Name>
            <Description>Cannulated Compression Screw</Description>
            <Size>4.5mm, 6.5mm, 7.3mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>284755</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO117</BillingCode>
            <Name>APTUS headedCCS</Name>
            <Description>Headed Cannulated screws</Description>
            <Size>≥4.50mm</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>206157</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER392</BillingCode>
            <Name>Paragon 28 Monster Screw System-Screws, Standard ( ≥4.5mm), cannulated</Name>
            <Description>Paragon 28 Monster Screw System-Screws, standard ( ≥4.5mm), cannulated, headed, with and without blunt tip</Description>
            <Size>diameter (4.5-7.0 mm) x length (18-200 mm) x length of thread (6-200 mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>289308</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW053</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Standard Cannulated Screw Systems</Description>
            <Size>Standard ( ≥4.5mm) 20-120mm</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>324381</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU204</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE371</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Cannulated Titanium Low Profile Screws, Large</Name>
            <Description>Cannulated titanium Low Profile Screws, Large</Description>
            <Size>4.5-6.7mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW820</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR248</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Darco Headed Compression Screw System 4.5, 6.5, 7.5</Name>
            <Description>Cannulated titanium compression screws</Description>
            <Size>4.5mm x 8-60mm; 6.5mm x 35-120mm; 7.5mm x 35-120mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW910</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR387</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MaxTorque Cannulated Screw System - Standard screws</Name>
            <Description>Bone screws, Titanium, Cannulated, Short or Long Thread</Description>
            <Size>Ø5.5mm Short Thread, Length 26-70mm  Ø5.5mm Long Thread, Length 45-70mm  Ø7.0mm Short thread, Length 40-130mm  Ø7.0mm long Thread, Length 45-130mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>214671</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IT010</BillingCode>
            <Name>Hawk 6.5mm Cannulated Screw System</Name>
            <Description>6.5mm Cannulated Screw</Description>
            <Size>6.5mm in diameter 45 to 115mm in length</Size>
            <SupplierCode>IT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>230954</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ557</BillingCode>
            <Name>DELTA Xtend</Name>
            <Description>Non Locking Canulated Metaglene Screw </Description>
            <Size>4.5mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>150913</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JK002</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>UQ002</PriorBillingCode>
            </PriorBillingCodes>
            <Name>OsteoMed Plating &amp; Fixation System</Name>
            <Description>Plates - Fracture; Screws - Cannulated Lag</Description>
            <Size>6 Hole Fracture Plate 47 - 52mm; 2 x 2 Hole Angled Fracture Plate; 3 x 3 Hole Angled Fracture Plate; 6.5mm x (30 -150)mm; 7.3mm x (30 - 150)mm</Size>
            <SupplierCode>JK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>130508</ARTG>
                <ARTG>130509</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from UQ002</ChangeExplanation>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM288</BillingCode>
            <Name>Bone Screw</Name>
            <Description>Bone Screw</Description>
            <Size>4.5mm diameter and larger</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>266217</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM395</BillingCode>
            <Name>Cannulated Screws</Name>
            <Description>Cannulated Screws</Description>
            <Size>4.50 mm or larger diameter</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>329613</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM507</BillingCode>
            <Name>Partially threaded cannulated screw</Name>
            <Description>Partially threaded cannulated screw</Description>
            <Size>≥4.5mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>306780</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX041</BillingCode>
            <Name>ARMAR Meril Locking Plate System Self Drilling Cannulated Screw</Name>
            <Description>TAN Cannulated Bone Screws</Description>
            <Size>4.5-6.5mm Diameter&#xD;
20-150mm Length</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>286843</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB044</BillingCode>
            <Name>Cannulated Screws 6.5 &amp; 7.3mm</Name>
            <Description>Cannulated Screws</Description>
            <Size>6.5mm &amp; 7.3mm</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>223188</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SF116</BillingCode>
            <Name>Speyside Superscrew - Standard</Name>
            <Description>Cannulated Cortical / Cancellous Lag Screw Partial or Full Thread</Description>
            <Size>Dia. 4.5 / 5.0 / 6.5 / 7.2 mm x 25-140mm Length</Size>
            <SupplierCode>SF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>184460</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK529</BillingCode>
            <Name>Stryker Cannulated Screw System</Name>
            <Description>Asnis III Cannulated screws</Description>
            <Size>5.0-8.0mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>119660</ARTG>
                <ARTG>155633</ARTG>
                <ARTG>170214</ARTG>
                <ARTG>269713</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL008</BillingCode>
            <Name>Cannulated Screw</Name>
            <Description>Partially &amp; Fully Threaded Titanium</Description>
            <Size>≥4.5mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL009</BillingCode>
            <Name>Cannulated screws</Name>
            <Description>Partially &amp; Fully Threaded Stainless Steel</Description>
            <Size>≥4.5mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>104369</ARTG>
                <ARTG>99767</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL170</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS  </Name>
            <Description>Standard Screws - Cannulated</Description>
            <Size>≥4.5mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>230143</ARTG>
                <ARTG>368491</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ144</BillingCode>
            <Name>Cannulated Screws</Name>
            <Description>Cannulated, Cancellous  Short, Medium, Partial, Full Thread  Locking, Non-locking</Description>
            <Size>4.5-7.0mm Diameter  14-120mm Length</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>191602</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY630</BillingCode>
            <Name>AO/ASIF Screws</Name>
            <Description>Cannulated Full, Partial Thread screw</Description>
            <Size>≥4.50mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>157068</ARTG>
                <ARTG>297881</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN001</BillingCode>
            <Name>Newclip cannulated screws</Name>
            <Description>Cannulated screws</Description>
            <Size>Standard (≥4.5mm)</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>260233</ARTG>
                <ARTG>260234</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VK034</BillingCode>
            <Name>eight-Plate Plus Cannulated Screw</Name>
            <Description>The guided growth plate system plus consists of different sizes of plates and cannulated screws. The device is designed for the gradual correction of paediatric congenital as well as acquired deformities in both upper and lower extremities.</Description>
            <Size>4.5mm x 16mm  4.5mm x 24mm  4.5mm x 32mm  4.5mm x 36mm</Size>
            <SupplierCode>VK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>289252</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI176</BillingCode>
            <Name>Zimmer Internal Fixation Systems: Cannulated Screw</Name>
            <Description>Magna-FX - Stainless Steel</Description>
            <Size>16 mm Thread - 30-30 mm; 32 mm Thread - 40-120 mm; Fully Threaded - 30-130 mm Long</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI836</BillingCode>
            <Name>NCB Polyaxial Locking System</Name>
            <Description>4.5mm Cannulated Variable Angle Locking Screws - Ti Alloy</Description>
            <Size>14 - 100mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>100337</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI872</BillingCode>
            <Name>Zimmer Cannulated Screw System</Name>
            <Description>7.0mm Cannulated Screw 32mm Thread&#xD;
7.0mm Cannulated Screw Full Thread</Description>
            <Size>7.0mm Cannulated Screw 32mm Thread. L=140&#xD;
7.0mm Cannulated Screw Full Thread. L=140&#xD;
7.0mm Cannulated Screw 32mm Thread. L=145&#xD;
7.0mm Cannulated Screw Full Thread. L=145&#xD;
7.0mm Cannulated Screw 32mm Thread. L=150&#xD;
7.0mm Cannulated Screw Full Thread. L=150&#xD;
7.0mm Cannulated Screw 32mm Thread. L=155&#xD;
7.0mm Cannulated Screw Full Thread. L=155&#xD;
7.0mm Cannulated Screw 32mm Thread. L=160&#xD;
7.0mm Cannulated Screw Full Thread. L=160&#xD;
7.0mm Cannulated Screw 32mm Thread. L=165&#xD;
7.0mm Cannulated Screw Full Thread. L=165&#xD;
7.0mm Cannulated Screw 32mm Thread. L=170&#xD;
7.0mm Cannulated Screw Full Thread. L=170&#xD;
7.0mm Cannulated Screw 32mm Thread. L=175&#xD;
7.0mm Cannulated Screw Full Thread. L=175&#xD;
7.0mm Cannulated Screw 32mm Thread. L=180&#xD;
7.0mm Cannulated Screw Full Thread. L=180</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>204658</ARTG>
            </ARTGs>
            <MinimumBenefit>185</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BP026</BillingCode>
            <Name>Tyber Medical trauma headless screw</Name>
            <Description>Headless trauma screw for compression and fixation of bone  Sterile or Non sterile, Titanium or stainless steel</Description>
            <Size>4.5mm-9.0mm</Size>
            <SupplierCode>BP</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>324189</ARTG>
                <ARTG>324190</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BU012</BillingCode>
            <Name>Nexis osteosynthesis screws</Name>
            <Description>Bone screw titanium alloy (compressive)</Description>
            <Size>Diameter 5-7 mm, Length 26-120mm</Size>
            <SupplierCode>BU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>235765</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BU020</BillingCode>
            <Name>MAGNEZIX CS 4.8</Name>
            <Description>Compression screw for bone fixation.</Description>
            <Size>Diameter 4.8mm&#xD;
Length 24 - 70mm</Size>
            <SupplierCode>BU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>283491</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ037</BillingCode>
            <Name>Valens - Cannulated Screws</Name>
            <Description>Countersunk Cannulated Partial-Thread Screw</Description>
            <Size>5.0mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ057</BillingCode>
            <Name>Valens Shoulder and Elbow - Screws</Name>
            <Description>Cannulated Screws</Description>
            <Size>4.5mm, 5.0mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EF004</BillingCode>
            <Name>Merete - Cannulated HCS (headless Compression Screws) 6.5mm</Name>
            <Description>Bone screws, Titanium, Cannulated Compression</Description>
            <Size>Diameter + 6.5mm, length 40-120mm (in 5mm increments)</Size>
            <SupplierCode>EF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>212520</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO093</BillingCode>
            <Name>APTUS SpeedTip CCS</Name>
            <Description>APTUS SpeedTip CCS 5.0/7.0</Description>
            <Size>5.0mm diameter and 7.0mm diameter. Short and long thread</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>206157</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW065</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Self-tapping Cannulated Screw</Description>
            <Size>Standard ( ≥4.5mm)</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>324381</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU141</BillingCode>
            <Name>Compression FT</Name>
            <Description>Compression Screw</Description>
            <Size>5.0mm &amp; 7.0mm Diameters</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU154</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE481</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Headless Compression Screw System</Name>
            <Description>Headless Compression Screw for bone fixation</Description>
            <Size>6.5mm Diameter (30-120mm Diameter)</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>350672</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW561</BillingCode>
            <Name>Stryker Fixos Screws</Name>
            <Description>Stryker Fixos Screws &gt;4.5mm</Description>
            <Size>5mm &amp; 7mm diameter</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>227536</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW697</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR033</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Cannulated Screw</Name>
            <Description>Multi use compression screw, cannulated, stainless steel or titanium</Description>
            <Size>6.5mm&amp; 7.0mm dia, 40-110mm lengths in 5mm increments</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW855</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR319</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Unima Screw</Name>
            <Description>Foot Screw</Description>
            <Size>4.5 x 26 - 70mm  7.3 x 40 - 120mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>295072</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW914</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR394</PriorBillingCode>
            </PriorBillingCodes>
            <Name>NexFix 4.5MM Compression Screw</Name>
            <Description>The NexFix Compression Screw is a stainless steel, cannulated, self tapping, and self drilling fixation device for osteotomies, fusions and fracture fixation of small bones</Description>
            <Size>4.5mm diameter x 14-40mm in 2mm increments, 40-65mm in 5mm increments, with short and long thread options</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>148960</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW917</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR397</PriorBillingCode>
            </PriorBillingCodes>
            <Name>NexFix 6.5mm Compression Screw</Name>
            <Description>The NexFix Compression Screw is a stainless steel, cannulated, self tapping, and self drilling fixation device for osteotomies, fusions and fracture fixation of small bones</Description>
            <Size>6.5mm diameter x 40-120mm in 5mm increments with short and long thread options</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>148960</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IT031</BillingCode>
            <Name>Integrant 6.5mm Screws</Name>
            <Description>6.5mm diameter screws with variable pitch/dynamic thread</Description>
            <Size>6.5mm diameter, 45mm-120mm length</Size>
            <SupplierCode>IT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>230954</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM142</BillingCode>
            <Name>Extremity Medical Compression Screw System</Name>
            <Description>Compression Screws</Description>
            <Size>≥ 4.5mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>164980</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM287</BillingCode>
            <Name>IBS Screw</Name>
            <Description>Compression Screw</Description>
            <Size>4.5, 6.5 &amp; 8.0mm diameter</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>266217</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM350</BillingCode>
            <Name>Orthopaedic Fixation Screw</Name>
            <Description>Fixation Screw</Description>
            <Size>4.5mm and larger diameter, all lengths</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>266217</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM397</BillingCode>
            <Name>Headless Compression Screws</Name>
            <Description>Headless Compression Screws</Description>
            <Size>4.50mm or larger diameter</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>329613</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO357</BillingCode>
            <Name>Acutrak 2</Name>
            <Description>Headless compression screw</Description>
            <Size>&gt;4.5mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO383</BillingCode>
            <Name>Acumed Headless Compression Screw</Name>
            <Description>Acutrak 6/7 screw, Acutrak Plus</Description>
            <Size>&gt;4.5mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OH547</BillingCode>
            <Name>Dynafit System</Name>
            <Description>Compressive Screws</Description>
            <Size>4.7-6.5mm x 18-120mm</Size>
            <SupplierCode>OH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>216161</ARTG>
                <ARTG>216162</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB037</BillingCode>
            <Name>Headless Compression Screw System</Name>
            <Description>Headless Compression Screw</Description>
            <Size>≥4.5mm</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>223188</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PF024</BillingCode>
            <Name>FH Screw Systems</Name>
            <Description>Large Compression Screw</Description>
            <Size>45mm - 110mm</Size>
            <SupplierCode>PF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>141164</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SF087</BillingCode>
            <Name>Speyside Double Threaded Cannulated Screw</Name>
            <Description>Speyside - Double threaded – Self tapping or self drilling cannulated screw</Description>
            <Size>Diameter 4.5 and 6.5mm x Length 30 to 100mm</Size>
            <SupplierCode>SF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>184460</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SF094</BillingCode>
            <Name>Versa Screw</Name>
            <Description>Self Drilling self tapping Cannulated Compression Screw</Description>
            <Size>6.5 to 8mm Dia x 40 to 120mm length</Size>
            <SupplierCode>SF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>184460</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL031</BillingCode>
            <Name>Headless Cannulated Screw</Name>
            <Description>Headless cannulated screw</Description>
            <Size>&gt;4.5mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY645</BillingCode>
            <Name>AO/ASIF Screws</Name>
            <Description>HCS Countersinkable Compression Screw</Description>
            <Size>4.5mm-6.5mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>157068</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Condition</ChangeExplanation>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY691</BillingCode>
            <Name>Midfoot Fusion Bolt</Name>
            <Description>Solid intramedullary arthodesis implant</Description>
            <Size>6.5mm diameter; 50-160mm Length</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>182343</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN002</BillingCode>
            <Name>Newclip cannulated DT screws</Name>
            <Description>Cannulated screws</Description>
            <Size>Standard (≥4.5mm)</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>260233</ARTG>
                <ARTG>260234</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN073</BillingCode>
            <Name>Newclip Compression Screws</Name>
            <Description>Self-compressive cannulated screw</Description>
            <Size>≥4.5 mm diameter, length 20-70 mm</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>260233</ARTG>
                <ARTG>260234</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Product Sizes</ChangeExplanation>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI180</BillingCode>
            <Name>Zimmer Large Herbert Bone Screw</Name>
            <Description>4.5mm Cannulated Double Threaded Compression Bone Screw - Ti Alloy</Description>
            <Size>30 - 70mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI181</BillingCode>
            <Name>Zimmer Large Herbert Bone Screw</Name>
            <Description>6.5mm Cannulated Double Threaded Compression Bone Screw - Ti Alloy</Description>
            <Size>25 mm - 100mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>351</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER393</BillingCode>
            <Name>Paragon 28 Monster Screw System-Screws, standard ( ≥4.5mm), cannulated, dual thread, locking</Name>
            <Description>Paragon 28 Monster Screw System-screws, cannulated, dual thread, locking, headless, partial thread, Titanium</Description>
            <Size>dia (4.5-7.2 mm) x length (50-200mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT,LK</Suffix>
            <ARTGs>
                <ARTG>289308</ARTG>
            </ARTGs>
            <MinimumBenefit>412</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM134</BillingCode>
            <Name>TriMed Compression Screws</Name>
            <Description>Compression Screws</Description>
            <Size>4.5-7.5mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT,LK</Suffix>
            <ARTGs>
                <ARTG>229704</ARTG>
            </ARTGs>
            <MinimumBenefit>412</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM368</BillingCode>
            <Name>Intramedullary Beam</Name>
            <Description>Intramedullary Beam</Description>
            <Size>All sizes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT,LK</Suffix>
            <ARTGs>
                <ARTG>164980</ARTG>
            </ARTGs>
            <MinimumBenefit>412</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB062</BillingCode>
            <Name>MCS</Name>
            <Description>MCS System</Description>
            <Size>&gt; 4.5mm</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT,LK</Suffix>
            <ARTGs>
                <ARTG>223188</ARTG>
            </ARTGs>
            <MinimumBenefit>412</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL080</BillingCode>
            <Name>Conquest FN</Name>
            <Description>Cannulated Screws</Description>
            <Size>≥4.50mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT,LK</Suffix>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>412</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY632</BillingCode>
            <Name>AO/ASIF Screws</Name>
            <Description>Cannulated Screws</Description>
            <Size>≥4.50mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,DT,LK</Suffix>
            <ARTGs>
                <ARTG>157068</ARTG>
            </ARTGs>
            <MinimumBenefit>412</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER523</BillingCode>
            <Name>Paragon 28 Monster Screw System-Screws, standard ( ≥4.5mm), cannulated, locking</Name>
            <Description>Paragon 28 Monster Screw System-Joust Beaming Screws, standard, cannulated, locking, headless, Titanium</Description>
            <Size>dia (5.0-7.2mm) x Length (50-185mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,LK</Suffix>
            <ARTGs>
                <ARTG>289308</ARTG>
            </ARTGs>
            <MinimumBenefit>246</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW877</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR347</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis Humeral Nail Screws</Name>
            <Description>Screws for Aequalis Humeral Nail. Cannulated Proximal screws: 5mm Diameter cannulated Ti, PE insert with thread inside. Distal screws 4.5mm Diameter, Ti.  Sterile and non sterile.</Description>
            <Size>Proximal Screws length: From 36 to 60 every 4mm Distal Screws length: From 20 to 32 every 2mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,LK</Suffix>
            <ARTGs>
                <ARTG>148960</ARTG>
            </ARTGs>
            <MinimumBenefit>246</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ558</BillingCode>
            <Name>DELTA Xtend</Name>
            <Description>Locking Metaglene Screw Dia 4.5</Description>
            <Size>4.5mm; 24, 30, 36, 42, 48</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,LK</Suffix>
            <ARTGs>
                <ARTG>150913</ARTG>
            </ARTGs>
            <MinimumBenefit>246</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM277</BillingCode>
            <Name>PANTERA Proximal Humerus Fracture Fixation Plate System - Post with Cross Element</Name>
            <Description>Threaded Locking Screw</Description>
            <Size>5.2mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,LK</Suffix>
            <ARTGs>
                <ARTG>182168</ARTG>
            </ARTGs>
            <MinimumBenefit>246</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN200</BillingCode>
            <Name>Bristow-Latarjet Instability Shoulder Set - Screw</Name>
            <Description>Cannulated locking screw</Description>
            <Size>≥4.5mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,LK</Suffix>
            <ARTGs>
                <ARTG>215753</ARTG>
            </ARTGs>
            <MinimumBenefit>246</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK564</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>SPS Locking Plate System</Description>
            <Size>Locking Screws - 5mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,LK</Suffix>
            <ARTGs>
                <ARTG>119660</ARTG>
            </ARTGs>
            <MinimumBenefit>246</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK593</BillingCode>
            <Name> Total Wrist Implant System</Name>
            <Description>Carpal Screws</Description>
            <Size>15, 18, 22, 26, 30mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,LK</Suffix>
            <ARTGs>
                <ARTG>237794</ARTG>
            </ARTGs>
            <MinimumBenefit>246</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL171</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System- EVOS</Name>
            <Description>Standard Screws - Cannulated Locking  </Description>
            <Size>≥4.5mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,LK</Suffix>
            <ARTGs>
                <ARTG>230143</ARTG>
                <ARTG>368491</ARTG>
            </ARTGs>
            <MinimumBenefit>246</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN769</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Locking Cannulated Screws</Description>
            <Size>≥4.5mm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,LK</Suffix>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>246</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY631</BillingCode>
            <Name>AO/ASIF Screws</Name>
            <Description>Cannulated Locking Screws</Description>
            <Size>≥4.50mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>CN,LK</Suffix>
            <ARTGs>
                <ARTG>157068</ARTG>
            </ARTGs>
            <MinimumBenefit>246</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW930</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR412</PriorBillingCode>
            </PriorBillingCodes>
            <Name>611 Ankle Fusion Nail -Component : LOCKING SCREWS</Name>
            <Description>The 611 ankle arthrodesis nail, self locking screws are made out of titanium alloy (Ti6AI4V) and incorporate a unique anti-backout design feature to ensure optimal fixation</Description>
            <Size>5mm x100mm, 5mmx95mm, 5mmx90mm, 5mmx85mm, 5mmx80mm, 5mmx75mm, 5mmx70mm, 5mmx65mm, 5mmx60mm, 5mmx55mm, 5mmx50mm, 5mmx45mm, 5mmx40mm, 5mmx35mm, 5mmx32mm, 5mmx29mm, 5mmx26mm, 5mmx23mm, 5mmx20mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>DT</Suffix>
            <ARTGs>
                <ARTG>291613</ARTG>
            </ARTGs>
            <MinimumBenefit>229</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW981</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR317</PriorBillingCode>
            </PriorBillingCodes>
            <Name>SALVATION Limb Salvage System Intramedullary Fusion Bolts</Name>
            <Description>Intramedullary Fusion Bolts</Description>
            <Size>5 - 7mm x 50 - 170mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>DT</Suffix>
            <ARTGs>
                <ARTG>198549</ARTG>
            </ARTGs>
            <MinimumBenefit>229</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW982</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR318</PriorBillingCode>
            </PriorBillingCodes>
            <Name>SALVATION Limb Salvage System Intramedullary Fusion Beams</Name>
            <Description>Intramedullary Fusion Beams</Description>
            <Size>5 - 7mm x 50 - 170mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>DT</Suffix>
            <ARTGs>
                <ARTG>198549</ARTG>
            </ARTGs>
            <MinimumBenefit>229</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RV008</BillingCode>
            <Name>PS Non-locking Dual Thread Screw</Name>
            <Description>Non Locking Screw ø4.5mm, self-tapping, Dual Thread</Description>
            <Size>4.5mm, 29-50mm Length</Size>
            <SupplierCode>RV</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>DT</Suffix>
            <ARTGs>
                <ARTG>330190</ARTG>
            </ARTGs>
            <MinimumBenefit>229</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER522</BillingCode>
            <Name>Paragon 28 Monster Screw System-Screws, standard ( ≥4.5mm), dual thread, locking</Name>
            <Description>Paragon 28 Monster Screw System-Joust Beaming Screws, ( ≥4.5mm), headless, dual thread, locking, Ti</Description>
            <Size>dia (5.0-7.2mm) x length (50-185mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>DT,LK</Suffix>
            <ARTGs>
                <ARTG>289308</ARTG>
            </ARTGs>
            <MinimumBenefit>289</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RV009</BillingCode>
            <Name>PS Locking Dual Thread Screw</Name>
            <Description>Locking Screw ø4.5mm, self-tapping, VAL, Dual Thread</Description>
            <Size>4.5mm, 29-90mm Length</Size>
            <SupplierCode>RV</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>DT,LK</Suffix>
            <ARTGs>
                <ARTG>330190</ARTG>
            </ARTGs>
            <MinimumBenefit>289</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BB303</BillingCode>
            <Name>Position HTO Implant System - Locking Screws</Name>
            <Description>Titanium cancellous and cortical screw, locking head for solid plate fixation.</Description>
            <Size>30mm-78mm x 4.5mm &amp; 6.0mm diameter.</Size>
            <SupplierCode>BB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>150084</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH166</BillingCode>
            <Name>Comprehensive Shoulder Screws</Name>
            <Description>Screw, Locking, Ti</Description>
            <Size>4.75 dia x (15-45)mm</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>144584</ARTG>
                <ARTG>210290</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH284</BillingCode>
            <Name>ALPS Plating System</Name>
            <Description>Locking screws</Description>
            <Size>4.5 to 6.5mm diameter</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>153087</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH347</BillingCode>
            <Name>Comprehensive Segmental Revision System (SRS)</Name>
            <Description>Comprehensive SRS Locking Screw</Description>
            <Size>One size</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>104347</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD056</BillingCode>
            <Name>Glenoid Baseplate Locking Bone Screws</Name>
            <Description>Glenoid Baseplate Locking Bone Screws</Description>
            <Size>5.0mm diameter, length 14-38mm in 4mm increments</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>212469</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ048</BillingCode>
            <Name>Valetis Screws</Name>
            <Description>Titanium Locking Screws</Description>
            <Size>5.0mm width, 10-100mm length</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>284755</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ056</BillingCode>
            <Name>Valens Shoulder and Elbow - Screws</Name>
            <Description>Cortex/Cancellous Screws</Description>
            <Size>4.5mm, 6.5mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER504</BillingCode>
            <Name>Paragon 28 Gorilla Plating System-Screws, standard ( ≥ 4.5mm), locking</Name>
            <Description>Paragon 28 Gorilla Plating System-Screws, standard ( ≥ 4.5mm), locking, recon/Tuffneck</Description>
            <Size>dia (4.5-5.2 mm) x length (14-60 mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>289308</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER530</BillingCode>
            <Name>Paragon 28 Monster Screw System-Screws, standard ( ≥ 4.5mm), locking</Name>
            <Description>Paragon 28 Monster Screw System-Joust Beaming Screws, standard, locking, headless, Titanium</Description>
            <Size>dia (5.0-7.2mm) x Length (50-185mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>289308</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EX047</BillingCode>
            <Name>Equinoxe Glenosphere Locking Screw</Name>
            <Description>The Locking Screw locks compression screws to the glenoid plate at a variable angle</Description>
            <Size>one size</Size>
            <SupplierCode>FA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>159797</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW005</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Standard Locking Screw Systems</Description>
            <Size>Standard ( ≥4.5mm) 10-120mm</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324381</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU115</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE343</PriorBillingCode>
            </PriorBillingCodes>
            <Name>PEEKPower HTO Plate</Name>
            <Description>Medial High Tibial Osteotomy Implant Device System</Description>
            <Size>5.0mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU116</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE344</PriorBillingCode>
            </PriorBillingCodes>
            <Name>iBalance HTO System</Name>
            <Description>PEEK Screws for iBalance HTO Implant</Description>
            <Size>4.5mm Cortical and 6.5mm Cancellous</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU208</BillingCode>
            <Name>Titanium Locking Cortical and Cancellous Screws, Large</Name>
            <Description>Titanium Locking Cortical and Cancellous Screws, Large</Description>
            <Size>4.5-6.5mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW531</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Locking Screw</Description>
            <Size>5.0mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>119660</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW791</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR074</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Locking Screws</Name>
            <Description>Stainless Steel or Titanium Locking Screws</Description>
            <Size>4.5-5.5mm diameter, 8 - 100m length</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW836</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR294</PriorBillingCode>
            </PriorBillingCodes>
            <Name>SALVATION 3Di Plating System - OP Locking Screws</Name>
            <Description>Osteopenic locking screws</Description>
            <Size>Diameter: 5.5mm  Length: 16, 18, 20, 22, 25, 30, 35, 40, 45, 50, 55, 60mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW872</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR342</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Aequalis Reversed Shoulder - Fixation Screw for Articular Implant</Name>
            <Description>Titanium, sterile and non-sterile</Description>
            <Size>D4.5mm, L20 to 50mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>291613</ARTG>
                <ARTG>214803</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IT015</BillingCode>
            <Name>Superior Fusion Plate System - Locking screws</Name>
            <Description>4.5mm locking screw set with lengths ranging from 35mm to 110mm.Locking screws to hold and aid an anatomical contoured locking plate used for primary, revision and pantalar anterior ankle fusions.</Description>
            <Size>4.5mm in diameter with lengths of 35mm,37mm, 39mm, 41mm, 43mm, 45mm, 47mm, 49mm,&#xD;
50mm, 55mm, 60mm, 65mm, 70mm, 75mm, 80mm, 85mm, 90mm, 95mm, 100mm, 105mm,&#xD;
110mm each</Size>
            <SupplierCode>IT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>191738</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JD014</BillingCode>
            <Name>Screws - Locking</Name>
            <Description>Locking</Description>
            <Size>≥4.5mm</Size>
            <SupplierCode>JD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>222648</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM506</BillingCode>
            <Name>Locking Screw (Standard)</Name>
            <Description>Locking Screw (Standard)</Description>
            <Size>≥4.5mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>306780</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MA530</BillingCode>
            <Name>Affinis Inverse locking screw</Name>
            <Description>Locking Metaglene screw</Description>
            <Size>24x4.0mm to 48x4.0mm</Size>
            <SupplierCode>MA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>241996</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO414</BillingCode>
            <Name>Acumed Screws</Name>
            <Description>Locking Screws</Description>
            <Size>&gt;4.5mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX018</BillingCode>
            <Name>ARMAR Meril Locking Plate System Self tapping Locking Screws</Name>
            <Description>TiCP Self Tapping Locking Screws</Description>
            <Size>5mm Diameter&#xD;
14-90mm Length</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286843</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PJ003</BillingCode>
            <Name>FlexiSystem, Flexit Cortical and Cancellous locking screws and duel threaded screws</Name>
            <Description>Cortical and Cancellous locking Duel threaded screws</Description>
            <Size>30,35,40,45,50,55,60,6,70,75mm</Size>
            <SupplierCode>PJ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>206423</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RV005</BillingCode>
            <Name>PS  Locking Screw</Name>
            <Description> Locking screw</Description>
            <Size>4.5mm Diameter, 24-90mm Length</Size>
            <SupplierCode>RV</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>330190</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL151</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Standard screws - Locking</Description>
            <Size>≥4.5mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>230143</ARTG>
                <ARTG>368491</ARTG>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN768</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Fixation Device, Internal, Locking, Stainless Steel, Cortical &amp; Cancellous Screw</Description>
            <Size>4.5mm -5.0mm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ091</BillingCode>
            <Name>Bone Screws</Name>
            <Description>Cortical, Locking, Self-tapping, Standard, T20, Fully Threaded</Description>
            <Size>4.5 - 5.0mm Diameter  10-90mm Length</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>191587</ARTG>
                <ARTG>191602</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ116</BillingCode>
            <Name>SuperCable Trochanteric Grips and Cable Plate System</Name>
            <Description>Locking Screw Titanium</Description>
            <Size>5.0mm diameter 10mm to 50mm length</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>133719</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY653</BillingCode>
            <Name>AO/ASIF Screws</Name>
            <Description>Locking Screws</Description>
            <Size>≥ 4.5mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157068</ARTG>
                <ARTG>297881</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY693</BillingCode>
            <Name>Dynamic Locking Screw</Name>
            <Description>Pin-sleeve locking screw</Description>
            <Size>5.0mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157068</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN007</BillingCode>
            <Name>Newclip Locking Bone Screws</Name>
            <Description>Locking Bone Screws</Description>
            <Size>Diam ≥4.5mm, length 15 - 110mm</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>260233</ARTG>
                <ARTG>260234</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI534</BillingCode>
            <Name>Zimmer Trabecular Metal Reverse Shoulder System</Name>
            <Description>Inverse/Reverse Screw 4.5mm</Description>
            <Size>18mm, 24mm, 27mm, 30mm, 33mm, 36mm, 42mm, 48mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>94829</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI548</BillingCode>
            <Name>Zimmer Universal Locking System</Name>
            <Description>2.7mm Universal Locking Screw</Description>
            <Size>Length:8mm; 10mm; 12mm; 14mm; 16mm; 18mm; 20mm; 22mm; 24mm; 26mm; 28mm; 30mm; 32mm; 34mm; 36mm; 38mm; 40mm; 42mm; 44mm; 46mm; 48mm; 50mm; 55mm; 60mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>124</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-12-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH167</BillingCode>
            <Name>Comprehensive Shoulder Screws</Name>
            <Description>Screw, Non-Locking</Description>
            <Size>(4.75 or 6.5)mm x 15-50mm</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>153087</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH283</BillingCode>
            <Name>ALPS Plating System</Name>
            <Description>Non-locking bone screws</Description>
            <Size>4.5 - 6.5mm diameter</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>153087</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH317</BillingCode>
            <Name>Affixus Hip Fracture Nail System</Name>
            <Description>Distal screw</Description>
            <Size>20-80mm</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>177876</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH318</BillingCode>
            <Name>Affixus Hip Fracture Nail System</Name>
            <Description>Anti- rotational screw</Description>
            <Size>5mm diameter</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>177876</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH331</BillingCode>
            <Name>Small / Large  Fragment Set</Name>
            <Description>Bone Screw Titanium</Description>
            <Size>4.5 to 6.5mm diameter</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>153087</ARTG>
                <ARTG>203607</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH348</BillingCode>
            <Name>Comprehensive Segmental Revision System (SRS)</Name>
            <Description>Comprehensive SRS Non-Locking Screw</Description>
            <Size>One size</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>104347</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BI262</BillingCode>
            <Name>EBI XFIX Dynafix System</Name>
            <Description>Bone Screw, Cortical, tapered, Cancellous, Stainless Steel</Description>
            <Size>2.4mm to 6.00mm diameter</Size>
            <SupplierCode>BI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>145253</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD054</BillingCode>
            <Name>Replacement retaining screw for glenoid head</Name>
            <Description>Replacement retaining screw for glenoid head</Description>
            <Size>6.5mm x 30mm</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>212521</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ051</BillingCode>
            <Name>Valetis Screws</Name>
            <Description>Titanium Cortical Screws</Description>
            <Size>4.5mm width, 10-80mm length</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>284755</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ052</BillingCode>
            <Name>Valetis Screws</Name>
            <Description>Titanium Cancellous Screws</Description>
            <Size>4.5mm width, 10-80mm length</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>284755</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER391</BillingCode>
            <Name>Paragon 28 Monster Screw System-Screws, standard ( ≥4.5mm)</Name>
            <Description>Paragon 28 Monster Screw System-Screws, headed, blunt tip, solid, various thread lengths</Description>
            <Size>dia (4.5-7.0 mm) x length (18-200 mm) x thread length (6-200 mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>289308</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER510</BillingCode>
            <Name>Paragon 28 Gorilla Plating System-Screws, standard ( ≥ 4.5mm)</Name>
            <Description>Paragon 28 Gorilla Plating System-Screws, standard ( ≥ 4.5mm)</Description>
            <Size>dia (4.5-5.2 mm) x length (14-60 mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>289308</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EX046</BillingCode>
            <Name>Equinoxe Compression Screw</Name>
            <Description>The compression screw compresses the glenoid plate to the bone while providing 30 degrees of angular variability</Description>
            <Size>4.5x18mm white, 4.5x22mm black, 4.5x26mm orange, 4.5x30mm blue, 4.5x34mm red, 4.5x38mm green, 4.5x42mm yellow, 4.5x46mm purple</Size>
            <SupplierCode>FA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>252473</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GG002</BillingCode>
            <Name>Contile Fin II</Name>
            <Description>Bone Screw</Description>
            <Size>20 to 50mm</Size>
            <SupplierCode>GG</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>246519</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW007</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Standard Bone Screw Systems</Description>
            <Size>Standard ( ≥4.5mm) 10-130mm</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>324381</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU155</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE537</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Arthrex Jones Fracture Screw</Name>
            <Description>Partially Threaded Screw to fixate fractures of the 5th Metatarsal</Description>
            <Size>4.5mm (40-65mm Lengths)  5.5mm (40-65mm Lengths)  6.0mm (40-65mm Lengths)</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>350672</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU156</BillingCode>
            <Name>PEEKPower HTO Plate</Name>
            <Description>Medial High Tibial Osteotomy Implant Device System</Description>
            <Size>4.5mm Titanium compression Screws</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU210</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE551</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Low Profile Screw</Name>
            <Description>Low Profile Screw</Description>
            <Size>4.5mm x (16-65mm lengths)  5.5mm x (20-75mm lengths)</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU268</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE367</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Cancellous Bone Screws</Name>
            <Description>Cancellous Bone Screws</Description>
            <Size>25-50mm x 6.5mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>350871</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW337</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Screws Ti or StST</Description>
            <Size>4.5-6.5mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>119660</ARTG>
                <ARTG>25735</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW699</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR036</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Charlotte Carolina Jones Fracture System</Name>
            <Description>Low profile, solid-core, surgical grade stainless steel screw, partially threatded with thread length varying anthropometrically relative to overall screw length, utilising specialised instruments for IM placement in the 5th metatarsal</Description>
            <Size>4.5mm, 4.5mm, 6.5mm, 40mm-70mm overall screw lengths</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW799</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR209</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Non-Locking Screws</Name>
            <Description>Titanium or Stailess Steel Alloy Non-Locking Screws</Description>
            <Size>20-100mm, 4.5-5.5mm Diameter</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>326629</ARTG>
                <ARTG>198549</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW838</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR296</PriorBillingCode>
            </PriorBillingCodes>
            <Name>SALVATION 3Di Plating System - Osteopenic Screws</Name>
            <Description>Osteopenic screws</Description>
            <Size>Diameter: 5.5mm  Length: 16, 18, 20, 22, 25, 30, 35, 40, 45, 50, 55, 60mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW873</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR343</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Fixation Screw for Articular Implant</Name>
            <Description>Titanium, sterile and non-sterile</Description>
            <Size>D 4.5mm, L 18mm to 50mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>291613</ARTG>
                <ARTG>214803</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IT007</BillingCode>
            <Name>Hawk Anterior Ankle Fusion Set</Name>
            <Description>4.5mm screw set with lengths ranging from 35mm to 110mm.</Description>
            <Size>4.5mm x length (35mm to 110mm)</Size>
            <SupplierCode>IT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>191738</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IT009</BillingCode>
            <Name>Hawk Anterior Ankle Fusion Set</Name>
            <Description>6.5mm screw set with lengths ranging from 35mm to 110 mm.</Description>
            <Size>6.5mm length 35mm to 110mm</Size>
            <SupplierCode>IT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>191738</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JD013</BillingCode>
            <Name>Screws - Non Locking</Name>
            <Description>≥4.5mm)</Description>
            <Size>≥4.5mm</Size>
            <SupplierCode>JD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>222648</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH444</BillingCode>
            <Name>Hinge Pediatric Plating System - Screws</Name>
            <Description>2 screws for articulated growth-correction fixation plate</Description>
            <Size>4.5 x 35mm, 4.5 x 30mm, 4.5 x 25mm</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>161505</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH675</BillingCode>
            <Name>MUTARS Cancellous Screws</Name>
            <Description>MUTARS Cancellous Screws</Description>
            <Size>20-40mm</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>237075</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM374</BillingCode>
            <Name>Plate Screw</Name>
            <Description>Plate Screw</Description>
            <Size>4.5mm diameter and greater</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>266216</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM381</BillingCode>
            <Name>Screw and Locking Cap</Name>
            <Description>Screw and Locking Cap</Description>
            <Size>4.5 mm and larger diameter</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>266216</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM505</BillingCode>
            <Name>Non-Locking Screw (Standard)</Name>
            <Description>Non-Locking Screw (Standard)</Description>
            <Size> ≥4.5mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>306780</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MA539</BillingCode>
            <Name>Affinis Inverse Lag Screw</Name>
            <Description>Metaglene Lag screw</Description>
            <Size>18x4.5mm to 38 x 4.5 mm</Size>
            <SupplierCode>MA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>241996</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO413</BillingCode>
            <Name>Acumed Screws</Name>
            <Description>Screws</Description>
            <Size>&gt;4.5mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MU186</BillingCode>
            <Name>PAO Cortical Screw Ø4.5</Name>
            <Description>Peri-Acetabular Osteotomy Cortical Screw</Description>
            <Size>Ø4.5 L 50-140 mm</Size>
            <SupplierCode>MU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>219907</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX017</BillingCode>
            <Name>ARMAR Meril Locking Plate System Self Tapping Cortex Screws</Name>
            <Description>TiCP and Stainless Steel Self Tapping Cortex Screws</Description>
            <Size>4.5mm Diameter&#xD;
14-145mm Length</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>286843</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX019</BillingCode>
            <Name>ARMAR Meril Locking Plate System Cancellous Screw</Name>
            <Description>TiCP and Stainless Steel Cancellous Bone Screws</Description>
            <Size>6.5mm Diameter&#xD;
20-150mm Length</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>286843</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL013</BillingCode>
            <Name>TC-100</Name>
            <Description>Cortical &amp; Cancellous Screws</Description>
            <Size>≥4.5mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL014</BillingCode>
            <Name>Peri-Loc &amp; Peri-Loc VLP</Name>
            <Description>Cortical &amp; Osteopenia Screws</Description>
            <Size>≥4.5mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL152</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Standard screws</Description>
            <Size>≥4.5mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>230143</ARTG>
                <ARTG>368491</ARTG>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL214</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG113</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Bone Screws</Name>
            <Description>Titanium screws (2) for use with the Universal2 Total Wrist System only</Description>
            <Size>4.5mm x (15, 20, 25, 30, 35mm)</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>177632</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG113</ChangeExplanation>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ113</BillingCode>
            <Name>SuperCable Trochanteric Grips and Cable Plate System</Name>
            <Description>Compression Screws Titanium</Description>
            <Size>4.5mm Diameter 10mm to 50 mm length</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>133719</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ121</BillingCode>
            <Name>Verso Shoulder System - Baseplate Fixation Screw</Name>
            <Description>Verso Shoulder Base Plate Fixation Screw</Description>
            <Size>5mm diameter, 15mm-50mm</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>262473</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ143</BillingCode>
            <Name>Bone Screws</Name>
            <Description>Self-tapping, Cortical, Solid, Cancellous Thread, T20, Partially Threaded, Recon</Description>
            <Size>4.5-5.0mm Diameter  10-100mm Length</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>191587</ARTG>
                <ARTG>191602</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ST004</BillingCode>
            <Name>Stryker Plating System Screws - Cortical 4.5mm</Name>
            <Description>Titanium or Stainless Steel</Description>
            <Size>10-20mm</Size>
            <SupplierCode>ST</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>119660</ARTG>
                <ARTG>25735</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ST005</BillingCode>
            <Name>Stryker Plating System Screws - Cancellous</Name>
            <Description>6.5mm Stainless Steel or Titanium</Description>
            <Size>20-50mm</Size>
            <SupplierCode>ST</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>119660</ARTG>
                <ARTG>25735</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY596</BillingCode>
            <Name>AO/ASIF Screws</Name>
            <Description>Cortex,Cancellous, Compression Screws</Description>
            <Size>≥ 4.5mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>157068</ARTG>
                <ARTG>297881</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN030</BillingCode>
            <Name>Newclip Non Locking Bone Screw</Name>
            <Description>Non Locking Bone Screw</Description>
            <Size>≥4.5mm diameter, Length 20 - 110mm</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>260233</ARTG>
                <ARTG>260234</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI149</BillingCode>
            <Name>Periarticular Plates</Name>
            <Description>Periarticular 6.5mm Cancellous Screws - Stainless Steel</Description>
            <Size>16mm Thread - 35-90mm Long, 32mm Thread - 45-90mm Long, Fully Threaded - 25-90mm Long</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI151</BillingCode>
            <Name>Periarticular Plates</Name>
            <Description>Periarticular 4.5mm Self Tapping Screws - Stainless Steel</Description>
            <Size>26 - 90mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI205</BillingCode>
            <Name>Zimmer Screws</Name>
            <Description>4.5mm Cortical Screws</Description>
            <Size>14 - 120mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI207</BillingCode>
            <Name>Zimmer Screws</Name>
            <Description>6.5mm Cancellous Screws</Description>
            <Size>25 - 120mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI400</BillingCode>
            <Name>Cortical Screws</Name>
            <Description>Screws- Cortical - Ti alloy</Description>
            <Size>4.5/30 to 60mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>100337</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI831</BillingCode>
            <Name>NCB Polyaxial Locking System</Name>
            <Description>Variable Angle Locking Screw Cap - Ti Alloy</Description>
            <Size>8mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>100337</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI891</BillingCode>
            <Name>NCB System</Name>
            <Description>NCB Screws</Description>
            <Size>14- 100mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3369</SubGroupID>
            <ARTGs>
                <ARTG>100337</ARTG>
            </ARTGs>
            <MinimumBenefit>63</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU205</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE365</PriorBillingCode>
            </PriorBillingCodes>
            <Name>QuickFix Screw, Small</Name>
            <Description>Titanium Snapp-off Small Bone Screw, small</Description>
            <Size>3.0mm Diameter x 13-19mm Lengths</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>293</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL225</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG134</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Snap-Off screws</Name>
            <Description>Titanium break-off barrel screws for Hallu-Fix</Description>
            <Size>Diameter 3.0mm, Length 10 - 18mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>173963</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG134</ChangeExplanation>
            <MinimumBenefit>293</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PF002</BillingCode>
            <Name>BePOD</Name>
            <Description>Self-Compressive Screw</Description>
            <Size>Lengths 10mm - 60mm</Size>
            <SupplierCode>PF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>Breakoff, DT</Suffix>
            <ARTGs>
                <ARTG>141164</ARTG>
            </ARTGs>
            <MinimumBenefit>459</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PF008</BillingCode>
            <Name>Arthrodesis Screws</Name>
            <Description>Titanium Alloy Compression Screws</Description>
            <Size>10mm - 60mm</Size>
            <SupplierCode>PF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>Breakoff, DT</Suffix>
            <ARTGs>
                <ARTG>141164</ARTG>
            </ARTGs>
            <MinimumBenefit>459</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH186</BillingCode>
            <Name>Small / Large  Fragment Set</Name>
            <Description>Cannulated Titanium Bone Screw</Description>
            <Size>3.0mm - 4.0mm</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>153087</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH277</BillingCode>
            <Name>ALPS Plating System &amp; Biodrive Screws</Name>
            <Description>Cannulated Bone Screws</Description>
            <Size>3.0 to 4.0mm diameter</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>210296</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BP033</BillingCode>
            <Name>Tyber Medical Headed Trauma screw</Name>
            <Description>Headed trauma screw for compression and fixation of bone  Sterile or Non sterile, Titanium or stainless steel</Description>
            <Size>3.0mm - 4.0mm</Size>
            <SupplierCode>BP</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>324189</ARTG>
                <ARTG>324190</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BU003</BillingCode>
            <Name>Nexis osteosynthesis screws</Name>
            <Description>Bone screw titanium alloy (headed)</Description>
            <Size>Diameter 2.9-4mm, Length 10-60mm</Size>
            <SupplierCode>BU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>235765</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE370</BillingCode>
            <Name>Cannulated Low Profile Screws, Small</Name>
            <Description>Cannulated Low Profile Screws, Small</Description>
            <Size>3-4mm</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>140686</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ045</BillingCode>
            <Name>Valens Hand - Screws</Name>
            <Description>Cannulated Screws</Description>
            <Size>3.0mm, 3.5mm, 4.0mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO116</BillingCode>
            <Name>APTUS headedCCS</Name>
            <Description>Headed Cannulated screws</Description>
            <Size>&gt;2.7mm-4.49mm</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>206157</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER395</BillingCode>
            <Name>Paragon 28 Monster Screw System-Screws, small (2.71mm – 4.49mm), cannulated</Name>
            <Description>Paragon 28 Monster Screw System-Screws, small, cannulated, headed, partial or full thread</Description>
            <Size>dia (3.0-4.0) x length (10-150 mm) x thread length (3-150 mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>289308</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW006</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Cannulated Bone Screw Systems</Description>
            <Size>Small (2.71mm – 4.49mm)</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>324381</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU142</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE696</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Patella Fracture Screw</Name>
            <Description>4mm Blunt Tip Cannulated Lag Screw</Description>
            <Size>4mm x 24mm - 4mm x 60mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU218</BillingCode>
            <Name>Cannulated Low Profile Screws, Small</Name>
            <Description>Cannulated Low Profile Screws, Small</Description>
            <Size>3-4mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
                <ARTG>350871</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW717</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR068</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Cannulated Screw</Name>
            <Description>Titanium cannulated screw intended for use in conjunction with a plate for fixation of midfoot fusion</Description>
            <Size>3.5mm diameter x 34, 36 &amp; 38mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW819</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR247</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Darco Headed Compression Screw System</Name>
            <Description>Cannulated titanium compression screws</Description>
            <Size>3.0-4.0mm x 16-50mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW909</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR386</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MaxTorque Cannulated Screw System - Small Screws</Name>
            <Description>Bone screws, Titanium, Cannulated, Short or Long Thread</Description>
            <Size>Ø3.2mm Short Thread, Length 12-30mm  Ø3.2mm Long Thread, Length 12-38mm  Ø3.8mm Short Thread,Length 16-50mm  Ø4.0mm Long Thread, Length 14-50mm  Ø4.0mm Long Thread, Length 24-50mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>214671</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IT011</BillingCode>
            <Name>Hawk 4.0mm Cannulated Screw System</Name>
            <Description>4.0mm Cannulated screw</Description>
            <Size>4.0mm in diameter with lengths of 26mm to 70mm</Size>
            <SupplierCode>IT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>230954</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JK003</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>UQ003</PriorBillingCode>
            </PriorBillingCodes>
            <Name>OsteoMed Plating &amp; Fixation System</Name>
            <Description>Screws - Cannulated Lag</Description>
            <Size>Diameter 2.71mm – 4.49mm</Size>
            <SupplierCode>JK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>130509</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from UQ003</ChangeExplanation>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM286</BillingCode>
            <Name>Bone Screw</Name>
            <Description>Bone Screw</Description>
            <Size>2.71 to 4.49mm diameter</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>266217</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM399</BillingCode>
            <Name>Cannulated Screws</Name>
            <Description>Cannulated Screws</Description>
            <Size>2.71mm – 4.49mm diameter</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>329613</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM523</BillingCode>
            <Name>OMNI Plating System</Name>
            <Description>Cannulated Screws</Description>
            <Size>2.71mm – 4.49mm diameter</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>306780</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO450</BillingCode>
            <Name>Cannulated Screw  New Information - Acumed Cannulated Screws</Name>
            <Description>4.0mm Cannulated Screw</Description>
            <Size>4.0mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB040</BillingCode>
            <Name>Cannulated Screws 4mm</Name>
            <Description>Cannulated 4mm</Description>
            <Size>4mm</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>223188</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK528</BillingCode>
            <Name>'Stryker Cannulated Screw System</Name>
            <Description>Asnis III Cannulated screws</Description>
            <Size>4.0mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>119660</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN971</BillingCode>
            <Name>Cannulated Screw</Name>
            <Description>Stainless Steel</Description>
            <Size>2.71mm - 4.49mm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ137</BillingCode>
            <Name>Cannulated Screws</Name>
            <Description>Cannulated, Cancellous  Short, Medium, Partial, Full Thread  Locking, Non-locking</Description>
            <Size>3.0-4.0mm Diameter  8-70mm Length</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>191602</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SR094</BillingCode>
            <Name>Stryker Cannulated Screw System</Name>
            <Description>Asnis Micro Cannulated screw</Description>
            <Size>2.71mm-3.0mm, Diameters, 8mm-40mm lengths</Size>
            <SupplierCode>SR</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>119660</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY071</BillingCode>
            <Name>AO/ASIF Screws</Name>
            <Description>Cannulated screws</Description>
            <Size>&gt;2.7mm-4.49mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>157068</ARTG>
                <ARTG>297881</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN025</BillingCode>
            <Name>Newclip Cannulated Screws</Name>
            <Description>Cannulated Screws</Description>
            <Size>2.71 - 4.49mm diameter, lengths 10 - 70mm</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>260233</ARTG>
                <ARTG>260234</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI177</BillingCode>
            <Name>Zimmer Internal Fixation Systems: Cannulated Screw</Name>
            <Description>Mini Magna-FX - Stainless Steel</Description>
            <Size>4 &amp; 5mm diameters</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI835</BillingCode>
            <Name>NCB Polyaxial Locking System</Name>
            <Description>4.0mm Cannulated Variable Angle Locking Screws - Ti Alloy</Description>
            <Size>14 - 65mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>100337</ARTG>
            </ARTGs>
            <MinimumBenefit>202</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH190</BillingCode>
            <Name>Headless Compression Screws</Name>
            <Description>Headless Compression Screws</Description>
            <Size>3mm-4mm</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>210290</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BP034</BillingCode>
            <Name>Tyber Medical Trauma headless screw</Name>
            <Description>Headless trauma screw for compression and fixation of bone  Sterile or Non sterile, Titanium or stainless steel</Description>
            <Size>3.0mm-4.0mm</Size>
            <SupplierCode>BP</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>324189</ARTG>
                <ARTG>324190</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BU009</BillingCode>
            <Name>Nexis osteosynthesis screws</Name>
            <Description>Bone screw titanium alloy (compressive)</Description>
            <Size>Diameter 2.9-4 mm, Length 10-60mm</Size>
            <SupplierCode>BU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>235765</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BU019</BillingCode>
            <Name>MAGNEZIX CS 3.2</Name>
            <Description>Compression screw for bone fixation.</Description>
            <Size>Diameter 3.2mm&#xD;
Length 10-40mm</Size>
            <SupplierCode>BU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>283491</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ068</BillingCode>
            <Name>Austofix Cannulated Compression Screws</Name>
            <Description>Headless Cannulated Compression Screws</Description>
            <Size>3.0mm width, 10-48mm length;   3.8mm width, 10-60mm length</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>284755</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ090</BillingCode>
            <Name>Headless Compression Cannulated Screw System</Name>
            <Description>Fully-threaded headless cannulated screws</Description>
            <Size>3.0mm, 3.5mm, 4.0mm diameter   14-30mm length</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
                <ARTG>284755</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO058</BillingCode>
            <Name>APTUS CCS</Name>
            <Description>Cannulated Screws</Description>
            <Size>2.71 – 4.49 mm</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>206157</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW064</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Self-tapping Cannulated Screw</Description>
            <Size>Small (2.71mm – 4.49mm)</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>324381</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HJ003</BillingCode>
            <Name>HBS Self-Drilled High Compression Screw</Name>
            <Description>Headless compression screw, cannulated, dual thread, self-drilling, self-tapping, </Description>
            <Size>Distal thread Diameter 3mm, Length 12-40mm</Size>
            <SupplierCode>HJ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>340314</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU151</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE480</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Headless Compression Screw System</Name>
            <Description>Headless Compression Screw for bone fixation</Description>
            <Size>3mm Diameter ( 10-36mm Lengths)  4.3mm Diameter (14-80mm Lengths)</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>350672</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU158</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE466</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Compression FT</Name>
            <Description>Headless Compression Screw for bone fixation</Description>
            <Size>3.5mm/4.0mm x 12-60mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU296</BillingCode>
            <Name>Beveled FT Screw</Name>
            <Description>Screw for osteotomy</Description>
            <Size>3.5mm and 4.0mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW451</BillingCode>
            <Name>Stryker Cannulated Compression Screw Systems</Name>
            <Description>Double threaded compression screws</Description>
            <Size>2.71mm to 4.49mm diameter</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>252452</ARTG>
                <ARTG>269713</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW452</BillingCode>
            <Name>Fixos Screws</Name>
            <Description>Bone Fixation Srews, Cannulated, Double Threaded</Description>
            <Size>3.0mm-7.0mm diamter</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>149535</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW824</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR264</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MICA Compression Screw</Name>
            <Description>Compression Screw for Minimally Invasive Surgery</Description>
            <Size>Sizes: 3mm - 4mm diameter,  14mm - 70mm length</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>198485</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW915</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR395</PriorBillingCode>
            </PriorBillingCodes>
            <Name>NexFix 3.0mm Compression Screw</Name>
            <Description>The NexFix Compression Screw is a stainless steel, cannulated, self tapping, and self drilling fixation device for osteotomies, fusions and fracture fixation of small bones</Description>
            <Size>3.0mm diameter x 10 - 34mm length in 2mm increments</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>148960</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW972</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR034</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Charlotte Foot &amp; Ankle System</Name>
            <Description>Multi use compression screw, cannulated, stainless steel</Description>
            <Size>3.0 &amp; 4.3mm dia. 10-60mm in 2mm increments</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW974</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR062</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Headless Compression screws</Name>
            <Description>Compression screw cannulated, titanium, self tapping, self drilling.</Description>
            <Size>2.5-3.2mm diameter x 10-32mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>198485</ARTG>
                <ARTG>326629</ARTG>
                <ARTG>291613</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG057</BillingCode>
            <Name>Kompressor</Name>
            <Description>Titanium compression screw</Description>
            <Size>10-34mm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>160519</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IT012</BillingCode>
            <Name>Hawk 3.0mm Cannulated Screw system</Name>
            <Description>3.0mm cannulated screw</Description>
            <Size>3.0mm in diameter with lengths of 14mm to 50mm</Size>
            <SupplierCode>IT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>230954</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IT032</BillingCode>
            <Name>Integrant 4.0mm Cannulated Screws</Name>
            <Description>Cannulated screws with variable pitch/dynamic thread screw heads</Description>
            <Size>4.0mm Diameter with lenghts from 26mm-70mm</Size>
            <SupplierCode>IT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>230954</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JK004</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>UQ046</PriorBillingCode>
            </PriorBillingCodes>
            <Name>ExtremiFix Screws</Name>
            <Description>Headless Cannulated Compression Screw</Description>
            <Size>Diameter 3.0mm, 4.0mm. Length 10mm to 52mm; Diameter 2.71mm - 4.49mm.</Size>
            <SupplierCode>JK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>130509</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from UQ046</ChangeExplanation>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KT073</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OH480</PriorBillingCode>
            </PriorBillingCodes>
            <Name>HBS 2 midi</Name>
            <Description>Self-compressive screws</Description>
            <Size>3.0mm x 10-40mm</Size>
            <SupplierCode>KT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>276650</ARTG>
                <ARTG>276674</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM052</BillingCode>
            <Name>Ascension Compression Screw</Name>
            <Description>Titanium Compression Screw</Description>
            <Size>2-5mm diameter ; 12 - 40mm length</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>118626</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM143</BillingCode>
            <Name>Extremity Medical Compression Screw System</Name>
            <Description>Compression Screws</Description>
            <Size>3.0-4.5mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>164980</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM268</BillingCode>
            <Name>ExtremiFix Screws</Name>
            <Description>Headless Cannulated Compression Screw</Description>
            <Size>Diameter 3.0mm, 4.0mm. Length 10mm to 52mm; Diameter 2.71mm - 4.49mm.</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>202435</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM285</BillingCode>
            <Name>IBS Screw</Name>
            <Description>Compression Screw</Description>
            <Size>3.00 &amp; 3.5mm diameter</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>266217</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM315</BillingCode>
            <Name>Headless Compression Screws</Name>
            <Description>Compression Screws</Description>
            <Size>3.5mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>279795</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM349</BillingCode>
            <Name>Orthopaedic Fixation Screw</Name>
            <Description>Fixation Screw</Description>
            <Size>2.71 to 4.49mm diameter all lengths</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>266217</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM394</BillingCode>
            <Name>Headless Compression Screw</Name>
            <Description>Headless Compression Screw</Description>
            <Size>2.71mm – 4.49mm diameter</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>329613</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO355</BillingCode>
            <Name>Acutrak 2</Name>
            <Description>Headless compression screw</Description>
            <Size>2.71mm - 4.49mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO368</BillingCode>
            <Name>Acumed Fixation Screw</Name>
            <Description>Acutrak Compression Screw Titanium</Description>
            <Size>2.71mm - 4.49mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO382</BillingCode>
            <Name>Acutrak Headless Compression Screw</Name>
            <Description>Acutrak 4/5 screw</Description>
            <Size>2.71mm - 4.49mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OH546</BillingCode>
            <Name>Dynafit System</Name>
            <Description>Compressive Screws</Description>
            <Size>2.8-4mm x 10-70mm</Size>
            <SupplierCode>OH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>216161</ARTG>
                <ARTG>216162</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB036</BillingCode>
            <Name>Headless Compression Screw System</Name>
            <Description>Headless Compression Screw</Description>
            <Size>2.71 - 4.49mm</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>223188</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB043</BillingCode>
            <Name>Cannulated Screws 3mm</Name>
            <Description>Cannulated Screws</Description>
            <Size>3mm</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>223188</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB051</BillingCode>
            <Name>HN Intramedullary Nail</Name>
            <Description>The HN Intramedullary Nail</Description>
            <Size>Length 10mm - 26mm, Diameter 5.5mm</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>229660</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB052</BillingCode>
            <Name>The HN Intramedullary Nail locking screw</Name>
            <Description>The HN Intramedullary Nail locking screw, cannulated, dual-threaded</Description>
            <Size>Length 16mm - 60mm, Diameter 3.0mm</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>223188</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PF001</BillingCode>
            <Name>FH Screw Systems</Name>
            <Description>Canulated Self-Compressive Screws</Description>
            <Size>lengths 10mm to 50mm</Size>
            <SupplierCode>PF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>141164</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SF092</BillingCode>
            <Name>Twinlock Screw - Standard</Name>
            <Description>Twinlock Screw - Standard</Description>
            <Size>5.2/5.5mm to 6.0/7.0mm Dia x 25 to 120 mm Length</Size>
            <SupplierCode>SF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>184460</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SF093</BillingCode>
            <Name>TwinLock Screw - Small</Name>
            <Description>TwinLock Screw - Small</Description>
            <Size>3.5/3.6mm to 4.0/4.1mm Dia x 16 to 34 mm length</Size>
            <SupplierCode>SF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>184460</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SF114</BillingCode>
            <Name>Twinlock Screw - Standard</Name>
            <Description>Twinlock Screw - Standard</Description>
            <Size>5.2/5.5mm to 6.0/7.0mm Dia x 25 to 120 mm Length</Size>
            <SupplierCode>SF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>184460</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SF115</BillingCode>
            <Name>TwinLock Screw - Small</Name>
            <Description>TwinLock Screw - Small</Description>
            <Size>3.5/3.6mm to 4.0/4.1mm Dia x 16 to 34 mm length</Size>
            <SupplierCode>SF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>184460</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK256</BillingCode>
            <Name>TwinFix Cannulated Compression Screw System</Name>
            <Description>0</Description>
            <Size>Diameter 3.2mm, lengths 14-34mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>124319</ARTG>
                <ARTG>64730</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL193</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG069</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Bold Compression Screw</Name>
            <Description>Cannulated titanium</Description>
            <Size>3mm diam 10-34mm length</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>173963</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG069</ChangeExplanation>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL194</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG070</PriorBillingCode>
            </PriorBillingCodes>
            <Name>ICOS Screw: Ideal Compression Screw</Name>
            <Description>Cannulated titanium</Description>
            <Size>4.0mm diam 26-60mm length, 6.5mm diam 40-150mm length</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>173963</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG070</ChangeExplanation>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL208</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG107</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Bold Compression Screw</Name>
            <Description>Cannulated Titanium</Description>
            <Size>Diameter 3.0-3.70mm, length 10-34mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>173963</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG107</ChangeExplanation>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL210</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG109</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Qwix Screw</Name>
            <Description>Self drilling, self tapping, cannulated, titanium screws.</Description>
            <Size>Diameter 3.0mm-7.5mm, length 10mm-120mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>173963</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG109</ChangeExplanation>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SM173</BillingCode>
            <Name>Smith and Nephew Headless Compression Screw</Name>
            <Description>Headless Cannulated Screw</Description>
            <Size>2.71mm-4.49mm Headless Cannulated Screw 8mm - 40mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY644</BillingCode>
            <Name>AO/ASIF Screws</Name>
            <Description>HCS Countersinkable Compression Screw</Description>
            <Size>2.71mm - 4.49mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>157068</ARTG>
                <ARTG>297881</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Condition</ChangeExplanation>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN016</BillingCode>
            <Name>Newclip Compression Screws</Name>
            <Description>Self-compressive cannulated screw</Description>
            <Size>2.71-4.49mm diameter, length 10-70mm</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>260233</ARTG>
                <ARTG>260234</ARTG>
            </ARTGs>
            <MinimumBenefit>368</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER396</BillingCode>
            <Name>Paragon 28 Monster Screw System-Screws, small (2.71mm – 4.49mm), cannulated, dual thread, locking</Name>
            <Description>Paragon 28 Monster Screw System-Screws, small, cannulated, dual thread, locking, headless, Titanium</Description>
            <Size>dia (3.0-4.0) x length (10-100 mm) x length of thread (3.5-100 mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT,LK</Suffix>
            <ARTGs>
                <ARTG>289308</ARTG>
            </ARTGs>
            <MinimumBenefit>429</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM133</BillingCode>
            <Name>TriMed Compression Screws</Name>
            <Description>'Compression Screws</Description>
            <Size>3.0-4.5mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT,LK</Suffix>
            <ARTGs>
                <ARTG>229704</ARTG>
            </ARTGs>
            <MinimumBenefit>429</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB063</BillingCode>
            <Name>MCS</Name>
            <Description>MCS System</Description>
            <Size>2.71mm - 4.49mm</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,DT,LK</Suffix>
            <ARTGs>
                <ARTG>223188</ARTG>
            </ARTGs>
            <MinimumBenefit>429</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN199</BillingCode>
            <Name>Bristow-Latarjet Instability Shoulder Set - Screw</Name>
            <Description>Cannulated Locking Screw</Description>
            <Size>2.71mm – 4.49mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,LK</Suffix>
            <ARTGs>
                <ARTG>136374</ARTG>
            </ARTGs>
            <MinimumBenefit>263</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL204</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG093</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Newdeal Screws/Lock Screws</Name>
            <Description>Screws - Cancellous, Cancellous cannulated, cortical, cortical cannulated plus Lock screws</Description>
            <Size>Cancellous/Cancellous cannulated - Diameter 6.5mm, Length 20mm - 100mm + Lock Screw, Cortical - Diameter 5.0mm, Length 25mm - 45mm + Lock Screw, Cortical - Diameter 4.5mm, Length 14mm - 65mm + Lock Screw, Cortical - Diameter 3.5mm, Length 14mm - 32mm + Lo</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,LK</Suffix>
            <ARTGs>
                <ARTG>173963</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG093</ChangeExplanation>
            <MinimumBenefit>263</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL209</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG108</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Newdeal Surfix Style Screws</Name>
            <Description>Titanium bone screw +locking screw for the fixation of specific Newdeal bone plates</Description>
            <Size>Diameter 3.5mm, Length 10-50mm; Diameter 4.5mm, length 14-65mm; Diameter 6.5, length 20-100mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,LK</Suffix>
            <ARTGs>
                <ARTG>173963</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG108</ChangeExplanation>
            <MinimumBenefit>263</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY797</BillingCode>
            <Name>AO/ASIF Screws</Name>
            <Description>Philos Cannulated locking screw</Description>
            <Size>3.5mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,LK</Suffix>
            <ARTGs>
                <ARTG>157068</ARTG>
            </ARTGs>
            <MinimumBenefit>263</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN069</BillingCode>
            <Name>Small cannulated Locking screws </Name>
            <Description>Small cannulated Locking screws </Description>
            <Size>2.8 mm diameter ; 14-30 mm length</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,LK</Suffix>
            <ARTGs>
                <ARTG>260233</ARTG>
                <ARTG>260234</ARTG>
            </ARTGs>
            <MinimumBenefit>263</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI853</BillingCode>
            <Name>Zimmer Periarticular Plating System</Name>
            <Description>5.5mm Cannulated Periarticular Locking Screws</Description>
            <Size>30 - 150mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,LK</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>263</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI855</BillingCode>
            <Name>Zimmer Periarticular Locking System</Name>
            <Description>3.5mm Cannulated Periarticular Locking Screws</Description>
            <Size>30 - 90mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>CN,LK</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>263</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO092</BillingCode>
            <Name>APTUS SpeedTip C System</Name>
            <Description>APTUS SpeedTip C Screws</Description>
            <Size>2.8mm diameter</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>DT</Suffix>
            <ARTGs>
                <ARTG>206157</ARTG>
            </ARTGs>
            <MinimumBenefit>245</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU254</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE272</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Bio-Compression Screw System</Name>
            <Description>Fixation Device</Description>
            <Size>16mm, 18mm, 20mm, 22mm, 24mm, 26mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>DT</Suffix>
            <ARTGs>
                <ARTG>360378</ARTG>
                <ARTG>140794</ARTG>
            </ARTGs>
            <MinimumBenefit>245</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO374</BillingCode>
            <Name>Acutrak Fusion Screws</Name>
            <Description>Fusion Screws Titanium</Description>
            <Size>2.71mm - 4.49mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>DT</Suffix>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>245</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OH477</BillingCode>
            <Name>DynafitSystem</Name>
            <Description>Self-compressive screws</Description>
            <Size>3.2 x 10-40mm</Size>
            <SupplierCode>OH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>DT</Suffix>
            <ARTGs>
                <ARTG>216161</ARTG>
                <ARTG>216162</ARTG>
            </ARTGs>
            <MinimumBenefit>245</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN017</BillingCode>
            <Name>Newclip Compression Screws</Name>
            <Description>Self-Compressive Screws</Description>
            <Size>2.71-4.49mm diameter, Length 10-30mm</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>DT</Suffix>
            <ARTGs>
                <ARTG>260233</ARTG>
                <ARTG>260234</ARTG>
            </ARTGs>
            <MinimumBenefit>245</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO074</BillingCode>
            <Name>APTUS Screws</Name>
            <Description>Aptus Locking Screws</Description>
            <Size>2.8mm - 3.5mm Diameter</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>DT,LK</Suffix>
            <ARTGs>
                <ARTG>141171</ARTG>
            </ARTGs>
            <MinimumBenefit>307</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER381</BillingCode>
            <Name>Paragon 28 Phantom Lapidus Nail-Screws, small (2.71mm – 4.49mm), dual thread, locking</Name>
            <Description>Paragon 28 Phantom Lapidus Nail-Screws, small (2.71mm – 4.49mm), dual thread, locking</Description>
            <Size>dia 3.5 mm x length (10-26 mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>DT,LK</Suffix>
            <ARTGs>
                <ARTG>290443</ARTG>
            </ARTGs>
            <MinimumBenefit>307</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AE155</BillingCode>
            <Name>ASDM Clavicle Plating System - Screws</Name>
            <Description>Fixation Device, Internal, Locking, Stainless Steel, Cortical Screw Size: 3.5mm</Description>
            <Size>3.5mm Locking Screws, 10-30mm (2mm increments)</Size>
            <SupplierCode>AE</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>137369</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BU004</BillingCode>
            <Name>Airlock Bone screw</Name>
            <Description>Bone Screws Titanium Alloy (Locking screws)</Description>
            <Size>Diameter 3-3.5mm, Length 8-30mm</Size>
            <SupplierCode>BU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>235767</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ008</BillingCode>
            <Name>Austofix Intramedullary Screws</Name>
            <Description>Humeral Head Screw, stainless steel</Description>
            <Size>4.3mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ014</BillingCode>
            <Name>Austofix Proximal Humeral Plating System - Austofix PHP Locking Screw</Name>
            <Description>Locking Screw Titanium</Description>
            <Size>3.5mm, 16-100mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ017</BillingCode>
            <Name>Austofix Proximal Humeral Plating System - Austofix VA Locking Screw</Name>
            <Description>Variable Angle Locking Screw, Cobalt Chrome</Description>
            <Size>3.5mm 20-100mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ047</BillingCode>
            <Name>Valetis Screws</Name>
            <Description>Titanium Locking Screws</Description>
            <Size>3.5mm width, 10-65mm length&#xD;
4.0mm width, 10-75mm length</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>284755</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EF006</BillingCode>
            <Name>Merete - MetaFix LS - Locking Screws</Name>
            <Description>Bone screws, Titanium, Locking</Description>
            <Size>2.71mm - 4.49mm diameter, lengths 12 - 48mm</Size>
            <SupplierCode>EF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>212520</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER425</BillingCode>
            <Name>Paragon 28 Gorilla Plating System-Screws, small</Name>
            <Description>Paragon 28 Gorilla Plating System-Screws, small, locking; recon/Tuffneck</Description>
            <Size>dia (3.5-4.2 mm) x length (8-70 mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>289308</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW037</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Small Bone Screw Systems</Description>
            <Size>Small (2.71mm – 4.49mm)</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324381</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU143</BillingCode>
            <Name>Locking Cortical land Cancellous Screws, Small</Name>
            <Description>Locking Cortical and Cancellous Screws, Small</Description>
            <Size>3-3.5mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU297</BillingCode>
            <Name>KreuLock Locking Compression Screws, Ti</Name>
            <Description>Locking Compression Screws</Description>
            <Size>3.0mm-3.5mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU316</BillingCode>
            <Name>KrueLock Locking Compression Screws SS</Name>
            <Description>locking compression screw </Description>
            <Size>3.5mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW460</BillingCode>
            <Name>Memometal Anchorage Bone Screws</Name>
            <Description>Anchorage Bone Screws</Description>
            <Size>3.0-3.5mm diameter to 10 - 40mm in length</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>149535</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW719</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR072</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Ortholoc Fracture System Screws</Name>
            <Description>Titanium, variable angle locking screws</Description>
            <Size>2.7, 3.5 &amp; 4.0mm diameter, 8-100mm length</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW793</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR078</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Charlotte Lisfranc Recontruction System - Screw.</Name>
            <Description>Solid core stainless steel screw.</Description>
            <Size>3.7mm diameter, 8-100mm length.</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW805</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR228</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Titanium Screw</Name>
            <Description>Locking, non-locking or cannulated, for use only with Darco titanium plates, self-tapping</Description>
            <Size>8-40mm, 3.5mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW817</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR245</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Charlotte Claw Locking Screws</Name>
            <Description>3.5mm stainless steel locking screws for use with Claw Plate</Description>
            <Size>3.5mm: 12-40mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW835</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR293</PriorBillingCode>
            </PriorBillingCodes>
            <Name>SALVATION 3Di Plating System - OP Locking Screws</Name>
            <Description>Osteopenic locking screws</Description>
            <Size>Diameter: 4.0mm  Length: 16mm to 60mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW905</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR382</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MaxLock Extreme System - 3.5mm locking screws</Name>
            <Description>Bone screws, titanium, fixed or variable angle locking</Description>
            <Size>Ø 3.5mm Fixed angle, Length 8-45mm  Ø 3.5mm Variable angle, Length 10-50mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>214671</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW932</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR416</PriorBillingCode>
            </PriorBillingCodes>
            <Name>WAVE Calcaneal Fracture System - Locking Screw</Name>
            <Description>The WAVE Calcaneal Fracture System is a low profile, anatomical plate and screw system designed for the minimally invasive fixation of the calcaneal fractures. The plate and associated locking and non-locking screws facilitate the reconstruction of the height and width of the calcaneus, and remodelling of the lateral calcaneal wall. The WAVE calcaneal System is provided non-sterile. The Locking Screw is used with the WAVE Calcaneal Fracture Plate</Description>
            <Size>Screws: Diameter = 4.0mm, Length - 14-44 in 2mm increments</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>168890</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW954</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR444</PriorBillingCode>
            </PriorBillingCodes>
            <Name>ORTHOLOC SPS Locking Screws</Name>
            <Description>Stainless steel locking head screws: cortical or cancellous</Description>
            <Size>Dia 3.5mm  Length: 10mm - 60mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>148960</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW966</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR457</PriorBillingCode>
            </PriorBillingCodes>
            <Name>ORTHOLOC SPS Blunt-tipped Locking Screws </Name>
            <Description>Stainless steel locking head screws, blunt tipped</Description>
            <Size>Dia 3.5mm   Length: 18mm - 54mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>148960</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW976</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR218</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Evolve Ortholoc EPS System 3.5 locking</Name>
            <Description>Stainless Steel, Variable Angle Locking, Cortical &amp; Cancellous Screws</Description>
            <Size>3.5mm Diameter, 10-60mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JD001</BillingCode>
            <Name>CarboFix Piccolo Plate Systems – Locking Screws: Small</Name>
            <Description>Titanium alloy screws (locking) for fixation of CarboFix plate shaft and head.</Description>
            <Size>Locking Proximal Screw 4.0mm x 25.0mm, 30.0mm, 32.5mm, 35.0mm, 37.5mm, 40.0mm, 42.5mm, 45.0mm, 47.5mm, 50.0mm, 55.0mm, 60.0mm&#xD;
Locking Distal Screw 3.5mm x 10mm, 12mm, 14mm, 16mm, 18mm, 22.5mm, 25.0mm, 27.5mm, 30.0mm, 32.5mm, 35.0mm, 40.0mm, 45.0mm&#xD;
Locking Screw 3.5mm x 12mm, 14mm, 16mm, 18mm, 20mm, 22mm, 24mm, 26mm</Size>
            <SupplierCode>JD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>222648</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM145</BillingCode>
            <Name>TriMed Bone Screw</Name>
            <Description>Locking Cortical Bone Screw</Description>
            <Size>3.2mm x 10-40mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM147</BillingCode>
            <Name>TriMed Bone Screw</Name>
            <Description>Locking Compression Bone Screw</Description>
            <Size>4mm x 35-60mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM252</BillingCode>
            <Name>OsteoMed FPS</Name>
            <Description>Bone screws</Description>
            <Size>3.5/4mm x 10-70mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>202319</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM278</BillingCode>
            <Name>PANTERA Proximal Humerus Fracture Fixation Plate System - Locking Cortical Screw</Name>
            <Description>Locking Cortical Screw</Description>
            <Size>3.5mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>182168</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM280</BillingCode>
            <Name>PANTERA Proximal Humerus Fracture Fixation Plate System - Post Cap Screw</Name>
            <Description>Post Cap Screw</Description>
            <Size>2.7 mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>182168</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM290</BillingCode>
            <Name>NEOFIT - Screws</Name>
            <Description>NEOFIT screws</Description>
            <Size>2.7 &amp; 3.0mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>266216</ARTG>
            </ARTGs>
            <MinimumBenefit>145</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM310</BillingCode>
            <Name>Skeletal Dynamics Bone Screw Locking</Name>
            <Description>Bone Screw Locking</Description>
            <Size>3.0m and 3.5mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>278692</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM351</BillingCode>
            <Name>Orthopaedic locking Screws</Name>
            <Description>Orthopaedic locking Screws</Description>
            <Size>2.71 to 4.49 mm diameter, all lengths</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>338649</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM359</BillingCode>
            <Name>Hex Locking Screws</Name>
            <Description>Hex plate fixation locking screws</Description>
            <Size>2.71 to 4.49mm diameter</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>178232</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM477</BillingCode>
            <Name>TriMed ASET Foot Plating System</Name>
            <Description>VA Locking Screws (small) </Description>
            <Size>2.71mm – 4.49mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM504</BillingCode>
            <Name>Locking Screws (Small)</Name>
            <Description>Locking Screws (Small)</Description>
            <Size>2.71mm – 4.49mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>306780</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM521</BillingCode>
            <Name>OMNI Plating System</Name>
            <Description>Locking Screws</Description>
            <Size>2.71mm – 4.49mm diameter</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>306780</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO322</BillingCode>
            <Name>Acumed Hexalobe Locking Screws</Name>
            <Description>Acumed Hexalobe Locking Screws</Description>
            <Size>Small (2.71mm-4.49mm)</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO370</BillingCode>
            <Name>Acumed Tap-Loc</Name>
            <Description>Tap screws, Tap-Loc Screws</Description>
            <Size>3.6mm -60 mm Length</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO377</BillingCode>
            <Name>Acu-Loc Distal Radius Plate System</Name>
            <Description>Cortical Screw</Description>
            <Size>3.5mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO415</BillingCode>
            <Name>Acumed Screws</Name>
            <Description>Screws</Description>
            <Size>2.71mm - 4.49mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO426</BillingCode>
            <Name>ACUMED Hexalobe Low Profile 4.3mm screws</Name>
            <Description>ACUMED Hexalobe low profile 4.3mm locking screws, Titanium, fully threaded</Description>
            <Size>4.3mm in diameter, 18mm to 64mm in length</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX011</BillingCode>
            <Name>MBOSS 3.5mm Locking Screw</Name>
            <Description>3.5mm Locking Screw, Self Tapping</Description>
            <Size>Diameter: 3.5mm&#xD;
Length: 10-95mm</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286843</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB022</BillingCode>
            <Name>Calcaneal Locking Plate MIPO System - Locking Screw</Name>
            <Description>Locking Screws</Description>
            <Size>2.71mm - 4.49mm</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>223188</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SF084</BillingCode>
            <Name>Signature FAA Screw</Name>
            <Description>Titanium Locking Screw.</Description>
            <Size>2.7mm diameter from 8-30mm in length.</Size>
            <SupplierCode>SF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>184460</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SF124</BillingCode>
            <Name>Islay non-LOCKING SCREW</Name>
            <Description>2.7mm non locking screw&#xD;
GENII 2.7mm non-locking screw&#xD;
3.5mm non-locking screw&#xD;
GENII 3.5mm non-locking screw</Description>
            <Size>8-30mm (FPS 2.7mm non locking)&#xD;
10-50mm (FPS 3.5mm non-locking)</Size>
            <SupplierCode>SF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>184460</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK563</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>SPS Locking Plate System</Description>
            <Size>Locking screws 3-4mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>119660</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK630</BillingCode>
            <Name>SBi Locking Screws</Name>
            <Description>Titanium Cortical Locking Self-tapping screws</Description>
            <Size>2.7mm Cortical Locking, Self-tapping 10 - 30mm&#xD;
3.5mm Cortical, Locking, Self tapping 8 -20mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>167057</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL090</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Bone Screws</Description>
            <Size>2.71mm – 4.49mm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL191</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG067</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Surfix screw plus Surfix Lock-Screw</Name>
            <Description>Locking screws with an independent lock-screw head</Description>
            <Size>2.7mm: 10-32mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>173963</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG067</ChangeExplanation>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL192</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG068</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Surfix Screw plus Surfix Lock-Screw</Name>
            <Description>Locking screws with an independent lock-screw head that screw into fixation plates. This combination effects dynamic compression.</Description>
            <Size>3.5mm: 10-28mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>173963</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG068</ChangeExplanation>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL203</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG092</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Newdeal Lock Screws</Name>
            <Description>For use with Newdeal bone screws and plates</Description>
            <Size>Diameter 2.7mm - 6.5mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>173963</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG092</ChangeExplanation>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL220</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG120</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Surfix Locking Screws</Name>
            <Description>Locking screws with an independent lock-screw head</Description>
            <Size>3mm; 10-24mm length</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>173963</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG120</ChangeExplanation>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN944</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Locking Screws</Description>
            <Size>2.71mm - 4.49mm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ132</BillingCode>
            <Name>Bone Screws</Name>
            <Description>Cortical, Locking, Self-tapping, Standard, T15, trans-physeal</Description>
            <Size>3.5-4.0mm   10-70mm</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>191602</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ181</BillingCode>
            <Name>PediFoot Deformity Correction System  </Name>
            <Description>3.5mm Variable Angle Locking Screws</Description>
            <Size>8-60mm length</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>191602</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SR073</BillingCode>
            <Name>Stryker Locking Plate System</Name>
            <Description>Locking Screws</Description>
            <Size>Diameter 2.7 to 3.5mm</Size>
            <SupplierCode>SR</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>124318</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY652</BillingCode>
            <Name>AO/ASIF Screws</Name>
            <Description>Locking Head Screws</Description>
            <Size>&gt;2.7mm to &amp;lt; 4.5mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157068</ARTG>
                <ARTG>297881</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY692</BillingCode>
            <Name>Dynamic Locking Screw</Name>
            <Description>Pin-sleeve locking screw</Description>
            <Size>3.7mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157068</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN023</BillingCode>
            <Name>Newclip Locking Bone Screws</Name>
            <Description>Locking Bone Screws</Description>
            <Size>2.71-4.49mm diameter, length 10-95 mm</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>260233</ARTG>
                <ARTG>260234</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA005</BillingCode>
            <Name>ALPS Plating System &amp; DVR Plating System</Name>
            <Description>Locking screws and pegs</Description>
            <Size>2.7-4.0mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>209305</ARTG>
                <ARTG>210296</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA103</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MZ015</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Tritum SCP (Sternal Cable Plate), Rescue Screw</Name>
            <Description>Cannullous Locking Rescue Screw for use with Pioneer Tritium SCP (Sternal Cable Plate), 3.0mm</Description>
            <Size>Diameter: 3.0mm  Lengths: 8mm, 10mm, 12mm, 14mm, 16mm,18mm,20mm</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>193369</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI852</BillingCode>
            <Name>Zimmer Periarticular Plating System</Name>
            <Description>4.5mm Periarticular Locking Screws</Description>
            <Size>12 - 110mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI854</BillingCode>
            <Name>Zimmer Universal Locking System</Name>
            <Description>3.5mm Universal Locking Screws</Description>
            <Size>12 - 90mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI856</BillingCode>
            <Name>Zimmer Universal Locking System</Name>
            <Description>3.5mm Universal Locking Screws - Ti Alloy</Description>
            <Size>12 - 60mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI947</BillingCode>
            <Name>Screws -Locking</Name>
            <Description>Locking Screw</Description>
            <Size>10 - 70mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>140687</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZZ071</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>EF010</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Bone Screw</Name>
            <Description>Locking Screw</Description>
            <Size>2.71mm – 4.49mm</Size>
            <SupplierCode>ZZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>239817</ARTG>
            </ARTGs>
            <MinimumBenefit>141</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AE154</BillingCode>
            <Name>ASDM Clavicle Plating System - Screws</Name>
            <Description>Fixation Device, Internal, Non-locking, Stainless Steel, Cortical Screw Size: 3.5mm &amp; Cancellous Screw sizes 4.0mm</Description>
            <Size>3.5mm Low-profile Cortex Screws, 10-30mm (2mm increments)&#xD;
4.0mm Low-profile Cortex Screws, 10-30mm (2mm increments)</Size>
            <SupplierCode>AE</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>137369</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH185</BillingCode>
            <Name>Small / Large  Fragment Set</Name>
            <Description>Bone Screw, Titanium</Description>
            <Size>3.5 - 4.0mm diameter</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>153087</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BU007</BillingCode>
            <Name>Airlock Bone screw</Name>
            <Description>Bone Screws Titanium Alloy (non locking screws)</Description>
            <Size>Diameter 3-3.5mm, Length 8-30mm</Size>
            <SupplierCode>BU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>235767</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DD055</BillingCode>
            <Name>Glenoid Baseplate Non Locking Bone Screw</Name>
            <Description>Glenoid Baseplate Non Locking Bone Screw</Description>
            <Size>3.5mm diameter, length 14-34mm in 2mm increments</Size>
            <SupplierCode>DD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>212470</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ013</BillingCode>
            <Name>Austofix Proximal Humeral Plating System - Austofix PHP Cancellous Screw</Name>
            <Description>Cancellous Screw, Titanium</Description>
            <Size>4mm 20-40mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ015</BillingCode>
            <Name>Austofix Proximal Humeral Plating System - Austofix Cortical Screw</Name>
            <Description>Cortical Screw, Titanium</Description>
            <Size>3.5mm, 20-40mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ020</BillingCode>
            <Name>VRP Distal Radius Fixation System, 3.5mm Cortical Screw, Titanium</Name>
            <Description>3.5mm Cortical Screw, Titanium</Description>
            <Size>3.5mm diameter, 10mm-20mm lengths</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>149433</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ049</BillingCode>
            <Name>Valetis Screws</Name>
            <Description>Titanium Cortical Screws</Description>
            <Size>3.5mm width, 10-80mm length&#xD;
4.0mm width, 10-80mm length</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>284755</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ050</BillingCode>
            <Name>Valetis Screws</Name>
            <Description>Titanium Cancellous Screws</Description>
            <Size>3.5mm width, 10-80mm length&#xD;
4.0mm width, 10-80mm length</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>284755</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ055</BillingCode>
            <Name>Valens Shoulder and Elbow - Screws</Name>
            <Description>Cortex/Cancellous Screws</Description>
            <Size>3.5mm, 4.0mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ076</BillingCode>
            <Name>Cannulated Humeral Nail</Name>
            <Description>Nail Locking Screw</Description>
            <Size>3.5mm Width  20mm-30mm Length</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ077</BillingCode>
            <Name>Cannulated Humeral Nail</Name>
            <Description>Nail Locking Screw</Description>
            <Size>4.0mm diameter  20mm to 50mm length</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ078</BillingCode>
            <Name>Cannulated Humeral Nail</Name>
            <Description>Humeral Head Screw</Description>
            <Size>4.3mm diameter  25mm to 45mm length</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO077</BillingCode>
            <Name>APTUS Screws</Name>
            <Description>Cortical Screws</Description>
            <Size>2.71mm – 4.49mm</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>206157</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER386</BillingCode>
            <Name>Hintermann Series H3™ Total Ankle Prosthesis-Screw</Name>
            <Description>Hintermann Series H3™ Total Ankle Prosthesis-Screw, cortical, stainless steel</Description>
            <Size>dia 3.5 mm x length (12-42 mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>289320</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER394</BillingCode>
            <Name>Paragon 28 Monster Screw System-Screws, small (2.71mm – 4.49mm)</Name>
            <Description>Paragon 28 Monster Screw System-Screws, small, headed, with and without blunt tip, solid, recon/Tuffneck</Description>
            <Size>dia (3.0-4.2 mm) x length (10-150 mm) x thread length (3-150 mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>289308</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW054</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Small Bone Screw Systems</Description>
            <Size>Small (2.71mm – 4.49mm)</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>324381</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU144</BillingCode>
            <Name>Non-Locking Cortical and Cancellous Screws, Small</Name>
            <Description>Non-Locking Cortical and Cancellous Screws, Small</Description>
            <Size>3-3.5mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>355042</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU206</BillingCode>
            <Name>Low Profile Cancellous Bone Screws</Name>
            <Description>Low Profile Cancellous Bone Screws</Description>
            <Size>4mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU313</BillingCode>
            <Name>Low Profile Cancellous Screws, SS</Name>
            <Description>Cancellous Screws</Description>
            <Size>2.71mm-4.49mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW461</BillingCode>
            <Name>Memometal Anchorage Bone Screws</Name>
            <Description>Anchorage Locking Bone Screws</Description>
            <Size>3.0 - 3.5mm diameter to 10 - 40mm in length</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>269713</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW801</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR219</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Evolve Ortholoc EPS System 3.5 NL Screws</Name>
            <Description>Stainless Steel, Cortical &amp; Cancellous Screws</Description>
            <Size>3.5mm diameter 10-60mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW814</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR241</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Stainless Steel Screw</Name>
            <Description>Stainless steel plate screw, non locking</Description>
            <Size>2.7 &amp; 3.2 dia. 8-50mm length in 2mm increments</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW837</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR295</PriorBillingCode>
            </PriorBillingCodes>
            <Name>SALVATION 3Di Plating System - Osteopenic Screws</Name>
            <Description>Osteopenic screws</Description>
            <Size>Diameter: 4.0mm  Length: 16, 18, 20, 22, 25, 30, 35, 40, 45, 50, 55, 60mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW904</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR381</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MaxLock Extreme System - 3.5/4mm Non Locking Screws</Name>
            <Description>Bone screws, Titanium, non locking</Description>
            <Size>Ø 3.5mm, length 8-50mm  Ø 4mm, length 8-60mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>214671</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW955</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR445</PriorBillingCode>
            </PriorBillingCodes>
            <Name>ORTHOLOC SPS Non-Locking Screws</Name>
            <Description>Stainless steel, cortical, non-locking screws</Description>
            <Size>Dia. 3.5mm  Length: 10mm - 60mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>148960</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG066</BillingCode>
            <Name>Integra Total Wrist Fusion System</Name>
            <Description>Cortical Screw for use with the Integra Total Wrist Fusion Plates</Description>
            <Size>3.5mm diameter: 10-32mm length</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>176758</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG130</BillingCode>
            <Name>Spider Limited Wrist Fusion System - 2.8mm bone screws</Name>
            <Description>Stainless steel screws for Spider Plate</Description>
            <Size>Diameter 2.8mm, length 10-18mm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>177622</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IT008</BillingCode>
            <Name>Hawk Anterior Ankle Fusion Set</Name>
            <Description>3.5mm diameter screw set lengths 35mm to 110mm</Description>
            <Size>3.5mm x length 35mm to 110mm</Size>
            <SupplierCode>IT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>191738</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JD003</BillingCode>
            <Name>CarboFix Piccolo Plate Systems – Non-Locking Screws: Small</Name>
            <Description>Titanium alloy screws (non-locking) for fixation of CarboFix plate shaft and head.</Description>
            <Size>Non-Locking Distal Screw 3.5mm x 10mm, 12mm, 14mm, 16mm, 18mm, 22.5mm, 25.0mm, 27.5mm, 30.0mm, 32.5mm, 35.0mm, 40.0mm, 45.0mm&#xD;
Non-Locking Screw 3.5mm x 10mm, 12mm, 14mm, 16mm, 18mm, 20mm, 22mm, 24mm, 26mm, 30mm, 35mm, 40mm, 45mm, 50mm, 55mm</Size>
            <SupplierCode>JD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>222648</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JK005</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>UQ004</PriorBillingCode>
            </PriorBillingCodes>
            <Name>OsteoMed Plating &amp; Fixation System</Name>
            <Description>Lag Screws - Maxi, MMF, 3.0mm</Description>
            <Size>2.4mm x (8 - 42)mm; 2.4 x (12 - 18)mm; 3.0mm x (12 - 36)mm;</Size>
            <SupplierCode>JK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>130509</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from UQ004</ChangeExplanation>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KT091</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OH642</PriorBillingCode>
            </PriorBillingCodes>
            <Name>KLS Martin - Radial Plating System</Name>
            <Description>smartDrive Screw</Description>
            <Size>3.0 x 8-30mm</Size>
            <SupplierCode>KT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>276674</ARTG>
                <ARTG>276650</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM146</BillingCode>
            <Name>TriMed Bone Screws</Name>
            <Description>Non-Locking Cortical Bone Screw</Description>
            <Size>3.2/3.8/4.0 x 10-60mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM279</BillingCode>
            <Name>PANTERA Proximal Humerus Fracture Fixation Plate System - Cortical Screw</Name>
            <Description>Cortical Screw</Description>
            <Size>3.5mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>182168</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM317</BillingCode>
            <Name>Skeletal Dynamics Bone Screw Non-Locking</Name>
            <Description>Non-Locking Cortical Bone Screws</Description>
            <Size>3.0mm, 3.5mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>278692</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM326</BillingCode>
            <Name>Extremilock Screws</Name>
            <Description>Screws</Description>
            <Size>2.7mm - 4.49mm x 8-70mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>149435</ARTG>
                <ARTG>202319</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM340</BillingCode>
            <Name>Bone Screws</Name>
            <Description>Plate Fixation Bone Screws</Description>
            <Size>2.71 to 4.49mm diameter  All lengths</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>338649</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM341</BillingCode>
            <Name>Bone Screws - Locking</Name>
            <Description>Locking</Description>
            <Size>2.71mm - 4.49mm diameter&#xD;
All lengths</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>266216</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM358</BillingCode>
            <Name>Hex Screw</Name>
            <Description>Hex plate fixation screw</Description>
            <Size>2.71 to 4.49mm diameter</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>178232</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM380</BillingCode>
            <Name>Screw and Locking Cap</Name>
            <Description>Screw and Locking Cap</Description>
            <Size>2.71 to 4.49 mm diameter</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>266216</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM475</BillingCode>
            <Name>TriMed ASET Foot Plating System</Name>
            <Description>Non-Locking Cortical Bone Screws (Small)</Description>
            <Size>2.71mm – 4.49mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM503</BillingCode>
            <Name>Non-Locking Screws (Small)</Name>
            <Description>Non-Locking Screws (Small)</Description>
            <Size>2.71mm – 4.49mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>306780</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM520</BillingCode>
            <Name>OMNI Plating System</Name>
            <Description>Non-Locking Screws</Description>
            <Size>2.71 - 4.49mm diameter</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>306780</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO321</BillingCode>
            <Name>Acumed Hexalobe Non Locking Screws</Name>
            <Description>Acumed Hexalobe Non Locking Screws</Description>
            <Size>3.0mm,3.5mm and 4.0mm diameter, 8-65mm length</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO378</BillingCode>
            <Name>Acu-Loc Distal Radius Plate System</Name>
            <Description>Cortical Screw Locking</Description>
            <Size>3.5mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MU185</BillingCode>
            <Name>PAO Cortical Screw Ø3.5</Name>
            <Description>Peri-Acetabular Osteotomy Cortical Screw</Description>
            <Size>Ø3.5 L 20-140 mm</Size>
            <SupplierCode>MU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>219907</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX010</BillingCode>
            <Name>MBOSS 3.5 mm Cortex Screw</Name>
            <Description>3.5 mm Cortex Screw, Self Tapping</Description>
            <Size>Diameter: 3.5mm&#xD;
Length: 10-150mm</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>286843</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX012</BillingCode>
            <Name>MBOSS 4.0 mm Cancellous Screw</Name>
            <Description>4.0 mm Cancellous screw with short or long thread</Description>
            <Size>Diameter: 4mm&#xD;
Length: 10-100mm</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>286843</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB021</BillingCode>
            <Name>Calcaneal Locking Plate MIPO System - Cortex, Cancellous and Non Locking Screw</Name>
            <Description>Cortex, Cancellous, Non locking Screws</Description>
            <Size>2.71mm - 4.49mm</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>223188</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SF120</BillingCode>
            <Name>Islay Locking screw</Name>
            <Description>FPS 3.5mm locking screw&#xD;
FPS GENII 3.5mm locking screw&#xD;
FPS 2.7mm locking screw&#xD;
FPS GENII 2.7mm locking screw</Description>
            <Size>10-50MM(FPS 3.5MM locking) &#xD;
8-30MM (FPS 2.7MM locking)</Size>
            <SupplierCode>SF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>184460</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK229</BillingCode>
            <Name>Omega Plus Compression Hip Screw System</Name>
            <Description>Cephalic Implants</Description>
            <Size>Hansson Twin Hook Compression Screw 25mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>94876</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK452</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Cortical  Screws</Description>
            <Size>2.7mm - 4.5mm Diameter
8mm - 150mm Length</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>119660</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-06-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK619</BillingCode>
            <Name>Stability Sigmoid Notch Total DRUJ System / Sigmoid Notch Screw</Name>
            <Description>The Sigmoid Notch Radial Screw is a low profile self tapping cortical screw made of implantable CoCr.  It is designed to be placed bi cortical in the radius and is introduced into the Radial stem thru a hole.  It is placed into the stem and tightened down</Description>
            <Size>The Sigmoid Notch screw is available in 2mm increments from 18mm - 32mm and has a diameter of approx 4mm.</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>237798</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK631</BillingCode>
            <Name>Sbi Non-Locking Screws</Name>
            <Description>Titanium Cortical Non-Locking Self tapping screws</Description>
            <Size>2.7mm Cortical, Non Locking, Self-tapping 10 -30mm&#xD;
2.7mm Lag, Non Locking, self tapping 10 -30mm&#xD;
3.5mm Cortical, Non Locking,Self tapping 8 -20mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>167057</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL011</BillingCode>
            <Name>TC-100</Name>
            <Description>Cortical and Cancellous Screws</Description>
            <Size>2.71mm-4.49mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL012</BillingCode>
            <Name>Peri-Loc and Peri-Loc VLP</Name>
            <Description>Cortical and Osteopenia Screws</Description>
            <Size>2.71mm-4.49mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL091</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Bone Screws</Description>
            <Size>2.71mm – 4.49mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL190</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG063</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Tibiaxys Distal tibia system</Name>
            <Description>Titanium screw for use with Tibiaxys distal tibia system</Description>
            <Size>4mm diameter with 6mm head; 40mm - 100mm length</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>173963</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG063</ChangeExplanation>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ145</BillingCode>
            <Name>Bone Screws</Name>
            <Description>Cortical, Cancellous, Self-tapping, Full Thread, Partial Thread, Standard, T15</Description>
            <Size>3.5-4.0mm Diameter&#xD;
10-70mm Length</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>191602</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ176</BillingCode>
            <Name>PediFoot Deformity Correction System  </Name>
            <Description>3.5mm Cortical Screws</Description>
            <Size>8-60mm length</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>191602</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ST006</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Cancelleous screws</Description>
            <Size>2.7-4.0mm</Size>
            <SupplierCode>ST</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>119660</ARTG>
                <ARTG>25735</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY068</BillingCode>
            <Name>AO/ASIF Screws</Name>
            <Description>Cortex, Conical, Cancellous, Compression Screws</Description>
            <Size>2.71mm-4.49mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>157068</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN022</BillingCode>
            <Name>Newclip Bone Screws</Name>
            <Description>Non-Locking Bone Screws</Description>
            <Size>2.71mm – 4.49mm diameter, length 08-150 mm</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>260233</ARTG>
                <ARTG>260234</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA004</BillingCode>
            <Name>ALPS Plating System &amp; DVR Plating System</Name>
            <Description>Non-locking bone screw</Description>
            <Size>2.7-4.0mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>209305</ARTG>
                <ARTG>210296</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI150</BillingCode>
            <Name>Periarticular Plates</Name>
            <Description>Periarticular 4.0mm Cancellous Screws - Stainless Steel</Description>
            <Size>Part thread - 30-60 mm, Full thread 30-110 mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI152</BillingCode>
            <Name>Periarticular Plates</Name>
            <Description>3.5mm screws</Description>
            <Size>lengths up to 130mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI202</BillingCode>
            <Name>Zimmer ECT Screws</Name>
            <Description>3.5mm Cortical Screws</Description>
            <Size>10 - 130 mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI203</BillingCode>
            <Name>Zimmer ECT Screws</Name>
            <Description>4.0mm Cancellous Screws</Description>
            <Size>10 - 60 mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI892</BillingCode>
            <Name>NCB System</Name>
            <Description>NCB Screws</Description>
            <Size>4mm x 14-90mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>100337</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI940</BillingCode>
            <Name>Screws - Standard</Name>
            <Description>Standard Screws</Description>
            <Size>10 - 70mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>140687</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZZ070</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>EF007</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Bone Screw</Name>
            <Description>Cortical Bone Screw</Description>
            <Size>2.71mm – 4.49mm</Size>
            <SupplierCode>ZZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3370</SubGroupID>
            <ARTGs>
                <ARTG>239817</ARTG>
            </ARTGs>
            <MinimumBenefit>80</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER398</BillingCode>
            <Name>Paragon 28 Monster Screw System-Screw, mini (2.01 – 2.7 mm), breakoff</Name>
            <Description>Paragon 28 Monster Bite screw, mini, snap-off, 1/2 threaded, Titanium</Description>
            <Size>dia 2.7mm x length (8-24 mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>289308</ARTG>
            </ARTGs>
            <MinimumBenefit>295</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW453</BillingCode>
            <Name>Fixos Screws</Name>
            <Description>Bone Fixation Screws, Double Threaded</Description>
            <Size>2.2mm diameter, 11 to 16mm (each 1mm)</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>149535</ARTG>
            </ARTGs>
            <MinimumBenefit>295</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW698</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR035</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Charlotte Foot &amp; Ankle System</Name>
            <Description>Snap-off screws, titanium alloy</Description>
            <Size>2.0 dia 11, 12, 14mm. 2.7 dia 13, 15, 17mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
                <ARTG>198485</ARTG>
            </ARTGs>
            <MinimumBenefit>295</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW830</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR284</PriorBillingCode>
            </PriorBillingCodes>
            <Name>EOS Footset - Entos</Name>
            <Description>Footscrew</Description>
            <Size>11-14mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>214803</ARTG>
            </ARTGs>
            <MinimumBenefit>295</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW922</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR402</PriorBillingCode>
            </PriorBillingCodes>
            <Name>NexFix Snap-Off Screw</Name>
            <Description>The NexFix Snap-Off Screw System is a self-drilling and self-tapping screw system for fixation of fractures, fusions and osteotomies. The design allows the holding device to break off once the screw head is in contact with the distal cortex.</Description>
            <Size>2.0mm x 11mm, 2.0mm x 12mm, 2.0mm x 13mm, 2.7mm x 13mm, 2.7mm x 15mm, 2.7mm x 17 mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>148960</ARTG>
            </ARTGs>
            <MinimumBenefit>295</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG105</BillingCode>
            <Name>Hallu Break-off screw</Name>
            <Description>Titanium with break-off barrel</Description>
            <Size>Diameter 2.7mm, Length 11-14mm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>173963</ARTG>
            </ARTGs>
            <MinimumBenefit>295</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM352</BillingCode>
            <Name>Snap Off Screws</Name>
            <Description>Snap Off Screws</Description>
            <Size>2.01 to 2.7mm diameter</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>266217</ARTG>
            </ARTGs>
            <MinimumBenefit>295</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB049</BillingCode>
            <Name>Break-Off Screws</Name>
            <Description>A self-breaking, self-drilling screw used for the fixation of small bone osteotomies and fractures</Description>
            <Size>Diameter 2.0mm, Length 10-20mm&#xD;
Diameter 2.7mm, Length 10-20mm</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>223188</ARTG>
            </ARTGs>
            <MinimumBenefit>295</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PF007</BillingCode>
            <Name>Forefoot Snap off Screws</Name>
            <Description>Titanium Alloy Screws with Snap-off Grip</Description>
            <Size>Weil self tapping L9 - L15</Size>
            <SupplierCode>PF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>141164</ARTG>
            </ARTGs>
            <MinimumBenefit>295</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SF117</BillingCode>
            <Name>Speyside TWIST-OFF SCREW</Name>
            <Description>11 mm TWIST-OFF SCREW2.5MM Cancellous thread&#xD;
12 mm TWIST-OFF SCREW2.5MM Cancellous thread&#xD;
13 mm TWIST-OFF SCREW2.5MM Cancellous thread&#xD;
14 mm TWIST-OFF SCREW2.5MM Cancellous thread&#xD;
15 mm TWIST-OFF SCREW2.5MM Cancellous thread&#xD;
17 mm TWIST-OFF SCREW2.5MM Cancellous thread&#xD;
TWIST-OFF SCREWS10mm (1.5mm Shank)&#xD;
TWIST-OFF SCREWS11mm (1.5mm Shank)&#xD;
TWIST-OFF SCREWS12mm (1.5mm Shank)&#xD;
TWIST-OFF SCREWS13mm (1.5mm Shank)&#xD;
TWIST-OFF SCREWS14mm (1.5mm Shank)&#xD;
TWIST-OFF SCREWS15mm (1.5mm Shank)&#xD;
TWIST-OFF SCREWS16mm (1.5mm Shank)&#xD;
TWIST-OFF SCREWS17mm (1.5mm Shank)&#xD;
TWIST-OFF SCREWS18mm (1.5mm Shank)&#xD;
TWIST-OFF SCREWS10, 11, 12, 13, 14, 15, 16, 17, 18mm</Description>
            <Size>10-18mm (1.5mm shank) 10-18mm, 11-17mm (cancellous thread)</Size>
            <SupplierCode>SF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>184460</ARTG>
            </ARTGs>
            <MinimumBenefit>295</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL224</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG133</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Snap-Off screws</Name>
            <Description>Titanium break-off barrel screws for Hallu-Fix</Description>
            <Size>Diameter 2.7mm; length 10-34mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>173932</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG133</ChangeExplanation>
            <MinimumBenefit>295</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN039</BillingCode>
            <Name>Newclip Snap-off Screws</Name>
            <Description>Snap-off screws</Description>
            <Size>2.01 – 2.7 mm</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>260233</ARTG>
                <ARTG>260234</ARTG>
            </ARTGs>
            <MinimumBenefit>295</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI921</BillingCode>
            <Name>Twistoff Screws</Name>
            <Description>Twistoff Screws</Description>
            <Size>2.7mm x 8mm-24mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>210296</ARTG>
            </ARTGs>
            <MinimumBenefit>295</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW457</BillingCode>
            <Name>Fixos Screws</Name>
            <Description>Bone Fixation Screws</Description>
            <Size>2mm diam. X11mm lenth to 2mm x 16mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>Breakoff, CN</Suffix>
            <ARTGs>
                <ARTG>149535</ARTG>
            </ARTGs>
            <MinimumBenefit>417</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BP027</BillingCode>
            <Name>Tyber Medical Trauma headed screw</Name>
            <Description>Headed trauma screw for compression and fixation of bone  Sterile or Non sterile, Titanium or stainless steel</Description>
            <Size>2.5mm</Size>
            <SupplierCode>BP</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>324189</ARTG>
                <ARTG>324190</ARTG>
            </ARTGs>
            <MinimumBenefit>204</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ044</BillingCode>
            <Name>Valens Hand - Screws</Name>
            <Description>Cannulated Screws</Description>
            <Size>2.7mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>204</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO115</BillingCode>
            <Name>APTUS headedCCS</Name>
            <Description>Headed Cannulated screws</Description>
            <Size>&gt;2.01mm-2.7mm</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>206157</ARTG>
            </ARTGs>
            <MinimumBenefit>204</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER399</BillingCode>
            <Name>Paragon 28 Monster Screw System-Screws, mini (2.01 – 2.7 mm), cannulated</Name>
            <Description>Paragon 28 Monster Screw System-Screws, mini, cannulated, partially or fully threaded</Description>
            <Size>dia 2.5mm x length (10-100 mm) x length of thread (3-100 mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>289308</ARTG>
            </ARTGs>
            <MinimumBenefit>204</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW818</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR246</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Headed Compression Screw System</Name>
            <Description>Cannulated compression screws - titanium or stainless steel</Description>
            <Size>2.0-2.7mm x 10-50mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>204</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW831</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR285</PriorBillingCode>
            </PriorBillingCodes>
            <Name>EOS Footset-Pyxis</Name>
            <Description>Footscrew</Description>
            <Size>11-28mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>291613</ARTG>
            </ARTGs>
            <MinimumBenefit>204</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW908</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR385</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MaxTorque Cannulated Screw System - Mini Cannulated Screws</Name>
            <Description>Bone screws, Titanium, Cannulated, Short or Long Thread</Description>
            <Size>Ø2.5mm Short Thread, Length 18-30mm  Ø2.5mm Long Thread, Length 10-30mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>214671</ARTG>
            </ARTGs>
            <MinimumBenefit>204</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JK006</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>UQ005</PriorBillingCode>
            </PriorBillingCodes>
            <Name>OsteoMed Plating &amp; Fixation System</Name>
            <Description>Screws - Cannulated Lag</Description>
            <Size>Diameter 2.01 – 2.7 mm</Size>
            <SupplierCode>JK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>130509</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from UQ005</ChangeExplanation>
            <MinimumBenefit>204</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM284</BillingCode>
            <Name>Bone Screw</Name>
            <Description>Bone Screw</Description>
            <Size>2.01-2.7mm diameter</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>266217</ARTG>
            </ARTGs>
            <MinimumBenefit>204</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM392</BillingCode>
            <Name>Cannulated Screws</Name>
            <Description>Cannulated Screws</Description>
            <Size>2.01 mm – 2.70 mm diameter</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>329613</ARTG>
            </ARTGs>
            <MinimumBenefit>204</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN970</BillingCode>
            <Name>Cannulated Screw</Name>
            <Description>Stainless Steel</Description>
            <Size>2.01mm - 2.7mm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>204</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ175</BillingCode>
            <Name>Cannulated Screws</Name>
            <Description>Cannulated, Short, Medium, Full Thread</Description>
            <Size>2.5mm Diameter 8-30mm Length</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>191602</ARTG>
            </ARTGs>
            <MinimumBenefit>204</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SR095</BillingCode>
            <Name>Stryker Cannulated Screw System</Name>
            <Description>Asnis Micro Cannulated Screw</Description>
            <Size>2.01mm-2.7mm, Diameters, 8mm-40mm lengths</Size>
            <SupplierCode>SR</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>119660</ARTG>
            </ARTGs>
            <MinimumBenefit>204</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY321</BillingCode>
            <Name>AO/ASIF Screw</Name>
            <Description>Cannulated screw</Description>
            <Size>2.4mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>157068</ARTG>
            </ARTGs>
            <MinimumBenefit>204</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN049</BillingCode>
            <Name>Screws 2.01 - 2.7 CN</Name>
            <Description>Mini screws 2.01-2.7  CN</Description>
            <Size>2.01mm – 2.7mm diameter, length 14-50 mm</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>260233</ARTG>
                <ARTG>260234</ARTG>
            </ARTGs>
            <MinimumBenefit>204</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH241</BillingCode>
            <Name>Headless Compression Screws</Name>
            <Description>Headless Compression Screws</Description>
            <Size>2.5mm</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>209305</ARTG>
                <ARTG>210296</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BP028</BillingCode>
            <Name>Tyber Medical Trauma headless screw</Name>
            <Description>Headless trauma screw for compression and fixation of bone Sterile or Non sterile, Titanium or stainless steel</Description>
            <Size>2.5mm</Size>
            <SupplierCode>BP</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>324189</ARTG>
                <ARTG>324190</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BU010</BillingCode>
            <Name>Nexis osteosynthesis screws</Name>
            <Description>Bone screw titanium alloy (compressive)</Description>
            <Size>Diameter 2.3mm, Length 10-30mm</Size>
            <SupplierCode>BU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>235765</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BU018</BillingCode>
            <Name>MAGNEZIX CS 2.7</Name>
            <Description>Compression screw for bone fixation.</Description>
            <Size>Diameter 2.7mm&#xD;
Length 10 - 34mm</Size>
            <SupplierCode>BU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>283491</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ070</BillingCode>
            <Name>Austofix Cannulated Compression Screws</Name>
            <Description>2.4mm Headless Cannulated Compression Screws</Description>
            <Size>2.4mm diameter&#xD;
10-30mm length</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO057</BillingCode>
            <Name>Aptus CCS</Name>
            <Description>2.01 - 2.7 Cannulated Compression Screw</Description>
            <Size>(2.01 – 2.7 mm) diameter</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>206157</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HJ002</BillingCode>
            <Name>Surgifeet Cannulated Compression Screw</Name>
            <Description>Compression screw. Cannulated, Dual thread, self drilling/tapping, Headless</Description>
            <Size>Diameter 2.55mm. Length 10-34mm, Left or Right thread.</Size>
            <SupplierCode>HJ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>336654</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HJ005</BillingCode>
            <Name>MICRO HBS Self-Drilled High Compression Screw</Name>
            <Description>Micro headless compression screw, cannulated, dual threads, self-drilling, self- tapping, </Description>
            <Size>Distal thread Diameter 2.5mm, Length 10-30mm</Size>
            <SupplierCode>HJ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>340314</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU152</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE479</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Headless Compression Screw System</Name>
            <Description>Headless Compression Screw for bone fixation</Description>
            <Size>2.5mm Diameter x (8-34mm Length)</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>350672</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU159</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE465</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Compression FT</Name>
            <Description>Headless Compression Screw for bone fixation</Description>
            <Size>2.5mm x 8-50mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW454</BillingCode>
            <Name>Fixos Screws, Cannulated, Double Threaded, 2.5mm</Name>
            <Description>Done Fixation Screws, Cannulated Threaded, 2.5mm</Description>
            <Size>2.5mm  diameter, 10 to 30 (each 2mm)</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>149535</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW916</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR396</PriorBillingCode>
            </PriorBillingCodes>
            <Name>NexFix 2.5mm Compression Screw</Name>
            <Description>The NexFix Compression Screw is a stainless steel, cannulated, self tapping, and self drilling fixation device for osteotomies, fusions and fracture fixation of small bones</Description>
            <Size>2.5mm diameter x 10 - 34mm length in 2mm increments</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>291613</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG121</BillingCode>
            <Name>BOLD 2.5mm Compression Screw</Name>
            <Description>Cannulated, double threaded compression screw</Description>
            <Size>Diameter 2.5mm, length 10-30mm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>173963</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IT036</BillingCode>
            <Name>Integrant 2.5 mm Screw</Name>
            <Description>2.5 mm Cannulated Screw</Description>
            <Size>8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30, 32, 34, 36 mm lengths</Size>
            <SupplierCode>IT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>230954</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JK007</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>UQ006</PriorBillingCode>
            </PriorBillingCodes>
            <Name>ExtremiFix Screws</Name>
            <Description>Headless Cannulated Compression Screw</Description>
            <Size>Diameter 2.0mm, 2.4mm. Length 10mm to 52mm; Diameter 2.01mm - 2.7mm</Size>
            <SupplierCode>JK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>130509</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from UQ006</ChangeExplanation>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LC062</BillingCode>
            <Name>HVS BONE SCREW</Name>
            <Description>Self drilling, self threading double threaded cannulated screw</Description>
            <Size>Length 10-34mm</Size>
            <SupplierCode>LC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>173930</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM283</BillingCode>
            <Name>IBS Screw</Name>
            <Description>Compression Screw</Description>
            <Size>2.5mm diameter</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>266216</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM314</BillingCode>
            <Name>Headless Compression Screws</Name>
            <Description>Compression Screws</Description>
            <Size>2.5mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>279795</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM327</BillingCode>
            <Name>Osteomed Screws</Name>
            <Description>Cannulated Compression Screws</Description>
            <Size>Diameter 2.0mm, 2.4mm and 2.7mm. Length 6mm to 52mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>202319</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM348</BillingCode>
            <Name>Orthopaedic Fixation Screw</Name>
            <Description>Fixation Screw</Description>
            <Size>2.01 to 2.7mm all lengths</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>266217</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM396</BillingCode>
            <Name>Headless Compression Screw</Name>
            <Description>Headless Compression Screw</Description>
            <Size>2.01 – 2.7 mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>329613</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO356</BillingCode>
            <Name>Acutrak 2</Name>
            <Description>Headless compression screw</Description>
            <Size>2.5mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OH475</BillingCode>
            <Name>DynafitSystem</Name>
            <Description>Self-compressive screws</Description>
            <Size>2.6mm x 10-40mm</Size>
            <SupplierCode>OH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>216161</ARTG>
                <ARTG>216162</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB042</BillingCode>
            <Name>Compression Screws</Name>
            <Description>Headless Compression Screws</Description>
            <Size>2.4mm</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>223188</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SF088</BillingCode>
            <Name>Speyside HVS Bone Screw</Name>
            <Description>Self drilling, self threading double threaded cannulated screw</Description>
            <Size>Length 10-34mm</Size>
            <SupplierCode>SF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>184460</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SF122</BillingCode>
            <Name>2.5 mm Speyside B Screw</Name>
            <Description>Speyside B Screw</Description>
            <Size>2.5mm length 10 up to 2.5mm length 26mm</Size>
            <SupplierCode>SF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>184460</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK620</BillingCode>
            <Name>AutoFIX</Name>
            <Description>The SBi AutoFIX Twin Pitch Cannulated Compression Screw System implants are indicated in the treatment of fractures, nonunions, pseudarthrosis and degenerative changes, as well as corrective osteotomies geared towards a functionally stable osteosynthesis</Description>
            <Size>2.0mm and 2.5mm Cannulated Compression Screw</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>252452</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY646</BillingCode>
            <Name>AO/ASIF Screws</Name>
            <Description>HCS Countersinkable Compression Screw</Description>
            <Size>2.01mm-2.7mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>157068</ARTG>
                <ARTG>297881</ARTG>
            </ARTGs>
            <ChangeExplanation>Changed Condition</ChangeExplanation>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Update</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN018</BillingCode>
            <Name>Newclip Compression Screws</Name>
            <Description>Self-Compressive Cannulated Screws</Description>
            <Size>2.01mm - 2.7mm diameter, length 10 - 38mm</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>260233</ARTG>
                <ARTG>260234</ARTG>
            </ARTGs>
            <MinimumBenefit>370</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER400</BillingCode>
            <Name>Paragon 28 Monster Screw System-Screws, mini (2.01 – 2.7 mm), cannulated, dual thread, locking</Name>
            <Description>Paragon 28 Monster Screw System-screws, mini, cannulated, dual thread, locking, headless, partially threaded, Titanium</Description>
            <Size>dia 2.5 mm x length (8-100 mm) x length of thread (3-32 mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT,LK</Suffix>
            <ARTGs>
                <ARTG>289308</ARTG>
            </ARTGs>
            <MinimumBenefit>431</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER547</BillingCode>
            <Name>Osteomed ExtremiLock Screw, Mini (2.01 – 2.7 mm), variable angle locking, cannulated, dual thread</Name>
            <Description>variable angle locking screw, cannulated, dual thread</Description>
            <Size>dia 2.4 mm x lenght (12-40 mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT,LK</Suffix>
            <ARTGs>
                <ARTG>337240</ARTG>
            </ARTGs>
            <MinimumBenefit>431</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM132</BillingCode>
            <Name>TriMed Compression Screws</Name>
            <Description>Compression Screws</Description>
            <Size>2.0mm – 2.5mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT,LK</Suffix>
            <ARTGs>
                <ARTG>229704</ARTG>
            </ARTGs>
            <MinimumBenefit>431</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM312</BillingCode>
            <Name>Skeletal Dynamics Peg High Compression Locking</Name>
            <Description>High Compression Locking Peg</Description>
            <Size>2.7mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,DT,LK</Suffix>
            <ARTGs>
                <ARTG>278692</ARTG>
            </ARTGs>
            <MinimumBenefit>431</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO437</BillingCode>
            <Name>Acu-Loc Distal Radius Plating System</Name>
            <Description>Frag-Loc Cannulated Compression Screw with Compression Sleeve</Description>
            <Size>Standard 16mm to 24mm,Long 20mm to 28mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,LK</Suffix>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>265</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN068</BillingCode>
            <Name>Cannulated Locking Screws</Name>
            <Description>Cannulated Locking Screws</Description>
            <Size>2.01 – 2.7 mm diameter</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>CN,LK</Suffix>
            <ARTGs>
                <ARTG>260233</ARTG>
                <ARTG>260234</ARTG>
            </ARTGs>
            <MinimumBenefit>265</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO373</BillingCode>
            <Name>Acutrak fusion Screws</Name>
            <Description>Fusion Screws Titanium</Description>
            <Size>2.01mm - 2.7mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>DT</Suffix>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>247</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OH476</BillingCode>
            <Name>DynafitSystem</Name>
            <Description>Compressive Screws</Description>
            <Size>2.4/2.6mm - 10x40mm</Size>
            <SupplierCode>OH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>DT</Suffix>
            <ARTGs>
                <ARTG>216161</ARTG>
                <ARTG>216162</ARTG>
            </ARTGs>
            <MinimumBenefit>247</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI178</BillingCode>
            <Name>Zimmer Herbert Bone Screw</Name>
            <Description>Double Threaded Compression Bone Screw</Description>
            <Size>Scaphoid - 12 - 30mm length</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>DT</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>247</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI179</BillingCode>
            <Name>Zimmer Herbert/Whipple Bone Screw</Name>
            <Description>Cannulated Double Threaded Compression Bone Screw</Description>
            <Size>12 mm - 30 mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>DT</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>247</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO073</BillingCode>
            <Name>APTUS Screws</Name>
            <Description>Aptus Locking Screws</Description>
            <Size>2.5mm Diameter</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>DT,LK</Suffix>
            <ARTGs>
                <ARTG>141171</ARTG>
            </ARTGs>
            <MinimumBenefit>308</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KT080</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OH515</PriorBillingCode>
            </PriorBillingCodes>
            <Name>KLS Martin Hand fracture system - multidirectional screw</Name>
            <Description>Multidirectional screw</Description>
            <Size>2.3mm</Size>
            <SupplierCode>KT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>DT,LK</Suffix>
            <ARTGs>
                <ARTG>276674</ARTG>
                <ARTG>276650</ARTG>
            </ARTGs>
            <MinimumBenefit>308</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BI929</BillingCode>
            <Name>RibFix/Sternalock</Name>
            <Description>Screws Ti</Description>
            <Size>2.4-2.7mm x 7-20mm</Size>
            <SupplierCode>BI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>128459</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BU029</BillingCode>
            <Name>CentroLock Screws</Name>
            <Description>CentroLock Screw System</Description>
            <Size>smaller than 2.7mm</Size>
            <SupplierCode>BU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>235767</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ010</BillingCode>
            <Name>VRP Distal Radius Fixation System</Name>
            <Description>VRP Distal Radius Fixation System, Variable Angle, Threaded, non-threaded, partially threaded locking, non-locking screw, peg, titanium</Description>
            <Size>2.5-2.7mm diameter, 10-34mm length</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>149433</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ026</BillingCode>
            <Name>VRP Distal Radius Fixation System - VRP VA locking Screw</Name>
            <Description>Variable Angle Locking Screw, Cobalt Chrome</Description>
            <Size>2.5mm, 10-30mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>149433</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ043</BillingCode>
            <Name>Mini Fragment - Screws</Name>
            <Description>Locking Screws</Description>
            <Size>2.5mm, 2.7mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ046</BillingCode>
            <Name>Valetis Screws</Name>
            <Description>Titanium Locking Screws</Description>
            <Size>2.7mm width, 6-28mm length</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>284755</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ054</BillingCode>
            <Name>Valens Shoulder and Elbow - Screws</Name>
            <Description>Self-Tapping Locking Screws</Description>
            <Size>2.4mm, 2.7mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ074</BillingCode>
            <Name>Austofix PHP - Proximal Humeral Plating System</Name>
            <Description>Locking Screws</Description>
            <Size>2.7mm diameter, 16-70mm length</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER426</BillingCode>
            <Name>Paragon 28 Gorilla Plating System-Screws, mini</Name>
            <Description>Paragon 28 Gorilla Plating System-Screws, mini, locking; recon/Tuffneck/baby</Description>
            <Size>dia (2.5-2.7 mm) x length (8-50 mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>289308</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER560</BillingCode>
            <Name>Osteomed ExtremiLock Screw, Mini (2.01 – 2.7 mm), variable angle locking</Name>
            <Description>Variable angle locking screws, fully or partially threaded</Description>
            <Size>dia (2.4-2.7 mm) x length (8-40 mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>337240</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW039</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Mini Bone Screw Systems</Description>
            <Size>Mini (2.01 – 2.7 mm)</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324381</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU145</BillingCode>
            <Name>Low Profile Locking Screws</Name>
            <Description>Locking screws for Arthrex Fracture Plate Fixation</Description>
            <Size>2.01mm to 2.7mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU298</BillingCode>
            <Name>KreuLock Locking Compression Screws, Ti</Name>
            <Description>Locking Compression Screws</Description>
            <Size>2.4mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU315</BillingCode>
            <Name>KreuLock Locking Compression Screws SS</Name>
            <Description>Locking Compression Screw</Description>
            <Size>2.7mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW795</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR081</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Ortholoc Fracture System</Name>
            <Description>Titanium, variable angle locking screws</Description>
            <Size>2.4, 2.7mm diameter, 8-100mm length</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW815</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR243</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Charlotte Claw Locking Screws</Name>
            <Description>2.7mm stainless steel locking screws for use with Claw Plate</Description>
            <Size>2.7mm, 12-36mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW901</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR377</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Mini MaxLock Extreme System - 2.4/2.7mm Locking Screws</Name>
            <Description>Bone screws, Titanium, fixed or variable angle locking</Description>
            <Size>Ø2.4/2.7mm Fixed angle locking, Length 6-40mm  Ø2.4mm Variable angle locking, Length 6-30mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>214671</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW977</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR227</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Titanium Screw</Name>
            <Description>Locking, non-locking or cannulated, for use only with Darco titanium plates, self-tapping</Description>
            <Size>8-40mm, 2.7mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JD007</BillingCode>
            <Name>CarboFix Piccolo Plate Systems – Locking Screws: Mini</Name>
            <Description>Titanium alloy screws (locking) for fixation of CarboFix plate shaft and head.</Description>
            <Size>Locking Proximal Screw 2.5mm x 14mm, 16mm, 18mm, 20mm, 22mm, 24mm, 26mm&#xD;&#xD;
Locking Screw 2.7mm x 10mm, 12mm, 14mm, 16mm, 18mm, 20mm, 22mm, 24mm</Size>
            <SupplierCode>JD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>222648</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KT088</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OH639</PriorBillingCode>
            </PriorBillingCodes>
            <Name>KLS Martin - Radial Plating Sysem</Name>
            <Description>smartDrive Locking Screw</Description>
            <Size>2.5 x 8-30mm</Size>
            <SupplierCode>KT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>276674</ARTG>
                <ARTG>276650</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KT089</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OH640</PriorBillingCode>
            </PriorBillingCodes>
            <Name>KLS Martin - Radial Plating Sysem</Name>
            <Description>smartDrive Locking Screws</Description>
            <Size>3.0 x 8-30mm</Size>
            <SupplierCode>KT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>276650</ARTG>
                <ARTG>276674</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM061</BillingCode>
            <Name>Xpode Screws</Name>
            <Description>Xpode screws</Description>
            <Size>2.4mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM112</BillingCode>
            <Name>Ascension Radial Head Plate Screws</Name>
            <Description>Ascension Radial Head Plate Locking Screws</Description>
            <Size>2.7mm x 10mm - 40mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>118625</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM185</BillingCode>
            <Name>Trimed Locking Cortical Screws</Name>
            <Description>Locking cortical screw</Description>
            <Size>2.01 to 2.7mm diameter</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM313</BillingCode>
            <Name>Volar Bearing Plate Screws</Name>
            <Description>Volar Bearing Plate Screws</Description>
            <Size>2.5mm x 10mm-30mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>278692</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM320</BillingCode>
            <Name>Screws</Name>
            <Description>Screws, Locking</Description>
            <Size>2.01 to 2.7mm diameter</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>278692</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM324</BillingCode>
            <Name>Osteomed Screws</Name>
            <Description>Bone Screws</Description>
            <Size>2- 2.7m x 6-38mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>202319</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM345</BillingCode>
            <Name>Orthopaedic Plate Fixation Screw</Name>
            <Description>Orthopaedic Plate Fixation Screw</Description>
            <Size>2.01 to 2.7 mm diameter&#xD;
all lengths</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>266216</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM353</BillingCode>
            <Name>Locking Screws</Name>
            <Description>Locking Screws</Description>
            <Size>2.7mm diameter, multiple lengths</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>266216</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM476</BillingCode>
            <Name>TriMed ASET Foot Plating System </Name>
            <Description>VA Locking Screw (Mini)</Description>
            <Size>2.01 – 2.7 mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI295</BillingCode>
            <Name>VariLoc Locking Compression Plate System</Name>
            <Description>Locking Screws</Description>
            <Size>2.4mm - 2.7mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>307502</ARTG>
                <ARTG>307501</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO320</BillingCode>
            <Name>Acumed Hexalobe Locking Screws</Name>
            <Description>Acumed Hexalobe Locking Screws</Description>
            <Size>2.7mm diameter, 8-65mm length</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO369</BillingCode>
            <Name>Acumed Tap-Loc</Name>
            <Description>Tap screws, Tap-Loc Screws</Description>
            <Size>2.7mm 36mm-60mm length</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO376</BillingCode>
            <Name>Acu-Loc Distal Radius Plate System</Name>
            <Description>Locking screws</Description>
            <Size>2.01-2.7mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO394</BillingCode>
            <Name>RibLoc rib fracture plating system screws</Name>
            <Description>RibLoc Screws</Description>
            <Size>Mini 2.01-2.7mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>158694</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO421</BillingCode>
            <Name>ACUMED Hexalobe 2.3mm Multiscrews</Name>
            <Description>ACUMED Hexalobe 2.3 Multiscrew</Description>
            <Size>2.3mm in diameter, 5mm to 20mm in length</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO435</BillingCode>
            <Name>RibLoc Dual Locking Screw</Name>
            <Description>Locking Screws</Description>
            <Size>2.7mm diameter,6mm to 14mm length</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>158694</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX028</BillingCode>
            <Name>ARMAR 2.4 Locking Distal Radial Plate System - Self Tapping Locking Screws</Name>
            <Description>TAN Self Tapping Locking Screws</Description>
            <Size>2.4-2.7mm Diameter&#xD;
6-60mm Length</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>286843</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB020</BillingCode>
            <Name>Calcaneal Locking Plate MIPO System - Locking Screw</Name>
            <Description>Locking Screws</Description>
            <Size>Mini (2.01mm-2.7mm)</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>223188</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK527</BillingCode>
            <Name>Stryker Locking Plate System</Name>
            <Description>Locking Screws</Description>
            <Size>2.01-2.7mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>269713</ARTG>
                <ARTG>295226</ARTG>
                <ARTG>340043</ARTG>
                <ARTG>340044</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL030</BillingCode>
            <Name>D-RAD SMART PACK</Name>
            <Description>VAL Locking screws 2.01mm - 2.7mm</Description>
            <Size>2.01mm - 2.7mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL042</BillingCode>
            <Name>VLP EVOS</Name>
            <Description>VAL Locking Screws</Description>
            <Size>Mini Screws (2.01 – 2.7 mm)</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL221</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG126</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Surfix Locking Screws</Name>
            <Description>Locking screws with an independent lock-screw head</Description>
            <Size>2.7mm, 10 - 24mm length</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>173963</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG126</ChangeExplanation>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN968</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Locking screws</Description>
            <Size>2.01mm - 2.7mm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN969</BillingCode>
            <Name>Peri-Loc VLP</Name>
            <Description>VAL Locking Screws 2.01mm - 2.7mm</Description>
            <Size>2.01mm - 2.7mm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ147</BillingCode>
            <Name>Bone Screws</Name>
            <Description>Cortical, Locking, Self-tapping, Standard, T10,</Description>
            <Size>2.7mm Diameter&#xD;
5-60mm Length</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>191602</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ179</BillingCode>
            <Name>PediFoot Deformity Correction System</Name>
            <Description>2.7mm Variable Angle Locking Screws</Description>
            <Size>6-60mm length</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>191602</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY651</BillingCode>
            <Name>AO/ASIF Cortex Screws</Name>
            <Description>Locking Head Screws</Description>
            <Size>2.4mm-2.7mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157068</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN041</BillingCode>
            <Name>Newclip Locking Bone Screws</Name>
            <Description>Locking Bone Screw</Description>
            <Size>2.01 - 2.7mm diameter, lengths 8 - 34mm</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>260233</ARTG>
                <ARTG>260234</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA007</BillingCode>
            <Name>ALPS Plating System, DVR Plating System &amp; F3 Plating System</Name>
            <Description>Locking titanium and multidirectional bone screws</Description>
            <Size>2.2-2.7mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>209305</ARTG>
                <ARTG>210296</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA105</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MZ017</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Tritium SCP (Sternao Cable Plate), Standard Screw</Name>
            <Description>Cannullous Locking Screw for use with Pioneer Tritium SCP (Sternal Cable Plate), 2.7mm</Description>
            <Size>"Diamter: 2.7mm  Lengths: 8mm, 10mm, 12mm, 14mm, 16mm, 18mm, 20mm"</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>193369</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI201</BillingCode>
            <Name>Zimmer Cortical Screws</Name>
            <Description>Cortical Screws</Description>
            <Size>6 - 50mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZZ077</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>EF026</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Arix Locking Screw</Name>
            <Description>Locking Screw</Description>
            <Size>2.01 – 2.7 mm</Size>
            <SupplierCode>ZZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>239817</ARTG>
            </ARTGs>
            <MinimumBenefit>143</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AE149</BillingCode>
            <Name>ASDM Clavicle Plating System - Screws</Name>
            <Description>Fixation Device, Internal, Non-locking, Stainless Steel, Cortical Screw Size: 2.7mm</Description>
            <Size>2.7mm Low-profile cortex screws, 10-30mm (2mm increments)</Size>
            <SupplierCode>AE</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>134456</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BI768</BillingCode>
            <Name>Mandibular Fracture System</Name>
            <Description>Screw, IMF 2./2.4 Mandibular Fracture, Titanium</Description>
            <Size>2.0 x(5 - 13)mm</Size>
            <SupplierCode>BI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>128459</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO076</BillingCode>
            <Name>APTUS Screws</Name>
            <Description>Cortical Screws</Description>
            <Size>2.3mm - 2.5mm Diameter</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>141171</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER397</BillingCode>
            <Name>Paragon 28 Monster Screw System-Screws, mini (2.01 – 2.7 mm)</Name>
            <Description>Paragon 28 Monster Screw System-Screws, mini, headed, with or without a blunt tip, recon/Tuffneck, Titanium</Description>
            <Size>dia (2.5-2.7 mm) x length (10-100 mm) x length of thread (3-100 mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>289308</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER559</BillingCode>
            <Name>Osteomed ExtremiLock Screw, Mini (2.01 – 2.7 mm), standard </Name>
            <Description>Cortex screw</Description>
            <Size>dia (2.4-2.7 mm) x lenth (8-40 mm) </Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>337240</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW008</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Mini Bone Screw Systems</Description>
            <Size>Mini (2.01 – 2.7 mm)</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>324381</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU146</BillingCode>
            <Name>Cortical Screw</Name>
            <Description>Screw for Bone fixation</Description>
            <Size>2.01-2.7mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU147</BillingCode>
            <Name>Cortex Screw</Name>
            <Description>Cortical Screw</Description>
            <Size>2.4mm x (08-34mm)</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW822</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR255</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Evolve EPS System Non-Locking</Name>
            <Description>Stainless Steel Cortical Screws</Description>
            <Size>2.5 - 2.7mm Diameter, 10-50mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW903</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR380</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MaxLock Extreme System - 2.4/2.7mm Non locking screws</Name>
            <Description>Bone screws, Titanium, Non locking</Description>
            <Size>Ø 2.4/2.7mm, length 6-40mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>214671</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG065</BillingCode>
            <Name> Integra Total Wrist Fusion System - Cortical Screw</Name>
            <Description>Cortical screw for use with the integra Total Wrist Fusion Plates</Description>
            <Size>2.7mm diameter: 10-32mm length</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>176758</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IG129</BillingCode>
            <Name>Spider Limited Wrist Fusion System - 2.4mm bone screws</Name>
            <Description>Stainless steel screws for Spider plate</Description>
            <Size>Diameter 2.4mm, length 8-14mm</Size>
            <SupplierCode>IG</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>177622</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JD002</BillingCode>
            <Name>CarboFix Piccolo Plate Systems – Non-Locking Screws: Mini</Name>
            <Description>Titanium alloy screws (non-locking) for fixation of CarboFix plate shaft and head.</Description>
            <Size>Non-Locking Proximal Screw 2.5mm x 14mm, 16mm, 18mm, 20mm, 22mm, 24mm, 26mm&#xD;&#xD;
Non-Locking Screw 2.7mm x 12mm, 14mm, 16mm, 18mm, 20mm, 22mm, 24mm</Size>
            <SupplierCode>JD</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>222648</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KT082</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OH518</PriorBillingCode>
            </PriorBillingCodes>
            <Name>KLS Martin Hand fracture system - standard screw</Name>
            <Description>Standard screw</Description>
            <Size>2.3mm</Size>
            <SupplierCode>KT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>276650</ARTG>
                <ARTG>276674</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KT090</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OH641</PriorBillingCode>
            </PriorBillingCodes>
            <Name>KLS Martin - Radial Plating System</Name>
            <Description>smartDrive Screw</Description>
            <Size>2.5 x 8-30mm</Size>
            <SupplierCode>KT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>276674</ARTG>
                <ARTG>276650</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM111</BillingCode>
            <Name>Ascension Radial Head Plate Screws</Name>
            <Description>Ascension radial Head Plate Non-Locking Screws</Description>
            <Size>2.7mm x 10-26mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>118625</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM144</BillingCode>
            <Name>TriMed Bone Screw</Name>
            <Description>Non-Locking Cortical Bone Screws</Description>
            <Size>2.3mm x 7mm - 32mm&#xD;
2.7mm x 8mm - 28mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM319</BillingCode>
            <Name>Screws</Name>
            <Description>Non Locking</Description>
            <Size>2.01 - 2.7mm diameter&#xD;
all lengths</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>278692</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM325</BillingCode>
            <Name>Osteomed Screws</Name>
            <Description>Bone Screw standard and threaded/lag.</Description>
            <Size>2.01-2.7mm x 4-50mm.</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>202319</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM344</BillingCode>
            <Name>Orthopaedic Plate Fixation Screw</Name>
            <Description>Orthopaedic Plate Fixation Screw</Description>
            <Size>2.01 to 2.7mm diameter&#xD;
All lengths</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>266216</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM354</BillingCode>
            <Name>Non-Locking Screws</Name>
            <Description>Non-Locking Screws</Description>
            <Size>2.7mm diameter, multiple lengths</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>266216</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM474</BillingCode>
            <Name>TriMed ASET Foot Plating System </Name>
            <Description>Cortical Bone Screws (mini)</Description>
            <Size>2.01 to 2.7mm diameter</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI294</BillingCode>
            <Name>VariLoc Locking Compression Plate System</Name>
            <Description>Cortex Screw</Description>
            <Size>2.4mm - 2.7mm</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>307502</ARTG>
                <ARTG>307501</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO323</BillingCode>
            <Name>Acumed Hexalobe Non Locking Screws</Name>
            <Description>Acumed Hexalobe Non Locking Screws</Description>
            <Size>2.7mm diameter,8-65mm length</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO375</BillingCode>
            <Name>Acu-Loc Distal Radius Plate System</Name>
            <Description>Threaded, non-threaded,locking, non-locking screw peg, titanium</Description>
            <Size>2.3 mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO423</BillingCode>
            <Name>ACUMED Hexalobe 2.3mm Lag screw</Name>
            <Description>ACUMED Hexalobe 2.3mm Lag screw</Description>
            <Size>2.3mm in diameter, 5mm to 20mm in length</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OX029</BillingCode>
            <Name>ARMAR 2.4 Locking Distal Radial Plate System - Cortex and Compression Screws</Name>
            <Description>TAN Cortex and Compression Screws</Description>
            <Size>2.4-2.7mm Diameter&#xD;
6-60mm Length</Size>
            <SupplierCode>OX</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>286843</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB033</BillingCode>
            <Name>Mini Locking System - Cortex Screw, Stardrive, Self-tapping</Name>
            <Description>Cortex Screws, Stardrive, Self-tapping</Description>
            <Size>6.-30mm</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>223188</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK103</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Cortical bone screws</Description>
            <Size>2.01-2.7mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>269713</ARTG>
                <ARTG>295226</ARTG>
                <ARTG>340043</ARTG>
                <ARTG>340044</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK599</BillingCode>
            <Name>Carpal Screw</Name>
            <Description>Titanium</Description>
            <Size>2.5mm diameter in sizes 12mm - 20mm length</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>167057</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK618</BillingCode>
            <Name>Percufix</Name>
            <Description>Titanium</Description>
            <Size>Diameter: 2-2.5mm, Length 22-40mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>252452</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL028</BillingCode>
            <Name>D-RAD SMART PACK</Name>
            <Description>Cortical screws</Description>
            <Size>2.01 mm - 2.7 mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL045</BillingCode>
            <Name>VLP EVOS</Name>
            <Description>VAL Cortical Screws</Description>
            <Size>Mini Screws (2.01 – 2.7 mm)</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN082</BillingCode>
            <Name>TC 100 </Name>
            <Description>Cortical Screws</Description>
            <Size>2.01mm - 2.7mm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN833</BillingCode>
            <Name>Peri-Loc &amp; Peri-Loc VLP</Name>
            <Description>Cortical Screws</Description>
            <Size>2.01-2.7mm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ148</BillingCode>
            <Name>Bone Screws</Name>
            <Description>Cortical Screw, Self-tapping, Standard, T10</Description>
            <Size>2.7mm Diameter&#xD;
5-60mm Length</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>191602</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ180</BillingCode>
            <Name>PediFoot Deformity Correction System  </Name>
            <Description>2.7mm Cortical Screw</Description>
            <Size>6-60mm length</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>191602</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY352</BillingCode>
            <Name>A/ASIF Screw</Name>
            <Description>Cortex, Cancellous, Compression Screws</Description>
            <Size>2.01mm-2.7mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>157068</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN036</BillingCode>
            <Name>Newclip Bone Screws</Name>
            <Description>Non-locking Bone Screw</Description>
            <Size>2.01-2.7mm diameter, lengths 8 - 34mm</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>260233</ARTG>
                <ARTG>260234</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA006</BillingCode>
            <Name>ALPS Plating System, DVR Plating System &amp; F3 Plating System</Name>
            <Description>Non-locking bone screw</Description>
            <Size>2.01-2.7mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>209305</ARTG>
                <ARTG>210296</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZZ078</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>EF029</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Bone Screw</Name>
            <Description>Cortical Bone Screw</Description>
            <Size>2.01mm – 2.7mm</Size>
            <SupplierCode>ZZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3371</SubGroupID>
            <ARTGs>
                <ARTG>239817</ARTG>
            </ARTGs>
            <MinimumBenefit>81</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH193</BillingCode>
            <Name>Twistoff Screw</Name>
            <Description>TwistOff Screw Titanium</Description>
            <Size>8-15mm Long</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>210290</ARTG>
            </ARTGs>
            <MinimumBenefit>273</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BU001</BillingCode>
            <Name>Nexis osteosynthesis screws</Name>
            <Description>Bone screw titanium alloy snap off</Description>
            <Size>Diameter 2mm, Length 11-16mm</Size>
            <SupplierCode>BU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>235767</ARTG>
            </ARTGs>
            <MinimumBenefit>273</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER402</BillingCode>
            <Name>Paragon 28 Monster Screw System-Screws, micro (≤ 2.0mm), breakoff</Name>
            <Description>Paragon 28 Monster Bite Screws, micro (≤ 2.0mm), snap-off, 1/2 or 3/4 threaded</Description>
            <Size>dia 2.0 mm x length (8-24 mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>289308</ARTG>
            </ARTGs>
            <MinimumBenefit>273</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HJ001</BillingCode>
            <Name>Surgifeet Weil Screw</Name>
            <Description>Snap off screw , self drilling, self tapping.</Description>
            <Size>Diameter 2mm  Length 11-15mm</Size>
            <SupplierCode>HJ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>336654</ARTG>
            </ARTGs>
            <MinimumBenefit>273</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HJ004</BillingCode>
            <Name>Snap-off Type II Screw</Name>
            <Description>Snap-off screw, self-drilling, self-tapping, conical thread</Description>
            <Size>Diameter 2mm. Length 10-17mm</Size>
            <SupplierCode>HJ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>340314</ARTG>
            </ARTGs>
            <MinimumBenefit>273</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU207</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE364</PriorBillingCode>
            </PriorBillingCodes>
            <Name>QuickFix Screw Micro</Name>
            <Description>Titanium Snap-off Small Bone Screw</Description>
            <Size>2.0mm Diameter x 10-14mm lengths</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>350871</ARTG>
                <ARTG>351000</ARTG>
            </ARTGs>
            <MinimumBenefit>273</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW806</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR229</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Twist-off Screw</Name>
            <Description>Unique feature of two thread diameters to suit variable bone quality, specifically designed for Weil-osteotomy, titanium, self drilling and self tapping, twist-off connector.</Description>
            <Size>2.0mm diameter x 11-15mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>291613</ARTG>
            </ARTGs>
            <MinimumBenefit>273</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IT013</BillingCode>
            <Name>Hawk 2.0mm Twist off Screw</Name>
            <Description>2.0mm Twist off Screw</Description>
            <Size>2.0mm in diameter with lengths of 11mm to 20mm</Size>
            <SupplierCode>IT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>230954</ARTG>
            </ARTGs>
            <MinimumBenefit>273</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN262</BillingCode>
            <Name>AO/ASIF Screws</Name>
            <Description>Quick Insertion Screws, Twist-Off</Description>
            <Size>2.0mm x 11-18mm lengths</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>157068</ARTG>
                <ARTG>297881</ARTG>
            </ARTGs>
            <MinimumBenefit>273</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SF091</BillingCode>
            <Name>Speyside Self Breaking Screw - Micro</Name>
            <Description>Speyside Self Breaking Screw - Micro</Description>
            <Size>Dia 2.0 mm x Length 7-24 mm</Size>
            <SupplierCode>SF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>184460</ARTG>
            </ARTGs>
            <MinimumBenefit>273</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL226</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG135</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Spin screw: Snap-off screws</Name>
            <Description>Titanium break-off barrel screws</Description>
            <Size>Diameter 2.0 mm, Length 11 -14mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>173963</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG135</ChangeExplanation>
            <MinimumBenefit>273</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SM172</BillingCode>
            <Name>Smith and Nephew QFX Screw</Name>
            <Description>2.0mm Twist-Off Screw</Description>
            <Size>2.0mm Twist-Off Screw 8mm, 2.0mm Twist-Off Screw 10mm, 2.0mm Twist-Off Screw 12mm, 2.0mm Twist-Off Screw 14mm, 2.0mm Twist-Off Screw 16mm, 2.0mm Twist-Off Screw 18mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>Breakoff</Suffix>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>273</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO090</BillingCode>
            <Name>APTUS SpeedTip C-Snap System</Name>
            <Description>APTUS SpeedTip C-Snap Screws</Description>
            <Size>2.0mm diameter</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>Breakoff, DT</Suffix>
            <ARTGs>
                <ARTG>206157</ARTG>
            </ARTGs>
            <MinimumBenefit>438</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO367</BillingCode>
            <Name>Acumed Fixation Screw</Name>
            <Description>Acutrak Compression Screw Titanium</Description>
            <Size>≤2mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>Breakoff, DT</Suffix>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>438</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OH545</BillingCode>
            <Name>Dynafit System</Name>
            <Description>Snap Off, Compressive Screws</Description>
            <Size>2.0mm x 10-14mm</Size>
            <SupplierCode>OH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>Breakoff, DT</Suffix>
            <ARTGs>
                <ARTG>216161</ARTG>
                <ARTG>216162</ARTG>
            </ARTGs>
            <MinimumBenefit>438</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BP036</BillingCode>
            <Name>Tyber Medical Trauma headed screw</Name>
            <Description>Trauma headed screw for compression and fixation of bone Sterile or Non sterile, Titanium or stainless steel</Description>
            <Size>2.00MM</Size>
            <SupplierCode>BP</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>324189</ARTG>
                <ARTG>324190</ARTG>
            </ARTGs>
            <MinimumBenefit>180</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO113</BillingCode>
            <Name>APTUS CCS</Name>
            <Description>Cannulated Screws</Description>
            <Size>Diameter ≤ 2.0mm  Length 6.0mm to 20.0mm</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>206157</ARTG>
            </ARTGs>
            <MinimumBenefit>180</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER403</BillingCode>
            <Name>Paragon 28 Monster Screw System-Screws, micro (≤ 2.0mm), cannulated</Name>
            <Description>Paragon 28 Monster Screw System-screws, micro, cannulated, headed</Description>
            <Size>dia 2.0 mm x length (8-100mm) x length of thread (3-100 mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>289308</ARTG>
            </ARTGs>
            <MinimumBenefit>180</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM281</BillingCode>
            <Name>PANTERA Proximal Humerus Fracture Fixation Plate System - Cross Element Screw</Name>
            <Description>Cross Element Screw</Description>
            <Size>1.9 mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>182168</ARTG>
            </ARTGs>
            <MinimumBenefit>180</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM398</BillingCode>
            <Name>Cannulated Screws</Name>
            <Description>Cannulated Screws</Description>
            <Size>2.0mm diameter and smaller</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>CN</Suffix>
            <ARTGs>
                <ARTG>329613</ARTG>
            </ARTGs>
            <MinimumBenefit>180</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BP035</BillingCode>
            <Name>Tyber Medical Trauma Headless screw</Name>
            <Description>Headless trauma screw for compression and fixation of bone Sterile or Non sterile, Titanium or stainless steel</Description>
            <Size>2.0mm</Size>
            <SupplierCode>BP</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>324189</ARTG>
                <ARTG>324190</ARTG>
            </ARTGs>
            <MinimumBenefit>346</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BU017</BillingCode>
            <Name>MAGNEZIX CS 2.0</Name>
            <Description>Absorbable compression screw.</Description>
            <Size>Diameter 2.0mm</Size>
            <SupplierCode>BU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>283491</ARTG>
            </ARTGs>
            <MinimumBenefit>346</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ069</BillingCode>
            <Name>Austofix Cannulated Compression Screws</Name>
            <Description>1.7mm Cannulated Headless Compression Screws</Description>
            <Size>1.7mm diameter&#xD;
6mm to 14mm length</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>346</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KT074</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OH481</PriorBillingCode>
            </PriorBillingCodes>
            <Name>HBS 2 mini</Name>
            <Description>Self-compressive screws</Description>
            <Size>Diam: 1.7 - 2.0mm  Length: 10 - 40mm</Size>
            <SupplierCode>KT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>276650</ARTG>
                <ARTG>276674</ARTG>
            </ARTGs>
            <MinimumBenefit>346</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM258</BillingCode>
            <Name>Bone Screws - cannulated</Name>
            <Description>Screws - cannulated</Description>
            <Size>2.0mm x 6.0-36.0mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>202320</ARTG>
            </ARTGs>
            <MinimumBenefit>346</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM282</BillingCode>
            <Name>IBS Screw</Name>
            <Description>Compression Screw</Description>
            <Size>2mm diameter</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>266217</ARTG>
            </ARTGs>
            <MinimumBenefit>346</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM371</BillingCode>
            <Name>Orthopaedic Fixation Screw</Name>
            <Description>Fixation Screw</Description>
            <Size>2.0mm or less diameter</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>266217</ARTG>
            </ARTGs>
            <MinimumBenefit>346</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM393</BillingCode>
            <Name>Headless Compression Screws</Name>
            <Description>Headless Compression Screws</Description>
            <Size>2.0mm or smaller diameter</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>329613</ARTG>
            </ARTGs>
            <MinimumBenefit>346</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB035</BillingCode>
            <Name>Mini Locking System - Headless Compression Screw</Name>
            <Description>Compression Screws</Description>
            <Size>1.5mm &amp; 2mm</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>223188</ARTG>
            </ARTGs>
            <MinimumBenefit>346</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY647</BillingCode>
            <Name>AO/ASIF Screws</Name>
            <Description>HCS Countersinkable Compression Screw</Description>
            <Size>≤ 2.0mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>297881</ARTG>
            </ARTGs>
            <MinimumBenefit>346</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN015</BillingCode>
            <Name>Foot Motion - weil screws</Name>
            <Description>Weil screw is a titanium self tapping, self-cutting screw</Description>
            <Size>2.0mm diameter, length 8mm - 15mm</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>CN,DT</Suffix>
            <ARTGs>
                <ARTG>260233</ARTG>
                <ARTG>260234</ARTG>
            </ARTGs>
            <MinimumBenefit>346</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER404</BillingCode>
            <Name>Paragon 28 Monster Screw System-Screws, micro (≤ 2.0mm), cannulated, dual thread, locking</Name>
            <Description>Paragon 28 Monster micro screws, cannulated, dual thread, locking, headless, partially threaded</Description>
            <Size>dia 2.0 mm x length (8-100 mm) x length of thread (3mm-32 mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>CN,DT,LK</Suffix>
            <ARTGs>
                <ARTG>289308</ARTG>
            </ARTGs>
            <MinimumBenefit>407</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM131</BillingCode>
            <Name>TriMed Compression Screws</Name>
            <Description>Compression screws</Description>
            <Size>1.7mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>CN,DT,LK</Suffix>
            <ARTGs>
                <ARTG>229704</ARTG>
            </ARTGs>
            <MinimumBenefit>407</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO091</BillingCode>
            <Name>APTUS SpeedTip C System</Name>
            <Description>APTUS SpeedTip C Screws</Description>
            <Size>2.0mm diameter</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>DT</Suffix>
            <ARTGs>
                <ARTG>206157</ARTG>
            </ARTGs>
            <MinimumBenefit>224</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW919</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR399</PriorBillingCode>
            </PriorBillingCodes>
            <Name>NexFix Compression Pin</Name>
            <Description>The NexFix Compression Pin is a tapered stainless steel compression pin for use in maintaining alignment and providing interfragmentary compression of small bones in osteotomies, fusions and fractures until a stable bony union occurs. It is self drilling </Description>
            <Size>2.0mm x 10mm, 2.0mm x 12mm, 2.0mm x 14mm, 2.0mm x 16mm, 2.7mm x 20mm, 2.7mm x 24mm, 3.5mm x 25mm, 3.5mm x 30mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>DT</Suffix>
            <ARTGs>
                <ARTG>132072</ARTG>
            </ARTGs>
            <MinimumBenefit>224</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OH544</BillingCode>
            <Name>Dynafit System</Name>
            <Description>Compressive Screw</Description>
            <Size>2.0mm x 10-14mm</Size>
            <SupplierCode>OH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>DT</Suffix>
            <ARTGs>
                <ARTG>216161</ARTG>
                <ARTG>216162</ARTG>
            </ARTGs>
            <MinimumBenefit>224</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO072</BillingCode>
            <Name>APTUS Screws</Name>
            <Description>Aptus Locking Screws</Description>
            <Size>1.5mm - 2.0mm Diameter</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>DT,LK</Suffix>
            <ARTGs>
                <ARTG>141171</ARTG>
            </ARTGs>
            <MinimumBenefit>285</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KT079</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OH514</PriorBillingCode>
            </PriorBillingCodes>
            <Name>KLS Martin Hand fracture system - multidirectional locking screw</Name>
            <Description>Multidirectional locking screw</Description>
            <Size>1.2 – 2.0mm</Size>
            <SupplierCode>KT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>DT,LK</Suffix>
            <ARTGs>
                <ARTG>276650</ARTG>
                <ARTG>276674</ARTG>
            </ARTGs>
            <MinimumBenefit>285</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH300</BillingCode>
            <Name>ALPS Hand Fracture System</Name>
            <Description>Locking Bone Screws</Description>
            <Size>1.0 - 2.0mm</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>153087</ARTG>
            </ARTGs>
            <MinimumBenefit>119</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ042</BillingCode>
            <Name>Valens Hand - Screws</Name>
            <Description>Locking Screws</Description>
            <Size>1.5mm, 2.0mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>119</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ053</BillingCode>
            <Name>Valens Shoulder and Elbow - Screws</Name>
            <Description>Self-Tapping Locking Screws</Description>
            <Size>2.0mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>119</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ066</BillingCode>
            <Name>VRP Distal Radius Fixation System</Name>
            <Description>VRP Distal Radius Fixation System, Locking Peg</Description>
            <Size>2.0mm width, 14-30mm length</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>149433</ARTG>
            </ARTGs>
            <MinimumBenefit>119</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER427</BillingCode>
            <Name>Paragon 26 Gorilla Plating System-Screws, micro</Name>
            <Description>Paragon 26 Gorilla Plating System-Screws, locking, baby</Description>
            <Size>dia 2.0 mm x length (8-40 mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>289308</ARTG>
            </ARTGs>
            <MinimumBenefit>119</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW011</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Micro Bone Screw Systems</Description>
            <Size>Micro (≤ 2.0mm)</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>324381</ARTG>
            </ARTGs>
            <MinimumBenefit>119</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU279</BillingCode>
            <Name>Variable Angle Locking Screw</Name>
            <Description>VAL Screw</Description>
            <Size>1.4mm - 2.0mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <MinimumBenefit>119</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW720</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR073</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Ortholoc Fracture System</Name>
            <Description>Titanium, variable angle locking screws</Description>
            <Size>2.0mm diameter, 8 - 100mm length</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>119</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM257</BillingCode>
            <Name>OsteoMed HPS</Name>
            <Description>Bone screws - angled locking</Description>
            <Size>1.6/2mm x 6-36mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>202230</ARTG>
            </ARTGs>
            <MinimumBenefit>119</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM478</BillingCode>
            <Name>Locking Screws</Name>
            <Description>Locking Screws</Description>
            <Size>≤ 2.0mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>337193</ARTG>
            </ARTGs>
            <MinimumBenefit>119</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO420</BillingCode>
            <Name>ACUMED Hexalobe 1.5mm Multiscrews</Name>
            <Description>ACUMED Hexalobe 1.5mm locking Multiscrew</Description>
            <Size>1.5mm in diameter, 5mm to 20mm in length</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>119</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB034</BillingCode>
            <Name>Mini Locking System - Locking Screw, Stardrive, Self Tapping</Name>
            <Description>Locking Screws</Description>
            <Size>1.5mm &amp; 2mm</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>223188</ARTG>
            </ARTGs>
            <MinimumBenefit>119</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK526</BillingCode>
            <Name>Stryker Locking Plate System</Name>
            <Description>Locking Screws</Description>
            <Size>1.2-2.0mm diameter</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>340044</ARTG>
            </ARTGs>
            <MinimumBenefit>119</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL037</BillingCode>
            <Name>VLP</Name>
            <Description>VAL Locking screws</Description>
            <Size>Micro Screws ≤ 2.0mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>119</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL044</BillingCode>
            <Name>VLP EVOS</Name>
            <Description>VAL Locking Screws</Description>
            <Size>Micro Screws (≤ 2.0mm)</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>119</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY650</BillingCode>
            <Name>AO/ASIF Cortex Screws</Name>
            <Description>Locking head screws</Description>
            <Size>1.3-2.0mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>157068</ARTG>
                <ARTG>297881</ARTG>
            </ARTGs>
            <MinimumBenefit>119</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN064</BillingCode>
            <Name>Newclip Locking Screws</Name>
            <Description>VAL Locking screws</Description>
            <Size>≤2.0 mm diameter, length 08-30 mm</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>260233</ARTG>
                <ARTG>260234</ARTG>
            </ARTGs>
            <MinimumBenefit>119</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZZ079</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>EF014</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Bone Screw</Name>
            <Description>Locking Screw</Description>
            <Size>≤ 2.0mm</Size>
            <SupplierCode>ZZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <Suffix>LK</Suffix>
            <ARTGs>
                <ARTG>239817</ARTG>
            </ARTGs>
            <MinimumBenefit>119</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH299</BillingCode>
            <Name>ALPS Plating System</Name>
            <Description>Bone Screws</Description>
            <Size>1.0 - 2.0mm</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <ARTGs>
                <ARTG>210296</ARTG>
            </ARTGs>
            <MinimumBenefit>58</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BP030</BillingCode>
            <Name>Tyber Medical Trauma headed screw</Name>
            <Description>Trauma headed screw for compression and fixation of bone  Sterile or Non sterile, Titanium or stainless steel</Description>
            <Size>1.5mm-2.0mm</Size>
            <SupplierCode>BP</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <ARTGs>
                <ARTG>324189</ARTG>
                <ARTG>324190</ARTG>
            </ARTGs>
            <MinimumBenefit>58</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BP032</BillingCode>
            <Name>Tyber Medical Trauma Headless screw</Name>
            <Description>Headless trauma screw for compression and fixation of bone Sterile or Non sterile, Titanium or stainless steel</Description>
            <Size>2.0mm</Size>
            <SupplierCode>BP</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <ARTGs>
                <ARTG>324189</ARTG>
                <ARTG>324190</ARTG>
            </ARTGs>
            <MinimumBenefit>58</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ041</BillingCode>
            <Name>Valens Hand - Screws</Name>
            <Description>Cortical Screws</Description>
            <Size>1.5mm, 2.0mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>58</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO075</BillingCode>
            <Name>APTUS Screws</Name>
            <Description>Cortical Screws</Description>
            <Size>1.5mm - 2.0mm Diameter</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <ARTGs>
                <ARTG>141171</ARTG>
            </ARTGs>
            <MinimumBenefit>58</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER401</BillingCode>
            <Name>Paragon 28 Monster Screw System-Screws, micro (≤ 2.0mm)</Name>
            <Description>Paragon 28 Monster Screw System-Screws, micro, headed, blunt tip, solid, partially or fully threaded</Description>
            <Size>dia 2.0 mm x length (8-100 mm) x length of thread (3-100 mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <ARTGs>
                <ARTG>289308</ARTG>
            </ARTGs>
            <MinimumBenefit>58</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW010</BillingCode>
            <Name>WEGO Trauma Systems</Name>
            <Description>Micro Bone Screw Systems</Description>
            <Size>Micro (≤ 2.0mm)</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <ARTGs>
                <ARTG>324381</ARTG>
            </ARTGs>
            <MinimumBenefit>58</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU278</BillingCode>
            <Name>Low Profile Screws, Cortical</Name>
            <Description>Cortical Screws</Description>
            <Size>1.0mm - 2.0mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <ARTGs>
                <ARTG>350999</ARTG>
            </ARTGs>
            <MinimumBenefit>58</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW661</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Cortical Bone Screws</Description>
            <Size>0.5-2.0mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <ARTGs>
                <ARTG>269713</ARTG>
                <ARTG>340044</ARTG>
            </ARTGs>
            <MinimumBenefit>58</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW823</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR256</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Evolve EPS System Non-Locking</Name>
            <Description>Stainless Steel Cortical Screws</Description>
            <Size>1.5 - 2.0mm Diameter, 10-40mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <ARTGs>
                <ARTG>326629</ARTG>
            </ARTGs>
            <MinimumBenefit>58</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KT081</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OH517</PriorBillingCode>
            </PriorBillingCodes>
            <Name>KLS Martin Hand fracture system, standard screw</Name>
            <Description>Bone screw</Description>
            <Size>1.2 – 2.0mm</Size>
            <SupplierCode>KT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <ARTGs>
                <ARTG>276674</ARTG>
                <ARTG>276650</ARTG>
            </ARTGs>
            <MinimumBenefit>58</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM256</BillingCode>
            <Name>Osteomed Screws</Name>
            <Description>Bone Screws - threaded/lag</Description>
            <Size>1.2/1.6/2.0mm x 4-36mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <ARTGs>
                <ARTG>202319</ARTG>
            </ARTGs>
            <MinimumBenefit>58</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO422</BillingCode>
            <Name>ACUMED Hexalobe 1.5mm Lag Screws</Name>
            <Description>ACUMED Hexalobe 1.5mm Lag Screw</Description>
            <Size>1.5mm in diameter, 5mm to 20mm in length</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <ARTGs>
                <ARTG>99823</ARTG>
            </ARTGs>
            <MinimumBenefit>58</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB032</BillingCode>
            <Name>Mini Locking System - Cortex Screw</Name>
            <Description>Cortex Screws</Description>
            <Size>≤ 2.0mm</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <ARTGs>
                <ARTG>223188</ARTG>
            </ARTGs>
            <MinimumBenefit>58</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL006</BillingCode>
            <Name>TC-100</Name>
            <Description>Cortical Screws</Description>
            <Size>≤2.0mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>58</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL036</BillingCode>
            <Name>VLP</Name>
            <Description>Cortical Screws</Description>
            <Size>Micro Screws ≤ 2.0mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>58</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL043</BillingCode>
            <Name>VLP EVOS</Name>
            <Description>Cortical Screws</Description>
            <Size>Micro (Screw size ≤ 2.0mm)</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>58</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY065</BillingCode>
            <Name>AO/ASIF Screws</Name>
            <Description>Cortex Screw</Description>
            <Size>≤2.0mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <ARTGs>
                <ARTG>157068</ARTG>
                <ARTG>297881</ARTG>
            </ARTGs>
            <MinimumBenefit>58</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN065</BillingCode>
            <Name>Newclip Cortical Screws</Name>
            <Description>Cortical screws</Description>
            <Size>≤2.0 mm diameter, length 08-30 mm</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <ARTGs>
                <ARTG>260233</ARTG>
                <ARTG>260234</ARTG>
            </ARTGs>
            <MinimumBenefit>58</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI742</BillingCode>
            <Name>Zimmer ECT Screws</Name>
            <Description>1.5mm Cortical Screws</Description>
            <Size>6 - 18mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>58</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZZ072</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>EF015</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Bone Screw</Name>
            <Description>Cortical Bone Screw</Description>
            <Size>≤ 2.0mm</Size>
            <SupplierCode>ZZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3372</SubGroupID>
            <ARTGs>
                <ARTG>239817</ARTG>
            </ARTGs>
            <MinimumBenefit>58</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW333</BillingCode>
            <Name>Omega Plus Compression Hip Screw System</Name>
            <Description>Lag Screw - Standard -  Stainless Steel</Description>
            <Size>50-130mm length </Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3373</SubGroupID>
            <ARTGs>
                <ARTG>119660</ARTG>
            </ARTGs>
            <MinimumBenefit>215</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW334</BillingCode>
            <Name>Omega Plus Compression Hip Screw System</Name>
            <Description>Lag Screw - Super -  Stainless Steel</Description>
            <Size>50-130mm length </Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3373</SubGroupID>
            <ARTGs>
                <ARTG>119660</ARTG>
                <ARTG>76592</ARTG>
            </ARTGs>
            <MinimumBenefit>215</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN279</BillingCode>
            <Name>Femoral Neck System, Antirotation Screw</Name>
            <Description> Orthopaedic bone screw,  sterile  </Description>
            <Size>75 to 130 mm length</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3373</SubGroupID>
            <ARTGs>
                <ARTG>157068</ARTG>
            </ARTGs>
            <MinimumBenefit>215</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK228</BillingCode>
            <Name>Omega Plus Compression Hip Screw System</Name>
            <Description>Cephalic Implants</Description>
            <Size>Hansson Twin Hook 50-140mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3373</SubGroupID>
            <ARTGs>
                <ARTG>94876</ARTG>
            </ARTGs>
            <MinimumBenefit>215</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN489</BillingCode>
            <Name>Intermediate Osteotomy System</Name>
            <Description>Lag</Description>
            <Size>35 mm - 85mm, 1 1/2" - 3-3/4"</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3373</SubGroupID>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>215</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN492</BillingCode>
            <Name>Paediatric Osteotomy System</Name>
            <Description>Lag Screw</Description>
            <Size>22mm- 40mm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3373</SubGroupID>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>215</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY054</BillingCode>
            <Name>AO/ASIF Screws</Name>
            <Description>DHS/DCS lag screw</Description>
            <Size>50-145mm L</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3373</SubGroupID>
            <ARTGs>
                <ARTG>183900</ARTG>
                <ARTG>297881</ARTG>
                <ARTG>157068</ARTG>
            </ARTGs>
            <MinimumBenefit>215</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY690</BillingCode>
            <Name>MultiLoc Screw</Name>
            <Description>Conical, Locking "Screw-in-Screw"</Description>
            <Size>4.5mm; 20mm - 60mm Length</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3373</SubGroupID>
            <ARTGs>
                <ARTG>157068</ARTG>
            </ARTGs>
            <MinimumBenefit>215</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI158</BillingCode>
            <Name>Zimmer Internal Fixation Systems: Compression Hip Screw</Name>
            <Description>Freelock/Versa-fx lag screw - Stainless Steel</Description>
            <Size>50 mm - 150 mm long</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3373</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>215</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH169</BillingCode>
            <Name>Washerloc Tibial Fixation Device</Name>
            <Description>Interference Anchor Plate</Description>
            <Size>(4.75 or 6.5)mm dia x 15-50mm</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>116765</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH189</BillingCode>
            <Name>Small / Large Fragment Set S/S</Name>
            <Description>Washer Spiked, Standard, Cancellous, Cortical &amp; Fastening Wire</Description>
            <Size>One size only</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>200720</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH332</BillingCode>
            <Name>Small / Large  Fragment Set</Name>
            <Description>Washer Titanium - Flat/Cup/Countersink</Description>
            <Size>One size only</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>200720</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BP029</BillingCode>
            <Name>Tyber Medical Trauma screw washer</Name>
            <Description>Screw washer intended to be used with bone screws to improve fixation. Sterile or Non sterile, Titanium or stainless steel</Description>
            <Size>2.0mm -7.5mm</Size>
            <SupplierCode>BP</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>324373</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DE163</BillingCode>
            <Name>Bio-Post &amp; Washers</Name>
            <Description>PLLA composition</Description>
            <Size>Implant 35mm - 50mm, Washers 16mm</Size>
            <SupplierCode>DE</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>140794</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ023</BillingCode>
            <Name>Austofix Femoral &amp; Tibial Nailing System</Name>
            <Description>Washer for screws; s-s</Description>
            <Size>Dia 11mm &amp; 13mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>111818</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DZ038</BillingCode>
            <Name>Valens - Cannulated Screw Washer</Name>
            <Description>Washer</Description>
            <Size>8mm, 10mm, 12mm</Size>
            <SupplierCode>DZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>276915</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO112</BillingCode>
            <Name>APTUS Washer</Name>
            <Description>Washers</Description>
            <Size>5.0mm - 13.0mm</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>206157</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER405</BillingCode>
            <Name>Paragon 28 Monster Screw System-washer</Name>
            <Description>Paragon 28 Monster Screw System-washer, deep well, flat/dome</Description>
            <Size>dia 2-7 mm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>289309</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER561</BillingCode>
            <Name>Osteomed ExtremiLock Screw, Mini (2.01 – 2.7 mm), screw washer</Name>
            <Description>Screw washer</Description>
            <Size>2.4/2.7 mm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>337240</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>GW009</BillingCode>
            <Name>WEGO Trauma Systems </Name>
            <Description>Washers</Description>
            <Size>10-13mm</Size>
            <SupplierCode>GW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>324402</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU161</BillingCode>
            <Name>Washer</Name>
            <Description>Screw Washer</Description>
            <Size>6mm - 18mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>350851</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW298</BillingCode>
            <Name>Asnis Guided Screw System</Name>
            <Description>Washer, Stainless Steel</Description>
            <Size>One size only</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>119849</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW299</BillingCode>
            <Name>Asnis Guided Screw System</Name>
            <Description>Washer -  Titanium</Description>
            <Size>4, 5, 6.5,8mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>119849</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW712</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR060</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Ring washer</Name>
            <Description>Screw Washers</Description>
            <Size>2.7/3.7/4.0/4.5</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>326629</ARTG>
                <ARTG>198486</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW911</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR388</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MaxTorque Cannulated Screw System- Washers</Name>
            <Description>Screw washer, Titanium, Contoured or Flat</Description>
            <Size>Ø4.0 to 7.0mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>214671</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW918</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR398</PriorBillingCode>
            </PriorBillingCodes>
            <Name>NexFix Washer</Name>
            <Description>The NexFix Washer is a threaded circular piece of stainless steel through which is inserted a NexFix Compression Screw. The Compression Screw is locked to the washer to form a headed screw that will increase bone coverage and prevent the screw from sinking</Description>
            <Size>9mm, 11mm, 13mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>163237</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IT002</BillingCode>
            <Name>Hawk 6.5mm Cannulated Screw System - Washer</Name>
            <Description>Titanium Washer</Description>
            <Size>Internal diameter 6.6mm and external diameter 14mm</Size>
            <SupplierCode>IT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>232499</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IT003</BillingCode>
            <Name>Hawk 4.0mm Cannulated Screw System - Washer</Name>
            <Description>Titanium washer</Description>
            <Size>internal diameter of 4.13mm and external diameter of 10mm</Size>
            <SupplierCode>IT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>232499</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ824</BillingCode>
            <Name>Bristow-Latarjet Instability Shoulder Set - Top Hat Screw</Name>
            <Description>Cannulated titanium top hat screw</Description>
            <Size>One size only</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>136374</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2011-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>KT083</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OH519</PriorBillingCode>
            </PriorBillingCodes>
            <Name>KLS Martin Hand fracture system - washer</Name>
            <Description>Washer</Description>
            <Size>4.5 – 5mm</Size>
            <SupplierCode>KT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>276674</ARTG>
                <ARTG>276650</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM081</BillingCode>
            <Name>Surgicraft Washers</Name>
            <Description>Fixation Washers</Description>
            <Size>All Sizes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>149434</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM255</BillingCode>
            <Name>OsteoMed FPS</Name>
            <Description>Screw Washers</Description>
            <Size>2/2.7/3.5/4.0mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>202319</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM316</BillingCode>
            <Name>Skeletal Dynamics Washer</Name>
            <Description>Washer</Description>
            <Size>One size</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>278692</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM346</BillingCode>
            <Name>Screw Washer</Name>
            <Description>Screw Washer</Description>
            <Size>All sizes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>296619</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO158</BillingCode>
            <Name>Polarus Humeral Fixation System</Name>
            <Description>Polarus Washer</Description>
            <Size>3.8mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>169180</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>OH489</BillingCode>
            <Name>DynafitSystem</Name>
            <Description>washer</Description>
            <Size>8-10mm</Size>
            <SupplierCode>OH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>221403</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB041</BillingCode>
            <Name>Washers</Name>
            <Description>Washers</Description>
            <Size>Thickness 1- 5.5mm&#xD;
Width 7 - 13mm</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>223188</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SF095</BillingCode>
            <Name>Versa Screw Washer</Name>
            <Description>Versa Screw Washer</Description>
            <Size>One Size</Size>
            <SupplierCode>SF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>184460</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK201</BillingCode>
            <Name>Stryker Trauma Locking Nail System</Name>
            <Description>Proximal Humeral Nail</Description>
            <Size>Proximal Humerous Washer round/square</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>119849</ARTG>
                <ARTG>76714</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK565</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Washers</Description>
            <Size>7-13mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>119849</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL007</BillingCode>
            <Name>Universal Washers</Name>
            <Description>Screw Washers</Description>
            <Size>All sizes</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>120321</ARTG>
                <ARTG>108428</ARTG>
                <ARTG>368492</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ129</BillingCode>
            <Name>Screw Washer</Name>
            <Description>Stainless Steel</Description>
            <Size>Screw sizes 4.0mm - 7.0mm</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>191602</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY092</BillingCode>
            <Name>AO/ASIF Washers</Name>
            <Description>Washers</Description>
            <Size>1.0mm - 18mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>133919</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN003</BillingCode>
            <Name>Washers</Name>
            <Description>Washers</Description>
            <Size>4-8 mm</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>260231</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA008</BillingCode>
            <Name>ALPS Plating System &amp; Biodrive Screws</Name>
            <Description>Flat and cupped Titanium washers</Description>
            <Size>3.0-6.5mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>213857</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI210</BillingCode>
            <Name>Zimmer Washers</Name>
            <Description>Washer</Description>
            <Size>Small &amp; Large</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3374</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>90</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO088</BillingCode>
            <Name>Aptus Shoulder (Spiral Blades )</Name>
            <Description>Spiral Blades Proximal Humerus</Description>
            <Size>3.5mm System</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>4521</SubGroupID>
            <ARTGs>
                <ARTG>141170</ARTG>
            </ARTGs>
            <MinimumBenefit>122</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM041</BillingCode>
            <Name>Trimed Fixation Pegs</Name>
            <Description>Plate fixation pegs</Description>
            <Size>Various sizes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>4521</SubGroupID>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>122</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM311</BillingCode>
            <Name>Skeletal Dynamics Pegs</Name>
            <Description>Smooth Pegs:Locking, Threaded Pegs: Locking &amp; Non Locking</Description>
            <Size>2mm, 2.3mm &amp; 2.7mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>4521</SubGroupID>
            <ARTGs>
                <ARTG>278692</ARTG>
            </ARTGs>
            <MinimumBenefit>122</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM522</BillingCode>
            <Name>Omni Plating System</Name>
            <Description>Post</Description>
            <Size>12 &amp; 16 mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>4521</SubGroupID>
            <ARTGs>
                <ARTG>306780</ARTG>
            </ARTGs>
            <ChangeExplanation>New Listing</ChangeExplanation>
            <MinimumBenefit>122</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN278</BillingCode>
            <Name>Femoral Neck System, Bolt</Name>
            <Description>Orthopaedic bone bolt</Description>
            <Size>75 to 130 mm length</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>4521</SubGroupID>
            <ARTGs>
                <ARTG>183900</ARTG>
            </ARTGs>
            <MinimumBenefit>122</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK154</BillingCode>
            <Name>Stryker Cross-Screw</Name>
            <Description>HA/PLLA screw for ligament/tendon fixation</Description>
            <Size>Dia 6mm: Length 40-60mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>4521</SubGroupID>
            <ARTGs>
                <ARTG>143030</ARTG>
            </ARTGs>
            <MinimumBenefit>122</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK155</BillingCode>
            <Name>Wedge Interference screw</Name>
            <Description>Threaded PLLA screw with cross pin for ligament/tendon fixation</Description>
            <Size>Dia 7-12mm, Length 20-40mm; pin length standard</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>4521</SubGroupID>
            <ARTGs>
                <ARTG>139735</ARTG>
            </ARTGs>
            <MinimumBenefit>122</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL029</BillingCode>
            <Name>D-RAD SMART PACK</Name>
            <Description>Variable angle locking screw or peg</Description>
            <Size>1.0 - 2.0mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>4521</SubGroupID>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>122</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL150</BillingCode>
            <Name>Smith &amp; Nephew Plate and Screw System - EVOS</Name>
            <Description>Locking Peg</Description>
            <Size>Various length</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>4521</SubGroupID>
            <ARTGs>
                <ARTG>104369</ARTG>
            </ARTGs>
            <MinimumBenefit>122</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN422</BillingCode>
            <Name>Fixation Post</Name>
            <Description>Tibial fixation device</Description>
            <Size>25 -55mm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>4521</SubGroupID>
            <ARTGs>
                <ARTG>109451</ARTG>
            </ARTGs>
            <MinimumBenefit>122</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY110</BillingCode>
            <Name>AO/ASIF Screws</Name>
            <Description>Buttress Pin</Description>
            <Size>Various lengths</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>4521</SubGroupID>
            <ARTGs>
                <ARTG>297881</ARTG>
                <ARTG>133927</ARTG>
                <ARTG>157068</ARTG>
            </ARTGs>
            <MinimumBenefit>122</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY435</BillingCode>
            <Name>Epoca Custom Offset Shoulder Prosthesis</Name>
            <Description>Epoca  Screw</Description>
            <Size>8-30mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>4521</SubGroupID>
            <ARTGs>
                <ARTG>214668</ARTG>
            </ARTGs>
            <MinimumBenefit>122</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY649</BillingCode>
            <Name>AO/ASIF Screws</Name>
            <Description>Self Drilling, self tapping, conical screws/pins/bar</Description>
            <Size>≥ 3.5mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>4521</SubGroupID>
            <ARTGs>
                <ARTG>297881</ARTG>
                <ARTG>133927</ARTG>
            </ARTGs>
            <MinimumBenefit>122</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN048</BillingCode>
            <Name>Screws peg locking</Name>
            <Description>Locking screws peg</Description>
            <Size>&lt; 2.0 mm</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>4521</SubGroupID>
            <ARTGs>
                <ARTG>260233</ARTG>
                <ARTG>260234</ARTG>
            </ARTGs>
            <MinimumBenefit>122</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK204</BillingCode>
            <Name>Stryker Trauma Locking Nail System</Name>
            <Description>SCN</Description>
            <Size>Nut for Condyle Screws 5mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>4522</SubGroupID>
            <ARTGs>
                <ARTG>139625</ARTG>
                <ARTG>76714</ARTG>
            </ARTGs>
            <MinimumBenefit>35</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK566</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Nuts</Description>
            <Size>4.5-5.0mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>4522</SubGroupID>
            <ARTGs>
                <ARTG>120234</ARTG>
            </ARTGs>
            <MinimumBenefit>35</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW274</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Locking Insert/Plug Assembly</Description>
            <Size>4.0mm to 5 mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>4523</SubGroupID>
            <ARTGs>
                <ARTG>119660</ARTG>
                <ARTG>139635</ARTG>
                <ARTG>295226</ARTG>
            </ARTGs>
            <MinimumBenefit>244</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW335</BillingCode>
            <Name>Omega Plus Compression Hip Screw System</Name>
            <Description>Compression Screw -  Stainless Steel</Description>
            <Size>25mm length</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3732</SubGroupID>
            <ARTGs>
                <ARTG>119660</ARTG>
                <ARTG>76592</ARTG>
            </ARTGs>
            <MinimumBenefit>113</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW906</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR383</PriorBillingCode>
            </PriorBillingCodes>
            <Name>MaxLock Extreme System  - PEEK ring</Name>
            <Description>Locking Ring, PEEK,Pre - assembled on inserter</Description>
            <Size>Ø 2.4/3.5mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3732</SubGroupID>
            <ARTGs>
                <ARTG>214671</ARTG>
            </ARTGs>
            <MinimumBenefit>113</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM378</BillingCode>
            <Name>Orthopaedic screw cap</Name>
            <Description>Orthopaedic screw cap</Description>
            <Size>All sizes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3732</SubGroupID>
            <ARTGs>
                <ARTG>266216</ARTG>
            </ARTGs>
            <MinimumBenefit>113</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN945</BillingCode>
            <Name>Peri-Loc</Name>
            <Description>Screw Accessories, Hole Filler</Description>
            <Size>4.5mm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3732</SubGroupID>
            <ARTGs>
                <ARTG>140705</ARTG>
            </ARTGs>
            <MinimumBenefit>113</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY195</BillingCode>
            <Name>Orthopaedic External Fixator Systems</Name>
            <Description>Protective caps for rods, protection caps</Description>
            <Size>One size only</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3732</SubGroupID>
            <ARTGs>
                <ARTG>155806</ARTG>
            </ARTGs>
            <MinimumBenefit>10</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI597</BillingCode>
            <Name>NCB Plating System</Name>
            <Description>NCB Spacers &amp; Screw Caps</Description>
            <Size>1, 2 and 3</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1231</GroupID>
            <SubGroupID>3732</SubGroupID>
            <ARTGs>
                <ARTG>100337</ARTG>
            </ARTGs>
            <MinimumBenefit>113</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2009-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH264</BillingCode>
            <Name>Small Bone Fixation System - Small Bone Flexible Nail</Name>
            <Description>Intramedullary Nail</Description>
            <Size>1.6mm and 1.1mm</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5364</SubGroupID>
            <ARTGs>
                <ARTG>137673</ARTG>
            </ARTGs>
            <MinimumBenefit>11</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH335</BillingCode>
            <Name>Small / Large Fragment Set S/S</Name>
            <Description>K/Wire Stainless Steel </Description>
            <Size>0.8 to 3.0 mm x 6-9" or 150-500mm</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5364</SubGroupID>
            <ARTGs>
                <ARTG>200700</ARTG>
                <ARTG>202246</ARTG>
                <ARTG>202248</ARTG>
                <ARTG>203768</ARTG>
            </ARTGs>
            <MinimumBenefit>11</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DP045</BillingCode>
            <Name>Isola System (Stainless Steel)</Name>
            <Description>Double Wire</Description>
            <Size>One size only</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5364</SubGroupID>
            <ARTGs>
                <ARTG>97391</ARTG>
            </ARTGs>
            <MinimumBenefit>11</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MC506</BillingCode>
            <Name>Orfil</Name>
            <Description>Double Pearl-Tipped Wires</Description>
            <Size>1 - 350mm</Size>
            <SupplierCode>MC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5364</SubGroupID>
            <ARTGs>
                <ARTG>169514</ARTG>
            </ARTGs>
            <MinimumBenefit>11</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-03-24</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN460</BillingCode>
            <Name>Wire</Name>
            <Description>Cerclage</Description>
            <Size>0.6mmx175mm - 0.8mmx200mm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5364</SubGroupID>
            <ARTGs>
                <ARTG>108396</ARTG>
            </ARTGs>
            <MinimumBenefit>11</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ141</BillingCode>
            <Name>NEO Pedicle Screw System - K-wire</Name>
            <Description>Stainless steel</Description>
            <Size>1.5mm</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5364</SubGroupID>
            <ARTGs>
                <ARTG>289290</ARTG>
            </ARTGs>
            <MinimumBenefit>11</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BU016</BillingCode>
            <Name>MAGNEZIX Pin and Screw</Name>
            <Description>Bioabsorbable bone pin and screw.</Description>
            <Size>Diameter 1.5, 2.0, 2.7 and 3.2mm&#xD;
Length 8 - 50mm&#xD;
Diameter 2.0, 2.7 and 3.5mm&#xD;
Length 6 - 40mm</Size>
            <SupplierCode>BU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>AB</Suffix>
            <ARTGs>
                <ARTG>283491</ARTG>
            </ARTGs>
            <MinimumBenefit>257</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU253</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE273</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Trim-IT Spin Pin</Name>
            <Description>Trim-IT  Pin Fixation</Description>
            <Size>1.5 - 2.0mm x 100mm</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>AB</Suffix>
            <ARTGs>
                <ARTG>140553</ARTG>
                <ARTG>360375</ARTG>
            </ARTGs>
            <MinimumBenefit>257</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LV050</BillingCode>
            <Name>Bionx Implants - Rods </Name>
            <Description>PGA, PLA or PLLA</Description>
            <Size>1.5mm x 10-70mm</Size>
            <SupplierCode>LV</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>AB</Suffix>
            <ARTGs>
                <ARTG>139657</ARTG>
            </ARTGs>
            <MinimumBenefit>257</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LV051</BillingCode>
            <Name>Bionx Implants - Rods </Name>
            <Description>PGA, PLA or PLLA</Description>
            <Size>2.0mm</Size>
            <SupplierCode>LV</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>AB</Suffix>
            <ARTGs>
                <ARTG>139657</ARTG>
            </ARTGs>
            <MinimumBenefit>257</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LV063</BillingCode>
            <Name>SmartNail</Name>
            <Description>Self-Reinforced 96L/4D PLA Bone Fixation Nail</Description>
            <Size>1.5mm O.D x 16, 20 &amp; 25mm L</Size>
            <SupplierCode>LV</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>AB</Suffix>
            <ARTGs>
                <ARTG>139690</ARTG>
            </ARTGs>
            <MinimumBenefit>257</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LV084</BillingCode>
            <Name>SmartNail</Name>
            <Description>Self-reinforced 96L / 4D PLA Bone Fixation Nail</Description>
            <Size>2.4mm O.D x 16, 25, 35 &amp; 45mm L</Size>
            <SupplierCode>LV</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>AB</Suffix>
            <ARTGs>
                <ARTG>139690</ARTG>
            </ARTGs>
            <MinimumBenefit>257</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LV088</BillingCode>
            <Name>SmartPin Resorbable Bone Fixation Pin, 1.1mm</Name>
            <Description>Self-Reinforced PLLA</Description>
            <Size>10, 20, 30 &amp; 40mm</Size>
            <SupplierCode>LV</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>AB</Suffix>
            <ARTGs>
                <ARTG>139657</ARTG>
            </ARTGs>
            <MinimumBenefit>257</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>VK021</BillingCode>
            <Name>CPS Bioabsorbable Fixation System</Name>
            <Description>OTPS fixation system: PLGA/TMC copolymer</Description>
            <Size>Pin 1.5 &amp; 2 mm dia x 20-50 mm long</Size>
            <SupplierCode>VK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>AB</Suffix>
            <ARTGs>
                <ARTG>154545</ARTG>
            </ARTGs>
            <MinimumBenefit>257</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK230</BillingCode>
            <Name>Hansson Pin</Name>
            <Description>Cephalic Implants</Description>
            <Size>Hansson Pin 70-140mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>COM</Suffix>
            <ARTGs>
                <ARTG>94876</ARTG>
            </ARTGs>
            <MinimumBenefit>295</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DP480</BillingCode>
            <Name>DePuy Spinal Wire</Name>
            <Description>Wire with Button or Beaded Wire</Description>
            <Size>18 - 24 gauge wire</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>OL</Suffix>
            <ARTGs>
                <ARTG>139772</ARTG>
                <ARTG>97391</ARTG>
                <ARTG>97395</ARTG>
                <ARTG>99178</ARTG>
            </ARTGs>
            <MinimumBenefit>117</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DY527</BillingCode>
            <Name>Expedium Spinal System - Cobalt Chrome Double Wire</Name>
            <Description>CoCr wire double with/without button</Description>
            <Size>1.0mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>OL</Suffix>
            <ARTGs>
                <ARTG>169174</ARTG>
            </ARTGs>
            <MinimumBenefit>117</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2010-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO100</BillingCode>
            <Name>APTUS K-wires</Name>
            <Description>Olive K-wires</Description>
            <Size>1.6mm</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>OL</Suffix>
            <ARTGs>
                <ARTG>200263</ARTG>
            </ARTGs>
            <MinimumBenefit>117</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER478</BillingCode>
            <Name>Paragon 28 Olive Wires</Name>
            <Description>Paragon 28 Olive wire (Gorilla Plating System), smooth or threaded, standard or short tip</Description>
            <Size>dia 1.3-1.8 mm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>OL</Suffix>
            <ARTGs>
                <ARTG>289488</ARTG>
            </ARTGs>
            <MinimumBenefit>117</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IT030</BillingCode>
            <Name>Frame It Wires - Olives</Name>
            <Description>Wires with stopper</Description>
            <Size>Diameter 1mm-3mm&#xD;
Length 120mm-250mm</Size>
            <SupplierCode>IT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>OL</Suffix>
            <ARTGs>
                <ARTG>282764</ARTG>
            </ARTGs>
            <MinimumBenefit>117</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO162</BillingCode>
            <Name>Tension Band Pin</Name>
            <Description>Stainless Steel</Description>
            <Size>50 to 90mm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>OL</Suffix>
            <ARTGs>
                <ARTG>99821</ARTG>
            </ARTGs>
            <MinimumBenefit>117</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RV011</BillingCode>
            <Name>PS Olive Wires</Name>
            <Description>Olive Wires</Description>
            <Size>2-3.2mm diameter</Size>
            <SupplierCode>RV</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>OL</Suffix>
            <ARTGs>
                <ARTG>330187</ARTG>
            </ARTGs>
            <MinimumBenefit>117</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RV017</BillingCode>
            <Name>PS Olive Wires</Name>
            <Description>Olive Wires</Description>
            <Size>2-3.2mm diameter</Size>
            <SupplierCode>RV</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>OL</Suffix>
            <ARTGs>
                <ARTG>202035</ARTG>
            </ARTGs>
            <MinimumBenefit>117</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK117</BillingCode>
            <Name>Stryker Kirschner Wires</Name>
            <Description>Olive Wires</Description>
            <Size>1.0- 2.0mm Diameter</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>OL</Suffix>
            <ARTGs>
                <ARTG>143230</ARTG>
                <ARTG>16241</ARTG>
            </ARTGs>
            <MinimumBenefit>117</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN441</BillingCode>
            <Name>Ilizarov</Name>
            <Description>Wires with stopper</Description>
            <Size>300-400 length x 1-1.8mm diameter</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>OL</Suffix>
            <ARTGs>
                <ARTG>108396</ARTG>
                <ARTG>157918</ARTG>
                <ARTG>99767</ARTG>
            </ARTGs>
            <MinimumBenefit>117</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN459</BillingCode>
            <Name>Wire</Name>
            <Description>Suture</Description>
            <Size>18Ga - 28Ga</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>OL</Suffix>
            <ARTGs>
                <ARTG>108396</ARTG>
            </ARTGs>
            <MinimumBenefit>117</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ191</BillingCode>
            <Name>Wires Olive</Name>
            <Description>Wire Olive, Bayonet, Drill Tip</Description>
            <Size>Diameter 1.5-1.8mm, Length 300-400mm</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>OL</Suffix>
            <ARTGs>
                <ARTG>345470</ARTG>
            </ARTGs>
            <MinimumBenefit>117</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AE069</BillingCode>
            <Name>Threaded wires &amp; pins</Name>
            <Description>Threaded wires &amp; pins</Description>
            <Size>1.0-5.0mm diameters
various threaded lengths</Size>
            <SupplierCode>AE</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>TH</Suffix>
            <ARTGs>
                <ARTG>164927</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BI232</BillingCode>
            <Name>Moore Pins</Name>
            <Description>Scan Pin, Stainless Steel</Description>
            <Size>16mm x 51-152mm</Size>
            <SupplierCode>BI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>TH</Suffix>
            <ARTGs>
                <ARTG>138206</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BI271</BillingCode>
            <Name>EBI XFIX Dynafix System</Name>
            <Description>Wire Straight or Olive with Washer, Chrome Cobalt</Description>
            <Size>0.9-3.2mm, &lt;400mm</Size>
            <SupplierCode>BI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>TH</Suffix>
            <ARTGs>
                <ARTG>210294</ARTG>
                <ARTG>217978</ARTG>
                <ARTG>227787</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO209</BillingCode>
            <Name>Acumed Congruent Plate System</Name>
            <Description>Threaded K-Wire - Titanium</Description>
            <Size>WT-1606STT: Length 15cm x Diameter 0.62"; WT-0906STT: Length 15cm x Diameter 0.35"; WS-2408STT length 20.32cm x Diameter 0.24cm</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>TH</Suffix>
            <ARTGs>
                <ARTG>99820</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RV012</BillingCode>
            <Name>PS Threaded K-Wire </Name>
            <Description>Threaded K-Wire</Description>
            <Size>2-3.0mm, Length 200 mm</Size>
            <SupplierCode>RV</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>TH</Suffix>
            <ARTGs>
                <ARTG>330187</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RV018</BillingCode>
            <Name>PS Threaded K-Wire</Name>
            <Description>Threaded K-Wire</Description>
            <Size>2-3.0mm, Length 200 mm</Size>
            <SupplierCode>RV</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>TH</Suffix>
            <ARTGs>
                <ARTG>202035</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RV019</BillingCode>
            <Name>PS K-Wire</Name>
            <Description>K-Wires</Description>
            <Size>Dia 1-3.0 mm, Length 150 mm</Size>
            <SupplierCode>RV</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>TH</Suffix>
            <ARTGs>
                <ARTG>202035</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ076</BillingCode>
            <Name>K wires</Name>
            <Description>K wire threaded</Description>
            <Size>1.25mm - 4.5mm</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>TH</Suffix>
            <ARTGs>
                <ARTG>191530</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ST890</BillingCode>
            <Name>Steinmann Pins</Name>
            <Description>Stainless Steel</Description>
            <Size>7,9"</Size>
            <SupplierCode>ST</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>TH</Suffix>
            <ARTGs>
                <ARTG>142054</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY249</BillingCode>
            <Name>AO/ASIF K Wires, Pins </Name>
            <Description>Hybrid Pins - Spade point wires/reduction wires</Description>
            <Size>1.5 - 3.2mm</Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <Suffix>TH</Suffix>
            <ARTGs>
                <ARTG>133927</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AE052</BillingCode>
            <Name>ASDM K-wire</Name>
            <Description>Stainless steel - sterile</Description>
            <Size>Dia 0.7 - 2.5mm, length 100 - 230mm</Size>
            <SupplierCode>AE</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>296136</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>AE070</BillingCode>
            <Name>ASDM Steinmann Pin</Name>
            <Description>Steinmann Pin</Description>
            <Size>2.8-5.0mm diameter</Size>
            <SupplierCode>AE</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>296136</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DP809</BillingCode>
            <Name>Small / Large Fragment Set S/S</Name>
            <Description>K-wire standard</Description>
            <Size>0.2-3.5mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>132151</ARTG>
                <ARTG>132155</ARTG>
                <ARTG>139419</ARTG>
                <ARTG>140187</ARTG>
                <ARTG>143217</ARTG>
                <ARTG>144676</ARTG>
                <ARTG>99178</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>EO089</BillingCode>
            <Name>Aptus K-wires</Name>
            <Description>K-wires</Description>
            <Size>0.8mm - 2.2mm Diameter, various lengths</Size>
            <SupplierCode>EO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>200263</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER477</BillingCode>
            <Name>Paragon 28 K wires</Name>
            <Description>Paragon 28, K wire (for Phantom, Gorilla and Monster systems), smooth, grooved  or threaded, trocar/double trocar</Description>
            <Size>dia 0.9-3.0 mm, length (100-250 mm)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>290442</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER545</BillingCode>
            <Name>Osteomed ExtremiLock K-Wire</Name>
            <Description>K-Wire</Description>
            <Size>0.9-1.6 mm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>337153</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FB001</BillingCode>
            <Name>K-Wire</Name>
            <Description>K-Wire, stainless steel, sterile</Description>
            <Size>0.6mm – 2.8mm   x   75mm – 230mm</Size>
            <SupplierCode>FB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>226653</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>FB002</BillingCode>
            <Name>K-Wire</Name>
            <Description>K-Wire, threaded, stainless steel, sterile</Description>
            <Size>1.2mm – 2.8mm   x   100mm – 230mm</Size>
            <SupplierCode>FB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>226653</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HG001</BillingCode>
            <Name>HSP K - Wire</Name>
            <Description>Stainless Steel Wire with Trocar point, single, double.</Description>
            <Size>Diameter - 0.7mm - 2.0mm  Length - 80mm - 250mm</Size>
            <SupplierCode>HG</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>295191</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW368</BillingCode>
            <Name>Osteo Kirschner Wire</Name>
            <Description>K wire -  Stainless Steel</Description>
            <Size>Diameter 1.0 - 2.0mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>143230</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW975</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR063</PriorBillingCode>
            </PriorBillingCodes>
            <Name>K Wire</Name>
            <Description>Titanium or stainless steel, single or double trocar</Description>
            <Size>0.9 - 2.0mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>217014</ARTG>
                <ARTG>113920</ARTG>
                <ARTG>112287</ARTG>
                <ARTG>196920</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IT004</BillingCode>
            <Name>Hawk 6.5mm Cannulated Screw System - Guide Pin</Name>
            <Description>Threaded, Stainless steel</Description>
            <Size>2.5mm in diameter and 200 in length</Size>
            <SupplierCode>IT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>230955</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IT005</BillingCode>
            <Name>Hawk 4.0mm Cannulated Screw system - Guide Pin</Name>
            <Description>Threaded, Stainless steel</Description>
            <Size>1.5mm in diameter and length of 200mm</Size>
            <SupplierCode>IT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>230955</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>IT006</BillingCode>
            <Name>Hawk 3.0mm Cannulated Screw System - guide pin</Name>
            <Description>Threaded, stainless steel</Description>
            <Size>1.0mm in diameter with a length of 200mm</Size>
            <SupplierCode>IT</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>230955</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JC001</BillingCode>
            <Name>K-Wires</Name>
            <Description>K-Wires - stainless steel</Description>
            <Size>Diameter 0.8mm to 4mm&#xD;
Length 100mm to 350mm</Size>
            <SupplierCode>JC</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>286985</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM014</BillingCode>
            <Name>Trimed Marked K-Wire</Name>
            <Description>Stainless Steel</Description>
            <Size>Diameter 0.9 - 1.1mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM383</BillingCode>
            <Name>K-Wire</Name>
            <Description>K-Wire</Description>
            <Size>Multiple sizes to suit patient and surgeon requirements</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>317003</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO177</BillingCode>
            <Name>Acumed Wires and Pins</Name>
            <Description>Wire Kirschner Stainless Steel</Description>
            <Size>0.70mm to 2.4mm diameter, 4 to 9.25in (10 to 24cm) length</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>99820</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB069</BillingCode>
            <Name>BFix Bone Pins</Name>
            <Description>Bone Pins </Description>
            <Size>0.6mm - 5.0mm</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>322423</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>RV010</BillingCode>
            <Name>PS K-Wires</Name>
            <Description>K-Wires</Description>
            <Size>Dia 1-3.0 mm, Length 150 mm</Size>
            <SupplierCode>RV</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>330187</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK213</BillingCode>
            <Name>Hoffmann II External Fixation System</Name>
            <Description>Hoffmann II Micro</Description>
            <Size>K-wire</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>112434</ARTG>
                <ARTG>16241</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK622</BillingCode>
            <Name>SBi K-Wire</Name>
            <Description>K-Wire</Description>
            <Size>1.6mm</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>239452</ARTG>
                <ARTG>240015</ARTG>
                <ARTG>252452</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL195</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>IG073</PriorBillingCode>
            </PriorBillingCodes>
            <Name>K-Wire (Kirschner)</Name>
            <Description>Stainless steel</Description>
            <Size>70mm, 100mm, 200mm length</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>173964</ARTG>
            </ARTGs>
            <ChangeExplanation>Transferred from IG073</ChangeExplanation>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>Insert</ActionFlag>
            <CycleStartDate>2022-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN440</BillingCode>
            <Name>Ilizarov</Name>
            <Description>Wires</Description>
            <Size>300-370 length x 1-1.8mm diameter</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>25581</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN451</BillingCode>
            <Name>Wire</Name>
            <Description>Kirschner</Description>
            <Size>Various 1.3 - 304.8mm</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>108396</ARTG>
                <ARTG>110986</ARTG>
                <ARTG>118355</ARTG>
                <ARTG>131082</ARTG>
                <ARTG>157918</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ190</BillingCode>
            <Name>Wires</Name>
            <Description>Wire, Bayonet, HA Coated, Pear Wire, Cone Shape, Drill Tip</Description>
            <Size>Diameter 1.2-2.0mm, Length 200-400mm</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>345470</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ST007</BillingCode>
            <Name>Stryker Plating System - K Wires</Name>
            <Description>Stainless Steel or Titanium</Description>
            <Size>150mm length in 1.25, 1.6, 2.0mm diameter</Size>
            <SupplierCode>ST</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>143230</ARTG>
                <ARTG>25735</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ST038</BillingCode>
            <Name>Stryker Plating System -  Reduction Pin</Name>
            <Description>4.5mm Diameter, Stainless Steel</Description>
            <Size>One size only</Size>
            <SupplierCode>ST</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>139621</ARTG>
                <ARTG>25735</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY787</BillingCode>
            <Name>AO/ASIF K-Wires</Name>
            <Description>K-Wires</Description>
            <Size>0.25 - 3.2mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>139010</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN055</BillingCode>
            <Name>Pins</Name>
            <Description>Stainless steel pins</Description>
            <Size>1.1 to 1.4 mm</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>309175</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TS001</BillingCode>
            <Name>Trewavis Surgical Kirschner Wires</Name>
            <Description>Composition: Stainless Steel, Model Nos: 200-000-A to 200-930-T, 200-1110-A to 200-1210-Z, 200-370-X to 200-370-Y and TSS200 to TSS241</Description>
            <Size>Dia 0.7-2.8mm, Length 100-370mm</Size>
            <SupplierCode>TS</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>123770</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TS002</BillingCode>
            <Name>Trewavis Surgical Steinmann Pins</Name>
            <Description>Composition:  Stainless Steel, Model Nos: 200-950-L to 200-970-Q</Description>
            <Size>Dia 3.0 - 5.0mm</Size>
            <SupplierCode>TS</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>123771</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI293</BillingCode>
            <Name>Zimmer Wires</Name>
            <Description>Stainless Steel</Description>
            <Size>Length 23cm, Thickness 2mm, 0-4mm, 8mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI323</BillingCode>
            <Name>Zimmer Wires</Name>
            <Description>Stainless Steel Rushpins</Description>
            <Size>Diameter 2.4 - 6.4mm; Length 2.5 - 52.7cm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI895</BillingCode>
            <Name>Zimmer Pins</Name>
            <Description>Stainless steel, Threaded</Description>
            <Size>Length 230mm, Diameter 2.0mm - 4.8mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5365</SubGroupID>
            <ARTGs>
                <ARTG>112735</ARTG>
            </ARTGs>
            <MinimumBenefit>26</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW309</BillingCode>
            <Name>Dall Miles Cable Grip System - Vitallium</Name>
            <Description>Vitallium: Cable -  Vitallium</Description>
            <Size>1.6 and 2mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5366</SubGroupID>
            <ARTGs>
                <ARTG>141273</ARTG>
                <ARTG>16234</ARTG>
            </ARTGs>
            <MinimumBenefit>331</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PF014</BillingCode>
            <Name>TLS- Tendon Anchoring/Suspension Tape</Name>
            <Description>Suspension tape for anchoring tendon for ACL/PCL reconstruction</Description>
            <Size>One size - 6mm</Size>
            <SupplierCode>PF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5366</SubGroupID>
            <ARTGs>
                <ARTG>181401</ARTG>
            </ARTGs>
            <MinimumBenefit>331</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PF026</BillingCode>
            <Name>TLS Tape</Name>
            <Description>TLS Suspension Tape for use with TLS ACL reconstruction system</Description>
            <Size>6mm</Size>
            <SupplierCode>PF</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5366</SubGroupID>
            <ARTGs>
                <ARTG>181401</ARTG>
            </ARTGs>
            <MinimumBenefit>331</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY276</BillingCode>
            <Name>Spine Cable System</Name>
            <Description>Single Lead</Description>
            <Size>One size only</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5366</SubGroupID>
            <ARTGs>
                <ARTG>157705</ARTG>
            </ARTGs>
            <MinimumBenefit>331</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI161</BillingCode>
            <Name>Zimmer Internal Fixation Systems: Cable System</Name>
            <Description>Cable-Ready Stainless Steel</Description>
            <Size>1.3 mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5366</SubGroupID>
            <ARTGs>
                <ARTG>108377</ARTG>
            </ARTGs>
            <MinimumBenefit>331</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI163</BillingCode>
            <Name>Zimmer Internal Fixation Systems: Cable System</Name>
            <Description>Cable-Ready Plate Cable Stainless Steel</Description>
            <Size>610 mm long</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5366</SubGroupID>
            <ARTGs>
                <ARTG>108377</ARTG>
            </ARTGs>
            <MinimumBenefit>331</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DP364</BillingCode>
            <Name>Control Cable with Sleeve</Name>
            <Description>Control Cable with sleeve </Description>
            <Size>One size only</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5367</SubGroupID>
            <ARTGs>
                <ARTG>99178</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU267</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE649</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Cerclage System</Name>
            <Description>Pre-tied Cerclage System</Description>
            <Size>One Size Only</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5367</SubGroupID>
            <ARTGs>
                <ARTG>354057</ARTG>
                <ARTG>309161</ARTG>
            </ARTGs>
            <Note>The prosthesis is only to be used in a surgical procedure described in item 47450 or 47528 or 47565 in Group T8 of the Regulations.</Note>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW524</BillingCode>
            <Name>Dall Miles Cable Grip System</Name>
            <Description>Cable and sleeve</Description>
            <Size>1.6mm and 2.0mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5367</SubGroupID>
            <ARTGs>
                <ARTG>141273</ARTG>
                <ARTG>16234</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI146</BillingCode>
            <Name>Atlas Cable System</Name>
            <Description>Single</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5367</SubGroupID>
            <ARTGs>
                <ARTG>126313</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL181</BillingCode>
            <Name>EVOS Cabling System</Name>
            <Description>Orthopaedic Cable System, Cable w/Crimp</Description>
            <Size>2.0mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5367</SubGroupID>
            <ARTGs>
                <ARTG>140705</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN732</BillingCode>
            <Name>Accord</Name>
            <Description>Orthopaedic Cable System, Cable w/clamp</Description>
            <Size>2.0mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5367</SubGroupID>
            <ARTGs>
                <ARTG>140705</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SQ115</BillingCode>
            <Name>Iso-Elastic™ Cerclage System</Name>
            <Description>Iso-Elastic™ Cerclage Cable Assembly</Description>
            <Size>One Size Only</Size>
            <SupplierCode>SQ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5367</SubGroupID>
            <ARTGs>
                <ARTG>133719</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY377</BillingCode>
            <Name>Orthopaedic Cable System</Name>
            <Description>Cable with Crimp</Description>
            <Size>1.0mm - 1.7mm, 750mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5367</SubGroupID>
            <ARTGs>
                <ARTG>139010</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2007-06-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI164</BillingCode>
            <Name>Zimmer Internal Fixation Systems: Cable System</Name>
            <Description>Cable-Ready GTR Distal end Cable - Cobalt Chrome</Description>
            <Size>635 mm long</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5367</SubGroupID>
            <ARTGs>
                <ARTG>108377</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI170</BillingCode>
            <Name>Zimmer Internal Fixation Systems: Cable System</Name>
            <Description>Cable-Ready Pin - Stainless Steel</Description>
            <Size>35, 40, 45, 65mm long</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5367</SubGroupID>
            <ARTGs>
                <ARTG>108377</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI173</BillingCode>
            <Name>Zimmer Internal Fixation Systems: Cable System</Name>
            <Description>Cable-Ready GTR Cable - Proximal </Description>
            <Size>635mm long</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5367</SubGroupID>
            <ARTGs>
                <ARTG>108377</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI174</BillingCode>
            <Name>Zimmer Internal Fixation Systems: Cable System</Name>
            <Description>Cable-Ready Stainless Steel Cable</Description>
            <Size>1.8mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5367</SubGroupID>
            <ARTGs>
                <ARTG>108377</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ923</BillingCode>
            <Name>Songer Cable System</Name>
            <Description>Double loop Cable with 2 crimps</Description>
            <Size>One size only</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5368</SubGroupID>
            <ARTGs>
                <ARTG>144675</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI147</BillingCode>
            <Name>Atlas Cable System</Name>
            <Description>Double w/2 crimps</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5368</SubGroupID>
            <ARTGs>
                <ARTG>264077</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SK401</BillingCode>
            <Name>Trochanteric Grip</Name>
            <Description>Dall-Miles Trochanteric Grip with 2 Chrome Cobalt Cables</Description>
            <Size>Small, Medium and Large</Size>
            <SupplierCode>SK</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5368</SubGroupID>
            <ARTGs>
                <ARTG>145550</ARTG>
                <ARTG>16232</ARTG>
            </ARTGs>
            <MinimumBenefit>470</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2006-11-30</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA097</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MZ007</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Pioneer Cable System</Name>
            <Description>Pioneer Titanium Sternal Orthopaedic Cable and Crimp - Single</Description>
            <Size>One diameter size (1.10mm) Reverse cutting needle</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5368</SubGroupID>
            <ARTGs>
                <ARTG>193369</ARTG>
            </ARTGs>
            <MinimumBenefit>456</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA098</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MZ008</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Pioneer Cable System</Name>
            <Description>Pioneer Stainless Steel Sternal Orthopaedic cable and crimp - Single</Description>
            <Size>One diameter size (1.10mm) There are 4 needle types on the cables. Cutting Edge, Blunt Tip, Tapered Tip, Reverse Cutting.</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5368</SubGroupID>
            <ARTGs>
                <ARTG>193369</ARTG>
            </ARTGs>
            <MinimumBenefit>456</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA099</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MZ009</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Pioneer Cable System</Name>
            <Description>Pioneer Stainless Steel Sternal Orthopeadic Cable and Crimp - 4 Pack</Description>
            <Size>One diameter size (1.10mm)  There are four needle types on the cables. Cutting edge, Blunt Tip, Tapered Tip, reverse Cutting.</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5368</SubGroupID>
            <ARTGs>
                <ARTG>193369</ARTG>
            </ARTGs>
            <MinimumBenefit>456</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM001</BillingCode>
            <Name>TriMed Wrist Fixation System</Name>
            <Description>Washer</Description>
            <Size>One size</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5369</SubGroupID>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>108</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM323</BillingCode>
            <Name>GEMINUS Hook Plate</Name>
            <Description>GEMINUS Hook Plate</Description>
            <Size>One size</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5369</SubGroupID>
            <ARTGs>
                <ARTG>278692</ARTG>
            </ARTGs>
            <MinimumBenefit>108</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY257</BillingCode>
            <Name>A/O/ASIF K-wires</Name>
            <Description>Cerclage Wire - coils with and without eye</Description>
            <Size>0.4-2.5mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5369</SubGroupID>
            <ARTGs>
                <ARTG>139010</ARTG>
            </ARTGs>
            <MinimumBenefit>108</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LH630</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>OO044</PriorBillingCode>
            </PriorBillingCodes>
            <Name>IC Cerclage System</Name>
            <Description>IC Bone Cerclage System, pure titanium</Description>
            <Size>8mm wide</Size>
            <SupplierCode>LH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5370</SubGroupID>
            <ARTGs>
                <ARTG>197728</ARTG>
            </ARTGs>
            <MinimumBenefit>434</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2018-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM005</BillingCode>
            <Name>TriMed Fixation Systems</Name>
            <Description>Multiple stainless steel wire forms</Description>
            <Size>various sizes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5370</SubGroupID>
            <ARTGs>
                <ARTG>182677</ARTG>
            </ARTGs>
            <MinimumBenefit>434</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>DP363</BillingCode>
            <Name>Control Cable</Name>
            <Description>Control Cable sleeve </Description>
            <Size>One size only</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5371</SubGroupID>
            <ARTGs>
                <ARTG>99178</ARTG>
            </ARTGs>
            <MinimumBenefit>101</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW310</BillingCode>
            <Name>Dall Miles Cable Grip System - Vitallium</Name>
            <Description>Vitallium: Sleeve -  Vitallium</Description>
            <Size>1.6 and 2mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5371</SubGroupID>
            <ARTGs>
                <ARTG>312160</ARTG>
            </ARTGs>
            <MinimumBenefit>101</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ924</BillingCode>
            <Name>Songer Cable System</Name>
            <Description>Flanged crimp/flat bar or 2 hole bar</Description>
            <Size>One size only</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5371</SubGroupID>
            <ARTGs>
                <ARTG>144675</ARTG>
            </ARTGs>
            <MinimumBenefit>101</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>JJ925</BillingCode>
            <Name>Songer Cable System</Name>
            <Description>Cable and Crimp</Description>
            <Size>One size only</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5371</SubGroupID>
            <ARTGs>
                <ARTG>144675</ARTG>
            </ARTGs>
            <MinimumBenefit>101</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM243</BillingCode>
            <Name>HK2</Name>
            <Description>Finger Mini Fixator System</Description>
            <Size>1.2mm, 1.5mm, 1.8mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5371</SubGroupID>
            <ARTGs>
                <ARTG>235591</ARTG>
            </ARTGs>
            <MinimumBenefit>101</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MI148</BillingCode>
            <Name>Atlas Cable System</Name>
            <Description>Crimp</Description>
            <Size>One size only</Size>
            <SupplierCode>MI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5371</SubGroupID>
            <ARTGs>
                <ARTG>126313</ARTG>
            </ARTGs>
            <MinimumBenefit>101</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2014-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL179</BillingCode>
            <Name>EVOS Cabling System</Name>
            <Description>Cable Locking device – Cable Post</Description>
            <Size>3.5mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5371</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
                <ARTG>368492</ARTG>
            </ARTGs>
            <MinimumBenefit>101</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SN733</BillingCode>
            <Name>Accord</Name>
            <Description>Orthopaedic Cable System, SS Button Plate Adapter</Description>
            <Size>One Size Only</Size>
            <SupplierCode>SN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5371</SubGroupID>
            <ARTGs>
                <ARTG>140705</ARTG>
            </ARTGs>
            <MinimumBenefit>101</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY057</BillingCode>
            <Name>AO/ASIF K-Wires, Pins, Washers etc</Name>
            <Description>Wire mount &amp; spacer</Description>
            <Size>2mm - 6mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5371</SubGroupID>
            <ARTGs>
                <ARTG>133923</ARTG>
            </ARTGs>
            <MinimumBenefit>101</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA106</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>MZ018</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Pioneer Cable System Crimps</Name>
            <Description>Crimps - two pack</Description>
            <Size>One size only</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5371</SubGroupID>
            <ARTGs>
                <ARTG>193369</ARTG>
            </ARTGs>
            <MinimumBenefit>101</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW302</BillingCode>
            <Name>Dall Miles Cable Grip System - Stainless Steel</Name>
            <Description>Stainless Steel: Trochanter Grip -  Stainless Steel</Description>
            <Size>Small, Medium, Large</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5372</SubGroupID>
            <ARTGs>
                <ARTG>144003</ARTG>
                <ARTG>312160</ARTG>
            </ARTGs>
            <MinimumBenefit>508</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW311</BillingCode>
            <Name>Dall Miles Cable Grip System - Vitallium</Name>
            <Description>Vitallium: Trochanter Grip -  Vitallium</Description>
            <Size>Small, Medium and Large</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5372</SubGroupID>
            <ARTGs>
                <ARTG>312160</ARTG>
            </ARTGs>
            <MinimumBenefit>508</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SR072</BillingCode>
            <Name>Dall miles Trochanteric grip with divergent hooks</Name>
            <Description>stainless steel dall miles trochanteric grip with diverging proximal hooks</Description>
            <Size>small, medium, large  43-53mm</Size>
            <SupplierCode>SR</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5372</SubGroupID>
            <ARTGs>
                <ARTG>144002</ARTG>
                <ARTG>144003</ARTG>
                <ARTG>145550</ARTG>
            </ARTGs>
            <MinimumBenefit>508</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2008-07-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SY805</BillingCode>
            <Name>AO/ASIF</Name>
            <Description>Humerus Block</Description>
            <Size>12 x 16mm</Size>
            <SupplierCode>SY</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5372</SubGroupID>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>508</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW313</BillingCode>
            <Name>Stryker Plating System</Name>
            <Description>Cable Plug</Description>
            <Size>4.0mm to 5.0mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5373</SubGroupID>
            <ARTGs>
                <ARTG>119660</ARTG>
                <ARTG>139635</ARTG>
            </ARTGs>
            <MinimumBenefit>171</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>SL180</BillingCode>
            <Name>EVOS Cabling System</Name>
            <Description>Cable Saddle/Button</Description>
            <Size>3.5mm and 4.5mm</Size>
            <SupplierCode>SL</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5373</SubGroupID>
            <ARTGs>
                <ARTG>108428</ARTG>
                <ARTG>368492</ARTG>
            </ARTGs>
            <MinimumBenefit>171</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>TN056</BillingCode>
            <Name>Grooved button</Name>
            <Description>Grooved button</Description>
            <Size>3 sizes</Size>
            <SupplierCode>TN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5373</SubGroupID>
            <ARTGs>
                <ARTG>309175</ARTG>
            </ARTGs>
            <MinimumBenefit>171</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI234</BillingCode>
            <Name>Cable System </Name>
            <Description>Cable Ready, Cable Button</Description>
            <Size>2,5mm - 5,0mm</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5373</SubGroupID>
            <ARTGs>
                <ARTG>108377</ARTG>
            </ARTGs>
            <MinimumBenefit>171</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER454</BillingCode>
            <Name>Paragon 28 Titan 3-D Wedge</Name>
            <Description>Paragon 28 Titan 3-D Cotton or Evans Wedge, Anatomical,  Titanium metal scaffold for angular correction,  Sterile</Description>
            <Size>5-8 mm (Cotton); 6-12 mm (Evans)</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5457</SubGroupID>
            <ARTGs>
                <ARTG>290444</ARTG>
            </ARTGs>
            <MinimumBenefit>1468</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU209</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE345</PriorBillingCode>
            </PriorBillingCodes>
            <Name>iBalance HTO System</Name>
            <Description>Medial High Tibial Osteotomy Implant Device System</Description>
            <Size>Small (6mm, 7mm, 8mm, 9mm, 10mm, 11mm, 12mm, 13mm, 14mm, 15mm)  Medium (5mm, 6mm, 7mm, 8mm, 9mm, 10mm, 11mm, 12mm, 13mm, 14mm, 15mm)  Large (5mm, 6mm, 7mm, 8mm, 9mm, 10mm, 11mm, 12mm, 13mm, 14mm, 15mm)</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5457</SubGroupID>
            <ARTGs>
                <ARTG>350871</ARTG>
            </ARTGs>
            <MinimumBenefit>1468</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MZ020</BillingCode>
            <Name>Strasbourg Costal Osteosynthesis System (StraCos/StraTos) - Titanium 3D Rib Clips, Bar&#xD;
Mounting</Name>
            <Description>Titanium 3D Rib Clip, Bar Mounting, Straight and Angled 22.5 &amp; 45 degrees, Standard &amp; XL</Description>
            <Size>Two widths: Standard (19mm) &amp; XL (27.5mm)&#xD;
Three Angles: 0 (Straight), 22.5 &amp; 45 degrees</Size>
            <SupplierCode>MZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5938</SubGroupID>
            <Suffix>Modified</Suffix>
            <ARTGs>
                <ARTG>235762</ARTG>
            </ARTGs>
            <MinimumBenefit>1964</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MN326</BillingCode>
            <Name>MatrixRIB Fixation System</Name>
            <Description>Pre-Contoured Plates; Straight Plates; Universal Plates</Description>
            <Size>7 - 30 holes </Size>
            <SupplierCode>MN</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5938</SubGroupID>
            <ARTGs>
                <ARTG>157069</ARTG>
            </ARTGs>
            <MinimumBenefit>1675</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO438</BillingCode>
            <Name>RibLoc U+ Chest Wall Plate</Name>
            <Description>RibLoc U+ Chest Wall Plate</Description>
            <Size>4 Hole</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5938</SubGroupID>
            <ARTGs>
                <ARTG>158695</ARTG>
            </ARTGs>
            <MinimumBenefit>1675</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO439</BillingCode>
            <Name>RibLOc U+ Chest Wall Plate</Name>
            <Description>RibLoc U+ Chest Wall Plate</Description>
            <Size>16 Hole, 22 Hole</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5938</SubGroupID>
            <ARTGs>
                <ARTG>158695</ARTG>
            </ARTGs>
            <MinimumBenefit>1675</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MO440</BillingCode>
            <Name>RibLoc U+ Chest Wall Plate</Name>
            <Description>RibLoc U+ Chest Wall Plate</Description>
            <Size>8 Hole,12 Hole</Size>
            <SupplierCode>MO</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5938</SubGroupID>
            <ARTGs>
                <ARTG>158695</ARTG>
            </ARTGs>
            <MinimumBenefit>1675</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MZ019</BillingCode>
            <Name>Strasbourg Costal Osteosynthesis System (StraCos/StraTos)</Name>
            <Description>Titanium 3D Rib Clip, 6, 9 &amp; 13 Segments, Standard width and XL</Description>
            <Size>6 segments (46 mm)&#xD;
9 segments (70 mm)&#xD;
13 segments XL (25.5 mm width)</Size>
            <SupplierCode>MZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5938</SubGroupID>
            <ARTGs>
                <ARTG>235762</ARTG>
            </ARTGs>
            <MinimumBenefit>1675</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZI928</BillingCode>
            <Name>RibFix Blu</Name>
            <Description>Rib Osteosynthesis Plates</Description>
            <Size>8-24 hole</Size>
            <SupplierCode>ZI</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>5938</SubGroupID>
            <ARTGs>
                <ARTG>128458</ARTG>
            </ARTGs>
            <MinimumBenefit>1675</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>MZ021</BillingCode>
            <Name>Strasbourg Costal Osteosynthesis System (StraCos/StraTos) - Titanium Connecting Bar,&#xD;
(partially &amp; completely serrated)</Name>
            <Description>Titanium Connecting Bar for Straight and Angled 3D Rip Clips&#xD;
partially serrated&#xD;
completely serrated</Description>
            <Size>Three Sizes of Partially Serrated :&#xD;
150, 190 &amp; 230mm;&#xD;
Two sizes of Completely Serrated:&#xD;
190 &amp; 230mm.</Size>
            <SupplierCode>MZ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1772</GroupID>
            <SubGroupID>6181</SubGroupID>
            <ARTGs>
                <ARTG>235762</ARTG>
            </ARTGs>
            <MinimumBenefit>1266</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM247</BillingCode>
            <Name>Compression Staples</Name>
            <Description>Compression Staples</Description>
            <Size>Multiple sizes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1773</GroupID>
            <SubGroupID>5514</SubGroupID>
            <Suffix>COMP</Suffix>
            <ARTGs>
                <ARTG>236772</ARTG>
            </ARTGs>
            <MinimumBenefit>396</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2015-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM386</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>PB061</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Compression Staple</Name>
            <Description>Compression Staple</Description>
            <Size>Multiple Sizes</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1773</GroupID>
            <SubGroupID>5514</SubGroupID>
            <Suffix>COMP</Suffix>
            <ARTGs>
                <ARTG>328461</ARTG>
            </ARTGs>
            <MinimumBenefit>396</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2020-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>PB061</BillingCode>
            <Name>Compression Staple</Name>
            <Description>Compression Staple</Description>
            <Size>Multiple Sizes</Size>
            <SupplierCode>PB</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1773</GroupID>
            <SubGroupID>5514</SubGroupID>
            <Suffix>COMP</Suffix>
            <ARTGs>
                <ARTG>319175</ARTG>
            </ARTGs>
            <MinimumBenefit>396</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ZA023</BillingCode>
            <Name>Arcus Staple System</Name>
            <Description>Compression Staple</Description>
            <Size>8-20mm width</Size>
            <SupplierCode>ZA</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1773</GroupID>
            <SubGroupID>5514</SubGroupID>
            <Suffix>COMP</Suffix>
            <ARTGs>
                <ARTG>308503</ARTG>
            </ARTGs>
            <MinimumBenefit>396</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2019-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LV025</BillingCode>
            <Name>Staplizer Bone Staple Cartridge</Name>
            <Description>5 Titanium staples per cartridge</Description>
            <Size>7 x 7mm, 7 x 10mm, 10 x 7mm, 10 x 10mm, 10 x 15mm, 13 x 7mm, 13 x 10mm, 13 x 15mm, 13 x 20mm, 16 x 10mm, 16 x 15mm, 16 x 20mm, 16 x 25mm</Size>
            <SupplierCode>LV</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1773</GroupID>
            <SubGroupID>5514</SubGroupID>
            <Suffix>MI</Suffix>
            <ARTGs>
                <ARTG>93500</ARTG>
            </ARTGs>
            <MinimumBenefit>255</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2005-10-31</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BH192</BillingCode>
            <Name>Barouk System Staples</Name>
            <Description>Memory Staple - Titanium Alloy</Description>
            <Size>12-20mm Long</Size>
            <SupplierCode>BH</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1773</GroupID>
            <SubGroupID>5514</SubGroupID>
            <Suffix>MM</Suffix>
            <ARTGs>
                <ARTG>127053</ARTG>
                <ARTG>97988</ARTG>
            </ARTGs>
            <MinimumBenefit>507</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2013-02-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>BU008</BillingCode>
            <Name>Arcad osteosynthesis memory staples</Name>
            <Description>Memory metal implants</Description>
            <Size>8 to 25mm</Size>
            <SupplierCode>BU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1773</GroupID>
            <SubGroupID>5514</SubGroupID>
            <Suffix>MM</Suffix>
            <ARTGs>
                <ARTG>235764</ARTG>
            </ARTGs>
            <MinimumBenefit>507</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2016-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>ER439</BillingCode>
            <Name>Paragon 28 JAWS Nitinol Staple System</Name>
            <Description>Paragon 28 JAWS Nitinol Staple System</Description>
            <Size>bridge width 8-25 mm, angle 0 or 30, step height 4-12 mm</Size>
            <SupplierCode>ER</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1773</GroupID>
            <SubGroupID>5514</SubGroupID>
            <Suffix>MM</Suffix>
            <ARTGs>
                <ARTG>291681</ARTG>
            </ARTGs>
            <MinimumBenefit>507</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2017-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HJ006</BillingCode>
            <Name>MEMODYN Hot Shape Memory Bipode Staple</Name>
            <Description>Nitinol Memory Staple</Description>
            <Size>6mm - 30mm </Size>
            <SupplierCode>HJ</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1773</GroupID>
            <SubGroupID>5514</SubGroupID>
            <Suffix>MM</Suffix>
            <ARTGs>
                <ARTG>340094</ARTG>
            </ARTGs>
            <MinimumBenefit>507</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HU160</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>DE646</PriorBillingCode>
            </PriorBillingCodes>
            <Name>DynaNite</Name>
            <Description>Nitinol Staple for Osteotomy Fixation</Description>
            <Size>Width (9mm-25mm)    Length (7mm-20mm)</Size>
            <SupplierCode>HU</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1773</GroupID>
            <SubGroupID>5514</SubGroupID>
            <Suffix>MM</Suffix>
            <ARTGs>
                <ARTG>350734</ARTG>
            </ARTGs>
            <MinimumBenefit>507</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-03-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW462</BillingCode>
            <Name>Memometal Memory Staples</Name>
            <Description>Memory Metal Implants</Description>
            <Size>10 mm to 25 mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1773</GroupID>
            <SubGroupID>5514</SubGroupID>
            <Suffix>MM</Suffix>
            <ARTGs>
                <ARTG>149534</ARTG>
            </ARTGs>
            <MinimumBenefit>507</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2012-08-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW832</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR290</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Eleos staple</Name>
            <Description>Foot staple</Description>
            <Size>4-34/38mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1773</GroupID>
            <SubGroupID>5514</SubGroupID>
            <Suffix>MM</Suffix>
            <ARTGs>
                <ARTG>122968</ARTG>
            </ARTGs>
            <MinimumBenefit>507</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>HW833</BillingCode>
            <PriorBillingCodes>
                <PriorBillingCode>WR291</PriorBillingCode>
            </PriorBillingCodes>
            <Name>Fuseforce Fixation System</Name>
            <Description>Osteosynthesis Staple Memory Alloy</Description>
            <Size>8-25mm</Size>
            <SupplierCode>HW</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1773</GroupID>
            <SubGroupID>5514</SubGroupID>
            <Suffix>MM</Suffix>
            <ARTGs>
                <ARTG>122968</ARTG>
            </ARTGs>
            <MinimumBenefit>507</MinimumBenefit>
            <MaximumBenefit>0</MaximumBenefit>
            <HumanTissueAmount>0</HumanTissueAmount>
            <ActionFlag>No Change</ActionFlag>
            <CycleStartDate>2021-11-01</CycleStartDate>
            <CycleEndDate>2022-03-01</CycleEndDate>
        </ProsthesisItem>
        <ProsthesisItem>
            <ItemType>Prosthesis</ItemType>
            <BillingCode>LM214</BillingCode>
            <Name>Highly Elastic Staples</Name>
            <Description>Nitinol Staples</Description>
            <Size>8-25mm</Size>
            <SupplierCode>LM</SupplierCode>
            <CategoryID>13</CategoryID>
            <SubCategoryID>123</SubCategoryID>
            <GroupID>1773</GroupID>
            <SubGroupID>5514</SubGroupID>
            <Suffix>MM</Suffix>
            <ARTGs>
                <ARTG>229705</ARTG>
            </ARTGs>
           